Example: barber

) surətini - 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 (A a da imza ed n) _____ in his/her capacity as (v zif sini icra ed r k) _____acting in the name and on behalf of a Company/Firm/Consortium of (H quq irk ti/Firmas n n ad ndan x ed r k _____ hereinafter referred to as the Company , hereby (a a dak lar ). Declares that: A) he/she has received a copy of the Saipem Code of Ethics (hereinafter the Code , available at the following address ) approved by Saipem and adopted by all the subsidiaries of Saipem (hereinafter collectively referred to as Saipem Group ).

The undersigned (Aşağıda imza edən) _____ in his/her capacity as (vəzifəsini icra edrək) _____acting in the ə

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Transcription of ) surətini - Saipem

1 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 (A a da imza ed n) _____ in his/her capacity as (v zif sini icra ed r k) _____acting in the name and on behalf of a Company/Firm/Consortium of (H quq irk ti/Firmas n n ad ndan x ed r k _____ hereinafter referred to as the Company , hereby (a a dak lar ). Declares that: A) he/she has received a copy of the Saipem Code of Ethics (hereinafter the Code , available at the following address ) approved by Saipem and adopted by all the subsidiaries of Saipem (hereinafter collectively referred to as Saipem Group ).

2 He/She acknowledges that Saipem s employees and officers are obliged to comply with the principles stated in the Code , in particular in all dealings, present and/or future, between Contractors/Suppliers and Saipem with regard to tenders and contracts for the supply of goods and services; b yan edir ki: A) O, Saipem t r find n t sdiql nmi v Saipem irk tin in t r m irk tl ri t r find n q bul olunmu Saipem Etik Normalar M c ll sinin (bundan sonra M c ll adland r lacaq v a a dak nvanda qeyd olunacaqd r: ) sur tini alm d r. O bildirir ki, Saipem i il ri v m sul xsl ri M c ll d , x susil mal v xidm tl rin t chiz olunmas n tender v m qavil l rl laq dar Podrat lar/T chizat lar v Saipem aras nda b t n haz rk v / v ya g l c k s vd l m l rd qeyd olunan prinsipl r riay t etm y borcludur; B) he/she has reviewed, also in the name of the Senior Management of the Company he/she represents, the contents of the Code ; B) O, t msil etdiyi irk tin Ali R hb rliyi ad ndan M c ll nin m tnini n z rd n ke irmi dir.

3 C) he/she undertakes, also in the name of Company s directors, employees and/or agents, to comply fully with the principles stated in the Code and to respect Human Rights in accordance with Saipem Sustainability Policy (available on the website ), in all dealings, present and/or future, between Company and Saipem Group with regard to tenders and contracts for the supply of goods and services; C) O, irk tin direktoru, i il ri v / v ya agentl ri ad ndan M c ll d qeyd olunan, x susil mal v xidm tl rin t chiz olunmas n tender v m qavil l rl laq dar Podrat lar/T chizat lar v Saipem aras nda b t n haz rk v / v ya g l c k s vd l m l rd qeyd olunan prinsipl r riay t etm k v Saipem Davaml nki af Siyas tin uy un olaraq ( vebsayt nda m vcuddur) nsan H quqlar na (insan haqlar ) h rm t etm k hd liyini z z rin g t r r; D) he/she has received copy of the Organization, Management and Control D) O, 231 n mr li 8 iyun 2001-ci il tarixli taliya Qanunvericilik S r ncam na FORM VENDOR DECLARATION Doc.

4 N. FORM-COR-PRO-051-E Rev. 02 Date 25/09/2015 Page 2 of 3 Ref. Doc. STD-COR-PRO-001-E Model (the Model 231 (includes the Code of Ethics) ) adopted by Saipem in accordance with Italian Legislative Decree no. 231 dated 8 June 2001 (also available at the following address ). He/She also acknowledges that Saipem Group Companies have adopted their own Organizational, Management and Control models; ) m vafiq olaraq, Saipem t r find n q bul olunan T kilat, dar etm v N zar t Modelinin ( ) sur tini alm d r. O, bildirir ki, Saipem irk tl r Qrupu zl rinin T kilat, dar etm v N zar t Modell rini haz rlam d r; E) the Company has given and implemented instructions to its directors, employees and/or agents aimed at preventing the commission or the attempt of any offence under the 1997 OECD Convention on Combating Bribery of Foreign Public Officials in International Business Transactions (the OECD Convention ), the United Nations Convention Against Corruption and any applicable anti-corruption laws (for instance, the Italian Decree No 231 of 8 June 2001, the Foreign Corrupt Practices Act or any other anti-bribery laws, as the case may be).

5 Furthermore, the Company undertakes vis- -vis Saipem to continue effectively implementing such instructions for the entire duration of this business relationship; E) irk t direktorlar na, i il rin v / v ya agentl rin Beyn lxalq Biznes S vd l m l rind Xarici D vl t S lahiyy tlisinin R v txorluqla M bariz zr 1997-ci il tarixli qtisadi m kda l q v nki af T kilat Konvensiyas ( OECD Konvensiyas ), Korrupsiya leyhin Birl mi tatlar Konvensiyas v m vafiq anti-korrupsiya qanunlar (misal n, 231 n mr li v 8 iyun 2001-ci il tarixli taliya h kum tinin s r ncam , Birl mi tatlar n Xarici Korrupsiya Praktikalar Akt v ya r v txorlu a qar dig r qanunlar; v ziyy td n as l olaraq) alt nda inzibati x talar n t r dilm sin c hd edilm si v ya komissiyan n f aliyy tinin qar s n n al nmas na y n l n t limatlar vermi v haz rlam d r.

6 Bundan ba qa, irk t Saipem irk ti il birlikd biznes laq l rinin tam m dd ti zr bu c r effektiv t limatlar n icras na davam etm yi hd sin g t r r. F) all the employees of the Company are regularly mentioned on the Pay Roll ( , in case of Italian Vendors: Libro Unico del Lavoro ) or all equivalent documents as requested by the corresponding national applicable law and all the obligations with regards to contributions and insurance have been fulfilled by the Company; F) irk tin b t n i il ri m k haqq c dv lind (daha d qiq des k, talyan T dar k l ri oldu u zaman: Libro Unico del Lavoro ) v ya m vafiq milli qanuna uy un olaraq, t l b olunan buna analoq olan b t n s n dl rd m t madi olaraq, qeyd olunur v d m v s orta il laq dar hd likl r irk t t r find n yerin yetirilmi dir G) to have received the Saipem informative for the treatment of personal data in accordance with Italian Legislative Decree No.

7 196 dated 30 June 2003 (that implements in Italy the European Union Directive 95/46/EC); G) 196 n mr li v 30 iyun 2003-c il tarixli ( taliyada Avropa Birliyi Qaydalar 95/46/EC icra edir) taliya Qanunvericilik S r ncam na uy un olaraq, xsi m lumatlar n t nziml nm si n Saipem m lumatlar n ld etmi dir; H) Yaln z talyan T dar k l ri n: irk t taliya Qanunu 55/1990 v m vafiq d z li l r uy un olaraq, antimafiya (Nulla Osta Antimafia) FORM VENDOR DECLARATION Doc. n. FORM-COR-PRO-051-E Rev. 02 Date 25/09/2015 Page 3 of 3 Ref. Doc. STD-COR-PRO-001-E yaz s na malik olan Ticar t Palatas n n T sdiqini lav edir. _____ I) If so requested by Saipem , the Company shall promptly provide information concerning its control structure (including the identity of its shareholders and their relevant stakes). In the event of Trust(s) and/or fiduciary registration, however established, the Company shall also provide the identity of the relevant grantor(s), and its/their respective stake(s).

8 I) Saipem irk ti t r find n t l b olunarsa, irk t z n n n zar t strukturuna ( z n n s hmdarlar n n xsiyy ti v onlar n paylar da daxil olmaqla) aid olan m lumatlar d rhal t min ed c kdir. Trest(l r)in v / v ya trest-agentl rin qeydiyyat zaman , irk t m vafiq lisenziar(lar n) v xsiyy ti, z n n/onlar n m vafiq paylar haqda m lumat t min ed c kdir. Place and Date (Yer v tarix). _____ In the name and on behalf of the Company/Firm/Consortium ( irk t/Firma/Konsorium ad ndan) _____ stamp and signature ( tamp v imza)


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