I)ocument

PERF{,RMANCE PES-HIi-429
Energy Serv:ces CONTRACTOR FORM
Revision 7

Liability Clause:
By signing below, the Contract Cornpany, OCeanWidg , assumes all responsibility for its
employee(s) in accordance to: *authorization to work in the U.S., *producing PES un-tampered drug screens, and *providing
l']l rS u i th vcri llable ccrti fi calionsr'lrai ni ng.

'715123
Contract Company Representative Signature: Date:
Contract Company Representative Printed Name: flg¡ Griffin

Contract Employee Inform ation

I-ogal Naure :
.lorge Arturo I:chavarria I lcnrandez

Atldrcss: 5 ALr€¡)tDA 6 lÜ A 4A6()t') f4 D e /4 PüÍ1LTA

r P frq3l0 TAI-lPlr a TA ()l t P4 <
Welder
^,1ú
Craft:

Coutact phorre #: 83:z tq2sa 6

Social Securitl #:
"-
q) -02.* tnq
I)ate of Birth:

Contract Company Name

I (Print Name) authorize my employer to disclose any and all documentation

Performance Energy Services, L.L.C. requests

Signature of Contract Employee: Date:

Please email info requested below to p!¡1@g!!gg¡q

o Completed Confractor Forwt

o Drug screen results (within the last year)
o Completed Medical Physical Cert. (üthin the last year)
o Identifrcation and certifications perjob title
******************************************************************************************************
PES Checklist:
C Verify employment status sith PES 1''DNH" List)

O Collect ID^ certifioations and or training per job title

C ColtectiConfirm drug tested within last year

O Send to and notily Training tbr PES Orientation

O a¿¿ contractor to spreadsheet

Reporling Supervisor:

Onshore Location:

Oflshore Location:

\ HR Approval Sisnafure

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 #THANWN*§
LCCK Management
Services Ltd
EMPLOYEE'S WORK CONTRACT

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This Contractols Work Contract is entered into between the individual named below (the "Contractor") and LCCK
Management Services Ltd. (the "Contractor").
Este contrato de trabajo es entre un individuo llamado aquía continuación "El Contratista" y LCCK Management Services
Ltd llamado a continuación "El Contratista"

THE CONTRACTOR
Name and Surname lorge Arturo Echavarria Hernandez
!1.¡srl"iLlf e y Ape{Itct0
Home Address 5 nue*lDC 6 tCI Ú t-AGuwr:t 0e LAPuearn
ffi*r,ticilio; r-p gqslü TAi,tpt(o TAMfr.uLtpAs
Phone (mobile) / C*lulxr
E33tat tq r 1
E-mail address / C*rre* tlectr*nicol
^)
o rS=6S t,: @,$ rna; {' co r',
Nationality / FIaci*n*licJad : Mexíco

Date and place of Birth

Fecha d* llacíerni*¡'¡to;
06 l23l /q82
Passport Number/ Pasaporte ": N05533531

Medical Cert lssued / techa de certificado Medico:

C) l§ l2ü23
Emergency Contact: (name and number) /-fiuL,4 (r1_(ifl 0r1,üT(5 AC:PtZ
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Contart* de l:':rergen*ia {**m*r* y núrnerci ñ3?_7trt 25ó6

THE EMPTOYER,J Ii iI.,4ILIA.}ÜN

Name / N*mbre: LCCK Management Services Ltd
Address / *íreccion: Argyri Gavala 7,3L12 Lemesos,
Limassol, Cyprus Legal representative: Mr. G, Koutsos

THE PRINCIPAL & OPERATIONAL CONTACT - Contaete Prí*cip*l y ücntact* d* *peraci*x*s

Oceanwide Staffing lnc.
1340 W Tunnel Blvd, Houma, LA 70360, USA
Legal representative / Representant* L*gal:
Mr A Griffin
Phone / T*tréf*n*: +1 {985} 746 5705
Email t*rr*o [!ectrónicr::

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 *H&Nklrtry§
TERMS OF CONTRACT
Position / Polici*n:

Lo"cation / L*ccci*n Offshore rnobile units in the 8th district OCS (Outer continental Shelf) USA,

Embarkation port / ilL:*rt* d* Houma, Louisiana, USA

ilmfr*rq*er
Period of Employment
Perisda dr c*ntrx?*ci¿¡r"r
/ The employment commences on or around 'i;*:.:,., and will last at least :)íi days, with
option to extend, unless terminated by either party in accordance with the provisions
set forth herein. Upon Principal's review and acceptance, a further rotation will be
executed.
i.ie,tt-*i*,.icrlllrrll.1 ..,r .l ,, i,,:.j ¡',.':!rIl 1,,, l, . , .r,,: .,.,j1;¡;i, ';i)iJtrr. , .r:
.l-lpit.,i: il+ ,.{'t *.i;..'r,, il. ¡ :;rr.' C., üt * 4l:..r,r., lJ., ., t)i, :,ra í;ltrtrl.l f . ,':::r;¡,ii É;ur: . ¡ .

prcJi<iu*{r! d+1 ¡rlt r. r',tt,iu(rtn:etriJ. l¡::r,-i;r :,. ,: ¡ :':'if'(',i ,,¡l¿rlit, r.t ¡tt}ll:ii i3-lf :
elt¡tt ¿1* fri uxrd" rri: :iil

Day rate (working US OCS)/ ;.it; USD - based on 12 hours working day /U')22'\ ¡ir rJr.r lr;ii.:j*ir' ¡;or|raci;s Ce !2
Salario Diario (trabajando Costa hc¡ras
Afuera en aguas de USA):
Travelling Rate / r.rg* ¡:oi'i ;, ri;' On travelling days when travelling from their home country to USA, or on their return
trip from USA to their home country, that Employee will receive one payment of U575
for each way COMING or GOING / irs Cir: cr: !,i illi.: iii-.:i:r1.,, .-r l;;is iit r;ri;*r; USri ¡ *rr
':l; vl.:je df f rtif e 5a ll,:S,;t ijSli ¡ Sli p¡lS iie Or'igt'rl a)r1 if ili,il|-iile ! i :;n í]A'nJ de l,.li .5 ,,i:.
c¿da tr¡mi:l de lilA i: VU[¡*"1"3.

Training rate / durante los días No wages are paid during employee's training. lf the Employee is at Hotel during this
d* Entrenamientr¡: period, the hotel room cost will be recognized (2 men per room), plus U$50 meal
expenses.
llo se ¡"*ci-rncceríln s¡l¿,'ir:s ¿¡l !cs ciias e¡'rtre¡irrlirn!+. -'ii ej Lr::i:i*¿do se hosceda *r"r *r
1:¡i¡i '-ji:r'¡¡ii¡ a:,lll i:riiií-)ii.l se r*cilnoa*íé ..1 ¡-cs';i: ¡ic i¡.: lr.rl*.ii¿i.;i:l i2 .;r*is**as ¡",-:r'
j:iJi¡iiir j iI,::,r;':,i ¡:l l,: ¡li:i$i.ii5 ¡"1* lor:¡idi*s.

Overtime / Tiempo Extra per hour at day rate I 72 * 1,5 = 21.4$ USD

Leave Schedule - ie¡r*snr a tu No wages are paid during contractors time off. Anyone working under B1-OCS Visa
ptis, viajes fuera dc ftül.Jf1iAl making a "non-deployment trip" out of Houma must be pre-approved by PES and OW.
Ii*rnpo fl¡luerto.. n De§{ riri.i::. Any violation of such will result in immediate dismissal from program.
l'Jr....,,:;(jL,idrrr.ll:ri*i+¡tir.: lí*Eri*d*lirlnl¡ir,r-j*5ircrtirulrr.*s"T+,jolr+s1¿ijc
ll!i1ir,r:.;.',:...,,:,li¡i.:i,;f"t+1r..;r'.lCi¡it?lI. lJ*1.,":,,lpr*.r1;,i;b:<11 p. I FL1 yfy1,.
i,r:ln, r ;- ,-..' .'. ' ,'1,*. ¡¡r.-J.: f¡ .,,.,.i.. I' 1.."i;"",
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c *i:trar:1u;: i

Tlme off onshore: Ernployer provides hotel at no costs to Contractor and food allowance of 50 USD per
(in Houma, USA ) day which will be paid with regular salary payment.
T"i*r*pr:s tl¿ rjescans* *i: i!::rra, lj;:,r ,i{t}i., 1 j r,,' .r.. ,:iii,.}t , .:t;...
*n l.lc**ra. USA lJl¡}4..i t.i{};,}fi:::; i.:t;¡j.. {:il r: 1 . ::;í|ii ?,a,:'.i:..,1;::!i

Taxes Contractor is responsible for payment of lncome Tax and Social Security in Living
Country.. '.r:'rr¡l!', r^.. .l- ir:t¡.r,.:f,t#s+hr,'ls:l , r j.+
,jrjilii.iii!i{jll.,irrr.,tri:..1i i r!::;ir 1,"1 i .

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 **§ef{u$ilil§

The parties agree as follows / Las partes acuerdan lo siguiente:

1,. Subject to the mobili§ and layoff procedures contained in the Contract but otherwise with reservation of all
rights under this Contract or law, both statutory and common, for both the Contractor and Employer, either
party may give notice of termination of employment by way of written notice with seven {7) calendar days in
adva nce.

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illlir'i"'lrrlr ..:- ).r:i ,',1 :i. \ r.

2 The Principal (LCCK Management Services LTD) shall provide Contractor during working days with
medical/health care, sickness/disability and/or workers' compensation benefits which will meet the minimurn
standa rds.

*rrii.i-i;J.'": j ,ril.El)r,i.;ri:,j i¡tte rr:L,ri:,'i i¡r , .'...' .:,,:i r ,, .i'', tt 1"jlj:ai ri'!, r. 1..'. r: . i.:.

3 Contractorshall abide bythe rules, regulations, and laws on the jobsite and temporary residence (hotel).
ll Cr:ntr*tlsta abe<iecerá y seguirá ias regles, ie';rs C*l lirg*r c!* trab*ja !i* residenci;i temporar!;i ihoteii
4. Contractor received and understood the contents of the following policies, which are to be considered part of
this work contract: Code of Business Conduct, D&A Policy Clause and the Drug and Alcohol Poliry.'
L+s Contratista han revisaclo y enti*nden qu* debe* seguir.,1 obedecer l*s siguientes políticas y qus s$i'r psrte
de este cü*t.¿ts rle {rabajo: Código de Conduct*s para N*gocios i Código de Drogas y Alcohol.

5. The Contractor hereby gives Oceanwide and LCCK Management permission to process his/her
confidential information, including personal data, in accordance with the privacy statements.

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ACKNOWLEDGED AND CONFI

Signalure of Employer
ED r*c*n*ri*¿:
Signature of *"w' ¡. a\ §': f

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Date / place of signalu re ¿ r,, ¡,,:,' .,/ ti

) *t * tj.¡ I it il i ri¿..1 Date / place ofsiffiature - l i;i1.;i '.r il,:'l¡,r rj:,. l* J'lr :i:*

7/5/23 - Houma, LA
6 -O 7 -2a23

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 OCüANIC\II§E
M¿ritime & üffslrore M*npoi,;er Service s
Ref: Letter of Guarantee

7lel23

To Whom lt May Concern:

Dear Sir/Madam,

With honor and respect, we wish to inform you that we have appointed Jorge Arturo Echavarria Hernandez a
Mexico Citizen to the position of Welder, onboard Performance Energy Services - Offshore 8 Distr US
OCS - a rig platform that is located in the Gulf of Mexico for maintenance construction work.

By this letter, we confirm that we accept all immigration and financial responsibility for the above during his
short time that he ís physically ín the USA,/Gulf of Mexico. He will be met at the airport by a Performance
Energy Services Representative and will then be transported to Plantation lnn located in Houma, LA where
he will be for a short stay due to COVID-19 protocol - he will be drug screen and COVID tested before heading
offshore for work.

Thank you foryour kind attention/assistance

Yours Faithfull¿
Oceanwide Texas, lNC.

,,'\ 0 't l.
tiU*-
Alex Griffin
Vice President
985-746-5705

Oceanwide
1340 West Tunnel Blvd, Suite 540, Houma, LA 70360 - ww.oceanwÍde merica.com