EEE eae Eee eee |B) PEE ee eee eee C € EC DECLARATION OF PERFORMANCE No. 17-0626 1. Unique identification code of the product, product type or product family: Otai 2. Identification of the construction product: PVC flooring Thickness: 2.0mm—7.0mm Density: 1900450kg/m* The product(s) are intended for use as floor covering(s) within a building according to the ‘manufacturer's specifications and installation practices in accordance with EN 14041. 3, Name and contact address of the manufacturer: Pt Sejahtera Primatama Cemerlang Komplek Perkudangan Bizpark C-51, JITambak Sawah, Sidoarjo Name and contact address of authorized representative (distributor, importer), Only where applicable: Pt Sejahtera Primatama Cemerlang Komplek Perkudangan Bizpark C-51, JITambak Sawah, Sidoarjo 4.System of assessment and verification of constancy of performance: System 3 Notified Body: 1611 ‘Test report No: 17-0626-01, 17-0626-02, 17-0626-03, CR 17-0626-01, MVZ-A-2017-000104 Certificate No: 17-0626 5.Only applicable for system 1 Name of notified certification body that performed the initial inspection of the manufacturing plant and of factory production control, continuous surveillance, assessment and evaluation of factory production control and issued the certificate of constancy of performance Not applicable 6.Declared performances of essential characteristics (according to: harmonized standard EN 14041:2004+AC:2006) Reaction to fire Formaldehyde Emissions Slip resistance (EN_13501-1) (EN 717-1) (EN13893) E Co 7. The Performance of the product(s) identified in points 1 and 2 is in conformity with the declared performance in Point 8 This declaration of performance is issued under sole responsibility of the manufacturer or authorized representative identified in point 4 or 5 Signed for and behalf of the manufacturer or authorized representative by: Date : Name : Position: BEE AEE Eee eee.