<p> Assignment Begin Checklist (Bulgaria)</p><p>SmartLaborII Job Posting Number: </p><p>AC Name: Assigned ES/DXC Worksite: Supplier: Building Assigned: Supplier Contact (name, email, phone#): Assignment Start Date: </p><p>ES/DXC Engagement Manager (name, email):</p><p>Mandatory Conditions of Assignment Verification (provide Safety Training/Skill Verifications Received (please list all completion dates for each requirement listed below) requested/mandatory trainings and skill verifications, check for completion and add Background Check Completed __/__/____ date completed) Background Check AC consent signed __/__/____ Non-Disclosure Agreement/CDA signed __/__/______/__/____ AC Orientation completed __/__/____ Restricted Party List (RPL) checked __/__/______/__/____ CW Code of conduct training __/__/______/__/____ Has contractor been an ES/DXC employee within the Yes: ______/__/____ past 12 months? No: ______/__/____ Has contractor been an ES/DXC employee, and Yes: ______/__/____ terminated their employment via the Enhanced Early No: ______/__/____ Retirement (EER) program, within the past 24 ______/__/____ months? ______/__/____ If yes, please provide the following: ______/__/____ Last day of ES/DXC employment: mm/dd/yy ______/__/____ Former ES/DXC Manager’s name: ______</p><p>Has the contractor previously worked at ES/DXC as a Yes: contractor? No: If yes, please provide the following:</p><p>First work day of last assignment at ES/DXC: mm/dd/yy Last work day of last assignment at ES/DXC: mm/dd/yy ES/DXC Engagement Manager Name: ______Reason for assignment ending:______</p><p>Is contractor eligible to work in this country Yes: No: Documentation that must be supplied National ID Card/Passport verification (No copies Yes: allowed!)</p><p>Visa (if required) Yes: Expiry Date of Visa ____/ ____/____ Extension of contact Given Yes: </p><p>Date of completions of contract ___/__/__</p><p>Expiry date on Visa rechecked to ensure Yes: Is contractor a citizen of an Embargoed or Sanctioned Yes: Country (Cuba, Iran, Libya, Myanmar/Burma, North No: Korea, Sudan, Syria) checked</p><p>(If YES DO NOT proceed with engagement.) __/__/____</p><p>Revised 03May2016 Assignment End Agreement</p><p> Contractor will return all issued ES/DXC Badge/Credentials as well as ES/DXC Equipment (i.e. Laptop; Active Key; Router/Hub; etc.) within 5 working days after Assignment End Date. After this period, the Supplier will be responsible to assure the return of ES/DXC Properties as well as the liability for replacement costs and/or agreed contractual penalties.</p><p> Contractor/Supplier Representative will be afforded 72 hours (3 Business days) after assignment End Date to collect personal belongings left at the ES/DXC workplace. After this period, ES/DXC will not be responsible for any such items or liable for associated replacement value.</p><p>Assignment Begin Checklist Signage</p><p>I, ____(ES/DXC Approved Supplier Rep. name)______, the Supplier Representative of _____(ES/DXC Approved Supplier name) __ , hereby verify that the above required Assignment Conditions have been completed prior to the start of __(AC name)______, an employee of __(ES/DXC Approved Supplier name or Subcontractor Supplier Name) _____, as an Agency Contractor with assignment at DXC.technology.</p><p>ES/DXC Approved Supplier Representative: ______</p><p>Date: ____/____/______</p><p>Agency Contractor: ______</p><p>Date: ____/____/______</p><p>To be completed by Subcontractor Supplier, if applicable</p><p>I, ____(ES/DXC Subcontractor Supplier Rep. name)______, the Supplier Representative of _____(Subcontractor Supplier name) __ , hereby verify that the above required Assignment Conditions have been completed prior to the start of __(AC name)______, an employee of __(Subcontractor Supplier name) _____, as an Agency Contractor with assignment at DXC.technology.</p><p>Subcontractor Supplier Representative: ______</p><p>Date: ____/____/______</p><p>Footnote: 20June2013 per DXC legal counsel in Bulgaria, a Background Check AC consent must be signed for all candidates in Bulgaria. </p><p>Please upload completed document to the relevant SmartLaborII Work order.</p><p>Revised 03May2016</p>