Instructions

Initiated Date:

Date Returned by Supplier:

Supplier Contact

Contact Email
Contact Phone

CooperStandard Sponsor

Sponsor Email
Sponsor Phone

Attached is our Supplier Profile and Self Assessment. There are two primary purposes of this document:
1) To provide CooperStandard with the basic company information needed to set up your profile in our ERP and other supporting systems
2) To provide you an opportunity to measure your company against CooperStandard supplier criteria

The following pages must be completed by the supplier.

Cover Sheet Quality
General Information technology
Z-Score Logistics
Commitment Environment
Financial Assessment

Most tabs require that you select a rating and then provide any comments where requested or at your discretion. Once you select a rating, your score
for that section of the workbook will be automatically calculated and posted to the OVERVIEW RESULT page.

Please complete the document and return to your CooperStandard Sponsor. Please contact your sponsor with any questions
Use the attachments tab at the end to attach any of the requested attachments (below)

Attachments: Attached Required? Supplier Comments

Annual report Select One Strongly Preferred
Audit results Select One Optional
Company presentation Select One Optional
CQI-11 / Special Process: Plating Assessment Select One Optional
CQI-12 / Special Process: Coating Assessment Select One Optional
CQI-9 / Special Process: Heat Treat System Assessment Select One Optional
CQI-15 / Special Process: Welding System Assessment Select One Optional
CQI-17 / Special Process : Soldering System Assessment Select One Optional
Certifications - ISO9001 Select One
One of these two certifications is required. TS is
Certifications TS16949 Select One preferred, ISO is acceptable
Environmental ISO14001 Select One Strongly Preferred
Health and Safety OHSAS 18001 Select One Strongly Preferred
List of machines Select One Strongly Preferred
Minority Certification Select One NA - only where applicable
Organization chart Select One Mandatory
References Select One Strongly Preferred

Page 1 of 14 594874380.xlsx, Cover sheet

 General Information / Supplier Profile
Date Date Completed:

Corporate Company
information Parent Company
Street1
Street2
City
Zip
Country
Phone no.
Fax
E-Mail
DUNS
URL
Legal form Select One
If private, who are the principles?
Shareholder / Owner
Is the company minority owned? Select One If yes, provide copies of Minority Certifications below
Subsidiaries
Year founded
Certification
Company languages required optional optional optional

Invoice Contact
Information Street1
Street2
City
Zip
Country
Phone no.
Fax
E-Mail

Manufacturing Contact
Location Street1
Street2
City
Zip
Country
Phone no.
Fax
E-Mail

Bank Bank
Information Street1
Street2
City
Zip
Country
Bank Account Number
Bank Sort Code
Account Key
IBAN
Swift Code
Payment currency (Order currency)
VAT rate
VAT Number
Tax # 1 (SIRET)
Tax # 2 (SIREN)

Contacts Name Email Direct Phone Mobile phone

President
Environmental Manager
Managing Director
Materials Manager
Plant Manager
Production Manager
Quality Manager
Sales Manager
Shipping Manager
Contact for RFQs

Page 2 of 14 594874380.xlsx, General Supplier Profile

 Contacts

General Information / Supplier Profile

EDI Contact
24 Hour Emergency Contact #1
24 Hour Emergency Contact #2

R&D
Do you have an on sight lab?  
What accreditations does the lab have?
Describe your prototype capability:      
Describe any recent technical contributions:  

Employee Asia Europe North America South America

Number of Salaried Employees 0
Number of Hourly Employees 0
Number of shifts per day
Hours per shift
Percent Absenteeism
Current Year turnover year
Last year turnover year
Previous Year turnover year
Number of shifts per day
Annual days of work
Technical Personnel
Are engineering personnel available for product Select One Select One Select One Select One
design / review?
Design Personnel
Quality Personnel
Union facility? Select One if yes, provide local #:
If yes, Union Name
If Yes, Contract Expiration Date
If Yes, Contract Duration
If Yes, date & Duration of last 2 strikes Date: Duration:
Date: Duration:
Do you have a policy requiring mandatory overtime? Select One
NA only - Equal opportunity employer as defined in 41 CFR-60-1.4 Select One

Sales and Asia Europe North America South America

Production Regional sales distribution in %
Sales in the automotive industry in %
Main competitors
Scope of business
Types of Products Supplied Select one Select one Select one Select one
Select one Select one Select one Select one
Capcity utilization of equipment that will run
CooperStandard Products
% Open capacity Available
Avg Lead Times
Are Late Orders tracked? Select One Select One Select One Select One
How are late orders communicated?

Supply Base Licenses, patents trademarks marketing

agreements or royalties that would affect
supply:
% of product subcontracted
Type of work subcontracted
Documented maintenance program for equipment
Top 5 Suppliers & Products supplier product
supplier product
supplier product
supplier product
supplier product
Do you import raw materials? Import Countries
Contingency plans for imported materials

Customer Currently a Direct Supplier (OEMs) Yes / No Overall Score Quality Score Delivery Score YTD PPM
Ford Select One QI Score 6 month PPM
Daimler Chrysler Select One
General Motors
Select One Total 12 months PRRs 6 month PPM
Other Select One
Other Select One
Other Select One

Logistics and Carriers used Select One

PageCustoms
3 of 14 594874380.xlsx, General Supplier Profile
 General
Logistics and
Information / Supplier Profile
Customs Nearest Airport Distance
RR Spur Available Select One Distance
Customs Broker
Customs Broker Contact
Customs Broker Email
Customs Broker Phone
Customs Broker Fax
Customs Broker Street Address
Customs Broker Street Address
Customs Broker Street City, State, Zip

Page 4 of 14 594874380.xlsx, General Supplier Profile

 General Information / Supplier Profile
Tooling Where are tools, dies, gages designed and
manufactured
Where are tools, dies, gages maintained?
Routine Maintenance % In House % Outside
Please attach a Major Overhaul
major equipment % In House % Outside
list Outside Maintenance Location
How many experienced / Skilled tool / die
pattern maintenance staff are employed: In House: External:
Does a written tool, die, pattern, gage
maintenance program exist?
Back up tooling for perishable tooling? Select One Inventory Level

Other CS Company Country Is a customer Is a supplier

relationships Business relationships with other
CooperStandard Companies

Page 5 of 14 594874380.xlsx, General Supplier Profile

Z-Score Analysis
(DATA INPUT SECTION)
Company: 0 Z-Score
Public / Private: Select One Public Private
Data from Fiscal Year Ended/Period: Condition #DIV/0! #DIV/0!
Prepared by: Green #DIV/0! #DIV/0!
Audited Y/N Yellow #DIV/0! #DIV/0!
Red #DIV/0! #DIV/0!
Data:
Private
Net Sales
Working Capital
Total Assets
Retained Earnings
Net Income before Interest and Taxes
Value of Equity (Market* or Book) Public

Book Value of Total Liabilities 0 2 4 6

* Use market value, if available, for public corporations.

Weighting
Public Private
1 Working Capital 0
Total Assets 0 #DIV/0! 1.20 6.560

2 Retained Earnings 0
Total Assets 0 #DIV/0! 1.40 3.260

3 Net Income before Interest and Taxes 0

Total Assets 0 #DIV/0! 3.30 6.720

4 Value of Equity (Market* or Book) 0

Book Value of Total Liabilities 0 #DIV/0! 0.60 1.050

5 Net Sales 0
Total Assets 0 #DIV/0! 1.00

Notes:

14 594874380.xlsx, Z Score
Commitment
Supplier name 0 City 12/30/1899
DUNS - no. 0 Country 0
Self Assessment
Criteria Ranking Comments
Continous improvement The supplier has got a continuous improvement
program program in all areas of the company in place 10

Willingness for long-term The relationship Supplier/CooperStandard is long-

contracts
Full product responsibility
Communication in English
Training
Commitment to supplier
development program
term focussed and confirmed in a contract signed by 10
both parts
The supplier takes the full responsibility for the
10
products supplied to CooperStandard
The employees of the supplier which are in touch
with CooperStandard can keep a communication in 10
English
The supplier is training all employees in a
10
coordinated and controlled way
The supplier commits to the result of
CooperStandards supplier development evaluation
establishing the necessary corrective actions 10

Manpower support when The relationship with CooperStandard could require

relevant or necessary an addional manpower support to be provided by 10
the supplier

Score: 70
Target: 70
% 100.00%

Improvement possible but not mandatory. Passed > 80%

Improvement mandatory. Interim pass with a corrective action plan 80-70 %
Improvement mandatory. Not passed. < 70 %

14 594874380.xlsx, commitment
Financial
Supplier name 0 City 12/30/1899
DUNS - no. 0 Country 0
All Suppliers must also complete the Z-Score assessment tab of the workbook
Self Assessment
Criteria Ranking Comments
Is the return on assets employed higher than
30 %?
Is the return on assets employed higher than 10
15 % but lower as 30%?
Is the return on assets employed lower than
15%?
Is the return on Sales higher than 10%?
Financial Performance
Is the return on Sales higher than 5% but 10
lower as 10%?
Is the return on Sales lower than 5%?
Is the profit after tax higher than 7%?
Is the profit after tax higher than 3% but lower 10
as 7%?
Is the profit after tax lower than 3%?
Has the supplier got an insurance for tools
and equipment? 10 Enter the Insurance amount here
Insurance
Has the supplier got a product liability and
product warranty guarantee insurance? 10 Enter the Insurance amount here

Investmant and Is there an investment plan to cover the 10

Acceleration Plan production equipment? (Costs?)
Can we see the calculation for offered parts,
Open Book Policy tooling and packaging?
10

Cost Centers Is the business controlled via cost centres? 10

Is the supplier willing to meet our specific

Financing Flexibility
Own Cost Reductions
financing requirements when necessary (e.g. 10
Amortisation)?
Has the supplier got a commitment for cost
redution activities?
10

Score: 100
Target: 100
% 100.00%

Improvement possible but not mandatory. Passed > 80%

Improvement mandatory. Interim pass with a corrective action plan 80-70 %
Improvement mandatory. Not passed. < 70 %

14 594874380.xlsx,financial assessment
Quality
Supplier name 0 City 12/30/1899
DUNS - no. 0 Country 0
Self Assessment
Criteria Ranking Comments
Certification Is the supplier certified to the ISO 9001:ff
10
or ISO/TS 16949:ff ?
Quality Planning Does the supplier conduct feasibility
analysis? 10
Does the supplier use Process flow
charts? 10
Does the supplier use Process FMEA`s
and procedures to define and set 10
activities for RPN`S?
Does the supplier use PCP`S / PLP`S for
the serial and preserial process? 10

Do you utilize Statistical Process Control?

10
Does the supplier fulfill the full PPAP /
IAW requirements of CSA? 10
PPM Targets Has the supplier got a PPM / scrap
10 please enter PPM rate
reduction program for each product?
Preventive Does the supplier use a preventative
Maintenance Plan maintenance plan? 10

Failure Proofing Does the supplier have a defined scrap

reduction program (e.g. FMEA)? 10

Score: 100
Target: 100
% 100.00%

Improvement possible but not mandatory. Passed > 80%

Improvement mandatory. Interim pass with a corrective action plan 80-70 %
Improvement mandatory. Not passed. < 70 %

14 594874380.xlsx,quality,
Technology
Supplier name 0 City 12/30/1899
DUNS - no. 0 Country 0
Self Assessment
Criteria Ranking Comments

Does the supplier have procedures in

place for the development process?
10

Has the supplier got preventive quality

10
Product Engineering tools in place?
Capability Do you currently possess CAD / CAM
10
equipment?

Does the supplier have the technology

available to produce prototypes?
10

Does the supplier have all measuring

test equipment for a PPAP?
10

Is the machinery facility state of the

art?
10
Does the supplier use a production
planning system?
10
Process Technology Level
Has the supplier got a traceability
system for the product in place?
10
Has the supplier got described
procedures for product handling, 10
storage and packaging?
Is the housekeeping situation
satisfying?
10

Purchased parts from sub- Has the supplier got requirements for
purchased parts in place?
10
suppliers

Score: 110
Target: 110
% 100.00%

Improvement possible but not mandatory. Passed > 80%

Improvement mandatory. Interim pass with a corrective action plan 80-70 %
Improvement mandatory. Not passed. < 70 %

14 594874380.xlsx, technology
Logistics
Supplier name 0 City 12/30/1899
DUNS - no. 0 Country 0
Self Assessment
Criteria Ranking Comments
Has the supplier got the resource and the
EDI capability to communicate electronically with 10
CooperStandard (EDI, EDIFACT)?
Can the supplier deliver in accordance to the
Packaging packaging and delivery instructions?
10
Does the supplier follow CooperStandard
Standard Labelling barcode labeling gudelines?
10

Does the documentation and invoice include all

Standard Documentation relevant information for CooperStandard?
10

Does the supplier meet the CooperStandard

Inventory and Demand requirements concerning demand, capacity and 10
Control Activities delivery?
Does the supplier meet the CooperStandard
Delivery Performance requirements concerning delivery date, margins 10
and flexibility?

Score: 60
Target: 60
% 100.00%

Improvement possible but not mandatory. Passed > 80%

Improvement mandatory. Interim pass with a corrective action plan 80-70 %
Improvement mandatory. Not passed. < 70 %

14 594874380.xlsx, logistics
Environment
Cover Sheet 0 Audit Date 12/30/1899
Supplier name 0 Lead Auditor 0
DUNS - no. 0 Co-Auditor(s) 0
Self Assessment
Criteria Ranking Comments

Has the supplier established a running

Certification environmental management system?
10

Are the environmental aspects in the

production process reviewed 10
regularly?
Are the environmental aspects in the
delivery and distribution process 10
Environmental Aspects reviewed regularly?
Is the supplier aware of the REACh
requirements?
10
Does the suplier have defined
guidelines and targets for the 10
environmental protection?
Does each employee know the
Environmental environmental effects of his
occupation and therefore avoids all 10
Consciousness
possible endangering?

Score: 60
Target: 60
% 100.00%

Improvement possible but not mandatory. Passed > 80%

Improvement mandatory. Interim pass with a corrective action plan 80-70 %
Improvement mandatory. Not passed. < 70 %

14 594874380.xlsx, environment
Results
Supplier name 0 Date 12/30/1899
DUNS - no. 0 Contact 0
Location 0 0

Supplier Condition Z-Score

Public Private
#DIV/0! #DIV/0!
Score Weighting Rating Green #DIV/0! #DIV/0!
Commitment 100% 10% A Yellow #DIV/0! #DIV/0!
Financial 100% 10% A Red #DIV/0! #DIV/0!
Quality 100% 20% A Supplier view
Technology 100% 25% A
100.00% A
Logistics 100% 10% A
Environment 100% 25% A

Comments :

14 594874380.xlsx, Overview Result

 Version Date Revised By Revisions
Initial Draft Summer 2012 C Franklin Consolidated US and European Supplier Profile and self assessment
forms
Initial Draft 10/1/2012 C Franklin Revised per stakeholder feedback
Initial Draft 11/1/2012 C Franklin Added Revision history
Updates per Mark Prahl (CQI certifications, other edits & clarifications)
Added Customs section to General Information tab

Mar-13 3/21/2013 C Franklin added date field and formating

Jul-13 7/24/2013 C Franklin Checked & fixed formatting on overview tab

14 594874380.xlsx,Revision History