European Maritime Safety Agency Order number:  Praça Europa 4 Currency of payment: EUR 1249-206 Lisbon, Portugal Tel: +351 211 209 200 Fax: +351 211 209 210 http://www.emsa.europa.eu VAT: 507 685 326 UNIT PRICE TOTAL €0.00 €0.00 €0.00 €0.00 €0.00 €0.00 €0.00 €0.00 Net Total €0.00 Packaging: Insurance: Transport: Assembly: VAT: TOTAL : €0.00 Name: Position: Date: PRICE IN € QUANTITY UNIT LISTING OF THE  SERVICES/SUPPLIES FRAMEWORK CONTRACT ORDER FORM (Name and address of Contractor) Asset reference (optional): Offer (date and reference): This order is governed by the provisions of Framework Contract N°.20XX/EMSA/OP/32/2019  in force from __________ to ___________ [Digital services (Article 24(2) of the VAT Directive) - the supplier must charge  VAT f the country where EMSA is located, i.e. Portugal.] Budgetary item (BL): Commitment nr: Contractor’s signature Initiating agent: Date of issue:  Signature [Name and title Authorising Officer]: The invoice shall be paid only if the Contractor has returned the signed order form. Implementation of the contract may not start before it is signed by last  contracting party. Signature by EMSA: In accordance with Articles 3 and 4 of the Protocol on the Privileges and  Immunities of the European Union, EMSA is exempt from all taxes and dues,  including value added tax, on payments due in respect of this contract. This  applies to EMSA pursuant to the Regulation 1406/2002/EC. Companies with  Portuguese VAT number shall include VAT amount on their invoices. All  invoices shall indicate both the contractor’s and EMSA’s VAT number. Place of delivery or performance: Praça Europa 4, 1249-206 Lisbon, Portugal  Final date of delivery or performances: Terms of payment: Guarantee: For further information concerning this order form, please contact :