SG$_ SGS North America Inc. 620 Old Peachtree Road SUITE 100 Suwanee, United States Georgia 30024 Applicant Declaration Applicant Legal Business Name Lorex Technology Inc. Address Grantee Code FCCID 250 Royal crest Court, Markham, L3R 3Sl, Ontario, ucz UCZ-AM41TK-Z Canada. Authorized Contact Name Niles Kanapathipill ai Contact Email niles@lorexcorp.com Contact Phone
(905) 946-8589 Ext: 125 I, the undersigned, certify that I am an authorized signatory for the Applicant and therefo e declare;
a) in accordance with 47CFR2.911
(d), all of the statements herein and the exhibits attached hereto are true and coectto the best of my knowledge and belief. b) in accepting a Grant of Equipment Authorization issued by a TCB, under the authority of the FCC, as a result of the representations made in this application, the Applicant is responsible for:
the equipment
(1) labeling
(2)compliance
(3) compliance statement labeling of the equipment with the exact FCC ID as specified to the applicable technical in this application, rules, rules, with the applicable pursuant c) if the Applicant that production is not the actual units of this equipment manufacturer of the equipment, appopriate arrangements have been made with the manufacturer to ensure will continue to comply with the FCC's technical requirements d) in accordance with 47 CFR 2.909 and KDB394321, the Applicant has read, understood and agrees to accept that they are the response party and agree to abide by their responsibties as specified under 47 CFR 2.909 and KDB394321. e) in accodance with 1S017065, FCC KDB641163, KDB394321 and RSP-100, the Applicant has read, understood, accepts and agrees to abide by the post market surveillance FCC KDB610077, requirements
(1) the Applicant
(2)the Applicant
(3)the Applicant understands, shall make provisions shall, upon request accepts and agrees that a sample may be requested to always have a production sample available by SGS, at the Applicant's expense, FCC and/or ISED as instructed. software for evaluation, The sample shall include review, certification required all support and audit surveillance of products provide devices, testing. for surveillance by SGS, FCC and/or ISED. sample of the requested upon request a production cables, software, certified accessories by SGS. or othehadwareo product to SGS, f) neither the Applicant 5301 of the Anti-Drug 47CFR 1.2002(b
) for the definition of a "party"
for these purposes nor any party to the application Abuse Act of 1988, 21 U.S.C. 862 b ecause of a conv,ct,on is subject to a denial of Federal benefits, that includes FCC benefits, for possession odistribution of a controlled pusuantto Section substance. See g) the Applicant has read, understood, accepts and agrees to abide by the SGS North America, lnc.(TCB) terms and conditions Link to CFRs: hit s://www.fcc. Link to KDBs: https://apps.fcc.qov/oetcf/kdb/index.cfm Link to RSP-100:
c.ca/eic/site/smt-
/sf01130.html hit s://www.ic. st.nsf/en ov/wireless/bureau-divisions/technolo ies-s stems-and-innovation-division/rules-re ulalions-title-47 Signatre: --
Applicant e: I Director Niles Kanapathipillai of Quality Assurance
*NOTE: This declaration cannot be signed by an Agent, it shall be signed by an authorized person listed in the FCC database Date:2020-06-02 Applicant Declaration Rev:0.0