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Premise - Saipem

FORM VENDOR DECLARATION Doc. n. FORM-COR-PRO-051-E Rev. 02 Date 25/09/2015 Page 1 of 3 Ref. Doc. STD-COR-PRO-001-E Premise : this Vendor Declaration is written in English. In the event of any conflict, inconsistency or ambiguity between the English and other language versions, the English version shall prevail. Languages other than English are for reference only and Saipem shall have no liability for any incorrect or inaccurate translation. The undersigned (Il/la sottoscritto/a) _____ in his/her capacity as (in qualit di) _____acting in the name and on behalf of a Company/Firm/Consortium of (che agisce in nome e per conto di una Societ / Ditta / Consorzio di) _____ hereinafter referred to as the Company , hereby (di seguito Societ , con la presente).

FORM VENDOR DECLARATION Doc. n. FORM-COR-PRO-051-E Rev. 02 Date 25/09/2015 Page 1 of 3 Ref. Doc. STD-COR-PRO-001-E Premise: this Vendor Declaration is written in English.In the event of any conflict, inconsistency

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