Ref. Certif. No. DK-51877-UL IEC SYSTEM FOR MUTUAL RECOGNITION OF TEST CERTIFICATES FOR ELECTRICAL EQUIPMENT (IECEE) CB SCHEME CB TEST CERTIFICATE SYSTEME CEI D'ACCEPTATION MUTUELLE DE CERTIFICATS D'ESSAIS DES EQUIPEMENTS ELECTRIQUES (IECEE) METHODE OC CERTIFICAT D'ESSAI OC Product Produit AC/DC Adaptor Name and address of the applicant Nom et adresse du demandeur BRIDGEPOWER CORP (Gosaek-dong) 16 Omokchen-ro 132beon-gil Gwonseon-gu Suwon-si, 441-813 Gyeonggi Korea Name and address of the manufacturer Nom et adresse du fabricant SL POWER ELECTRONICS CORP BLDG A 6050 KING DR VENTURA, CA 93003 USA Name and address of the factory Nom et adresse de l'usine BRIDGEPOWER CORP (Gosaek-dong) 16 Omokchen-ro 132beon-gil Gwonseon-gu Suwon-si, 441-813 Gyeonggi Korea Note: When more than one factory, please report on page 2 Note: Lorsque il y plus d'une usine, veuillez utiliser la 2ème page Additional Information on page 2 Ratings and principal characteristics Valeurs nominales et caractéristiques principales See Page 2 Trademark (if any) Marque de fabrique (si elle existe) Type of Manufacturer's Testing Laboratories used Type de programme du laboratoire d'essais constructeur SL POWER ELECTRONICS Model / Type Ref. Ref. De type (1)E30(2)(3)(4)(5)(6), (1)E40(2)(3)(4)(5)(6), B(1)030(2)(3)(4), B(1)040(2)(3)(4) See Page 2 Additional information (if necessary may also be reported on page 2) Les informations complémentaires (si nécessaire,, peuvent être indiqués sur la 2ème page Additionally evaluated to EN 60601-1:2006/A11:2011/A1:2013 /A12:2014 A sample of the product was tested and found to be in conformity with Un échantillon de ce produit a été essayé et a été considéré conforme à la IEC 60601-1(ed.3), IEC 60601-1(ed.3);am1, IEC 60601-16(ed.3), IEC 60601-1-6(ed.3);am 1, IEC 62366(ed.1), IEC 62366(ed.1);am1 As shown in the Test Report Ref. No. which forms part of this Certificate Comme indiqué dans le Rapport d'essais numéro de référence qui constitue partie de ce Certificat E302267-D1019-1/A0/C0-CB issued on 2016-02-05 CTF Stage 1 Additional Information on page 2 This CB Test Certificate is issued by the National Certification Body Ce Certificat d'essai OC est établi par l'Organisme National de Certification UL (US), 333 Pfingsten Rd IL 60062, Northbrook, USA UL (Demko), Borupvang 5A DK-2750 Ballerup, DENMARK UL (JP), Marunouchi Trust Tower Main Building 6F, 1-8-3 Marunouchi, Chiyoda-ku, Tokyo 100-0005, JAPAN UL (CA), 7 Underwriters Road, Toronto, M1R 3B4 Ontario, CANADA For full legal entity e names see www.ul.com/ncbnames Date: 2016-02-09 Signature: Jan-Erik ik k Storgaard Storgaard 1/2 Ref. Certif. No. DK-51877-UL Model Details: (1)E30(2)(3)(4)(5)(6),(1)E40(2)(3)(4)(5)(6),B(1)030(2)(3)(4),B(1)040(2)(3)(4) (Where (1), (2), (4), (5), (6) may alphanumeric, "For marketing purpose and no impact safety related critical components and constructions", where (3) may any number 05 through 48) Factories: WENDENG JEIL ELECTRONICS CO LTD Xiamen Road NO.2 Wendeng Economic Development Zone Weihai City, Shandong Province China Ratings: Rated Input: 100-240Vac, 50-60Hz, 1.2A (1.2A - 0.5A) Rated Output: B(1)040(2)(3)(4) and (1)E40(2)(3)(4)(5)(6) : 5Vdc,5.0A or 9Vdc,4.0A or 12Vdc,3.4A or 15Vdc,2.7A or 18Vdc,2.22A or 24Vdc,1.7A or 48Vdc,0.83A or 5Vdc/5.0A 48Vdc/0.83A B(1)030(2)(3)(4) and (1)E30(2)(3)(4)(5)(6) : 5Vdc,4.0A or 9Vdc,3.0A or 12Vdc,2.5A or 15Vdc,2.0A or 18Vdc,1.67A or 24Vdc,1.33A or 48Vdc,0.63A or 5Vdc/4.0A - 48Vdc/0.63A Additional information (if necessary) Information complémentaire (si nécessaire) UL (US), 333 Pfingsten Rd IL 60062, Northbrook, USA UL (Demko), Borupvang 5A DK-2750 Ballerup, DENMARK UL (JP), Marunouchi Trust Tower Main Building 6F, 1-8-3 Marunouchi, Chiyoda-ku, Tokyo 100-0005, JAPAN UL (CA), 7 Underwriters Road, Toronto, M1R 3B4 Ontario, CANADA For full legal entity names see www.ul.com/ncbnames Date: 2016-02-09 Signature: Jan-Erik Storgaard 2/2