EMISSION TRADING SYSTEM:

INFORMATIVE QUESTIONNAIRE FOR NER VERIFICATION OFFER

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  1. INSTALLATION REGISTRATION DATA

Operator Company Name
Name of installation
Registered address
Address of installation's operating headquarters
Operator's representative
Any other contact information/references
VAT n°.: / Phone:
Fax: / E-Mail:
  1. INSTALLATION'S CONSULTANT

If the installation/aircraft operator has availed itself of the services of an external professional/consulting firm during any phase of monitoring and reporting activities, indicate the name/company name, address, phone number, e-mail and website, where applicable
  1. CLASSIFICATION OF THE INSTALLATION/AIRCRAFT OPERATOR

N° and date of authorisation
Classification of installation: A, if tCO2/year <50000
B, if 50000 ≤ tCO2/year< 500000
C, if tCO2 ≥ 500000
Indicate whether annual emissions are less than 25000 tCO2 (small emitters)
  1. INSTALATION’S BREACKDOWN INTO SUB-INSTALLATIONS

Indicate the sub-installations in which is divided the plant (sub-installation object to a product benchmark, a heat benchmark (CL and / or non-CL), a fuel benchmark (CL and / or non-CL), with process emissions (CL and / or non-CL))
  1. SUB-INSTALLATIONS SUBJECT TO NER VERIFICATION

Reasons for which NER have to be submitted to verification: / □ New entrants “Green field” (Art.19ofDecision 2011/278/UE)
□ Significant capacity extension (Art. 20 of Decision 2011/278/UE)
□ Significant capacity reduction (Art. 21 of Decision 2011/278/UE)
Indicate the sub-installations subject to verification of NER communication (all, in the case of new entrant "Green field"; those specific object of significant change both in the case of capacity expansion or reduction)
In case ofsub-installation object to a heat or fuel benchmark describe the major and minor source streams in use within thesub-installations(e.g. CM1: Natural Gas, CM2: Oil, etc.)
Indicate an estimation of the annual emissions of the Installation as a whole
In case of substantial changes in capacity, indicate an estimation of the annual emissions associated with the sub-installations object of the changes being considered for allocation / change of the free allocation
  1. ACTIVITY SECTOR, according to Annex I to Italian Legislative Decree 30/2013

Code / Description of activity / Mark the relative ones with an X
Energy industries
1.1 / Combustion of fuels in installations with a total rated thermal input exceeding 20 MW (except in installations for the incineration of hazardous or municipal waste)
1.2 / Refining of mineral oil
1.3 / Production of coke
Production and processing of ferrous metals
2.1 / Metal ore (including sulphide ore) roasting or sintering, including pelletisation
2.2 / Production of pig iron or steel (primary or secondary fusion), including continuous casting, with a capacity exceeding 2.5 tonnes per hour
2.3 / Production or processing of ferrous metals (including ferroalloys) where combustion units with a total rated thermal input exceeding 20 MW are operated. Processing includes rolling mills, re-heaters, annealing furnaces, smitheries, foundries, coating and pickling
2.4 / Production of primary aluminium
2.5 / Production of secondary aluminium where combustion units with a total rated thermal input exceeding 20 MW are operated
2.6 / Production or processing of non-ferrous metals, including production of alloys, refining, foundry casting, etc., where combustion units with a total rated thermal input (including fuels used as reducing agents) exceeding 20 MW are operated
Mineral industry
3.1 / Production of cement clinker in rotary kilns with a production capacity exceeding 500 tonnes per day or in other furnaces with a production capacity exceeding 50 tonnes per day
3.2 / Production of lime or calcination of dolomite or magnesite in rotary kilns or in other furnaces with a production capacity exceeding 50 tonnes per day
3.3 / Manufacture of glass including glass fibre with a melting capacity exceeding 20 tonnes per day
3.4 / Manufacture of ceramic products by firing, in particular roofing tiles, bricks, refractory bricks, tiles, stoneware or porcelain with a production capacity exceeding 75 tonnes per day
3.5 / Manufacture of mineral wool insulation material using glass, rock or slag with a melting capacity exceeding 20 tonnes per day
3.6 / Drying or calcination of gypsum or production of plaster boards and other gypsum products, where combustion units with a total rated thermal input exceeding 20 MW are operated
Other activities
4.1 / Production of pulp from timber or other fibrous materials
4.2 / Production of paper or cardboard with a production capacity exceeding 20 tonnes per day
Chemical
5.1 / Production of carbon black involving the carbonisation of organic substances such as oils, tars, cracker and distillation residues, where combustion units with a total rated thermal input exceeding 20 MW are operated
5.2 / Production of nitric acid
5.3 / Production of adipic acid
5.4 / Production of glyoxal and glyoxylic acid
5.5 / Production of ammonia
5.6 / Production of bulk organic chemicals by cracking, reforming, partial or full oxidation or by similar processes, with a production capacity exceeding 100 tons a day
5.7 / Production of hydrogen (H2) and synthesis gas by reforming or partial oxidation, with a production capacity exceeding 25 tons a day
Capture, transport and storage of GHG
6.1 / Capture of greenhouse gas from installations covered by this directive for the purpose of transport and geological storage in a storage site permitted under Directive 2009/31/EC
6.2 / Transport of greenhouse gases by pipelines for geological storage in a storage site permitted under Directive 2009/31/EC
6.3 / Geological storage of greenhouse gases in a storage site permitted under Directive 2009/31/EC
Air transport
7.1 / Aviation Flights which depart from or arrive in an aerodrome situated in the territory of the European Union

NOTE: If the Installation has never been audited by RINA Services S.p.A. for validation of the annual CO2e emissions, the Manager is required to send the Monitoring Plan, possibly approved, and its major annexes when sending the request of NER verification.

In relation to Italian Legislative Decree 196/2003 regarding the processing of personal data, I declare I have received the disclosure attached hereto and/or set out under the Rules for certification, relating to the processing of my personal data.

Therefore, as indicated in point 4 of the aforementioned disclosure, my personal data may be processed for the purpose of sending commercial communications electronically (e-mail, fax, text messages, SMS, MMS or other means).

 I consent I deny consent

to sending such communications

______; ______

Annex to the Questionnaire – Disclosure pursuant to art. 13 of Legislative Decree 196/2003

Pursuant to art. 13 of Italian Legislative Decree n° 196/2003, and in relation to your data (e.g.: company name; address of head office and of any branch offices; name and personal information of legal representatives; telephone numbers; tax code and VAT number; bank details; any other business-related information required to execute the contract) that you give us directly and/or that we acquire during the term of the contract or, in any case, with reference to it, please take note of the following.

  1. Your personal data will be processed for the purpose of:

a)preparing offers and other activities relating to the contract;

b)our company fulfilling obligations as regards accounting and tax, customer administration, management and execution of supply contracts for our products, management of payments and of any disputes, fulfilling obligations relating to the law and to accreditation bodies, to inclusion in our Company's periodic publications;

c)providing information about and promoting our services

  1. Concerning the purposes detailed in point 1 above, the personal data we acquire may be processed, either manually or using computers, electronic or other automated means, and may comprise, either alternatively or jointly, operations of recording, storage, organisation, processing, selection, comparison, extraction, transmission, deletion and destruction of said data;
  2. With regard to the personal data that you supply to us directly and/or that we acquire, express consent to processing and communication to the recipients indicated in the following point 7 is not necessary, provided it is done for the purposes specified in letters a) and b) of point 1 above, such consent being presumed by law or, in any case, not obligatory.
  3. Conversely, your express consent, which is not obligatory, is required for the purposes set out in letter c) of point 1 above to send business communications using automated systems and electronic communications as follows: electronic mail, telefax, MMS, SMS or other messages of this kind.
  4. The company below is the controller of the personal data that you supply to us directly and/or that we acquire; we have appointed the Administrative Director as data supervisor; contact the company head office for access to their information, together with the information of other appointed supervisors.
  5. The personal data that we acquire may be communicated for similar processing purposes to other companies in the group to which, as per the regulations indicated in art. 2359 of the Italian Civil Code, the Company belongs.
  6. Your personal data may be communicated, within and outside the European Union, to the following categories: couriers/forwarding agents, banks and non-banking financial brokers; postal administration – postal service; professional studios and consulting firms for the provision of accounting and tax advisory services, handling disputes and credit recovery by these subjects; consultants and firms appointed to service the Company's information system; auditing firms, public administrations, bodies and/or organisations to which our company is obliged to communicate the data by law or according to contracts (e.g.: CISQ, IACS, SAI, SINCERT, etc.). Please note that the individuals belonging to the above categories to which your personal data may be communicated shall be considered as data holders in their own right, with the exception of appointed data supervisors.
  7. Your personal data may come to the knowledge of appointed data supervisors and authorised data processors who need to use it to perform the tasks and functions assigned to them.
  8. Your personal data may be disseminated by insertion in our periodic publications (registers, lists, newsletters etc.) and/or on our company website.

The law gives you a number of rights (Article 7 of Italian Legislative Decree no. 196/2003), including the right to oppose data processing for legitimate reasons, to obtain confirmation from the holder of the existence or not of your personal data and to receive such data in an intelligible form; the right to know the source of the data as well as the purposes for which it is processed; the right to obtain cancellation, conversion into anonymous form, blocking for data processed in breach of the current provisions, or certification, update and, if interested, integration of this data.

EuETS_NER-01 - QI_rev.02 - en