Standard format Declaration of the manufacturers forming a pool (A joint declaration signed by all the members of the pool) We hereby inform the European Commission that we have agreed to form a pool for the purposes of meeting the obligations under Article 4 of Regulation (EU) No 510/2011 setting emission performance standards for new light commercial vehicles as part of the Community's integrated approach to reduce CO2 emissions from light-duty vehicles. 1. The manufacturers who will be included in the pool [name of the pool]: [name of the manufacturer 1] [name of the manufacturer 2] [name of the manufacturer …] [All the manufacturers included in the pool are part of the same group of connected manufacturers.] 2. Duration of an agreement: An agreement to form a pool relates to the calendar years1: Starting: [calendar year] Ending: [calendar year]. 3. The pool manager: The following manufacturer is nominated as pool manager: [name of the manufacturer] [contact details: contact person, address, telephone, email, and, where the manufacturer is established outside the EU, the contact details of the manufacturer's representative in the EU] The pool manager will be the contact point for the pool and will be responsible for paying any excess emissions premium imposed on the pool in accordance with Article 9 of Regulation (EU) No 510/2011. 4. We hereby declare that the pool manager will be able to fulfil the obligations under Article 7(2)(b) of Regulation (EU) No 510/2011 and accept, as members of the pool, joint and several liability to pay any excess emissions premiums imposed on the pool. This liability shall apply for the duration of the agreement to form a pool. 5. We hereby declare that we the undersigned are legally empowered to represent the members of the pool respectively. To the best of our knowledge the information stated in this declaration is true and accurate. 1 The maximum duration of each agreement shall not exceed five calendar years, and must be entered into on or before 31 December in the first calendar year for which emissions are to be pooled (Article 7 (2) of Regulation (EU) No 510/2011) Signature Director of [ pool manager] Director of [manufacturer 1] Director of [manufacturer 2] Director of [manufacturer …] Date