ccsaus certificate: for GSI 127 Meggitt SA Route de Moncor 4 PO Box 1616 CH Fribourg Switzerland Title Page

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1 Title Page ccsaus certificate: EN for EX Meggitt SA Route de Moncor 4 PO Box 1616 CH Fribourg Switzerland ccsaus certificate

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3 FR (EN) Original copy EN Certificate of Compliance Certificate: Project: Master Contract: Date Issued: Certificate: Master Contract: Rating: Project: Date Issued: Power supply: 30 V, 150 ma Issued to: Meggitt SA Rte de Moncor 4 Villars-sur-Glane, Fribourg 1752 SWITZERLAND Attention: Carlo Pellegrinelli The products listed below are eligible to bear the CSA Mark shown with adjacent indicators 'C' and 'US' for Canada and US or with adjacent indicator 'US' for US only or without either indicator for Canada only. PRODUCTS Issued by: Hossein Saleh Hossein Saleh CLASS PROCESS CONTROL EQUIPMENT - Intrinsically Safe and Non-Incendive Systems - For Hazardous Locations CLASS PROCESS CONTROL EQUIPMENT - Intrinsically Safe and Non-Incendive-Systems - For Hazardous Locations - Certified to U.S. Standards Class I, Division 2, Groups A, B, C and D Ex na [ia Ga] IIC T4 Gc Class I, Zone 2, AEx na [ia Ga] IIC T4 Gc Monitoring system consisting of galvanic separation unit Model XXX () providing I.S. outputs for Division 1/Zone 0 when connected per Installation Drawing PZ Operating temperature: -40 to +70 C Nomenclature: XXX-A2-BYY Sensor or conditioner: For XXX-A2-B01 to B19: Uo, Voc = 25.2 V; Io, Isc = 60 ma; Po = 0.7 W; Co, Ca = 95 nf; Lo, La = 5 mh For XXX-A2-B20 to B39: Uo, Voc = 25.2 V; Io, Isc = 45 ma; Po = 0.5 W; Co, Ca = 95 nf; Lo, La = 10 mh Conditions of Acceptability: 1. The power to the Monitoring Side of the equipment shall be supplied by an SELV or PELV system with a maximum voltage of 30 Vdc. 2. The Transducer Side of the equipment shall only be connected to intrinsically safe certified associated apparatus or simple apparatus. 3. This device is an OPEN type equipment that shall be installed within a fixed end-use enclosure that is rated for IP54 (according to CSA/UL ) or Type 4. The suitability of the enclosure is subject to investigation by the local authorities having jurisdiction at the time of installation. APPLICABLE REQUIREMENTS CAN/CSA C22.2 No (R2011) General Requirements - Canadian Electrical Code, Part II CAN/CSA C22.2 No Process control equipment CSA Std. C22.2 No Non-incendive electrical equipment for use in class I, Division 2 hazardous locations CAN/CSA-C22.2 No :15 Explosive Atmospheres - Part 0: Equipment - General requirements CAN/CSA-C22.2 No :14 Explosive Atmospheres Part 11: Equipment protection by intrinsic safety "i" CAN/CSA-C22.2 No :16 Explosive Atmospheres Part 15: Construction, test and marking of type of protection n electrical apparatus ANSI/UL 916: October 2015 (Fifth Edition) Energy management equipment ANSI/UL :13 Electrical Apparatus for Explosive Gas Atmospheres - Part 0: General Requirements ANSI/UL :13 Electrical apparatus for Explosive Gas Atmospheres - Part 11: Intrinsic Safety i ANSI/UL :13 Electrical apparatus for Explosive Gas Atmospheres - Part 15: Type of Protection n ANSI/ISA Nonincendive Electrical Equipment for Use in Class I and II, Division 2 and Class III, Divisions 1 and 2 Hazardous (Classified) Locations XXX defines the version of the product (X = 0 to 9) YY defines the transfer mode (YY = 01 to 19 for actual specification; YY = 20 to 39 for alternate specification) DQD 507 Rev Page 1 DQD 507 Rev Page 2 ccsaus certificate

4 FR (EN) Original copy EN Supplement to Certificate of Compliance Certificate: Master Contract: The products listed, including the latest revision described below, are eligible to be marked in accordance with the referenced Certificate. Project Date Description Product Certification History Update to CSA C-US Certificate and Report for Interface with IS Output, to add new models with Alternate specification, and an update to the Type designation of XXX-A2-BYY to differentiate between the two specifications. A new operating temperature of -40 C to + 70 C for all models is introduced ccsaus certification for GSI127 for Class I, Division 2, with intrinsically safe outputs DQD 507 Rev Page 1 2 ccsaus certificate

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