ANNEX XXV - INFORMATION TO BE INCLUDED IN NOTICES OF MODIFICATIONS OF A CONCESSION DURING ITS TERM

1. Name, identification number (where provided for in national legislation), address including NUTS code, telephone, fax number, e-mail and internet address of the contracting authority or entity and, where different, of the service from which additional information may be obtained.

2. CPV codes.

3. NUTS code for the main location of works in case of works concessions or NUTS code for the main place of performance in service concessions.

4. Description of the concession before and after the modification: nature and extent of the works, nature and extent of services.

5. Where applicable, modification of value of the concession, including increase in prices or fees caused by the modification.

6. Description of the circumstances which have rendered necessary the modification.

7. Date of concession award decision.

8. Where applicable, the name, address including NUTS code telephone, fax number, e-mail address and internet address of the new economic operator or operators.

9. Information whether the concession is related to a project and/or programme financed by Union funds.

10. Name and address of the body responsible for review and, where appropriate, mediation procedures. Precise information concerning the deadline for review procedures, or if need be, the name, address, telephone number, fax number and e-mail address of the service from which this information may be obtained.

11. Dates) and references) of previous publications in the Official Journal of the European Union relevant to the contracts) concerned by this notice.

12. Date of dispatch of the notice.

13. Any other relevant information.