1394_cerere de asigurare bid bond_fara taxa de analiza_august 2012

7/28/2019 1394_Cerere de Asigurare Bid Bond_fara Taxa de Analiza_August 2012

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Cerere de asigurare Garanii _August 2012/ Proposal Form_August 2012

CERERE DE ASIGURARE PRIVIND ASIGURAREA DE GARANIE DE PARTICIPARE LA LICITATIEPROPOSAL FORM REGARDING BID BOND INSURANCE

Not/Note:Pentru orice ntrebare din prezenta cerere de asigurare, n cazul n care spaiul nu este suficient, v rugam s ataai o anex /For any question on the hereunder Proposal Form, please attach an annex if necessary.

1. Informaii generale despre Asigurat/General information on the Insured1.1 Date de identificare

Denumire Asigurat/ Name of the Insured ASSA CONSTRUCT CONSULTINGCod Fiscal /Unique registration No RO29283894Nr.Inreg. la Reg.Comertului/Registered at the Registry of Commerce under the no

J29/1625/30.10.2012

Capital social/ Social capital 200Obiect principal de activitate/Main object of activity CONSULTANTA TEHNICA IN CONSTRUCTII SI DIRIGENTIE DE SANTIER

Adresa sediului social central/Address of the Headquarter BDUL REPUBLICII, NR.118, BL.15B2, AP. 31, PLOIESTI-PRAHOVAPersoana de contact/Contact Person OPREA SORINEL VASILETelefon// fax/email/ 0740224005Sucursale / Reprezentane /Puncte de lucru /Subsidiaries/ Representations/ Branches

1.2 Denumirea Asociailor/ Acionarilor firmei (Nume/Prenume)/ Details regarding Companys Associates/Shareholders (Name-first and last)

Asociai/AcionariDenumire (Nume/Prenume)/Associates/Shareholders

(Name-first and last)

% pri sociale/aciuni deinute% of held shares/ parts ara/Country

Obiect de activitate (pentru societi)Profesie/Activiti anterioare (pentru persoane fizice)/

Object of activity (for companies)Profession/ Previous activities (for individuals)

OPREA SORINEL VASILE 100 ROMANIA CONSULTANTA TEHNICA IN CONSTRUCTII SIDIRIGENTIE DE SANTIER

1.3 Care sunt membrii Consiliului de Administraie/ Please indicate who are the Board members.

Membrii Consiliului deAdministraie (Nume/Prenume)/

Board Members

Funcie/Position in the company

Profesie/Activiti anterioare i/saucurente/

Profession/Previous and/or currentactivities

Data nregistrrii camembru al Consiliului

de Administraie/Registration date as

Board member

1.4 Detalii privind conducerea executiv a Asiguratului/Details regarding the Executive Management of the Insured

Conducere executiv (nume/prenume)/Executive management

Funcie/Position in the company

Profesie/Activiti anterioare/Profession/Previous activities

Data de la care esteparte din Conducerea

executiv/ Registrationdate as part of the

ExecutiveManagement

OPREA SORINEL VASILE DIRECTOR GENERAL

INGINER/SEF SERVICIU INVESTITIISI ACHIZITII PUBLICE-DIRECTIA

GENERALA A FINANTELOR PUBLICEPRAHOVA

INFIINTARE

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Sediul central S.C. Groupama Asigurri S.A.Str. Mihai Eminescu nr. 45, sector 1, 010513, Bucureti, RomniaCapital social subscris i vrsat: 1.170.774.450 lei; CUI 6291812; RC: J40/2857/2010;

Autorizat de Comisia de Supraveghere a Asigurrilor sub nr. RA - 009; Operator de date cu caracter personal 10152Alo Groupama 0374 110 110; Fax: 0040 21 310 99 67; www.groupama.ro; [email protected]


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1.5 Deinei aciuni sau pri sociale la alte companii? Dac DA, v rugm s detaliai./Does the company have business participation?If YES, please detail:NU

Firme deinute/Business Participants

% pri sociale/aciuni deinute/

% of heldshares/ parts

ara/Country

Obiect de activitate/Object of activity

NU

1.6 Suntei parte a unui GRUP de firme? Dac DA, v rugm s menionai numele grupului din care facei parte precum i celelalte societi care fac parte dinacelai grup. / Is the company member of a GROUP? If YES, please mention the name of the Group you are part of and the other companies which are part of thesame Group. NU/ No DA/Yes

2. Informaii referitoare la asigurarea de Garanie de participare la licitaie/ Information on the requested Bid BondNumrul anunului de participare/ No of the tender announcement

338281/25.10.2012

Data limit de transmitere a ofertei/ Due date for sending thetender offer

9.11.2012

2.1 Valoarea ofertei de participare la licitaie (valoarea estimata contractului, fr TVA)/ Value of the tender offer

342281,41

2.2 Denumirea Beneficiarului garaniei/ Name of Beneficiary of the Bond

PRIMARIA SECTOR 2 MUN. BUCURESTI

2.3 Valoarea garaniei (suma asigurat)/ Bond Amount(Sum insured)

68456,62

2.4 Perioada de valabilitate a ofertei de participare la licitaie Validity of the tender offer

120 ZILE 9.11.2012-9.03.2013

2.5 Perioada de valabilitate a Asigurrii de Garanie departicipare la licitaie/ Validity of the Bid Bond

120 ZILE 9.11.2012-9.03.2013

Not/ Note: V rugm s anexai /Please attach:

a) oferta de participare la licitaie (mpreun cu devizul, oferta de lucrri, graficul de lucrri, etc)/the tender offer together with estimation of the costs of worksand Works graphic, etcb) fia de date a achiziiei cuprinznd prevederile referitoare la garaniile solicitate /Please attach the paragraphs from the tender specification concering theBonds requested;c) contractul de baz care urmeaz a fi ncheiat cu Beneficiarul, dac este disponibil /Basic agreement to be signed with the Beneficiary, if available.

3. Informaii privind derularea licitaiei /Details regarding the tender3.1 Tipul contractului/Type of agreement: contract de lucrri contract de furnizare contract de servicii

3.2 Procedura de atribuire/ncheiere /Award Procedure: licitaie deschis/ open tender licitaie restrns/ restricted tenderdialogul competitive/competitive discussion negociere/ negotiationconcurs de soluii/ solution contest cerere de oferte/offer request

3.3 Exist un model de garanie impus de Organizatorul licitaiei? Dac DA, v rugm s anexai modelul /There is a special form of the Bid Bond, as requested bythe Tenderer? If YES, please attach the form. DA/Yes NU/No3.4 Care este obiectul contractului?What is the object of the contract?

SERVICII DE CONSULTANTA TEHNICA SI DIRIGENTIE DE SANTIER

3.5 Cum i de ctre cine se finaneaz execuia contracului (Beneficiar, surse proprii sau Finanator ter). V rugm s menionai sumele, condiiile i numelefinanatorului ter/ How shall be financed the execution of the contract and by whom? Please mention the amounts, conditions and the name of the third partyfinance provider.

PRIMARIA SECTOR 2 MUN. BUCURESTI -342281,41 LEI

3.6 Participarea la licitaie se face n baza unui Acord de Asociere /Your participation on the tender is based on a Joint-Venture Agreement?NU/No DA/Yes - dac DA, v rugm s menionai/if yes, please detail:

Lista societilor din cadrul asocierii/ Calitatea asociatului (lider sau asociat)/List of companies which are part ofJoint-Venture Agreement The role of the company into JV Agreement (Leader or Associated Company)

3.7 n cazul n care Asiguratul ctig licitaia, se solicit ncheierea altor tipuri de garanii, cum ar fi:/In case the Insured is declared the winner of the tender, thereare other bonds requested to be issued after signing the contract:

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Garanie pentru Buna execuie a contractului/Performance BondGaranie privind returnarea avansului/Advance Payment BondGaranie pentru perioada de mentenan/intretinere post-executie/Maintenance Bond

4. Experiena anterioar a Asiguratului /The previous experience of the company4.1 Numr de licitaii organizate la care societatea a participat pn n prezent/Number of tender you have participated on-4 din care licitaii ctigate/ out ofwhich contracts acquired-2

4.2 Numr de ani de experien n derularea de contracte similare cu cel pentru care se solicit garania/Number of years in performing similar contracts:

1 AN4.3 V rugm s menionai contractele derulate/finalizate n ultimii 3ani/Number of important contracts finalysed in the last 3 years:

Beneficiar/Name of the Beneficiary

Valoare contract, din care ncasat/Contract value, out of which

earned

Perioada contractului/Period of the contract

De la/pn laDescriere (obiect/locaie)/

Description (object, location)

POLITIA LOCALAPLOIESTI -35000 LEI INCASAT IAN-OCT 2012

SERVICII CONSULTANTA TEHNICA SI DIRIGENTIE DESANTIER

PRIMARIA BERTEA...........6000 LEI-INCASAT..........

.DEC 2011-MARTIE2012.

IDEM

PRIMARIA BANESTI.............8500 LEI INCASAT..........

..IUNIE-AUGUST2012

IDEM

PRIMARIA CIORANI .............25000 LEI INCASAT.......... ........-IULIE-OCT 2012 IDEM

*dac spaiul nu este suficient, v rugm s detaliai pe o pagin separat4.4 V rugm s menionai contractele n curs de execuie/derulare /Number of contracts in execution:

Beneficiar/Name of the Beneficiary

Valoare contract, din carencasat/

Contract value, out of whichearned

Perioada contractului/Period of the contract

De la/pn laObiect i locaie/Object & location

Stadiul execuiei/Stage of the

execution (%)

Perioada degaranieacordat

PRIMARIA BANESTI........59000 LEI...( 0

INCASAT)........ IUNIE 2012-DEC 2013.

IDEM FAZA DEPREGATIRE ALUCRARILOR

12 LUNI

PRIMARIA BAICOI

...102000 LEI (0 INCASAT)........AUGUST 2012-DEC

2013..................../..............

IDEM FAZA DEPREGATIRE ALUCRARILOR

12 LUNI

PRIMARIA CAMPINA

..5000 LEI (2000 LEI INCASAT).

IUNIE-NOIEMBRIE

2012-.................../..............

IDEM 90% EXECUTAT 12 LUNI

BANCA NATIONALA AROMANIEI-PRAHOVA

........5000 LEI ( 2000 LEIINCASAT). IUNIE-NOIEMBRIE 2012...

IDEM 90% EXECUTAT 12 LUNI

*dac spaiul nu este suficient, v rugm s detaliai pe o pagin separat

4.5 Subcontractani/ Subcontractors

4.5.1 Contractul se va execut cu participarea unor subcontractani?/ Does the contract involve subcontractors? DA/Yes NU/No , Dac DA, v rugmdetaliai (ataai contractele ncheiate cu subcontractanii)/If Yes, please detail (please attach the contracts signed with the subcontractors):

Subcontractant(denumire/adres)/

Subcontractors (name andaddress)

Lucrri care vor fi executate de subcontractant/ Works to beexecuted by subcontractor

Valoare (fr TVA)/ Value (without VAT)

4.5.2 Aportul subcontractanilor la executarea contractului este de aproximativ/The percentage of works to be executed by subcontractors is aproximatively................................ din total valoare contract/from total value of the contract.4.5.3 Se solicit garanii subcontractanilor? /Do you request guarantees to your subcontractors? DA/Yes NU/No4.5.4 Tipuri de garanii solicitate subcontractanilor/ Type of guarantees required to subcontractors:

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4.6 Detalii privind structura i experiena personalului/Details on the structure and the experience of the staff:4.6.1 Nr. total personal n anul precedent/Total no. of employees in the previous year ..3..................................................................................................................4.6.2 Nr. total personal n anul curent, din care:/Total number of employees in the current year, out of which: ...............................................................................

Categoria/Category Nr. persoane/ No of Staff

Angajai permaneni/Permanent employees

Colaboratori/Collaborators

1. Personal de conducere (directori, directori adjunci, efidepartamente, efi secie etc.) /Management staff (managers,deputy managers, chiefs of departament etc)

1 2

2. Personal calificat direct productiv (care lucreaz n secii deproducie)/ Qualified personnel directly involved in production.3. Personal necalificat direct productiv (care lucreaz n secii deproducie) / Unqualified personnel directly involved in

production.4. Personal tehnico-administrativ/Technical and administrativestaff

Total:

4.6.3 Detalii semnificative privind experiena, specializarea personalului/Details on the experience of the staff:

4.7 V-ai confruntat n decursul anilor cu reclamaii, cazuri de culp, litigii nregistrate n executarea obligaiilor contractuale?/Have you ever confrunted withcomplains, events of default, litigation registeres in the process of performing the contractual obligation? DA/Yes NU/NoDac DA, v rugm s anexai o situaie detaliat care cuprinde informaii privind reclamaiile primite, cazurile de culp de care societatea s-a fcut vinovat ilitigiile soluionate sau n curs de soluionare, conform tabelului de mai jos./If so, please attach a detailed situation that contains information on the complainsreceived and the litigations solved and/or pending, as per the below table:

ContractBeneficiar/Beneficiary

Obiectulreclamaiei/culpei/

The object ofcomplain

Stadiul actual al reclamaiei/culpei(soluionat, n curs de soluionare)/

The actual stage of complain (solved,in process of being solved)

Cauza/The cause

Modaliti desoluionare/

The method usedfor solving it

Valoarea daunelor,penalitilor i a

daunelor interese/Loss amounts,

penalties, interests

5. Date contabile, financiare i comerciale/Accounting financials and commercial data5.1 Indicatori de rezultate /Result indicators

Anul N-2/Year N-2

An anterior N-1/Previous year N-1

An curent N/Current year

Nr. luni/No. Ofmonths

Estimare pentru anul n curs/Estimation for the current year

Cifra de afaceri (frexport)/ Turnover (withoutexport)

6580 LEI 91735 LEI 150000

Profit brut din exploatare/Gross operating profit

Profit net/ Net profit 1787 LEI 31367 LEI 45000

Investiii/ Investments

5.2 Situaia creditelor acordate de bnci, societi de leasing i alte instituii financiare n sold la data solicitrii/Bank loans, leasing or other loans at the date ofrequest of cover

Banca/Bank

Valutacredit/

Currency ofthe loan

Sold credit, din care/Outstanding balance

out of which

Credit curent/Remaining loan

Credit restant/Outstanding loan

Scadena final/Final due date

Garanii constituite/Guarantees

Not: Dac Asiguratul este membru al unui grup, se va anexa o situaie similar cuprinznd creditele pe fiecare societate din grup/If the Insured is part of a

Group, please attach a similar situation containing the loans per each company of the Group .

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5.3 Garanii/avaluri i alte angajamente de plat emise de bnci, Asigurtori i alte instituii financiare, n vigoare la data solicitrii/Bonds and other paymentobligations issued by banks and other financial institutions, in force at the date of the request

Banca/Bank

Tip garanie,obiect/Type of guarantee, object

Valuta angajament/Currency

Sold angajament/Obligation balance

Scadenafinal/termene de

valabilitate/Final due date,

validity

Garaniiconstituite/Guarantees

5.4 mprumuturi acordate ctre societile din care firma face parte sau pe care aceasta le deine sau mprumuturi acordate asociailor/acionarilor /Loan given tothe associates, shareholders or to the other companies inside the group

Nume firm/Companys name

Valut credit/Currency

Sold credit/Loan balance

Rambursare (rate sau integral)/Repayment (installment or in full)

Scadena final/Final term

5.5 Situaia datoriilor ctre furnizori /Debts to the suppliers NU SUNTTermene i modaliti deplat utilizate n relaia cuprincipalii furnizori/ Terms

and payment methodused in relation to the

main suppliers:

Termene/ terms:................................................................Mod plat/ Payment Method:...............................................

Sold la 31 decembrie aanului precedent din care/

Balance at the 31stof

December of the previousyear, out of which:

..................................

Sold la ultima balanncheiat (RON), din care/Balance at the end of the

previous month, out ofwhich:

- Datorii cu scadenamai mare de 1 an/Debts with maturitiesgreater than 1 year

- Datorii curente cu

scadena sub 1 an/Debts with maturitiesup to 1 year

- Datorii restante dincare cu termen derestan/ overduedebts aged

Sub 60 zile/ under 60 days 60-180 zile/ days 180-360 zile/daysPeste 360 zile/ over 360

days

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Datorii cu scadenemai mari de 1 an/

Debts withmaturities greater

than 1 year

Datorii cu scadenapn ntr-un an/

Debts with maturities

up to 1 year

Datorii restane din care cu termen de restan/ overdue debts aged:

Sub 60 zile/

under 60 days

60-180 zile/between 60-

180 days

180-360 zile/between 180-

360 days

Peste 360 zile/

over 360 days


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5.6 Situaia creanelor de ncasat de la clieni/Receivables to be paid by the clientsTermene i modaliti deplat utilizate n relaia cuprincipalii clieni / Terms

and payment methodused in relation to the

main clients

Termene/ Terms:.............................................................Mod plat/ Payment Method:.............................................

Sold la 31 decembrie aanului precedent dincare:/ Balance at the 31st

of December of theprevious year, out of

which:

.....................................

Sold la ultima balanncheiat (RON), din care:/ Balance at the end ofthe previous month, out ofwhich:

- Creane cu scadenamai mare de 1 an/Receivables withmaturities higher than1 year

- Creane curente cuscadena sub 1 an/Receivables withmaturities up to 1 year

- Creane restante dincare cu termen derestan/ Overduereceivables

Sub 60 zile/ under 60 days 60-180 zile/ days 180-360 zile/daysPeste 360 zile/ over 360

days

Soldul creanelor de ncasat la data de/Debtor balances at: _____________________________

5.7 Care sunt datoriile ctre bugetul statului, bugetul asigurrilor sociale, bugetele locale?/Debts to the state budget, the social security budget, local budgets?-RON-

Sub 30 zile/ up to 30 days 30-90zile/ days 90-180 zile/days 180-360 zile/daysPeste 360 zile/ over

360 days Total

Dac se nregistreaz datorii mai vechi de 90 zile, v rugm s anexai o not explicativ coninnd informaii suplimentare despre sumele nencasate/If there areregistred debts older than 90 days, please attach an explanation of this situation.

5.8 Situaia imobilizrilor corporale deinute de Asigurat/List of the fixed assets held by the Insured

Tip/Type

Descriere/Description

Valoare contabilrmas/

Remaining accountingvalue

-RON-

Valoare estimatde pia/

Market value

-RON-

Situaie juridic (proprietate/nchiriate)/Juridical status (owned, rented)

Terenuri/Lands

Cldiri/ Properties

Echipamente/Utilaje/Equipments and toolsMijloace de transport/Cars

n funcie de tipul imobilizrii corporale se vor completa urmtoarele: localizare, suprafaa, tip construcie, an construcie/achiziie, tip/marca/destinaie, gradutilizare/ Depending on the type of assets, the following will be filled in: place, area, type of construction, year of construction/purchasing, type/brand/destination,degree of use.

6. Lista garaniilor propuse a fi constituite n favoarea Asigurtorului /List of bonds suggested to be constitued in favor of the Insurer

V rugm s anexai o situaie detaliat cuprinznd descrierea garaniilor propuse a fi constituite n favoarea Asigurtorului/Please attach a list of the bonds

proposed to be constitued in favor of the Insurer.

7. Informaii privind alte asigurri de garanii /Information regarding the other bonds insurance

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Creane cuscadena mai mare

de 1an/Receivables withmaturities higher

than 1 year

Creane cu scadenapn 1 an/

Receivables withmaturities up to 1 year

Creane restante/ Overdue receivables :

Sub 60 zile/ upto 60 days

60-180 zile/days

180-360zile/days

Peste 360 zile/over 360 days


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Societatea a avut ncheiate alte asigurri de garanii?/Did you have any other Bond Insurance? DA/ Yes NU/NoDac DA, detaliai/ If Yes, please detail:

Tip asigurare de garanie/Type ofBond Insurance

Perioada asigurat/ Insured Period Asigurtor/ Name of the InsurerDaune nregistrate/Registered

claims

La prezenta cerere de asigurare se vor ataa documentele cuprinse n anex/Please attach all the documents specified in the hereunder annex.

Declar pe proprie rspundere c datele comunicate n aceast CERERE DE ASIGURARE sunt reale i sunt de acord ca acest document s fac parteintegrant din contractul de asigurare i s stea la baza evalurii riscului de ctre Asigurtor. Sunt de acord ca Groupama Asigurri S.A. s nu mdespgubeasc n cazul n care constat c datele furnizate n acest declaraie nu corespund adevrului, ori pe parcursul derulrii asigurrii nu am adus lacunotin orice informaie de natur s modifice condiiile de asigurare iniiale, nelegnd c declaraiile false pot implica, dup caz, rspunderea penal(conform legislaiei n vigoare). Sunt de acod ca societatea Groupama Asigurri S.A. s prelucreze datele cu caracter personal, pe care le-am furnizat nscopul administrrii contractului de asigurare, n conformitatea cu dispoziiile Legii 677/2011 pentru protecia persoanelor cu privire la prelucrarea datelor cucaracter personal i libera circulaie a acestor date./

I take it upon myself ti declare that all the data communicated by means of the hereby INSURANCE APPLICATION are real and I agree that this document

should form an integral part of the insurance agreement and underlie the risk assesment by the Insurer. I duly agree that Groupama Asigurari S.A. shoul notgrant any compensations to me if they should find that the data provided by means of the hereby statement are false or during the development period ofthe agreement I did not notify any information that should change the initial insurance conditions, understanding that the false statements may involve, asthe case may be, criminal liability (acording to the enforced legislation). I grant my permission to Groupama Asigurari S.A. conceming the processing of my

personal data, provided for the purpose if insurance agreement administration, in accordance with the provisions of the Law no. 677/2001 for the personalprotection concerning the processing of personal data and the free circulation of these data.

Pentru i n numele/ On behalf of: ASSA CONSTRUCT CONSULTING SRL

Semntura (nume, prenume, semntura i tampila)/Signed by (name, surname, signature and stamp)OPREA SORINEL VASILE

Funcia n cadrul societii de asigurare/Job title in the companyDIRECTOR GENERAL

Data/Date:30.10.2012

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ANEX LA CEREREA DE ASIGURARE PRIVIND ASIGURAREA DE GARANIIANNEX TO THE PROPOSAL FORM

Urmtoarele documente/informaii sunt parte integrant din cererea de asigurare i v rugm s le completai/ataai prezentei cerere/The followingdocuments are part of the Proposal Form and therefore, please kindly attach/complete them ,as requested below.

Anexa 1 Documentele de constituire ale societii/Companies legal documents:a) Statut / Constitutive Deedb) Certificat Fiscal / Fiscal Registration certificatec) Certificat de nmatriculare la Registrul Comerului/Registration Certificate issued by the Registry of Commerced) Extras de la Registrul Comerului /Extract from the Registry of Commerce

Anexa 2 Oferta de participare la licitaie/Tender offerAnexa 3 Fia de date a achizitiei / Extras din caietul de sarcini referitor la garaniile solicitate/ Acquisition Data Sheet/ Paragaphs from the tender bookwhich reffer to the Bonds requested.

Anexa 4 Graficele de rambursare a creditelor, extrasele conturilor de credite bancare care atest soldurile respective i extrasele conturilor de dobnzi/

please attach repayment graphics of the loans and the account

Anexa 5 Dac societatea face parte dintr-un grup de firme, v rugm sa anexati o situaie similar cuprinzand creditele pe fiecare societate din grup/If thecompany is part of a group, please attach the same situation for each company of the group

Anexa 6 n cazul n care exist pierderi, v rugm s ataai o not prin care s explicai cauzele care au stat la baza nregistrrii pierderilor i care suntmsurile pe care dorii s le aplicai pentru acumularea de profit /If the company registered losses, please attach an explanation note containingthe causes that determined negative results and the measures which are planed to be taken in order to ensure the recovery of the losses and theaccumulation of profit

Anexa 7 n cazul n care facei parte dintr-un grup de firme, v rugm s anexai o situaie similar ca cea de la punctul 5.1 din chestionar cuprinzndindicatorii de rezultate consolidai la nivelul grupului i bilanurile consolidate la nivelul grupului./If the company is part of a Group, please attach asimilar situation containing consolidated result indicators at the group level and consolidated balance sheet at group level (as per question5.1.from Proposal form)

Anexa 8n cazul n care investiiile sunt semnificative pentru activitatea i rezultatele societii, v rugm s anexai o situaie cuprinznd investiiile realizate/

If the investments are significant, please attach a situation containing the investments already realized

Anexa 9 Bilanurile contabile pentru ultimii 2 ani (inclusiv anexe i Rapoarte de gestiune)/Accounting balance sheets- including attachments andmanagement reportsfor the last 2 years

Anexa 10 Balanele analitice de verificare/Analytical balance

Anexa 11 Raport anual cenzori /Yearly reported censors

Anexa 12 Raport anual auditori /Yearly report auditors

Anexa 13 Alte situaii ref. date financiar-contabile ntocmite conform precizrilor din cererea de asigurare /Other situations in accordance with the ProposalForm

Anexa 14 V rugm s anexai balana analitic a contului de furnizori (ultima balan ncheiat)/Please attach the last analytical balance of the suppliersaccount

Anexa 15 V rugm s ataai balanele analitice ale conturilor de clieni 411 i 416 (ultima balan ncheiat)/Please attach the analytical balances of theclients account-411 and 416.

Anexa16 V rugm s anexai o situaie detaliat cuprinznd bunurile grevate de sarcini, valoarea i termenele de valabilitate ale contractelor de gaj sauipotec / Please attach a list of the assets saddled by the charges, value and validity term of the pledge or mortgage agreement .

Anexa 17 V rugm s anexai situaia necesarului de resurse umane, resurse materiale i echipamentelor utilajelor/ dotrilor utilizate n execuiacontractului/ Please attach the situation of human resources, materials and equipments needs in order to execute the contract.

Alte informaii/documente pe care le considerai utile/ necesare pentru evaluarea riscului de ctre Asigurtor /Other information, documents that you considerto be useful for the risk assessment.

Reprezentant legal/Legal representative________________________________

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1394_cerere de asigurare bid bond_fara taxa de analiza_august 2012

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