CAFR06-001PartSubmissionWarrantPARTINFORMATIONPartNameShownonDrawingNumberOrganizationPartNumberEngineeringChangeLevelDateAdditionalEngineeringChangeDateOptionalTrackingNumberSafetyand/orGovernmentRegulationPurchaseOrderNo.Weight(kg)CheckingAidNumberCheckingAidChangeLevelDatedORGANIZATIONMANUFACTURINGINFORMATIONOrganizationNameandSupplierCodeCustomerName/DivisionStreetAddressBuyerName/CodeSTANameCityZipCountryApplicationREASONFORSUBMISSIONInitialsubmissionChangetoOptionalConstructionorMaterialEngineeringChange(s)Sub-SupplierorMaterialSourceChangeTooling:Transfer,Replacement,Refurbishment,oradditionalChangeinPartProcessingCorrectionofDiscrepancyPartsproducedatAdditionalLocationToolingInactivethan1yearOther-pleasespecifybelowREQUESTEDSUBMISSIONLEVEL(Checkone)Level1-Warrantonly(andfordesignatedappearanceitems,anAppearanceApprovalReport)submittedtocustomer.Level2-Warrantwithproductsamplesandlimitedsupportingdatasubmittedtocustomer.Level3-Warrantwithproductsamplesandcompletesupportingdatasubmittedtocustomer.Level4-Warrantandotherrequirementsasdefinedbycustomer.Level5-Warrantwithproductsamplesandcompletesupportingdatareviewedatsupplier'smanufacturinglocation.DECLARATIONandSUBMISSIONRESULTSIaffirmthatthesamplesrepresentedbythiswarrantarerepresentativeofourpartswhichweremadebyaprocesswhichmeetsallcurrenteditionProductionPartApprovalProcessManualrequirementsincludingallFord-specificrequirements.Ifurtheraffirmthatthesesampleswereproducedattheproductionrateof________/hoursusingproductionstreams.Ialsocertifythatdocumentedevidenceofsuchcomplianceisonfileandisavailableforreview.Ihavenotedanyexceptionsfromthisdeclarationbelow.EXPLANATION/COMMENTSListMolds/Cavities/ProductionProcesses:(Attachaseparatepageifadditionalspaceisnecessary)Cust.PartNumberState/County/ProvinceYesNoPhase1Phase2Phase3CAFR06-001SupplierAuthorizedSignatureDatePrintNamePhoneNo.FaxTitleEmail.CustomerName.FORFORDUSEONLYRemark:RejectedindicatesthepartdoesnotsatisfyoneormorePPAPrequirementsandisconsideredincompleteuntilallPPAPrequirementsaresatisfied.Theoriginalcopyofthisdocumentshallremainatthesupplier'slocationwhilethepartisactivePartSubmissionWarrantStatus:STASignature.DateApprovedRejectedCAFR06-001ChangetoOptionalConstructionorMaterialSub-SupplierorMaterialSourceChangeIaffirmthatthesamplesrepresentedbythiswarrantarerepresentativeofourpartswhichweremadebyaprocesswhichmeetsallcurrenteditionProductionPartApprovalProcessManualrequirementsincludingallFord-specificrequirements.Ifurtheraffirmthatthesesampleswereproducedattheproductionrateof________/hoursusingproductionstreams.Ialsocertifythatdocumentedevidenceofsuchcomplianceisonfileandisavailableforreview.Ihavenotedanyexceptionsfromthisdeclarationbelow.CAFR06-001Remark:RejectedindicatesthepartdoesnotsatisfyoneormorePPAPrequirementsandisconsideredincompleteuntilallPPAPrequirementsaresatisfied.Theoriginalcopyofthisdocumentshallremainatthesupplier'slocationwhilethepartisactive