Initial version

INFORMATION TO FILL OUT THE PREQUALIFICATION QUESTIONNAIRE

INFORMATION POUR REMPLIR LE QUESTIONNAIRE DE PRÉQUALIFICATION

This document has to be completed by the potential supplier together with the Financial Information (separate file)
Ce document doit être complété par le fournisseur potentiel avec les Eléments Financiers (fichier séparé)

All sheets have to be filled except specified differently by the purchaser. If in some cases one sheet or paragraph is not concerned no need to be filled - Please follow the request
of the purchaser :
Global information is mentionned in sheets ""general information"", "heath & safety", "quality" and "Social & Environment".
More information depending on the size of the company and the activities is given in other sheets.

Tous les onglets doivent être remplis sauf si mentionnés différemment par l'acheteur. Si dans certains cas un onglet ou paragraphe n'est pas applicable, ne pas en tenir compte.
Merci de suivre les instructions de l'acheteur :
Les informations générales sont mentionnées dans les onglets "Info Génerale", "Santé Sécurité", "Qualité", "Responsab. Social & Environnt".
Les informations complémentaires en fonction de la taille de l'entreprise et des activités sont mentionnées dans les autres onglets.

Nota : If you are certified ISO 9001, ISO 14001, OHSAS18001 or other please attach a copy of the certificate.
Nota : Si vous êtes certifiés ISO 9001, ISO 14001, OHSAS 18001 ou autre merci de joindre une copie du certificat

Nota : Public in sheet "general information" means "company quoted in stock exchange"
Nota: Quoté dans l'onglet "informations générales" signifie "société cotée en bourse"

Sheets Content of the sheets to be filled

onglets Contenu des onglets à remplir

1 Instructions / Instructions

2 RFI STAGE - General Information / Etape RFI - Info générales

3 Health & Safety / Santé et Sécurité

4 Organization / Organisation

5 Eng R&D and Innovation Capability / Capacité Engineering, R&D et Innovation

6 Facility Capability Logistic / Capacité des installations et logistiques

7 Supplies Planning / Planification des fournitures

8 Quality / Qualité

9 Social & Environment / Social & environnement

10 Attachments & Signature / Pièces jointes et Signature

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Completion rate: 85%

84.6584896585

Supplier profile
0

MANDATORY SHEET TO BE FILLED AT PREQUALIFICATION STEP ( Request For Information - RFI)

FILLING DATE OF THE DOCUMENT 2/1/2018 DOCUMENT REFERENCE :

IHM ENGENHARIA E SISTEMAS DE Private company

LEGAL NAME LEGAL STATUS
AUTOMAÇÃO LTDA.

CAPITAL / SUBSCRIBED SHARE CAPITAL 7410889.29 REGISTRATION DATE ###

###

HEAD OFFICE ADDRESS Av. Deputado Cristovam Chiaradia, 670 – Bairro Buritis, Belo Horizonte - MG - Brasil ###
###
MAIN CONTACT NAME Luis Henrique Coelho Baeta ###
###

TELEPHONE 55 31 2129-7799 FAX 55 31 2129-7700 ###

###

E-MAIL comercial@ihm.com.br WEB SITE www.ihm.com.br ###

###
TURNOVER (K€) YEAR 2018 ###
###

Full number of employees 276 ###

###

ACTIVITY CLASSIFICATION ###

###
###
OWNER SHIP Government ● ACTIVITIES ✘ Manufacturing CORE BUSINESS Nuclear Renewable Energy
Public Distributor Military Other (specify below)
Private ●
✘ Service ✘ Industry ###

###
###
IS THE FIRM PART OF A GROUP? (IF YES SPECIFY) Yes NAME stefanini Group ###

###

###

PROVIDE DETAILS OF TOP 5 SHAREHOLDERS / CAPITAL CONTRIBUTORS OF THE FIRM

Name of the persons/organisation Shareholder since % of Capital
stefanini Participações LTDA 2015 80 ###

Jose Luiz Moreira 1997 5 ###

Augusto dos Santos Moura Júnior 1997 5 ###

Gustavo Guimarães Brito 2002 5 ###

Luiz Henrique Coelho Baeta e João Latini Filho 2001 10 ###

###

IS THE COMPANY CERTIFIED? ISO 9001 ISO 14001 OHSAS 18001 OTHERS, SPECIFY BELOW ###

If "YES" please attach latest certificate(s) Yes Yes Yes n/a

###

###

###

For Nuclear Application which Reference Guides do you use regarding the Surveillance (AQ84 or Equivalent)? ###

n/a
###

DO YOU DIRECTLY OR INDIRECTLY HANDLE ASBESTOS (in any of your industrial or non industrial processes) ? ###
(If yes please specify where and the product line) n/a ###

Do you have a charter or code of ethics or other such policy in place?

(For more details, please see the sheets "Safety", "Social & Environment" Do you train, develop all the employees
Yes Yes
& subcontractors on ethical and social
responsibility matters ?
Do you take into account ISO 26000 guidelines and related commitments? No

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PRODUCTS & SERVICES OFFERED ###

Capacity details
Products & Services SUBCONTRACTED WORK ###
(volume, delivery time)
DETAILS OBTAINED FROM
Serviços de Engenharia Elétrica, Automação, Instrumentação e T.I
SUPPLIERS? (to provide separately
Industrial
Serviços de Comissionamento, testes, Montagem e Implantação when applicable)
Gerenciamento de obras
Inovação, Optimização e Digital industry
Painéis Elétricos BT e MT e de Controle, CCM's e Eletrocentros ###

###

PRODUCTION CAPABILITY (hours/year) SUBCONTRACTED (%)

###
ARE VARIOUS BUSINESS FUNCTIONS (LIKE PURCHASING, HR, SALES&MARKETING) IN YOUR ORGANIZATION CENTRALIZED ? ###
If yes, please provide details below ###

###

###

###

###

REGISTRED WITH ANY PROFESSIONAL ORGANISATION IF YES PROVIDE NAME JUCEMG

###

(For example: Dun & Bradstreet, Industry Association) REGISTRATION NO

USUAL INCOTERM FOB 30 days USUAL WARRANTY PERIOD 12 months

DO YOU HAVE CONFIDENTIAL INFORMATIONS HANDLING CAPABILITY (document & data protection) Yes
###
HAVE YOU BEEN GRANTED A "SECRET DEFENSE ACCREDITATION”? No

DO YOUR PRODUCTS INCORPORATE COMPONENTS SUBJECT TO EXPORT ARMS CONTROL REGULATIONS No

(PARTICULARLY ITAR)? ###

###
MAIN CUSTOMERS (LAST FIVE YEARS) ###

Customer name Product Destination/End client name ###

Vale Mining Brasil/Vale ###

Votorantim Steel Metals and Cement Brasil;/Votorantim

Cenibra Pulp & Paper Belo Horiente - MG/Cenibra ###

Porto sudeste Port Itaguaí - RJ/Porto Sudeste ###

Ternium Steel Rio de Janeiro - RJ/Ternium ###

Mosaic Fertilizer Brasil/Mosaic ###

###
MAIN SUPPLIERS (LAST FIVE YEARS) ###

Supplier name Material/product supplied Destination/End Product ###

MACROTEC Eletrical and Automation components Brasil/
Siemens Eletrical and Automation components
Schneider Eletrical and Automation components
Rockwell Eletrical and Automation components
Elbi Mounting and assembling work force
ACSA Steel and alumminium structures ###

###

WORK FORCE (provide number count) ###

Shopfloor Workers 207 24

Office Employees ###

###
Executives 4 Others 41
###

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Supplier profile
Health & Safety

HEALTH & SAFETY

Do you have a formal Health & Safety policy ? Yes

Do you have a Management System for Health and Safety ? Yes

If yes, is it certified ? Yes

For your products, do you apply AQUEOUS PAINTING and/or LOW SOLVENT systems? No

In your MANUFACTURING, PACKAGING & SHIPPING process, do you use any of the following substances?

Polychlorinated Biphenyls (PCB) No

Chlorofluorocarbons (CFC) No
Substances classified as an EU / GHS (Global Harmonised Standard) all categories carcinogen No
Asbestos / Refractory Ceramic Fiber No
Submitted to Reach No

Do you have emergency procedures in place to handle fire, explosion, environmental emergency and Yes
evacuation ?

Is there any medical emergency aid for your employees when at work ? Yes

Do you have employer's liability insurance ? Yes

Is your staff trained to Heath and Safety and to the work station concerned? Yes
Nuclear field particularities
Is your staff likely to be exposed to nuclear radiation No
In this case have you implemented dosimetric monitoring No
Is your company certified CEFRI or equivalent No

How many lost time accidents did you have during the last 3 years
(please specify herebelow the number)
AFR = (Number of occupational
Year -1 Year - 2 Year-3 accidents during the given period X
Number 0 0 0 1 million) / Number of man hours
Accident frequency rate (AFR) 0 0 0 worked during the given period

Have you taken commitments in terms of Health and Safety improvement ? (please precise/add comments) :

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Supplier profile
Organization

WORKFORCE BREAKDOWN (Number of persons. Please put 0 if there are no employees)

Full number of employees 276

Executive Management & Administration 28 Production Workshop 65
Project Management 15 Technical Department 207
Marketing Department 2 External Production Supervisors 15
Purchase Department 2 Quality Assurance/Control Department 3
Planning Department 15 Others (specify)** (ex.: nuclear safety) 41
(**) Terceiros
(**) n/a

ORGANISATION DETAILS (Please put NA in three columns if you don't have the post in your organisation. Please
attach your organisation chart, if you have one)
Name Employed Since Experience in Years
President/Owner Augusto dos Santos Moura júnior 1997 20
Managing Director Luiz Henrique coelho Baeta 2001 16
Plant/Yard Director José Luiz Moreira 1997 20
Sales Manager Luiz Henrique Coelho Baeta 2001 16
Administration Manager Luciana Correa 2001 16
Production Manager Ricardo Luiz 1999 18
Planning Manager Denise Viana 2001 16
Quality Assurance Manager Juliana Resende 2015 2
Technical Department Manager José Luiz Moreira 1997 20
Purchasing Manager Fabiola Pacheco 1999 18
Health & Safety - CSR Manager Marcos Almeida 2012 5
Project Manager Lauro paixão 2001 16
Project Manager Selama Marchete 2015 2
Project Manager Gleison Marques 2015 2
Project Manager Bruna Lara 2008 9

PRECIZE/GIVE COMMENTS

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Supplier profile
Engineering, R&D and Innovation capabilities

DESCRIPTION OF ENGINEERING SERVICES OFFERED

Serviços de Engenharia Elétrica, Automação, Instrumentação e T.I Industrial ###
Serviços de Comissionamento, testes, Montagem e Implantação
Gerenciamento de obras
Inovação, Optimização e Digital industry

CAPABILITY [hours/year] 2792 ###

WHO DOES ENGINEERING DESIGNING OF YOUR electrical Projects, Automation ###

PRODUCTS? Projects, Interligation Projects, Panel
and e-houses projects , optimization
SUBCONTRACTED % 1 Projects, digital Projects and inovation###
projects
PRODUCT AND TECHNOLOGY OWNERSHIP % Owned % Licensed
Products you sell 50 50
Technologies you use 50 50

IF LICENSEE, PLEASE SPECIFY LICENCE HOLDER form aou partners rockwell, simens or
Schneider
DO YOU USE A CAD SYSTEM FOR DRAWING / DESIGN ? Yes

CAD system description Version No. of licences

Autodesk Autocad Electrical 100
0 0 0
0 0 0
0 0 0
0 0 0

WHICH OF THE FOLLOWING STANDARDS DO YOU USE?

ASME CODAP RCCM

OTHER STANDARDS USED (Please specify)

Do you usually work with functional specifications of clients ? Yes

Do you usually propose improvements in the products to your clients? Yes

Do you issue/fill patents ? Yes

Can you indicate the number of patents you have issued/filled for the last five years?
Can you provide details of products/processes subject of such patents ?
If applicable what are the know how you are interested to promote ?

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Supplier profile
Facility Capabilities & Logistic

HOW DO YOU MANAGE YOUR WORKFORCE FOR SHORT-TERM VARIATION IN PRODUCTION/DEMAND?

PRODUCTION LOCATIONS

Plant/Yard/Site name Location Indoor

area m2 Total area m2
IHM ENGENHARIA E SISTEMAS DE AUTOMAÇÃO Betim - MG, Brasil 5600 6500
LTDA - FILIAL Painéis

5600 6500
PRODUCTION EQUIPEMENT DETAILS
Machine name/model/manufacturer No. of m/c Age in years Details of products made and capacity

MAINTENANCE CAPABILITIES (technical capability / planning / corrective-preventive) Yes

LONG TERM SERVICING CAPBILITIES (Spare parts & Services) Yes

MEANS OF TRANSPORTATION NEARBY : (type and distance in Km)

Airfreight Distance: 40
Seaport Distance: 440
Railroad Distance: 35
Major highway/motorway/truckway Distance: 5
Other (Specify)

HOW DO YOU HANDLE LOGISTICS DURING UNUSUAL AND EXTREME WEATHER CONDITIONS (Monsoon, winter etc)?
In Brasilo we dont have too many intemperies or extrem wether conditions, all of our handle and logistics has na assurance

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Supplier profile
Production Planning

HOW DO YOU PLAN YOUR PRODUCTION?

1 - PRODUCTION MANAGEMENT :
2 - TOOLS :

THE COMPANY MAINLY PRODUCES ON Customer order

(job)
DO YOU HAVE ORDER BACKLOG? Yes

DO YOU HAVE A LOAD/OVERLOAD PLAN FOR THE MACHINES Yes

DO YOU HAVE SUBCONTRACTORS/SUBCONTRACTING AGREEMENTS? Yes

Subcontractor Activity Since when

HOW DO YOU QUALIFY, MANAGE AND EVALUATE YOUR SUBCONTRACTORS?

PLEASE DESCRIBE CONTROL PROCEDURES THAT YOU FOLLOW WITH YOUR SUBCONTRACTORS?

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 COMPLIANCE QUESTIONNAIRE

1. Is one of the shareholders or ( current or former) corporate officers ?

Πa Politically exposed Person (PEP) No

Πa Public Official or a State Owned Company No

a State owned entity No

If yes, please provide the names and functions of the concerned individuals or entities

2. Do you have enforced a Compliance Code in line with FCPA/UKBA/OECD

convention on anti-corruption ? No

and anticorruption compliance programme: ✘

3. Have – are the Company its legal representative, main shareholders been-being investigated or condemned by a Judicia

Bribery, Corruption No
Conflict of interest No
Misuse of company assets No
Unlawful taking of interest No
Export control fraud No
Fraud No
Influence peddling No
Breach of trust No
Money laundering No
Embezzlement No

If so, please provide a detailed description of the aforementioned investigation(s) or condemnation(s) and any supporting d

The potential partner hereby declares that all the information and data it provided in this questionnaire are accurate and up
of the potential partner’s situation.

The potential partner undertakes to carry out all the necessary updates of this questionnaire and to inform Naval Group pro
situation after the date of drawing up and signing this questionnaire. If necessary, NAVAL Group reserves the right to carry
necessary to verify the information declared by the potential partner.

The potential partner expressly understands and agrees that Naval Group twill ake into account the information contained
with the potential partner and that any false declaration will authorize NAVAL Group to withdraw or terminate any agreeme
entered into with the potential partner, and this without the potential partner being able to claim any compensation or whats
to perform any services until it has been authorized to do so by a contract duly signed with NAVAL Group.

SIGNATURE
 TIONNAIRE

stigated or condemned by a Judicial authority for the following offences? :

demnation(s) and any supporting document(s):

s questionnaire are accurate and updated and that they give a fair representation

naire and to inform Naval Group promptly in the event of a change in the
AL Group reserves the right to carry out any internal or external investigation

account the information contained in this form before concluding any agreement
withdraw or terminate any agreement, contract or agreement that may have been
o claim any compensation or whatsoever. The potential partner undertakes not
with NAVAL Group.
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Supplier profile
Quality Assurance and Quality Control

CERTIFICATIONS (only in addition to those listed in general informations)

###
Certification Certifying body Certified sectors Certification date Certificate attached ###
ISO 9001 Rina BH, Betim plants 9/15/2018 ✘ ###
ISO 14001 Rina BH Plant 9/15/2018 ✘ ###
OHSAS 18001 Rina BH Plant 5/20/2020 ✘ ###
###
###

If NO, please specify

###
DO YOU AGREE TO USE STANDARDS OTHER THAN THOSE YOU NORMALLY USE? (E.g; French or Yes ###
European standards) ###

DO YOU HAVE A DOCUMENTED QUALITY MANAGEMENT SYSTEM? Yes ###

DO YOU AGREE TO CLIENT INITIATED AUDITS WITH MUTUAL AGREEMENT ? Yes ###

DO YOU USE QUALITY CONTROL AND IMPROVEMENT PLANS? Yes ###

DO YOU HAVE CLEARLY DEFINED AND DOCUMENTED PRODUCTION PROCESSES? Yes ###
( Eg : Welding, Painting, Thermical Traitment, Checks, etc …)

DO YOU SYSTEMATICALLY CHECK/TEST PRODUCTS BEFORE THEIR RELEASE? Yes ###

DO YOU ISSUE FACTORY/CONFORMITY CERTIFICATES FOR THE PRODUCTS? Yes ###

ACCREDITATION / QUALIFICATION / STAFF SKILLS IN NUCLEAR FIELD

HAVE YOU SET UP QUALITY REFERENCE GUIDES IN NUCLEAR FIELD No If yes please comment

DO YOU HAVE STAFF WITH ACCREDITATION RELATIVE TO NUCLEAR FIELD No If yes please comment

QUALITY CHECK CAPABILITIES

3D CONTROLS NDT (Non destructive tests) Mechanical testing LABORATORY

Yes Yes Yes Yes

HAVE YOU TAKEN COMMITMENTS IN TERMS OF QUALITY IMPROVEMENT ? (PLEASE PRECISE/ ADD COMMENTS) :

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Supplier profile
Attachments & End Signature

ATTACHMENTS:

ORGANIZATION CHART ✘ N° PAGES ###

LIST OF MAJOR PRODUCTION EQUIPMENTS ✘ N° PAGES ###

LIST OF MAJOR DESIGN & TESTING TOOLS ✘ N° PAGES ###

SUBCONTRACTED WORK DETAILS ✘ N° PAGES ###

CERTIFICATES ✘ N° PAGES ###

REFERENCES ✘ N° PAGES ###

OTHER N° PAGES ###

DATE 2/6/2018

DEPARTMENT comercial

SIGNATURE (*)
(*) Signed copy of the Questionnaire must be sent by mail with the above specified attachments.

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Supplier profile
Social Responsibility & Environment

SOCIAL
Do you have a policy to ensure compliance with the Universal Declaration of Human rights and the 8
fondamental conventions of it concerning level of salary and benefits, working hours, child labour, forced Yes
labour and non-discrimination?

Do you ensure that your suppliers and sub-contractors are compliant with the Universal Declaration of Human Yes
Rights?

Do you have a regular audit of your adherence to local regulations relative to employee, social and Yes
environmental matters, temporary and/or migrant workers?

ENVIRONMENT
Have you analysed the environmental impact of your industrial processes? Yes

Do you have goals to improve your environmental performance? (E.g.: air borne and water pollution, waste Yes
reduction,..)

Do you regularly audit your environmental performance? Yes

Do you regularly audit your legal compliance? Yes

Have you implemented an Environment Management System ? Yes

Have you taken voluntary commitments (respect of rules and regulation..) in link with social and environment ?
Please precise / add comments :

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 Required documentation

1 Last updated deeds and evidence of company’s registration or incorporation

2 If the shareholding information mentioned in the available deeds is incomplete, please add an updated
shareholding certificate mentioning the identities of all the potential partner’s ultimate owners (This document
can be issued by a chartered accountant, an auditor or lawyer).
3 Latest annual report
4 Letter from the partner’s Bank stating the account number, the address of the account
5 Resumes of the board members, legal representatives or contact persons of the Company
 Certificate attached
✘

d an updated
ners (This document