SUPPLIER SUBSTANCE DECLARATION FOR BATTERIES Under its sole responsibility, Supplier declares to Intermec Technologies Corporation that: 1. Its processes and procedures conform to the requirements of Module A of the DECISION No 768/2008/EC OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL of 09 JUL 2008, and that its manufacturing processes, that are under its control, are consistent with 637346 Intermec RoHS Compliance Requirements, latest revision, and 633070 Intermec Battery Compliance Requirements, latest revision, and the substance limits listed below and that these processes have been followed in the manufacture of the product(s) listed below. 2. It has performed documented due diligence establishing that the materials incorporated into the product(s) listed below have been confirmed as 637346 & 633070 compliant upon receipt of the materials at its facility. 3. It has performed documented due diligence confirming that any materials or components selected by the Supplier for the product(s) listed below are 637346 & 633070 compliant prior to inclusion in the Bill of Materials (BOM). 4. Any component that Supplier cannot confirm upon receipt is compliant with 637346 & 633070 is listed in a Table of Exceptions attached to this declaration. (If all components are confirmed as 637346 & 633070 compliant per points 2 and 3, indicate N/A in the table of exceptions.) The components listed in the Table of Exceptions will be 1 considered outside the declaration for the supplier. 5. The documented due diligence referenced in points 2 and 3, above, will be maintained as an auditable record, accessible by Intermec Technologies upon request for a minimum of 10 years from date of shipment of the product listed below. Supplier is making this declaration solely to Intermec Technologies Corporation. If it is discovered that a product provided by the Supplier does not comply with 637346 & 633070, and the offending part is not listed by Supplier in the table of exceptions, Supplier’s responsibility will be limited to replacement of the product so long as Supplier has acted in good faith in acquiring the components for and in manufacturing the products listed.

Batteries and Battery Packs ONLY Name: Supplier

Address:

Intermec Part Number

Description

For this material, part or product, please enter: Manufacturer’s Name: Current Part Number: Previous Part Number: Please note: If you are the manufacturer, enter your name and part numbers

Authorized Signature: Title: Date: 1

Supplier must IN ALL CASES have provided this information to Intermec Technologies PRIOR to building the product, and must have received confirmation from Intermec Technologies that the product may be built with these unconfirmed components. Supplier assumes responsibility for any such components purchased, or products built prior to receipt of confirmation from Intermec Technologies. Supplier is responsible for making reasonable efforts to acquire the appropriate evidence that the components in question comply.

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SUPPLIER SUBSTANCE DECLARATION FOR BATTERIES Substance Disclosure for Battery Packs (All battery pack components outside the battery cells) (See: Intermec Doc # 637346 Intermec RoHS Compliance Requirements)

Intermec Part Number

Description

I. Restricted Substances (All battery pack components outside the battery cells) Enter “O” in the field below the name of the restricted substance if the Intermec Part Number contains LESS than, or equal to, the Maximum Concentration Value (MCV) of that restricted substance BY WEIGHT in the related homogenous material(s) used for this part. Enter “X” if the Intermec Part Number contains MORE than the MCV of the restricted substance. Lead Mercury Cadmium Chromium PBB PBDE HBCDD DEHP BBP DBP 6+ After 01JUL2014 After 01JUL2014 After 01JUL2014 After 01JUL2014 (Pb) (Hg) (Cd) VI (Cr ) MCV=0.1% MCV=0.1% MCV=0.01% MCV=0.1% MCV=0.1% MCV=0.1% MCV=0.1% MCV=0.1% MCV=0.1% MCV=0.1%

II. Exemptions For each entry marked with “X” in the above table, please identify the exemption covering that substance’s application

“X” # Exemption Name 1 Lead in steel containing up to .35% lead by weight 3 Lead as a copper alloy cont. up to 4% lead by weight

“X” # Exemption Name 2 Lead in Aluminum containing up to .4% lead by weight 4 Lead in high-temp solder containing > 85% lead Mercury in cold cathode fluorescent lamps and external electrode fluorescent lamps (CCFL and EEFL) for special 6 purposes: Short length (≤ 500 mm): Not exceeding 3.5 mg per lamp after 31 DEC 2011

Lead in solders for fixed-location Access Points and fixed 5 location RFID readers

X X

7 NOTE: DecaBDE Exemption deleted

X

III. Intentionally Added Mercury (All battery pack components outside the battery cells) Enter data into this table only if Mercury has been added intentionally to a part so it can perform its intended function

Component or Assembly P/N (e.g. Intermec P/N of a Display)

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Description of the Part Containing the Mercury (e.g. Cold Cathode Fluorescent Lamp (CCFL))

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Number of Parts mg Hg per P/N per Part

SUPPLIER SUBSTANCE DECLARATION FOR BATTERIES Substance Disclosure for Batteries and Battery Cells (See: Intermec Doc # 633070 Intermec Battery Compliance Requirements)

Intermec Part Number

Description of Battery

IV. Restricted Substances (All batteries except button cell batteries) Enter “O” in the field below the name of the restricted substance if the battery cell contains LESS than, or equal to, the Maximum Concentration Value (MCV) of that restricted substance BY WEIGHT (% = weight of substance / weight of battery cell * 100) Enter “X” if the battery cell contains MORE than the MCV of the restricted substance.

Lead in primary Mercury Cadmium batteries (Pb) (Hg) (Cd) MCV=0.004% MCV=0.0001 % MCV=0.0005%

Not used

Not used

Not used

V. Restricted Substances (All button cell batteries) Enter “O” in the field below the name of the restricted substance if the button cell contains LESS than, or equal to, the Maximum Concentration Value (MCV) of that restricted substance BY WEIGHT (% = weight of substance / weight of button cell * 100) Enter “X” if the button cell contains MORE than the MCV of the restricted substance.

Lead in primary batteries (Pb) MCV=0.004%

Mercury (Hg) MCV=2.0%

Cadmium (Cd) MCV=0.0005%

Lead in primary Mercury Cadmium batteries (Pb) (Hg) (Cd) MCV=0.004% MCV=0.0001 % MCV=0.0005%

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Until 31 DEC 2016 Not used

Not used

Not used

From 01 JAN 2017 Not used

Not used

Not used

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SUPPLIER SUBSTANCE DECLARATION FOR BATTERIES Note: A new declaration is required for all part number changes, including dash number and revision changes. Supplier may be directed to provide a new declaration for other changes as indicated by Intermec Technologies. TABLE OF EXCEPTIONS Intermec Part # Intermec Part Description Mfg. Part Num.

Mfg. Part Description

If there are more components than can fit on this sheet, attach additional sheets For Intermec Technologies use only: Intermec confirmation of due diligence in component selection for listed exception components.

Intermec Engineering Representative: (Printed Name)

(Title)

(Signed)

(Date)

Signature:

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SUPPLIER SUBSTANCE DECLARATION FOR BATTERIES INSTRUCTIONS For this Item …

Enter …

Page 1

Identification and Signature

Supplier Name Supplier Address Intermec Part Number Intermec Description Manufacturer’s Name

Official name of your company Mailing address of your company The part number Intermec uses when buying this battery or battery pack The description Intermec uses when buying this battery or battery pack 1. Name of the manufacturer supplying the part or material to your company 2. If your company manufactures this part or material, enter the name of your company

Manufacturer’s Current Part Number Manufacturer’s Previous Part Number Authorized Signature Title Date

The manufacturer’s currently used part number If the manufacturer’s part number has changed recently or with this Declaration, enter the previously used part number Signature of the person authorized by your company to sign this Declaration Official title of the person signing this Declaration Date the authorized person has signed this Declaration

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Substance Disclosure for Battery Packs (All components outside the battery cells

Intermec Part Number Intermec Description

Enter Battery PACK part number (Same part number as entered on the signature page) Enter Battery PACK Description (Same description as entered on the signature page)

I. Restricted Substances (All products and components except battery cells)

Comment: This table lists the currently defined Restricted Substances with their associated Maximum Concentration Values (MCV) Comment: See section Restricted Substances in Intermec document # 637346 Intermec RoHS Compliance Requirements

Table of Restricted Substances and associated MCV

Abbreviated substance names: PBB = Polybrominated Biphenyls; PBDE = Polybrominated Diphenyls; HBCDD = Hexabromocyclododecane; DEHP = Di(2-ethylhexyl) phthalate; BBP = Butylbenzyl phthalate; DBP = Dibutyl phthalate In the field below the name of a restricted substance: 1. If the Intermec Part Number contains LESS than, or equal to, the MCV of that restricted substance, enter “O” 2. If the Intermec Part Number contains MORE than the MCV of the restricted substance, enter “X”

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SUPPLIER SUBSTANCE DECLARATION FOR BATTERIES INSTRUCTIONS For this Item …

Enter … Comment: This table lists commonly used RoHS exemptions for convenience. Comment: See section Exemptions in Intermec doc # 637346 Intermec RoHS Compliance Requirements If in Table I. Restricted Substances at least one of the restricted substances has been marked with an “X”, an entry in this table MUST be made: 1. Find the applicable exemption in this table and enter “X” in the box in front of it. 2. If none of the pre-printed authorized exemptions applies, enter in one of the blank Exemption Name fields the official RoHS exemption number and the official description of the exemption that does apply. 3. If no exemption exists for this application, enter in one of the blank Exemption Name fields “No exemption available for this (name of restricted substance) application”. Example: “No exemption available for this Cadmium application”

II. Exemptions

Table of Exemptions

III. Intentionally Added Mercury (All products and components except battery cells)

Comment: For detailed Mercury-Added information see Intermec document # 632625 Mercury-Added Compliance Requirements Comment: For the definition of the expression “intentionally added” see section Definitions in Intermec document # 637346 Intermec RoHS Compliance Requirements 1.

Component or Assembly P/N (Part Number)

Description of the Part Containing the Mercury

Number of Parts per P/N

mg Hg per Part

If this declaration is about an individual Mercury-added part, enter the Intermec part number of that part Example: Individual Mercury-added switch 2. If the Mercury-added part belongs to an assembly but can be replaced individually, enter Intermec’s part number of the individual part Example: Replaceable Mercury-added switch in a base assembly 3. If the Mercury-added part belongs to an assembly and cannot normally be replaced individually, enter the Intermec part number of that assembly Example: CCFL in Liquid Crystal Display (LCD) Description of the Mercury-added part regardless whether this part has an Intermec part number Example: CCFL Number of Mercury-added parts contained in the part number entered in this table. Examples: If the part number is –  A Mercury-added part by itself, enter “1”  A base containing 1 Mercury-added switch, enter “1”  An LCD using 2 CCFL for backlighting, enter “2”.  An LCD using 1 CCFL for backlighting, enter “1”. The amount of Mercury contained in the individual Mercury-added part, in milligrams Example: For a CCFL containing 2.5 mg Mercury (Hg) each, enter “2.5”

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SUPPLIER SUBSTANCE DECLARATION FOR BATTERIES INSTRUCTIONS For this Item …

Enter …

Page 3

Substance Disclosure for All Batteries and Battery Cells Except Button Cells

Intermec Part Number Intermec Description VI. Restricted Substances (All batteries except button cell batteries) Table of Restricted Substances and associated MCV Page 3

Enter part number of the battery or cell Enter description of the battery or cell Comment: This table lists the currently defined Restricted Substances with their associated Maximum Concentration Values (MCV) Comment: See section Restricted Substances in Intermec document # 633070 Intermec Battery Compliance Requirements In the field below the name of a restricted substance: 3. If the Intermec Part Number contains LESS than, or equal to, the MCV of that restricted substance, enter “O” 4. If the Intermec Part Number contains MORE than the MCV of the restricted substance, enter “X” Substance Disclosure for All Button Cells Comment: This table lists the currently defined Restricted Substances with their associated Maximum Concentration Values (MCV) Until 31 DEC 2016, you may use the table labeled “Until 31 DEC 2016” From 01 JAN 2017, you must use the lower table labeled “From 01 JAN 2017” Comment: See section Restricted Substances in Intermec document # 633070 Intermec Battery Compliance Requirements In the field below the name of a restricted substance: 5. If the Intermec Part Number contains LESS than, or equal to, the MCV of that restricted substance, enter “O” 6. If the Intermec Part Number contains MORE than the MCV of the restricted substance, enter “X”

V. Restricted Substances (All button cell batteries) Table of Restricted Substances and associated MCV

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