Statement of Assurance - CIV-20120316

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Maxim Integrated Products 4401 S.

Beltwood Parkway Dallas, TX 75244

DearCustomer, TheMaximIntegratedProducts,Inc.(Maxim)partsrequested,purchasedorwillbepurchasedbyyourcompany fall under U.S. export regulations and laws. As such, Maxim must obtain certain information about you or your company enduse in order to comply with various U.S. trade regulations. For example, the U.S. Export Administration Regulations (15 CFR Parts 730 to 774) may require an export license by the U.S. government for militaryendusesorendusers. In order for Maxim to make a proper license determination and complete required export documentation, it is essentialthatyourcompanyprovideasignedStatementofAssurance(pagetwoofthisletter)toMaximregarding theenduseandendusersoftheMaximproducts.Theenduserisdefinedastheultimateconsigneewhowillbe usingtheproduct(thisisnotadistributor).TheenduseisdefinedasthefinalproductthattheMaximproductwill be integrated into (e.g. automobile, radar system, kitchen appliances, etc.). Maxim will keep the Statement of AssuranceonFilefortwo(2)years.Iftheenduserorendusehaschangedand/orthe2yearshasexpired,anew StatementofAssurancewillberequiredpriortothedeliveryoftheproduct. Once the questionnaire is complete, please return the Statement of Assurance via email to tradecompliance@maximic.comorfaxto19727786428.Ifyouneedassistanceorhavequestionsregardingthe StatementofAssurancerequestpleasecontactourofficebysendinganemailtotradecompliance@maximic.com withyourcontactinformation.SomeonefromtheTradeComplianceOfficewillrespondtoyourrequestassoonas possible. Thisisalegalmatterwhichdealswithregulationonexportcontrolsandcompliance.Wetrustwecancounton yourmaximumcooperationinprovidinguswiththerequestedinformation. BestRegards, MaximGlobalTradeComplianceDepartment

2012-03-16

STATEMENT OF ASSURANCE Civil End Use


Weacknowledgetheexport/reexportofcommodities,technicaldata,and/orsoftware(ControlledItems)thatwehave requested,purchased,orwillpurchasefromMaximIntegratedProducts,Inc.(Maxim),aresubjecttotheU.S.exportcontrol lawsandregulations,includingtheExportAdministrationRegulations(EAR)issuedbytheU.S.DepartmentofCommerce (DoC),andtheEmbargoandSanctionRegulationsadministeredbytheU.S.DepartmentofTreasury,OfficeofForeignAssets Controls(OFAC),amongotherrulesandregulations.WeagreeandundertaketocomplywithallapplicableU.S.export controllawsandregulations.Inparticular: 1. Wecertifythatwewillnotdirectlyorindirectlyexport,reexport,transmit,orcausetobeexported,reexportedor transmitted,anyControlledItemstoanycountry,individual,corporation,organization,orentitytowhichsuchexport,re export,ortransmissionisrestrictedorprohibited. 2. WecertifythatwewillusetheControlledItemsforcivilendusesonly. UltimateEndUseApplication:_________________________________________________________ 3. WecertifythatwewillnotuseControlledItemsinrelationtomilitaryendusesasdefinedintheEARfornuclear,biological orchemicalweapons,orthemissilesystemsthatdeliverthem;forthedesign,development,production,testing,stockpiling oruseofanyweaponsofmassdestruction;orforanyotherusethattheU.S.governmentprohibits. 4. Weacknowledgethatitisourresponsibilitytoobtainanyrequiredlicensetoexport/reexportortotransmitinformation regardinganyControlledItemsasmayberequiredunderanyexportcontrollawsorregulations.Wewillnotexport,re export,ortransmitanyControlledItemsexceptinaccordancewiththeprovisionsoftheEAR;suchprovisionprohibitexport orreexporttoanembargoedcountry,transfertopersonsorentitiesineligibletoreceiveU.S.products,orusedinamilitary orproliferationrelatedactivitywithoutpriorauthorizationofBureauofIndustryandSecurity(BIS),and/ortermsofa licenseissuedbyanapplicableU.S.governmentauthority. ThisCertificationshallsurvivethetermandterminationoftherelationshipbetweenMaximthePurchaserandConsignee. STATEMENTOFULTIMATECONSIGNEEANDPURCHASERWecertifybysignaturethatallofthefactscontainedinthis statementaretrueandcorrecttothebestofourknowledgeandwillapplytothedispositionofproductspurchasedfrom Maxim.WeshallpromptlynotifytheU.S.Exporter,todiscloseanychangeoffactsorintentionssetforthinthisstatement whichoccursafterthestatementhasbeenpreparedandforwarded. Weacknowledgethatthemakingofanyfalsestatementsorconcealmentofanymaterialfactinconnectionwiththis statementmayresultindenial,inwholeorinpartofparticipationinU.S.exportsandreexports. ULTIMATE CONSIGNEE PURCHASER Company Name: ___________________________ Address: __________________________________ Company Name: ___________________________ Address: __________________________________

_____________________________________________ Signature of Authorized Company Representative Print (or type) Name:___________________________ Title: _______________________________________ 2012-03-16 Date: ____________________ 2012-03-16

_____________________________________________ Signature of Authorized Company Representative Print (or type) Name:___________________________ Title: _______________________________________ Date: ____________________

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