Guidance document on Off-Road Compression-Ignition Engine Emission Regulations: appendix D

Appendix IV: example of a statement of compliance letter for Canada-unique transition engines

Example of a statement of compliance letter referenced in G.5.3 for submission of evidence of conformity to the regulations for Canada-unique transition engines. This consists of an original signed letter from an authorized representative of the company.

[Canadian company identification]

[Canadian business number]

[Insert date]

Director, Transportation Division
Energy and Transportation Directorate
Environment Canada
351 Saint-Joseph Boulevard
Gatineau QC  K1A 0H3

Dear Director:

Re: Submission of evidence of conformity pursuant to paragraph 17(1)(b) of the Off-Road Compression-Ignition Engine Emission Regulations for the engine family: [engine family of the engine(s)].

[Canadian company name] intends to [import OR manufacture] for the purpose of sale in Canada, [model year of engine] [make of engine] transition engines mentioned below, which [are OR will] be installed in the machines identified below. The machine model(s) [will OR will not] be sold concurrently in the United States. The subject transition engine, a Tier [tier of engine] engine, [was OR was not] covered by a certificate of conformity issued by the U.S. Environmental Protection Agency. The subject transition engines [are OR will be] installed in transition machines by the following machine manufacturer:

[Machine manufacturer name]

[Machine manufacturer address]

Description of the machine(s) and its/their engine(s)
Machine(s) Type Make Model Model Year Engine(s) Model Gross power

[Canadian company name] attests that all its subject transition engines of this engine family comply with all applicable standards set out in the Off-Road Compression-Ignition Engine Emission Regulations made under the Canadian Environmental Protection Act, 1999. [Canadian company name]’s evidence of such conformity, including a detailed description of the subject transition engines [is attached OR has already been submitted to Environment Canada by engine manufacturer name]. [Canadian company name] also attests that the engines of this engine family are manufactured to the same specifications as those set out in the evidence of conformity and will bear an appropriate engine information label.

[Canadian company name]’s estimated projected Canadian sale will be of [number of transition engines] transition engines for this engine family and model year.

[Canadian company name] requests that Environment Canada acknowledge that the evidence of conformity has been obtained and produced in a form and manner satisfactory to the Minister.

As the signatory of this letter, I, [name], certify that I am authorized to act on behalf of [Canadian company name] concerning the engines of this engine family. Should you have any questions in regard to the information provided, please contact [name, position and company name].

[Parts (as listed)] of the information supplied in this package is/are classified as confidential.

[Insert name]
[Contact information]

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