FCC ID: PGR-NVG5XDBAC WiFi Module

Declaration of conformity The following sections describe regulatory compliance by region. FCC/Industry Canada compliance This device has been tested and certified as compliant with the regulations and guidelines set forth in the Federal Communication commission - FCC part 15, FCC part 68 and Industry Canada -

ICES003 and RSS-210 Radio and telecommunication regulatory requirements. Le prsent materiel est conforme aux specifications techniques applicables dIndustrie Canada. Cet appareil numrique de la classe [*] est conforme la norme NMB-003 du Canada. Manufacturer: ARRIS Models: NVG5x8 Product Family Part 15 of FCC rules This device complies with part 15 of the FCC Rules and Industry Canada license- exempt RSS standard(s). Operation is subject to the following two conditions:

(1) this device may not cause harmful interference, and (2) this device must accept any interference received, including interference that may cause undesired operation of the device. Le prsent appareil est conforme aux normes CNR dIndustrie Canada applicables aux appareils radio exempts de licence. Lexploitation est autorise aux deux conditions suivantes:

(1) lappareil ne doit pas produire de brouillage, et

(2) lutilisateur de lappareil doit accepter tout brouillage radiolectrique subi, mme si le brouillage est susceptible den compromettre le fonctionnement. Users should be advised that high-power radars are allocated as primary users (i.e. priority users) of the bands 5250-5350 MHz and 5470-5725 MHz and that these radars could cause interference and/or damage to the LE-LAN device. Les utilisateurs doivent tre aviss que les radars de haute puissance sont dsigns utilisateurs principaux (c.--d., quils ont la priorit) pour les bandes 5250-5350 MHz et 5650- 5850 MHz et que ces radars peuvent causer du brouillage et/ou des dommages aux dispositifs LAN-EL. The device for operation in the band 5150-5250MHz is only for indoor use to reduce the potential for harmful i nterference to co-channel mobile satellite systems. Les dispositifs fonctionnant dans la bande 5150-5250 MHz sont rservs uniquement pour une utilisation lintrieur afin de rduire les risques de brouillage prjudiciable aux systmes de satellites mobiles utilisant les mmes canaux. This equipment has been tested and found to comply with the limits for a Class B digital device, pursuant to part 15 of the FCC Rules. These limits are designed to provide reasonable protection against harmful interference in a residential installation. This equipment generates, uses and can radiate radio frequency energy and, if not installed and used in accordance with the instructions, may cause harmful interference to radio communications. However, there is no guarantee that interference will not occur in a particular installation. If this equipment does cause harmful interference to radio or television reception, which can be determined by turning the equipment off and on, the user is encouraged to try to correct the interference by one or more of the following measures:

Reorient or relocate the receiving antenna. Connect the equipment to an outlet on a circuit different from that to which the receiver is connected. Consult the dealer or an experienced radio/TV technician for help. Caution: Changes or modifications not expressly approved by the party responsible for compliance could void your authority to operate this equipment. Increase the separation between the equipment and receiver. Under Industry Canada regulations, this radio transmitter may only operate using an antenna of a type and maximum (or lesser) gain approved for the transmitter by Industry Canada. To reduce potential for radio interference to other users, the antenna type and its maximum gain should be so chosen that the equivalent isotropically radiated power (e.i.r.p.) is not more than that necessary for successful communication.Conformment la rglementation dIndustrie Canada, le prsent metteur radio peut fonctionner avec une antenne dun type et dun gain maximal (ou infrieur) approuv pour lmetteur par Industrie Canada. Dans le but de rduire les risques de brouillage radiolectrique lintention des autres utilisateurs, il faut choisir le type dantenne et son gain de sorte que la puissance isotrope rayonne quivalente

(p.i.r.e.) ne dpasse pas lintensit ncessaire ltablissement dune communication satisfaisante. MPE/SAR/RF exposure information This device was verified for RF exposure and found to comply with Council Recommendation 1999/519/EC and FCC OET-65 RF exposure requirements. This equipment complies with FCC radiation exposure limits set forth for an uncontrolled environment. WARNING: While this device is in operation, a separation distance of at least 20 cm (8 inches) must be maintained between the radiating antenna inside the EUT and the bodies of all persons exposed to the transmitter in order to meet the FCC RF exposure guidelines. Making changes to the antenna or the device is not permitted. Doing so may result in the installed system exceeding RF exposure requirements. This device must not be co-located or operated in conjunction with any other antenna or radio transmitter. Cet appareil rpond aux directives dexposition RF 1999/519/EC et FCC OET-65 sur la limitation dexposition du public gnral aux champs lectromagntiques. MISE AN GARDE: Pour satisfaire aux exigences de la FCC et IC concernant lexposition aux radiofrquences, une sparation de 20 cm ou plus doit tre maintenue entre cet appareil et des personnes lors de fonctionnement du dispositif. Pour assurer la conformit, des oprations au plus prs que cette distance nest pas recommande. Lantenne utilise pour cet metteur ne doit pas tre co-localise ou fonctionner conjointement avec une autre antenne ou transmetteur. Safety information The following sections describe the safety guidelines for this product. AC adapter This product is intended to be supplied with a listed ARRIS Direct Plug-In AC adapter marked Class 2 or LPS and rated 12o-240 V,50/60Hz 0.4 A output 6.0 V 1.67A for all NVG5x8 series gateway models. The AC power adapter supplied with this product is designed to ensure your personal safety and to be compatible with this equipment. Use only the power adapter that was provided with the gateway. Please follow these guidelines:

Do not use the adapter in a high moisture environment. Never touch the adapter when your hands or feet are wet. Allow adequate ventilation around the adapter. Avoid locations with restricted airflow. Connect the adapter to a proper power source. The voltage and grounding requirements are found on the product case and/or packaging. Adaptateur secteur Cet appareil est destin tre aliment par une source dalimentation directe fournie par ARRIS ou 2Wire, de Classe 2 ou marque LPS , et avec un courant de sortie de 12 V DC, 3 A pour tous les modles 52xxAC-xxx. Le bloc dalimentation secteur fourni avec ce produit a t conu pour garantir votre scurit et tre compatible avec cet appareil. Veuillez suivre les consignes suivantes:

Nutilisez pas ladaptateur secteur dans un environnement hautement humide. Ne touchez jamais ladaptateur secteur si vos pieds ou mains sont humides. Laissez une ventilation adquate autour de ladaptateur secteur. Evitez les endroits o la circulation de lair est insuffisante. Branchez ladaptateur secteur sur une prise respectant les spcifications sur la tension et la mise la terre se trouvant sur la coque et/ou lemballage du produit. Nutilisez jamais ladaptateur secteur si le cordon dalimentation est endommag. Nessayez pas de rparer vous-mme cet adaptateur. Il ny a aucune pice rparable lintrieur. Remplacez ladaptateur sil est endommag ou a t soumis une humidit excessive. Telecommunication cord Caution: To reduce the risk of fire, use only No. 26 AWG or larger UL Listed or CSA Certified Telecommunication Line Cord. Cordon tlphonique Attention: Afin de rduire le risque dincendie, nutilisez quun cordon tlphonique de calibre 26 AWG ou suprieur list UL ou certifi CSA. Internal telephone ports (VoIP) Telecommunication equipment connected to this port (e.g., via Phone Lines 1 & 2 port) should be UL Listed and the connections shall be made in accordance with Article 800 of the NEC. Port tlphonique (VoIP): Tout quipement de tlcommunication tlphonique connect ce port doit tre list UL et les branchements doivent tre fait conformment aux dispositions de lArticle 800 du Code national de llectricit (NEC). Repairs Do not, under any circumstances, attempt any service, adjustments, or repairs on this equipment. Instead, contact your local ARRIS distributor or service provider for assistance. Failure to comply may void the product warranty. Location - electrical considerations CAUTION: Due to risk of electrical shock or damage, do not use this product near water, including a bathtub, wash bowl, kitchen sink or laundry tub, in a wet basement, or near a swimming pool. Also, avoid using this product during electrical storms. Avoid locations near electrical appliances or other devices that cause excessive voltage fluctuations or emit electrical noise (for example, air conditioners, neon signs, high- frequency or magnetic security devices, or electric motors). Emplacement Considration lectriques AVERTISSEMENT: Pour viter un risque de choc lectrique, nutilisez pas cet appareil proximit dune source deau, par exemple prs dune baignoire, un lavabo, une machine laver, dans un garage humide ou prs dune piscine. Evitez aussi dutiliser cet appareil durant un orage. Evitez de brancher cet appareil proximit dappareils lectriques pouvant causer de large fluctuations de tension ou mettant du bruit lectrique (tel que climatiseurs, enseignes au non, dispositifs de scurit magntique ou de haute-frquence, ou moteurs lectriques). Location - environmental c onsiderations Do not plug the power adapter into an outdoor outlet or operate the residential gateway outdoors. It is not waterproof or dustproof, and is for indoor use only. Any damage to the unit from exposure to rain or dust may void your warranty. Do not use the residential gateway where there is high heat, dust, humidity, moisture, or caustic chemicals or oils. Keep the gateway away from direct sunlight and anything that radiates heat, such as a stove or a motor. Do not use the adapter if the cord becomes damaged. Do not attempt to service the adapter. There are no serviceable parts inside. Replace the unit if it is damaged or exposed to excess moisture. ou de brlure chimique si lle est manipule de faon incorrecte. Ne la dsassemblez pas, ne lexposez pas des tempratures suprieures 60C et ne la brlez pas. En cas de remplacement de la batterie, utilisez uniquement Class 1M Laser Product DANGER Viewing the laser output with certain optical instruments (e.g. eye loupes, magnifiers and microscopes) within a distance of 100 mm may pose an eye hazard. DANGER Use of controls or adjustments, or performance of procedures other than those specified herein may result in hazardous radiation exposure. DANGER There must be a proper termination of all active fibers in the network. IEC 60825-1:2014 - Safety of laser products - Equipment classification and requirements EN 60825-1:2014 - Safety of laser products - Equipment classification and requirements IEC 60825-2:2004+A1+A2 - Safety of laser products - Safety of OFCS EN 60825-2:2004+A1+A2 - Safety of laser products - Safety of OFCS Complies with 21 CFR 1040.10 and 1040.11 except for deviations pursuant to Laser Notice No. 50, dated June 24, 2007 Trade Name ARRIS Responsible Party ARRIS International plc. Address:

Phone 3871 Lakefield Drive Suwanee, GA 30024 United States 1-866 362-7747

ARRIS Model: NVG578FHS P/N: 612359-001-00 Wi-Fi Network Name: ARRISXXXX Wi-Fi Password: 123456789012 Security Type: WPA2/AES Advance Device Dh http://192.168.1.254 Ox LISTED Electrical Rating 12V ==3.75A S/N: 123456789012345 MAC: AABBCCDDEEFF Device Access Code: 0123456789 Class 1 Laser Product / Produit Laser Classe 1 IEC 60825-1:2014 Complies with 21 CFR 1040.10 and 1040.11 except for conformance with IEC 60825-1 Ed. 3., as described in Laser Notice No. 56, dated May 8, 2019. ede CAN ICES-3 (B)/NMB-3 (B) MFG SITE CODE: XXX 205389 Contains FCC ID: PGR-NVGSXDBAC / IC: 3439B-NVG5XDBAC MADE IN XXXXXXX

June 22, 2020 Request for Confidentiality April 24, 2020 FCC ID: PGR-NVG5XDBAC Pursuant to FCC 47 CRF 0.457(d) and 0.459, the applicant requests that the following part(s) of the subject FCC application be held confidential. Type of Confidentiality Requested Short Term Short Term Short Term Short Term Short Term Short Term Short Term Short Term Short Term Permanent Permanent Permanent Permanent Permanent Permanent Permanent Exhibit Block Diagrams External Photos Internal Photos Operation Description/Theory of Operation Parts List & Placement/BOM Tune-Up Procedure Schematics Test Setup Photos Users Manual ARRIS has spent substantial effort in developing this product and it is one of the first of its kind in industry. Having the subject information easily available to "competition" would negate the advantage they have achieved by developing this product. Not protecting the details of the design will result in financial hardship. Permanent Confidentiality:

The applicant requests the exhibits listed above as permanently confidential be permanently withheld from public review due to materials that contain trade secrets and proprietary information not customarily released to the public. Short-Term Confidentiality:

The applicant requests the exhibits selected above as short term confidential be withheld from public view for a period of 180 days from the date of the Grant of Equipment Authorization and prior to marketing. This is to avoid premature release of sensitive information prior to marketing or release of the product to the public. Applicant is also aware that they are responsible to notify TUV Rheinland in the event information regarding the product or the product is made available to the public. TUV Rheinland will then release the documents listed above for public disclosure pursuant to FCC Public Notice DA 04-1705. Sincerely, Thomas Kelleher Product Compliance Engineer ARRIS 101 Tournament Dr, Horsham, PA 19044 USA Tel: 215-323-2257 E-mail: thomas.kelleher@commscope.com 101 Tournament Drive, Horsham, PA 19044 USA

ARRIS 310 Providence Mine Road Nevada City, CA 95959 Tel: 530 274 5400 Fax: 530 273 6340 June 11, 2019 TUV Rheinland of North America, Inc. 1279 Quarry Ln., Ste. A Pleasanton, CA 94566 Re: FCC ID: PGR-NVG5XDBAC To Whom It May Concern:

In accordance with Title 47 Section 15.212 (b), ARRIS believes it has met all of the requirements set out in that document for the granting of a Limited Modular Approval. Specifically, the criteria set out in Section 15.212 (b) are addressed as follows:

1. The Model NVG5X8AC 2.4 GHz and 5 Ghz 802.11 radio module has SPTE tin plated steel shields covering all critical RF components. This can be seen in the photographs included in the accompanying test report. 2. The modulation/data inputs are controlled via the PCIe interface by the BCM4366E WiFi compliant SoCs

(U240 & U5003) meeting all IEEE 802.11 modulation and PCIe data bus requirements. 3. The 40MHz rf reference oscillator is integrated in each BCM4366E SoC contained within the module. The 5V/3.3V/1.2V power requirements are supplied by on-board regulation. 12 vdc is suppled from the host. 4. As described in the Description of Operation the NVG5X8AC module employs 8 antenna U.FL connector ports, 4 ports for the 2.4 GHz radio and four ports for the 5 Ghz radio. The antennas are a dipole design in essence a balun feed to a dipole mounted on a common plastic carrier integrated into the enclosure and are not accessible by the end user. All integrated antennas used in the host device have been verified at the time of initial authorization. 5. This PCIe module is designed to be installed into a ARRIS host based product. The test data contained in this application is for the device tested in a stand-alone configuration using a host board as a carrier sitting in a plastic housing to simulate the position of the antennas as they would be used in a typical end product. All other circuits not applicable to the operation of the module were disabled in this carrier. This module does not employ any ferrites to reduce unintended emissions. Radiated spurious emissions data and AC conducted emissions data demonstrating compliance with the requirements of Part 15 of the FCC rules for intentional radiators and RSS GEN/RSS 210 has been provided. 6. The PCIe module is fitted with its own part number ID; The FCC ID is displayed on the host label. The FCC label and location are outlined in the user manual. 7. The Model NVG5X8AC PCIe integrated module has been tested to comply with all rules under Part 15. The compliance is assured by the design of the device. In this implementation the end user is unable to intervene to cause the device to operate incorrectly. These safeguards are outline in more detail in the Software Security requirements for U-NII devices attestation. 8. The Model NVG5X8AC meets the requirements for a mobile device that may be used at separation distances of more than 20cm from the human body. Refer to the MPE calculation in the report and statements in the user manual. As noted above, this module complies with section 15.212 under a limited modular approval. ARRIS ensures compliance through manufacturing of its end products and through professional installation and user manuals controlled by ARRIS and its customers (service providers). ARRIS 310 Providence Mine Road Nevada City, CA 95959 Tel: 530 274 5400 Fax: 530 273 6340 Modular approval requirement RSS GEN Checklist Yes No

*

(a) The radio elements must have the radio frequency circuitry must be shielded. Physical/discrete and tuning capacitors may be located external to the shield but must be on the module assembly.

(b) The module shall have buffered modulation/data input(s) (if such inputs are provided) to ensure that the module will comply with the requirements set out in the applicable RSS standard under conditions of excessive data rates or over-modulation.

(c) The module shall have its own power supply regulation on the module. This is to ensure that the module will comply with the requirements set out in the applicable standard regardless of the design of the power supplying circuitry in the host device which houses the module.

(d) The module shall comply with the provisions for external power amplifiers and antennas detailed in this standard. The equipment certification submission shall contain a detailed description of the configuration of all antennas that will be used with the module.

(e) The module shall be tested for compliance with the applicable standard in a stand-

alone configuration, i.e. the module must not be inside another device during testing.

(f) The module shall comply with the Category I equipment labelling requirements.

(g) The module shall comply with applicable RSS-102 exposure requirements, which are based on the intended use/configurations.

(h) Is the modular device for an Industry Canada licensed exempt service?

* Please refer to the previous sections for a detailed explanation if the answer is No. Sincerely, Mark Rieger Principal Hardware Engineer Regulatory compliance and conformance ARRIS 310 Providence Mine Road, Ste. 200, Nevada City, CA 95959 USA o: +1 530-274-5440 c: +1 530-575-6010 e: mark.rieger@arris.com