File E90165 Vol. 2 Index Page 1 Issued: Revised: Construction United States Type Canadian Type Section
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1 File E90165 Vol. 2 Index Page 1 Issued: Revised: INDEX Construction United States Type Canadian Type Section Jacketed Cords: Thermoplastic SVT, SVTO, SVTOO, SJT, SJTW SJTO, SJTOO, SJTOW, SJTOOW, ST, STW, STO, STOO, STOW, STOOW SVT, SVTO, SVTOO, SJT, SJTW, SJTO, SJTOO, SJTOW, SJTOOW, ST, STW, STO, STOO, STOW, STOOW 1 Miscellaneous Cords: Clock Cord N/A 2 Parallel Cords: Thermoplastic SPT-1, SPT-2, SPT-3, SPT-1W, SPT-2W, NISPT-1, NISPT-2 SPT-1, SPT-2, SPT-3, NISPT-1, NISPT-2 3 Range and Dryer Cord: SRDT DRT 4 N/A - Not Applicable. 6
2 Certificate of Compliance Certificate: (LL 57855) Master Contract: Project: Date Issued: 2008/01/30 Issued to: Well Shin Technology Co., Ltd. 196 Xinhu 3rd Rd Neihu District, T ai-pei 114 Taiwan Attention: Mr. Wu The products listed below are eligible to bear the CSA Mark shown Issued by: B. Harmer, C.E.I. Authorized by: Nick Alfano, Operations Manager PRODUCTS CLASS WIRES - Flexible Cord. DQD 507 Rev
3 Certificate: (LL 57855) Master Contract: Project: Date Issued: 2008/01/30 APPLICABLE REQUIREMENTS DQD 507 Rev
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5 D E M K O C E R T I F I C A T E Certificate No Page 1/3 Date of Issue Certificate Holder Manufacturer Production site Well Shin Technology Co., Ltd. No. 196, Xin Hu 3rd Road Nei Hu District, Taipei City 114, Taiwan Well Shin Technology Co., Ltd. No. 196, Xin Hu 3rd Road Nei Hu District, Taipei City 114, Taiwan See appendix Certified Product Ordinary PVS-sheathed flexible cord Model See appendix Trademark K-WELL SHIN, WELL SHIN-D Rated Voltage / Frequency 300/500 V Rated Current / Power - Insulation Class - Degree of protection (IP) - Tested acc. to HD 21.5S3: A1: A2:2001 Test Report No. Additional All colours Expire date Certification Manager Jan-Erik Storgaard The product and production sites listed on the certificate comply with the D-mark requirements and the UL Global Service Agreement, with reference to Terms and Conditions for the D mark. The Owner of the certificate is entitled to use the δ or for cables <DEMKO>, for the products listed on the certificate and manufactured at the production sites listed. UL has to be informed in writing about any changes to the product or production site in accordance with the Term and Conditions of the D mark. The validity of the certificate is shortened if the EU legislation require re-testing and re-certification due to new standards or amendments coming into force before the expiry date. Certification Body UL International Demko A/S, Lyskaer 8, P.O. Box 514, DK-2730 Herlev, Denmark, Tel , info.dk@dk.ul.com
6 A p p e n d i x D E M K O C E R T I F I C A T E Certificate No Page 2/3 Date of Issue Model: H05VV-F 2Xx-5G0,75-1-1,5-2,5-4mm² H05VVH2-F 2X0,75-1mm² Production Site: Dongguan Well Shin Electronics Products Co. Ltd. Chang Long Control District Hwang Jiang Cheng, DongGuan Guangdong China Well Shin Electronic (KUN SHAN) Co. Ltd. Kun Kai Road, Jin Xi Town Jin Xi Development Area Kun Shan City, Suzhou City JiangSu Province, China The certificate has been issued on the basis of Nordic certification Service, certificate No. FI 26428, issued by SGS Fimko, dated Certification Body UL International Demko A/S, Lyskaer 8, P.O. Box 514, DK-2730 Herlev, Denmark, Tel , info.dk@dk.ul.com
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9 CERTIFICATE No. P Order No Page 1/2 Product Applicant Ordinary PVC-sheathed flexible cord Well Shin Technology Co., Ltd. No. 196, Xin Hu 3rd Road, Nei Hu District Taipei City 114 Taiwan Manufacturer Well Shin Technology Co., Ltd. No. 196, Xin Hu 3rd Road, Nei Hu District Taipei City 114 Taiwan Factory Ratings Trade mark Model / Type Ref. Principal characteristics A sample of the product was tested and found to be in conformity with Validity Additional information See page 2 2x0.75-4mm² WELL SHIN+D or K-WELL SHIN H05VV-F 300/500V. All colours See next page(s) CABL HD 21.5 S3:1994; A1; A2 This certificate documents conformity with the standards shown, and also applies as license for use of Nemkos name and certification mark. The certificate and license is valid as long as the applicable conditions are complied with, and provided that any changes to the product are notified to Nemko for acceptance prior to implementation. New standards or amendments to the standards may imply that the product design must be updated and/or that re-testing and re-certification is necessary. See next page(s) Additional model(s) See next page(s) Date of issue Signature Geir Hørthe Certification Department Nemko AS Office address Internet Telephone Fax P.O. Box 73, Blindern Gaustadalléen N-0314 Oslo, Norway Oslo Enterprise number: NO
10 Product Pos. No 1 Model / Type Ref. Trade mark (if different from page 1) CERTIFICATE No. P Order No Page 2/2 Ordinary PVC-sheathed flexible cord H05VVH2-F Rating Principal characteristics 2x0.75-1mm² 300/500V. All colours Product Ordinary PVC-sheathed flexible cord Pos. No 2 Model / Type Ref. H05VV-F Trade mark (if different from page 1) Rating Principal characteristics 3-5G0.75-4mm² 300/500V. All colours Factories: Dongguan Well Shin Electronic Products Co., Ltd. Chang Long Control District, Hwang Jiang Cheng DongGuan Guangdong China Well Shin Electronic (Kun Shan) Co., Ltd. Kun Kai Road, Jin Xi Town, Jin Xi Development Area Kun Shan City, Suzhou City, Jiangsu Province China Date of issue Signature Geir Hørthe Certification Department Nemko AS Office address Internet Telephone Fax P.O. Box 73, Blindern Gaustadalléen N-0314 Oslo, Norway Oslo Enterprise number: NO
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15 File E115330SP Vol. 1 Index Page 1A1 Issued: Revised: IEC CONFIGURATION Cat. No. Config. Cord AWG Electrical A/V Sec. Fig. C-UL WS-003,-003A C14 18,16,14/3 10,13,15/125, Yes WS-003C-1, C14 18,16,14/3 10,13,15/125, Yes -2,-R,-L WS-079 C8 18,16/2 (2.5),10,13/ Yes WS-079C C8 18,16/2 (2.5),10,13/ Yes WS C8 18/2 10/125, A Yes WS-003D, C20 16,14,12/3 13,18,20/125, , Yes WS-003D-L, -R 5,6 WS-003E C18 18,16,14/2 10,13,15/125, Yes NON-STANDARD CONFIGURATION Cat. No. Cord AWG Electrical A/V Sec. Fig. C-UL PPC-25P-A,-B,-C,-D,-E 12/3 25/ Yes PPC-25P-5A,-B,-C,-D 10/5 30/ Yes PPC-25P-5AL,-BL,-CL,-DL 10/5 30/ Yes WS-001B14 16,14/2 13,15/ Yes WS /3 30/ Yes WS /3 30/ Yes WS ,12/3 16,16/ Yes WS ,12/3 16,16/ Yes 19
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18 File E115330SP Vol. 1 Index Page 2 Issued: Revised: IEC CONFIGURATION Cat. No. Config. Cord AWG A/V Sec. Fig. C-UL WS-002E C17 18,16,14/2 10,13,15/125, Yes WS-002E-1 C17 18,16,14/2 10,13,15/125, Yes WS-002E-R C17 18,16,14/2 10,13,15/125,250 2 _ Yes WS-002E-2 C17 18,16,14/2 10,13,15/125, Yes WS-002E-L C17 18,16,14/2 10,13,15/125,250 2 _ Yes WS-002F C19 18,16,14,12/3 10,13,15,20/125, Yes WS-002F1 C19 18,16,14,12/3 10,13,15,20/125, A Yes WS C13 18,16,14/3 10,13,15/125, Yes WS-002B1 C13 18,16,14/3 10,13,15/125, Yes WS-002F2 C19 18,16,14,12/3 10,13,15,20/125, A Yes WS-002H C23 18,16,14,12/3 10,13,15,16/125, Yes WS-027 C7 18,16/2 10,13/125, Yes WS-027A C7 18,16/2 10,13/125, Yes WS-027A-2 C7 18,16/2 10,13/125, A Yes WS-027B C7 18,16/2 10,13/125, C Yes WS-027C C7 18,16/2 10,13/125, D Yes WS-027D C7 18,16/2 10,13/125, E Yes WS-027-H C7 18, 16/2 10,13/125, B Yes WS-029 C1 20,18/2 2,2/ Yes WS-083 C5 18,17,16/3;18,17,16/2 10/125, Yes WS C5 18,17/3 10/125, Yes WS C5 18,17/3 10/125, Yes WS C5 18/3 10/125, Yes WS C5 18/2 10/125, Yes WS C5 18, 17/3 10/125, A Yes WS C13 18/3 10/125, Yes WS C13 18/3 10/ Yes WS A C13 16,14/3 13,15/125, Yes NON-STANDARD CONFIGURATION Cat. No. Config. Cord AWG Electrical A/V Sec. Fig. C-UL WS-030 None 18/2 5/ Yes WS-OR-069 None 18,16/3 10,13/125, Yes WS-272 None 18/2 6/ Yes WS None 18/2 10/ Yes WS None 18/2 10/ Yes CURRENT TAPS: NEMA CONFIGURATION Cat. No. Config. Cord AWG Electrical A/V Sec. Fig. C-UL WS /2 10/ Yes WS-021A /2 10/ Yes WS-022B ,16,14/3; 14/4 10,13,15/ Yes WS-022B /2 10/ Yes (ALTERNATE CONSTRUCTION) WS-062A C22/21 18,16/3 10,13/125, Yes
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20 D E M K O C E R T I F I C A T E Certificate No Page 1/4 Date of Issue Certificate Holder Manufacturer Production site Well Shin Technology Co., Ltd. No. 196, Xin Hu 3rd Road, Nei Hu District Taipei City 114, Taiwan Well Shin Technology Co., Ltd. No. 196, Xin Hu 3rd Road, Nei Hu District Taipei City 114, Taiwan See appendix Certified Product Connector, non-rewirable Model See appendix Trademark WELL SHIN Rated Voltage / Frequency 250 V~ Rated Current / Power 2.5 A Insulation Class Degree of protection (IP) Tested acc. to EN : A1:2007 Test Report No. Additional Expire date Standard sheet C7. For class II equipments. Certification Manager Jan-Erik Storgaard The product and production sites listed on the certificate comply with the D-mark requirements and the UL Global Service Agreement, with reference to Terms and Conditions for the D mark. The Owner of the certificate is entitled to use the δ or for cables <DEMKO>, for the products listed on the certificate and manufactured at the production sites listed. UL has to be informed in writing about any changes to the product or production site in accordance with the Term and Conditions of the D mark. The validity of the certificate is shortened if the EU legislation require re-testing and re-certification due to new standards or amendments coming into force before the expiry date. Certification Body UL International Demko A/S, Lyskaer 8, P.O. Box 514, DK-2730 Herlev, Denmark, Tel , info.dk@dk.ul.com
21 A p p e n d i x D E M K O C E R T I F I C A T E Certificate No Page 2/4 Date of Issue Models: WS-027 WS-027 WS-027B WS-027B WS-027C WS-027C WS-027D WS-027D with cord H03VVH2-F 2X0,75mm² with cord H05VVH2-F 2X0,75mm² with cord H03VVH2-F 2X0,75mm² with cord H05VVH2-F 2X0,75mm² with cord H03VVH2-F 2X0,75mm² with cord H05VVH2-F 2X0,75mm² with cord H03VVH2-F 2X0,75mm² with cord H05VVH2-F 2X0,75mm² WS-027 straight entry WS-027B straight entry WS-027C straight entry WS-027D angled entry Production Site: Dongguan Well Shin Electronics Products Co. Ltd. Chang Long Control District, Hwang Jiang Cheng Dongguan Guangdong China Well Shin Electronic (KUN SHAN) Co. Ltd. Kun Kai Road, Jin Xi Town Jin Xi Development Area Kun Shan City, Suzhou City Jiangsu Province China This certificate replaces the certificate No , dated and dated UL International Demko A/S has issued a new certificate due to update standard The certificate has been issued on the basis of Nordic certification Service, certificate No. FI 26556, issued by SGS FIMKO, dated Certification Body UL International Demko A/S, Lyskaer 8, P.O. Box 514, DK-2730 Herlev, Denmark, Tel , info.dk@dk.ul.com
22 ADDENDUM No. 1 to CERTIFICATE No. P Page 1 of 2 Order No Applicant Manufacturer Well Shin Technology Co., Ltd. No. 196, Xin Hu 3 rd Road Nei Hu District Taipei City 114 TAIWAN Well Shin Technology Co., Ltd. No. 196, Xin Hu 3 rd Road Nei Hu District Taipei City 114 TAIWAN Factory Refer to page 2 Group Model/type Appliance couplers WS-027 Data 2.5A 250V~ Other specification Non-rewirable connector for Class II equipment. Standard Sheet C7. Thermoplastic, with H03VVH2-F 2x0.75mm². Straight cable entry. IP20 The changes concern The above product is certified according to the following standard(s) Validity Additional information New factory site added. Safety std.: EN :2001 The addendum together with the original certificate, and possible previous addendum/addenda, documents conformity with the standards shown. The certification is valid as long as the applicable conditions are complied with, and provided that any changes to the product are notified to Nemko for acceptance prior to implementation. New standards or amendments to the standards may imply that the product design must be updated and/or that re-testing and recertification is necessary. The certification is based on Notification of Nordic Test Results from SGS Fimko Ltd, FI A1, dated 24 January The design is presupposed to be identical to the sample tested. Variants This addendum also covers variants with Position No. from 001 to 004 See next page Date of issue 07 February 2006 signature Ragnar Køltzow Certification Department Nemko AS Office address Telephone Fax P.O. Box 73, Blindern Gaustadalléen N-0314 Oslo, Norway Oslo Enterprise number: NO
23 ADDENDUM No. 1 to CERTIFICATE No. P Page 2 of 2 Order No Group Appliance couplers Position No 001 Model/type WS-027 Data 2.5A 250V~ Other specification Non-rewirable connector for Class II equipment. Standard Sheet C7. Thermoplastic, with H05VVH2-F 2x0.75mm². Straight cable entry. IP20 Group Appliance couplers Position No 002 Model/type WS-027D Data 2.5A 250V~ Other specification Non-rewirable connector for Class II equipment. Standard Sheet C7. Thermoplastic, with H03VV-F 2x0.75mm². Angled cable entry. IP20 Group Appliance couplers Position No 003 Model/type WS-027D Data 2.5A 250V~ Other specification Non-rewirable connector for Class II equipment. Standard Sheet C7. Thermoplastic, with H03VVH2-F 2x0.75mm². Angled cable entry. IP20 Group Appliance couplers Position No 004 Model/type WS-027D Data 2.5A 250V~ Other specification Non-rewirable connector for Class II equipment. Standard Sheet C7. Thermoplastic, with H05VVH2-F 2x0.75mm². Angled cable entry. IP20 Factories: Dongguan Well Shin Electronic Products Co., Ltd. Chang Long Control District Hwang Jiang Cheng, Dongguan Guangdong CHINA Well Shin Electronic (Kun Shan) Co. Ltd. Kun Kai Road, Jin Xi Town Jin Xi Development Area Kun Shan City, Suzhou City Jiangsu Province CHINA Date of issue 07 February 2006 signature Ragnar Køltzow Certification Department Nemko AS Office address Telephone Fax P.O. Box 73, Blindern Gaustadalléen N-0314 Oslo, Norway Oslo Enterprise number: NO
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