Crosby Europe N.V.

Leuvensebaan 51
2580 Putte (Mechelen) Belgium
www.thecrosbygroup.com

Certificate of Conformance
Certificate Number: CC1-2017120400496
Location of Issue: Crosby Europe N.V.
Industriepark B nr 26
2220 Heist-op-den-Berg, Belgium
Phone: 32-15-75-71-25 Fax: 32-15-75-37-64

Stock No: 1082214

Description of Gear: G4076 8-1/2t Shackle Pin & Cotter
Working Load Limit: n/a
Note: Has not been contaminated by Mercury or Asbestos in the manufacturing process.
Number of Pieces: 4 Round Pin: 7NC
PICs are based on visual observation
Certificate based on item being the Crosby product described above.

We hereby certify that the above described material was manufactured and processed in a manner compatible to
meeting the load ratings when used under normal and proper applications.

Mentioned products are in conformity to the Crosby literature available at time of manufacturing.

For Product Delivered To: KTL OFFSHORE (MIDDLE EAST) FZC

PLOT 2M-09, HAMRIYAH FREE ZONE PHASE 1
P.O. BOX 42452
SHARJAH United Arab Emirates

Date:
December 04, 2017 Signature:
Date of Issuance Arn Smolderen, Quality Assurance