to: / Clothes Washer Verification Program Participants
from: / Ralph Hudnall, Director Project Certification and Verification
CA: / Chuck Samuels
date: / December 27, 2018
subject: / CERTIFIED PRODUCTION SURVEY

The AHAM Clothes Washer Verification Program requires that participants in the program complete a Certified Production Survey annually so that testing and administrative fees for the upcoming calendar year can be accurately determined. The information provided in the survey is kept confidential within AHAM.

Attached is a survey sheet to be completed for program year 2012-2013. The first section addresses reporting your actualcertified shipment volume for the twelve-month period of July 1, 2011 through June 30, 2012. The second section is concerned with reporting the total number of model groupsof clothes washers as of October 1, 2011 (the beginning of the program year). Participants will be required to pay the initialtesting fees at the beginning of each program year. Participation fees will be invoiced quarterly during the calendar year based on the fees shown on the attached survey form. Administrative fees will be invoiced quarterly for the 2013 calendar year based on the fees shown on the attached survey form.

Please note that “Officer Verification” is required to verify all figures reported to AHAM Verification Programs for accuracy and completeness.

It is very important that the survey is returned by the due date.

If you believe that the survey should be directed to someone else within your organization, please forward the survey to that individual and immediately notify Jessica Bibins via e-mail at . Thank you for your cooperation.

INSTRUCTIONS

  1. Review instructions and Guidelines.
  2. Fill out Certified Production Survey as described on the form.
  3. Review Billing Information.
  4. Have an officer execute the Officer Verification Form.
  5. Return Certified Production Survey and Officer Verification Form to:

Peter Frank, Vice President, Finance and Administration

AHAM Accounting Department

Association of Home Appliance Manufacturers

1111 19th Street NW Suite 402

Washington, DC 20036

FAX: (202) 872 9354

E-MAIL:

GUIDELINES FOR OUTSOURCED UNIT PRODUCT REPORTING

Please use the following guidelines to determine which entity involved in an outsourcing agreement is responsible for reporting and ensuring payment of the verification program fees.

1.If a Licensee buys products from another Licensee, the manufacturing licensee is responsible for the resulting verification fees and must therefore include the outsourced units in its own production figures (i.e., count the outsourced units as their own production).

2.If a Licensee buys products from a non-licensee, the Licensee is responsible for the resulting verification fees and must therefore include the outsourced units in its product figures (i.e., count the outsourced units as their own production).

3.A retailer who is a private brand owner and purchases units from both Licensee and non-Licensee manufacturers must be a Program Licensee and must claim the units manufactured by the non-Licensee as its production and will be responsible for all fees associated with these models.

4.In the case of an alternative arrangement (i.e., selling licensee agrees to pay the verification fees), the purchasing licensee has the ultimate responsibility of ensuring the outsourced product production data is properly reported and verification fees are paid.

BILLING INFORMATION

  • January through June verification participation fees will be invoiced upon startup. 3rd and 4th quarter participation fees will be invoiced at the beginning of their respective quarters.
  • Theinitial testing fee will be invoiced uponreceipt of the completed Production Survey.
  • The Testing fees are:
  • $2,850 for Manual Fill units
  • $3,750 for Adaptive Fill units
  • $4,850 for Combination (Manual and Adaptive Fill) units.

AHAM CLOTHES WASHER VERIFICATION PROGRAM

CERTIFIED PRODUCTION SURVEY

RETURNwith License Agreement by July 31, 2012

OPTIONS FOR RETURNING COMPLETED FORMS

Via E-MAIL to Peter Frank at

OR

Via FAX to Peter Frank at FAX No.: (202) 872 9354.

Send Invoices to:
Company / Name
Contact Person / Address
Title
Phone # / Email:
Calculate Participation Fees—reporting period July 1, 2011-June 30, 2012
  1. Enter your company’s clothes washer shipments in both the U.S. and Canada during the twelve (12) months period July 1, 2011 thru June 30, 2012.

  1. Determine the Participation Fee:
Shipments < 82,000:
Enter the minimum fee of $2500 for AHAM members
Enter the minimum fee of $5000 for non-members
(a) Shipments 82,000 to 1,000,000: Multiply total shipments in #1 by:
0.0305 for AHAM members
0.0610 for non-members
(b) Shipments 1,000,000: Multiply total shipments in #1 less 1,000,000 by:
0.0275 for AHAM members
0.0610 for non-members / PARTICIPATION FEE:
(a) ( 1M shipments)
$______
PARTICIPATION FEE:
(b) (>1M shipments)
$______
TOTAL PARTICIPATION FEE (a+b)
$______
Calculate Number of Model Groups as of October 1, 2011
Determine the InitialTesting Fee:
Multiply number of Models to be tested (10% of Line 4 total rounded up to
whole number) by:
  • $2,850 for Manual Fill models x (# Basic models ______x 10%=RUWN) =
  • $3,750 for Adaptive Fill models x (# Basic models _____ x 10%=RUWN) =
  • $4,850 for Combination Fill models x (# Basic Models _____ x
10% = RWUN)
[Minimum of 2 units will be tested] [RUWN = Round Up to Whole Number]
*Selection of multiple samples for ENERGY STAR® may result in additional testing fees. Invoice will be for actual testing fees based on model selection by program lab. / TESTING FEE:
(Manual Fill)*
$______
(Adaptive Fill)*
$______
(Combination Fill)*
$______

OFFICER VERIFICATION

I have examined the attached Confidential Certified Production Survey information and billing information. In accordance with the instructions and definitions contained on this form, to the best of my knowledge the information presented on this form is complete and accurate.

Signed
Printed
Title
Date