INDEX

1- MTE Company Profile

2- Proposed BOQ.
3- Authorization Letter
4- Technical Data Sheet
5- Country of Origin
6- Product Test Certificates.
7- ISO Certificate.
8- Warranty Letter
9- Previous Approvals.
10- Legal Documents.
1- Company Profile.
Jeddah:

Sari Road, Sari Office Bldg., Room 501 Jeddah, Saudi Arabia
+966 12 691 5171
info@mtest.com.sa

Riyadh:

Zein Tower Bldg. Office No.42 7th Floor Salah Ad din Ayubi Road, Riyadh,
Saudi Arabia
+966 596373521
sales@mtest.com.sa
2- Proposed BOQ.
 Submitted Item List

SR.No Part No Description Rolls (meter) COO

4PR 23AWG CAT 6A Cable U - FTP
1 B3 Cable-C1053 305m Italy
HFFR/LSZH
2C 1.5 sqmm Screened Fire Res. BS6387
2 B3 Cable-C1044 500m Italy
HFFR/LSZH
2 Conductor 14 AWG Overall Shielded
3 B3 Cable-C1701 305m Italy
HFFR
3- Authorization Letter
4- Technical data Sheet
 Category 6A Data Cables

23AWG, UTP, FTP or U/FTP, PVC or

HFFR/LSZH Sheath
C1055, C1056, C1057, C1200, C1052, C1053, C1455, C1456, C1457,
C1555, C1556, C1557

Application

Twisted pair cable suitable for High Speed Local Area Networks and
Analogue & Digital video applications

Cross Section Drawing

Conductor
Insulation
Cross Support
Al/PET Tape
Sheath
Rip Cord
Drain Wire

Design

Unit Properties
Conductor Solid Plain Copper Wire
Polyethylene
Pair 1: WHITE-Blue/Blue
Insulation Pair 2: WHITE-Orange/Orange
Pair 3: WHITE-Green/Green
Pair 4: WHITE-Brown/Brown
Pair Two wires twisted together
UTP No screen
Overall screen of Aluminium/Polyester
FTP
Foil with tinned copper drain wire
Each pair shielded with Aluminium /
U-FTP Polyester foil, with tinned copper drain
wire, no overall screen
Rip Cord Nylon Yarn
Polyvinyl Chloride (PVC)
Standard Color: Grey
or
Sheath Material
Halogen Free, Flame Retardant
(HFFR/LSZH)
Standard Color: Purple
Standard Put Up Length 305 Metres
*Other Colors, Put Up Lengths and structures can be manufactured upon request, please contact your local B3
International sales representative.

B3 International Page 1 of 3
info@b3cable.com – www.b3cable.com Rev: 1.1
Date: 30/05/2015
Datasheets are subject to change without notice
 Category 6A Data Cables

23AWG, UTP, FTP or U/FTP, PVC or

HFFR/LSZH Sheath
C1055, C1056, C1057, C1200, C1052, C1053, C1455, C1456, C1457,
C1555, C1556, C1557

Physical Characteristics

Part Number C1055 C1455 C1555 C1200 C1056 C1456 C1556 C1052 C1057 C1457 C1557 C1053
PVC PVC HFFR/ PVC PVC HFFR/ PVC PVC HFFR/
Sheath Material PVC PVC PVC
CM CMR LSZH CM CMR LSZH CM CMR LSZH
Screen type UTP FTP U-FTP
No. of Pairs 4
Conductor Size (AMG) 23
Drain Wire Size (AMG) - 26 26
Screen Coverage (%) - 115 115
Nom. Radial Thickness
0.5
Sheath (mm)
Nom. Overall Diameter
7.0 7.2 7.8
(mm)
Operating
-20°C to +60°C
Temperature (°C)
Min. Bend Radius
70 72 78
(install) (mm)
Maximum Pulling
160 200 210
Tension (Newton)

Electrical Characteristics at 20°C

Max. DC resistance
conductor (Ω/100m) Input Impedance Velocity of Maximum Delay Max. Operating Voltage
(Ohm) Propagation (%) Skew (ns/100m) (Volts RMS)
UTP FTP/U-FTP
93.8 76.9 100 65 45 300

Min. Return Max. Min. Min. Min. Min. Max.

Freq.
Loss Attenuation NEXT PSNEXT ACRF PSACRF DELAY
(MHz) dB dB dB dB dB dB ns
1 20.0 2,1 74.3 72.3 67.8 64.8 570
4.0 23.0 3,8 65.3 63.3 55.8 52.8 552
8.0 24.5 5.3 60.8 58.8 49.7 46.7 547
10.0 25.0 5.9 59.3 57.3 47.8 44.8 545
16.0 25.0 7.5 56.2 54.2 43.7 40.7 543
20.0 25.0 8.4 54.8 52.8 41.8 38.8 542
25.0 24.3 9.4 53.3 51.3 39.8 36.8 541
31.25 23.6 10.5 51.9 49.9 37.9 34.9 540
62.5 21.5 15.0 47.4 45.4 31.9 28.9 539
100 20.1 19.1 44.3 42.3 27.8 24.8 538
200 18.0 27.6 39.8 37.8 21.8 18.8 537
250 17.3 31.1 38.3 36.3 19.8 16.8 536
300 16.8 34.3 37.1 35.1 18.3 15.3 536
400 15.9 40.1 35.3 33.3 15.8 12.8 536
500 15.2 45.3 33.8 31.8 13.8 10.8 536

B3 International Page 2 of 3
info@b3cable.com – www.b3cable.com Rev: 1.1
Date: 30/05/2015
Datasheets are subject to change without notice
 Category 6A Data Cables

23AWG, UTP, FTP or U/FTP, PVC or

HFFR/LSZH Sheath
C1055, C1056, C1057, C1200, C1052, C1053, C1455, C1456, C1457,
C1555, C1556, C1557

Reference Standards

EN 50290-2 UL 1685 for CM

ISO 11801 UL1666 for CMR
ANSI/TIA/EIA-568-C2 IEC 60332-1
IEC 61034 (HFFR/LSZH only) RoHS directives
IEC 60754-1 & 2 (HFFR/LSZH only)

B3 International Page 3 of 3
info@b3cable.com – www.b3cable.com Rev: 1.1
Date: 30/05/2015
Datasheets are subject to change without notice
 Fire Resistant Cables - Enhanced
Two core, Overall Screen, LSZH/HFFR Sheath
BS 6387 CWZ, EN 50200 PH120
C1044, C1045, C1283, C1284, C1289, C5126

Applications

Screened two core Fire Resistant cable for Building and Industrial Management
Systems

Cross Section Drawing

Conductor
Insulation
PET Tape
Al/PET Tape
PET Tape

Drain Wire
Sheath Appendix to Cert/LPCB ref. No. 1168a-(cl-1)/01

Design

Unit Properties
Conductor 2 x Solid or Flexible Bare Copper wire
Ceramifiable Silicon Rubber
Insulation Core 1: Blue
Core 2: Brown
Wrapping tape PET tape
Drain Wire Solid Tinned Copper wire
Screen Aluminium/Polyester tape
Wrapping tape PET tape
Halogen Free Flame-Retardant (LSZH/HFFR)
Sheath Material
Standard Colour: Red
Standard Put Up Length 305 and 500 metres
*Other Colors, Put Up Lengths and structures can be manufactured upon request, please contact your local B3
International sales representative.

B3 International Page 1 of 2
info@b3cable.com – www.b3cable.com Rev: 1.11
Date: 23/01/2023
Data sheets are subject to change without notice
 Fire Resistant Cables - Enhanced
Two core, Overall Screen, LSZH/HFFR Sheath
BS 6387 CWZ, EN 50200 PH120
C1044, C1045, C1283, C1284, C1289, C5126
Physical Characteristics

Part Number C1284 C1283 C1044* C1045* C1289 C5126

No of cores x cross section in sqmm (mm2) 2 x 0.75 2 x 1.0 2 x 1.5 2 x 2.5 2 x 4.0 2 x 6.0
Nom. Diameter Conductor (mm) 1 x 0.98 1 x 1.13 1 x 1.38 1 x 1.78 7 x 0.83 7 x 1.04
Nom. Radial Thickness Insulation (mm) 0.7 0.6 0.7 0.8 0.8 1.0
Twist per meter 10
Nom. Cross Section Drain Wire (mm2) 0.50 0.50 0.50 0.50 0.50 0.50
Drain Wire Stranding 1x0.8 1x0.8 1x0.8 1x0.8 1x0.8 1x0.8
Screen Coverage (%) 115
Nom. Overall Diameter (mm) 7.5 8.0 8.0 9,40 12.5 14.3
Cable weight (kg/km) 67 75 90 120 201 254
Operating Temperature (°C) -40 to +90 (3hrs 950°C)
Installation Temperature (°C) -15 to +90
Minimum bending radius (mm) 75 78 80 99 120 140
Max. recommended pulling tension (N) 205 265 405 670 1250 1875
Fire Resistance to BS6387, Cat. C Exposed to fire at 950°C for 3 hours
Exposed to fire at 650°C for 15 minutes, then exposed to
Fire Resistance to BS6387, Cat. W
fire at 650°C with water for 15 minutes
Exposed to fire at 950°C for 15 minutes, then exposed to
Fire Resistance to BS6387, Cat. Z
fire at 650°C with mechanical shock for 15 minutes
Exposed to Fire at 930°C for 120min, 60min Flame &
Fire Resistance to BS 8434-2+A2:2009
Impact followed by 60 min flame, impact & Waterspray.
Fire Resistance to IEC 60331-21 Exposed to fire at 750°C for 90 minutes
Flame Retardancy IEC 60332-3-24

Electrical Characteristics at 20°C

Part Number C1284 C1283 C1044* C1045* C1289 C5126

Max. DC Resistance Conductor (Ω/km) 24.5 18.1 12.1 7.41 4.61 3.08
Nom. Capacitance conductor to
87 95 105 125 125 147
conductor (pF/m)
Nom. Capacitance conductor to rest
160 170 185 200 195 220
(pF/m)
Min. Insulation Resistance (MΩ*km) 200
Max. recommended current at 25°c (Amps) 12 18 21 30 40 50
Max. Operating Voltage (Vrms) 300/500

Reference Standards

EN 50267-2-1, BS EN 50363-1
BS 7655.1.1, BS 7655.6.1 EN 50200 PH120, EN 50200 Annex E
EN 50290-2-27 BS 8434-2+A2:2009 PH120
IEC 60228 IEC 60754-1&-2
IEC 60332-3-24 IEC 61034-1&-2
IEC 60331-21 FE180 BS 6360
BS 6387 CWZ RoHS Directives
*Subject to LPCB certification

B3 International Page 2 of 2
info@b3cable.com – www.b3cable.com Rev: 1.11
Date: 23/01/2023
Data sheets are subject to change without notice
 Audio Control & Instrumentation Cable,
2C to 8C, 14AWG Overall Screen,
HFFR/LSZH Sheath
C1701, C1703, C1705, C1707, C1709

Applications

Screened Multi-Conductor cables suitable for Audio, Control, Instrumentation and

Building Management Systems (BMS)

Cross Section Drawing

Conductor
Insulation
Al/PET Tape
Sheath
Rip Cord
Drain Wire

Design

Unit Properties
Conductor N x Bare Copper wire, 14AWG flexible
HFFR/LSZH
Core 1: Black
Core 2: White
Core 3: Red
Insulation Core 4: Green
Core 5: Brown
Core 6: Blue
Core 7: Orange
Core 8: Yellow
Drain Wire 24 AWG (7 x 32) Tinned Copper
Screen Aluminium/Polyester 100% Coverage
Rip Cord Nylon Yarn
Flame-Retardant Halogen Free
Sheath Material (HFFR/LSZH)
Standard colour: purple
Standard Put Up Length 305 meters
*Other Colors, Put Up Lengths and structures can be manufactured upon request, please contact your local B3
International sales representative.

B3 International Page 1 of 2
info@b3cable.com – www.b3cable.com Rev: 1.1
Date: 30/05/2015
Datasheets are subject to change without notice
 Audio Control & Instrumentation Cable,
2C to 8C, 14AWG Overall Screen,
HFFR/LSZH Sheath
C1701, C1703, C1705, C1707, C1709

Physical Characteristics

Part Number C1701 C1703 C1705 C1707 C1709

No of cores x 14AWG (19 x 27) 2 3 4 6 8
Nom. Diameter Conductor (mm) 1.8
Nom. Radial Thickness Insulation
0.3
(mm)
Nom. Radial Thickness Sheath(mm) 0.8
Nom. Overall Diameter (mm) 6.5 6.9 7.5 8.9 9.6
Operating Temperature （℃） -25 / +75
Max. Recommended Pulling Tension
420 635 845 1265 1685
（N）
Min. Bend Radius (install)（mm） 65 69 75 89 96
Nominal Cable Weight (kg/km) 64.4 86 107.8 152.6 194.4

Electrical Characteristics

Part Number C1701 C1703 C1705 C1707 C1709

No of cores x 14AWG (19 x 27) 2 3 4 6 8
Max. DC Resistance Conductor 9.36
(Ω/km)
Max. DC Resistance Screen (Ω/km) 78.5
Capacitance conductor to 190 185 183 178 173
conductor (pF/m)
Capacitance core to rest (pF/m) 340 350 330 320 315
Nominal Inductance (µH/m) 0.5
Max. Recom. Current @ 25°C (Amps) 8 8 6.4 5.6 5.6
Max. Operating Voltage (Vrms) 300

Reference Standards

(BS) EN 50290-2
IEC 60228
IEC 60754-1 & 2
IEC 61034, IEC 60332-3-24
RoHS directives

B3 International Page 2 of 2
info@b3cable.com – www.b3cable.com Rev: 1.1
Date: 30/05/2015
Datasheets are subject to change without notice
5- Country of Origin
6- Product Test
Certificates.
 Test Report
C1044-02-0500 2x1.5 sqmm BS 6387 CWZ Screened HFFR

Date: 2015-08-15 B3 Manufacture No: 2015060007 Traceability code: 2015060007/B99031051320000002/11040

Characteristic Unit Specification Test Results Remarks

Reel Identification 1 2 3
Cable construction See § 3
Diameter conductor 1 mm 1.39 ± 0.1 1.392 1.391 1.388 Pass
Diameter conductor 2 mm 1.39 ± 0.1 1.389 1.392 1.391 Pass
Colour of insulations Blue - brown Blue/Bro Blue/Bro Blue/Bro Pass
wn wn wn
Diameter over insulation 1 mm 2.8 ± 0.1 2.81 2.80 2.79 Pass
Diameter over insulation 2 mm 2.8 ± 0.1 2.79 2.83 2.81 Pass
Wall thickness insulation 1 mm 0.7 0.75 0.72 0.75 Pass
Wall thickness insulation 2 mm 0.7 0.73 0.71 0.74 Pass
Coverage shield % 115 >115 >115 >115 Pass
Diameter drain wire mm 0.8 0.83 0.83 0.83 Pass
Diameter over sheath mm 8.2 ± 0.2 8.39 8.33 8.25 Pass
Wall thickness sheath mm 1.2 1.30 1.27 1.22 Pass
Print legend See § 3 B3 CABLES ITALY C1044 2x1.5 SQMM SCREENED BS 6387 CWZ EN 50200 PH (120) Pass
IEC 60332-3 BS EN 50267-2-1 HFFR wwyy 11040 Made in Italy + 001m
Label See example Pass Pass Pass Pass
DCR Conductor 1 (20ºC) Ω/km < 12.1 11.99 11.87 12.02 Pass
DCR Conductor 2 (20ºC) Ω/km < 12.1 11.98 12.05 11.90 Pass
DCR Shield (20ºC) Ω/km < 78.5 37.9 37.2 37.5 Pass
Test Voltage Vac 2000 Pass Pass Pass Pass
Insulation Resistance MΩ*km > 200 3837 3964 3792 Pass

Testing engineer: ………AR…………………….. Approved by: ……ML………………………….

B3 International
info@b3cable.com – www.b3cable.com
Physical Performance

Characteristic Unit Standard Req. Test Results Remark

Sample 1 2 3
Tensile strength, unaged MPa EN 50363-1 >5 6 Pass
Elongation, unaged % EN 50363-1 > 150 230 Pass
Aging EN 50363-1 240 hrs - 200˚C
Tensile strength, aged MPa EN 50363-1 >4 5.5 Pass
Elongation, aged % EN 50363-1 > 120 157 Pass
Sheath Tensile strength N/mm2 (BS) EN 50290-2-27 ≥9 12.4 Pass
Sheath Tensile strength, after aging
% (BS) EN 50290-2-27 ≤ ± 30 -10.2 Pass
168H/80℃ variation
Sheath Elongation % (BS) EN 50290-2-27 ≥ 125 200 Pass
Sheath Elongation, after aging 168H/80℃
% (BS) EN 50290-2-27 ≤ ±30 10 Pass
variation
Sheath Heat shock 1H/130ºC (BS) EN 50290-2-27 no cracks Yes Pass
Sheath Cold Bend 1H/-15 ºC (BS) EN 50290-2-27 no cracks Yes Pass
RoHS compliant Respective EN directive Yes Pass
Flame Retardant IEC 60332-3-24 Yes Pass
Fire Resistance BS6387, Cat. C Yes Pass
Fire Resistance BS6387, Cat. W Yes Pass
Fire Resistance BS6387, Cat. Z Yes Pass
Circuit Integrity IEC 60331-21 Yes Pass
Circuit Integrity EN 50200 - PH120 Yes Pass
Fire Retardancy IEC 60332-3-24 Yes Pass
Low Smoke IEC 61034-1&-2 Yes Pass
Halogen Free IEC 60754-1&-2 Yes Pass

Testing engineer: ……………AR……………….. Approved by: ………ML……………………….

B3 International
info@b3cable.com – www.b3cable.com
 Test Report
C1053-06-0305-U/FTP CAT6A HFFR Sheath

Date: 2018-8-6 B3 Batch: 20180505 Traceability code: 44D18035 11090

Characteristic Unit Specification Test Results Remarks

Reel Identification 1
Diameter single wire conductor Pair 1 mm 0.58 ±0.005 0.578 Pass
Diameter Single wire conductor Pair 2 mm 0.58 ±0.005 0.579 Pass
Diameter single wire conductor Pair 3 mm 0.58 ±0.005 0.579 Pass
Diameter Single wire conductor Pair 4 mm 0.58 ±0.005 0.578 Pass
Diameter over insulation Pair 1 mm 1.37 ±0.05 1.39 Pass
Diameter over insulation Pair 2 mm 1.37 ±0.05 1.42 Pass
Diameter over insulation Pair 3 mm 1.37 ±0.05 1.38 Pass
Diameter over insulation Pair 4 mm 1.37 ±0.05 1.39 Pass
Thickness insulation Pair 1 mm ≥ 0.38 0.417 Pass
Thickness insulation Pair 2 mm ≥ 0.38 0.423 Pass
Thickness insulation Pair 3 mm ≥ 0.38 0.408 Pass
Thickness insulation Pair 4 mm ≥ 0.38 0.409 Pass
Drain wire tinned copper mm 0.4 0.398 Pass
Diameter over sheath mm 7.8 ±0.4 7.78 Pass
Wall thickness sheath mm ≥ 0.55 0.58 Pass
Print legend See PS §10 B3 CABLES ITALY C1053 CAT6A U/FTP 4 PAIR 23AWG TIA/EIA 568C.2 ISO/IEC Pass
11801 100OHM LSZH-HFFR 2918 11090 ITALY XXXm
Label See PS §14 Comply Pass
DCR Conductor (20ºC) Ω/km ≤ 76.9 69.3 Pass
DCR conductor unbalance % ≤2 1.73 Pass
Nom. Mutual Capacitance pF/m 48 51.16 Pass
Other performance see PDF print from Pass
CTS

B3 International S.R.L Tel: +39 02 8732 3325

Via Monti 42 Fax: +39 02 8732 3101
CAP 20016
Milan URL: www.b3cable.com
Italy Email: info@b3cable.com
 Test Report
C1053-06-0305-U/FTP CAT6A HFFR Sheath

Date: 2018-8-6 B3 Batch: 20180505 Traceability code: 44D18035 11090

Physical Performance
Characteristic Unit Standard Requirement Test Results Remarks
Insulation DCR (20ºC) MΩ*km EN 50290-2-23 > 200 15789 Pass
Insulation Tensile strength, unaged MPa EN 50290-2-23 ≥ 10 15.5 Pass
Insulation Elongation, unaged % EN 50290-2-23 ≥ 300 423.89 Pass
Aging 240 hrs - 100ºC EN 50290-2-23 Pass
Insulation Elongation, aged % EN 50290-2-23 ≥ 300 387.56 Pass
Sheath Tensile strength, unaged MPa EN 50290-2-22-TM51 ≥9 10.91 Pass
Sheath Elongation, unaged % EN 50290-2-22-TM51 ≥ 125 199.45 Pass
Aging 168 hrs - 80ºC EN 50290-2-22-TM51 Pass
Sheath Elongation variation, aged % EN 50290-2-22-TM51 ≤ ± 30 11.2% Pass
Sheath Tensile strength variation, aged % EN 50290-2-22-TM51 ≤ ± 30 5.7% Pass
Heat shock 1 hr at 150°C EN 50290-2-22-TM51 No cracks Pass Pass
Cold bend at -15°C EN 50290-2-22-TM51 No cracks Pass Pass
RoHS Compliant 2002/95/EC Pass Pass
Flame test IEC 60332-1 Pass Pass Pass
Remarks: B3 International hereby declares that above mentioned data was tested towards relevant international standards.

Test Engineer: Technical Manager:

_____________ ___________________
F.Russo Ella Du

B3 International S.R.L Tel: +39 02 8732 3325

Via Monti 42 Fax: +39 02 8732 3101
CAP 20016
Milan URL: www.b3cable.com
Italy Email: info@b3cable.com
 Test Report
C1701-07-0305 2C 14AWG SCREENED LSZH-HFFR Cable

Date: 2021-35-19 B3 Batch: 20210403 Traceability code: 21D21014 11090

Characteristic Unit Specification Test Results Remarks

Test Sample Number 1 2 3 4 5 6 7
Conductor Construction 1 mm BC19x0.36 ±0.005 19X0.357 19X0.359 19X0.356 Pass
Conductor Construction 2 mm BC19x0.36 ±0.005 19X0.358 19X0.358 19X0.357 Pass
Colour of Insulations Black, White OK OK OK Pass
Diameter over Insulation 1 mm 2.4 ±0.1 2.404 2.406 2.399 Pass
Wall thickness Insulation 1 mm 0.3 0.311 0.317 0.318 Pass
Diameter over Insulation 2 mm 2.4 ±0.1 2.398 2.409 2.402 Pass
Wall thickness Insulation 2 mm 0.3 0.321 0.314 0.315 Pass
Al-pet Coverage % ≥ 115 120 120 120 Pass
Drain Wire Size mm TC7x0.20 ±0.01 7X0.199 7X0.199 7X0.199 Pass
Diameter over Sheath mm 6.2 ±0.2 6.18 6.21 6.17 Pass
Wall Thickness Sheath mm 0.65 0.67 0.69 0.66 Pass
Print Legend B3 CABLES ITALY C1701 2C 14AWG SCREENED LSZH-HFFR 300V 75C IEC60332-3-24/UL1685 1921 11090 ITALY Pass
XXXm
DCR Conductor 1 (20ºC) Ω/km ≤ 9.36 8.83 8.86 8.88 Pass
DCR Conductor 2 (20ºC) Ω/km ≤ 9.36 9.07 8.91 9.02 Pass
DCR Screen (20ºC) Ω/km ≤ 78.5 44.02 45.11 44.32 Pass
Capacitance(C-C): 1-2 pF/m 190 180.75 181.22 180.36 Pass
Capacitance(C-S): 1-S pF/m 345 339.84 337.53 338.55 Pass
Capacitance(C-S): 2-S pF/m 345 323.62 324.31 324.19 Pass
Test voltage (C-C): 1-2 Vrms 1000/5min Pass Pass Pass Pass
Test voltage (C-S): 1-S Vrms 4000/1min Pass Pass Pass Pass
Test voltage (C-C): 2-S Vrms 4000/1min Pass Pass Pass Pass

B3 International S.R.L Tel: +39 02 8732 3325

Via Monti 42 Fax: +39 02 8732 3101
CAP 20016
Milan URL: www.b3cable.com
Italy Email: info@b3cable.com
 Test Report
C1701-07-0305 2C 14AWG SCREENED LSZH-HFFR Cable

Date: 2021-35-19 B3 Batch: 20210403 Traceability code: 21D21014 11090

Physical Performance
Characteristic Unit Standard Requireme Test Results Remarks
Test Sample Number nt 1 2 3 4 5 6 7
Insulation Tensile strength Mpa (BS) EN 50290-2-27 ≥9 10.04 Pass
Insulation Elongation % (BS) EN 50290-2-27 ≥ 125 247.34 Pass
Insulation Elongation after aging
% (BS) EN 50290-2-27 ≤ ±30 11.8% Pass
168H/100℃
Sheath Tensile strength Mpa (BS) EN 50290-2-27 ≥9 9.74 Pass
Sheath Tensile strength, after aging
% (BS) EN 50290-2-27 ≤ ± 30 6.5% Pass
168H/100℃ Variation
Sheath Elongation % (BS) EN 50290-2-27 ≥ 125 185.74 Pass
Sheath Elongation, after aging
% (BS) EN 50290-2-27 ≤ ±30 11.3% Pass
168H/80℃ Variation
Sheath Heat Shock 1H/150ºC (BS) EN 50290-2-27 no cracks Pass Pass
Sheath Cold Bend 1H/-15 ºC (BS) EN 50290-2-27 no cracks Pass Pass
RoHS Compliance Respective EN directive Pass Pass
Flame Retardancy IEC 60332-3-24 Pass Pass
Low Smoke IEC 61034 Pass Pass
Halogen Free IEC 60754-1&-2 Pass Pass
Remarks: B3 International hereby declares that above mentioned data was tested towards relevant international standards.

Test Engineer: Technical Manager:

_____________ ___________________
F.Russo Ella Du
B3 International S.R.L Tel: +39 02 8732 3325
Via Monti 42 Fax: +39 02 8732 3101
CAP 20016
Milan URL: www.b3cable.com
Italy Email: info@b3cable.com
7- ISO Certificate.
 Certificate
Standard ISO 9001:2015
Certificate Registr. No. 01 100 1922565

Certificate Holder: B3 International S.R.L.

Via Monte Napoleone 8,
Cap 20121, Milano
Italy

including the branch offices according to annex

Scope: Production and Supply of Cables, & Accessories. Trading of

Cables, Passive Components & Accessories

Proof has been furnished by means of an audit that the

requirements of ISO 9001:2015 are met.

Validity: The certificate is valid from 2022-04-15 until 2025-03-25.

First certification 2019
® TÜV, TUEV and TUV are registered trademarks. Utilisation and application requires prior approval.

2022-04-15
TÜV Rheinland Cert GmbH
Am Grauen Stein · 51105 Köln

www.tuv.com
 Annex to certificate
Standard ISO 14001:2015
Certificate Registr. No. 01 104 1922565

No. Location Scope

H

/01 c/o B3 International S.R.L. Production and Supply of Cables, &

Via Monte Napoleone 8, Accessories. Trading of Cables, Passive
Cap 20121, Milano Components & Accessories
Italy

/02 c/o B3 International FZCO Trading of Cables, Passive Components &

P.O. Box - 371408, Accessories
Dubai Airport Free Zone,
4WB-842,
Dubai,
United Arab Emirates

2022-04-15
TÜV Rheinland Cert GmbH
Am Grauen Stein · 51105 Köln
® TÜV, TUEV and TUV are registered trademarks. Utilisation and application requires prior approval.

Page 1 of 1

www.tuv.com
 Certificate
Standard ISO 45001:2018
Certificate Registr. No. 01 213 1922565

Certificate Holder: B3 International S.R.L.

Via Monte Napoleone 8,
Cap 20121, Milano
Italy

including the branch offices according to annex

Scope: Production and Supply of Cables, & Accessories. Trading of

Cables, Passive Components & Accessories

Proof has been furnished by means of an audit that the

requirements of ISO 45001:2018 are met.

Validity: The certificate is valid from 2022-04-15 until 2025-03-25.

First certification 2019
® TÜV, TUEV and TUV are registered trademarks. Utilisation and application requires prior approval.

2022-04-15
TÜV Rheinland Cert GmbH
Am Grauen Stein · 51105 Köln

www.tuv.com
8- Warranty Letter
 Date: 10.03.2016

All our cable are included under five year performance warranty and in
case they fail to meet the performance specification as describes in our
technical data sheets due to manufacturing defect, they will bereplaced
at our expense

Regards,

MATHIAS LUNDH
Director - EU
9- Previous Approvals
 Cables Projects
National Guard Housing – Riyadh
Batha Quraish & ICY – 6
Masa’a Haram Extension - Makkah
Escalators & Elevators Project
HADCO Ancillary BLDG
Yanbou Seaport Admin BLDG
Civil Defense – Abha Site
Al-Mashaar Al-Muqadusa – Makkah MMMP
Al Qaser mall - Riyadh
Arac Hotel Makkah
KSU – National Guard Children Hospital
Unified Command center - Makkah
KSU Project ENDT B7 & B8
Umm ul Qura University - Makkah
(PME) Presidency of Metrology & Environment - Jeddah
King Saud Bin Abdul Aziz University Jed & Riyadh
Princess Noora University – Riyadh
CMA Tower – Riyadh
King Abdul Aziz International Airport - Jeddah
MOI – UCC
KSU - Bahra
King Abdullah Financial District – Riyadh (KAFD)
Qurayyah CCPP
ABC – ppl0
Jezan Housing (3000 Villa’s) National Guard
ITCC – Conventional Hotel Riyadh & ICTC
DOKKAH - Makkah
Shamiya Project - Makkah
King Abdulla Foundation Project – Riyadh (KAFP)
Radisson Blu Hotel – Jeddah
Hyatt House Hotel - Jeddah
Rawda Tower - Jeddah
Jebel Omar Development Project - Makkah
Hilton Hotel – Riyadh
SHARMA – North, Tabuk
ROSA Palace - Riyadh
Radisson Blu Hotel – Jeddah
Hyatt House Hotel - Jeddah
Rawda Tower - Jeddah
Jebel Omar Development Project - Makkah
SHARMA Project - Tabuk
Al Raidah Housing - Jeddah
Dhahiat Sumou Development
Thaker City - Makkah
Mental Hospital (400 Bed) - Abha
NEOM Airport – Tabuk
5/21/22, 9:48 AM Aconex

Jose Maglatang Final (WF-021897) 14-4800000322/000-IN-Construction … 19/05/2022

AECOM WORKFLOW TRANSMITTAL ACM-WTRAN-042375

14 Outer Regions
Riyadh, KSA
Riyadh
Saudi Arabia

MAIL TYPE MAIL NUMBER REFERENCE NUMBER

Workflow Transmittal ACM-WTRAN-042375 ACM-WTRAN-042375

Final (WF-021897) 14-4800000322/000-IN-Construction - IFR

From Mr Jose Maglatang - AECOM

To (2) Mr Jose Maglatang - AECOM (+1 more...)

Cc (6) Neom Pmc Region 14 - AECOM (+5 more...)

Sent Thursday, 19 May 2022 3:53:32 PM AST (GMT +03:00)

Status N/A

DOCUMENT ATTACHMENTS (2)

(0 selected)

Revision
File Document No Revision Title Status
Date

14-662000-4800000322-MOB- 4800000322/000 - Fire Alarm B - Incorporate

01 18/05/2022
ELE-CRS-000194 Cables - Al Taheni Comments - Proceed

14-662000-4800000322-MOB- 4800000322/000 - Fire Alarm B - Incorporate

01 18/05/2022
ELE-MAT-000034 Cables - Al Taheni Comments - Proceed

MESSAGE

Workflow Review History

The attached documents have completed the "14-4800000322/000-IN-Construction - IFR" workflow with the following results :

This transmittal was automatically generated.

Doc No Step Participant Review Outcome Comments

14-662000-4800000322- B - Incorporate Comments

NEOM/AECOM_Review J Maglatang Refer to attached MAT
MOB-ELE-MAT-000034 - Proceed

14-662000-4800000322- NEOM/AECOM_Review J Maglatang B - Incorporate Comments Refer to attached CRS

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5/21/22, 9:48 AM Aconex

MOB-ELE-CRS-000194 - Proceed

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Material Submittal Form
14-662000-4800000322-
Contractor MOBCO Material Submittal No. MOB-ELE-MAT-000034

NEOM Contract No. 4800000322 Date 18-05-2022

Material Description
Fire Alarm Cables Area of Application
(One item/ system per
- Al Taheni (Mark on Drawings)
form)
ACONEX Reference of
Drawing with Revision
Applicable Code /
Specification Reference
Standard
Locally Manufactured
Listed in NEOM (Identify Country of
Yes No Yes No
Mandatory List Origin if imported, with
justification)
Contractor’s Ahmed Adel Signature
Representative
Discipline:
Architectural Civil / Structure Interior Design Landscape MEP/ HVAC

Wet Services Transportation Sustainability Mechanical Electrical

Telecom, ICT &

Geotechnical Traffic Fire Protection Others
ELV
Manufacturer/Supplier
Company Name Mahmoud AL Taheni Est

Salah AL Din Rd, Zein Tower

Address Building, AL Malaz
Riyadh, Saudi Arabia Other details

Local agent

Delivery Duration
Scheduled Date of
(Long Lead/ Short
Delivery on Site
Lead)

Checklist for Attachments (as applicable):

Index & Separators/ Fliers Drawings / Specification Specification Compliance Sheet

Product Data Design Mixes (Concrete / Asphalt / JMF) Mill Certificates

Test Reports Compliance Certificates Warranties

45 Prequalification Approval reference Source Quality Control Reports Certificates & Accreditations

LEED Submittals Welding Certificates Safety Data Sheet

Previous Client Approvals Completed Projects (Similar in Nature) Delegated Design Submittals

Samples Mockups Record/ Data Maintenance Data

01-710000-100113-ACM-CON-FRM-000022 - Rev 003 Page 1 of 4

September 2021
14-662000-4800000322-MOB-ELE-MAT-000034_01 1
 Engineer’s Review Comments

Project Manager’s comments

Incorporate Comments &

Work May Proceed Revise and resubmit
Status code Proceed
Rejected Review not required Issued for Construction

Project Signature &

Manager’s name Date

NEOM Project Signature &

Director Date

Received by Contractor

Signature &
Name
Date

01-710000-100113-ACM-CON-FRM-000022 - Rev 003 Page 2 of 4

September 2021
14-662000-4800000322-MOB-ELE-MAT-000034_01 2
 Material Submittal

14-Outer Regions - NEOM Truck Service Center

4800000322/000 - Fire Alarm Cables - Al Taheni

Rev.01 - 18 May.2022

14-662000-4800000322-MOB-ELE-MAT-000034_01 3
Document history

Revision code Description of changes Purpose of issue Date

01 First Issue For Approval 18-05-2022

Document approval

Prepared by Reviewed by Approved by

Name
Rayan Abdelaziz Abdellatif Ahmed Adil
Job Title
QC Manager
ELE. Engineer Tech Manager Project Manager

14-662000-4800000322-MOB-ELE-MAT-000034_01 4
3/21/22, 10:12 AM Aconex

Syed Zain Hassan Final (WF-016450) 14-4800000322/000-IN-ETSD RQM - I… 9:55 AM

NEOM - ENGINEERING & TECHNICAL SERVICES DEPT WORKFLOW TRANSMITTAL NEN-WTRAN-001993

14 Outer Regions NEOM - Engineering & Technical Services Dept

Riyadh, KSA ITCC Complex, Al Raidah Digital City
Riyadh Level 2, Building IN01
Saudi Arabia Riyadh
An Nakheel 12382 Saudi Arabia

MAIL TYPE MAIL NUMBER REFERENCE NUMBER

Workflow Transmittal NEN-WTRAN-001993 NEN-WTRAN-001993

Final (WF-016450) 14-4800000322/000-IN-ETSD RQM - IFR(PQP,ITP,PQD,CV)

From Syed Zain Hassan - NEOM - Engineering & Technical Services Dept

To (3) Mr Jose Maglatang - AECOM (+2 more...)

Cc (6) Mr Ayman Negm - AECOM (+5 more...)

Sent Monday, 21 March 2022 9:55:07 AM AST (GMT +03:00)

Status N/A

DOCUMENT ATTACHMENTS (2)

(0 selected)

Revision
File Document No Revision Title Status
Date

4800000322/000 - Pre-Qualification For Al B - Incorporate

14-662000-4800000322-
01 15/03/2022 Taheni Company - Material is Low Current Comments -
MOB-ELE-CRS-000125
Cables Proceed

4800000322/000 - Pre-Qualification For Al B - Incorporate

14-662000-4800000322-
01 15/03/2022 Taheni Company - Material is Low Current Comments -
MOB-ELE-PQD-000023
Cables Proceed

MESSAGE

Workflow Review History

The attached documents have completed the "14-4800000322/000-IN-ETSD RQM - IFR(PQP,ITP,PQD,CV)" workflow with the following results
:

This transmittal was automatically generated.

Doc No Step Participant Review Outcome Comments

14-662000-4800000322-MOB-ELE-MAT-000034_01 7
https://ksa1.aconex.com/Logon 1/2
3/21/22, 10:12 AM Aconex

14-662000-4800000322- NEOM/AECOM_Review J Maglatang A - Work May Proceed

MOB-ELE-PQD-000023

1. Approved for low

current cables 2. Low
current cables are
B - Incorporate Comments
NEOM/ETSD_Review S Hassan included in NEOM list of
- Proceed
critical material with
applicable Inspection
category 1.

14-662000-4800000322-
NEOM/AECOM_Review J Maglatang A - Work May Proceed
MOB-ELE-CRS-000125

1. Approved for low

current cables 2. Low
current cables are
B - Incorporate Comments
NEOM/ETSD_Review S Hassan included in NEOM list of
- Proceed
critical material with
applicable Inspection
category 1.

14-662000-4800000322-MOB-ELE-MAT-000034_01 8
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8/22/2021 Aconex

philip green Final (WF-001206) R01H14 - Material Submittal for Fire … 10/04/2021
THE RED SEA DEVELOPMENT COMPANY WORKFLOW TRANSMITTAL TRS01H14-WTRAN-003972

MAIL TYPE MAIL NUMBER REFERENCE NUMBER

Workflow Transmittal TRS01H14-WTRAN-003972 TRS01H14-WTRAN-003972

Final (WF-001206) R01H14 - Material Submittal for Fire Alarm Cable And Coaxial
Cable (B3 Brand) for Accommodation and Offices - Supplier "M.AlTaheni Est.
(MTE)"

From philip green - The Red Sea Development Company

To (5) Mr mohamed riswan - Al-Bawani (+4 more...)

Cc (14) Tarek Hachem - Al-Bawani (+13 more...)

Sent Saturday, 10 April 2021 5:14:25 PM AST (GMT +03:00)

Status N/A

DOCUMENT ATTACHMENTS (1)

(1 selected)

File Document No Revision Title Status

R01-H14C03- Accepted
Material Submittal for Fire Alarm Cable And Coaxial Cable (B3 Brand)
BAW-MAT-EL- 00 with
for Accommodation and Offices - Supplier "M.AlTaheni Est. (MTE)"
0010 Comments

ATTRIBUTES

Attribute 1 Site Wide

MESSAGE

Workflow Review History

The attached documents have completed the "R01H14 - Material Submittal for Fire Alarm Cable And Coaxial Cable (B3 Brand) for
Accommodation and Offices - Supplier "M.AlTaheni Est. (MTE)"" workflow with the following results :

This transmittal was automatically generated.

https://ksa1.aconex.com/Logon?mainTarget=%2FViewCorrespondence%3FCorrespondence_ID%3D1349348614%26CORRESPONDENCE_MAILBO… 1/2
8/22/2021 Aconex

Doc No Step Participant Review Outcome Comments

R01-H14C03-BAW-MAT-
Document Control Review S Alshehri Accepted
EL-0010

a) Italian company B3
approved to supply the
RG6 C1026, RG11 C1027,
and FR C1044&C1045
cables, with the
specifications attached to
the catalog with submitting
a sample for conformity
before supply. b) All
delivered cables
manufactured dates must
be new. c) The approved
cables are subject to be
Supervision Consultant compatible with the
G Sawaya Accepted with Comments
Review SMATV, and Fire Alarm
system by suppliers and
recommendation. d) The
fire-resistant cable color
shall be RED and BLACK
for coaxial as mentioned in
the catalog, e) Warranty
and certificate of origin
shall be submitted. f) The
compliance sheet is not
related to the subject
submittal, the contractor
should follow the guideline
book.

Sr. Construction Manager J Shair Accepted

Construction Director
p green Accepted with Comments
Acceptance

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11/24/21, 7:37 AM Aconex

Mohamad ElKara Final (WF-001362) WS023-EAST- LOW CURRENT CABLES M… YESTERDAY

JACOBS ENGINEERING GROUP INC. WORKFLOW TRANSMITTAL JCB-WTRAN-001519

Wadi Safar Parks & Trails and Gates

7747 Umro Adhamry Street
Unit #2, Diplomatic Quarter
Riyadh
12512 Saudi Arabia

MAIL TYPE MAIL NUMBER REFERENCE NUMBER

Workflow Transmittal JCB-WTRAN-001519 JCB-WTRAN-001519

Final (WF-001362) WS023-EAST- LOW CURRENT CABLES Material Technical Submittals

From Mr Mohamad ElKara - Jacobs Engineering Group Inc.

To (8) Mr Christian Crisostomo - Jacobs Engineering Group Inc. (+7 more...)

Cc (23) Mr Dragan Ranisavljevic - Diriyah Gate Development Authority (+22 more...)

Sent Tuesday, 23 November 2021 8:19:55 PM AST (GMT +03:00)

Status N/A

DOCUMENT ATTACHMENTS (1)

(0 selected)

Revision Date For

File Document No Revision Title Status
Date Review

WS023-RTC-CM- LOW CURRENT CABLES Material Technical B - Approved with

00 21/11/2021
MAR-000073 Submittals -TAHENI- EL Comments

MESSAGE

Workflow Review History

The attached documents have completed the "WS023-EAST- LOW CURRENT CABLES Material Technical Submittals" workflow with the following results :

This transmittal was automatically generated.

Doc No Step Participant Review Outcome Comments

WS023-RTC-CM-MAR-
Contractor Review R DCC Approved
000073

1)B3 is approved as a brand.

2)According to supplier C1702
selection is unshielded while the
projects specs require all cables to be
shielded. C1701 from catalogue cuts
appears to be shielded. 3)It's contractor
Construction Supervision M ElKara Approved with Comments responsibility to ensure selected cables
are suitable to application and
functional requirements in coordination
with low current system suppliers for
their respective systems as well as per
approved shop drawings. 4)Warranty
shall be as per contract documents.

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 S5-PRS-01-P01-F12
Material Submittal Form
‫اد‬ ‫ذج‬

‫ رو‬١١٤ ‫ة – ف ذ د‬ ‫وع ا ف ا‬
Program ‫ح‬ ‫ن ت ور ض اﻷطف ل ا‬ ‫ا‬ ‫درة‬ Package / Group ‫رق‬
‫ا‬ – ‫اثن‬ ‫ا‬/ ‫ا‬ ( ١٠ / ٩ / ٨ /٤ )
‫يوا‬ ‫ا‬ ‫ ق ب‬١٧ ‫د‬
Project no. Project name ‫رو ت ا‬
- ‫ق‬ ١٧ ‫د‬ ‫اق‬ ‫ا‬ ‫ج‬TBC - 01
‫وع‬ ‫ر ا‬ ‫وع‬ ‫ا‬ ‫ا‬ ‫ي وا‬ ‫ا‬
Contractor name Material submittal no. ELE – 35
‫وﻻت‬ ‫لا ء‬ ‫ش‬
‫ول‬ ‫ا‬ ‫ا‬ ‫اد‬ ‫ا‬ ‫ر‬
Contract no. Date
‫ر ا‬
TBC-SA-CD-Majal-2342-2020 ‫ا رخ‬
23/8/2020

‫ه ﻼ ﺘ رات‬ ‫وش‬ ‫ﷲا‬ ‫ﺘﺐ‬

‫ا‬ Approved Subcontractor
Consultant name
(as applicable) REV-002
‫ري‬ ‫اﻻ‬ ‫ا‬
‫& ﺘﺐ دروازة ﻼ ﺘ رات ا‬ (‫)إذا زم‬ ‫ول ا ط ا‬
REV01
‫ارابﺘك ج دان‬
As per specification
‫اص‬ ‫با‬

Material Description ‫بﻼت ا ﻈ م ا ﺼ ﻰ‬

One item only per Form (system)
(B3)
‫وصف ا اد‬ Alternative
(‫ذج ) ظ م‬ ‫وا‬ MODEL:(C1701) ‫ا‬

Drawing reference BOQ reference no.

ELECTRICAL DRAWINGS
‫ت‬ ‫ا‬ ‫ت‬ ‫ول ا‬ ‫ا‬ ‫ا‬
Standards, BS DIN,
Specification reference ASTM, SASO
‫اص‬ ‫ا‬ BS DIN, ASTM, ، ‫س‬ ‫ا‬
SASO

Manufacturer/Supplier ‫رد‬ ‫ا‬/ ‫ا ﺼ‬

Company name manufacturer
‫دا‬ ‫ؤ‬ ‫دا‬ ‫ؤ‬
‫ك‬ ‫ا‬ ‫ا‬ ‫ا‬
Address
‫ض‬ ‫ا‬
‫ان‬ ‫ا‬ Other details
Local agent ‫ى‬ ‫أ‬ ‫ص‬
‫ا‬ ‫ا ك‬
Programme date material Expected date of
required on site arrival on site
26/8/2020 26/8/2020
‫ب‬ ‫اد‬ ‫جا‬ ‫رخا‬ ‫ص ل‬ ‫ا رخا‬
‫ا‬ ‫إ ا‬
‫وﻻت‬ ‫لا ء‬ ‫ش‬
Contractor’s name Date
26/8/2020
‫ول‬ ‫ا‬ ‫ا‬ ‫ا رخ‬

Signature ENG- ELSAYED FARID

‫ا‬

Project number_Originator_Org Acronym_FRM_Unique Number_Rev 01 Page 1 of 2

January 30, 2020
Engineer’s comments ‫س‬ ‫ﻼحﻈ ت ا‬

CODE B

‫ اﻻﯾطﺎﻟﯾﺔ ﻟﺗورﯾد ﻛﺎﺑل اﻟﺻوﺗﯾﺎت ﺑﺎﻟﻣواﺻﻔﺎت اﻟﻣرﻓﻘﺔ ﺑﺎﻟﻛﺎﺗﻠوج وﺗﻘدﯾم ﻋﯾﻧﺔ ﻟﻠﻣطﺎﺑﻘﺔ ﻗﺑل اﻟﺗورﯾد‬B3 ‫ﻻ ﻣﺎﻧﻊ ﻣن اﻋﺗﻣﺎد ﺷرﻛﺔ‬
‫ﻣﻊ اﻻﻟﺗزام اﻟﺗﺎم ﺑﺎﻟﻣواﺻﻔﺎت اﻟﻔﻧﯾﮫ و ﺟداول اﻟﻛﻣﯾﺎت‬
‫ ﺳﻌﯾد ﻓﺗﺣﻲ‬/ ‫م‬
‫ﯾﺗم ﺗﻘدﯾم ﻋﯾﻧﺎت ﻟﺟﻣﯾﻊ ﻛﺎﺑﻼت اﻟﺗﯾﺎر اﻟﺧﻔﯾف ﻟﻠﻣطﺎﺑﻘﺔ ﻗﺑل اﻟﺗورﯾد وﻓﻘﺎ ﻟﻠﻣواﺻﻔﺎت اﻟﻔﻧﯾﺔ‬

Approved as noted revise

Approved and resubmit for record Revise and resubmit
Status code ‫ا‬ ‫ا‬ ‫وإ دة‬ ،‫ب ا ﻼ ظ ت‬ ‫ا‬ ‫وإ دة ا‬
‫ا‬ ‫ر‬ ‫ا‬
Rejected ‫ض‬
Engineer’s name Date
‫س‬ ‫ا ا‬ ‫ا رخ‬ 23-08-2020
Signature
‫اﺘ ق‬

Note: ‫ﻼ ظ‬

These documents have been reviewed for general conformity with Contract terms & conditions, the specifications and bill of
quantities. Such review doesn’t relieve the Contractor of his responsibilities under the terms of the Contract and shall not be
deemed as approval for any further compensation or permission to carry out additional works.
‫وﻻ‬ ‫ا‬ ‫ا‬ ‫ول‬ ‫ا‬ ‫ا‬ ‫ها‬ ‫ وﻻ‬. ‫ﻷ م وش وط و اص ت و اول ك ت ا‬ ‫ك‬ ‫ه ا ث ئق‬ ‫ا‬ ‫ﺖ‬
. ‫لإ‬ ‫م‬ ‫ح‬ ‫ت أو‬ ‫أي‬ ‫ا‬

Project number_Originator_Org Acronym_FRM_Unique Number_Rev 01 Page 2 of 2

January 30, 2020
Material Submittal Form
‫اد‬ ‫ذج‬

Package /
Program
‫ص‬ ‫رو‬ Group G7
‫ا‬
‫ا‬/ ‫ا‬
Project no. Project name
TBC-TD-CD-CONS14-5422-2019 ‫ة‬ ‫درة الط ل ال‬ ‫وع‬
‫وع‬ ‫ر ا‬ ‫وع‬ ‫ا‬ ‫ا‬
Material
Contractor name
‫وﻻت‬ ‫ش وف ل‬ ‫ش‬ submittal no. ECH2-G7-MS-ALL-E-0055
‫ول‬ ‫ا‬ ‫ا‬
‫اد‬ ‫ا‬ ‫ر‬
Contract no. Date
TBC-SA-CD-SHROOF-2020-340 20-09-2020
‫ر ا‬ ‫ا رخ‬
Approved
Subcontractor
Consultant name
‫دا‬ ‫ب ارا ك‬ (as applicable)
‫ري‬ ‫اﻻ‬ ‫ا‬
‫ول ا ط‬
(‫)إذا زم‬ ‫ا‬
Material Description As per
One item only per ‫ﻼت ال ر الخ‬ specification
‫ن‬ ‫ ﻼت ال‬B3
Form (system) ‫ا‬ ‫ ﻼت ال‬CAT6A B3 ‫اص‬ ‫با‬
‫وصف ا اد‬ ‫ت‬ ‫ﻼت ال‬ Alternative
‫ذج‬ ‫ﻂ‬ ‫وا‬ ‫ق‬ ‫ ﻼت ال‬Bulden ‫ا‬
(‫) ظ م‬
BOQ reference
Drawing reference no.
‫ت‬ ‫ا‬ ‫ا‬ ‫ا‬
‫ت‬ ‫ول ا‬
Standards, BS
DIN, ASTM,
Specification reference SASO
‫اص‬ ‫ا‬ BS ، ‫س‬ ‫ا‬
DIN, ASTM,
SASO

Manufacturer/Supplier ‫ ال رد‬/ ‫ال ص‬

Company name manufacturer
B3 & Belden
‫ك‬ ‫ا‬ ‫ا‬ ‫ا‬

Address
‫ال ض‬ ‫ل ج‬
‫ان‬ ‫ا‬ Other details
‫ى‬ ‫أ‬ ‫ص‬
Local agent
‫ي‬ ‫د الط‬ ‫ؤ‬
‫ا‬ ‫ا ك‬
Programme date Expected date
material required on of arrival on
site site
‫اد‬ ‫جا‬ ‫رخا‬ ‫ا رخا‬
‫با‬ ‫ا‬ ‫ص لإ‬
Contractor’s name Date
‫وﻻت‬ ‫ش وف ل‬ ‫ش‬ 20-09-2020
‫ول‬ ‫ا‬ ‫ا‬ ‫ا رخ‬
Signature
‫ا‬

Page 1 of 2
‫‪Engineer’s comments‬‬ ‫ﻼحظ ت ال ه س‬
‫‪CODE B‬‬

‫ﻻ ﻣﺎﻧﻊ ﻣن اﻋﺗﻣﺎد ﻛﺎﺑل اﻧذار اﻟﺣرﯾﻖ ﻟﺷرﻛﺔ ﺑﻠدن ﺑﺎﻟﻣواﺻﻔﺎت اﻟﻣرﻓﻘﺔ ﺑﺎﻟﻛﺎﻟﺗﻠوج ﻋﻠﻰ ان ﯾﺗم ﺗﻘدﯾم ﻋﯾﻧﺔ ﻟﻠﻣطﺎﺑﻘﺔ ﻗﺑل اﻟﺗورﯾد ﻣﻊ ﺗﻘدﯾم‬

‫ﺷﮭﺎدات اﻟﺿﻣﺎن و اﻟﻣﻧﺷﺄ و اﻟﻣطﺎﺑﻘﺔ ﻋﻠﻰ ان ﯾﻛون اﻟﻛﺎﺑل ﯾﺗﺣﻣل درﺟﺔ ﺣرارة ﺗﺷﻐﯾل ‪ 105‬درﺟﺔ وﻓﻘﺎ ﻟﻠﻛﺎﺗﻠوج اﻟﻣرﻓﻖ‬

‫‪PART NO. 79001FS‬‬ ‫‪PART NO. 79002FS‬‬ ‫ﻣﻊ اﻻﻟﺗزام اﻟﺗﺎم ﺑﺎﻟﻣواﺻﻔﺎت اﻟﻔﻧﯾﺔ وﺟداول اﻟﻛﻣﯾﺎت‬

‫ﻻ ﻣﺎﻧﻊ ﻣن اﻋﺗﻣﺎد ﺷرﻛﺔ ‪ B3‬اﻻﯾطﺎﻟﯾﺔ ﻟﺗورﯾد ﻛﺎﺑل اﻟﺻوﺗﯾﺎت وﻛﺎﺑل اﻟداﺗﺎ و ﻛﺎﺑل اﻟﺗﻠﯾﻔون ﺑﺎﻟﻣواﺻﻔﺎت اﻟﻣرﻓﻘﺔ ﺑﺎﻟﻛﺎﺗﻠوج ﻣﻊ ﺗﻘدﯾم ﻋﯾﻧﺔ ﻟﻠﻣطﺎﺑﻘﺔ ﻗﺑل اﻟﺗورﯾد‬
‫ﻣﻊ ﺗﻘدﯾم ﺷﮭﺎدات اﻟﺿﻣﺎن و اﻟﻣطﺎﺑﻘﺔ و اﻟﻣﻧﺷﺄ ﻗﺑل اﻟﺗورﯾد ﻣﻊ اﻟﻌﯾﻧﺎت ﻟﻠﻣراﺟﻌﮫ واﻟﻣطﺎﺑﻘﺔ‬
‫م ‪ /‬ﺳﻌﯾد ﻓﺗﺣﻲ‬ ‫ﻣﻊ اﻻﻟﺗزام اﻟﺗﺎم ﺑﺎﻟﻣواﺻﻔﺎت اﻟﻔﻧﯾﮫ و ﺟداول اﻟﻛﻣﯾﺎت ‪FOR DATA PART NO. C1200 AND AUDIO CABLE PART NO. C1701‬‬
‫‪FOR TEL. PART NO. C1031‬‬

‫‪Approved as noted revise‬‬

‫‪Approved‬‬ ‫‪and resubmit for record‬‬ ‫‪Revise and resubmit‬‬
‫‪Status code‬‬ ‫ا‬ ‫ا‬ ‫وإ دة‬ ‫ب ا ﻼ ظ ت‪،‬‬ ‫ا‬ ‫وإ دة ا‬
‫ر ز ال ل‬ ‫ا‬
‫ض ‪Rejected‬‬
‫‪Engineer’s name‬‬ ‫‪Date‬‬ ‫‪22-09-2020‬‬
‫ا م ال ه س‬ ‫ا رخ‬
‫‪Signature‬‬
‫ال‬

‫‪Note:‬‬ ‫ﻼ ظ‬

‫‪These documents have been reviewed for general conformity with Contract terms & conditions, the specifications and bill of‬‬
‫‪quantities. Such review doesn’t relieve the Contractor of his responsibilities under the terms of the Contract and shall not be‬‬
‫‪deemed as approval for any further compensation or permission to carry out additional works.‬‬
‫وﻻ‬ ‫ا‬ ‫ا‬ ‫ول‬ ‫ا‬ ‫ا‬ ‫ها‬ ‫‪ .‬وﻻ‬ ‫م وش وط و اص ت و اول ك ت ا‬ ‫ﻷ‬ ‫ه ا ث ئق ك‬ ‫ا‬ ‫ﺖ‬
‫‪.‬‬ ‫لإ‬ ‫م‬ ‫ح‬ ‫ت أو‬ ‫أي‬ ‫ا‬

‫‪Page 2 of 2‬‬
 S5-PRS-01-P01-F12
Material Submittal Form
‫اد‬ ‫ذج‬

‫ رو‬١١٤ ‫ة – ف ذ د‬ ‫ا‬ ‫وع ا ف‬

Program ‫ح‬ ‫ن ت ور ض اﻷطف ل ا‬ ‫ا‬ ‫درة‬ Package / Group ‫رقم‬
‫ا‬ – ‫اثن‬ ‫ا‬/ ‫ا‬ ( ١٠ / ٩ / ٨ /٤ )
‫يوا‬ ‫ا‬ ‫ق‬ ١٧ ‫د‬
Project no. Project name ‫رو ت ا‬
- ‫ق‬ ١٧ ‫د‬ ‫اق‬ ‫ا‬ ‫ج‬TBC - 01
‫وع‬ ‫ر ا‬ ‫وع‬ ‫ا‬ ‫ا‬ ‫ي وا‬ ‫ا‬
Contractor name Material submittal no. ELE – 35
‫وﻻت‬ ‫لا ء‬ ‫ش‬
‫ول‬ ‫ا‬ ‫ا‬ ‫اد‬ ‫ا‬ ‫ر‬
Contract no. Date
‫ر ا‬
TBC-SA-CD-Majal-2342-2020 ‫ا رخ‬
22/8/2020

‫رات‬ ‫ه ﻼ‬ ‫وش‬ ‫ﷲا‬ ‫ب‬

‫ا‬ Approved Subcontractor
Consultant name
(as applicable) REV-001
‫ري‬ ‫اﻻ‬ ‫ا‬
‫رات ا‬ ‫& ب دروازة ﻼ‬ (‫)إذا زم‬ ‫ول ا ط ا‬
‫ارا ك ج دان‬
As per specification
‫اص‬ ‫با‬

Material Description ‫ﻼت ا ا‬

One item only per Form (system)
(B3)
‫وصف ا اد‬ Alternative
(‫ذج ) ظ م‬ ‫وا‬ MODEL:(C1200) CAT6a ‫ا‬

Drawing reference BOQ reference no.

ELECTRICAL DRAWINGS
‫ت‬ ‫ا‬ ‫ت‬ ‫ول ا‬ ‫ا‬ ‫ا‬
Standards, BS DIN,
Specification reference ASTM, SASO
‫اص‬ ‫ا‬ BS DIN, ASTM, ، ‫س‬ ‫ا‬
SASO

Manufacturer/Supplier ‫رد‬ ‫ا‬/ ‫ا ص‬

Company name manufacturer
‫دا‬ ‫ؤ‬ ‫دا‬ ‫ؤ‬
‫ك‬ ‫ا‬ ‫ا‬ ‫ا‬
Address
‫ض‬ ‫ا‬
‫ان‬ ‫ا‬ Other details
Local agent ‫ى‬ ‫أ‬ ‫ص‬
‫ا‬ ‫ا ك‬
Programme date material Expected date of
required on site arrival on site
26/8/2020 26/8/2020
‫ب‬ ‫اد‬ ‫جا‬ ‫رخا‬ ‫ص ل‬ ‫ا رخا‬
‫ا‬ ‫إ ا‬
‫وﻻت‬ ‫لا ء‬ ‫ش‬
Contractor’s name Date
26/8/2020
‫ول‬ ‫ا‬ ‫ا‬ ‫ا رخ‬

Signature ENG- ELSAYED FARID

‫ا‬

Project number_Originator_Org Acronym_FRM_Unique Number_Rev 01 Page 1 of 2

January 30, 2020
 S5-PRS-01-P01-F12
Material Submittal Form
‫اد‬ ‫ذج‬

‫ رو‬١١٤ ‫ة – ف ذ د‬ ‫وع ا ف ا‬
Program ‫ح‬ ‫ن ت ور ض اﻷطف ل ا‬ ‫ا‬ ‫درة‬ Package / Group ‫رق‬
‫ا‬ – ‫اثن‬ ‫ا‬/ ‫ا‬ ( ١٠ / ٩ / ٨ /٤ )
‫يوا‬ ‫ا‬ ‫ ق ب‬١٧ ‫د‬
Project no. Project name ‫رو ت ا‬
- ‫ق‬ ١٧ ‫د‬ ‫اق‬ ‫ا‬ ‫ج‬TBC - 01
‫وع‬ ‫ر ا‬ ‫وع‬ ‫ا‬ ‫ا‬ ‫ي وا‬ ‫ا‬
Contractor name Material submittal no. ELE – 35
‫وﻻت‬ ‫لا ء‬ ‫ش‬
‫ول‬ ‫ا‬ ‫ا‬ ‫اد‬ ‫ا‬ ‫ر‬
Contract no. Date
‫ر ا‬
TBC-SA-CD-Majal-2342-2020 ‫ا رخ‬
23/8/2020

‫ه ﻼ ﺘ رات‬ ‫وش‬ ‫ﷲا‬ ‫ﺘﺐ‬

‫ا‬ Approved Subcontractor
Consultant name
(as applicable) REV-002
‫ري‬ ‫اﻻ‬ ‫ا‬
‫& ﺘﺐ دروازة ﻼ ﺘ رات ا‬ (‫)إذا زم‬ ‫ول ا ط ا‬
REV01
‫ارابﺘك ج دان‬
As per specification
‫اص‬ ‫با‬

Material Description ‫بﻼت ا ﻈ م ا ﺼ ﻰ‬

One item only per Form (system)
(B3)
‫وصف ا اد‬ Alternative
(‫ذج ) ظ م‬ ‫وا‬ MODEL:(C1701) ‫ا‬

Drawing reference BOQ reference no.

ELECTRICAL DRAWINGS
‫ت‬ ‫ا‬ ‫ت‬ ‫ول ا‬ ‫ا‬ ‫ا‬
Standards, BS DIN,
Specification reference ASTM, SASO
‫اص‬ ‫ا‬ BS DIN, ASTM, ، ‫س‬ ‫ا‬
SASO

Manufacturer/Supplier ‫رد‬ ‫ا‬/ ‫ا ﺼ‬

Company name manufacturer
‫دا‬ ‫ؤ‬ ‫دا‬ ‫ؤ‬
‫ك‬ ‫ا‬ ‫ا‬ ‫ا‬
Address
‫ض‬ ‫ا‬
‫ان‬ ‫ا‬ Other details
Local agent ‫ى‬ ‫أ‬ ‫ص‬
‫ا‬ ‫ا ك‬
Programme date material Expected date of
required on site arrival on site
26/8/2020 26/8/2020
‫ب‬ ‫اد‬ ‫جا‬ ‫رخا‬ ‫ص ل‬ ‫ا رخا‬
‫ا‬ ‫إ ا‬
‫وﻻت‬ ‫لا ء‬ ‫ش‬
Contractor’s name Date
26/8/2020
‫ول‬ ‫ا‬ ‫ا‬ ‫ا رخ‬

Signature ENG- ELSAYED FARID

‫ا‬

Project number_Originator_Org Acronym_FRM_Unique Number_Rev 01 Page 1 of 2

January 30, 2020
 I
Jlg-o f.r.t-ii
Materials Submittal
: Pre. Sub. No d{LJl pr;Jl eeJ : Sub. No pJ-.Jl Cr New Sub Jvr+ pzna; B
\ .ir.r'1r l"ir.. : Pre. Sub. Date Resubmittal p:r;: arU) E
&l-Jl erarl &-iu : Sub. Date |.uJl p-rt:
Approval rt"El E Comments otA-y- E lnformationuLgl- !
PLUM si.P E HVACLi].<j tr STRduit tr Arch rS_.r1^- E Civil gu !
Other rs;-t ! Elec. LC
"a;ia
I
3t; .t1af Elec. HC Jlc JL.j .U,45 E
otrt*E Tech. lnfo +g ot :J-E Sample ;r.rE g"r1;11661s ;rk-!E Drawing J".L}.E Catalog eru'El
..Calcqlation
Material / Equlpment 6b / 6rti
6cl!l unr93 p!19 p-l
Material Name, No, &

M.ATTAHEN| EST. / 83

E-y JSi? l. l& $! I etit' bjj stLliid t, LE LUil I ijil." e.\nJ t jL,.1euJ t' g - -.i

Contractor warrant that the submission is fully committed to the drawings and specifications of the
contrac[, except as llterrtiorred later
4 HARD COPIES + 4 CD + SAMPLE

912/2020 f: Date

Approval of materials does not relieve the Contractor of its contractual obligations al8url 4jl-Uill eF &tn!l ua+ ) rl3Jl rLcat

);". ,,,- (-C. \C l\l :Date&.Jur

f -i5taa;!i 1+'
l. Consuitant Stamp' NotSpecify or.!L)l!rj)u u rQ[--
"*iil---l
lncorporate Comments & Resubmit

"eey J- I
Rejected o
.'i

K,'\P0'L p(l-Tech-M i 01 !t.itl-t{evo2 lo4oo 5 t Lo [e(hr!iral Dept

-Approved as brand name.
-Ensure all materials sheath to be used must be HFFR.
-Certificate of Origin and material delivery report must be provided during material inspections.

N.Amoguis
26-01-2020
Project: Shamiya Extension Project MAKKAH Central Utility
Complex (CUC)
List of reviewed documents:
Submittal Ref. Title Revision
CUC-MAT-BV-EL-G-276 Control Cables For the CBS System 01
(Emergency Lighting Central Battery
System)

Action code: Code (B/RI)

1. B3 is approved in principle however test certificate from third party should be

submitted for our assessment confirming the following:

a. IEC 61034 (Low Smoke Performance).

b. IEC 60754 (Zero Halogen).
c. IEC 60332-3-24 (Flame Retardant).

2. The contractor should taking all CBS manufacturer consideration regarding

cable length.

Page 1 of 1
10- Legal Documents
 ‫رﻣﺰك اﻟﺘﺠﺎري ‪QR Code‬‬
‫ﻣﻦ ﺧﻼﻟﻪ ﻳﻤﻜﻨﻚ اﻟﺘﺤﻘﻖ اﻟﻤﺒﺎﺷﺮ ﻣﻦ اﻟﻌﻠﻮﻣﺎت‪:‬‬

‫رﺧﺼﺔ اﻟﺒﻠﺪﻳﺔ‬ ‫اﻟﺴﺠﻞ اﻟﺘﺠﺎري‬

‫ﺑﺮﻧﺎﻣﺞ ﻧﻄﺎﻗﺎت‬ ‫ﺷﻬﺎدة اﻟﺴﻌﻮدة‬

‫اﻟﻐﺮﻓﺔ اﻟﺘﺠﺎرﻳﺔ‬ ‫ﺷﻬﺎدة اﻟﺰﻛﺎة‬

‫‪MCgovSA‬‬
‫‪www.mc.gov.sa‬‬
̀˹˺˼˾̀˼˿˾̂
˽˹˼˹˼˽˹˹́˽
˰ϫ˺˽˼˿˹̀˻˼

ΓέΎΟΗϠϟϩΎϛέηϭϲϧϳΣρϟ΍ΩϭϣΣϣΔϛέη
ϯΩϭό˰˰˰˰γ ΔρϠΗΧϣΓΩϭΩΣϣΔϳϟϭ΋γϣΕ΍Ϋ
˰ϫ˺˾˽˾˹̀˼˹ ˰ϫ˺˽˽˼˹̀˺˿ Δϧγ̂̂
˿˾˼˽˻˼˽˼˿ΓΩΟ˼˾˽́
˿˾˼˽˺ ˻˼˽˼˿ ˾˹˿˿˿˾˻˺˻
ϱέΎΟΗϟ΍ίϣέϟ΍΢γϣ˯ΎΟέϟ΍ΔρηϧϷ΍ΕΎϧΎϳΑϰϠϋωϼρϼϟ
ϱΩϭόγ்˺က˹˹˹က˹˹˹
ϲΑέϐϣϟ΍ϥΎοϣέΩϣΣϣϝϼΑ

Δϛέηϟ΍ΩϘϋϪϳϠϋιϧΎϣΏγΣ

ΓΩΟ ΓΩΟ
˰ϫ˺˽˽˽˹˾˹̀ ˻˼́˼˾˿˻˺ ˰ϫ˺˽˽˾˹̀˺˿
 àèơƮƨǜǛùơǘƷƽúǩǢǫƱLJǛÞæǧǟƱǞƥǘƷƽ

đĊċčďđčĐďē

ĎĊčĊčĎĊĊĒĎ

ċēđĐĊďĒ

ČċĊČĊĊċĎčČĐ

čĊĊċĊČčČēđ

ďēččēďĐĒď

ČċđĊĒē

ƥǁƳèǠǞƷƫǘÚƵƭǧǪ
 ‫‪100221064831152‬‬

‫ﺗﺎرﻳﺦ اﻹﺻﺪار‪2022/10/23 :‬‬

‫اﻟﺮﻗﻢ اﻟﻤﻤﻴﺰ‪3113316775 :‬‬

‫ﺷﻬﺎدة ﺗﺴﺠﻴﻞ ﻓﻲ ﺿﺮﻳﺒﺔ اﻟﻘﻴﻤﺔ اﻟﻤﻀﺎﻓﺔ‬

‫‪VAT Registration Certificate‬‬

‫ﺗﺸﻬﺪ اﻟﻬﻴﺌﺔ اﻟﻌﺎﻣﺔ ﻟﻠﺰﻛﺎة واﻟﺪﺧﻞ ﺑﺄن اﻟﻤﻜﻠﻒ أدﻧﺎه ﻣﺴﺠﻞ ﻓﻲ ﺿﺮﻳﺒﺔ اﻟﻘﻴﻤﺔ اﻟﻤﻀﺎﻓﺔ‬
‫ﺑﺘﺎرﻳﺦ ‪2022/06/28‬‬
‫‪Hereby, The General Authority of Zakat & Tax (GAZT) certifies that the taxpayer below is‬‬
‫‪VAT registered on 28/06/2022‬‬

‫‪Taxpayer Name:‬‬ ‫ﺷﺮﻛﺔ ﻣﺤﻤﻮد اﻟﻄﺤﻴﻨﻲ وﺷﺮﻛﺎه ﻟﻠﺘﺠﺎرة‬ ‫اﺳﻢ اﻟﻤﻜﻠﻒ‪:‬‬

‫‪VAT Registration Number:‬‬ ‫‪311331677500003‬‬ ‫رﻗﻢ اﻟﺘﺴﺠﻴﻞ اﻟﻀﺮﻳﺒﻲ‪:‬‬

‫‪Effective Registration Date:‬‬ ‫‪2022/07/01‬‬ ‫ﺗﺎرﻳﺦ ﻧﻔﺎذ اﻟﺘﺴﺠﻴﻞ‪:‬‬

‫‪Taxpayer Address:‬‬ ‫ﺟﺪة‪،‬اﻟﺴﻼﻣﺔ‪،‬ﺻﺎري ‪23436،‬‬ ‫ﻋﻨﻮان اﻟﻤﻜﻠﻒ‪:‬‬

‫ﻛﻤﻜﻠﻒ ﻣﺴﺠﻞ ﻓﻲ ﺿﺮﻳﺒﺔ اﻟﻘﻴﻤﺔ اﻟﻤﻀﺎﻓﺔ‪ ،‬ﻻ ﻳﺠﻮز ﻟﻚ ﺗﺤﺼﻴﻞ ﺿﺮﻳﺒﺔ اﻟﻘﻴﻤﺔ اﻟﻤﻀﺎﻓﺔ ﻣﻦ ﻋﻤﻼﺋﻚ ﻗﺒﻞ ﺗﺎرﻳﺦ‬
‫ﻧﻔﺎذ اﻟﺘﺴﺠﻴﻞ ﺑﺎﻟﻀﺮﻳﺒﺔ‪ .‬ﻓﻲ ﺣﺎل ﺗﺒﻴﻦ ﻏﻴﺮ ذﻟﻚ‪ ،‬ﺳﺘﻘﻮم اﻟﻬﻴﺌﺔ اﻟﻌﺎﻣﺔ ﻟﻠﺰﻛﺎة واﻟﺪﺧﻞ ﺑﺘﻨﻔﻴﺬ اﻟﻐﺮاﻣﺎت اﻟﻤﺴﺘﺤﻘﺔ‬
 ‫‪100221064831152‬‬

‫ﺗﺎرﻳﺦ اﻹﺻﺪار‪2022/10/23 :‬‬

‫اﻟﺮﻗﻢ اﻟﻤﻤﻴﺰ‪3113316775 :‬‬

‫‪Taxpayer Name:‬‬ ‫ﺷﺮﻛﺔ ﻣﺤﻤﻮد اﻟﻄﺤﻴﻨﻲ وﺷﺮﻛﺎه ﻟﻠﺘﺠﺎرة‬ ‫اﺳﻢ اﻟﻤﻜﻠﻒ‪:‬‬

‫‪CR / License / Contract No.:‬‬ ‫‪4030340084‬‬ ‫رﻗﻢ اﻟﺴﺠﻞ‪/‬اﻟﺮﺧﺼﺔ‪/‬اﻟﻌﻘﺪ‪:‬‬

‫‪Tax Period:‬‬ ‫رﺑﻊ ﺳﻨﻮي‪Quarterly-‬‬ ‫اﻟﻔﺘﺮة اﻟﻀﺮﻳﺒﻴﺔ‪:‬‬

‫‪First Filing due date:‬‬ ‫‪2022/10/31‬‬ ‫ﺗﺎرﻳﺦ اﺳﺘﺤﻘﺎق أول إﻗﺮار ﺿﺮﻳﺒﻲ‪:‬‬

‫ﻗﺎﺋﻤﺔ ﻓﺮوع اﻟﻤﻜﻠﻒ‬

‫‪List of Taxpayer Branches‬‬
‫اﻟﻤﺪﻳﻨﺔ‬ ‫اﺳﻢ اﻟﻔﺮع‬ ‫رﻗﻢ اﻟﺮﺧﺼﺔ‬ ‫رﻗﻢ اﻟﺴﺠﻞ اﻟﺘﺠﺎري‬
‫‪City‬‬ ‫‪Branch Name‬‬ ‫‪License No.‬‬ ‫‪CR No.‬‬
‫ﻓﺮع ﺷﺮﻛﺔ ﻣﺤﻤﻮد اﻟﻄﺤﻴﻨﻲ وﺷﺮﻛﺎة‬
‫اﻟﺮﻳﺎض‬ ‫‪1010834981‬‬
‫ﻟﻠﺘﺠﺎرة‬

‫ﻛﻤﻜﻠﻒ ﻣﺴﺠﻞ ﻓﻲ ﺿﺮﻳﺒﺔ اﻟﻘﻴﻤﺔ اﻟﻤﻀﺎﻓﺔ‪ ،‬ﻻ ﻳﺠﻮز ﻟﻚ ﺗﺤﺼﻴﻞ ﺿﺮﻳﺒﺔ اﻟﻘﻴﻤﺔ اﻟﻤﻀﺎﻓﺔ ﻣﻦ ﻋﻤﻼﺋﻚ ﻗﺒﻞ ﺗﺎرﻳﺦ‬
‫ﻧﻔﺎذ اﻟﺘﺴﺠﻴﻞ ﺑﺎﻟﻀﺮﻳﺒﺔ‪ .‬ﻓﻲ ﺣﺎل ﺗﺒﻴﻦ ﻏﻴﺮ ذﻟﻚ‪ ،‬ﺳﺘﻘﻮم اﻟﻬﻴﺌﺔ اﻟﻌﺎﻣﺔ ﻟﻠﺰﻛﺎة واﻟﺪﺧﻞ ﺑﺘﻨﻔﻴﺬ اﻟﻐﺮاﻣﺎت اﻟﻤﺴﺘﺤﻘﺔ‬
 ‫‪١٤٤٥/٠٥/١٣‬‬ ‫ﺍﻟﺘﺎﺭﻳﺦ‬
‫‪٢٧/١١/٢٠٢٣‬‬ ‫ﺍﻟﻤﻮﺍﻓﻖ‬
‫ﺭﻣﺰ ﺍﻟﺸﻬﺎﺩﺓ ‪٥٩١٣٥١١٣‬‬

‫ﺷﻬﺎﺩﺓ‬

‫ﺷﺮﻛﺔ ﻣﺤﻤﻮﺩ ﺍﻟﻄﺤﻴﻨﻲ ﻭﺷﺮﻛﺎﻩ ﻟﻠﺘﺠﺎﺭﺓ‬ ‫ﺇﺳﻢ ﺍﻟﻤﻨﺸﺄﺓ ‪:‬‬

‫ﺟﺪﺓ‬
‫ﺍﻟﺴﻌﻮﺩﻳﺔ‬
‫‪٥٩٣٣٩٥٦٨٥‬‬ ‫ﺭﻗﻢ ﺍﻹﺷﺘﺮﺍﻙ ‪:‬‬
‫ﻣﺼﺪﺭﻩ ‪:‬‬ ‫ﺭﻗﻢ ﺍﻟﺴﺠﻞ ﺍﻟﺘﺠﺎﺭﻱ‪٤٠٣٠٣٤٠٠٨٤ :‬‬

‫ﻛﺘﺎﺑﺔ‬ ‫ﺭﻗﻤﺎ‬
‫ﺗﺴﻌﺔ ﻭ ﻋﺸﺮﻭﻥ ﻣﺸﺘﺮﻛﺎ‬ ‫‪٢٩‬‬ ‫ﻋﺪﺩ ﺍﻟﻤﺸﺘﺮﻛﻴﻦ ﺍﻟﺴﻌﻮﺩﻳﻴﻦ‬
‫ﺗﺴﻌﺔ ﻭ ﺍﺭﺑﻌﻮﻥ ﻣﺸﺘﺮﻛﺎ‬ ‫‪٤٩‬‬ ‫ﻋﺪﺩ ﺍﻟﻤﺸﺘﺮﻛﻴﻦ ﻏﻴﺮ ﺍﻟﺴﻌﻮﺩﻳﻴﻦ‬
‫ﺛﻤﺎﻧﻴﺔ ﻭ ﺳﺒﻌﻮﻥ ﻣﺸﺘﺮﻛﺎ‬ ‫‪٧٨‬‬ ‫ﺍﻟﻤﺠﻤﻮﻉ‬

‫ﺗﺸﻬﺪ ﺍﻟﻤﺆﺳﺴﺔ ﺍﻟﻌﺎﻣﺔ ﻟﻠﺘﺄﻣﻴﻨﺎﺕ ﺍﻹﺟﺘﻤﺎﻋﻴﺔ ﺑﺄﻥ ﺍﻟﻤﻨﺸﺄﺓ ﺍﻟﻤﺬﻛﻮﺭﺓ ﺃﻋﻼﻩ ﻗﺪ ﺃﻭﻓﺖ ﺑﺈﻟﺘﺰﺍﻣﺎﺗﻬﺎ ﺗﺠﺎﻩ ﺍﻟﻤﺆﺳﺴﺔ‬
‫ﻭﻓﻖ ﺍﻟﺒﻴﺎﻧﺎﺕ ﺍﻟﻤﻘﺪﻣﺔ ﻣﻨﻬﺎ ﺣﺘﻰ ﺗﺎﺭﻳﺦ ﺇﺻﺪﺍﺭ ﻫﺬﻩ ﺍﻟﺸﻬﺎﺩﺓ ‪ ،‬ﻭﺍﻟﺘﻲ ﺗﻢ ﻣﻨﺤﻬﺎ ﻟﺘﻘﺪﻳﻤﻬﺎ ﻷﻳﺔ ﺟﻬﺔ ﺗﻄﻠﺒﻬﺎ ‪ ،‬ﻭﻫﻲ‬
‫ﺻﺎﻟﺤﺔ ﻟﺠﻤﻴﻊ ﺍﻷﻏﺮﺍﺽ ﺍﻟﺘﻲ ﻧﺺ ﻋﻠﻴﻬﺎ ﻧﻈﺎﻡ ﺍﻟﺘﺄﻣﻴﻨﺎﺕ ﺍﻹﺟﺘﻤﺎﻋﻴﺔ ﻓﻲ ﺍﻟﻤﺎﺩﺓ )‪ (١٩/٦‬ﻣﻨﻪ‪.‬‬
‫ﻫﺬﻩ ﺍﻟﺸﻬﺎﺩﺓ ﺳﺎﺭﻳﺔ ﺍﻟﻤﻔﻌﻮﻝ ﺣﺘﻰ ‪ ١٤٤٥/٠٦/١٣‬ﻫـ‪.‬‬
‫ﻋﻦ ﻃﺮﻳﻖ ﺍﺳﺘﺨﺪﺍﻡ‬ ‫ﺃﻭ‬ ‫ﻳﻠﺰﻡ ﺍﻟﺘﺤﻘﻖ ﻣﻦ ﺻﺤﺔ ﻭﺻﻼﺣﻴﺔ ﺍﻟﺸﻬﺎﺩﺓ ﻋﺒﺮ ﺯﻳﺎﺭﺓ ﺍﻟﺮﺍﺑﻂ‬
‫ﺍﻟﺮﻣﺰ ﺍﻟﻤﻌﺮﻑ ﺍﻟﺘﺎﻟﻲ ‪:‬‬ ‫ﺃﺩﻧﺎﻩ ﻓﻲ ﺍﻟﻤﻮﻗﻊ ﺍﻹﻟﻜﺘﺮﻭﻧﻲ ﻟﻠﻤﺆﺳﺴﺔ ﺍﻟﻌﺎﻣﺔ ﻟﻠﺘﺄﻣﻴﻨﺎﺕ ﺍﻹﺟﺘﻤﺎﻋﻴﺔ‬

‫‪www.gosi.gov.sa/vc‬‬

‫) ﺍﻟﺸﻬﺎﺩﺓ ﻣﻌﺘﻤﺪﺓ ﻣﻦ ﺻﺎﺣﺐ ﺍﻟﺼﻼﺣﻴﺔ ﻭﻻ ﺗﺤﺘﺎﺝ ﺇﻟﻰ ﺗﻮﻗﻴﻊ ﺃﻭ ﺧﺘﻢ (‬

‫ﺗﻌﺪ ﻫﺬﻩ ﺍﻟﺸﻬﺎﺩﺓ ﻣﻦ ﺍﻟﻮﺛﺎﺋﻖ ﺍﻻﻟﻜﺘﺮﻭﻧﻴﺔ ﺍﻟﺤﻜﻮﻣﻴﺔ ﺍﻟﺮﺳﻤﻴﺔ ‪ ،‬ﻭﻳﺤﻈﺮ ﻗﻄﻌﻴﺎ ﺗﻘﻠﻴﺪﻫﺎ ﺃﻭ ﺇﺩﺧﺎﻝ ﺃﻱ ﺗﻌﺪﻳﻼﺕ ﻋﻠﻴﻬﺎ ﺳﻮﺍﺀ ﺑﺎﻹﺿﺎﻓﺔ ﺃﻭ ﺍﻟﺤﺬﻑ‬
‫ﺃﻭ ﺍﻟﺘﻐﻴﻴﺮ ﻓﻲ ﺑﻴﺎﻧﺎﺗﻬﺎ ﺃﻭ ﻏﻴﺮ ﺫﻟﻚ ﻣﻦ ﺍﻧﻮﺍﻉ ﺍﻟﺘﻌﺪﻳﻞ ‪ ،‬ﻭﺗﻌﺪ ﺍﻟﺸﻬﺎﺩﺓ ﻻﻏﻴﺔ ﺇﺫﺍ ﺷﺎﺑﻬﺎ ﺷﻲﺀ ﻣﻦ ﺫﻟﻚ ‪ ،‬ﻛﻤﺎ ﺗﻌﺮﺽ ﺻﺎﺣﺒﻬﺎ ﻟﻠﻤﻼﺣﻘﺔ ﺍﻟﻨﻈﺎﻣﻴﺔ‬
‫ﺃﻣﺎﻡ ﺍﻟﺠﻬﺎﺕ ﺍﻟﻤﺨﺘﺼﺔ ﺑﺎﻹﺿﺎﻓﺔ ﺇﻟﻰ ﻣﺎﻳﻔﺮﺿﻪ ﻧﻈﺎﻡ ﺍﻟﺘﺄﻣﻴﻨﺎﺕ ﺍﻻﺟﺘﻤﺎﻋﻴﺔ ﻣﻦ ﻋﻘﻮﺑﺎﺕ ‪ ،‬ﻭﻻﻳﺠﻮﺯ ﺗﺪﺍﻭﻝ ﺍﻟﺸﻬﺎﺩﺓ ﺇﻻ ﻓﻲ ﺍﻷﻏﺮﺍﺽ ﺍﻟﺘﻲ‬
‫ﺃﺻﺪﺭﺕ ﻷﺟﻠﻬﺎ ﻭﻓﻘﺎ ﻷﺣﻜﺎﻡ ﻧﻈﺎﻡ ﺍﻟﺘﺄﻣﻴﻨﺎﺕ ﺍﻻﺟﺘﻤﺎﻋﻴﺔ ‪ ،‬ﻭﺍﻟﻤﺆﺳﺴﺔ ﺍﻟﻌﺎﻣﺔ ﻟﻠﺘﺄﻣﻴﻨﺎﺕ ﺍﻻﺟﺘﻤﺎﻋﻴﺔ ﻏﻴﺮ ﻣﺴﺆﻭﻟﻪ ﻋﻦ ﺃﻱ ﺁﺛﺎﺭ ﺃﺧﺮﻯ ﻣﺘﺮﺗﺒﺔ‬
‫ﻗﺒﻞ ﺍﻟﻐﻴﺮ ﻋﻦ ﺍﻟﺸﻬﺎﺩﺓ ﻭﻏﻴﺮ ﻣﺴﺆﻭﻟﺔ ﻋﻦ ﺃﻱ ﻋﻤﻠﻴﺔ ﺗﺰﻭﻳﺮ ﺃﻭ ﺗﻌﺪﻳﻞ ﺗﺘﻢ ﻋﻠﻰ ﺍﻟﺒﻴﺎﻧﺎﺕ ﺍﻟﻮﺍﺭﺩﺓ ﻓﻴﻬﺎ ‪.‬‬
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١٠٣٠٠١٨٥١٢
‫ ﻫـ‬١٤٤٤/٠٩/٢٦

‫ﺷﻬﺎدة‬
Certificate
The Zakat,Tax and Customs ‫ﺗﺸﻬﺪ ﻫﻴﺌﺔ اﻟﺰﻛﺎة واﻟﻀﺮﻳﺒﺔ‬

Authority certifies that the Taxpayer / ‫واﻟﺠﻤﺎرك أن اﻟﻤﻜﻠﻒ‬

‫ﺷﺮﻛﺔ ﻣﺤﻤﻮد اﻟﻄﺤﻴﻨﻲ وﺷﺮﻛﺎه ﻟﻠﺘﺠﺎرة‬

Entity Unified No./ID No. ٧٠١٣٥٧٣٦٥٩ ‫ رﻗﻢ ﻫﻮﻳﺔ‬/ ‫اﻟﺮﻗﻢ اﻟﻤﻮﺣﺪ ﻟﻠﻤﻨﺸﺄة‬

Commercial Registration/License/
٤٠٣٠٣٤٠٠٨٤ ‫ ﻋﻘﺪ رﻗﻢ‬/ ‫ رﺧﺼﺔ‬/ ‫ﺳﺠﻞ ﺗﺠﺎري‬
Contract No

Has submitted his tax return for the period ending on 31/12/2022 AD, and he ، ‫ ﻫـ‬١٤٤٤/٠٦/٠٧ ‫ﻗﺪم إﻗﺮاره ﻋﻦ اﻟﻔﺘﺮة اﻟﻤﻨﺘﻬﻴﺔ ﻓﻲ‬
was granted the certificate to complete all his transactions including the ‫وﻗﺪ ﻣﻨﺢ ﻫﺬه اﻟﺸﻬﺎدة ﻹﻧﻬﺎء ﺟﻤﻴﻊ ﻣﻌﺎﻣﻼﺗﻪ ﺑﻤﺎ ﻓﻲ ذﻟﻚ ﺻﺮف‬
payment of the final amount due on the contract. .‫ﻣﺴﺘﺤﻘﺎﺗﻪ اﻟﻨﻬﺎﺋﻴﺔ ﻋﻦ اﻟﻌﻘﻮد‬
The Certificate is valid until 21/10/1445 AH corresponding to 30/04/2024 ‫ ﻫـ اﻟﻤﻮاﻓﻖ‬١٤٤٥/١٠/٢١ ‫ﻳﺴﺮي ﻣﻔﻌﻮل ﻫﺬه اﻟﺸﻬﺎدة ﺣﺘﻰ ﺗﺎرﻳﺦ‬
AD ‫ م‬٢٠٢٤/٠٤/٣٠

( The Twenty first of Shawwal one thousand four hundred forty-five Hijri ) ( ‫) اﻟﺤﺎدي و اﻟﻌﺸﺮون ﻣﻦ ﺷﻮال أﻟﻒ و أرﺑﻌﻤﺎﺋﺔ و ﺧﻤﺴﺔ و أرﺑﻌﻮن ﻫﺠﺮي‬

www.zatca.gov.sa :‫ﻻﻳﻌﺘﺪ ﺑﻬﺬه اﻟﺸﻬﺎدة إﻻ ﺑﻌﺪ اﻟﺘﺤﻘﻖ ﻣﻦ ﻣﻮﻗﻊ اﻟﻬﻴﺌﺔ اﻻﻟﻜﺘﺮوﻧﻲ‬

This certificate is not valid until verified by the Authority's Website: www.zatca.gov.sa
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‫‪١٠٣٠٠١٨٥١٢‬‬
‫‪ ١٤٤٤/٠٩/٢٦‬ﻫـ‬

‫ﻗﺎﺋﻤﺔ ﻓﺮوع اﻟﻤﻜﻠﻒ‬

‫‪List of Taxpayer Branches‬‬

‫اﻟﻤﺪﻳﻨﺔ‬ ‫إﺳﻢ اﻟﻔﺮع‬ ‫رﻗﻢ ﺳﺠﻞ ﺗﺠﺎري ‪/‬رﺧﺼﺔ ‪/‬ﻋﻘﺪ‬

‫‪City‬‬ ‫‪Branch Name‬‬ ‫‪CR/License/Contact Number‬‬

‫اﺧﺮى‬
‫ﻓﺮع ﺷﺮﻛﺔ ﻣﺤﻤﻮد اﻟﻄﺤﻴﻨﻲ وﺷﺮﻛﺎة ﻟﻠﺘﺠﺎرة‬ ‫‪١٠١٠٨٣٤٩٨١‬‬
‫‪Riyadh‬‬