IMPORT CERTIFICATE

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U.S. DEPARTMENT OF AGRICULTURE
AGRICULTURAL MARKETING SERVICE
NATIONAL ORGANIC PROGRAM

FORM APPROVED - OMB NO. 0581-0191
A knowingly false entry or false alteration of any entry on this certificate
may result in a fine of not more than $11,000 or imprisonment for not
more than five years or both (18 USC 1001).

NOP IMPORT CERTIFICATE

1. CERTIFIED TO

ORGANIC STANDARDS

2. CITY AND STATE OF PRODUCT DESTINATION

3. DATE

5. EXPORTED BY (NAME AND ADDRESS)

6. PRODUCT EXPORTED FROM

7. RECIPIENT IN THE U.S. (NAME AND ADDRESS)

9. TOTAL NET WEIGHT
11. PRODUCT AS LABELED

4. IMPORT CERTIFICATE NUMBER

8. CERTIFYING BODY ISSUING CERTIFICATE (NAME AND ADDRESS)

10. TOTAL CONTAINERS
12. HARMONIZED TARIFF
CODE AS APPLICABLE

13. SHIPPING IDENTIFICATION

14. FINAL HANDLER

15. CERTIFYING BODY OF
FINAL HANDLER

16. REMARKS AND ATTESTATIONS

I CERTIFY that the agricultural products specified hereon have been certified under an organic certification program that is at least equivalent to the requirements of the
Organic Foods Production Act of 1990 (OFPA) (7 U.S.C. Sec. 6501 et seq.) and are therefore deemed by USDA to have been produced and handled in accordance with the
OFPA and USDA organic regulations under the National Organic Program 7 CFR part 205.
17. SIGNATURE OF CERTIFYING BODY

18. DATE

No financial liability shall attach to the United States Department of Agriculture or to any officer or representative of the Department with respect to this certificate.
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB
control number. The valid OMB control number for this information collection is 0581-0191. The time required to complete this information collection is estimated to average 30 minutes per person
This includes time for reviewing instructions, searching data sources, gathering and maintaining data, and completing and reviewing the collection of information.
The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, age, disability, and where applicable, sex, marital
status, familial status, parental status, religion, sexual orientation, genetic information, political beliefs, reprisal, or because all or part of an individual's income is derived from any public assistance
program (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means for communication of program information (Braille, large print, audiotape, etc.)
should contact USDA's TARGET Center at (202) 720-2600 (voice and TDD). To file a complaint of discrimination, write to USDA, Director, Office of Civil Rights, 1400 Independence Avenue,
S.W., Washington, D.C. 20250-9410, or call (800) 795-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal opportunity provider and employer.

NOP 2110-1 Expiration: xxx/xx/xxxx