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Page 1 of 5 GENERAL INFORMATION General corporate data Address: Legal form: Homepage: V.A.T. Registration No.: Group membership: Subsidiary companies: Ownership: Line of business: Contact person Name Phone Email Managing director: Sales: Sales administration: Development: Quality: Corporate date & key figures Year before last Last year Current year Total sales in TEURO: Profit in TEURO: Equity capital in per cent: Export rate in per cent: Total staff: Staff production: Staff quality control:

Page 2 of 5 Markets & Production Reference customers: Are you supplier of competitors of BHS? Yes No Not known If yes, for whom? Make-to-order production? Yes No Series production? Small Medium Large Machine outfit: OTHER INFORMATION Quality management, certificates Yes Partial No Do you have a quality management system? Is your quality management system certified? (If yes, please enclose copy of certificate) Do you have an environmental management system? Is your environmental management system certified? (If yes, please enclose copy of certificate) Do you have a health and safety management system? Is your health and safety management system certified? (If yes, please enclose copy of certificate) Are you able to deliver goods in accordance with Directive 2014/34/EU (ATEX)? Do you have other certificates? (e.g. welding certificate) Do you have regularly quality controls during production process? Do you have quality control for incoming goods? Are you willing to agree a quality safety contract? Cooperation Do you accept the general purchase conditions of BHS-Sonthofen GmbH? Are you willing to conclude an individual contract (e.g. frame contract, delivery contract)? Are you able to provide us with material certificates (e.g. 3.1, 2.2) or other certificates (e.g. FDA) in english language? Do you accept and consider dispatch and packing conditions with your consignments? Yes Partial No

Page 3 of 5 PRODUCT RANGE Operating resources, auxiliary and operating material Tooling equipment Chemical goods Welding material Work protection and hygiene Packaging material Metal parts Semifinished material Forging parts Mechanical processed parts Casting parts Welding groups Plastic parts Semifinished material Raw material Mechanical processed parts Welding groups Sealings DIN parts Connecting elements Sealings Fittings / Flanges Hoses / Hose pipes Driving elements Gear boxes Bearings Couplings Belts / Chains Pneumatic Hydraulic Electrical & electronic parts Electric motors Frequency converter Installation material Electric controls

Page 4 of 5 PRODUCT RANGE Plant components Pumps High pressure cleaning Lubrication systems Armatures Magnet technic Belt conveyor and -plants Metering systems Sorting technics Vessels / Silos Production activities Chipping Surface treatment Welding, Handling measurements: Welded components following requirements are fulfilled: Certification in accordance with DIN EN ISO 3834 Qualified welding instructions: Procedure test in accordance with DIN EN ISO 15614 or work sample in accordance with DIN EN ISO 15613 Valid welding inspections in accordance with DIN EN ISO 9606 (previously: DIN EN 287) Welding supervisor, international welding specialist, or welding engineer (DIN EN ISO 14731) Certification in accordance with DIN EN 1090 EXC 2 or higher for components that fall under the scope of DIN EN 1090. Protocols documenting the maintenance of preheating and interpass temperatures The requirements listed above cannot be fulfilled Non-destructive tests following requirements are fulfilled: Testing personnel is qualified and certified in accordance with DIN EN ISO 9712 minimum level 2 certification for the required non-destructive testing method Protocols kept in compliance with standards The requirements listed above cannot be fulfilled Place / Date: Signature / Filled in by: Send to BHS-Sonthofen via email

Page 5 of 5!!! TO BE FILLED IN BY BHS-SONTHOFEN GMBH!!! Remarks to supplier: Supplier generated in SAP? Yes No Supplier No.: Approval Date Signature / Done by Logistics: Production: Quality management:!!! TO BE FILLED IN BY BHS-SONTHOFEN GMBH!!!