KTC Huntersville New Supplier Application Packet

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1 KTC Huntersville New Supplier Application Packet 1. Please note, this is an application to become an Approved Supplier for the Charlotte / Huntersville facility of Keller Technology only. Applications for the Buffalo facility must be completed and filed separately per instructions on the Supplier page. 2. To apply for the KTC-H approved Supplier Program, first read all FAQ s on the Supplier page. 3. Complete the forms below with all current, accurate, and available information. Commercial suppliers should only complete pages 1 & 2. Sub, fabrication, plating and all other specialty suppliers must complete all pages. If you are unsure of your category as a supplier, complete all pages. 4. Once completed, attach the application packet, a current W-9 form and any relevant documentation or certifications and to: HuntersvilleSuppliers@kellertechnology.com 5. Please note: Submission of an application does not guarantee approval. We only purchase from Approved Suppliers however, Approved Suppliers are not guaranteed orders on approval. Orders are placed based on business need. Approved Suppliers will be contacted when they are added to the Approved Supplier List Due to volume of applications, we are unable to contact suppliers who are not approved. Please do not call or with follow-ups.

2 New Supplier ERP Submission Form Contact Information Supplier Name Contact Person Phone Fax Remit Address Street Address City, State, Zip Purchase Point Address Street Address City, State, Zip Dun & Bradstreet Number Preferred Payment Terms DOC Page 1 of 1 REV-1

3 KTC Supplier Assessment Form Form must be complete, please do not leave fields blank Contact Information Supplier Name: Phone #: Fax #: Mailing Address: City: State: Zip: Shipping Address: City: State: Zip: General Information Years in Business: Office Employees: Direct Employees: Facility Square Footage: Own or Lease: Available Shifts: Supplier Ethics & Labor Conformity Keller Technology Corporation mandates that all of its U.S. based approved suppliers conform to all United States government laws & regulations concerning fair hiring, wage, labor, and environmental protection practices including but not limited to the exclusion of any business practices which encourage or involve: Use of or trade in conflict minerals Illegal waste management practices Illegal storage or dumping of hazardous materials Child Labor Human trafficking Indentured servitude Forced labor As a KTC approved supplier, certifies its adherence to all applicable U.S. laws and regulations concerning labor and environmental protection. Supplier Representative: DOC rev 3 Page 1 of 4

4 Administrative Organization President: Sales Contact: Quality Manager: Production Manager: Business Profile Operational Manual: ISO Certified: Additional Certifications: Quality Manual: Lean Mfg Training: Inspection Department Number of Employees: Equipment Calibration Schedule (yes/no): Inspection Equipment: Dept. Square Footage: Calibration Equipment Labeled (yes/no): Additional Comments: Areas Covered By Suppliers Quality Assurance Manual Procurement Final Inspection Measuring & Test Equipment Receiving Inspection Corrective Actions Nonconforming Material In-Process Inspection Material Handling, Storage, Packaging, & Delivery Comments: DOC rev 3 Page 2 of 4

5 Production Area Dept. Square Footage: Cleanliness (good/poor): Organized Work Areas: Equipment Condition (good/average): Products Clearly Identified (yes/no): Raw Material Clearly Identified (yes/no): Material & Product Stored Properly (clean, dry, & organized): Comments: Individual Responsible for completing this form: Name: Position: Capabilities (check all that apply) CNC Turning Up to Ø6" x 14" Up to Ø12" x 30" Larger than Ø12" x 30" Manual Turning Up to Ø6" x 14" Up to Ø12" x 30" Larger than Ø12" x 30" Wire EDM Up to 12 x 12 x 12 Up to 30 x 30 x 30 Larger than 30 x 30 x 30 Heavy Presses Up to 25 tons Up to 50 tons Up to 100 tons (or greater) DOC rev 3 Page 3 of 4

6 Tolerance Capability Loose Medium Tight Can hold dimensional tolerances accurate to ±.01"/.25mm Can hold dimensional tolerances accurate to ±.005"/.125mm Can hold dimensional tolerances accurate to ±.0005"/.025mm CNC Milling Horizontal Vertical Manual Milling CNC Laser CNC Punch CNC Brake Sheet Metal Small Machining In-House Painting Tig Welding Mig Welding Surface Grind Blanchard Grind Plasma Cutting Water Jet In-House Plating / Anodizing Specialty Manufacturing Please describe all other specialty capabilities, equipment or certifications not already outlined: DOC rev 3 Page 4 of 4

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