Certificate of Compliance to IEC 61508

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1 FM Approvals Certifies herewith that the Mechanical Products (Safety Manual [Form 1538 (3.12) 2012 SOR Inc.]) SOR Inc W 105 th St. Lenexa, KS Complies with the relevant requirements of standards listed below: Standards Description Compliance IEC Functional Safety of Electronic/Electrical/Programmable Part 1 Electronic Safety-Related Systems- General Requirements IEC Functional Safety of Electronic/Electrical/Programmable Electronic Safety-Related Systems Part 2 And therefore IS DECLARED FIT FOR USE" IN A Low Demand SAFETY APPLICATION ( A Component with HFT 0) This certificate is subject to conditions of use presented in FM Approval Report Project ID # April 18, 2012 James E. Marquedant Approval Granted Group Manager, Electrical FM Approvals 1151 Boston-Providence Turnpike Norwood, MA Mechanical Products

2 Displacer Operated Top-Insertion Tank Mounted Series 701, 702, 703, 704, 705, 706, 707, 708 Dry- Single High Alarm DPDT E SPDT E Low Alarm DPDT E SPDT E High Alarm DPDT E SPDT E Low Alarm DPDT E SPDT E High Alarm DPDT E SPDT E Low Alarm DPDT E SPDT E

3 Displacer Operated Top Insertion Tank Mounted Series 730, 731, 732, 733, 734, 735, 736, 737 Dry- Dual High Alarm DPDT E SPDT E Low Alarm DPDT E SPDT E High Alarm DPDT E SPDT E Low Alarm DPDT E SPDT E

4 Displacer Operated Tamperproof & Flanged Serviceable Chamber Series 740, 741, 742, 743, 801, 802, 803, 804 Dry- Single High Alarm DPDT E SPDT E Low Alarm DPDT E SPDT E Dual High Alarm DPDT E SPDT E Low Alarm DPDT E SPDT E Single High Alarm DPDT E SPDT E Low Alarm DPDT E SPDT E Dual High Alarm DPDT E SPDT E Low Alarm DPDT E SPDT E Single High Alarm DPDT E SPDT E Low Alarm DPDT E SPDT E

5 Displacer Operated Top Insertion Tank Mounted Series 750, 751, 752, 753, 754, 755, 756, 757 Dry- Triple High Alarm DPDT E SPDT E Low Alarm DPDT E SPDT E High Alarm DPDT E SPDT E Low Alarm DPDT E SPDT E

6 Float Operated Flanged Serviceable & Tamperproof Chamber Series 101, 102, 103, 104, 109, 121, 122, 123, 124, 201, 202, 203, 204, 205, 206, 207, 209, 221 Dry- Single High Alarm DPDT E SPDT E Low Alarm DPDT E SPDT E Dual High Alarm DPDT E SPDT E Low Alarm DPDT E SPDT E Single High Alarm DPDT E SPDT E Low Alarm DPDT E SPDT E Dual High Alarm DPDT E SPDT E Low Alarm DPDT E SPDT E Single High Alarm DPDT E SPDT E Low Alarm DPDT E SPDT E

7 Float Operated Top Insertion Tank Mounted Series 301, 303, 304 Dry- Single High Alarm DPDT E SPDT E Low Alarm DPDT E SPDT E Dual High Alarm DPDT E SPDT E Low Alarm DPDT E SPDT E Single High Alarm DPDT E SPDT E Low Alarm DPDT E SPDT E Dual High Alarm DPDT E SPDT E Low Alarm DPDT E SPDT E Single High Alarm DPDT E SPDT E Low Alarm DPDT E SPDT E

8 Float Operated Horizontal Insertion Tank Mounted Series 401, 402, 403, 404, 405, 406 Dry- Single High Alarm DPDT E SPDT E Low Alarm DPDT E SPDT E High Alarm DPDT E SPDT E Low Alarm DPDT E SPDT E High Alarm DPDT E SPDT E Low Alarm DPDT E SPDT E

9 Float Operated Tamperproof & Flanged Serviceable Horizontal Chamber Series 108, 208 Dry- Single High Alarm DPDT E SPDT E Low Alarm DPDT E SPDT E High Alarm DPDT E SPDT E Low Alarm DPDT E SPDT E High Alarm DPDT E SPDT E Low Alarm DPDT E SPDT E

10 Vane Operated Vertically Mounted Series 901, 902, 903, 904 Dry- Single High Alarm/ Low Alarm DPDT E SPDT E High Alarm/ Low Alarm DPDT E SPDT E-05 9 High Alarm/ Low Alarm DPDT E SPDT E-05 12

11 1510 Electric Horizontal Series 1510 Reed Sw High Alarm SPST E SPDT E Low Alarm SPST E SPDT E Electric Vertical Series 1550 Reed Sw High Alarm SPST E SPDT E Low Alarm SPST E SPDT E

12 1710 Electric Horizontal Explosionproof Series Chamber/ Non- Chamber 1710 Std. Dry No Chamber High & Low Alarm DPDT E SPDT E Chamber DPDT E No Chamber SPDT E DPDT E SPDT E Chamber DPDT E SPDT E Electric Horizontal Series Chamber/ Non- Chamber 2210 Std. Dry No Chamber High & Low Alarm DPDT E SPDT E Chamber DPDT E SPDT E-05 13

13 1520 Electric Flow Series 1520 Reed Sw High Alarm SPST E SPDT E Low Alarm SPST E SPDT E

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