Annex 1  Information about the Service Contract [Annex to be completed by the Contractor]  Information about the Service Contract  Reference number and  date of the Service Contract  <Contracting Authority’s reference of the Contract>  Service contract title Country  Contractor  <full name and address of the Contractor as per the Service Contract>  Legal basis for the Contract  Start date of the Contract  End date of the Contract  Maximum Contract value  <amount in Art.(3) of the Special Conditions of the Service Contract>  Total amount of the invoice  and invoice date  <provide the total amount as per the Contractor’s invoice subject of  this verification and the invoice date> Total amount invoiced to  the Contracting Authority to  date  <provide the total amount invoiced by the Contractor, the number of  invoices and the invoice dates and references>  Total amount received to  date by the Contractor from  Contracting Authority <Total amount received as per dd.mm.yyyy>  Contracting Authority  [ To be completed only if the Contracting Authority is not the European  Investment Bank  Provide the name, position/title, phone and E-mail of  the contact person at the Contracting Authority.]  European Investment Bank  <provide the name, position/title, phone and E-mail of the contact  person  >  Auditor  <Name and address of the audit firm and names/positions of the  auditors >  Page 4 of 16 