FSP Group Inc. Compliance Documentation

Notice of Completion and Authorization to Apply the UL Mark

Date: 2023-07-31

Issued To: FSP GROUP INC, 22 Jianguo E Rd, Taoyuan City, 330 Taiwan

Your Reference: SPI-5230600070 REV.0

Our Reference: File E211696, Vol. 2

Order: 14820854 | Project: 4790868692

Project Scope: UL/CUL - Upgrade standard to Amendment 2 for Switching Power Supply, Models FSP400M-80PA, FSP500M-80PA, FSP500M-80UA. Report Reference No. E211696-V2-S19.

Standards Used for Investigation:

UL has completed the investigation and confirmed compliance of the product(s) with UL requirements. This letter temporarily supplements the UL Follow-Up Services Procedure and serves as authorization to apply the UL Mark at the factory location(s) identified on the Authorization Page of UL File E211696, Vol. 2.

Additional Resources:

Contacts:

Note: This is an electronically generated letter. Signatures are not required for this document to be valid.

Certificate of Compliance - United States

Certificate Number: UL-US-L211696-5219-21217102-1

Report Reference: E211696-20171212

Date: 31-Jul-2023

Issued To: FSP GROUP INC, 22 Jianguo E Rd, Taoyuan City 330, Taiwan

Product Category: QQHM2 - Power Supplies, Medical and Dental - Component

Standards for Safety: AAMI ES60601-1, Issue Date: 2005, Revision Date: 2021, AMD: 2

Additional Information: See the UL Online Certifications Directory at https://iq.ulprospector.com for additional information.

UL Recognized components are incomplete in certain constructional features or restricted in performance capabilities and are intended for installation in complete equipment submitted for investigation to UL LLC.

This Certificate of Compliance indicates that representative samples of the product described in the certification report have met the requirements for UL certification. It does not provide authorization to apply the UL Recognized Component Mark. Only the Authorization Page that references the Follow-Up Services Procedure for ongoing surveillance provides authorization to apply the UL Mark.

Only those products bearing the UL Recognized Component Mark should be considered as being UL Certified and covered under UL's Follow-Up Services.

Models Tested:

ModelCategory Description
FSP400M-80PASwitching Power Supply
FSP500M-80PASwitching Power Supply
FSP500M-80UASwitching Power Supply

For questions, please contact a local UL Customer Service Representative at http://ul.com/aboutul/locations/

Certificate of Compliance - Canada

Certificate Number: UL-CA-L211696-6219-21217102-1

Report Reference: E211696-20171212

Date: 31-Jul-2023

Issued To: FSP GROUP INC, 22 Jianguo E Rd, Taoyuan City 330, Taiwan

Product Category: QQHM8 - Power Supplies, Medical and Dental Certified for Canada - Component

Standards for Safety: CSA C22.2 No. 60601-1, 3rd Ed., Issue Date: 2014-03, Revision Date: 2022-3, AMD 2

Additional Information: See the UL Online Certifications Directory at https://iq.ulprospector.com for additional information.

UL Recognized components are incomplete in certain constructional features or restricted in performance capabilities and are intended for installation in complete equipment submitted for investigation to UL LLC.

This Certificate of Compliance indicates that representative samples of the product described in the certification report have met the requirements for UL certification. It does not provide authorization to apply the UL Recognized Component Mark. Only the Authorization Page that references the Follow-Up Services Procedure for ongoing surveillance provides authorization to apply the UL Mark.

Only those products bearing the UL Recognized Component Mark should be considered as being UL Certified and covered under UL's Follow-Up Services.

Models Tested:

ModelCategory Description
FSP400M-80PASwitching Power Supply
FSP500M-80PASwitching Power Supply
FSP500M-80UASwitching Power Supply

For questions, please contact a local UL Customer Service Representative at http://ul.com/aboutul/locations/

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FSP400M-80PA, FSP500M-80PA UL ed3.2 60601 cert. SFD-00002824-R04 Neevia Converter Pro v7.2.0.131 (http://neevia.com)

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