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1. ©2018 ERGODYNE. ALL RIGHTS RESERVED. ALL WRONGS REVERSED. // QUESTIONS? CALL 1.800.225.8238 DECLARATION OF CONFORMITY TO ANSI/ISEA 121-2018 AMERICAN NATIONAL STANDARD FOR DROPPED OBJECTS PREVENTION Certificate Number: 121 - 2018 -077 Company Name: Ergodyne Address: 1021 Bandana Boulevard East, Suite 220, St. Paul, MN 55108 Product Description : Tool Grip & Tether Attachment Model Number: 37 45 Item Numbers: 19747__________ Supplier declares that the above product meets all applicable requirements as stated in ANSI/ISEA 121 - 201 8. ANSI/ISEA 125 - 2014 conformity assessment method: Level 1 Test Lab: Klein Tools Laboratory; Mansfield, TX Product Category: Tool Attachment Report #: KTL 008105 & KTL008134 Product Capacity: 1 .0 lbs // 0.45 kg Date: 01 - 1 8 - 20 2 3 Test Technician: J. Fonner & A. Miller Notes: The undersigned hereby warrants that he/she is authorized to legally bind the company identified above. Signed: Title: Product Director Print Name: Nathan Bohmbach Date: 01 /18 /20 22
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