Simple html home page with google map and contact form

For one of our clients we need a home page in html, with the following contents:
- Google map header, where the two locations are marked
- all contacts (telephone, fax, email, etc)
- contact form with google reCaptcha
- icon with link to Whistleblowing service
- footer with company data (VAT, copywrite, etc)
The page must be responsive for mobile devices.

Attached is an example of a page to create.