Berg Chilling System Inc. Phone+01-416-755-2221

BERG Chilling Systems Inc
51 Nantucket Blvd. Toronto, Ontario Canada M1P 2N5
Telephone: +01 (416) 755-2221
Fax: +01 (416) 755-3874
E-mail: bergsales@berg-group.com

To facilitate efficient communications between you and Berg Chilling Systems we request that you enter your information in the form below. Your information will be reviewed within the next two business days and a Berg representative will contact you thereafter.

**Part 1 Supplier Identification & Administrative Details**
Supplier:		Phone :
Address Line 1 :		Fax :
Address Line 2 :
Contact:		Title :

Number of years in business:

Shop Union:	Yes	No	Union Name:
Office Union:	Yes	No	Contract Renewal Date(M / D / YYYY):

Location of Manufacturing Facilities	Products Distributed From



Your Major Competitors	Existing Distribution Channels



Are E.D.I. capabilities available?	Yes No

**Part 2 Quality System - Section 1: ISO 9000-Requirements for QS9000**
Does the company have a registered quality system? Yes No
If “yes”, specify the standard, registration body and date of registration
Line 1 :
Line 2 :
Fax a copy of the company registration certificate. If ISO9001 registered, proceed to Part 3.0
If “No”, specify if it is the company’s intent to obtain registration, expected registration date and attach a copy of the plan for obtaining registration:

Proceed with the remainder of this section. If the products are manufactured by another company, describe on a separate piece of paper the procedures in place ensuring product conformance to specifications. Attach any supporting documentation.

Title: Supplier Assessment	Page No.1	S.O.P. #
DATE: September 19 2007	REVISION: 3	MATERIAL CONTROL
ORIGINATOR: Rebecca Court	APPROVED: Rebecca Court

**Are documented procedures / work instructions in place to ensure the following:**
Differences from tenders and contracts are resolved?	Yes	No
Suppliers are selected on their ability to meet specified requirements?	Yes	No
The control and verification of the design of the product in order to ensure that the specified requirements are met?	Yes	No
Purchased product conforms to specified requirements?	Yes	No
That customer-supplied product provided for incorporation into the supplies or for related activities is verified, stored and maintained?	Yes	No
Products are identified to ensure traceability?	Yes	No
That processes are carried out under controlled conditions?	Yes	No
Raw materials are inspected and tested prior to further use?	Yes	No
In-process inspection and testing of product?	Yes	No
Final inspection of finished products against specifications?	Yes	No
Manufacturing operations are understood and controlled?	Yes	No
Quality control is performed at specific stages of the manufacturing operations?	Yes	No
Preventive maintenance is carried out as per a planned schedule?	Yes	No
Inspection, qualification or calibration of measuring and test equipment used in the manufacturing process and quality control?	Yes	No
Segregation and identification of non-conforming products to prevent inadvertent use or delivery?	Yes	No
Root causes for non-conforming products/services are investigated and corrective actions taken to prevent recurrence?	Yes	No
Proper handling, storage, packaging and delivery of products?	Yes	No
Documented internal quality audits are performed at specified time intervals?	Yes	No
Training needs are identified and that training is provided for all personnel performing activities affecting quality?	Yes	No
That servicing (if appl.) meets the specified requirements?	Yes	No
The identification of the need for statistical techniques required for establishing, controlling and verifying process capability and product characteristics?	Yes	No

**Are quality records maintained and accessible to customers for the following activities:**
Incoming inspection and testing?	Yes	No
In-process quality control?	Yes	No
Finished product final inspection and testing?	Yes	No
Preventive maintenance?	Yes	No
Inspection, qualification & calibration of test & measuring equipment?	Yes	No
Corrective actions for customer complaints & internal non-conformance?	Yes	No
Corrective actions for vendor complaints?	Yes	No
Internal & external quality audits?	Yes	No
Employee training?	Yes	No
What length of time are documents regarding customer orders are maintained?	Yes	No
Will the Supplier notify the customer of any product specification changes prior to shipping the products to the customer sale’s locations?	Yes	No
Does the company fleet and / or preferred carrier maintain a preventive maintenance program on delivery trucks?	Yes	No
Are key variables identified for the use of statistical techniques?	Yes	No
Does the Supplier agree to allow the customer representatives to conduct a partial or complete quality audit at the manufacturing facilities?	Yes	No

Title: Supplier Assessment	Page No.2	S.O.P. #
DATE: September 19 2007	REVISION: 3	MATERIAL CONTROL
ORIGINATOR: Rebecca Court	APPROVED: Rebecca Court

Are opportunities for quality & productivity identified and the appropriate improvement projects implemented?	Yes	No
Are the appropriate measures and methodologies used as techniques for continuous improvement(i.e. control charts, benchmarking, design of experiments, etc)?	Yes	No

**Part 3 Purchasing Arrangement**
Minimum Order:
Minimum order for prepaid freight:
F.O.B. point:

**Product Returns Policy**
Any quantity, within 12 months of first order, with no restocking fee?	Yes	No
Cheque (not credits) issued for returns at this company’s request?	Yes	No
Price change notice?	Yes	No
Itemized change?	Yes	No

**Supplier Credentials**
Name :
Description of the Components or Parts : (1000 Characters Maximum)
Email Address :
Title :

BERG Chilling Systems Inc. - Toronto Ontario Canada Industrial Refrigeration / Commercial Refrigeration / Process Pumps / Process Cooling Systems / HVAC Systems / Cooling Towers Tel: +01 (416) 755-2221 Fax: +01 (416) 755-3874 Email: bergsales@berg-group.com

Company Category :	Manufacturer	Manufacturer’s Agent	Distributor
Legal Status:	Incorporated Co.	Registered Partnership	Private
			Public