2. Describe the product covered by this certification in enough detail to match the certificate to each product it covers and no others.

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1 Instructions for completing the General Certificate of Conformity General Conformity Assessment Certificate must be in English and must be filled out electronically 1. The Brand for which this product is made. 2. Describe the product covered by this certification in enough detail to match the certificate to each product it covers and no others. 3. The Brand Purchase Order number. 4. The Brand Style number. 5. Provide the date(s) when the product was manufactured by month and year. 6. U.S. importer information/or Domestic Manufacturer. This includes name, full mailing address, and telephone number. Must include the name and address of the person responsible for making the certification on behalf of the importer/manufacturer. 7. Actual factory location is the city and country where the product underwent the last assembly or manufacturing process. If the same manufacturer operates more than one location in the same city, the street address of the factory in question should be provided. 8. Manufacturer identification is required. This will be the issued Factory ID. 9. Name, full mailing address, telephone number and address of individual at importer/manufacturer responsible for certificate and test retention/record keeping. 10. If merchandise is subject to testing requirements, this block of fields is required. Testing lab information requires identity of the laboratory, including the name, address, & telephone number of the testing lab. Block also requires the date of testing; the test report number and each regulatory citation associated with the product, the subject of certification. If testing is not required, the Exempt from Testing option must be completed/selected. Exempt from testing does not exclude an item from certification. In-house laboratories may not be used to perform testing for any of the Ascena Brands. 11. The importer is responsible for identifying all of the appropriate U.S. Consumer Product Safety Commission rules, bans, regulations and standards that apply to the product which is imported. Examples of some of these appear below. The rule, ban, or standard must be listed in addition to the exact regulatory citation. For more information, please refer to the U.S. Consumer Product Safety Commission s website titled Regulations, Laws and Information by Product for Manufacturers, Importers, Distributors and Retailers ( DOCUMENT TITLE VOLUME NUMBER REVISED DATE 1

2 This listing below is illustrative of the rules and regulations that apply to consumer products. It is important to note that if a product is exempt from testing (for example, some fibers are exempt from the testing requirements under the Flammable Fabrics Act), you must still certify that the product meets the requirements of the Flammable Fabrics Act. Exempt Products (certification still required) Testing Not Required Reason: Please explain reason for no testing required All Children s Products Rule, Ban, Standard or Regulation Law/Act Regulation Citation All Children s Products intended or marketed for children under 12 years old including apparel, footwear, jewelry, home etc. Lead in Surface Coating CPSIA 16 CFR 1303 Lead in Substrate of Children s CPSIA CPSIA, 101 Products Art Materials FHSA 16 CFR (b) (8) Baby bouncers, walkers and jumpers FHSA 16 CFR (a) (6) Bicycles FHSA 16 CFR (a) (12) Bicycle Helmets CPSIA CPSA Sec Bunk Beds CPSIA, FHSA 16 CFR Part 1513 Cribs (Full Size) FHSA 16 CFR (a) (13) Cribs (Non full size) FHSA 16 CFR (a) (14) Cushions or pillows for Infant FHSA 16 CFR (a) (16) Pacifiers CPSIA 16 CFR Part 1511 Rattles CPSIA 16 CFR Part 1510 Phthalates in Children s Products CPSIA CPSIA, 108 Sleepwear, children s sizes 0-6x & sizes 7- FFA 16 CFR Part 1615, Flammability of General Wearing Apparel CPSIA 16 CFR 1610 Home Products: Sharp points/edges (toys) FHSA 16 CFR &.49 Small parts (toys) FHSA 16 CFR CSPA Labeling Toy Safety Specification CPSIA, ASTM F Balls, small & clacker balls FHSA 16 CFR (a) (17) & (a)(5) Caps & toy guns producing impulse-type sound FHSA 16 CFR (a)(2), (a)(6) Choking hazard warnings for small FHSA 16 CFR (a)(17) parts, balloons, marbles, balls Electrically Operated Toys & FHSA 16 CFR (b) Children s Articles Games, self-pressurized hollow FHSA 16 CFR plastic toys games Marbles FHSA 16 CFR Mineral oil in toys (products FHSA 16 CFR (a)(33) DOCUMENT TITLE VOLUME NUMBER REVISED DATE 2

3 containing) Sharp points/edges (toys) FHSA 16 CFR &.49 Small parts (toys) FHSA 16 CFR CSPA Labeling Adult Apparel Rule, Ban, Standard or Regulation Law/Act Regulation Citation Flammability of General Wearing Apparel CPSIA 16 CFR 1610 Footwear Rule, Ban, Standard or Regulation Law/Act Regulation Citation Footwear intended for Children under 12: Choking hazard warnings for small CPSIA 16 CFR (a)(17) parts Lead in Surface Coating CPSIA 16 CFR 1303 Lead in Substrate of Children s Products CPSIA CPSIA, 101 Home Products Rule, Ban, Standard or Regulation Law/Act Regulation Citation Carpets and Rugs (large) FFA 1630 Carpets and Rugs (small) FFA 1631 Christmas Ornaments - Sharp FHSA 16 CFR &.49 points/edges Furniture painted with lead containing CPSA 1303 paint Mattresses / mattress pads (cigarette FFA 1632 ignition) Mattresses / mattress pads (open flame FFA 1633 ignition) Mirrors CPSA (2) Paper items FHSA 16 CFR (a)(3) DOCUMENT TITLE VOLUME NUMBER REVISED DATE 3

4 Questions and Answers W h o m u s t i s s u e t h e G C C? The Importer of Record of the goods must issue the GCC for products manufactured overseas, and the U.S. manufacturer must issue the GCC for products manufactured domestically. See 16 CFR part Certification of non-children's products must be based upon the results of a test of each product or a reasonable testing program. The manufacturer or importer of a consumer product that is subject to consumer product safety rules or other standards is always legally responsible for issuing a GCC, even if a laboratory or another third party provides assistance in drafting the GCC. W h i c h P r o d u c t s R e q u i r e a G C C? The list of non-children's (general use) products requiring a certificate is found here. T o w h o m m u s t I p r o v i d e m y G C C? A GCC must "accompany" the applicable product or shipment of products covered by the certificate. If you are a manufacturer or importer, you must "furnish" the GCC to your distributors or retailers. The "accompany" and "furnish" requirements are satisfied if the manufacturer or importer provides its distributors or retailers a reasonable means to access the certificate. You can provide an actual hard copy of the certificate to your distributors or retailers, or you can provide the GCC electronically, such as through a dedicated website URL that is provided on your invoice. (See the answer addressing electronic certificates below.) Additionally, federal law requires you to provide a copy of the GCC to the CPSC and to the Commissioner of Customs, upon request. You may find it helpful to ensure that the website URL for your GCC, if provided electronically, is clearly accessible on your import paperwork to facilitate a speedier entry through U.S. Customs and Border Protection (CBP) facilities. If you are not furnishing your GCC electronically, then you may also choose to print out a hard copy of your GCC and include it in all of your imported shipments to facilitate a speedier entry through CBP facilities. W h a t i f I s e l l d i r e c t l y t o c o n s u m e r s a n d d o n o t u s e r e t a i l e r s o r d i s t r i b u t o r s? The law requires manufacturers or importers to issue a GCC that accompanies each product or shipment of products; that the GCC be furnished to retailers and distributors; and that the GCC be provided to the CPSC, upon request. Accordingly, you do not have to provide the certificate to consumers in direct-to-consumer sales. O n w h a t m u s t I b a s e m y G C C? The GCC must be based on a test of each product or a reasonable testing program. DOCUMENT TITLE VOLUME NUMBER REVISED DATE 4

5 D o e s t h e C P S C h a v e a s a m p l e G C C? Yes. The CPSC has provided a model General Certificate of Conformity for use by manufacturers and importers as an example or form. You are not required to, but you may copy the layout and title the document "General Certificate of Conformity" and include the details pertinent to your product; or, if you prefer, you may create your own form, as long as it captures all of the requirements listed in 16 CFR (The model GCC captures all of the 16 CFR requirements.) H o w d o I i d e n t i f y t h e a p p l i c a b l e f e d e r a l c o n s u m e r p r o d u c t s a f e t y r u l e s o r o t h e r s t a n d a r d s f o r m y p r o d u c t? Many of the federal consumer product safety rules or other standards for which testing and certification are required are listed on the CPSC's website in the CPSC's table or searchable database of regulated products. W h e r e m u s t I f i l e t h e G C C? There is no requirement to file a GCC with the government. As noted above, the certificate must "accompany" the product shipment and be "furnished" to distributors and retailers. Upon request, the GCC must be furnished to the CPSC and to the Commissioner of Customs. C a n e l e c t r o n i c c e r t i f i c a t e s, i n s t e a d o f p a p e r c e r t i f i c a t e s, b e u s e d? Yes. The Commission has issued a rule specifically allowing the use of an electronic certificate, as long as: the Commission has reasonable access to it; it contains all of the information required by section 14 of the CPSA; and it complies with the other requirements of the rule. See 16 CFR part If I post the GCC on the Internet, do I need to change it for each shipment, batch, or lot of the product? It depends. If each shipment is materially unchanged from the prior shipment, a single GCC may be acceptable, but the GCC would need to describe the range of products covered by the certificate. For example, a manufacturer could identify products using batch/lot information or other identifying information I s a G C C r e q u i r e d f o r e a c h s h i p m e n t o f m y p r o d u c t? Yes. The law requires each shipment to be "accompanied" by the required certificate. The requirement applies to imports and products manufactured domestically. Under CPSC regulations, an electronic certificate is "accompanying" a shipment if the certificate is identified by a unique identifier and can be accessed via a World Wide Web URL or other electronic means, provided the URL or other electronic means and the unique identifier are created in advance and are available with the shipment. D o I h a v e t o s i g n t h e G C C? DOCUMENT TITLE VOLUME NUMBER REVISED DATE 5

6 No. You do not have to sign the GCC. The act of issuing the GCC satisfies the new law. Any statement that you issue must be accurate whether it is signed or not. A r e t h e r e p e n a l t i e s f o r f a i l i n g t o c o m p l y w i t h t h e G C C r e q u i r e m e n t? Yes. It is a violation of the CPSA to fail to furnish a GCC, to issue a false certificate of conformity under certain conditions, and to otherwise fail to comply with section 14 of the CPSA. A violation of the CPSA could lead to a civil penalty and possibly criminal penalties and asset forfeiture. DOCUMENT TITLE VOLUME NUMBER REVISED DATE 6

7 General Certificate of Conformity Product Identification Information 2. Description of Product 1. BRAND: 3. Brand Purchase Order Number: 4. Brand Style Number: 5. Date of Product Manufacture: Importer /or Manufacturer Information 6. Name of U.S. Importer/ or Domestic Manufacturer: Full Address: Telephone Number: Name of person certifying for importer/ manufacturer: Manufacturer Identification Information of person certifying for importer/manufacturer: 7. Actual factory location (City & Country): 8. Brand Factory ID: Recordkeeping Information 9. Name of Custodian of Test Report and Certification: Full Address: Telephone Number: Address: Testing Information: 10.Name of 3 rd Party Testing Lab: Full Address: Telephone number: Date of Compliance Test Test Report Number & Regulatory Citation: Exempt From Testing: Exempt From Testing: Applicable Rules, Bans, Regulations and Standards DOCUMENT TITLE VOLUME NUMBER REVISED DATE 7

8 11. We, the importer, certify that the product named above complies with applicable rules, bans, regulations, and standards under applicable Acts enforced by the U. S. Consumer Product Safety Commission. (10) The following rules, bans, regulations, and standards are applicable to this product. If additional room is needed, please attach additional sheets. Importer is required to retain certificate and be able to provide upon request * This information is only required if testing is required, in which case all testing must be performed by a third party. If testing is not required, the Exempt from testing option should be selected. See instruction sheet for more information. Supply Chain Regulatory A d r i a n L. F r e d e r i c k DOCUMENT TITLE VOLUME NUMBER REVISED DATE 8