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Národná diaľničná spoločnosť, a.s.

, Mlynské Nivy 45, 821 09 Bratislava

Contract on the use of specified road sections


under the Postpaid Toll Regime
(hereinafter referred to as the “Contract”)

entered into in accordance with Act No. 25/2007 Coll. on Electronic Toll Collection for the use of specified sections of roads and on amending and
supplementing certain acts as amended (hereinafter referred to as “Act on Electronic Toll Collection”) between Národná diaľničná spoločnosť,

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a.s., Mlynské Nivy 45, 821 09 Bratislava, Slovak Republic, recorded in the Business Register of District Court Bratislava I, section Sa, insert no.
3518/B, Company ID No. 35 919 001, Tax ID No. 202 193 7775 (hereinafter referred to as the "Toll Collection Administrator”), represented by a
person empowered/authorised in this matter by the Toll Collection Administrator, and the Vehicle Operator, as specified below.
Dear Vehicle Operator, information regarding the electronic toll collection can be obtained on the web portal www.emyto.sk or through the customer service line on the phone number +421 2 3511 1111.

Contract is concluded for the Vehicle Operator


Vehicle Operator number: 4069147000 Contract number: 40691470041
Toll Account number: 4069147004

A. Vehicle Operator (Legal person) (1)


Business name/Company name: Sample Transport Ltd.

Company ID No. (*):


Tax ID No.:
Registered office – St. & No.:
City:
Postcode:

Name and surname/Business


name:
Company ID No. (*):
Tax ID No.:
Place of business – St. & No.:
City:
Postcode:
PL
00000000
0000000000
Street no. 1
City 1
82109

Peter Sample – Transport

00000000
0000000000
Street no. 1
City 1
82109
VAT ID No.:

Country:
(*) or another, similar identifier identifying the legal person/commercial company

A. Vehicle Operator (Natural person – Entrepreneur) (1)

VAT ID No.:

Country:
SK0000000000

Slovakia

SK0000000000

Slovakia
(*) or another, similar identifier identifying the natural person – entrepreneur
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A. Vehicle Operator (Natural person – Non-entrepreneur) (1)
Name and surname: Peter Sample
Date of birth: 01.01.1951 Nationality: Slovakia
Permanent residence – St. & No.: Street no. 1
City: City 1
Postcode: 82109 Country: Slovakia

A. Vehicle Operator (Legal person – Non-entrepreneur) (1)


Name: Sample – Non-profit organization
Date of establishment: 08.05.2007
SA

Registered office – St. & No.: Street no. 1


City: City 1
Postcode: 82109 Country: Slovakia
(1)
Depending on a specific type of Vehicle Operator a relevant table for the Legal person, Natural person – Entrepreneur, Natural person – Non-
entrepreneur or Legal person – Non-entrepreneur, will be filled in the section A.

B. Person signing the Contract


Name and surname: Peter Sample
Date of birth: 01.01.1951 Nationality: Slovakia
Address – St. & No.: Street no. 2
City: City 2
Postcode: 92109 Country: Slovakia

C. Subject of the Contract


Through this Contract the Toll Collection Administrator commits, after entering into the Contract on the Provision of the On-Boar Unit, o enable
the Vehicle Operator to use the Specified Road Sections in accordance with Act on Electronic Toll Collection and the Vehicle Operator commits to
pay Toll for the use of the Specified Road Sections. In accordance with the General Business Terms and Conditions of the Toll Collection
Administrator and the General Business Terms and Conditions of the System Operator the On-Board Unit has to be installed in the vehicle by
fixed installation.

The Company is recorded in the Companies Company ID No. Tax ID No. VAT ID No.
Register of the District Court Bratislava I in 35 919 001 2021937775 SK2021937775 1/3
Section: Sa Insert No.: 3518/B
Národná diaľničná spoločnosť, a.s., Mlynské Nivy 45, 821 09 Bratislava

I declare that all the data is complete and accurate and at the same time by attaching my signature I grant my consent to the Toll Collection
Administrator and/or persons authorised by it for electronic storage of my data for the purpose of processing, use and handling of claims. I agree

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with all the indivisible parts of this Contract, namely with Annex 1 "List of Registered Vehicles", Annex 2 "General Business Terms and Conditions
of the Toll Collection Administrator" and the List of Fees. This Contract is produced in two copies; one copy is intended for the Vehicle Operator
and the other one for the Toll Collection Administrator.
Dear Vehicle Operator, information regarding the electronic toll collection can be obtained on the web portal www.emyto.sk or through the customer service line on the phone number +421 2 3511 1111.

D. Invoice data
Billing period: Month Invoice maturity: 14 days
Bank name: Bank 1
Account prefix: Account number/bank code: 1111111111/0000
IBAN: BIC/SWIFT:

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E. Security for the toll payment liability (2)
Type of security: Bank Guarantee
Name of the issuing bank: Bank no. 1
Amount of the Bank Guarantee: 5 000,00 € Bank Guarantee number: 000000
Date of the Bank Guarantee 02.05.2013 Bank Guarantee validity: 02.05.2014
provision:

Type of security: Cash Collateral


Amount of the Cash Collateral: 3 000,00 € Document number certifying the 00000
deposit of the Cash Collateral:

Type of security: Fleet card issuer Shell


(2)
Depending on a specific type of security for the toll payment liability a relevant table for the Bank Guarantee, Cash Collateral, Fleet Card Issuer,
or a combination thereof, will be filled in the section E.
F. Contact person in charge of billing
Name and surname: Peter Sample
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E-mail: peter.sample@sample-transport.sk
SA

Place, date: Bratislava, 06.05.2013 Place, date: Bratislava, 06.05.2013


Signature of the authorised Signature of the Vehicle
person of the Toll Collection Operator or its authorised
Administrator: representative (the corporate
seal, if appropriate):

The Company is recorded in the Companies Company ID No. Tax ID No. VAT ID No.
Register of the District Court Bratislava I in 35 919 001 2021937775 SK2021937775 2/3
Section: Sa Insert No.: 3518/B
Národná diaľničná spoločnosť, a.s., Mlynské Nivy 45, 821 09 Bratislava

Annex 1 to the Contract on the Use of Specified Road Sections


under the Postpaid Toll Regime no. 40691470041

List of registered vehicles and parameters of the initial setting of the On-Board Unit
License plate number: VZ003VZ
Country of vehicle registration: Slovakia

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Vehicle category: Bus 3.5t – 12t
Minimum number of vehicle axles: 3 axles
Dear Vehicle Operator, information regarding the electronic toll collection can be obtained on the web portal www.emyto.sk or through the customer service line on the phone number +421 2 3511 1111.

Emission class: EU2


Maximum permissible vehicle mass: 7000 kg
Maximum permissible combination mass: 16000 kg
Coated glass or other modification: no
Estimated number of km per day: 100

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SA

The Company is recorded in the Companies Company ID No. Tax ID No. VAT ID No.
Register of the District Court Bratislava I in 35 919 001 2021937775 SK2021937775 3/3
Section: Sa Insert No.: 3518/B
Národná diaľničná spoločnosť, a.s., Mlynské Nivy 45, 821 09 Bratislava

Annex 1 to the Contract on the Use of Specified Road Sections


under the Postpaid Toll Regime no. 40691470041

List of registered vehicles and parameters of the initial setting of the On-Board Unit (3)
License plate number: VZ003VZ
Country of vehicle registration: Slovakia

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Vehicle category: Bus 3.5t – 12t
Minimum number of vehicle axles: 3 axles
Dear Vehicle Operator, information regarding the electronic toll collection can be obtained on the web portal www.emyto.sk or through the customer service line on the phone number +421 2 3511 1111.

Emission class: EU2


Maximum permissible vehicle mass: 7000 kg
Maximum permissible combination mass: 16000 kg
Coated glass or other modification: no
Fleet card number: 36176311111111
Date of expiration of the fleet card validity: 31.12.2013

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(3)
Version of Annex 1 in case of securing the toll payment liability by means of a Fleet Card Issuer.
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SA

The Company is recorded in the Companies Company ID No. Tax ID No. VAT ID No.
Register of the District Court Bratislava I in 35 919 001 2021937775 SK2021937775 3/3
Section: Sa Insert No.: 3518/B

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