Form No. 24(a) COUNTRY OF ORIGIN - DECLARATION FORM. T Quantity | Country of | corresponding to | po Pee origin each coal origin | (tonnes) Coal PT. BUMI TAPIN ENERGY Indonesia | Coal with typical CV (NAR) of /4500] 100.000MT/month l kealkg Legal representative of bidder [Full name, position, signature gpd seal] renenar 90M TAP Muhammad Ricky Indra Fahma President Director Notes: - Bidder is requested to fill in this form. Failure to comply with instructions & requirements by the Bidder will result to unconformity of Bid Proposal. ~ If the Bidder offers coal with different origins, the Bidder must specify the quantity of coal to be supplied corresponding to each origin. In case the Bidder changes the origin and/or the quantity of coal corresponding to each origin, the Bidder must bear all costs incurred (e.g import tax, VAT,...) if any. - Ifa foreign Bidder has no seal, there must be a certification issued by a competent agency that the signature in the Letter of Bid and any other documents of the Bid Proposals belong to its legal representative.Form No. 24(b) COAL SPECIFICATION - DECLARATION FORM. Proposed coal is as follows. Indonesian thermal coal from PT. ENERGI BUMI TAPIN Coal Brand name —_: PT. ENERGI BUMI TAPIN Load port : TABONEO, INDONESIA Mine name : PT. ENERGI BUMI TAPIN [ iieceil BD rejection | Proposed coal | Proposed coal | No. Coal specification Tes ae eplesDretareace I. Proximate Analysis 1 Total Moisture (ar %) >30.00 28.0 Max 28.0 2_[ Inherent Moisture (adb,%) 20.1 1,0-18.0 1.0- 18.0 3__| Fixed Carbon (adb,%) 62.06 35,0-60.0 35.0 - 60.0 4 | Volatile Matter (adb,%) <26.00 37.0-45.0 26.0-45.0 5_| Ash (adb,%) 315.00 12.0 Max 15.0 6 _| Total Sulphur (adb,%) 31.00 10 Max 1.0 7_| Calorific value 7.1_| Gross calorific (arb, keal/kg) 4383 4982 4982 - 5,888 7.2_[ Net calorific (arb, keal/kg) <4,500 4,500, 4,500 - 5,370 [8 _| Grind ability (HGN) <35 35.0-60.0 35.0 - 60.0 9 | size Gam.) 375 mm 100.0 Min 100 0-50 mm <60% 90.0 Min 60.0 ‘Ash fusion temperatures 10 | Reducing Atmosphere (Initial <1,150 1,150 21,150 Deformation) (°C) IL, Ultimate Analysis 1__| Carbon (adb,%) - 58.04 2 | Hydrogen (adb,%) : 4.49 3___[ Nitrogen (adb,%) - 1.13 4 | Chlorine (adb,ppm) : 9.29 5__| Oxygen (adb, %) - 14.17 TI. Ash component 1. NasO (4b.%) 33.00 08-15 3.0 prewencreum TAP Muhammad Ricky Indra Fahma President DirectorNotes: Bidder is requested to fill in this form. Failure to comply with instructions & requirements by the Bidder will result in unconformity of Bid Proposal. Three (03) Bills of Lading accompanied by, 03 respective Certificates of sample analysis certified testing laboratories and 03 respective Certificate of Origin for proposed coal mine(s) in Form 24 (b) from 2018 onward are requested to be attached together with this form at the time of Bid Proposal submission. Certificates of sample analysis shall include all above coal specifications, except for Maximum coal size. For blended Coal, Bidder is required to supplement supporting documents to prove the above Certificates of sample analysis was taken from proposed coal mines, which makes up blended Coal. If proposed coal is from different coal mines, the Form 24 (b) above corresponding to each coal mine shall be enclosed. Ifa foreign Bidder has no seal, there must be a certification issued by a competent agency that the signature in the Letter of Bid and any other documents of the Bid Proposals belong to its legal representative.Form No. 24(¢) LICENSES - DECLARATION FORM Name of coal mine PT. ENERGI BUMI TAPIN Address of coal mine : Pantai Cabe Village, Kecamatan Salam Bebaris and South Tapin, Kabupaten Tapin, South Kalimantan Province ‘Name of coal mine owner ENERG] BUMI TAPIN Load Port : Taboneo, Indonesia Address of coal mine owner: JI, Ahmad Yani Haruban RT. 005 RW. 002 Tungkap Village, Kecamatan Binuang, Kabupaten Tapin, South Kalimantan 1._ Mining License a. Coal mine (name, owner, address) PT. ENERGI BUMI TAPIN: JL. Ahmad Yani, Haruban, RT.005, RW. 002, Tungkap Village, Binuang District, Tapin | Regency, South Kalimantan Province | b. Identification Production Operation Mining Business Permit | Number: 503/4-IUP.OP4/DPMPTSP/IV/X1/2019 c. Issued by Minister of Energy and Mineral Resources @. Reserve of coal mine ane ©. Validity 20% May 2019 ~ Commencement Date of Mine | Operation/Production 20"May 2024 2. Export License a Coal mine (name, owner, * | PT. ENERGI BUMI TAPIN indesss)/Tracer (wane; edtreas) JL. INTAN SARI KOMP. SURYA MAS B-20, SUNGAI TIUNG KEL, KEC. CEMPAKA, BANJARBARU CITY, | SOUTH KALIMANTAN. ’. Identification Eanes ¢._ Issued by Ministry of Trade d. Validity 24! January 2024 3. Clean and clear ‘a Coal mine (name, owner, scidrens\/Tradec (ima adeaes) PT, ENERGI BUMI TAPIN. Identification Issued by Director General of Minerals and Coal |. Export amount of the coal mine 2019 : 525.000 MT (tonnes/year) 2020 : 525.000 MT 2021: 525.000 MT 2022: 525.000 MT . Yearly Mining productivity (tonnes‘year) | 2079 : 700.000 MT 2020 : 700.000 MT 2021: 700.000 MT 2022: 700.000 MT . Estimated mining productivity Ce are (tonnes/year) 2024: 2.4 Million MT 7. Other information of the coal mine: a. Coal mine duration 2018-2023 (5 years extendable to 5 years) ®. Blended coal rate oe ©. Reserve capacity of coal dump aaa eanar 4 Coal transport from mine to Toadin Peete ® 17M Report on th of coal recerves and coal quality. | 15:035,273 tons, GCV (ARB) 4950, NAR 4550 Legal representative of bidder [Full name, position, signatypand seal] prbvenovoum rapt Muhammad Ricky Indra Fahma President DirectorNotes: - Bidder is requested to fill in this form. Failure to comply with instructions & requirements by the Bidder will result to unconformity of Bid Proposal. ~ In case the Bidder proposes many coal mines, each coal mine is requested to fill in this form and related documents as required in Technical Evaluation Criteria regarding each coal mine must be enclosed. - Ifa foreign Bidder has no seal, there must be a certification issued by a competent agency that the signature in the Letter of Bid and any other documents of the Bid Proposals belong to its legal representative Form No. 24 (d) SHIPPER PROFILE - DECLARATION FORM Name of Shipper: PT. ENERGI BUMI TAPIN Address of Shipper 1. Business registration or |» lequivalent document 12g7000111988 22. Coal Export License 03.ET-04.21.0009 fa. Coal mine (name, owner, ddress) /Trader (name, PT. ENERGI BUMI TAPIN dress) jb. Identification 503/4-IUP.OP4/DPMPTSP/IV/XI/2019 Issued by Ministry of Energy and Mineral Resources |a. Validity May 20", 2024 2019: Contracts No B. Experience in supplying |_2020: ‘oal (tonnes/year) 2021: 2022: The Bidder is responsible for the accuracy of the information declared as above. Legal representative of bidder [Full name, position, signaturggged seal] Pr. eWERGI BUM TAPE Muhammad Ricky Indra Fahma President DirectorForm No. 25 LETTER OF COMMITMENT To: SONG HAU 1 POWER PLANT PROJECT MANAGEMENT BOARD Where as PT. ENERGI BUMI TAPIN who is reputable supplier of Coal having the establishment at JL INTAN SARI KOMP. SURYA MAS B-20, SUNGAI TIUNG KEL, KEC. CEMPAKA, BANJARBARU CITY, SOUTH KALIMANTAN do hereby confirm to support Danka Minerals Joint Stock Company having head office at 258 Ba Trieu Street, Le Dai Hanh Ward, Hai Ba ‘Trung district, Hanoi, Viet Nam_in providing coal for participating in the package Procurement of coal for commercial operation of Song Hau 1 Thermal Power Plant in 2022 with the following details: Product: Indonesian coal Quantity: From 600.000 up to 1.200.000 tonnes/year (Minimum quantity: 1.000.000 tonnes/year) Delivery Period: May 24" , 2023 — May 24", 2024 Loading port for export: TABONEC, Indonesia Specifications of proposed coal: Specification of the coal to be specified and measured according to ASTM or ISO Standard at loading port shall be as follows: ek ; Typical Range a Unit Spatincations speanalise Total Moisture (ARB) % 28.0 Max 28.0 Inherent Moisture (ADB) % 1.0-18.0 1.0- 18.0 ‘Ash Content (ADB) % 12.0 Max 15.0 | Volatile Matter (ADB) % 37.0-45.0 26.0 - 45.0 [Fixed Carbon (ADB) % 35.0-60.0 35.0 - 60.0 [Total Sulphur (ADB) % 10 Max 1.0 Gross Calorific Value(ARB) =| -Keal/kg| «4,982 | —«4,982- 5,888 | Net Calorific Value (ARB) Keallkg 4,500 4,500 - 5,370 Hardgrove Gridability Index (HGI) 35.0-60.0 35.0 - 60.0 ‘Ash Fusion Temperatures (Initial 21,150 =e 1,150 Deformation) Size (0-50mm) % 90.0 Min 60.0 PT. ENERGI BUMI TAPIN guarantees that this document company and take full responsibility on the authenticity of This support document valid until end of 2023 or wit document whatever comes earlier. signed by the representative of the document, 01 year since the signing date of thisRepresentative of Bidder’s Coal Miner/Coal Producer [wet ink signature and seal] Name : Ria Ida Zuraida Title: Director Email : ridaz.rdz@gmail.com Phone : +62 812 8957 1118 Notes: This letter of commitment should be on the letter head of the Coal Miner/ Coal Producer. Ifa foreign Bidder has no seal, there must be a certification issued by a competent agency that the signature in the Letter of Bid and any other documents of the Bid Proposals belong to its legal representative,