140122017GZU-001

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Certificate of Compliance (PDF)

Amazon.com: PELONIS Fan Portable 16 Inch Pedestal Fan| 3-Speed| 90° Oscillation| Adjustable Height| Standing Floor Fan for living room, bedroom, kitchen, and home office| Black, PFS40M2ABB : PELONIS: Home & Kitchen

Amazon.com: PELONIS Fan Portable 16 Inch Pedestal Fan| 3-Speed| 90° Oscillation| Adjustable Height| Standing Floor Fan for living room, bedroom, kitchen, and home office| Black, PFS40M2ABB : Home & Kitchen

[PDF] AUTHORIZATION TO MARK

This Authorization to Mark is for the exclusive use of Intertek's Client and is provided pursuant to the Certification agreement between Intertek and its ...

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AUTHORIZATION TO MARK

This authorizes the application of the Certification Mark(s) shown below to the models described in the Product(s) Covered section when made in accordance with the conditions set forth in the Certification Agreement and Listing Report. This authorization also applies to multiple listee model(s) identified on the correlation page of the Listing Report.
This document is the property of Intertek Testing Services and is not transferable. The certification mark(s) may be applied only at the location of the Party Authorized To Apply Mark.

GD Midea Environment Appliances Applicant: MFG. Co., Ltd.

GD Midea Environment Appliances MFG. Manufacturer: Co., Ltd.

Address:

No.28, Dong Fu Road, Hesui East Industrial Area, Dong Feng Town, Zhongshan, Guangdong.

Address:

No.28, Dong Fu Road, Hesui East Industrial Area, Dong Feng Town, Zhongshan, Guangdong.

Country: Contact: Phone: FAX: Email:

China Mr. Wang Zemei 86-760-22598176 86-760-23628500 wangzm6@midea.com.cn

Country: Contact: Phone: FAX: Email:

China Mr. Wang Zemei 86-760-22598176 86-760-23628500 wangzm6@midea.com.cn

Party Authorized To Apply Mark: Same as Manufacturer

Report Issuing Office:

Intertek Testing Services Shenzhen Ltd. Guangzhou Branch

Control Number: 3068797

Authorized by:

for L. Matthew Snyder, Certification Manager

This document supersedes all previous Authorizations to Mark for the noted Report Number.
This Authorization to Mark is for the exclusive use of Intertek's Client and is provided pursuant to the Certification agreement between Intertek and its Client. Intertek's responsibility and liability are limited to the terms and conditions of the agreement. Intertek assumes no liability to any party, other than to the Client in accordance with the agreement, for any loss, expense or damage occasioned by the use of this Authorization to Mark. Only the Client is authorized to permit copying or distribution of this Authorization to Mark and then only in its entirety. Use of Intertek's Certification mark is restricted to the conditions laid out in the agreement and in this Authorization to Mark. Any further use of the Intertek name for the sale or advertisement of the tested material, product or service must first be approved in writing by Intertek. Initial Factory Assessments and Follow up Services are for the purpose of assuring appropriate usage of the Certification mark in accordance with the agreement, they are not for the purposes of production quality control and do not relieve the Client of their obligations in this respect.
Intertek Testing Services NA Inc. 545 East Algonquin Road, Arlington Heights, IL 60005 Telephone 800-345-3851 or 847-439-5667 Fax 312-283-1672

Electric Fans [UL 507:2017 Ed.10+R:15Nov2018] Standard(s):
Fans And Ventilators [CSA C22.2#113:2015 Ed.10 +U1]

Product:

Electric Fan

Brand Name:

Midea, homevision, SHARPE IMAGE, ALERA, Westinghouse, AVALON, Pelonis, HOMEPOINTE, POLAR WIND, ECOHOUZNG, UTILITECH, MAINSTAYS, Perfect Aire.

ATM for Report 140122017GZU-001

Page 1 of 4

ATM Issued: 25-May-2020
ED 16.3.15 (20-Apr-17) Mandatory

AUTHORIZATION TO MARK

Models:

FS40-8PR, FS40-8JR, FS40-8JA, FS40-8JB, FS40-8JC, FS40-8M, FS40-8P, FT40-8HC, FT30-8HC, FT30-8MBA, FT30-8MB, FT30-13P, FS40-3ER, 2100488, 2100487, FT30-15H, FS30-15M, FS40-16JB, 2100910, FT30-13PB, FT30-13PW, FS40-16JR, 043-5693-8, 199-6907-6, CT4001R, TSI-TT121-WHT, TSI-TT161-WHT, TSI-SF161-WHT, TSI-SF162-WHT, TSI-SF162-BLK, FT30-16JB, FS40-17P, FS4016JRB, FS40-8MB, FS40-8MW, 809480, ALE-FAN122, FT40-16JB, FT30-16J, 72807, 72808, ALEFANP16B, ALE-FANP16W, FS40-8JRA, A3-STANDFAN, A2-STANDFAN, FT30-8MBW, FT30-8MBB, FS40-19M, FS40-19MA, 826639, 49251, FS40-18C, FS40-19MW, FS40-19MB, CT40021ST, FS4016JRC, 169413, ALE-FAN122W, ALE-FAN122B, 809486, 2701399, 166903, FT30-8MBWV, FT308MBBV, PFT30T2ABB, PFS40A2ABB, 1PAFD12, 1PAFD16, 1PAFP16, 1PAFP16R.
PSS16R3A, PSS16M6A, PSS16M0A, PSS16M1A, PST16M0A, PST12M2A, PST12M0A, PST12M3A or PST12M1A; followed by two letters.

ATM for Report 140122017GZU-001

Page 2 of 4

ATM Issued: 25-May-2020
ED 16.3.15 (20-Apr-17) Mandatory

AUTHORIZATION TO MARK

This authorizes the application of the Certification Mark(s) shown below to the models described in the Product(s) Covered section when made in accordance with the conditions set forth in the Certification Agreement and Listing Report. This authorization also applies to multiple listee model(s) identified on the correlation page of the Listing Report.
This document is the property of Intertek Testing Services and is not transferable. The certification mark(s) may be applied only at the location of the Party Authorized To Apply Mark.

GD Midea Environment Appliances Applicant: MFG. Co., Ltd.

Midea Consumer Electric Vietnam Manufacturer: Co.,Ltd

Address:

No.28, Dong Fu Road, Hesui East Industrial Area, Dong Feng Town, Zhongshan, Guangdong.

Address:

40 Vip No.6 Str., Viet Nam Singapore Industrial Park, Thuan An Dist., Binh Duong

Country: Contact: Phone: FAX: Email:

China Mr. Wang Zemei 86-760-22598176 86-760-23628500 wangzm6@midea.com.cn

Country: Contact: Phone: FAX: Email:

Vietnam Michael Chen 84-963.880.608 NA chenzhi@midea.com

Party Authorized To Apply Mark: Same as Manufacturer

Report Issuing Office:

Intertek Testing Services Shenzhen Ltd. Guangzhou Branch

Control Number: 3068797

Authorized by:

for L. Matthew Snyder, Certification Manager

This document supersedes all previous Authorizations to Mark for the noted Report Number.
This Authorization to Mark is for the exclusive use of Intertek's Client and is provided pursuant to the Certification agreement between Intertek and its Client. Intertek's responsibility and liability are limited to the terms and conditions of the agreement. Intertek assumes no liability to any party, other than to the Client in accordance with the agreement, for any loss, expense or damage occasioned by the use of this Authorization to Mark. Only the Client is authorized to permit copying or distribution of this Authorization to Mark and then only in its entirety. Use of Intertek's Certification mark is restricted to the conditions laid out in the agreement and in this Authorization to Mark. Any further use of the Intertek name for the sale or advertisement of the tested material, product or service must first be approved in writing by Intertek. Initial Factory Assessments and Follow up Services are for the purpose of assuring appropriate usage of the Certification mark in accordance with the agreement, they are not for the purposes of production quality control and do not relieve the Client of their obligations in this respect.
Intertek Testing Services NA Inc. 545 East Algonquin Road, Arlington Heights, IL 60005 Telephone 800-345-3851 or 847-439-5667 Fax 312-283-1672

Electric Fans [UL 507:2017 Ed.10+R:15Nov2018] Standard(s):
Fans And Ventilators [CSA C22.2#113:2015 Ed.10 +U1]

Product:

Electric Fan

Brand Name:

Midea, homevision, SHARPE IMAGE, ALERA, Westinghouse, AVALON, Pelonis, HOMEPOINTE, POLAR WIND, ECOHOUZNG, UTILITECH, MAINSTAYS, Perfect Aire.

ATM for Report 140122017GZU-001

Page 3 of 4

ATM Issued: 25-May-2020
ED 16.3.15 (20-Apr-17) Mandatory

AUTHORIZATION TO MARK

Models:

FS40-8PR, FS40-8JR, FS40-8JA, FS40-8JB, FS40-8JC, FS40-8M, FS40-8P, FT40-8HC, FT30-8HC, FT30-8MBA, FT30-8MB, FT30-13P, FS40-3ER, 2100488, 2100487, FT30-15H, FS30-15M, FS40-16JB, 2100910, FT30-13PB, FT30-13PW, FS40-16JR, 043-5693-8, 199-6907-6, CT4001R, TSI-TT121-WHT, TSI-TT161-WHT, TSI-SF161-WHT, TSI-SF162-WHT, TSI-SF162-BLK, FT30-16JB, FS40-17P, FS4016JRB, FS40-8MB, FS40-8MW, 809480, ALE-FAN122, FT40-16JB, FT30-16J, 72807, 72808, ALEFANP16B, ALE-FANP16W, FS40-8JRA, A3-STANDFAN, A2-STANDFAN, FT30-8MBW, FT30-8MBB, FS40-19M, FS40-19MA, 826639, 49251, FS40-18C, FS40-19MW, FS40-19MB, CT40021ST, FS4016JRC, 169413, ALE-FAN122W, ALE-FAN122B, 809486, 2701399, 166903, FT30-8MBWV, FT308MBBV, PFT30T2ABB, PFS40A2ABB, 1PAFD12, 1PAFD16, 1PAFP16, 1PAFP16R.
PSS16R3A, PSS16M6A, PSS16M0A, PSS16M1A, PST16M0A, PST12M2A, PST12M0A, PST12M3A or PST12M1A; followed by two letters.

ATM for Report 140122017GZU-001

Page 4 of 4

ATM Issued: 25-May-2020
ED 16.3.15 (20-Apr-17) Mandatory


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