Page 70 of 79  Europol’s initials:  Contractor’s initials:  FRAMEWORK CONTRACT PURCHASE ORDER No [ complete ]  [Budget line No [complete]  POL number]  Eisenhowerlaan 73  2517 KK The Hague PO Box 90850  NL-2509 LW The Hague  The Netherlands Tel [complete]  Email: [ complete] Offer: [date and  reference] NAME AND ADDRESS OF THE CONTRACTOR Contractor code:  Currency of payment:  EURO  This Purchase Order is governed by the terms and conditions of the Framework Contract [co mplete reference] . By signing this  Purchase Order, the Contractor agrees to waive all other terms of business and/or performance of services and/or delivery of  goods. LIST SUPPLIES AND/OR SERVICES UNIT  QUANTITY  PRICE IN EURO  Unit price  Total* Pursuant to the provisions of Articles 3 and 4 of the Protocol on the  Privileges and Immunities of the European Union, Europol is  exempt from all taxes and duties, including value added tax on  payments in respect of this Contract. For Contractors in the Netherlands, the amount of the VAT must  appear on all invoices presented by the Contractor to Europol. For  Contractors outside the Netherlands, use of this form represents a  request for VAT exemption.  Packaging  Insurance  Transport  Assembly  VAT  TOTAL:  Place of delivery of supplies or performance of services:  CONTRACTOR’S SIGNATURE:  Name:  Position:  Date: Delivery or performance dates: [ from……to…. ]  Final date of delivery or performance:  Payment: Guarantee:  Date of issue: ____________  Signature relevant Authorising Officer: _____________  This Purchase Order shall be governed by the law of the European Union, complemented when necessary by Dutch law. Any  dispute which cannot be settled amicably shall be brought before the courts of The Hague (The Netherlands).  *  The invoice shall be paid only if the Contractor has returned the signed Purchase Order and attached the supporting  Europol Public Information 