EOI Construction

1. Company Name

2. ABN (value must be a number)

3. Name (First and Last Name)

4. Position / Title

5. Phone Number

6. Email Address

7. Street Address

8. City

9. State 9. State *ACTNSWNTQLDSATASVICWA

10. Postcode

11. Country

12. How many people do you employ? (Eg. Full Time Equivalent or Headcount)

13. Are you able to supply TRIFR ( Total Recordable Injury Frequency Rate) of your company during the last 3 years? 13. Are you able to supply TRIFR ( Total Recordable Injury Frequency Rate) of your company during the last 3 years? Yes No

14. Are you be able to supply your annual company turnover for the last 3 Financial Years (AUD)? 14. Are you be able to supply your annual company turnover for the last 3 Financial Years (AUD)? Yes No

15. Is your company or subsidiaries listed in the World Bank Debarred firms list? 15. Is your company or subsidiaries listed in the World Bank Debarred firms list? Yes No

16. Do you have any current litigations? 16. Do you have any current litigations? Yes No

17. Are you be able to provide evidence of liquidity (e.g. liquidity check) 17. Are you be able to provide evidence of liquidity (e.g. liquidity check) Yes No

18. Please select the applicable goods and services 18. Please select the applicable goods and services Utilities and Onsite Infrastructure Ancillary Facilities Bulk Earthworks Water Treatment Facilities Product Handling pCAM Processing Facility Reagents and Services Vehicles and Mobile Equipment Engineering, Procurement, Construction Management (EPCM) Services Mechanical Process Equipment Oxygen Plant Mixed Hydroxide Precipitate (MHP) Processing Facility Power Generation Other

19. What specific goods or services does your company provide?

20. Are you be able to provide the relevant insurances required to supply chosen Goods and Services. (e.g. Public Liability, indemnity, any State Specific requirements) 20. Are you be able to provide the relevant insurances required to supply chosen Goods and Services. (e.g. Public Liability, indemnity, any State Specific requirements) Yes No

21. Have you completed a minimum of 3 equivalent project or have 10 years industry experience? (e.g. Oxygen Plant for mineral processing or other industrial purpose) 21. Have you completed a minimum of 3 equivalent project or have 10 years industry experience? (e.g. Oxygen Plant for mineral processing or other industrial purpose) Yes No

22. Please supply a list of projects where you have supplied goods and/or services.

23. Pure Battery Technologies is committed to supporting socially responsible supply chains. The objectives of the Modern Slavery Act provide transparency and manage risks associated with modern slavery throughout supply chains. If available, please provide details of how your business manages modern slavery within your business and your supply chain. If you were to progress to the next stage of the process, this will be required. Choose FilesNo Files ChosenAccepted file types: jpg, jpeg, jpe, gif, png, webm, wax, rtf, js, wri, docx, xlsb. Max. file size: 10 MB

24. Building and developing relationships within the Aboriginal communities hosting us is an important part of Pure Battery Technologies operating model. Please upload any Indigenous participation and engagement policies or plans that your business currently has. If you were to progress to the next stage of the process, this will be required. Choose FilesNo Files ChosenAccepted file types: jpg, jpeg, jpe, gif, png, webm, wax, rtf, js, wri, docx, xlsb. Max. file size: 10 MB

25. Is there any additional information you would like to add?

26. If you would like up include a capability statement, please upload here. Choose FilesNo Files ChosenAccepted file types: jpg, jpeg, jpe, gif, png, webm, wax, rtf, js, wri, docx, xlsb. Max. file size: 10 MB