Attachment no.1
Questionnaire for environmental review of the investment project
Description of the investment project
I. Basic data
1. Name of the investment project, its capacity (extent) and location.
2. Value of the investment/principal of the investment credit.
3. Possibility of cumulation with other projects.
4. Rationale for the necessity of the project and its localization, containing a summary of considered variants (including also the zero variant) and main reasons (from the point of view of environment, economic aspects, etc.) for their selection and/or refusal.
5. Description of technical and technological solution of the investment project.
6. Expected date of start and completion of the investment project.
7. Is the contract on the investment project for which you request the insurance a part of a project realized by other subject?
8. Has the environmental review (environmental impact assessment) been made of the investment project?
9. Are there significant non-governmental organizations (NGOs), civic associations, etc., in the country of destination from the aspect of the project, which could have been expected to be interested in dialogue in respect of the environmental review of the investment project?
10. Is there releasing of information on the investment project under way in the country of final destination or will it be in the future (newspapers, radio, TV, posters, internet, etc.)?
II. Input data
1. Soil (e.g. category, type, class, protection, extent of land requirement).
2. Water (e.g. water source, water consumption).
3. Other raw material and energy sources (e.g. type, source, consumption).
4. Demands for transport and other infrastructure (e.g. need for related constructions).
III. Output data
1. Air (e.g. a summary of sources of pollution, type and extent of emitted pollutants, ways and efficiency of absorption of polluting substances).
2. Sewage water (e.g. a summary of sources of sewage water, quantity of sewage and place of its releasing, released pollutant, sewage water treatment plants and their efficiency).
3. Wastes (e.g. a summary of sources of wastes, classification and quantity of wastes, ways of treating the wastes).
4. Others (e.g. noise and vibrations, radiation, smell and other outputs - a summary of sources, quantity of emissions, ways of their reduction).
5. Additional data (e.g. significant landscape forming and area changes).
IV. Data on present environmental conditions in the area where the investment project shall be realized
1. Listing of most important environmental characteristics of the area involved (e.g. the present way of utilization of the locality and its closest surroundings, type of vegetation overlay, specially protected areas, areas of historical, cultural or archaeological importance, densely populated areas, areas strained beyond limits of sustainable burden, old environmental strains and burdens, extreme conditions in the area involved).
2. Characteristics of the present state of environment in the area involved (e.g. air and climate, water, soil, rock environment and natural resources, fauna and flora, ecosystems, landscape, population, material property, cultural monuments).
3. Overall assessment of the present quality of environment in the area involved from the point of view of its sustainable burdening.
STATUTORY DECLARATION OF THE INVESTOR
I declare herewith that:
- Facts given in this Questionnaire, during negotiations and in written correspondence related to it have been stated to the best of my knowledge and conscience and that they are true,
- I have not distorted or withheld anything having influence on the environment review of the investment,
- I take note and agree with possibility of reduction or refusal of the indemnification payment in case the insurance loss occurs as a result of breach of conditions arising from the environmental review.
ILLUSTRATIVE LIST
OF CATEGORY "A" PROJECTS
This list is not exhaustive and contains examples of the types of new and major expansion projects that may be classified as Category A (if production is extended by more than 25 %).
- Crude oil refineries (excluding undertakings manufacturing only lubricants from crude oil) and installations for the gasification and liquefaction of 500 tonnes or more of coal or bituminous shale per day.
- Thermal power stations and other combustion installations with a heat output of 300 megawatts1) or more and nuclear power stations and other nuclear reactors, including the dismantling or decommissioning of such power stations or reactors (except research installations for the production and conversion of fissionable and fertile materials, whose maximum power does not exceed 1 kilowatt continuous thermal load).
- Installations designed for the production, or enrichment of nuclear fuels, the reprocessing, storage or final disposal of irradiated nuclear fuels, or for the storage, disposal or processing of radioactive waste.
- Integrated works for the initial smelting of cast-iron and steel; installations for the production of non-ferrous crude metals from ore, concentrates or secondary raw materials by metallurgical, chemical or electrolytic processes.
- Installations for the extraction of asbestos and for the processing and transformation of asbestos and products containing asbestos: for asbestos-cement products, with an annual production of more than 20 000 tonnes finished product; for friction material, with an annual production of more than 50 tonnes finished product; and for other asbestos utilisation of more than 200 tonnes per year.
- Integrated chemical installations, i.e. those installations for the manufacture on an industrial scale of substances using chemical conversion processes, in which several units are juxtaposed and are functionally linked to one another and which are for the production of: basic organic chemicals; basic inorganic chemicals; phosphorous-, nitrogen- or potassium-based fertilizers (simple or compound fertilizers); basic plant health products and of biocides; basic pharmaceutical products using a chemical or biological process; explosives.
- Construction of motorways, express roads and lines for long-distance railway traffic and of airports with a basic runway length of 2 100 metres or more; construction of a new road of four or more lanes, or realignment and/or widening of an existing road so as to provide four or more lanes, where such new road, or realigned and/or widened section of road would be 10 km or more in a continuous length.
- Pipelines, terminals, and associated facilities for the large-scale transport of gas, oil, and chemicals.
- Sea ports and also inland waterways and ports for inland-waterway traffic which permit the passage of vessels of over 1 350 tonnes; trading ports, piers for loading and unloading connected to land and outside ports (excluding ferry piers) which can take vessels of over 1 350 tonnes.
- Waste-processing and disposal installations for the incineration, chemical treatment or landfill of hazardous, toxic or dangerous wastes.
- Large2) dams and other impoundments designed for the holding back or permanent storage of water.
- Groundwater abstraction activities or artificial groundwater recharge schemes in cases where the annual volume of water to be abstracted or recharged amounts to 10 million cubic metres or more.
- Industrial plants for the (a) production of pulp from timber or similar fibrous materials; (b) production of paper and board with a production capacity exceeding 200 air-dried metric tonnes per day.
- Peat extraction, quarries and open-cast mining, and processing of metal ores or coal.
- Extraction of petroleum and natural gas for commercial purposes.
- Installations for storage of petroleum, petrochemical, or chemical products with a capacity of 200 000 tonnes or more.
- Large-scale logging.
- Municipal waste water treatment plants with a capacity exceeding 150 000 population equivalent.
- Municipal solid waste-processing and disposal facilities.
- Large-scale tourism and retail development.
- Construction of overhead electrical power lines.
- Large-scale land reclamation.
- Large-scale primary agriculture/silviculture involving intensification or conversion of natural habitats.
- Plants for the tanning of hides and skins where the treatment capacity exceeds 12 tons of finished products per day.
- Installations for the intensive rearing of poultry or pigs with more than: 40 000 places for poultry; 2 000 places for production pigs (over 30 kg); or 750 places for sows.
- Projects which are planned to be carried out in sensitive locations or are likely to have a perceptible impact on such locations, even if the project category does not appear in the above list. Such sensitive locations include National Parks and other protected areas identified by national or international law, and other sensitive locations of international, national or regional importance, such as wetlands, forests with high biodiversity value, areas of archaeological or cultural significance, and areas of importance for indigenous peoples or other vulnerable groups.
1) The Working Party on Export Credits and Credit Guarantees agrees that the terms "a heat output of 300 megawatts" shall be interpreted as "usually equivalent to a gross electrical output of 140 MWe for steam and single cycle gas turbines power stations".
2) As per the definition of the International Commission on Large Dams (ICOLD). ICOLD defines a large dam as a dam with a height of 15 m or more from the foundation. Dams that are between 5 and 15m high and have a reservoir volume of more than 3 million m3 are also classified as large dams.
Attachment No.2
Declaration of the Investor on compliance with legal provisions against bribery in international trade.
Insurance of export credit risks with state support cannot be given to exports which were negotiated by way of bribery in international trade in the sense of the § 160 and subsequent of the Criminal Code. For these purposes, I declare on behalf of our company and on behalf of persons representing our company that there has been and there will be no breach of rules against bribery in international trade 1). In this relation I further declare that persons acting on behalf of our company or representing our company were not charged by the criminal offence of bribery and they had not been convicted of such criminal offence in last 5 years. Furthermore, I declare that that our company has not been mentioned in the publicly accessible debarment list of the World Bank Group.
I accept that the insurer has the right to verify truthfulness of the above-mentioned declaration and obligate myself to submit all information and documentation the insurer may request in this regard.
According to Art. XII par. 3 letter c) of the GIC D, the insurer has the right to apply recourse against the Exporter if it has been proven that the Export breached norms and practices of international law binding for the Czech Republic, e.g. Convention on Combating Bribery of Foreign Public Officials in International Business Transactions (Communication of the Ministry of Foreign Affairs No. 25/2000 Coll. of international treaties).
1) Communication of the Ministry of Foreign Affairs No. 25/2000 Coll. of international treaties) on acceptance of Convention on Combating Bribery of Foreign Public Officials in International Business Transactions (part 13/2000 of the Collection of international treaties circulated on March 29, 2000).
+420 222 841 111