End-Use Statement.doc

End-Use Statement We, …… , understand that the Bosch 320x240 pixels 30Hz Thermal Imaging CCTV Camera contain components that are controlled for export by the United States Department of Commerce, Bureau of Industry and Security, and any sale or transfer of this system requires the prior approval of the US Government. We confirm that the Bosch 320x240 pixels 30Hz Thermal Imaging CCTV Camera or its components, will not be used or sold for use for any of the following activities:- A. Nuclear explosive activities, safeguarded and/or unsafeguarded nuclear activities including research, development, design, manufacture, construction, testing or maintenance of any nuclear explosive device or components or subsystems, nuclear reactor, critical facility, facility for the fabrication of nuclear fuel, facility for the conversion of nuclear material from one chemical form to another, facilities for the chemical processing of irradiated special nuclear or source material, facilities for the production of heavy water, facilities for the separation of isotopes of source and special nuclear material, or facilities for the fabrication of nuclear fuel containing plutonium. B. Rocket Systems (including ballistic missile systems and space launch vehicles, sounding rockets, unmanned air vehicles including cruise missile systems, target drones and reconnaissance drones). C. The design, development, production, stockpiling or use of chemical or biological weapons. The following Bosch 320x240 pixels 30Hz Thermal Imaging CCTV Camera will be used: Quantities Commercial Type number (CTN) ….. …… Authorised Signature : …………………………………………. PRINT NAME : ………………………………………………... POSITION/TITLE : ……………………………………………. Date : …………………………………………………………… Security Systems 01 April 2011 Page 2 of 2 Bosch Security Systems B.V. P.O. Box 800025600 JB EindhovenThe Netherlands Visitors:Glaslaan 25616 LW Eindhoven Tel +31 4025 77-174 Fax +31 4025 77-119 www.boschsecurity.nl Securi