BP Energy do Brasil Ltda.

Av, das Amricas, 3434 3 andar Bloco 7

Barra da Tijuca - CEP 22640-102
Rio de Janeiro - RJ Brasil

RE: Supplier System Set Up Information / Cadastro de Fornecedor BP

(Add supplier contact name details here)

Dear / Caro ,

The information in this form is !"#$%to assist your company with getting set up in BPs systems to
enable transactions to take place such as%purchase orders, contracts and invoice payments. The
information provided to BP in this form will enable the setup of your company in BPs Accounts
Payables and Procurement system. Please complete this form and return it to the individual who
provided it to you. We appreciate your assistance in assuring we have your companys information
current and accurate in our database and look forward to working with you.

As informaes contidas neste formulrio tem como objetivo auxiliar a sua empresa no cadastro dos
sistemas da BP para possibilitar transaes como emisso de ordens de compra, contratos e
pagamento de faturas. As informaes fornecidas BP neste formulrio iro permitir a configurao
da sua empresa em nosso sistema de Compras e de Contas Pagar. Por favor, preencha este
formulrio e encaminhe pessoa que solicitou o seu preenchimento. Agradecemos a sua ajuda para
assegurar que banco de dados da BP esteja atualizado com os dados corretos da sua empresa.

BP Upstream
Procurement & Supply Chain Management (PSCM)

This document contains proprietary BP information. Please do not distribute beyond the intended use of the document.
This information is confidential and proprietary. Receipt by anyone other than the intended recipient is prohibited.

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 THE FOLLOWING SECTION IS TO BE COMPLETED BY A SUPPLIER
REPRESENTATIVE / A SEO SEGUIR DEVER SERCOMPLETADA
POR UM REPRESENTANTE DO FORNECEDOR

Supplier Information Request Form / Formulrio de Cadastro de Fornecedor

Please provide your companys corporate headquarters information below.

Por favor, fornea informaes da Matriz sua empresa abaixo.
1.0 Corporate Headquarters Information / Informao da Matriz da Empresa
Parent HQ Name / Nome da Matriz Eltrica Tempermar Ltda
Dun & Bradstreet No.
Company Registration No. / Nmero de cadastro
Subsidiaries / Subsidirias

Please provide the legal name of the entity that will be supplying materials and/or services to BP.
Por favor, fornea o nome legal da entidade que ir fornecer os materiais e / ou servios para a BP.
2.0 General Company Information / Informao Gerais da Empresa (HQ details of legal entity BP will
be transacting with / Dados da entidade legal que ir ter relaes comerciais com a BP)
Legal Entity Name / Razo Social Eltrica Tempermar Ltda
DBA / Nome Fantasia Tempermar

VAT Number
Tax 1 (CNPJ) 42.113.274/0001-37 Tax 2 (CPF)!!!!!!!!!!!!!!!!"#$!%&''!()*+!()*!,-.!#/0012$*#
Tax 3 (Inscrio Estadual) 81.604.479 Tax 4 (Inscrio Municipal) 00.432.890

Tax 5 (RG) CEPOM Yes No

TDT / Regime Tributrio LR - Lucro Real
Dun & Bradstreet No.
Company Registration No. / Nmero de Cadastro Av. Dom Helder Cmara

Street Address / Endereo Av. Dom Helder Cmara

House Number / Nmero 186 City / Cidade Rio de Janeiro

State / Estado RJ District / Bairro

Zip / CEP 20911-292 Country / Pas Brasil

Main Phone Number / Telefone +55 21 3890-1500 / 3890-4949

E-mail Address tempermar@tempermar.com.br

Suppliers Website www.tempermar.com.br

Provide the address and contact details that BP will need to systematically issue purchase orders to in section
3.0. Only complete if different to the primary location address in section 2.0. If BP places purchase orders with
your company at multiple locations, please provide the following details for each location. If your company has
multiple divisions with different contact details operating under one legal entity (the legal entity referenced in
section 2.0), please provide the following details for each division with division name. The e-mail address
provided in this section will be the e-mail address that purchase orders will be submitted to (for the
location/division indicated). Please limit one e-mail address per location/division for purchase order submittal.

Por favor, utlize os campos abaixo para fornecer o endereo e detalhes de contato que a BP dever utilizar para
a emisso de ordens de compra, caso seja diferente do acima. Se a sua empresa possui vrias divises com
diferentes dados de contato perando sob uma mesma entidade legal (informado na seo 2.0), informe os
dados de cada diviso com o endereo de e-mail para recebimento de ordens de compra (um e-mail para
a localizao / diviso indicada).

This document contains proprietary BP information. Please do not distribute beyond the intended use of the document.
This information is confidential and proprietary. Receipt by anyone other than the intended recipient is prohibited.

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 3.0 Order Placement / Cadastro para emisso de Ordens de Compra (Where BP submits purchase
order. Fill the respective fields that are different from section 2.0 / Preencha os campos que so diferentes dos
dados informdos na seo 2.0 acima).
Company Name / Razo Social
Division Name / Nome da Diviso
Street Address / Endereo
House Number / Nmero PO Box / Caixa Postal
City / Cidade State / Estado
District / Bairro Zip / CEP
Country / Pas
Supplier Representative / Representante
Phone / Telefone Fax
Email Order Placement / Para Envio da Ordem de Compra tempermar@tempermar.com.br
Tax No 1 (CNPJ) Tax 2 (CPF)
Tax No 3 (State) Tax 4 (Municipality)
Tax No 5 (RG) CEPOM Yes No
Regime Tributrio (TDT), if different to section 2.0 LR - Lucro Real

Please provide your companys banking details in section 4.0. Automated Clearing House (ACH) is BPs
default method of payment. If your company requires a different method of payment, please indicate which
one. Please provide the remit to address as referenced on your companys invoice regardless of the payment
method chosen. If multiple addresses will be referenced, please provide the address details for each in an
attached list. The email address provided in this section will be the email address that payment
remittance information will be provided to.
Por favor, fornea os dados bancrios da sua empresa na seo 4.0; informe o endereo como referenciado na
fatura da sua empresa, independentemente do mtodo de pagamento escolhido. O endereo de e-mail
fornecido nesta seo ser o endereo de e-mail que ir receber informaes de pagamento.

4.0 Payment Method Information / Dados de Cadasro Para Pagamento

Choose method of payment / ACH Cheque (only if ACH is NA) Boleto Wire / Deposito
Mtodo de pagamento
Order Currency / Moeda Real

Bank Name / Nome do Banco Ita

Bank Number / Nmero do Banco 341

Bank Accnt No. / Conta-corrnt 10521-3

Routing No. / Agencia 0307

Name on the Account / Nome da conta Eltrica Tempermar ltda

E-mail (for payment advice / para info de pagamento) financeiro@tempermar.com.br

SWIFT / BIC CODE / IBAN*

4.1 Remit To Address Details (Remit to address that appears on your companys invoice)
Name of Invoicing Company / Nome da empresa que
ir emitir a NF
Street Address / Endereo (if applicable)
PO Box / Caixa Postal (if applicable)
City / Cidade Region / Estado
Zip / CEP Country / Pas

This document contains proprietary BP information. Please do not distribute beyond the intended use of the document.
This information is confidential and proprietary. Receipt by anyone other than the intended recipient is prohibited.

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 Please provide a description of what type of materials and/or services your company will be providing to BP and
where / Por favor, fornea uma descrio do tipo de materiais e / ou servios que sua empresa ir fornecer para
a BP e on.

5.0 Material / Service Provider / Fornecedor de Material / Servio

If materials will be provided to BP by your company, please provide a brief description of the materials / Caso
a sua empresa fornea materiais para a BP, assinale a opo abaixo e inclua uma breve descrio dos
materiais.
Materials / Materiais: Revenda autorizada da linha de produtos WEG.
If services will be provided to BP by your company, please provide a brief description and where they will be
performed. If outside Brazil, please indicate what countries / Caso a sua empresa fornea servios para a BP,
assinale a opo abaixo e inclua uma breve descrio dos servios e onde sero realizados (pas).

Services:
Where (Check all that apply): Inside Brazil / No Brasil.!!!!!!!"#$%& On Shore
Outside Brazil / Fora Do Brasil. (List below)
Countries:

ISS Yes (Add detail below) Not Applicable

ISS ILC #$%&'!()!*&+!,-'./&'&0%)1!2234

!!!ISS Rate!"
IRRF - PF/PJ Yes (Add detail below) Not Applicable

!!!IRRF - PF/PJ Rate!"

IRRF - PF Dependants
INSS - PF/PJ Yes (Add detail below) Not Applicable

!!!INSS - PF/PJ Rate!"

PIS Yes (Add detail below) Not Applicable

!!!PIS Rate!"
COFINS Yes (Add detail below) Not Applicable

!!COFINS Rate!"
CSLL Yes (Add detail below) Not Applicable

!!!CSLL Rate!"

As a representative of the company, I assure that the details provided in this form are accurate
and current as of the date indicated below.
Como representante da empresa, afirmo que as informaes fornecidas neste formulrio so
vlidas e atuais at a data indicada abaixo.

Signature: Date:
28/07/2017

To digitally sign this document, double click the Signature field and enter digital signature, then e-mail it to the
e-mail address below. If you prefer to manually sign; print this document, sign it, scan it and e-mail it to the
address below / Para assinar digitalmente este documento, clique duas vezes no campo "Assinatura" e digite
assinatura digital, em seguida, encaminhe para o endereo de e-mail do seu contato na BP. Se preferir assinar
manualmente, poder imprimir este documento, assin-lo, digitaliz-lo e encaminhar para o seu contato na BP.

BP Supplier Help Desk: +1-855-463-4772

BP Portal: https://vw.bpglobal.com/irj/portal
BP Supplier Help Desk: is available 5 days a week Mon - Fri from 8:00 am to 5:00 pm CST

This document contains proprietary BP information. Please do not distribute beyond the intended use of the document.
This information is confidential and proprietary. Receipt by anyone other than the intended recipient is prohibited.

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 THE FOLLOWING SECTION IS FOR BP INTERNAL USE ONLY
AND IS TO BE COMPLETED BY A BP PSCM REPRESENTATIVE

Request Type
New Supplier Request Change Request for Supplier Record SAP Supplier ID No:
Vendor Type: Third Party Procurement Vendor Non-PO Vendor Other:
Withholding Tax (To be confirmed by tax team):
Plant:
Vendor Name:
Justification for Request:
Have incumbent suppliers been considered to fulfill the requirements? Yes No
If incumbent supplier(s) can fulfill the requirement, why have they been rejected?

PSCM Requestor Information

Name Phone
NTID E-mail
Team
Team Lead
Company Code Select Purchasing Organization Select

Additional Comments:

A BP PSCM representative is obligated to ensure the following qualifications have been completed for
the supplier referenced in the sections above prior to the supplier data request submission.

THIS SECTION IS TO BE COMPLETED FOR NEW SUPPLIER ADD REQUESTS ONLY

Supplier Qualifications Where/When Applicable (please click N/A if Not Applicable)
CDD N/A Technical Authority N/A HSSE N/A SQM Audit N/A

As a representative of BP PSCM, I assure that the details provided in this form are accurate and
current as of the date indicated below.

Signature: Date:

To digitally sign this document, double click the Signature field and enter digital signature, then e-mail it to the
e-mail address below. If you prefer to manually sign; print this document, sign it, scan it and e-mail it to the
address below.

Please e-mail COMPLETED request form and any other supporting documents along with email
from regional/functional approver to:
GPSCMVENDOR@BP.COM

This document contains proprietary BP information. Please do not distribute beyond the intended use of the document.
This information is confidential and proprietary. Receipt by anyone other than the intended recipient is prohibited.

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