CERTIFICATE PREQUALIFICATION FOR THE ATTACHED PROJECT ACTIVITIES Subcontractor Name: PT GEICONS NUANSA BAGUS Address Komplek Cipondoh Indah JI. Kemuning 211 Cipondoh - Tanggerang - 15148. Telp : 021-55712285 Assessment Date 24-Sep-18 Next Assessment, 1-Mar-20 Qualified Work Field No.Certificate Total Score © [Temporary Facility REK-PQ-HSE-28-004-09/18 60 Mechanical Drainage REK-PO-HSE-49-002-09/18 60 Forwarder Steel Structure REK-PO-HSE-5-002-09/18 oo Fabricator Pilling Land Clearing REK-PQ-HSE-9-003-09/18 60 (Coating & Painting [Concrete & Foundation Raw Water Intake Work REK-PQ-HSE-29-001-09/18 60, Pavement [Architectural Work REK-PQ-HSE-43-001-09/18 60, [Soil investigation REK-PQ-HSE-16-001.09/18 “1 [Topography REK-PQ-HSE-68-001.09/18 60. PT Geicons Nuansa Bagus has passed CSMS prequalification process and eligible to attend further bidding process in PT Rekayasa Industri This certification valid only two years Certificate holder fully understands HSE REQUIREMENT FOR SUBCONTRACTOR which is stated on attachment 2 of document No. 8020-GP-02-01 (file attached), and commits to follow the requirement in each tender involved Certified by ¢ tspranto Klinia Adhy AVP HSSE celibate Tamar No. 36 Phone; “62:21798 8700, 798 707 slate, Jokarte 12740 Fax: +6221798 G70, 798 8702