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Deckers License-New Vendor Signed Forms 2021
Deckers License-New Vendor Signed Forms 2021
Shyam Exports
Company Name
Company Address
23-02-2022
Date signed or SHYAM EXFORTS
gulshansharma@shyamexports-india.com
Email address
AUth. Sign.
+91-9812000999
Telephone #
Sign &Place corporate seal here
Instructions: Please read the entire document; sign and return only this
page to compliance@bhf-usa.com.
V1. 4/19/2018
Exhibit D
The undersigned, a duly appointed Officer of the Company, hereby acknowledge the Deckers Restricted
Substances Policy, California Proposition 65, and EU REACH Regulation (EC) No. 1907/2006. We
certify that all products and every component thereof produced and shipped to Deckers can comply with
the Deckers Restricted Substances Policy and EU REACH Regulation, do not contain any of the
substances detailed in “List of SVHC” in a concentration of more than 0.1% weight by weight (w/w), as
well as the restrictions codified by U.S. and E.U. law. We further agree to be held liable for all loss and
damage suffered by Deckers should any of those Restricted Substances and SVHC listed be found in any
Deckers product (footwear, apparel, bag etc.) in violation of this Policy. We confirm that we have
received, read and are fully aware of the Deckers Restricted Substances Policy and the REACH SVHC
list.
14M USD
Factory name
Gulshan Sharma
Name (print): ____________________________________
Sr. Merchandiser
Title: ____________________________________
(Vice President or above)
Signature: ____________________________________
23-02-2022
Date: ____________________________________
Instructions: Please read the entire document; sign and return only this page to compliance@bhf-
usa.com.
Licensee/Agent Name:
Address:
Telephone /Fax Number:
FACTORY INFORMATION
Factory Name(English/local language, Place where List all Other names by which the Factory is
Deckers Brands products will be produced) known:
Shyam Exports
Factory Address(English/ local language): Is this factory owned by the Licensee/Agent
Plot No. 66-67, Sector-25, Part-1, HUDA, Panipat-132103
or?
Factory Business Licence Number (Soft copy Factory Contact Name, Title and Email:
Shyam Exports/ Gulshan Sharma,
should be attached): Sr. Merchandier/ gulshansharma@shyamexports-india.com
PPT/S-479
DECKERS INTELECTUAL PROPERTY
List Deckers Intellectual Property (e.g. Logo,
Design, Name)
DISTRIBUTION
Territory where Deckers Brands product may
be sold or given away:
Provide Name and Address of the shipper or
importer of record if the transporter of the
Deckers Brands is other than the Facility or
Licensee/Agent:
Once signed on behalf of Deckers Brands, and/or its affiliates this document may be presented to the Customs
authority at the port of export from the country specified above where the manufacturing facility is located and at
the port of entry in the country specified as the territory where Merchandise may be sold to confirm Deckers’
authorization of shipments of the Merchandise identified above. This Authorization shall expire on the first to
occur of the following: 1) the passage of 12 months from the date set forth below, 2) the expiration or termination
of the applicable agreement between Licensee/ and Deckers, or 3) termination of the Authorization by Deckers.
What type of work does this factory do? * Please select all that apply:
工厂生产什么类型的产品?* 请在下面选择所有适合的生产类型:
Accessory 配件 Assembly 组装 Bottoming 组底 Buttoning 打
纽
Cutting 裁片 Distribution 分片 Dyeing 染印 Embroidery 电绣
Finishing 后整 Ironing 烫整 Knitting 针织 Midsoles 中底
Packaging 包装 Sewing 制衣车缝 Stitching 制鞋车缝 Screen-Printing 丝印
Tanning 制革 Washing 洗水 Welding 粘贴/焊接 Uppers Stitching 鞋面加工
Footwear Subassembly 鞋部件 Outsole placement / injection 大底加工/射出
If other, please describe 如果其他,请描述
Indian
Nationality of management?管理人员国籍*
Please list all that apply 请列出所有适用的:
Hindi/English
Language(s) spoken by management?管理人员语言*
Please list all that apply 请列出所有适用的:
Required 要求:
If available, please provide any ESC/CSR/Social Compliance full audit report and update Corrective Action Plan
(Audited by other brands/companies, 3rd parties audit within the recent 6 months.), this will be an important reference
for Deckers ESC team to understand the ESC background, identify the ESC Risk and prioritize the ESC engagement
schedule.
工厂如果在最近 6 个月内曾经有其他客户要求进行过社会责任或相关环安审核, 第三方相关审核,,请向德
克斯 ESC 部门提交相关报告,我们将以此依据参考,评估工厂 ESC 风险等级,并制定相应的 Deckers ESC 审
核计划。
We, the undersigned, confirm that we have read, understand, and will fully comply with
Decker's Animal Welfare policies as published November 2018.
We further certify:
1 Any and all cotton products we produce for Decker's brands will follow Better Cotton
Initiative guidelines;
2. Our products do not contain cotton sourced from Turkmenistan or
Uzbekistan;
3 We will fully conform to requirements of the
Responsible Down Standard;
4. Any wool we use will fully conform to Decker's requirements for wool
products
Shyam Exports
Place Corporate Seal Here
Company Name
gulshanshma@shyamexports-india.com
Email address
+91-9812000999
Telephone #
Instructions: Please read the entire document; sign and return only this
page to complianceabhf-usa.com.
VL 4/19/2018
BHF International Ltd.
Effective immediately, Deckers, the licensor for the UGG license, forbids the use of North Korean
workers in any capacity during the manufacture of UGG branded merchandise. This is a zero-
tolerance violation. (automatic termination.)
Also effective immediately, Deckers reserves the right to conduct unannounced audits at any
facility registered to produce UGG branded merchandise.
Refusal to allow the auditors access to
thepremises is also a zero tolerance violation.
We, the undersigned, confirm that we have read, understand, and will abide by Decker's North
Korean Labor and Audit Access
requirements.
Shyam Exports
Place Corporate Seal Here
Company Name
+91-9812000999
Telephone #
V1 4/19/2018
Instructions: Please read the entire document; sign and return only this
page to compliance@bhf-usa.com.
V 1.1 4/19/2018
Unit B, 7/F, Richwealth Industrial Building
77-87 Wang Lung Street, Tsuen Wan
N.T. Hong Kong
Tel (852) 2308-1012
China Xinjiang Autonomous Province Policy
Pending legislation in the U.S. Congress will, if passed, prohibit the importation of
goods produced in the Xinjiang Autonomous Province of China.
In addition, our brands and customers are planning to forbid the importation of
goods from this province, in the same way that all goods produced with forced labor
from any country are already banned.
1. Manufacturers contracting for the production of goods for BHF are expressly
prohibited from manufacturing in whole, or in any part, any of said contracted
goods in the Xinjiang Autonomous Province of China.
2. Manufacturers contracting for the production of goods for BHF are also strictly
prohibited from using raw materials, specifically cotton, sourced from the
Xinjiang Autonomous Province of China, regardless of the final country of origin
of said products.
BHF will be actively auditing our manufacturing base to guarantee strict compliance
with this policy.
Manufacturers are required to create and maintain a due diligence chain of custody
tracing system to verify the origin of raw materials for each purchase order, including
invoices, bills of lading, lot tracing and mass conversion records, in order to guarantee
that the sources of production are documented and verifiable.
V1.0, 10/06/2020
1|P a g e
Unit B, 7/F, Richwealth Industrial Building
77-87 Wang Lung Street, Tsuen Wan
N.T. Hong Kong
Tel (852) 2308-1012
China Xinjiang Autonomous Province Policy
In keeping with the policy, manufacturers will be required to complete the attached
affidavit for each purchase order they produce.
V1.0, 10/06/2020
2|P a g e
BHFInternational Ltd.
Unit B, 7/F, Richwealth Industrial Building
77-87 Wang Lung Street, Tsuen Wan
N.T. Hong Kong
Tel (852) 2308-1012
1. This purchase order was not manufactured in the Xinjiang Autonomous Province of
China.
No cotton or any other raw materials used for this purchase order were sourced from the
Xinjiang A utonomous Province of China.
3. The factory producing this order has no employees forcibly recruited from the Xinjiang
Autonomous Province of China.
4. The seller has obtained detailed physical records providing evidence of provenanee and
manufacturing history from the beginning of the supply chain with raw cotton through
ginning. spinning, weaving, cut and sew, and delivery to purchaser, which can be
provided immediately upon request by BHF.
Telephone #
Note: Corporate seal is required for all China companies. Place corporate seal here
VIO, 10/06/2020