FCC ID: QDS-BRCM1069 802.11a/g/n/ac WLAN + BT PCI-E Custom Combo Card

by: Broadcom Corporation latest update: 2016-01-14 model: BRCM1069

Eight grants have been issued under this FCC ID from 06/12/2013 to 01/14/2016 (this is one of forty-one releases in 2016 for this grantee). Public details available include internal & external photos, manuals, and frequency information. some products also feature user submitted or linked troubleshooting guides, instructions, warrantee terms, password defaults, & drivers.
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app s submitted / available
1 2 3 4 5 6 7 8 Host manual Users Manual pdf 1.91 MiB
1 2 3 4 5 6 7 8 Installation Manual Users Manual pdf 110.47 KiB November 06 2013 / August 12 2013
1 2 3 4 5 6 7 8 User Manual Users Manual pdf 2.64 MiB
1 2 3 4 5 6 7 8 Test Report pdf August 01 2016
1 2 3 4 5 6 7 8 Test Setup Photos pdf August 01 2016 / May 07 2016
1 2 3 4 5 6 7 8 Cover Letter(s) pdf August 01 2016
1 2 3 4 5 6 7 8 Cover Letter(s) pdf August 01 2016
1 2 3 4 5 6 7 8 Cover Letter(s) pdf August 01 2016
1 2 3 4 5 6 7 8 Cover Letter(s) pdf August 01 2016
1 2 3 4 5 6 7 8 Cover Letter(s) pdf
1 2 3 4 5 6 7 8 Attestation Statements pdf
1 2 3 4 5 6 7 8 Cover Letter(s) pdf
1 2 3 4 5 6 7 8 Cover Letter(s) pdf
1 2 3 4 5 6 7 8 RF Exposure Info pdf
1 2 3 4 5 6 7 8 RF Exposure Info pdf
1 2 3 4 5 6 7 8 ID Label/Location Info pdf
1 2 3 4 5 6 7 8 RF Exposure Info pdf
1 2 3 4 5 6 7 8 RF Exposure Info pdf
1 2 3 4 5 6 7 8 RF Exposure Info pdf
1 2 3 4 5 6 7 8 RF Exposure Info pdf
1 2 3 4 5 6 7 8 RF Exposure Info pdf
1 2 3 4 5 6 7 8 RF Exposure Info pdf
1 2 3 4 5 6 7 8 Test Setup Photos pdf
1 2 3 4 5 6 7 8 Test Setup Photos pdf
1 2 3 4 5 6 7 8 Cover Letter(s) pdf
1 2 3 4 5 6 7 8 ID Label/Location Info pdf
1 2 3 4 5 6 7 8 External Photos pdf November 06 2013 / August 12 2013
1 2 3 4 5 6 7 8 Internal Photos pdf November 06 2013 / August 12 2013
1 2 3 4 5 6 7 8 ID Label/Location Info pdf November 06 2013 / December 06 2013
1 2 3 4 5 6 7 8 RF Exposure Info pdf November 06 2013 / December 06 2013
1 2 3 4 5 6 7 8 Cover Letter(s) pdf November 06 2013 / December 06 2013
1 2 3 4 5 6 7 8 Test Report pdf November 06 2013 / December 06 2013
1 2 3 4 5 6 7 8 Test Setup Photos pdf November 06 2013 / August 12 2013
1 2 3 4 5 6 7 8 Attestation Statements pdf November 06 2013 / December 06 2013
1 2 3 4 5 6 7 8 Attestation Statements pdf November 06 2013 / December 06 2013
1 2 3 4 5 6 7 8 RF Exposure Info pdf November 06 2013 / December 06 2013
1 2 3 4 5 6 7 8 Cover Letter(s) pdf November 06 2013 / December 06 2013
1 2 3 4 5 6 7 8 Test Report pdf November 06 2013 / December 06 2013
1 2 3 4 5 6 7 8 Test Report pdf November 06 2013 / December 06 2013
1 2 3 4 5 6 7 8 Test Report pdf November 06 2013 / December 06 2013
1 2 3 4 5 6 7 8 Test Setup Photos pdf December 06 2013 / August 12 2013
1 2 3 4 5 6 7 8 ID Label/Location Info pdf November 06 2013 / December 06 2013
1 2 3 4 5 6 7 8 Test Report pdf December 06 2013
1 2 3 4 5 6 7 8 Test Report pdf December 06 2013
1 2 3 4 5 6 7 8 Test Setup Photos pdf December 06 2013 / August 12 2013
1 2 3 4 5 6 7 8 Test Setup Photos pdf December 06 2013 / August 12 2013
1 2 3 4 5 6 7 8 Host manual Users Manual pdf 1.91 MiB
1 2 3 4 5 6 7 8 Installation Manual Users Manual pdf 110.47 KiB November 06 2013 / August 12 2013
1 2 3 4 5 6 7 8 User Manual Users Manual pdf 2.64 MiB

frequency equipment class purpose
1 2016-01-14 5745 ~ 5825 NII - Unlicensed National Information Infrastructure TX Class II permissive change or modification of presently authorized equipment
2 2013-10-22 5710 ~ 5720 NII - Unlicensed National Information Infrastructure TX
3 5745 ~ 5825 DTS - Digital Transmission System
4 2402 ~ 2480 DSS - Part 15 Spread Spectrum Transmitter
5 2013-06-12 2402 ~ 2480 DSS - Part 15 Spread Spectrum Transmitter Original Equipment
6 5710 ~ 5720 NII - Unlicensed National Information Infrastructure TX
7 JBP - Part 15 Class B Computing Device Peripheral
8 5745 ~ 5825 DTS - Digital Transmission System

Application Forms

app s Applicant Information
1 2 3 4 5 6 7 8 Effective 2016-01-14
1 2 3 4 5 6 7 8 2013-10-22
1 2 3 4 5 6 7 8 2013-06-12
1 2 3 4 5 6 7 8 Applicant's complete, legal business name Broadcom Corporation
1 2 3 4 5 6 7 8 FCC Registration Number (FRN) 0007091952
1 2 3 4 5 6 7 8 Physical Address 270 Innovation Drive
1 2 3 4 5 6 7 8 San Jose, California 95134
1 2 3 4 5 6 7 8 United States
app s TCB Information
1 2 3 4 5 6 7 8 TCB Application Email Address L******@ul.com
1 2 3 4 5 6 7 8 TCB Scope A4: UNII devices & low power transmitters using spread spectrum techniques
1 2 3 4 5 6 7 8 A1: Low Power Transmitters below 1 GHz (except Spread Spectrum), Unintentional Radiators, EAS (Part 11) & Consumer ISM devices
app s FCC ID
1 2 3 4 5 6 7 8 Grantee Code QDS
1 2 3 4 5 6 7 8 Equipment Product Code BRCM1069
app s Person at the applicant's address to receive grant or for contact
1 2 3 4 5 6 7 8 Name A**** L********
1 2 3 4 5 6 7 8 Title Manager, Compliance Engineering
1 2 3 4 5 6 7 8 Telephone Number 40892********
1 2 3 4 5 6 7 8 Fax Number 408-5********
1 2 3 4 5 6 7 8 E-mail a******@broadcom.com
app s Technical Contact
1 2 3 4 5 6 7 8 Firm Name UL Verification Services
1 2 3 4 5 6 7 8 Name G**** R********
1 2 3 4 5 6 7 8 A******** A********
1 2 3 4 5 6 7 8 Physical Address 47173 Benicia Street
1 2 3 4 5 6 7 8 Fremont, 94538
1 2 3 4 5 6 7 8 Fremont, California 94538
1 2 3 4 5 6 7 8 United States
1 2 3 4 5 6 7 8 Telephone Number (510)********
1 2 3 4 5 6 7 8 Fax Number (510)********
1 2 3 4 5 6 7 8 E-mail g******@ul.com
1 2 3 4 5 6 7 8 A******@ul.com
app s Non Technical Contact
n/a
app s Confidentiality (long or short term)
1 2 3 4 5 6 7 8 Does this application include a request for confidentiality for any portion(s) of the data contained in this application pursuant to 47 CFR § 0.459 of the Commission Rules?:Yes
1 2 3 4 5 6 7 8 Long-Term Confidentiality Does this application include a request for confidentiality for any portion(s) of the data contained in this application pursuant to 47 CFR § 0.459 of the Commission Rules?:Yes
1 2 3 4 5 6 7 8 If so, specify the short-term confidentiality release date (MM/DD/YYYY format)07/05/2016
1 2 3 4 5 6 7 8 04/16/2014
1 2 3 4 5 6 7 8 12/08/2013
if no date is supplied, the release date will be set to 45 calendar days past the date of grant.
app s Cognitive Radio & Software Defined Radio, Class, etc
1 2 3 4 5 6 7 8 Is this application for software defined/cognitive radio authorization?No
1 2 3 4 5 6 7 8 Equipment ClassNII - Unlicensed National Information Infrastructure TX
1 2 3 4 5 6 7 8 DTS - Digital Transmission System
1 2 3 4 5 6 7 8 DSS - Part 15 Spread Spectrum Transmitter
1 2 3 4 5 6 7 8 JBP - Part 15 Class B Computing Device Peripheral
1 2 3 4 5 6 7 8 Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant)802.11a/g/n/ac WLAN + BT PCI-E Custom Combo Card
1 2 3 4 5 6 7 8 Related OET KnowledgeDataBase Inquiry: Is there a KDB inquiry associated with this application?No
1 2 3 4 5 6 7 8 Yes
1 2 3 4 5 6 7 8 Modular Equipment TypeLimited Single Modular Approval
1 2 3 4 5 6 7 8 Single Modular Approval
1 2 3 4 5 6 7 8 Does not apply
1 2 3 4 5 6 7 8 Purpose / Application is forClass II permissive change or modification of presently authorized equipment
1 2 3 4 5 6 7 8 Original Equipment
1 2 3 4 5 6 7 8 Composite Equipment: Is the equipment in this application a composite device subject to an additional equipment authorization?Yes
1 2 3 4 5 6 7 8 Related Equipment: Is the equipment in this application part of a system that operates with, or is marketed with, another device that requires an equipment authorization?No
1 2 3 4 5 6 7 8 Grant CommentsClass II Permissive Change to add UNII-3 band to this NII grant. Power output listed is conducted. Device operates with specific antennas in MIMO configurations as described in this filing. This device supports 20MHz, 40MHz and 80MHz bandwidths in all bands. The antenna(s) used for this transmitter must be installed to provide a separation distance of at least 20 cm from all persons and must not be collocated or operating in conjunction with any other antenna or transmitter within a host device, except in accordance with FCC multi-transmitter product procedures. OEM integrators must be provided with antenna installation instructions. OEM integrators and end-users must be provided with transmitter operation conditions for satisfying RF exposure compliance.
1 2 3 4 5 6 7 8 Class 2 permissive change to allow use in portable hosts (MacBook Pro models A1502, A1398). The highest reported SAR for this filing is 1.19W/Kg. Power output listed is conducted. Operations in the 5.15-5.25 GHz band is for indoor use only. Device operates with specific antennas in MIMO configurations as described in this filing. This device supports 20MHz, 40MHz and 80MHz bandwidths in all bands. The antenna(s) used for this transmitter must be installed to provide a separation distance of at least 20 cm from all persons and must not be collocated or operating in conjunction with any other antenna or transmitter within a host device, except in accordance with FCC multi-transmitter product procedures. OEM integrators must be provided with antenna installation instructions. OEM integrators and end-users must be provided with transmitter operation conditions for satisfying RF exposure compliance. The highest reported SAR across all filings under this FCC ID is 1.19W/Kg.
1 2 3 4 5 6 7 8 Class 2 permissive change to allow use in portable hosts (MacBook Pro models A1502, A1398). The highest reported SAR for this filing is 1.19W/Kg. Power output listed is conducted. Device operates with specific antennas in MIMO configurations as described in this filing. This device supports 20MHz, 40MHz and 80MHz bandwidths in the 5GHz bands. Only 20MHz bandwidths are supported in the 2.4GHz band for the 2412-2462 MHz line item. 2402-2480MHz is for Bluetooth LE. The antenna(s) used for this transmitter must be installed to provide a separation distance of at least 20 cm from all persons and must not be collocated or operating in conjunction with any other antenna or transmitter within a host device, except in accordance with FCC multi-transmitter product procedures. OEM integrators must be provided with antenna installation instructions. OEM integrators and end-users must be provided with transmitter operation conditions for satisfying RF exposure compliance. The highest reported SAR across all filings under this FCC ID is 1.19W/Kg.
1 2 3 4 5 6 7 8 Class 2 permissive change to allow use in portable hosts (MacBook Pro models A1502, A1398). Power output listed is conducted. The antenna(s) used for this transmitter must be installed to provide a separation distance of at least 20 cm from all persons and must not be collocated or operating in conjunction with any other antenna or transmitter within a host device, except in accordance with FCC multi-transmitter product procedures. OEM integrators must be provided with antenna installation instructions. OEM integrators and end-users must be provided with transmitter operation conditions for satisfying RF exposure compliance.
1 2 3 4 5 6 7 8 Power output listed is conducted. The antenna(s) used for this transmitter must be installed to provide a separation distance of at least 20 cm from all persons and must not be collocated or operating in conjunction with any other antenna or transmitter within a host device, except in accordance with FCC multi-transmitter product procedures. OEM integrators must be provided with antenna installation instructions. OEM integrators and end-users must be provided with transmitter operation conditions for satisfying RF exposure compliance.
1 2 3 4 5 6 7 8 Power output listed is conducted. Operations in the 5.15-5.25 GHz band is for indoor use only. Device operates with specific antennas in MIMO configurations as described in this filing. This device supports 20MHz, 40MHz and 80MHz bandwidths in all bands. The antenna(s) used for this transmitter must be installed to provide a separation distance of at least 20 cm from all persons and must not be collocated or operating in conjunction with any other antenna or transmitter within a host device, except in accordance with FCC multi-transmitter product procedures. OEM integrators must be provided with antenna installation instructions. OEM integrators and end-users must be provided with transmitter operation conditions for satisfying RF exposure compliance
1 2 3 4 5 6 7 8 Power output listed is conducted. Device operates with specific antennas in MIMO configurations as described in this filing. This device supports 20MHz, 40MHz and 80MHz bandwidths in the 5GHz bands. Only 20MHz bandwidths are supported in the 2.4GHz band for the 2412-2462 MHz line item. 2402-2480MHz is for Bluetooth LE. The antenna(s) used for this transmitter must be installed to provide a separation distance of at least 20 cm from all persons and must not be collocated or operating in conjunction with any other antenna or transmitter within a host device, except in accordance with FCC multi-transmitter product procedures. OEM integrators must be provided with antenna installation instructions. OEM integrators and end-users must be provided with transmitter operation conditions for satisfying RF exposure compliance.
1 2 3 4 5 6 7 8 Is there an equipment authorization waiver associated with this application?No
1 2 3 4 5 6 7 8 If there is an equipment authorization waiver associated with this application, has the associated waiver been approved and all information uploaded?No
app s Test Firm Name and Contact Information
1 2 3 4 5 6 7 8 Firm Name UL Verification Services Inc. (formerly UL CCS)
1 2 3 4 5 6 7 8 Compliance Certification Services
1 2 3 4 5 6 7 8 Name M****** M********
1 2 3 4 5 6 7 8 T**** C********
1 2 3 4 5 6 7 8 Telephone Number 919 5********
1 2 3 4 5 6 7 8 510-7********
1 2 3 4 5 6 7 8 Fax Number 000-0********
1 2 3 4 5 6 7 8 510-6********
1 2 3 4 5 6 7 8 E-mail m******@ul.com
1 2 3 4 5 6 7 8 t******@ccsemc.com
Equipment Specifications
Line Rule Parts Grant Notes Lower Frequency Upper Frequency Power Output Tolerance Emission Designator Microprocessor Number
1 1 15E 38 CC MO 5180 5240 0.04906
1 2 15E 38 CC MO 5260 5320 0.22042
1 3 15E 38 CC MO 5500 5720 0.32013
1 4 15E 38 CC MO 5745 5825 0.2846
Line Rule Parts Grant Notes Lower Frequency Upper Frequency Power Output Tolerance Emission Designator Microprocessor Number
2 1 15E CC MO 5180 5240 0.04906
2 2 15E CC MO 5260 5320 0.22042
2 3 15E CC MO 5500 5700 0.32013
2 4 15E CC MO 5710 5720 0.26427
Line Rule Parts Grant Notes Lower Frequency Upper Frequency Power Output Tolerance Emission Designator Microprocessor Number
3 1 15C CC 2402 2480 0.00262
3 2 15C CC MO 2412 2462 0.31183
3 3 15C CC MO 5745 5825 0.34124
Line Rule Parts Grant Notes Lower Frequency Upper Frequency Power Output Tolerance Emission Designator Microprocessor Number
4 1 15C CC 2402.00000000 2480.00000000 0.0066200
Line Rule Parts Grant Notes Lower Frequency Upper Frequency Power Output Tolerance Emission Designator Microprocessor Number
5 1 15C CC 2402.00000000 2480.00000000 0.0066200
Line Rule Parts Grant Notes Lower Frequency Upper Frequency Power Output Tolerance Emission Designator Microprocessor Number
6 1 15E CC MO 5180 5240 0.04906
6 2 15E CC MO 5260 5320 0.22042
6 3 15E CC MO 5500 5700 0.32013
6 4 15E CC MO 5710 5720 0.26427
Line Rule Parts Grant Notes Lower Frequency Upper Frequency Power Output Tolerance Emission Designator Microprocessor Number
7 1 15B
Line Rule Parts Grant Notes Lower Frequency Upper Frequency Power Output Tolerance Emission Designator Microprocessor Number
8 1 15C CC 2402 2480 0.00262
8 2 15C CC MO 2412 2462 0.31183
8 3 15C CC MO 5745 5825 0.34124

 

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