FORM OF CERTIFICATE

OF
COMPLETION OF THE WORKS

DATE OF COMPLETION OF THE WORKS: 10 JANUARY 2021

PROJECT TITLE: EUGLENA CULTIVATION PROJECT

JOB NO.: 9-0071-00-0000

WORKS OR SPECIFIED PART SHALL INCLUDE:

LOCATION: TANJUNG TABALONG, SOUTH KALIMANTAN

COMPANY: EUGLENA CO., LTD

SUBCONTRACTOR: PT. TIGENCO GRAHA PERSADA

CONTRACT FOR: TOPOGRAPHIC SURVEY & GEOTECHNICAL INVESTIGATION WORKS

CONTRACT NO: L-0071-3110-JIND/TGP-001

CONTRACT DATE: NOVEMBER 9, 2020

The Works performed under this Contract have been inspected by authorized representatives of JIND
and the Works (or specified part of the Works, as indicated above) are hereby declared to be
substantially completed in accordance with the Contract on the above date.

A list of minor items to be completed or corrected is appended hereto. This list may not be exhaustive,
and the failure to include an item on it does not alter the responsibility of SUBCONTRACTOR to complete
all the Works in accordance with the Contract.

SUBCONTRACTOR accepts this Certificate of Completion of the Works and agrees to complete and
correct the items on the appended list within the time indicated.

BY__________________________________
SUBCONTRACTOR AUTHORIZED REPRESENTATIVE
DATE:

JIND accepts the Works or specified part of the Works as complete. This certificate shall not in any way
be interpreted as a consent to release SUBCONTRACTOR from his responsibility under the Contract.

BY: ENDIARTO BUDI RAHARJO (CIVIL ENGINEER) _

JIND AUTHORIZED REPRESENTATIVE
DATE: 01 MARET 2021