6-917354-1

Certificate of Compliance Certificate: 2482868 (LR 7189-686) Master Contract: 164196 Project: 2768855 Date Issued: October 8, 2014 Issued to: Tyco Electronics Corporation 2901 Fulling Mill Rd Mail Stop 140-08 Middletown, PA 17057-3163 USA Attention: Mr. Rod L. Maley The products listed below are eligible to bear the CSA Mark shown Mike W. Gryschuk Issued by: Mike W. Gryschuk, C.E.T. PRODUCTS CLASS 6233 01 - RECEPTACLES - Attachment Plug Type and Plugs Special use connectors "Power Double Lock" Series 177XXX, 179XXX, 9173XX, rated 10A max, 300V max. APPLICABLE REQUIREMENTS CSA Std. C22.2 No. 182.3-M1987, 1st Ed - Special Use Attachment Plugs, Receptacles, and Connectors DQD 507 Rev. 2012-05-22 Page: 1 Descriptive Report and Test Results MASTER CONTRACT: 164196 REPORT: 2482868 PROJECT: 2768855 Edition 1: December 14, 1995; Application No LR 7189-686 - Toronto Issued by Nick Sajatovich Edition 2: April 21, 1997; Application No LR 7189-824 - Toronto Issued by Nick Sajatovich Report Reissued Edition 3: December 16, 2011; Project 2482868 - Toronto Issued by Mike W. Gryschuk, C.E.T. Report Reissued Figures Replaced: Edition 4: January 18, 2013; Project 2594730 - Toronto Issued by Mike W. Gryschuk, C.E.T. Report Reissued Figures Added: Edition 5: Figs 1 to 10 Fig 11 October 8, 2014; Project 2768855 - Toronto Issued by Mike W. Gryschuk, C.E.T. Report Reissued Contents: Certificate of Compliance - Pages 1 to 1 Supplement to Certificate of Compliance - Pages 1 to 1 Description and Tests - Pages 1 to 5 Figures - Figs 1 to 11 (in Documentum) PRODUCTS CLASS 6233 01 - RECEPTACLES - Attachment Plug Type and Plugs Special-use connectors "Power Double Lock" Series 177XXX, 179XXX, 9173XX, rated 10A max, 300V max. APPLICABLE REQUIREMENTS CSA Std. C22.2 No. 182.3-M1987, 1st Ed - Special Use Attachment Plugs, Receptacles, and Connectors This report shall not be reproduced, except in full, without the approval of CSA Group. 178 Rexdale Boulevard, Toronto, ON, Canada M9W 1R3 Telephone: 416.747.4000 1.800.463.6727 Fax: 416.747.4149 www.csagroup.org DQD 507.10 Rev. 2013-06-19 MASTER CONTRACT: 164196 REPORT: 2482868 PROJECT: 2768855 Page No: 2 Date Issued: October 8, 2014 MARKINGS The manufacturer is required to apply the following markings: • Products shall be marked with the markings specified by the particular product standard. • Products certified for Canada shall have all Caution and Warning markings in both English and French. Additional bilingual markings not covered by the product standard(s) may be required by the Authorities Having Jurisdiction. It is the responsibility of the manufacturer to provide and apply these additional markings, where applicable, in accordance with the requirements of those authorities. The Submittor’s name ("TYCO")/tradename ("AMP")/trademark/file ("164196" or "LR 7189") and the CSA Mark are permanently marked on each device. The Submittor’s identification, the CSA Mark, the Cat No, the electrical rating and the following (or equivalent) wording: "CAUTION: NOT FOR INTERRUPTING CURRENT" and "ATTENTION: NE PAS UTILISER POUR COUPER LE COURANT" are marked on the smallest carton or device. ALTERATIONS See "Markings" above. FACTORY TESTS None. SPECIAL INSTRUCTIONS FOR FIELD SERVICES None. COMPONENT SPECIAL PICKUP None. DESCRIPTION Conditions of Acceptability: 1. Supplied only to manufacturers, as components, for the assembly of Certified electrical equipment, where the acceptability of the suitability of the combination in the end use is determined by CSA Group. 2. Not for interrupting current. 3. Prefixes and suffixes maybe added to the part numbers to denote non-electrical variations. DQD 507.10 Rev. 2013-06-19