UNITED STATES MEXICO CANADA AGREEMENT (USMCA) CERTIFICATION OF ORIGINUsmca Certification of Origin • June 30th, 2020
Please print or type FROM:BLANKET PERIOD(mm/dd/yyyy )TO: 1. CERTIFIER NAME, ADDRESS, AND EMAIL TAX IDENTIFICATION NUMBER: 2. EXPORTER NAME, ADDRESS, AND EMAIL TAX IDENTIFICATION NUMBER: 3. PRODUCER NAME, ADDRESS, AND EMAIL TAX IDENTIFICATION NUMBER: 4. IMPORTER NAME, ADDRESS, AND EMAIL TAX IDENTIFICATION NUMBER: 5.DESCRIPTION OF GOOD(S) 6. HTS 7.ORIGIN CRITERION 8.CERTIFICATION INDICATOR 9.METHOD OF QUALIFICATION 10.COUNTRY OF ORIGIN Through completion of the Certification Indicator (Field 8), Certifier is declaring, in accordance with Article 5.2 (Claims for Preferential Tariff Treatment): "A" Certifier has USMCA Certificate/Statement from Producer | "B" Certifier is Importer | "C" Certifier is Exporter | "D" Certifier is Producer I CERTIFY THAT:∙ THE GOODS DESCRIBED IN THIS DOCUMENT QUALIFY AS ORIGINATING UNDER THE UNITED STATES-MEXICO-CANADA AGREEMENT AND THE INFORMATION CONTAINED IN THIS DOCUMENT IS TRUE AND ACCURATE. I ASSUME RESPONSIBILITY FOR PROVING SUCH REPRESENTA
UNITED STATES MEXICO CANADA AGREEMENT (USMCA) CERTIFICATION OF ORIGINUsmca Certification of Origin • February 17th, 2021
Please print or type FROM: 01/01/2023BLANKET PERIOD(mm/dd/yyyy )TO: 12/31/2023 1. CERTIFIER NAME, ADDRESS, PHONE, AND EMAILBearVault300 Center Drive G341 Superior, CO 80027970.460.2327 info@bearvault.comTAX IDENTIFICATION NUMBER: 81-2472728 2. EXPORTER NAME, ADDRESS, PHONE, AND EMAILSame as Certifier TAX IDENTIFICATION NUMBER: 3. PRODUCER NAME, ADDRESS, PHONE, AND EMAILSame as Certifier TAX IDENTIFICATION NUMBER: 4. IMPORTER NAME, ADDRESS, PHONE, AND EMAILUnknown TAX IDENTIFICATION NUMBER: 5.DESCRIPTION OF GOOD(S) 6. HTS 7.ORIGIN CRITERION 8.CERTIFICATION INDICATOR 9.METHOD OF QUALIFICATION 10.COUNTRY OF ORIGIN Bear Resistant Food Canisters Polycarbonate Housing & Nylon Lid 3923100000 C D NO USA SEE ATTACHED CONTINUATION SHEET(S) Through completion of the Certification Indicator (Field 8), Certifier is declaring, in accordance with Article 5.2 (Claims for Preferential Tariff Treatment): "A" Certifier has USMCA Certificate/Statement from Producer | "B" Certifier is Importer | "C
UNITED STATES MEXICO CANADA AGREEMENT (USMCA)Usmca Certification of Origin • June 4th, 2024
UNITED STATES MEXICO CANADA AGREEMENT (USMCA) CERTIFICATION OF ORIGINUsmca Certification of Origin • October 12th, 2020
UNITED STATES MEXICO CANADA AGREEMENT (USMCA) CERTIFICATION OF ORIGINUsmca Certification of Origin • December 9th, 2020
Please print or type FROM: 01/01/2021BLANKET PERIOD(mm/dd/yyyy)TO: 12/31/2021 1. CERTIFIER NAME, ADDRESS, AND EMAILMarco CortesPO Box 551 Green River, WY 82935 USAmcortes@tatachemicals.com 307-872-3623TAX IDENTIFICATION NUMBER: 22-2802279 2. EXPORTER NAME, ADDRESS, AND EMAILSame as CertifierTAX IDENTIFICATION NUMBER: 22-2802279 3. PRODUCER NAME, ADDRESS, AND EMAILTata Chemicals (Soda Ash) Partners 111 E. Sego Lily Dr. Ste. 200Sandy, UT 84070 USA 800-819-8569TAX IDENTIFICATION NUMBER: 22-2802279 4. IMPORTER NAME, ADDRESS, AND EMAILUnknown TAX IDENTIFICATION NUMBER: 5. DESCRIPTION OF GOOD(S) 6. HTS 7.ORIGIN CRITERION 8.CERTIFICATION INDICATOR 9.METHOD OF QUALIFICATION 10.COUNTRY OF ORIGIN Soda Ash - Dense 2836.20 A D No USA Through completion of the Certification Indicator (Field 8), Certifier is declaring, in accordance with Article 5.2 (Claims for Preferential Tariff Treatment): "A" Certifier has USMCA Certificate/Statement from Producer | "B" Certifier is Importer | "C" Certifier i
ContractUsmca Certification of Origin • June 30th, 2020
AGREEMENT BETWEEN THE UNITED STATES OF AMERICA, THE UNITED MEXICAN STATES, AND CANADAUSMCA CERTIFICATION OF ORIGIN 1) Importer, Exporter or Producer Certification of Origin Indicate whether the certifier is the exporter, producer, or importer in accordance with Article 5.2 (Claims for Preferential Tariff Treatment). More than one box may be checked. Importer Exporter Producer 2) Certifier Provide the certifier's name, title, address (including country), telephone number, and e-mail address. Name: Title: Address (including country): Telephone number:E-mail address: 3) Exporter Provide the exporter's name, address (including country), e-mail address and telephone number if different from certifier. This information is not required if the producer is completing the certification of origin and does not know the identity of the exporter. The address of the exporter shall be the place of export of the good in a Party's territory. Name: Address (including country): Telephone number:E-mail add
UNITED STATES MEXICO CANADA AGREEMENT (USMCA) CERTIFICATION OF ORIGINUsmca Certification of Origin • August 11th, 2021
Please print or type BLANKET PERIOD FROM: 01/01/2022(mm/dd/yyyy ) TO: 12/31/2022 1. CERTIFIER NAME, ADDRESS, AND EMAILRIBUS, Inc.10900 Manchester Road, Ste. 206 St. Louis. MO USA info@ribus.comTAX IDENTIFICATION NUMBER: 43-1626254 2. EXPORTER NAME, ADDRESS, AND EMAIL TAX IDENTIFICATION NUMBER: 3. PRODUCER NAME, ADDRESS, AND EMAILRIBUS, Inc.10900 Manchester Road, Ste. 206 St. Louis. MO USA info@ribus.comTAX IDENTIFICATION NUMBER: 43-1626254 4. IMPORTER NAME, ADDRESS, AND EMAIL TAX IDENTIFICATION NUMBER: 5.DESCRIPTION OF GOOD(S) 6. HTS 7.ORIGIN CRITERION 8.CERTIFICATION INDICATOR 9.METHOD OF QUALIFICATION 10.COUNTRY OF ORIGIN Nu-BAKE® (Rice Bran Extract) Organic Nu-BAKE® (Organic Rice Bran Extract) Nu-RICE® (Rice Bran Extract)Organic Nu-RICE® (Organic Rice Bran Extract) Rice Bran ExtractOrganic Rice Bran Extract Nu-FLOW® (Rice Hulls / Fiber) Organic Nu-FLOW® (Organic Rice Hulls / Fiber) Nu-FLAC®, Tea Cut (Rice Hulls/Fiber)Organic Nu-FLAC®, Tea Cut (Organic Rice Hulls / Fiber) Nu-MAG® (
ContractUsmca Certification of Origin • October 19th, 2021
UNITED STATES MEXICO CANADA AGREEMENT (USMCA)CERTIFICATION OF ORIGIN 1. CERTIFIER TYPE (INDICATE "X") BLANKET PERIOD (MM/DD/YYYY) FROM: 01/01/2024 IMPORTER EXPORTER PRODUCER TO: 12/31/2024 2. CERTIFIER NAME, ADDRESS, PHONE, AND EMAILNAME ADDRESSCOUNTRY PHONEEMAIL TAX IDENTIFICATION NUMBER 3. EXPORTER NAME, ADDRESS, PHONE, AND EMAILNAME ADDRESSCOUNTRY PHONEEMAIL TAX IDENTIFICATION NUMBER 4. PRODUCER NAME, ADDRESS, PHONE, AND EMAILNAME Advanced Digital Cable, Inc.ADDRESS 94 Eagle Fork Rd Hayesville NCCOUNTRY USA PHONE 8283890445EMAIL QC@ADCable.comTAX IDENTIFICATION NUMBER 62-1690046 5. IMPORTER NAME, ADDRESS, PHONE, AND EMAILNAME ADDRESSCOUNTRY PHONE EMAIL TAX IDENTIFICATION NUMBER 6.DESCRIPTION OF GOOD(S) 7. HTS 8. ORIGINCRITERION 9.PRODUCER (YES/NO) 10.METHOD OF QUALIFICATION 11.COUNTRY OF ORIGIN SEE ATTACHED CONTINUATION SHEET(S) I CERTIFY THAT THE GOODS DESCRIBED IN THIS DOCUMENT QUALIFY AS ORIGINATING AND THE INFORMATION CONTAINED IN THIS DOCUMENT IS
UNITED STATES-MEXICO-CANADA AGREEMENTUsmca Certification of Origin • May 24th, 2022
UNITED STATES MEXICO CANADA AGREEMENT (USMCA) CERTIFICATION OF ORIGINUsmca Certification of Origin • December 9th, 2020
Please print or type FROM: 01/01/2021BLANKET PERIOD(mm/dd/yyyy)TO: 12/31/2021 1. CERTIFIER NAME, ADDRESS, AND EMAILMarco CortesPO Box 551 Green River, WY 82935 USAmcortes@tatachemicals.com 307-872-3623TAX IDENTIFICATION NUMBER: 22-3649282 2. EXPORTER NAME, ADDRESS, AND EMAILSame as CertifierTAX IDENTIFICATION NUMBER: 22-3649282 3. PRODUCER NAME, ADDRESS, AND EMAILTata Chemicals North America 111 E. Sego Lily Dr. Ste. 200Sandy, UT 84070 USA 800-819-8569TAX IDENTIFICATION NUMBER: 22-3649282 4. IMPORTER NAME, ADDRESS, AND EMAILUnknown TAX IDENTIFICATION NUMBER: 5. DESCRIPTION OF GOOD(S) 6. HTS 7.ORIGIN CRITERION 8.CERTIFICATION INDICATOR 9.METHOD OF QUALIFICATION 10.COUNTRY OF ORIGIN Soda Ash - Dense 2836.20 A D No USA Through completion of the Certification Indicator (Field 8), Certifier is declaring, in accordance with Article 5.2 (Claims for Preferential Tariff Treatment): "A" Certifier has USMCA Certificate/Statement from Producer | "B" Certifier is Importer | "C" Certifier is Expo
UNITED STATES MEXICO CANADA AGREEMENT (USMCA)CERTIFICATION OF ORIGIN 1. CERTIFIER TYPE (INDICATE "X") BLANKET PERIOD (MM/DD/YYYY) FROM: 01/01/2022 IMPORTER EXPORTER X PRODUCER TO: 12/31/2022 2. CERTIFIER NAME, ADDRESS, PHONE, AND EMAIL 3. EXPORTER...Usmca Certification of Origin • March 24th, 2022
It is the importer of records’ responsibility to determine if the exporter or producer claims are reliable and to perform verifications to ensure certifications and evidence are available. For additional recommendations and guidelines, you may see Article 5.9: Origin Verification. Blanket period or Entry by Entry Choose the type of certification you want to submit. For blanket certification include the period if the certification covers multiple shipments of identical goods for a specified period of up to 12 months, as set out in Article 5.2 - Claims for Preferential Tariff Treatment. If the certification of origin covers a single shipment of a good (entry by entry), indicate, if known, the invoice number related to the exportation.
United States-Mexico-Canada Agreement (USMCA) Certification of OriginUsmca Certification of Origin • May 12th, 2021
ContractUsmca Certification of Origin • October 19th, 2021
UNITED STATES MEXICO CANADA AGREEMENT (USMCA)CERTIFICATION OF ORIGIN 1. CERTIFIER TYPE (INDICATE "X") BLANKET PERIOD (MM/DD/YYYY) FROM: 01/01/2022 IMPORTER EXPORTER PRODUCER TO: 12/31/2022 2. CERTIFIER NAME, ADDRESS, PHONE, AND EMAILNAME ADDRESSCOUNTRY PHONEEMAIL TAX IDENTIFICATION NUMBER 3. EXPORTER NAME, ADDRESS, PHONE, AND EMAILNAME ADDRESSCOUNTRY PHONEEMAIL TAX IDENTIFICATION NUMBER 4. PRODUCER NAME, ADDRESS, PHONE, AND EMAILNAME ADDRESSCOUNTRY PHONE EMAIL TAX IDENTIFICATION NUMBER 5. IMPORTER NAME, ADDRESS, PHONE, AND EMAILNAME ADDRESS .COUNTRY PHONE EMAIL TAX IDENTIFICATION NUMBER 6.DESCRIPTION OF GOOD(S) 7. HTS 8. ORIGINCRITERION 9.PRODUCER (YES/NO) 10.METHOD OF QUALIFICATION 11.COUNTRY OF ORIGIN SEE ATTACHED CONTINUATION SHEET(S) I CERTIFY THAT THE GOODS DESCRIBED IN THIS DOCUMENT QUALIFY AS ORIGINATING AND THE INFORMATION CONTAINED IN THIS DOCUMENT IS TRUE AND ACCURATE. I ASSUME RESPONSIBILITY FOR PROVING SUCH REPRESENTATIONS AND AGREE TO MAINTAI
NOUsmca Certification of Origin • December 20th, 2023
UNITED STATES MEXICO CANADA AGREEMENT (USMCA) CERTIFICATION OF ORIGIN 1. CERTIFIER TYPE (INDICATE "X") BLANKET PERIOD (MM/DD/YYYY) FROM 01/01/2024 IMPORTER EXPORTER PRODUCER X TO: 12/31/2024 2. CERTIFIER NAME, ADDRESS, PHONE, AND EMAIL 3. EXPORTER NAME, ADDRESS, PHONE, AND EMAIL NAME RIBUS, Inc. NAME ADDRESS 1355 Greg Street, Suite 101Sparks, NV 89431 ADDRESS COUNTRY U.S.A. PHONE +1 (314) 727-4287 COUNTRY PHONE EMAIL info@ribus.com EMAIL TAX IDENTIFICATION NUMBER 43-1626254 TAX IDENTIFICATION NUMBER 4. PRODUCER NAME, ADDRESS, PHONE, AND EMAIL 5. IMPORTER NAME, ADDRESS, PHONE, AND EMAIL NAME RIBUS, Inc. NAME ADDRESS 1355 Greg Street, Suite 101Sparks, NV 89431 ADDRESS COUNTRY U.S.A. PHONE +1 (314) 727-4287 COUNTRY PHONE EMAIL info@ribus.com EMAIL TAX IDENTIFICATION NUMBER 43-1626254 TAX IDENTIFICATION NUMBER 6.DESCRIPTION OF GOOD(S) 7. HTS 8. ORIGINCRITERION 9.PRODUCER (
UNITED STATES MEXICO CANADA AGREEMENT (USMCA) CERTIFICATION OF ORIGINUsmca Certification of Origin • August 11th, 2021
Please print or type BLANKET PERIOD FROM: 08/10/2021(mm/dd/yyyy ) TO: 12/31/2021 1. CERTIFIER NAME, ADDRESS, AND EMAILRIBUS, Inc.10900 Manchester Road, Ste. 206 St. Louis. MO USA info@ribus.comTAX IDENTIFICATION NUMBER: 43-1626254 2. EXPORTER NAME, ADDRESS, AND EMAIL TAX IDENTIFICATION NUMBER: 3. PRODUCER NAME, ADDRESS, AND EMAILRIBUS, Inc.10900 Manchester Road, Ste. 206 St. Louis. MO USA info@ribus.comTAX IDENTIFICATION NUMBER: 43-1626254 4. IMPORTER NAME, ADDRESS, AND EMAIL TAX IDENTIFICATION NUMBER: 5.DESCRIPTION OF GOOD(S) 6. HTS 7.ORIGIN CRITERION 8.CERTIFICATION INDICATOR 9.METHOD OF QUALIFICATION 10.COUNTRY OF ORIGIN Nu-BAKE® (Rice Bran Extract) 2302.40.0105 C D NO US Organic Nu-BAKE® (Organic Rice Bran Extract) 2302.40.0105 C D NO US Nu-RICE® (Rice Bran Extract) 2302.40.0105 C D NO US Organic Nu-RICE® (Organic Rice Bran Extract) 2302.40.0105 C D NO US Rice Bran Extract 2302.40.0105 C D NO US Organic Rice Bran Extract 2302.40.0105 C D NO US Nu-FLOW® (Rice Hulls / Fiber) 2
UNITED STATES MEXICO CANADA AGREEMENT (USMCA) CERTIFICATION OF ORIGINUsmca Certification of Origin • July 13th, 2020
Please print or type FROM: 01/01/2021BLANKET PERIOD(mm/dd/yyyy )TO: 12/31/2021 1. CERTIFIER NAME, ADDRESS, AND EMAILRIBUS, Inc.10900 Manchester Road, Ste. 206 St. Louis. MO USA info@ribus.comTAX IDENTIFICATION NUMBER: 43-1626254 2. EXPORTER NAME, ADDRESS, AND EMAIL TAX IDENTIFICATION NUMBER: 3. PRODUCER NAME, ADDRESS, AND EMAILRIBUS, Inc.10900 Manchester Road, Ste. 206 St. Louis. MO USA info@ribus.comTAX IDENTIFICATION NUMBER: 43-1626254 4. IMPORTER NAME, ADDRESS, AND EMAIL TAX IDENTIFICATION NUMBER: 5.DESCRIPTION OF GOOD(S) 6. HTS 7.ORIGIN CRITERION 8.CERTIFICATION INDICATOR 9.METHOD OF QUALIFICATION 10.COUNTRY OF ORIGIN Nu-BAKE® (Rice Bran Extract) 2302.40.0105 C D NO US Organic Nu-BAKE® (Organic Rice Bran Extract) 2302.40.0105 C D NO US Nu-RICE® (Rice Bran Extract) 2302.40.0105 C D NO US Organic Nu-RICE® (Organic Rice Bran Extract) 2302.40.0105 C D NO US Rice Bran Extract 2302.40.0105 C D NO US Organic Rice Bran Extract 2302.40.0105 C D NO US Nu-FLOW® (Rice Hulls / Fiber) 230
UNITED STATES MEXICO CANADA AGREEMENT (USMCA) CERTIFICATION OF ORIGINUsmca Certification of Origin • November 22nd, 2021
UNITED STATES MEXICO CANADA AGREEMENT (USMCA) CERTIFICATION OF ORIGINUsmca Certification of Origin • June 23rd, 2020
Please print or type BLANKET PERIOD FROM: TO: (mm/dd/yyyy )SINGLE SHIPMENT DATE: 1. CERTIFIER NAME, ADDRESS, TELEPHONE AND EMAIL TAX IDENTIFICATION NUMBER: 2. EXPORTER NAME, ADDRESS, TELEPHONE AND EMAIL TAX IDENTIFICATION NUMBER: 3. PRODUCER NAME, ADDRESS, TELEPHONE AND EMAIL TAX IDENTIFICATION NUMBER: 4. IMPORTER NAME, ADDRESS, TELEPHONE AND EMAIL TAX IDENTIFICATION NUMBER: 5.DESCRIPTION OF GOOD(S) 6.TARIFF CLASSIFICATION 7.ORIGIN CRITERION 8.COUNTRY OF ORIGIN 9. COMPANY CERTIFYING: EXPORTER PRODUCER IMPORTER 10. I certify that the goods described in this document qualify as originating and the information contained in this document is true and accurate. I assume responsibility for proving such representations and agree to maintain and present upon request or to make available during a verification visit, documentation necessary to support this certification.THIS CERTIFICATE CONSISTS OF PAGES, INCLUDING ALL ATTACHMENTS. 11. 11a. AUTHORIZED SIGNATURE 11b. COMPANY 11c. NAME 11
UNITED STATES MEXICO CANADA AGREEMENT (USMCA) CERTIFICATION OF ORIGINUsmca Certification of Origin • August 25th, 2020
