Pre-employment Statement

Please read carefully and sign the statement below.

I understand and agree that:

1. The information that I have provided on this application is true and complete to the best of my knowledge. Any misrepresentation or omission of any fact in my application, resume, or any other materials, or during interviews, can be justification for refusal of employment, or if employed, termination from Berendsen Fluid Power's employ.

2. Any offer of employment I may receive from Berendsen Fluid Power is contingent upon my successful completion of the company's total pre-employment screening process, including the company's receiving references that it considers satisfactory and my satisfactory completion of any post-offer pre-employment medical examination that the company may require. I also agree, if employed, to submit to a medical examination at any time at the company's request. I hereby consent to having the results of any post-offer pre-employment or post-employment medical exams I may be required to take disclosed to Berendsen Fluid Power.

3. I understand that as a condition of employment, I may be required to undergo and successfully pass a screening for alcohol and/or drugs. I also understand and agree that, If employed, I may be required to submit to an alcohol or drug screening at any time at the discretion of Berendsen Fluid Power. I hereby consent to having the results of any such alcohol or drug screening I may be required to undergo disclosed to Berendsen Fluid Power.

4. In processing my application for employment, the company may verify all the information provided by me, or may procure or have prepared a consumer or an investigative consumer report for this purpose concerning my prior employment, military record, education, character, general reputation, personal characteristics, criminal record, and mode of living. I understand that upon written request to the company, I will be informed whether an investigative consumer report was requested and given full information as to the nature and scope of this investigation.

5. I authorize and request that all of my present and former employers and those individuals listed as personal references furnish information about my employment record, including a statement of reason for the termination of my employment, work performance, abilities, and other qualities pertinent to my qualification for employment, hereby releasing them from any and all liability for damage arising from furnishing the requested information.

6. In consideration of my employment, I agree to comply with the policies, rules, regulations, and procedures of the company and understand that my employment and compensation can be terminated with or without cause or notice at any time at either my option or the company's option. I further understand that no manager or representative of the company, other than the President, General Counsel, or Vice President, Human Resources, has any authority to enter into any agreement with me for employment for any specified period of time or make any agreement, if made, shall be enforceable if it is in writing and signed by me and by one of the individuals designated above.

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