CONTINUING GUARANTY UNDER THE FLAMMABLE FABRICS ACT

FOR FILING WITH THE U.S. CONSUMER PRODUCT SAFETY COMMISSION
The undersigned, ______________________________________________________________________________ a
_____________________________________________________________________________________________ residing in
(Corporation, partnership, proprietorship)

the United States and having principal office and place of business at __________________________________________
____________________________________________________, __________________________________________________
(Street and Number) (City)

_____________________________________________________________________ and being engaged in the marketing or
(State or Territory and Zip Code)

handling of products, fabrics or related materials subject to the FLAMMABLE FABRICS ACT, as amended, and Regulations thereunder, HEREBY GUARANTEE(S) that with regard to all products, fabrics or related materials [described as follows: _______________________________________________________________________________________________
(If guaranty is limited to certain products, fabrics, or related materials, list the general categories

_______________________________________________________________________________________________________
here. If it is not so limited, leave these lines blank.)

______________________________________________________________________________________________________]

hereafter marketed or handled by the undersigned, and for which flammability standards have been issued, amended, or continued in effect under the FLAMMABLE FABRICS ACT, as amended, reasonable and representative tests as prescribed by the CONSUMER PRODUCT SAFETY COMMISSION have been performed, which show that the products, fabrics, or related materials conform to such of the above-mentioned flammability standards as are applicable thereto. Dated, signed, and executed this _______________________ day of ____________________, 20___________at
___________________________________________________, ___________________________________________________
(City) (State or Territory)

(Impression of corporate seal, if corporation.)
___________________________________________________
(Name under which business is conducted.)

(If firm is partnership, list partners below.)
___________________________________________________
(Signature of proprietor, partner or authorized official of corporation.)

_____________________________________________ _____________________________________________ _____________________________________________

Do Not Use This Space
FILED_____________20______ CONSUMER PRODUCT SAFETY COMMISSION

State of ______________________________________
) County of ____________________________________) SS
CPSC Form 287 (revised 5/06)

On this _____________________________ day of _________________________, 20_____________, before me personally appeared the said _____________________________________________________________________________
(Signer of guaranty)

proprietor, partner (Strike non-applicable words) ____________________________________________________________________________
(If corporation, give title of

______________________________________________ of ______________________________________________________
signing official) (Firm name)

to me personally known, and acknowledged the execution of the foregoing instrument on behalf of the firm, for the uses and purposes therein stated.

(Impression of notary seal required here.) County of

_____________________________________________ Notary Public in and for _____________________________________________

State of _____________________________________________ My Commission expires _____________________________________________

U.S. Consumer Product Safety Commission 4330 East West Highway Bethesda, MD 20814 INSTRUCTIONS FOR PREPARING CPSC FORM 287, CONTINUING GUARANTY UNDER THE FLAMMABLE FABRICS ACT FOR FILING WITH THE CONSUMER PRODUCT SAFETY COMMISSION. Under Section 8 of the Flammable Fabrics Act (15 U.S.C. 1191) and the Regulations issued thereunder by the Consumer Product Safety Commission (16 CFR 1608), any person residing in the United States and marketing or handling products, fabrics or related materials subject to the Act for which flammability Standards have been issued, amended or continued in effect under the Flammable Fabrics Act may file a continuing guaranty with the Commission. Any person or firm that elects to file a continuing guaranty is required to maintain written records which show that the guaranties are based on test results which demonstrate conformance with reasonable and representative tests prescribed by the Consumer Product Safety Commission as set out in the Regulations issued in conjunction with the individual Standards. In all cases the guaranty must be based on tests performed on the product, fabric or related material by or on behalf of the guarantor or on guaranties received from the guarantor’s supplier to the effect that such tests have been performed. The continuing guaranty may be filed with the Commission by submitting the fully executed forms, in duplicate, to the Consumer Product Safety Commission, Office of the Secretary, 4330 East West Highway, Bethesda, MD 20814. In preparing a continuing guaranty for filing with the Consumer Product Safety Commission, the following should be carefully noted: (a) The form should be filed in duplicate with the impression of the official seal of the notary public on each copy filed. The form should correctly describe the guarantor’s business organization. The filing of the guaranty is optional, but if it is filed the guarantor must maintain written records which show the guaranteed products have been tested and conform with reasonable and representative tests as specified in the Regulations issued by the Commission.

(b) (c)

Continuing guaranties filed with the Commission are renewable every three years and at such other times as any change occurs in the legal business status of the guarantor. The guarantor shall promptly report any such change to the Commission and advise the Commission of any change in the address of his principal office or place of business.