October 2003
At the Company, we are expected to act with integrity in accordance with our Code of Conduct , and we quarterly review our activities and certify our compliance with the Code.
Please answer the following questions and complete the balance of the form.
1) Do you have a copy of, and do you understand,
the Company’s Code
of Conduct?
Yes____ No____
2) Have you conducted our business activities in accordance
with the Company’s
Code of Conduct?
Yes____ No____
3) Have you complied with all Company internal accounting controls and procdures?
Yes____ No____
4) Have you been involved in raising, investigating, or resolving a Code
of Conduct issue?
Yes____ No____
5) Do you wish to raise a Code of Conduct issue for corrective action in this certificate? If so, please describe the issue here.
For questions 1, 2, and 3 if you have answered “no”, please provide
a detailed explanation.
Do you have any additional comments?
Name: ______________________________________________________________
Title: _______________________________________________________________
Date: _______________________________________________________________
Provided By DLA Piper