appendix i · web viewall antenna options should be provided along with spec sheets; including...

Radio Certification Testing and Application GuideBureau Veritas, Tel. 978.486.8880

COMPANY SPECIFIC INFORMATION1. Applicant Name & Address Contact Name

email:

Telephone #

Fax #:

2.* Canadian Representative Name & Address Contact Name

email:

Telephone #

Fax #:

Canadian Rep IC#:

3.* IC Company Number: 4.* FCC Grantee Code: 5.* FCC FRN:

PRODUCT SPECIFIC INFORMATION6. Product Name:7. Model Number:8.* Equipment Product Code: 8(a).* FCC ID: 9.* Unique Product Number (UPN): 9(a).* IC number: 9(b). Product Marketing Name (PMN): 9(c). Hardware Version Identification Number

(HVIN): 9(d). Host Marketing Name (HMN): 9(e). Firmware Version Identification Number

(FVIN):For further item 9) clarification, please refer to RSP-

100**See page 3 for Industry Canada definitions10. Type of Radio and Operating Frequencies☐RFID ☐SRD (Short Range Device) ☐OtherFrequency of Operation (if one of the above): ☐BT ☐BLE ☐ZigBee ☐Adaptive ☐ IEEE 802.11 (2.4GHz) ☐Adaptive 802.11b ☐802.11g ☐ 802.11n ☐ 20MHz ☐ 40MHz

APPLICATION EXHIBITS (Indicate exhibits supplied with this form)

Revision 3-20-18 *See Appendix for more information of 24


REQUIRED ITEMS SUPPLIED?Y N N/A

Certification AgreementAgency Authorization Letter(s)Request(s) for ConfidentialitySchematicsBlock DiagramOperational DescriptionBill of MaterialsTiming DiagramManualLabel InfoExternal PhotosInternal PhotosModular Approval ExhibitIC Rep Attestation Letter

☐ IEEE 802.11 (5GHz) ☐Adaptive ☐ UNII-1 5150MHz – 5250MHz



☐ UNII-2A 5250MHz – 5350MHz☐ UNII-2C 5470MHz – 5725MHz☐ UNII-35725MHz – 5850MHz802.11a ☐802.11n ☐ 20MHz ☐ 40MHz802.11ac ☐ 20MHz ☐ 40MHz ☐ 80MHz ☐ 160MHz11. Rated RF Output Power: Adjustable? (☐Yes ☐No)



12. Adaptivity, DFS, TPC If Adaptive (☐Load Based ☐Frame Based) If Non-adaptive please specify the following

Duty Cycle:Min Tx Gap Time:Max Tx Sequence Time:

DFS (Dynamic Frequency Selection) capability (☐Yes ☐No). If DFS capable please specify the following☐ Master device☐ Client device (with Radar Detection)☐ Client device (w/o Radar Detection)☐ Both Master and ClientStartup time:Startup delay:

TPC (Transmit Power Control) functionality (☐Yes ☐No)13.* Duty-Cycle (for pulsed emissions):

Data rate(s): Selectable (☐Yes ☐No)14. Extreme Operating Temperature: Min T: °C Max T: °C 15. EUT power rating: Min: Nominal: Max: ☐50Hz ☐60Hz ☐50/60Hz ☐Internal battery ☐External AC adapter ☐External DC adapter ☐3-phase

16.* Emission Designator: 17. Requested FCC/IC Rules Section:

ETSI EN Standard: 18.* ☐Portable ☐Mobile ☐Fixed

☐Indoor ☐Outdoor ☐Both Indoor and Outdoor19. Antennas:

List all antennas that will be marketed with the device: Antenna Type and Gain (dBi):

Number of transmit (TX) chains: Number of receive (RX) chains:20. Testing to cover voltages/frequencies for which countries? (Check all that apply) ☐ US/Canada ☐ EU ☐ Other (list all):



PRODUCT DESCRIPTION

(Please describe in general: What is the product? What is it for?, etc. Also include any potentially pertinent information not covered above.)

Industry Canada definitionsPMN The Product Marketing Name (PMN is the name or model number under which the product will be

marketed/offered for sale in Canada. If the product has PMN, it must be provided.UPN A Unique Product Number is assigned by the applicant to a product or a family of products to be

registered. The UPN makes up part of the ISED Registration Number.ISED Registration Number The ISED Registration Number is made up of a Company Number and a Unique Product Number.

HVIN The Hardware Version Identification Number (HVIN) identifies the hardware specs of a product version. HVIN replaces the IC Model Number. HVIN is required for all products for certification applications.

FVIN The Firmware Version Identification Number (FVIN) identifies the firmware version utilized by the product which controls/affects the RF characteristics of the product.

HMN The Host Marketing Name (HMN) is the name or model number of a final product which contains a certified radio module.



TESTING REQUIREMENTS

Note: Certain requirements below may be satisfied by providing multiple samples.Special software may be required to enable functionality listed below.

21. All ports MUST be populated with a representative cable. Acceptable justifications for leaving ports unpopulated are limited to: 1) Unsupported, 2) Diagnostic Only, or 3) Setup Only. All cables necessary to populate (and preferably terminate) each applicable port must be provided.

22. All equipment required to operate the device must be provided.a. List all Supporting Equipment:

23. EUT must be capable of transmitting in both modulated and unmodulated (CW) modes. Transmitters employing hopping or spreading must have the option to disable these functions for test purposes. For further details on specific technologies and standards please refer to Tables 1-6.

24. Transmitter must have provision to operate at 100% duty cycle (constant on).

25. Transmitter must be able to be set to max output power (if adjustable).

26. Transmitter must be channel selectable (if applicable; includes hoppers).

27. Transmitter must be data rate selectable for all supported rates (if applicable).

28. EUT must be able to be set to either TX or RX mode (or simultaneous operation).

29. Transmitter must have an antenna connector port adaptable to SMA in order to make conducted measurements for devices being tested to 15.247, Subpart E, and Licensed rule parts.

30. All antenna options should be provided along with spec sheets; including antenna cabling options. Only antennas of the types tested and listed in the application are allowed for use with the device.

31. Transmitter must operate stand-alone without “link” to another wireless device. Wired control connections are allowed.

32. A sample must be provided that allows for disassembly in order to take internal board photos. High resolution photos of both sides of all boards are required. RF “cans” and/or potting (if used) must be removed from the radio section.

33. Be prepared to leave the transmitter at Curtis-Straus until all approvals have been granted. We will ship everything back to you upon completion of the project.



Bluetooth Low Energy Test Modes for FCC 15.247 / Canada RSS-247 / ETSI EN300440Modes Operation Modulatio

nData Channels Conducte

d/Radiated

FCC/IC/EU

TX 100% duty-cycle (or close to 100%)

Yes Pseudo-random

0, 19, 39 Both All

CW Constantly transmitting unmodulated carrier

N/A N/A 0, 19, 39 Conducted EU only

RX Constantly receiving N/A N/A 0, 19, 39 Radiated EU only

Normal Operation

Configured for highest duty-cycle possible in normal operational mode

Yes Normal operation data

N/A – Normal operation

Either All

Table 1

Bluetooth Low Energy Test Modes for FCC 15.247 / Canada RSS-247 / ETSI EN300328Modes Operation Modulatio

nData Channels Conducte

d/Radiated

FCC/IC/EU

TX 100% duty-cycle (or close to 100%)

Yes Pseudo-random

0, 19, 39 Both All

RX Constantly receiving N/A N/A 0, 19, 39 Both EU only

Normal Operation

Configured for highest duty-cycle possible in normal operational mode

Yes Normal operation data

N/A – Normal operation

Either All

* For Ordinary Bluetooth (BR, EDR) test modes above are not required, but a test mode for connection to R&S CMW is required. Table 2

Bluetooth (BR, EDR) Test Modes for FCC 15.247 / Canada RSS-247 / ETSI EN300328For Ordinary Bluetooth (BR, EDR) a test mode usually referred to as “DUT/EUT Bluetooth Test Mode” for connection to our Bluetooth tester in the lab (R&S CMW) is required.

Table 3

WiFi 2.4GHz Test Modes for FCC 15.247 / Canada RSS-247 / ETSI EN300328Test

Configuration

FCC/IC/EU

Test Mode Data Rates Channels Conducted/

RadiatedTX All Constantly

transmitting (with modulation) at highest supported duty-cycle by the chip.

All data rates within the specific 802.11 scheme supported by the product.

Any channel within the specific 802.11 scheme supported by the product

Both

RX EU only Constantly N/A Any channel Both



receiving within the specific 802.11 scheme supported by the product

Table 4

WiFi 5GHZ Modes UNII-3 for FCC 15.407 / Canada RSS-247 / ETSI EN300440Modes

FCC/IC/EU

Operation Modulation

Data Rates Channels Conducted/Radiated

TX All Constantly transmitting (with modulation) at highest supported duty-cycle by the chip.

Yes All data rates within the specific 802.11 scheme supported by the product


Both

CW All Constantly transmitting unmodulated carrier

N/A N/A Any channel within the specific 802.11 scheme supported by the product

Conducted

RX EU only Constantly receiving


Both

Table 5

WiFi 5GHz Test Modes UNII-1 and UNII-2 for FCC 15.407 / Canada RSS-247 / ETSI EN301893

Modes

FCC/IC/EU

Operation Modulation

Data Rates Channels Conducted/Radiated

TX All Constantly transmitting (with modulation) at highest supported duty-cycle by the chip.

Yes All data rates within the specific 802.11 scheme supported by the product


Both

CW All Constantly transmitting unmodulated carrier


Conducted

RX EU only Constantly receiving


Both



* TPC (Transmit Power Control) and corresponding test mode may be required in certain casesTable 6



REQUIRED EXHIBITS FOR APPLICATION(S)Note: Each item must be provided as individual electronic files in standard, commonly used formats, (e.g., .doc, .jpg, .xls, etc.) however, all exhibits are ultimately converted to .pdf, so this format is preferable. Also, each exhibit should be traceable to the application. Therefore, the FCC ID and IC number should appear on each exhibit as applicable.

34. Certification Agreement – This is the only exhibit which may be provided in hard-copy format. One per company must be on file with Curtis-Straus. If this is your company’s first Certification project with Curtis-Straus, please ask your account representative at Curtis-Straus to provide the latest version.

35.* Agent’s Authorization Letters – Cover letters which authorize Curtis-Straus to operate on your behalf in matters related to the FCC and Industry Canada applications (Sample letters 1 and 2, respectively)

36.* Request(s) for Confidentiality – Cover letters specifying which technical exhibits should be kept confidential by the FCC and IC. Permanent confidentiality may only be requested for schematics, block diagrams, technical descriptions, and bills of materials. For instances of time-sensitive secrecy (e.g., pre product launch), short-term confidentiality may be requested for exhibits which reveal more general details of the product. (e.g., photos, manual, etc.) Short-term confidentiality may be requested for up to 4 increments of 45 days each; maximum of 180 days. (Sample letters 3 and 4)

37. Canadian Representative Letter of Attestation – Cover letter signed by the representative residing within Canada, which attests to their agreement to act as the in-country contact on behalf of the applicant (Sample letter 5 or 6)

38. Schematics – RF portion of the device only

39. Block Diagram – Detailed diagram showing all oscillators in the RF portion of the device. Each block should show all relevant details such as: signal path, frequency, tuning range, IF, etc.

40. Technical/Operational Description – Description of the circuit functions of the device, with a statement describing how the device operates. This statement should address the ground system and antenna(s) used, and focus mainly on the RF circuitry.

41. Bill of Materials – For licensed devices only. RF portion of the device only.

42. Timing Diagram – Worst case 100ms window on-time; this duty cycle will be used to generate a factor to be applied to transmission related peak measurements, in order to calculate average measurements. For pulsed transmitters only.

43. Manual – Final version of the user or installation manual containing all FCC and IC required verbiage.



44. Label Info – Drawing or photo of label location, a description of the label material and adhesive along with a statement that it will last the lifetime of the product, and an image of the label with all FCC and IC required information (including actual FCC ID)

45. Modular Approval Exhibit – If applicable, a document addressing each requirement described in 47 CFR 15.212 for FCC certification and a separate document as detailed in RSP-100 Annex D – Modular Approval Attestation for ISED certification.

MANUAL AND LABELING REQUIREMENTSFCC46. Manual requires a statement cautioning the user that:

“Changes or modifications not expressly approved by {your company name here} could void the user’s authority to operate the equipment.”

47. Label requires the following statement:“This device complies with Part 15 of the FCC Rules. Operation is subject to the following two conditions: (1) this device may not cause harmful interference, and (2) this device must accept any interference received, including interference that may cause undesired operation.”

Note: This statement may be placed in the manual for devices considered extremely small (~8 x 10cm)

48. Label requires FCC ID (Item #8(a)) to appear in type large enough to be legible without the aid of magnification. It shall appear exactly as follows:

FCC ID XXXYYYYYYYYYYYYYYNote: DO NOT MASS-PRODUCE LABELS UNTIL A GRANT IS ISSUED. CHANGES MAY BE REQUIRED!

49. In most cases, the manual will require one of the following statements due to the associated digital circuitry in the device (unrelated to the RF circuitry):

“This equipment has been tested and found to comply with the limits for a Class B digital device, pursuant to Part 15 of the FCC Rules. These limits are designed to provide reasonable protection against harmful interference in a residential installation. This equipment generates, uses and can radiate radio frequency energy and, if not installed and used in accordance with the instructions, may cause harmful interference to radio communications. However, there is no guarantee that interference will not occur in a particular installation. If this equipment does cause harmful interference to radio or television reception, which can be determined by turning the equipment off and on, the user is encouraged to try to correct the interference by one of the following measures:

-- Reorient or relocate the receiving antenna.-- Increase the separation between the equipment and receiver.-- Connect the equipment into an outlet on a circuit different from that to which the receiver is connected.



-- Consult the dealer or an experienced radio/TV technician for help.”

“This equipment has been tested and found to comply with the limits for a Class A digital device, pursuant to Part 15 of the FCC Rules. These limits are designed to provide reasonable protection against harmful interference when the equipment is operated in a commercial environment. This equipment generates, uses and can radiate radio frequency energy and, if not installed and used in accordance with the instruction manual, may cause harmful interference to radio communications. Operation of this equipment in a residential area is likely to cause harmful interference in which case the user will be required to correct the interference at his own expense.”

50. For MODULAR devices, the manual must contain the following (or similar) instruction:

“End Product LabelingThe final end product must be labeled in a visible area with the following:“Contains Transmitter Module FCC ID: XYZ (IC: XYZ)” or “Contains FCC ID: XYZ (IC: XYZ)” or similar wording.”

Industry Canada51. The following statement must appear either on the device or in the manual:

This device complies with Industry Canada licence-exempt RSS standard(s). Operation is subject to the following two conditions: (1) this device may not cause interference, and (2) this device must accept any interference, including interference that may cause undesired operation of the device. And in French

Le présent appareil est conforme aux CNR d'Industrie Canada applicables aux appareils radio exempts de licence. L'exploitation est autorisée aux deux conditions suivantes : (1) l'appareil ne doit pas produire de brouillage, et (2) l'appareil doit accepter tout brouillage radioélectrique subi, même si le brouillage est susceptible d'en compromettre le fonctionnement.

52. The following two statements must appear in the manual for devices with detachable antennas:

“This device has been designed to operate with the antennas listed below, and having a maximum gain of [x] dB. Antennas not included in this list or having a gain greater than [x] dB are strictly prohibited for use with this device. The required antenna impedance is [y] ohms.”

“To reduce potential radio interference to other users, the antenna type and its gain should be so chosen that the equivalent isotropically radiated power (e.i.r.p.) is not more than that permitted for successful communication.”

53. Label requires certification number (Item #9(a)) to appear in type large enough to be legible without the aid of magnification. It shall appear exactly as follows:



IC: XXXXXX-YYYYYYYYYYY

Please refer to RSP-100 for further clarification of labeling requirements including requirements for HVIN, PMN, HMN, and FVINNote: Label must also contain brand/trade name and model number of the product.Note: DO NOT MASS-PRODUCE LABELS UNTIL A GRANT IS ISSUED. CHANGES MAY BE REQUIRED!

54. Any product for which Modular Approval (MA) or Limited Modular Approval (LMA) is being sought shall meet the labelling requirements.

The Host Marketing Name (HMN) must be displayed (according to the labelling requirements) or indicated at any location on the exterior of the host product or product packaging or product literature, which shall be available with the host product or online.

The host product shall be properly labelled to identify the modules within the host product. The Innovation, Science and Economic Development Canada certification label of a module shall be clearly visible at all times when installed in the host product; otherwise, the host product must be labelled to display the Innovation, Science and Economic Development Canada certification number for the module, preceded by the word "Contains" or similar wording expressing the same meaning, as follows:

Contains IC: XXXXXX-YYYYYYYYYYY

where XXXXXX-YYYYYYYYYYY is the module's certification number.The applicant for a certified module shall provide with each certified module to the user, either a host label, such as described above, or an explanation and instructions to the user as to the host product labelling requirements.



RF Exposure Manual Statements (remove references to IC where not applicable)55. For MOBILE devices subject to RF Exposure concerns: (e.g., 15.247 devices)

“WARNING! FCC and IC Radiation Exposure Statement:This equipment complies with FCC’s and IC’s RF radiation exposure limits set forth for an uncontrolled environment under the following conditions:

1. This equipment should be installed and operated such that a minimum separation distance of 20cm is maintained between the radiator (antenna) & user’s/nearby person’s body at all times.2. This transmitter must not be co-located or operating in conjunction with any other antenna or transmitter.”

56. For PORTABLE devices where Specific Absorption Rate (SAR) testing is applicable:

“WARNING! FCC and IC Radiation Exposure Statement:This portable equipment with its antenna complies with FCC’s and IC’s RF radiation exposure limits set forth for an uncontrolled environment. This equipment has shown compliance with FCC’s and IC’s Specific Absorption Rate (SAR) limits. To maintain compliance follow the instructions below:

1. This transmitter must not be co-located or operating in conjunction with any other antenna or transmitter.

The following may or may not apply to portable devices with SAR results. Applicable statements will probably be different from device to device and may need to be examined on a case by case basis.

2. {If equipment is supplied with accessories, (e.g., belt clip for body worn operation) then a warning should be included to restrict the use of the device only to the accessories tested during SAR evaluation. Accessories with metal components should not be used with the device, unless specifically tested.}”

57. For PORTABLE devices where SAR in NOT applicable: (power[mW] < 60/f[Ghz])

“WARNING! FCC and IC Radiation Exposure Statement:This portable equipment with its antenna complies with FCC’s and IC’s RF radiation exposure limits set forth for an uncontrolled environment. To maintain compliance follow the instructions below:

1. This transmitter must not be co-located or operating in conjunction with any other antenna or transmitter.



2. Avoid direct contact to the antenna, or keep contact to a minimum while using this equipment.”

58. For MODULAR devices subject to RF Exposure concerns:

“This transmitter module is authorized to be used in other devices only by OEM integrators under the following conditions:

1. The antenna(s) must be installed such that a minimum separation distance of 20cm is maintained between the radiator (antenna) & user’s/nearby person’s body at all times.

2. The transmitter module must not be co-located with any other antenna or transmitter.

As long as the two conditions above are met, further transmitter testing will not be required. However, the OEM integrator is still responsible for testing the end-product for any additional compliance requirements with this module installed. (i.e., digital device emissions, PC peripheral requirements, etc.)

IMPORTANT NOTE: In the event that these conditions cannot be met (for certain configurations or co-location with another transmitter), then the FCC / IC authorization is no longer considered valid and the FCC ID / IC number cannot be used on the final product. In these circumstances, the OEM integrator will be responsible for re-evaluating the end product (including the transmitter) and obtaining a separate FCC / IC authorization.

The OEM integrator must be made aware not to provide information to the end user regarding how to install or remove this RF module in the user manual of the end product.

The user manual for the end product must include the following information in a prominent location:

“To comply with FCC’s and IC’s RF radiation exposure requirements, the antenna(s) used for this transmitter must be installed such that a minimum separation distance of 20cm is maintained between the radiator (antenna) & user’s/nearby person’s body at all times and must not be co-located or operating in conjunction with any other antenna or transmitter.””



SAMPLE LETTERS

Sample Letter 1

Sample Letter of Agency for FCC(Sample Letter to be produced on company letterhead)

Agent’s Authorization LetterCurrent Date

I, an officer of {Company}, do hereby authorize, until further notice, Curtis-Straus LLC, One Distribution Center Circle, #1, Littleton, MA 01460, to act on our behalf in dealings before the Federal Communications Commission with respect to all matters relating to equipment authorizations under 47 CFR. This authorization includes, but is not limited to, the signing of Form 731.

I certify that no party (as defined in 47 CFR 1.2002) to this application, including myself, is subject to a denial of federal benefits, that include FCC benefits, pursuant to section 5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C., 853A.

Certified By:

__________________<Person listed on FCC website as the contact for the company’s Grantee Code><His/her title><date>



Sample Letter 2

Sample Letter of Agency for IC(Sample Letter to be produced on company letterhead)

Curtis-Straus LLCCertification DepartmentOne Distribution Center Circle, #1Littleton, MA 01460

Authority to Act as Agent

On our behalf, I appoint _________________, (Name and address). to act as our agent in the preparation of this application for equipment certification. I certify that submitted documents properly describe the device or system for which equipment certification is sought. I also certify that each unit manufactured, imported or marketed, as defined in Industry Canada’s regulations will have affixed to it a label identical to that submitted for approval with this application.

In signing this document I also agree that our equipment below shall not be distributed, sold, offered for sale or leased in Canada before the details of its certification have been added to the Industry Canada Radio Equipment List (REL) by Curtis-Straus LLC Certification Body. I understand that details of the filing may be published on the Industry Canada REL.

Certification Number IC: xxxx-xxxxxxxx

Model Number(s)

DateAgency Agreement Expiration Date

Company Name

Company AddressName and Title of Person Signing

Contact Info(Phone and Email)

SignatureSample Letter 3



Sample Request for Confidentiality for FCC (Sample Letter to be produced on company letterhead)

{Date}

To: Federal Communications Commission7435 Oakland Mills RoadColumbia, MD 21046-1609

Curtis-Straus LLC TCBOne Distribution Center Circle, #1Littleton, MA 02702

Re: Confidentiality Request

Gentlemen:

This letter is to comply with 47 CFR 0.457(d)(2) and 0.459 pertaining to confidential material. <COMPANY NAME> requests that the following documents regarding this submission for FCC ID <XXXXXX> be kept confidential:

1. Schematics2. Block Diagram3. Circuit/Technical Description

The material above contains technical data, which would customarily be guarded from competitors.

{IF REQUESTING SHORT-TERM CONFIDENTIALITY (not common)Pursuant to Public Notice DA 04-1705, <COMPANY NAME> requests SHORT-TERM CONFIDENTIALITY for the following information until <45, 90, 134, 180> days after the grant date of equipment authorization in order to ensure sensitive business information remains confidential until marketing of the device:

External PhotosInternal PhotosTest Setup PhotosUser’s Manual}

Sincerely,<Person listed on FCC website as the contact for the company’s Grantee Code>

OR<Person authorized as an agent in the Letter of Agency><His/her title><date>



Sample 4

Sample Request for Confidentiality for IC (Sample Letter to be produced on company letterhead)

To: Certification and Engineering Bureau {Date}Industry Canada P.O. Box 11490, Station H 3701 Carling Avenue (Building 94) Ottawa, Ontario K2H 8S2 Telephone: 613-990-4218 Fax: 613-990-5009 E-mail: [email protected]

Re: Confidentiality Request Regarding our Industry Canada Application

IC:

Model Number(s):

We hereby request the exhibits listed below to be held confidential

SchematicsBlock DiagramOperational Description

These exhibits contain trade secrets and proprietary information not customarily released to the public. The public disclosure of the material in these exhibits might provide unjustified benefits to our competitors and be harmful to our operations.

Sincerely,<Signature><Name><Title><Contact Information>


mailto:[email protected]


Sample 5 (single certification sample letter)

CANADIAN REPRESENTATIVE LETTER OF ATTESTATION

Canadian RepresentativeContact Name:Company Name:ISED#:Address:Telephone No:Fax No:Email:

TO: Industry Canada3701 Carling Ave., Bldg. 94,Ottawa, ON, K2H 8S2

ATTENTION: Certification and Engineering Bureau

This letter is to confirm that we have accepted the responsibility to act as Canadian Representative on behalf of the Applicant noted below. As Canadian Representative, we are aware of the requirements involved as outlined in Industry Canada applicable documents (RSP-100, Section 2.1).

ApplicantCompany Name:Company Number:Contact Name:Address:Telephone No:Fax No:Email:

Certification Number:Model Number:

Signature:

Date:

Signed by (printed name):



Sample 6 (multiple certifications sample letter)

CANADIAN REPRESENTATIVE LETTER OF ATTESTATION

Canadian RepresentativeContact Name:Company Name:ISED#:Address:Telephone No:Fax No:Email:

TO: Industry Canada3701 Carling Ave., Bldg. 94,Ottawa, ON, K2H 8S2

ATTENTION: Certification and Engineering Bureau

This letter is to confirm that we have accepted the responsibility to act as Canadian Representative on behalf of the Applicant noted below for all future Industry Canada certification obtained during the period of this agreement which ends at the specified date below (if applicable). As Canadian Representative, we are aware of the requirements involved as outlined in Industry Canada applicable documents (RSP-100, Section 2.1).

ApplicantCompany Name:Company Number:Contact Name:Address:Telephone No:Fax No:Email:

This Agreement is valid until (expiry date):

Signature:

Date:

Signed by (printed name):



APPENDIX – NOTES ON VARIOUS ITEMS

Note: If you have a question or concern about an item in this document that is not covered below, please let us know and we will add clarification to this Appendix in future revisions.

2 A contact residing within Canada is required for authorization by IC3 An IC Company Number is a company specific number that precedes the Unique Product

Code to make up the final IC Number. Only one is needed per company.For instructions on obtaining an IC Company Number:http://strategis.ic.gc.ca/epic/site/ceb-bhst.nsf/en/h_tt00051e.html

4 The Grantee Code is a company specific code that precedes the Equipment Product Code to make up the final FCC ID. Only one is needed per company.To obtain a Grantee Code for your company:https://apps.fcc.gov/eas/RegisterGrantee.do

5 The FCC Registration Number is a number issued to your company which is used in all transactions with the FCC. Only one is needed per company.To obtain an FRN for your company:https://apps.fcc.gov/coresWeb/publicHome.do

8 The Equipment Product Code is a product specific code which follows the Grantee Code in an FCC ID. You can choose anything up to 14 characters, which may include only capital letters, Arabic numerals, and the hyphen (-). Should be general enough to be applicable to whatever models may be covered by the certification.

8a FCC ID: XXXYYYYYYYYYYYYYYwhere X’s = Grantee Code and Y’s = Equipment Product Code

9 The Unique Product Code is Industry Canada’s equivalent to FCC’s Equipment Product Code. It follows the IC Company Number with hyphen to make up the IC Number. You can choose anything up to 11 characters, which may include only capital letters and Arabic numerals.

9a IC: XXXXX-YYYYYYYYYYYWhere X’s = IC Company Number and Y’s = Unique Product Code

13 For pulsed devices, the worst case (longest) on-time possible within any 100ms window of time determines the duty cycle averaging factor. This factor is subtracted from the peak measurement of any fundamental-related emission to produce an average measurement. Factor = 20*log(on-time[ms]/100)

16 Refer to Industry Canada’s TRC-43 for instructions: (same as FCC’s rules)http://www.ic.gc.ca/epic/site/smt-gst.nsf/en/sf00057e.html

18 Any device that is worn on user’s body or near the head (e.g., cell phone) is considered portable and may be subject to Specific Absorption Rate (SAR) compliance requirements depending on the applicable rule part, output power, and frequency. Contact your account manager if unclear. Devices that can reasonably be operated more than 20cm from the body (e.g., wireless access point) are considered mobile. These are also devices that can be easily moved around. Devices that cannot easily be moved around (e.g., licensed base station transceiver) are considered fixed. These definitions all apply equally to “licensed” and “unlicensed” products.


http://www.ic.gc.ca/epic/site/smt-gst.nsf/en/sf00057e.html

http://strategis.ic.gc.ca/epic/site/ceb-bhst.nsf/en/h_tt00051e.html


35 FOR FCC: Must be signed by the grantee contact of record in the Grantee Code database. See: https://apps.fcc.gov/oetcf/eas/reports/GranteeSearch.cfm If the contact listed is not the individual signing the letters, provide a second Agent’s Authorization letter where the grantee contact of record authorizes the second individual. If the contact listed is no longer available, then follow the link to modify the grantee information accordingly.

36 FOR FCC: Must be signed by either the grantee contact of record or another authorized individual by way of the Agent’s Authorization letter. Short-term confidentiality is not available for Canada.



Revision History:

Date Rev Number By Changes2/28/2018 Same as Date YF Test mode descriptions added for WiFi, BT, BLE

Major changes to “Product Specific Information” section3/03/2018 Same as Date KMc Minor update3/05/2018 Same as Date YF Minor edits3/20/2018 Same as Date KMc Added Industry Canada definitions to page 3


appendix i · web viewall antenna options should be provided along with spec sheets; including...

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