Covered list attestation FCC application letter Kiwa RF_755_02 Page 1 of 2 15-02-2023
[PLACE COMPANY LOGO HERE OR PUT ON COMPANY LETTERHEAD]
Certification Application Attestation Statements
<Honeywell International Inc. >
<9680 Old Bailes Rd Fort Mill SC 29707 United States of America >
<29707>
< Fort Mill > < USA >
Subject: FCC ID: < HD5-1962CCBH >
To Whom It May Concern:
Statement for 47 CFR section 2.911(d)(5)(i) Honeywell International Inc. certifies that as of the date of the application the equipment for which authorization is sought is not covered equipment1 prohibited from receiving an equipment authorization pursuant to section 2.903 of the FCC rules. If the equipment for which the applicant seeks authorization is produced by any of the entities identified on the current Covered List, including affiliates or subsidiaries of the named companies, the applicant must include an explanation on why the equipment is not covered equipment. Additional Explanation: <N/A>
Statement for 47 CFR section 2.911(d)(5)(ii) Honeywell International Inc. (the applicant) certifies that, as of the date of the filing of this application, the applicant
- is /
- is not (3) identified on the Covered List as an entity producing covered equipment. Date:
City:
Name(2) :
Function:
Telephone number:
Email address:
2023-6-18 Fort Mill Cindy Jiang Global Regulatory Compliance Manager
+86(512)82258162 CindyJiang@honeywell.com Signature:
1The Commissions Covered List is published by the Public Safety and Homeland Security Bureau and posted on the Commissions website. This Covered List, which is periodically updated, identifies particular equipment, produced by particular entities, that constitutes covered equipment. https://www.fcc.gov/supplychain/coveredlist .
(2): For FCC it must be the Grantee Code owner or the authorized agent.
(3): double click on the appropriate box and select checked then OK Covered list attestation FCC application letter Kiwa RF_755_02 Page 2 of 2 15-02-2023
[PLACE COMPANY LOGO HERE OR PUT ON COMPANY LETTERHEAD]
Revision Record Sheet:
Revision Section Page Date Remark(s) number number 07-02-2023 1st version 01 02 issued by RvM 1 15-02-2023 Changed Applicant to Company RvdM and added Subject: FCC ID:
Issued/modified by Function Revision Date
: Richard van de Meer
: Certification assessor
: 02
: 15-02-2023 Verified by Function Date
: Willem Jan Jong
: Team Lead
: 16-02-2023 Released by Function Date of release:
: Axel Gase
: Manager Quality Assurance
: 19-02-2023