Certification effective upon submittal of this form
I hereby declare the ANSI criteria for registration of a Technical Report have been met and that the document described above for registration with ANSI was acted on in accordance with the ANSI Procedures for the Registration of Technical Reports with ANSI and our own procedures that are on file with ANSI. Evidence of same is available for inspection.
I agree that evidence supporting any statement in this submittal or its attachments may be verified at any time through inspection or audit by the American National Standards Institute.
If it develops that misstatement of fact have been made in connection with this submittal, I understand that the Technical Report in question is subject to withdrawal with appropriate public notice with reasons therefore. Furthermore, I understand that our organization may be subject to disqualification from submitting a Technical Report for registration for a period of time for improper submission of a Technical Report to ANSI.
Our Organization agrees to maintain this Technical Report by reaffirmation, revision or withdrawal in accordance with the requirements set-forth in the relevant ANSI procedures.