General Conformity Certificate for Consumer Product Safety Improvement Act

Importer/Domestic Manufacturer

Company: Target Corporation

Address: 1000 Nicollet Mall, Minneapolis, MN 55403

Email: CPSIA@Target.com

Tel. No.: 612-304-6073

Sample Description

Product Name: HIGHLANDS CONVERTIBLE CRIB & CONVERSION KIT

Manufacturer: GOODBABY CHILD PRODUCTS CO,. LTD

Place of Manufacture: NO.188 SHENGXIANG EAST ROAD, QIANDENG TOWN, KUNSHAN CITY, JIANGSU PROVINCE, CHINA

Country of Origin: CHINA

Date of Manufacture: MAY, 2012

DPCIs/ Style#: 15510/15580

Person Maintaining Records

Name: CALVIN CHEW / NACY TRAN

Company: SUMMER INFANT INC.

Address: 1275 PARK EAST DRIVE, WOONSOCKET, RI 02895, USA

Testing Laboratory

Laboratory Name: BUREAU VERITAS CONSUMER PRODUCTS SERVICES (VN) LTD.

Address: LOT C7-C9, CONURBATION 2, CAT LAI INDUSTRIAL ZONE, DISTRICT 2, HO CHI MINH CITY, VIETNAM

Tel: 84-8-37421604~6

Fax: 84-8-37421603

Website: www.bureauveritas.com/cps

Compliance Certification

Report Completion Date: JUNE 29, 2012

The product contained within this shipment complies with all applicable federal rules, bans, regulations and standards enforced by the CPSC.

Applicable Rules, Bans, Standards and Regulations

ProductsLaw/ ActFederal Regulations (Title 16 CFR Part No. / Section No.)
Lead paint on Children's ProductsCPSA16 CFR 1303
Small partsFHSA16 CFR 1501
Full-size cribsFHSA16 CFR 1219
Toddler bedFHSA16 CFR 1217
Total lead content in metal children's products and in non-metal children's productsCPSIACPSIA section 101
PhthalatesCPSIACPSIA section 108

Notes on Acts:

Instructions for Certification Portions

  1. All vendors must complete the Vendor Certification portion (page 2 of this form) in full for every shipment. This must include vendor information, a physical signature, and the appropriate PO#.
  2. If this GCC is being issued for a children's product, per the CPSC definition, the Laboratory Certification portion must also be completed by a CPSC accredited 3rd party Lab. This must include laboratory information and a physical signature from the testing laboratory.

Laboratory Certificate of Completion

This laboratory hereby certifies to Target Corporation that:

  1. The product sample provided has been evaluated and identified with all applicable federal regulations, bans and standards in the United States (collectively, the “Applicable Standards”).
  2. All Applicable Standards have been listed on the GCC.
  3. Necessary tests were conducted to determine product compliance with the Applicable Standards according to standard procedures.
  4. Each sample provided complies with all Applicable Standards.

Company: BVCPS VN

Date: JUNE 29, 2012

Certified By (Name, Title): KELVIN TRAN, HL TESTING DEPT. MANAGER

Certified By (Signature Required): [signature]

3rd party Certification received from: [information]

Report Number Reference: (9612) 132-0058

Vendor Certificate of Completion

This vendor hereby certifies to Target Corporation that:

  1. The product has been evaluated and identified with all applicable regulations, bans and standards in the United States (collectively, the “Applicable Standards”).
  2. All Applicable Standards are listed on the GCC.
  3. If this GCC is for a children's product, the product tested by the Laboratory is materially identical to the product that this certificate accompanies.
  4. If this GCC is for a non-children's product, necessary tests to determine compliance with Applicable Standards were conducted using a reasonable testing program.
  5. The product complies with all Applicable Standards.

Company: [Vendor Company Name]

Target PO#: [PO Number]

Date: [Date]

Certified By (Name, Title): [Name and Title]

Certified By (Signature Required): [signature]

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CPC-15510-2013 Microsoft Office Word 2007 Microsoft Office Word 2007

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