ITALIAN LAW 136: FINANCIAL FLOW TRACEABILITY

Doc. n. FORM-COR-PROC-040-E

Rev. 02

Date 12/06/2011

Page 1 of 2

(To be drawn up on SUBCONTRACTOR headed paper)

The Undersigned, _____________________in his/her capacity of legal representative, acting in

the name and on behalf of ___________ (name of the Company), a company organized and

existing under the laws of the Republic of _____________ and having its registered office at

(full address)______________, V.A.T. no. ________ Under his own civil and penal

responsibility

in compliance with the financial flow traceability ex art. 3 of Italian Law 136/2010:

DECLARES THAT

• The bank account n.____________ opened in the Bank __________________ is a

dedicated bank account ex art. 3 of Italian Law 136/2010 and therefore payments

referred to Contract’s number , subject___________________

Tender Identification Code (Codice Identificativo di Gara – CIG) N. ……………., [if

applicable, Project Identification Code (Codice Identificativo di Progetto – CUP)

N……………….,] are carried out through the above bank account;

• The persons authorized to operate on this dedicated bank account are: [NAME AND

LAST NAME]___________________________;

FISCAL CODE]___________________________.

The Undersigned acknowledges that no payment will be made by CONTRACTOR into a bank

account different from the one indicated above and commits himself to promptly notify any

change to any details of the relevant data previously communicated.

Subject to the above provisions and in order to make the payments easier, the following details

shall be shown on the invoice(s):

• the name and address of the Bank where the dedicated bank account has been opened;

ITALIAN LAW 136: FINANCIAL FLOW TRACEABILITY

Doc. n. FORM-COR-PROC-040-E

Rev. 02

Date 12/06/2011

Page 2 of 2

• the name of the bank branch;

• N. of the dedicated bank account;

• BBAN code (for national payments);

  - IBAN code and BIC code (for international payments).
  

The Declarant here attaches a copy of valid identity card.

The present form shall be returned, within 7 days from the dedicated bank account activation, or in case it is already existent, from the first use in financial operations related to public works, for the attention of the competent Administration Department in charge for the invoice booking. A copy shall be also returned to the here below mailboxes: legge136@saipem.com (for Saipem S.p.A.) legge136ses@saipem.com (for Saipem Energy Services).

[Declarant Signature]

Project: Q-32705 - Saipem COMP3 Folder: FINANCIAL FLOW TRACEABILITY