1: [form of the Tenderer's company] 2017.___._______ No____________ APPLICATION FOR PARTICIPATION IN THE OPEN COMPETITION RB TEN-T / RBR 2017/22 Tenderer [name of the Tenderer or members of the partnership], reg. No. [registration No of the Tenderer or members of the partnership], represented by [name, last name and position of the representative of the Tenderer], by submitting this application: Confirms participation in the open competition “Feasibility and technical framework for a rail bound (light rail or tram) connection from RB Ülemiste passenger terminal to TEN-T core network Tallinn passenger port (Old city Harbour / Vanasadam)” No RBR 2017/22. Proposes to deliver services in accordance with the Technical specification and this Proposal for the following total price (excluding VAT): ___________________________ (If applicable): Informs that the following persons comply with the following exclusion grounds: Name of the entity (person) Exclusion ground and brief description of the violation [●] [●] [●] Confirms that the Regulation is clear and understandable, that it does not have any objections and complaints and that in the case of granting the right to enter into a contract it shall fulfil all conditions of the Regulation as well as enter into a procurement contract in accordance with the draft contract enclosed with the Regulation. Confirms the period of validity of its Proposal for 3 (three) month from the day of opening of the Proposal. Guarantees that all information and documents provided are true. We meet the criteria of (please mark): a small medium other sized enterprise as defined in the Article 2 of the Commission Recommendation of 6 May 2003 concerning the definition of micro, small and medium-sized enterprise; ______________________________ Date: [date of signing] Name: [name of the representative of the Tenderer] Position: [position of the representative of the Tenderer]
2.1. 2.2. .. Project experience: 3. of the project, location (project’s description related to corresponding qualification requirements in Section 7.5 in procurement Regulation Start / end date of the project Contracting authority (or Client) and contact details (phone, email), e.g. project manager in charge and general contractor and contact details (phone, email) Position in the project and description of the role and responsibilities related to corresponding qualification requirements in Section 7.5 in procurement Regulation Total value of the investments in the project (in EUR, excluding VAT) 3.1. 3.2. .. English language skills: Understanding Speaking Writing Listening Reading Spoken interaction Spoken production Enter level Enter level Enter level Enter level Enter level Levels: A1/A2 - Basic user; B1/B2 - Independent user; C1/C2 - Proficient user. I confirm that I have consented that my candidature is proposed in the open competition “Feasibility and technical framework study for a rail bound (light rail or tram) connection from RB Ülemiste passenger terminal to TEN-T core network Tallinn passenger port (Old city Harbour / Vanasadam)”, No RBR 2017/22. I confirm that in case the Tenderer [name of the tenderer or members of the partnership] will conclude the contract as the result of the open competition, I will participate in the execution of the contract. ______________________________ Date: [date of signing] Name: [name of the expert]