ACKNOWLEDGMENT / COMPLIANCE CERTIFICATE
CONFIDENTIAL INFORMATION & BUSINESS ETHICS AND CONDUCT
I have read the preceding policies relating to Confidential Information and Business Ethics and Conduct, which among other things, restates the policies of XYZ Company., prohibiting certain activities deemed illegal, unethical or against the best interest of the Company.
I accept and agree to the restrictions stated in such Policies. I hereby certify that I have complied with such Policies and to the best of my knowledge, all employees under my direct supervision are aware of the policies and are in compliance with its terms.
Date _________________ Signature_______________________
SS# __________________ Name _________________________
Outside Investments or Activities (Please List)