FSP Group Inc. - Safety Certification Documents

Notice of Completion and Authorization to Apply the UL Mark

Date: 2023-07-31

To: Ms. Y.H. CHOW, 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 under the above project and confirmed compliance of your 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. A copy of this letter should be sent to all manufacturing locations authorized under UL File E211696, Vol. 2.

The Follow-Up Services Procedure covering your product(s) will typically be provided by UL within 10 business days. Products that bear the UL Mark must be identical to those submitted to UL for evaluation and certification and must comply with the Follow-Up Services Procedure. Additional requirements can be found under Additional Resources at https://www.ul.com/fus.

A UL certification is a valuable marketing tool. Information on how to accurately promote your UL certification can be found at https://www.ul.com/marketing.

Signatories:

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

This is to certify that representative samples of QQHM2 - Power Supplies, Medical and Dental - Component have been evaluated by UL in accordance with the component requirements in the Standard(s) indicated on this Certificate. 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.

Standard(s) 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.

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. Look for the UL Recognized Component Mark on the product.

Signatory: Deborah Jennings-Conner, VP Regulatory Services, UL LLC

Product List:

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

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

This is to certify that representative samples of QQHM8 - Power Supplies, Medical and Dental Certified for Canada - Component have been evaluated by UL in accordance with the component requirements in the Standard(s) indicated on this Certificate. 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.

Standard(s) 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.

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. Look for the UL Recognized Component Mark on the product.

Signatory: Deborah Jennings-Conner, VP Regulatory Services, UL LLC

Product List:

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

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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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