Template for Declaration of Conformity (MS Word)

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DECLARATION OF CONFORMITY
To be printed on company letterhead
We:
ACME Devices, Inc.
1456 Roadrunner Drive
Post Office Box 987
Death Valley, California 98765-0987
+001 (800) 555-1212
+001 (888) 555-1212 (Facsimile)
declare under our sole responsibility that the product,
Rocket-powered Skateboard
to which this documentation relates, is in conformity with the following documents:
EN 292-2
Safety of Machinery
Directive:
Machinery Directive 98/37/EC
Low Voltage Directive 73/23/EEC, with Amendment 93/68/EEC
Electromagnetic Compatibility Directive 89/336/EEC, with Amendments
92/31/EEC and 93/68/EEC
The technical file is maintained at:
ACME Devices, Inc.
1456 Roadrunner Drive
Death Valley, California 98765-0987
Date of Issue: October 01, 2000
Place of Issue: Death Valley, California
Signature Here
( typed name here )
Executive Vice-president of Engineering
DECLARATION OF INCORPORATION
To be printed on company letterhead
We:
ACME Devices, Inc.
1456 Roadrunner Drive
Post Office Box 987
Death Valley, California 98765-0987
+001 (800) 555-1212
+001 (888) 555-1212 (Facsimile)
declare under our sole responsibility that the products,
Model 873 Drive Assembly
to which this documentation relates, is in conformity with the following documents:
EN 292-2
Safety of Machinery
Directive:
Machinery Directive 98/37/EC
Low Voltage Directive 73/23/EEC, with Amendment 93/68/EEC
Electromagnetic Compatibility Directive 89/336/EEC, with Amendments
92/31/EEC and 93/68/EEC
This machinery must not be put into service until the machinery into which it is to be
incorporated has been declared in conformity with the provisions of the Machinery, Low
Voltage, and EMC Directives.
***
Non Emergency-stop-equipped Model 873 Drive Assemblies are provided for integration
into systems to avoid the presence of an E-stop having incomplete effect on the complete
system.
The technical file is maintained at:
ACME Devices, Inc.
1456 Roadrunner Drive
Death Valley, California 98765-0987
Date of Issue: October 01, 2000
Place of Issue: Death Valley, California
Signature Here
( typed name here )
Executive Vice-president of Engineering
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