INVITATION TO TENDER

Provision of Drill Cuttings Treatment and Remediation Services for Qara Dagh

Tender Reference:
ITT-GEQDL-22-TBD

In respect of
Kurdistan Region of Iraq

Part C – Form of Tender and Schedules

 Part C – Form of Tender and Schedules

LIST OF SCHEDULES INCLUDED IN THIS ITT PART C:

Schedule Title:

A. Letter of Acknowledgement pro-forma and Proprietary Information Undertaking

B. Form of Tender

C. Technical Questionnaire
D. Exceptions to Pro-forma Contract

E. Contracting Entity Questionnaire

F. Due Diligence Questionnaire for Proposed Business Partners and Business Partner
Code of Conduct

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 Part C – Form of Tender and Schedules

1. Tenderer’s Acknowledgement

With reference to section 10 (Tender Acknowledgement) of Part A (Invitation and

Instructions), Tenderers shall provide an acknowledgement to the ITT as follows:

Tender Schedule
Tender Section Title Guidance Notes
Section Reference
 Letter of Acknowledgement
n/a See also Part A, Section 9 Schedule A
 Proprietary Information Undertaking

2. Tender Submission Contents

Considering the instructions laid out in Part A (Invitation and Instructions), and the Scope of
Work and Contract terms and conditions laid out in Part D (Pro Forma Contract), Tenderers
shall prepare two (2) separate Tender volumes (Technical and Commercial) containing the
items shown in the tables below for submission by the Tender Closing Date:

A. Technical Tender Volume containing Tenderer’s technical and unpriced commercial

proposals as further detailed below – under no circumstances shall the Technical
Tender Volume contain any actual prices;

And, as a separate volume:

B. Commercial Tender Volume, containing Tenderer’s priced commercial proposals,

also as further detailed below.

Where stated in the tables below, refer to the Schedules appended to the remainder of this
document.

All sections in each volume must be provided (complete and in full) for Tenders to be
accepted by Company as valid.

Table A. Technical Tender Volume Contents

Tender Schedule
Tender Section Title Guidance Notes
Section Reference

Letter to be signed by someone authorised to legally

1. Cover Letter -
bind Tenderer.

On Tenderer’s headed letter paper, signed by ITT Part C-

2. Form of Tender
someone authorised to legally bind Tenderer. Schedule B

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 Part C – Form of Tender and Schedules

Ensure every section of the Tender is complete and

3. Table of Contents -
fully numbered.

Tenderer’s summary of their approach to the ITT,

including experience relevant to the work, available
4. Executive Summary -
capacity, and how the work would be done if
awarded a Contract.

Provide the following:

 a full response to each of the individual
questions in Schedule C
ITT Part C-
5. Technical Questionnaire Where required, append any further explanatory Schedule C
or supporting information, specification sheets,
presentations, drawings, etc. to this section,
ensuring each is clearly numbered and
identifiable.

Provide a full response to each of the individual

Contracting Entity questions. ITT Part C-
6.
Questionnaire Where required, append any supporting documents. Schedule E
Ensure these are clearly numbered and identifiable.

Complete and submit an unpriced version of

Schedule 3 - Remuneration of ITT Part D, to confirm
which items have been offered in the Commercial
Tender Volume.
Unpriced Contract ITT Part D-
7.
Compensation Section Unpriced Schedule 3 - Remuneration to be Schedule C
submitted in Adobe .pdf.
Submit a full unpriced Schedule 3 - Remuneration,
and not just standalone price lists.

Provide an explanation of any assumptions made

about how the proposed pricing will be applied
when undertaking the work described in the Tender:
Unpriced Commercial you must not include any actual prices.
8. -
Notes and Assumptions Note: additional pricing conditions or qualifications
submitted here will not be accepted in the Contract,
unless also raised as exceptions in Tender ITT Part C-
Schedule D.

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 Part C – Form of Tender and Schedules

Unpriced Proforma Not applicable

9. -
Invoice

Any exceptions to the ITT Part D Proforma Contract

must be submitted as follows:
 Each exception to be included in an exceptions
table in the format in the Schedule (Note: no
prices to be included);
AND/PLUS
 An MS Word red-line mark-up version (tracked
Exceptions to the ITT Part
changes) of the identical exceptions in a copy of ITT Part C-
10. D Proforma Contract
the pro-forma contract. Schedule D
Terms & Conditions
If Tenderer is not proposing any exceptions to any
part of the proforma contract, the Contract
Exceptions Table in the Schedule must be submitted
stating "No Exceptions Proposed".

Exceptions/qualifications not raised at the time of

Tender submission will not be accepted later by
Company, and may lead to later disqualification.

Both parts, the questionnaire, and the code of

conduct certification, must be completed in full,
signed and dated by an authorised representative of
Tenderer.
Attach supporting documents such as company
ownership, corporate structure charts, and copies of
relevant policies.

Due Diligence Company will use the information provided to

conduct due diligence screening on Tenderer, its ITT Part C-
11. Questionnaire & Business
Group and any other persons and entities associated Schedule F
Partner Code of Conduct
with Tenderer.
If Tenderer has submitted a signed Due Diligence
Questionnaire and signed Code of Conduct to
Company within six (6) months of the Tender Closing
Date, and all of the information remains unchanged,
Tenderer may refer to this instead of re-submitting a
new version for this ITT (please state date of original
submission and ITT reference number).

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 Part C – Form of Tender and Schedules

Table B. Commercial Tender Volume Contents

Tender Schedule
Tender Section Title Guidance Notes
Section Reference

Letter to be signed by someone authorised to legally

1. Cover Letter -
bind Tenderer.

Ensure every section of the Tender is complete and

2. Table of Contents -
fully numbered.

Complete and submit a priced version of Schedule 3

- Remuneration of ITT Part D, as Tenderer’s
Commercial Tender proposal. This must be identical
to the Schedule 3 - Remuneration submitted in the
technical volume but shall include prices.
Priced Schedule 3 - Remuneration to be submitted in
Adobe .pdf, with page initialled by Tenderer’s
authorised representative. Digital versions of the
Priced Contract pricing section shall be submitted in both pdf and ITT Part D-
3.
Compensation Section Excel. Schedule C

The full priced Schedule C must be submitted, and

not just standalone price lists.
Pricing tables must be substantially in the form
included in Schedule 3 with exception of any
additional (optional) items Tenderer may wish to
offer: pricing tables may be expanded to include
these.

Provide an explanation of any assumptions made

about how the proposed pricing will be applied
when undertaking the work described in the Tender
Priced Commercial Notes and include actual prices if applicable. Note:
4
and Assumptions additional pricing conditions or qualifications
submitted here will not be accepted in the Contract,
unless also raised as exceptions in Tender ITT Part C-
Schedule D.

5. Priced Proforma Invoice Not applicable -

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 Part C – Form of Tender and Schedules

Schedules

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 Part C – Form of Tender and Schedules

Schedule A
Letter of Acknowledgement pro-forma and
Proprietary Information Undertaking

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 <to be completed on Tenderer’s letter head>

GENEL ENERGY QARA DAGH LIMITED

36 Broadway,
St James,
London SW1H 0BH,
United Kingdom.

For attention: Tender Board Secretary.

Re. Acknowledgement in respect of Invitation to Tender No.: ITT-GEQDL-22-TBD for Provision of Drill
Cuttings Treatment and Remediation Services for Qara Dagh.

We, Tenderer, acknowledge receipt of this Invitation to Tender and, having satisfied ourselves of the
contents of this ITT, and our obligations within it, inform you that:

 We agree to comply with the requirements of the Instruction to Tenderers and confirm that
we will respond to Company’s request and submit a Tender not later than the required
closing date(1).

OR

 We shall not submit a Tender, and confirm that this ITT and any information pertaining to it
have been permanently deleted.

(1)
A signed “Proprietary Information Undertaking” is enclosed with this letter, completed and
executed by an authorised representative of Tenderer.

Company:

Signature:

Date:

Print Name:

Title:

Telephone:

Facsimile:

Email:

Genel Energy - CONFIDENTIAL Page 9 of 34

 PROPRIETARY INFORMATION UNDERTAKING
Invitation to Tender No. ITT-GEQDL-22-TBD for Provision of Drill Cuttings Treatment and Remediation
Services for Qara Dagh.

All information and documents provided by Genel Energy QARA DAGH Limited (hereinafter
“Company”) in this Invitation to Tender (ITT) for the provision of Goods and/or Services shall be
deemed Proprietary Information.
In consideration for providing the Proprietary Information, Tenderer hereby agrees to the
confidentiality provisions laid out herein.

We, <Insert Tenderer’s name>, hereby agree to the following:

Tenderer agrees to treat any information provided by Company as part of this ITT as confidential and
proprietary information and to not divulge such information except permitted in this Undertaking.
The term Proprietary Information shall mean all information, directly or indirectly acquired from
Company, concerning the technical and business activities and know-how of Company, their joint
venture partners, and each of their respective affiliates, successors, and assignees, including but not
limited to all information contained in the ITT.
The undertaking of confidentiality shall not apply if (but only to the extent that) Proprietary
Information is:
 Information which, at the time of disclosure hereunder, is lawfully in the public domain;
 Information which, after disclosure hereunder, enters the public domain, except where such
entry is the result of breach of this Undertaking;
 Information which, prior to disclosure hereunder, was already lawfully in Tenderer's
possession, either without limitation on disclosure to others, or which subsequently
becomes free of such limitations;
 Information obtained from a third party, who is lawfully in possession of such information
and not subject to a contractual or fiduciary relationship to Company, with respect to said
information, provided that such information may only be disclosed in accordance with the
terms under which it was provided.
Tenderer will not disclose any Proprietary Information to any third party, except its Subcontractors
under confidentiality terms no less stringent than in this Undertaking, and only where strictly
necessary to do so to obtain subcontract pricing or material pricing.
Tenderer agrees to only use Proprietary Information for the purposes of submitting a Tender under
this ITT.
Tenderer also agrees to take all reasonable precautions to safeguard any Proprietary Information
which may be supplied in respect to the ITT, which shall be no less stringent than the precautions it
takes for its own confidential information.
Tenderer agrees to return all documents supplied by Company within 14 days of a request to do so
by Company

Genel Energy - CONFIDENTIAL Page 10 of 34

This Undertaking must be signed by an authorised signatory of Tenderer upon receipt of the ITT
and returned with the completed ITT Acknowledgment Letter.

FOR: .................................................................................................
(Tenderer)
SIGNED: ..........................................................................................

BY: ...................................................................................................

TITLE: .............................................................................................

DATE: ....................................

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 Schedule B
Form of Tender

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 FORM OF TENDER

<to be completed on Tenderer’s letter head>

GENEL ENERGY QARA DAGH LIMITED

36 Broadway,
St James,
London SW1H 0BH,
United Kingdom.

Date:

For attention: Tender Board Secretary.

Re. Invitation to Tender No.: ITT-GEQDL-22-TBD for Provision of Drill Cuttings Treatment and
Remediation Services for Qara Dagh.

Dear Sirs
Having examined the Invitation to Tender (ITT) documents in respect of the above, we hereby offer
to perform the Work in conformity with the Invitation to Tender documentation and agree that:
1. Work
If awarded the Contract, we shall supply the goods, perform the work and/or the associated
services to the quality and in the manner as specified in the Pro-forma Contract, and in
accordance with the methods, equipment and plans detailed hereinafter and to perform all
other obligations and assume all liabilities imposed upon us by the Pro-forma Contract and the
Schedules forming the entire Contract.
2. The Proposal
The Tender submitted by us consists of this Form of Tender together with the completed items,
as applicable, contained in the Sealed Packages under cover of this Form of Tender.
We confirm that the Tender submission complies in all respects with the requirements of the ITT
and that there are no restrictions, reservations or disagreements in meeting all the requirements
of the ITT except as specifically qualified in the appropriate sections of the Tender volumes
accompanying this Form of Tender.
3. Compensation
In the event of award of Contract, we shall accept as full compensation for the supply of the
goods, performance of the work and/or the associated services an amount calculated in
accordance with the provisions of Part D (Pro Form Contract), as completed by us and enclosed
with our Tender submission attached hereto.

Genel Energy - CONFIDENTIAL Page 13 of 34

4. Schedule
In the event of award of Contract, we shall commence and complete the supply of the goods,
performance of the work and/or the associated services in accordance with the required dates as
defined in the ITT.
5. Insurance / Bonds / Guarantees
If awarded the Contract, we shall provide the applicable Performance Bonds, Guarantees and the
insurance certificates, including all necessary endorsements, in accordance with the pro-forma
Contract and stated time requirements.
6. Tender Validity
This Tender is valid until ____ (___) days from the Tender Closing Date and may be accepted by
Company up until that date.
7. Agreement to Terms and Conditions
We recognise that failure to agree to terms and conditions of Contract may be cause for
Company to reject our Tender.
8. Audit of Tender
We acknowledge that Company may require to perform an audit on any aspect of the Tender,
including commercial items, during the evaluation period and we will provide access and
assistance as required.
9. Bulletins Received
We acknowledge receipt and understanding of the following Tender Bulletins received during the
Tender period, which have been taken fully into account in the preparation of our Tender:
Bulletin No. Date
____________ ____________
____________ ____________
____________ ____________
___________ ____________
____________ ____________
10. Correspondence
All correspondence from Company with regard to this Tender should be addressed to the
following, single point of contact:
Name:
Title:
Address:

Genel Energy - CONFIDENTIAL Page 14 of 34

 E-mail:
Telephone:
Fax:

11. Acceptance of Tender

We accept that Company may reject any and all Tenders at its sole discretion.

Witness the submission of our formal Tender for the subject Work for and on behalf of < insert full
entity name of Tenderer > signed by the duly authorised representative:

Signed:

Name: {Print}

Title:

Date: __________________

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 Part C – Form of Tender and Schedules

Schedule C
Technical Questionnaire

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 Part C – Form of Tender and Schedules

Schedule C - Technical Questionnaire

TECHNICAL QUESTIONNAIRE FOR TENDERERS

Section 1 – Documentation Tenderer’s Response & Attachment Reference
1.1 Please provide bidder’s Tax Clearance Certificate for 2021 (or latest available)
1.2 Please provide valid MNR registration to perform the scope of service
Please provide certificate of registration with the Ministry of Trade and Industry to perform
1.3
the service offered
Bidder should provide best environmental practice solutions to remediate contaminated soil
1.4 and all key steps based on fact.
1.5 Bidder shall provide execution plan and required days to remediation works
Section 2 – Tenderers Relevant Experience Tenderer’s Response & Attachment Reference
Bidder is requested to provide details of experience in remediation works and waste
2.1
segregation, recycling, and incineration capabilities in KRI.
Section 3 – Proposed Equipment Tenderer’s Response & Attachment Reference
Bidder is requested to provide a list of the proposed all required equipment to perform
3.1
necessary works. Including certification.
Section 4 – Personnel Tenderer’s Response & Attachment Reference
Bidder shall provide Organization chart and CV’s for the key personnel for the projects and
4.1 projects specific team:
 Project Manager
 Construction manager
 HSE manager
 Remediation Specialist
 Senior civil engineer
 Waste management expert
 Soil quality expert

Section 5 – Remediation Process plan and Technical Compliance Tenderer’s Response & Attachment Reference

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 Part C – Form of Tender and Schedules

Bidders provide sample site Remediation action plan for execution of the scope of works. The
5.1 submitted document shall include high level plan for following as a minimum:

 Construction works
 Environmental management plan
 Methodology for Remediation contaminated soil
 Methodology for treatment of liquid waste inside the pit
 Methodology for disposing any hazardous solid substance in the pit
 Temporary facilities
 Schedule and reporting system
 Identify risks and mitigation plan
 Locations of material storage, equipment storage and maintenance.
 De-mobilization Plan & Commitment upon project completion.
Bidder shall provide information on Sampling technique, List of preferable parameters to test,
5.2 quantities, and Identify Laboratory.
Bidder shall submit up to date agreement with subcontractors (if any) for deliver waste for
5.3 utilization.
Section 6 – Project Management including QA/QC Tenderer’s Response & Attachment Reference
6.1 Please provide a copy of the proposed Quality Plan for the works
Section 7 – Health, Safety and Environmental Documentation Tenderer’s Response & Attachment Reference
7.1 Tenderer’s HSE Management System
7.2 Tenderer’s HSE Policy & Leadership Commitment
7.3 Tenderer’s HSE Performance statistics for previous 3 years
Section 8 – Local Content Tenderer’s Response & Attachment Reference
Please describe all elements and provide the required documents regarding Local Content of
the Work (goods, supplies, materials, personnel, services) that bidder proposes could be
accomplished in KRI and the contract operation area.
Local Content Plan:
8.1
Please specify your estimate of Local Content in KRI for the duration of the Contract.
Please specify your estimate of the Local Content specifically in the Company’s area of
operation. This should include a breakdown (percentage) of the goods, consumables,
manpower, equipment and services that Contractor plans to source from the area local to
Company’s operation

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 Part C – Form of Tender and Schedules

Workforce Employment and Development Plan:

8.2
What is Tenderers recruitment policy for maximizing the employment of KRI nationals on a
permanent and temporary support basis?
What is Tenderer’s current ratio of KRI national workforce?
Provide an Employment and Workforce Development Plan, inclusive but not limited to the
following:
a) Localization Strategy
b) Jobs and recruitment opportunities, (unskilled, semi-skilled, and skilled)
c) Training Curriculum and previous conducted training
Competency Growth Program and Management Plan.
Community Engagement Plan and Development Capabilities:
8.3
Please provide the following:
a) The Tenderer's plan and mechanisms in regard to engagement with local
stakeholders, and local subcontractors (please specify previous experience for the
last five years).
b) Protocols for handling community grievances.
c) Please specify equipment and materials to be procured in KRI and separately in the
area local to Company’s operation.
Company's Local Investment ($) in social activities in benefit of local communities in
Kurdistan Region in past 5 years.
Local Authorities Establishment Plan in Company’s Operation Area:
8.4
a) Tenderer shall provide the latest/valid evidence of company establishment
documents in Kurdistan Region of Iraq, including bases of operation and other
contract support locations (demonstrated evidence of origins).
b) Tenderer shall demonstrate evidence of established working relationship with
Local Administration and Communities in the area of operation and provide Asaish
clearance confirming Tenderer’s ability to perform work in the area of operation.
Please detail how Tenderer intends to procure such documents within 2 weeks of
award should Tenderer be unable to provide such with Tender.

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 Part C – Form of Tender and Schedules

Schedule D
Exceptions to Pro-forma Contract

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 Part C – Form of Tender and Schedules

To be completed by the Tenderer (if needed) and submitted with the technical Tender volume.
Shall not contain any pricing information.

PRO-FORMA CONTRACT EXCEPTIONS TABLE

Tender Name: Provision of Drill Cuttings Treatment and Remediation Services for Qara Dagh
ITT-GEQDL-22-TBD

Tender Ref. No.:

Tenderer’s Name:

Please tick [] or cross [] in the

appropriate column and please
Pro-forma Contract insert commercial value if
No. Exception Proposed Justification for applicable
Section and Article
by Tenderer Exception
Reference This Exception This Exception
has no Cost has Cost Impact
Impact

1
2
3
4
5
6
7
8
9
10

Add further rows as needed.

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 Part C – Form of Tender and Schedules

Schedule E
Contracting Entity Questionnaire

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 Part C – Form of Tender and Schedules

CONTRACTING ENTITY QUESTIONNAIRE

1. CONTRACTING ENTITY INFORMATION

Tenderer to provide the following information:

Tenderer’s Response

a) Full name of the company that would enter

into any Contract resulting from this Tender:

b) Registered address of the company stated in

a):

c) Registration number and country of

registration of the company stated in a):

d) Operating address for the company stated in

a), if different form the registered address:

e) Name and contact details for nominated

Contractor’s Representative under the
Contract (if awarded):

f) Tenderer to provide copies of registration,

certificate of incorporation or equivalent.

2. JOINT VENTURE PARTNERS

Tenderer to provide the full name, address and registration details (as per question 1) for all Joint
Venture partner(s) to Tenderer who will participate in any eventual Contract resulting from this
Tender.
Any intended joint ventures (i.e. formally incorporated JV’s, not subcontractors) shall be advised, and
the principal details of the arrangement provided. Tenderer shall confirm that the parties in such
joint venture will be jointly and severally liable for performance of the work.

Partner 1:

Partner 2:

Partner 3:

Add rows as needed.

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 Part C – Form of Tender and Schedules

3. FINANCIAL INFORMATION
Tenderer to provide the following information in respect of the last two (2) years accounts:

Financial Ability

a) Financial Stability Information

Please provide the following financial information in respect of the company stated under Question 1) which
would enter into a Contract as a result of this ITT (NOT the Holding or Parent Company) up to the end of the last
completed accounting year:

United States Dollars Net Profit Before

Gross Turnover Assets Liabilities
$USD Tax

i) [insert tax year] $.. $.. $.. $..

ii) [insert tax year] $.. $.. $.. $..

Date of last annual report

Report copy attached?

(Yes/No)

b) Credit Rating
i) Name of your credit your International Credit Agency:
ii) Credit rating:
iii) Date credit rating established:

c) Banking Information
i) Name and address of main bankers:
ii) Bank managers name, contact telephone number and
email address:

d) Financial Performance Bond

Please state the maximum monetary value for single
contracts you can undertake and for which you can obtain a
10% Performance Bond from your Bankers if required.

Tenderer to also include copies of the following

documentation:
e) Tax Clearance Certificates for the last three years;

f) Bank Reference Letter from Tenderer’s bank

demonstrating the level of finance liquidity available to
Tenderer.

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 Part C – Form of Tender and Schedules

4. INSURANCE
Tenderer to provide the following information in respect of insurances:
a) Copies of current insurance certificates for the insurances specified in the MSA in the Pro-
forma Contract (ITT Part D). The monetary level of coverage of each insurance must be
clearly stated.
b) A letter from Tenderer’s insurance brokers confirming that the conditions of Tenderer’s
insurance, including subrogation waiver in favour of Company Group, required by the
provisions of the Pro-forma Contract (ITT Part D) are already, or will be within ten (10) days
of Contract award, provided.

5. SUBCONTRACTORS
Tenderer to provide the full name, address and registration details (as per question 1) for any
Subcontractors Tenderer proposes to subcontract any part of the work to in any eventual Contract
resulting from this Tender.
Any intended Subcontractors shall be advised, and the principal details of the arrangement provided.

Full name and registration details of proposed Scope of the work under the Contract to be
Subcontractor: Subcontracted:

Add rows as needed

[End of Questionnaire]

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 Part C – Form of Tender and Schedules

Schedule F
Due Diligence Questionnaire for Proposed Business Partners
and Business Partner Code of Conduct

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 Part C – Form of Tender and Schedules

QUESTIONNAIRE

Directions: Please complete this questionnaire by providing responses to each question and by providing
the requested documents. If a question is not applicable, please so indicate. If additional room is
necessary, please attach extra pages. For any documents not in English, please provide an English
translation. Once completed, please sign and date the questionnaire, and return it to your Genel Energy
contact.

BACKGROUND INFORMATION

1. Business Partner Name:

2. Proposed Location(s) Where Business Partner Will Provide Services:

3. Contact Information:

Address: Telephone:
Fax:
Email:
Website:

4. Business Registration Information:

Business Registration Number:

Registration Date:
Expiration Date:
Agency:
City, Country:

Please provide a copy of any required registrations or other documentation authorizing the
Business Partner to carry on its business, if required by local law.

Tax Identification Number and Country:

5. Number of persons employed by the Business Partner:

At the Proposed Location(s) or for the current work for Genel:

6. Primary industries that the Business Partner supports:

7. Number of years Business Partner has been in the particular business for which it is being retained
to work with Genel:

8. Business Partner’s main clients/customers and three business references:

9. Banking/Financial References:

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 Part C – Form of Tender and Schedules

STRUCTURE, OWNERSHIP, AND MANAGEMENT

1. Legal structure of the Business Partner (i.e. corporation, partnership, individually owned, other):
(Note: Items in grey need only be answered if the legal structure of the Business Partner is a
corporation, limited liability company or similar legal entity.)

a. Date & place of Business Partner incorporation:

b. List all members of the Board of Directors and Senior Officers:

c. List any other individuals able to exercise control over the Business Partner through any
arrangement:

d. List all companies affiliated with the Business Partner including any Parent Company, Subsidiary
Company(ies), Affiliate Company(ies), Joint Ventures or Similar Entities:

e. Please provide a copy of documentation evidencing the establishment or incorporation of the

Business Partner.

2. Please describe the active management of the Business Partner, including Name, Address, and
Nationality and any ownership interest in the Business Partner:

Date of Birth
Name and Address Nationality % Ownership
(DD/MM/YY)

3. Please identify all owners/principals, including Name, Address, Nationality, and % Ownership:
(Note: If an owner is a corporate entity, please provide the names, addresses, nationalities, and
ownership percentages of its owners to identify all ultimate individual or beneficial owners.
Ownership must equal 100%. If the corporation is public, please identify all shareholders holding
greater than 5%.)

Date of Birth
Name and Address Nationality % Ownership
(DD/MM/YY)

4. Please identify all key employees who will be performing work or services for Genel and describe
their experience and qualifications:

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 Part C – Form of Tender and Schedules

FINANCIAL INFORMATION

1. Please provide the Business Partner’s financial statements or appropriate alternate financial
information for the last two years (audited, if available), including balance sheets and profit and loss
statements. If financial statements are not available, please explain and please provide reasonable
and appropriate substitute financial information.

2. Please indicate proposed means of receiving compensation from Genel Energy for services to be
provided? (e.g. Name of Bank and Location)
1.
COMPLIANCE & ETHICS POLICY AND PROCEDURES

1. Please provide a copy of and describe your compliance with law and business ethics policies and
procedures, including items such as your anti-corruption, trade controls, and competition policies
and procedures. Please expressly address such items as facilitation payments, gifts and
entertainment, reimbursement of travel costs and per diems, donations and contributions and due
diligence and compensation for third parties engaged to provide goods or services.

2. Please provide the name and contact details of your Chief Compliance Officer or manager with
similar functions.

GOVERNMENT INTERACTIONS

(Note: “Public Official” means anyone employed by or acting on behalf of, whether on a full or part time
basis, a national, regional or local government; government owned or controlled company or other entity;
employees or agents of public international organizations (such as the United Nations, European Union,
World Bank and other international development organizations); political parties, political party officials
and candidates for public office; and anyone else acting in an official capacity for or on behalf of a
government agency or entity, including persons holding a legislative, administrative or judicial post and
members of the military and police.

1. Does any Public Official have any beneficial ownership or other interest in the Business Partner?

If yes, please identify the Public Official:

2. Is any owner, director, officer, or employee of the Business Partner a Public Official or does any
Public Official have an ownership or financial interest, directly or indirectly, in the Business Partner?

If yes, please identify the Public Official:

3. Was any owner, director, officer, or employee of the Business Partner a Public Official within the last
three years?

If so, please identify the owner, director, officer, or employee of the Business Partner, the position
held, and the dates during which the position with the government agency or instrumentality was
held:

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4. Is or was (within the last 3 years) any Close Relative or close business associate of a Public Official an
owner, director, officer, or employee of the Business Partner?
(Note: “Close Relative” means an individual’s spouse; the individual’s and the spouse’s grandparents,
parents, siblings, children, nieces, nephews, aunts, uncles, and the spouse of any of these people.)

If yes, please identify the position held, the name of the person holding the position, and the person’s
relationship to the owner, director, officer, or employee of the Business Partner:

5. Is any owner, director, officer or employee of the Business Partner otherwise in a position to
influence any government, or any agency or instrumentality of a government, or a government
owned or controlled company, or any public international organization that has or may have any
oversight or involvement with Genel Energy or the services to be provided to Genel Energy?

If yes, please provide details:

6. Has Business Partner made any public disclosures to any government authorities, including the U.K.
Serious Fraud Office or Serious Organized Crime Agency or the U.S. Department of Justice or the
Securities and Exchange Commission, involving any fraudulent or corrupt conduct or improper
accounting, including fraud, bribery or money laundering?

If yes, please explain and provide relevant details:

7. In the past five (5) years, has the Business Partner (including any associated or previously
associated entity or any predecessor entity), or any present or former owner, director, officer, or
employee of the Business Partner been: (1) suspended from doing business in any capacity, (2)
investigated for, charged with, convicted of or a party to a settlement or plea arrangement involving
any violation of laws or regulations, or (3) subject to any allegation of fraud, misrepresentation,
money laundering, bribery, corruption, tax evasion, or other related fraudulent or corrupt activities?

If yes, please provide complete details:

RELATED PARTIES

1. Is the Business Partner a Related Party of Genel Energy?

A Related Party is an individual (or family member) who is (i) a substantial shareholder holding
over 10% in Genel Energy plc at any point in the past 12 months, (ii) a director of Genel Energy
plc or (iii) a director of any Genel Group Company. If yes please contact Company Secretariat
before proceeding.

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I have reviewed this questionnaire and I am duly authorised to respond to this questionnaire and
provide the information contained herein. I declare and certify that the information provided is
accurate and complete to the best of my knowledge and belief.

I also understand and agree on behalf of Business Partner that Genel will rely on the information
contained herein to perform its due diligence and to determine whether to enter into any contractual
or other business relationship with Business Partner. I and Business Partner hereby authorize Genel
to obtain and use the information contained herein and we hereby waive any restrictions or
limitations on Genel’s receipt and use of the information under any applicable data protection or date
privacy laws and regulations.

Name:

Signature/Stamp:

Date:

Title:

Company:

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2.Code of Conduct
3.

Genel (the “Company”) requires that all of its business operations observe certain basic standards of conduct.
Also, the Company must ensure that its business partners will comply with the requirements of certain laws,
including those of Turkey and the United Kingdom that impose on the Company standards of conduct for its
business throughout the world.

The following standards of conduct and legal requirements shall be observed by party(ies) providing services
to, or interacting with, others on behalf of the Company (“Business Partners”):

4.The Company, customers, employees, suppliers, and other persons, organizations, and governments will be
dealt with in a fair manner with honesty and integrity, observing high standards of personal and
business ethics.

5.Business books and records will be maintained in a proper, responsible, and honest manner. All payments,
in cash or in kind, on behalf of Company will be properly recorded.

6.Business Partners will comply with all applicable laws regarding bribery and corruption. These laws prohibit
directly or indirectly offering, promising or giving anything of value to anyone in the public or private
sector with the intention to:

(1) influence someone to obtain or retain business or an advantage in violation of applicable law; or
(2) cause or reward improper performance of official, business, or professional obligations.

The laws also prohibit receiving or accepting anything of value as an incentive or reward for
improperly performing official, business or professional obligations.
7.Business Partners will comply with applicable competition laws.

8.Business Partners will comply with applicable sanctions and export controls laws.

9.Confidential or proprietary information will not be disclosed at any time to persons outside the Business
Partner without proper authorisation.

Kindly sign this document confirming your compliance with the Business Partner Code of Conduct

Name:

Signature/Stamp:

Date:

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[End of Part C]

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