For Your Information and Assistance

Dear Customer, Thank you for choosing to purchase a FLIR Systems (“FLIR”) product. We are confident you will be satisfied for years to come. In order to ensure compliance with trade restrictions to which FLIR and our products are subject, as a requirement for our sale to you we must collect certain specific information and/or documentation related to the transaction, the intended end-user and the intended end-use of the product(s). This document is designed to assist you in providing this data to us. It will also allow us to determine what, if any, type of export authorization or export license may be required. We ask that you complete this document thoroughly and return a signed copy to us. For your information and assistance: Company Names: Please provide the full legal name (including trading name) of the end-user / consignee / purchasing party / bank(s) and any additional third parties involved in the transaction. Third parties include any freight forwarders, import brokers, resellers, integrators, service support providers, or translation services providers, as applicable. Please define any acronyms used in these descriptions. Addresses: Please provide the complete registered addresses for all parties. PO Box Numbers are not acceptable. When a street or road name is not available please provide a description of the physical location; for example, provide a GPS location or physical description of how to locate the facility to a visitor. Additional information: When the FLIR product is being integrated or incorporated into another item (e.g., equipment, aircraft, vessel, vehicle, etc.) please provide a detailed description of the end-product or the associated equipment. Please also provide a product brochure or data sheet if available. Definitions: For the purposes of this document:

 Military End-User includes but is not limited to the national armed services (army, navy, marine, air force, or coast guard), as well as the national guard and national police, government intelligence or reconnaissance organizations, or any person or entity whose actions or functions are intended to support military end-uses. With respect to Russia, this includes but is not limited to parties listed in Annex IV of Council Regulation (EU) No 833/2014 (as amended)1.

 Military End-Use means: incorporation into military items; for the use, development, production, or maintenance of military items, or for the use of production, test or analytical equipment and components therefor; use of any unfinished products in a plant for the production of military items; or for deployment in certain aircraft or aero gas turbine engines or related parts and components. [This includes specifically: incorporation into a military item described on the UK Strategic Export Control Lists or on the U.S. Munitions List (“USML”) in the U.S. International Traffic in Arms Regulations (22 C.F.R. Part 121); incorporation into a military item described on the Wassenaar Arrangement Munitions List (as set out on the Wassenaar Arrangement Web site at http://www.wassenaar.org); incorporation into items on the Commerce Control List in the U.S. Export Administration Regulations (15 C.F.R. Part 730 et seq.) (“EAR”) classified under Export Control Classification Numbers (“ECCNs”) ending in “A018” or under “600 series” ECCNs; for the “use,” “development,” or “production” of military items described on the USML or the Wassenaar Arrangement Munitions List, 1 The Annex IV list current as of 11 July 2016 is available at the hyperlink provided above (http://eur-lex.europa.eu/legal- content/EN/TXT/PDF/?uri=CELEX:02014R0833-20151009&qid=1468226203430&from=EN). However, the EU updates its restricted party lists regularly, and the latest version of Council Regulation (EU) No 833/2014 should be checked for any updates prior to completing this certification at the following link: http://eur-lex.europa.eu/homepage.html.

Document 4201570d February 14, 2017 6759193-v6\SFODMS or items classified under ECCNs ending in “A018” or under “600 series” ECCNs on the Commerce Control List; or deployment of items classified under ECCN 9A991 as set forth in Supplement No. 2 to Part 744 of the EAR.]

 Use includes operation, installation (including on-site installation), maintenance (checking), repair, overhaul and/or refurbishing.

 Development is related to all stages prior to serial production, such as: design, design research, design analyses, design concepts, assembly and testing of prototypes, pilot production schemes, design data, process of transforming design data into a product, configuration design, integration design, layouts.

 Production means all production stages, such as: product engineering, manufacture, integration, assembly (mounting), inspection, testing, quality assurance.

Please contact your FLIR representative if you have any questions. Thank you. Global Trade Compliance Group

2 ELR Number: ELR Number CER Number: CER Number

FLIR TRANSACTION INFORMATION SHEET (FLIRTIS) RUSSIA TRANSACTIONS ONLY

Section 1 – CONTRACT INFORMATION FLIR Department and Point of Contact FLIR Dept and POC Name and Address of Purchasing Party Name and Address Name: Name Contact person within the purchasing company responsible for assisting with the export license procedure Email address: Email Telephone number: Telephone Purchase Order/Contract Number PO/Contract Number Date of Order Date Product Description and Quantity Product Description and Quantity Role in the Transaction (if more than just the purchasing entity) Role in Transaction Details of ownership and control: direct and indirect beneficial owners (shareholder(s)) of Purchasing Party and respective shareholdings) and names of directors and officers of Purchasing Party Details of Ownership and Control [If multiple shareholders, please provide copy of ownership structure] Website Website Commission(s) to be Paid (amount and to whom being paid) Commission ☐ Payment in advance ☐ Letter of credit (Please specify the name and address of the issuing, confirming and any intermediary Payment Terms banks for the Letter of Credit in Section No. 5 below) ☐ Net 30 days ☐ Other Section 2 - END-USER INFORMATION AND END-USE OF THE PRODUCT End-User Name End-User Name Full Address Address Name: Name Contact Person Email address: Email Telephone number: Telephone ☐ ☐ Military End-User? (Refer to definition on first page) Yes No

☐ ☐ Military End-Use? (Refer to definition on first page) Yes No Deepwater projects (i.e., greater than 500 foot depth) ☐ Yes ☐ No Offshore projects in the Arctic Ocean or above the Arctic Circle Will the product be used in Russia for exploration for, or ☐ ☐ production of, oil or gas in any of the following? Yes No Shale projects ☐ Yes ☐ No

Details of ownership and control: direct and indirect Details of Ownership and Control beneficial owners (shareholder(s)) of End-User and respective shareholdings) and names of directors and officers of End-User

Document 4201570d February 14, 2017 6759193-v6\SFODMS [If multiple shareholders, please provide copy of ownership structure] Website Address Website Nature of Business (what does the company manufacture, or what service is being provided?) Provide as much Nature of Business information as possible. Detailed description of the intended end-use of the product (how will the equipment be used?) Provide comprehensive End-Use Description description of intended end-use. Integration/installation details- 1.) Provide specification and/or brochure of end-product; 2.) Provide details if product is being installed onto a platform such as a pole, Integration/Installation Details rooftop, vessel, aircraft, or vehicle. Provide serial number and previous authorization (license number) if this is a re-export/transfer request. Serial Number and Authorization Section 3 – CONSIGNEE (If different from the Purchasing Party/End-User, provide the contact details of the company that will receive the product) Consignee Name Name Full Address Address Name: Name Contact Person Email address: Email Telephone number: Telephone Details of ownership and control: direct and indirect beneficial owners (shareholder(s)) of Consignee and respective shareholdings) and names of directors and officers of Consignee Details of Ownership and Control [If multiple shareholders, please provide copy of ownership structure] Website Address Website Nature of Business (what does the company manufacture, or what service is being provided?) Provide as much Nature of Business information as possible. Detailed description of the intended end-use of the product (how will the equipment be used?) Provide comprehensive End-Use Description description of intended end use. Integration/installation details- 1.) Provide specification and/or brochure of end-product; 2.) Provide details if product is being installed onto a platform such as a pole, Integration/Installation Details rooftop, vessel, aircraft, or vehicle

Section 4 – ADDITIONAL PARTIES Party No. 1 Company Name Name Full Address Address Name: Name Contact Person Email address: Email Telephone number: Telephone Website Address Website Role of Party in Transaction Role in Transaction Nature of Business (what does the company manufacture, or what service is being provided?) Provide as much Nature of Business information as possible. Detailed description of the intended end use of the product (how will the equipment be used?) Provide comprehensive End-Use Description description of intended end-use. Integration/installation details- 1.) Provide specification and/or brochure of end-product; 2.) Provide details if product is being installed onto a platform such as a pole, Integration/Installation Details rooftop, vessel, aircraft, or vehicle

4 Party No. 2 Company Name Name Full Address Address Name: Name Contact Person Email address: Email Telephone number: Telephone Website Address Website Role of Party in Transaction Role in Transaction Nature of Business (what does the company manufacture, or what service is being provided?) Provide as much Nature of Business information as possible. Detailed description of the intended end-use of the product (how will the equipment be used?) Provide comprehensive End-Use Description description of intended end-use. Integration/installation details- 1.) Provide specification and/or brochure of end-product; 2.) Provide details if product is being installed onto a platform such as a pole, Integration/Installation Details rooftop, vessel, aircraft, or vehicle Party No. 3 Company Name Name Full Address Address Name: Name Contact Person Email address: Email Telephone number: Telephone Website Address Website Role of Party in Transaction Role in Transaction Nature of Business (what does the company manufacture, or what service is being provided?) Provide as much Nature of Business information as possible. Detailed description of the intended end-use of the product (how will the equipment be used?) Provide comprehensive End-Use Description description of intended end-use. Integration/installation details- 1.) Provide specification and/or brochure of end-product; 2.) Provide details if product is being installed onto a platform such as a pole, Integration/Installation Details rooftop, vessel, aircraft, or vehicle

Section 5 – BANKS Provide names and full addresses of any banks or payment intermediaries that will be involved in the transaction Bank Name and Address Describe role(s) of any banks or payment intermediaries (e.g. remitting bank, issuing/confirming/advising bank for Role of Bank letter of credit, etc.) What currency will be used for payment? Currency Used Section 6 – CERTIFICATION AND SIGNATURE I certify that the information provided herein is true, complete and accurate to the best of my knowledge, and that: 1) The products acquired from FLIR will not be directly or indirectly exported, reexported, sold, rented, leased, transferred, diverted, or otherwise used or disposed of in violation of, or in any manner that would cause FLIR to be in breach of, any applicable sanctions and export controls, including those maintained by the United States, European Union and its Member States, Canada, or other countries. 2) The products will not be used in the design, development, production or use of nuclear, chemical or biological weapons or missiles. 3) The products are not destined or intended for (i) any military end-customer, (ii) any military end-use, or (iii) for the design, development, production or use of chemical, biological, or nuclear weapons or their precursors, or of missile technology or unmanned aerial vehicles, or for terrorist activities. 4) The products will not be supplied for use, directly or indirectly, in the exploration for or production of oil or gas in deepwater (greater than 500 feet), Arctic offshore, or shale projects in Russia. 5) Customer is not, and no parties involved in the transaction are, identified on any restricted party lists maintained

Document 4201570d February 14, 2017 6759193-v6\SFODMS by the United States, European Union and its Member States, or Canada. Such restricted party lists include but are not limited to the Specially Designated Nationals and Blocked Persons List (“SDN List”) and Sectoral Sanctions Identifications List (“SSI List”) maintained by the U.S. Office of Foreign Assets Control; the Entity List, Unverified List, and Denied Persons List maintained by the U.S. Bureau of Industry and Security; the EU/UK Designated Parties List, the EU/UK Investment Ban Targets List, and entities listed in Annex IV of Council Regulation (EU) No 833/2014 (as amended)2; and the Anti-terrorism Financing List maintained by the Canada Office of the Superintendent of Financial Institutions as well as the Canadian Special Economic Measures (Russia) Regulations, Freezing Assets of Corrupt Foreign Officials (Ukraine) Regulations, and Special Economic Measures (Ukraine) Regulations (collectively, “Canada Restricted Party Lists”). 6) Customer is not, and to the best of Customer’s knowledge no parties involved in the transaction are, owned or controlled by one or more parties identified on the SDN List, SSI List, EU/UK Designated Parties List, or Canada Restricted Party Lists. 7) The products are not intended for, will not be supplied to, and will not be part of any transaction involving the provision of goods, services or technology to Crimea, any person ordinarily resident in Crimea, or any entity in Crimea [and will not be sold, diverted, transferred or exported/reexported to any other sanctioned destination (currently: Cuba, Iran, North Korea, the Republic of Sudan, or Syria)].

Name: Name Signature: Title: Title Company Name: Company Date: Date

2 The Annex IV list current as of 11 July 2016 is available at the hyperlink provided above (http://eur-lex.europa.eu/legal- content/EN/TXT/PDF/?uri=CELEX:02014R0833-20151009&qid=1468226203430&from=EN). However, the EU updates its restricted party lists regularly, and the latest version of Council Regulation (EU) No 833/2014 should be checked for any updates prior to completing this certification at the following link: http://eur-lex.europa.eu/homepage.html.