Question Field Description 1 Certifier2 Certifiers Information3 Exporter4 Producer5 Importer6 Description- HS- Invoice #7 Criteria8 Blanket Period9 Signature- date andDeclarationOk or not Ok. Why- Will you accept this Certification of Origin as valid ? Yes or no and explain TariffSSitem2102.10.00 00 - Active yeastsDescription of GoodsUnit of Meas.KGMMFNTariffFrOs2102.20.00 00 -Inactive yeasts; other single-coll micro-organisms, deadKGMFree2102.30.00 00 -Prepared baking powdersKGMFree21.03Sauces and preparations therefor; mixed condiments and mixed seasonings: mustard flour and meal and prepared mustard.2103.10.00 00 - Soya sauceKGM9.5%2103.20?Tomato ketchup and other tomato sauces2103.20.10 00 - - - Tomato ketchupKGM12.5%2103.20.90- - -Other12.5%10 - - - - -Pizza sauces.Other:9192 -- Certified organic...- - Not certified organic.KGMKGMKGMApplicablePreferential TariffsAUT, NZT, CCCT. LDCT.UST, MXT, CT, CRT, IT, NT, SLT, PT, COLT, JT, PAT, HINT, KRT, CEUT, UAT, CPTPT, UKT: FreeCCCT, LDCT, GPT, UST, MXT, CIAT, CT, CRT, IT, NT. SLT, PT, COLT. JT, PAT, HNT, KRT, CEUT, UAT, CPTPT, UKT: FreeCCCT. LOCT, GPT. UST.MXT, CIAT, CT, CRT, IT, NT, SLT, PT, COLT, JT, PAT, HNT, KRT, CEUT, UAT, CPTPT, UKT: FreeCCCT, LDCT, UST, MXT, CIAT, CT, CRT, IT, NT, SLT, PT, COLT, JT, PAT, HINT, KRT, CEUT, UAT, CPTPT, UKT: FreeAUT: 7%NZT: 7%CCCT, LDCT, UST, MXT, CIAT,CT, CRT, PT, COLT, JT, PAT, HNT, KRT, CEUT, UAT, CPTPT, UKT: FreeIT: 6%NT: 6%SLT: 6%CCCT, LOCT, UST, MXT. CIAT.CT, CRT. PT.COLT, JT, PAT, HNT, KRT. CEUT, UAT, CPTPT, UKT: FreeIT: 6%NT: 6%SLT: 6%

1. Blanket Period: (dd/mm/yyyy) 2. Single Shipment: From: 01/08/2020 To: 01/12/2021 Invoice Number. 3. Certifier's Name and Address: 4. Exporter's Name and Address: International Trade Company International Trade Company Mrs.Jane Little Mrs.Jane Little Branch Manager Branch Manager 567 DoralBeach 567 DoralBeach Florida, USA Florida, USA Telephone: + 1 716 678 34567 4565678 E-Mail Address: janelittle @international.com Telephone: + 1 716 678 34567 Certifying Party: Importer E-Mail Address: janelittle @international.com 5. Producer's Name and Address: 6. Importer's Name and Address: VARIOUS My Company INC 3456 Weston Avenue Unit 345 Toronto, ON L7B OK8 Telephone: Telephone: 900-679-9006 E-Mail Address: E-Mail Address: customerinfo @mycompany.com 7a. Part 8. HS Tariff Classification 9. Origin Criterion Number 7b. Description of the Goods 10. Country of Origin NIA Pizza Sauces 2103.21 USA 11. 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 Certification consists of pages, including all attachments Authorized Signature: Company: My Company Inc Name: Title Leovil Jhonson Customer Service Manager Date: (dd/mm/yyyy) Email Telephone: 12/10/2020 leovilJ@mycomany.com n/a1 . 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). 2. Certifier Provide the certifier's name, title, address (including country), telephone number, and c- mail address. 3. Exporter Provide the exporter's name, address (including country), e-mail address, and telephone number if different from the 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. 4. Producer Provide the producer's name, address (including country), e-mail address, and telephone number, if different from the certifier or exporter or, if there are multiple producers, state "Various" or provide a list of producers. A person that wishes for this information to remain confidential may state "Available upon request by the importing authorities". The address of a producer shall be the place of production of the good in a Party's territory. 5. Importer Provide, if known, the importer's name, address, e-mail address, and telephone number. The address of the importer shall be in a Party's territory. 6. Description and HS Tariff Classification of the Good (a) Provide a description of the good and the HS tariff classification of the good to the(b) If the certification of origin covers a single shipment of a good, indicate, if known. the invoice number related to the exportation. 7. Origin Criteria Specify the origin criteria under which the good qualifies, as set out in Article 4.2 (Originating Goods). 8. Blanket Period 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). 9. Authorized Signature and Date The certification must be signed and dated he the certifier and accompanied by the following statements 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.Tariff SS Description of Goods Unit of MFN Applicable Item Meas. Tariff Preferential Tariffs 2102.10.00 00 -Active yeasts