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Conflict Minerals Reporting Template (CMRT) | ||||||||||
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English | Revision 6.3 May 5, 2023 |
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| The purpose of this document is to collect sourcing information on tin, tantalum, tungsten and gold used in products | Link to Terms & Conditions | ||||||||||
| A | |||||||||||
| Mandatory fields are noted with an asterisk (*). Consult the instructions tab for guidance on how to answer each question. | |||||||||||
| Company Information | |||||||||||
| Company Name (*): | Metal Surfaces International, LLC. | ||||||||||
| Declaration Scope or Class (*): | A. Company | ||||||||||
| Description of Scope: | Company-wide | ||||||||||
| Company Unique ID: | DUNS 00-835-8145 | ||||||||||
| Company Unique ID Authority: | |||||||||||
| Address: | 6060 Shull St, Bell Gardens, CA 90201 USA | ||||||||||
| Contact Name (*): | Sam Bell | ||||||||||
| Email – Contact (*): | sbell@metalsurfaces.com | ||||||||||
| Phone – Contact (*): | 562-927-1331 | ||||||||||
| Authorizer (*): | Sam Bell | ||||||||||
| Title - Authorizer: | Environmental Compliance Manager | ||||||||||
| Email - Authorizer (*): | sbell@metalsurfaces.com | ||||||||||
| Phone - Authorizer: | 562-927-1331 | ||||||||||
| Effective Date (*): | 16-May-2023 | ||||||||||
| Answer the following questions 1 - 8 based on the declaration scope indicated above | |||||||||||
| 1) Is any 3TG intentionally added or used in the product(s) or in the production process? (*) | Answer | Comments | |||||||||
| Tantalum | No | ||||||||||
| Tin (*) | Yes | ||||||||||
| Gold (*) | Yes | ||||||||||
| Tungsten | No | ||||||||||
| 2) Does any 3TG remain in the product(s)? (*) | Answer | Comments | |||||||||
| Tantalum | |||||||||||
| Tin (*) | Yes | ||||||||||
| Gold (*) | Yes | ||||||||||
| Tungsten | |||||||||||
| 3) Do any of the smelters in your supply chain source the 3TG from the covered countries? (SEC term, see definitions tab) (*) | Answer | Comments | |||||||||
| Tantalum | |||||||||||
| Tin (*) | Yes | Four of our reporting Tin suppliers have stated that smelters in their supply chain have obtained Tin from affected areas but are required to comply with Dodd Frank and RMI requirements. | |||||||||
| Gold (*) | No | ||||||||||
| Tungsten | |||||||||||
| 4) Do any of the smelters in your supply chain source the 3TG from conflict-affected and high-risk areas? (*) | Answer | Comments | |||||||||
| Tantalum | |||||||||||
| Tin (*) | Yes | Four of our reporting Tin suppliers have stated that smelters in their supply chain have obtained Tin from affected areas but are required to comply with Dodd Frank and RMI requirements. | |||||||||
| Gold (*) | No | ||||||||||
| Tungsten | |||||||||||
| 5) Does 100 percent of the 3TG (necessary to the functionality or production of your products) originate from recycled or scrap sources? (*) | Answer | Comments | |||||||||
| Tantalum | |||||||||||
| Tin (*) | No | ||||||||||
| Gold (*) | No | ||||||||||
| Tungsten | |||||||||||
| 6) What percentage of relevant suppliers have provided a response to your supply chain survey? (*) | Answer | Comments | |||||||||
| Tantalum | |||||||||||
| Tin (*) | Greater than 90% | ||||||||||
| Gold (*) | 100% | ||||||||||
| Tungsten | |||||||||||
| 7) Have you identified all of the smelters supplying the 3TG to your supply chain? (*) | Answer | Comments | |||||||||
| Tantalum | |||||||||||
| Tin (*) | Yes | ||||||||||
| Gold (*) | Yes | ||||||||||
| Tungsten | |||||||||||
| 8) Has all applicable smelter information received by your company been reported in this declaration? (*) | Answer | Comments | |||||||||
| Tantalum | |||||||||||
| Tin (*) | Yes | ||||||||||
| Gold (*) | Yes | ||||||||||
| Tungsten | |||||||||||
| Answer the Following Questions at a Company Level | |||||||||||
| Question | Answer | Comments | |||||||||
| A. Have you established a responsible minerals sourcing policy? (*) | Yes | ||||||||||
| B. Is your responsible minerals sourcing policy publicly available on your website? (Note – If yes, the user shall specify the URL in the comment field.) (*) | Yes | ||||||||||
| C. Do you require your direct suppliers to source the 3TG from smelters whose due diligence practices have been validated by an independent third party audit program? (*) | Yes | ||||||||||
| D. Have you implemented due diligence measures for responsible sourcing? (*) | Yes | ||||||||||
| E. Does your company conduct Conflict Minerals survey(s) of your relevant supplier(s)? (*) | Yes, in conformance with IPC1755 (e.g., CMRT) | ||||||||||
| F. Do you review due diligence information received from your suppliers against your company’s expectations? (*) | Yes | ||||||||||
| G. Does your review process include corrective action management? (*) | Yes | ||||||||||
| H. Is your company required to file an annual conflict minerals disclosure? (*) | No | ||||||||||
| © 2023 Responsible Minerals Initiative. All rights reserved. | |||||||||||