Export Control Information and Declaration

Products which we produce may be controlled under U.S. export control laws or regulations.  For purposes of compliance with U.S. foreign trade regulations, customs regulations, export controls and economic sanctions, MICO, Incorporated requires that the information requested below be disclosed at time of quotation and/or order for all equipment, components, spare parts or technology (“Products”).

You further represent and warrant that the Products subject to your request for quotation or order will not be exported, re-exported, sold, or transferred in violation of: (a) the U.S. Export Administration Regulations; (b) the U.S. International Traffic in Arms Regulation (ITAR); (c) applicable U.S. sanctions and embargoes administered by the U.S. Department of Treasury; or (d) any other applicable U.S. or foreign laws or regulations. 

By signing below, you certify that all of the facts contained in this statement and any attached schedules are true and correct to the best of your knowledge, and you do not know of any additional facts that are inconsistent with the above statements.

We will not process your request if the information requested below is not furnished to us.

By selecting domestic use only, you hereby certify that the Product(s) subject to your request for quotation or order(s) issued to us is/are for domestic use only; and are not being purchased for sale or export outside the United States and will not be transferred or disclosed to anyone not authorized under U.S. law or regulation. In the event you subsequently transfer or disclose Products outside the United States or to foreign nationals within the United States you will do so in compliance with applicable United States laws and regulation.

Will the product be used for
If you answered yes to any one of these items, please contact MICO, Inc. immediately.

Are these goods being ordered specifically or predominantly for sale or supply to, use in, or the manufacture of goods intended for, in countries subject to United States embargoes or otherwise prohibited under applicable United States law without a specific license, including without limitation, Cuba, Iran, North Korea, Sudan, or Syria?

For any shipments where the final Intended End Use is listed as “general inventory,” “stock,” “rental pool” or other similar designation, have you confirmed that the items being purchased are not intended to fill an existing order or earmarked for a particular customer, and will ultimately remain in the destination country?