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1. EU TYPE EXAMINATION CERTIFICATE The PPE detailed herein the criteria of an EU Type Examination in accordance with Annex V, including the applicable clauses of the Essential Health and Safety Requirements of the PPE Regulation EU 2016/425, for the category II followed by conformity to type based on internal production control (module C) set out in Annex VI. Following an EU Declaration of Product Conformity you are hereby licensed to mark the product(s) detailed in accordance with Article 17 of the PPE Regulation EU 2016/425. NOTIFIED BODY 2575 This certificate will cease its validity at any time if needed, in particular if changes in the manufacturing process, in the raw materials or in PPE components will occur. VALIDITY OF CERTIFICATE INTERTEK ITALIA SpA Via Miglioli, 2/A Cernusco sul Naviglio (MI), Italy T: +39 02 95383833 F: +39 02 95383832 Cortina NV Manufacturer: ITASLNB21024634 Certificate No.: II Category Product: ELIS Model/Product Reference: OCCUPATIONAL FOOTWEAR Product type: - Article: EN ISO 20347:2012 Reference(s) Standard: Description: Elena Ruffino General Manager 06/03/2027 Expiry Date Lastra a Signa (FI) Issued at: 07/03/2022 Issue Date EN ISO 20347:2012 This has been shown through satisfactory testing to: See Technical FIle Test Report no. ELIS - 25/01/2022 Examination of the Technical File Documentation, No: Colours: Black, White; Construction: Cemented; Last: BILL; Sole: White/L.Grey EVA+Rubber; Mould: M2888; Category: O2 SRC. Meersbloem-Melden 42, B-9700 Oudenaarde, Belgium Address: - Address: Remark: - Authorised Representative: Note: For and on behalf of INTERTEK ITALIA Spa This Certificate is for the exclusive use of Intertek's client and is provided pursuant to the agreement between Intertek and its Client. Intertek's responsibility and liability are limited to the terms and conditions of the agreement. Intertek assumes no liability to any party, other than to the Client in accordance with the agreement, for any loss, expense or damage occasioned by the use of this Certificate. Only the Client is authorized to permit copying or distribution of this Certificate and then only in its entirety. Any use of the Intertek name or one of its marks for the sale or advertisement of the tested material, product or service must first be approved in writing by Intertek. Intertek Italia S.p.A. Via Miglioli, 2/A - 20063 Cernusco sul Naviglio, Milano – Italy Page 1 / 1
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