Application Form for Open Competitive RFP for Smart Meter Communication System

August XX, 2013

To: Purchasing Group

Purchasing and Contracting Department

Chubu Electric Power Co., Inc.

Address

Company name

We hereby agree to the requirements for participation in "Guidelines of Application for RFP Relating to Communication System for Smart Meters" and apply to participate in the RFP.

Company name / XXXX Co., Ltd.
Zip code / 461-8680
Address of headquarter / 1 Higashishin-cho, Higashi-ku, Nagoya, JAPAN
Representative / Representative director XXXX XXXX
Contact * / Division/department / XX division XX department
Title / Manager of XX dept.
Signature
Name / XXXX XXXX
Phone number / XXX-XXX-XXXX
email address /

* The person should be the contact for various inquiries on the procedures for RFP.


Application Form of RFP Relating to Communication System for Smart Meters

[month] [date], 2013

To: Purchasing Group

Purchasing and Contracting Department

Chubu Electric Power Co., Inc.

Address

Company name

We hereby agree to the requirements for participation in "Guidelines of Application for RFP Relating to Communication System for Smart Meters" and apply to participate in the RFP.

Company name
Zip code
Address of headquarter
Representative
Contact * / Division/department
Title
Signature
Name
Phone number
email address

* The person should be the contact for various inquiries on the procedures for RFP.

Application Form for Technical Eligibility for Communication System for Smart Meters

[month] [date], 2013

Company name:

Please fill in the entry for each of the following items concerning the facts defined in the technical eligibility in Section 3.1.1 of the Guidelines. This application form will be checked in the eligibility review.

------Entry fields------

・  Please fill in the following table of the country name, industry, subject, reason for the selection, period, and scale (total cost) of projects which your organization conducted recently and are subject to the technical requirements, concerning "having the ability to plan and implement a large-scale project as indicated in Clause 2.2.” In addition, please attach documents which show the outline and scale of the projects.

Country/
industry / Subject / reason for the selection / Period
(YYYY/MM - YYYY/MM) / Scale
(total cost: \xxx,xxx,xxx)

* Add lines and/or adjust the width of the cells if necessary.

・Concerning the requirement of “Meeting one of the following three items.

(1) Acquiring CMMI Level 3 certification and the certification is still effective.

(2) Acquiring ISO 9001 certification and the certification is still effective.

(3) Having experience in building a large-scale communication system for smart meters in Japan or overseas."

・  If the above (1) or (2) condition applies, please attach copies of the certification. If the above (3) condition applies, please fill in the following table of the country name, industry, subject, reason for the selection, period, and scale (total cost) of projects which your organization conducted recently and are subject to the technical requirements, and attach documents which show the outline and scale of the projects.

Country/
industry / Subject / reason for the selection / Period
(YYYY/MM - YYYY/MM) / Scale
(total cost: \xxx,xxx,xxx)

* Add lines and/or adjust the width of the cells if necessary.

・ Concerning the requirement of “acquiring ISO27001/ISMS certification or having established an equivalent information security management system,” attach a copy of ISO27001/ISMS certification or documents which explain the content of the equivalent information security management system.

・ Concerning the requirement of “Establishing a structure for responding to inquiries within a day in Japanese language from CHUBU’s employees et al. in case of failure or defect, and the structure shall have a sufficient technical level in order to support CHUBU’s employees et al.,” attach documents which explain the content corresponding to the above.

This document is subject to change and amendment at any time without notice.