16a-AuthorizedSignature by jakianur

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									                                                                               ATTACHMENT A



                                             UNITED
                                                                        Date: ______________

                             AUTHORIZED SIGNATURES

Authorized signatures of two senior employees of your Company are required for the signing of:-

   Material Entry Permits                 (Contractor approval)
   Material Exit Permits                  (Contractor approval)
   ID Badge application forms             (Company approval)
   Vehicle pass application forms         (Company approval)

Please complete the information below in print and provide specimen signatures in the spaces
provided and submit at the Owner’s Security Office.


Company name:_________________________________________Date:____________


1) Name:_______________________________________________________________
                First                   Middle             Last

Family name: ___________________________________________________________


Job Title:__________________________________Signature:_____________________



2) Name:_______________________________________________________________
                First                   Middle             Last

Family name: ___________________________________________________________


Job Title:__________________________________Signature:_____________________




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