page1
FROM:
Please print or type
TO:
1. CERTIFIER NAME, ADDRESS, PHONE, AND EMAIL
2. EXPORTER NAME, ADDRESS, PHONE, AND EMAIL
TAX IDENTIFICATION NUMBER:
TAX IDENTIFICATION NUMBER:
3. PRODUCER NAME, ADDRESS, PHONE, AND EMAIL
4. IMPORTER NAME, ADDRESS, PHONE, AND EMAIL
TAX IDENTIFICATION NUMBER:
TAX IDENTIFICATION NUMBER:
6.
7.
8.
9.
10.
11a. AUTHORIZED SIGNATURE
11e. DATE
(mm/dd/yyyy)
11f. TELEPHONE NUMBER
11g. EMAIL
DESCRIPTION OF GOOD(S)
HTS
CERTIFICATION
INDICATOR
METHOD OF
QUALIFICATION
5.
ORIGIN
CRITERION
COUNTRY
OF ORIGIN
I CERTIFY THAT THE GOODS DESCRIBED IN THIS DOCUMENT QUALIFY AS ORIGINATING AND THE INFORMATION CONTAINED IN THIS
DOCUMENT IS TRUE AND ACCURATE. I ASSUME RESPONSIBILITY FOR PROVING SUCH REPRESENTATIONS AND AGREE TO MAINTAIN AND
PRESENT UPON REQUEST OR TO MAKE AVAILABLE DURING A VERIFICATION VISIT, DOCUMENTATION NECESSARY TO SUPPORT THIS
CERTIFICATION
THIS CERTIFICATE CONSISTS OF PAGES, INCLUDING ALL ATTACHMENTS.
11.
11b. COMPANY
11c. NAME
11d. TITLE
Through completion of the Certification Indicator (Field 8), Certifier is declaring, in accordance with Article 5.2 (Claims for Preferential Tariff Treatment):
"A" Certifier has USMCA Certificate/Statement from Producer | "B" Certifier is Importer | "C" Certifier is Exporter | "D" Certifier is Producer
USMCA CERTIFICATE V2
BLANKET PERIOD
(
mm/dd/yyyy
)
SEE ATTACHED CONTINUATION SHEET(S)
UNITED STATES MEXICO CANADA AGREEMENT (USMCA)
CERTIFICATION OF ORIGIN
04/17/2026
Veratex, Inc.
336 East 56th Street FRNT A
New York, NY 10022
Phone: 212-683-9300 Email: operations@veratex.nyc
13-2804148
Veratex, Inc.
336 East 56th Street FRNT A
New York, NY 10022
Phone: 212-683-9300 Email: operations@veratex.nyc
13-2804148
Veratex, Inc.
336 East 56th Street Ground Floor
New York, NY 10022
Phone: 212-683-9300 Email: operations@veratex.nyc
13-2804148
Mondoor LTEE
785 Honore-Mercier
Saint-Jean_Sur-Richelieu
QT JSX 3S2
Style: V22 60" 100% Nylon Fabric
6001220000
D
TV
US
1
Veratex, Inc.
Claude Simon
President
04/17/2026
212-683-9300
operations@veratex.nyc