Upon receipt of Rules for Contractors by bN5mG966

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									                                               CONTRACTOR ACCEPTANCE FORM

Upon receipt of Rules for Contractors, it is the responsibility of Contractor to ensure that all their
employees and their sub-contractors employees are informed of and abide by these rules.

LYONDELL CHEMICAL, EQUISTAR CHEMICALS LP, LYONDELLBASELL ACETYLS LLC AND
HOUSTON REFINING LP,


ACCEPTED FOR:
                                                        (NAME OF CONTRACTOR)



BY:
                                                             (PRINTED NAME )




                                                                   (TITLE )




                                                                   (DATE)



Secrecy Provisions are executed and governed by Contract Number:_________________ with an
effective termination date _________________.




          This form must be returned to the GAPS Administrators at PQF@lyondellbasell.com.




Equistar Chemicals   •   Lyondell Chemical •    Houston Refining LP • LyondellBasell Acetyls, LLC

								
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