FCC ID: VW3DCIW377D Set top Box

B A Contraintes du logo Sagemcom voir Spec. 3000474978 R18 000 xx DCIW377 DISH (254063985) DN017872 Code Barre type 128 S/N: 123456789012 Code Barre type 128 MAC: XX:XX:XX:XX:XX:XX Code Barre type 128 DISH S/N: 123456789012345 CS 39000 92271 BOIS-COLOMBES CEDEX FRANCE I.T.E. E308616 Tested To Comply With FCC Standards FCC ID : VW3DCIW377D QR Code Manufactured under license from Dolby Laboratories. Dolby, Dolby Audio, Dolby Atmos and the double-D symbol are trademarks of Dolby Laboratories Licensing Corporation. Made in Country of Production 2 Country Of Production est un champ renseigner par lusine de production. Country Of Production is a field to be informed by the production plant Fabriqu suivant tiquette vierge 253884145 (80x50mm) Manufactured according to the virgin label 253884145 (80x50mm) NOTA : Rfrence : Norme EN IEC 62368-1 article F.3.10 Les marquages doivent rester visibles, lisibles et indlbiles aprs frottement la main pendant 15 s avec un chion imbib d'eau, et pendant 15 s avec un chion imbib d'essence minrale (n-hexane). Aprs apposition sur le produit, aprs les tests ci-dessus, ltiquette ne doit pas se corner et ne doit pas tre dtachable la main. NOTA : Reference : Standard EN IEC 62368-1 clause F.3.10 Markings shall remain visible, legible and indelible after rubbing by hand for 15 s with a piece of cloth soaked with water and for 15 s with a piece of cloth soaked with the petroleum spirit (n-hexane). After axing on the product, after the above tests, label shall show no curling and shall not be removable by hand. F. WAIRY 13/11/23 J. BRIAND DESCRIPTION:

FR :

Etiq constructeur DCIW377 DISH EN : Manufacturer sticker DCIW377 DISH

22/11/23 FEUILLE / SHEET 1/1 R.FAB / P.N. 254069883 3000518532 R46 000 01 DOCUMEN T SAGEM COMMUNIC ATIONS REPRODUCTION INTERDITES AL L RIGHTS RESE R VED REPRODUCTION AND DISCLOSURE PROHIBED

Sagemcom SAGEMCOM BROADBAND SAS fP At 250 Route de lEmpereur - 92848 RUEIL MALMAISON CEDEX- FRANCE U.S. Agent for Service o rocess_ testation Date: 2024-03-12 Federal Communications Commission 7435 Oakland Mills Road Columbia MD 21046 Subject: Attestation Statements Part 2.911(d)(7) Filing FCC ID > VW3DCIW377D To Whom It May Concern:

SAGEMCOM BROADBAND SAS certifies that, as of the date of the filing of the application, SAGEMCOM USA LLC is our designated U.S. agent for service of process for the above referenced FCC ID. SAGEMCOM BROADBAND SAS accepts to maintain an agent for no less than one year after the grantee has terminated all marketing and importation or the conclusion of any Commission-related proceeding involving the equipment. SAGEMCOM USA LLC accepts, as of the date of the filing of the application, the obligation of the designated U.S. agent for service of process for the above referenced FCC ID. Designated U.S. Agent Information:

Name : SAGEMCOM USA LLC FRN code : 0017082165 (SAGEMCOM SAS, Applicant) Address : 9101 Villa Norte Drive Austin, TX 78726-2358 United States Contact Person =: JEFFREY SABER BUCKLEW FRN Code : 0033407958 Tel. + +1.512.736.2503 Email : JEFFREYSABER.BUCKLEW @SAGEMCOM.COM Respectfully, Designated U.S. Agent Applicant Company Name =: SAGEMCOM BROADBAND SAS Company Name SAGEMCOM USA LLC 9101 Villa Norte Drive 250 Route de lEmpereur - 92848 RUEIL Company Address Company Address _ Austin, TX 78726-2358 CEDEX- FRANCE United States Signature Signature Name Jeffrey SABER BUCKLEW jacques.leroux@sagemcom.com E-Mail Jeffreysaber.bucklew@sagemcom.com

+33 (0)157 61 25 72 Tel +1.512.736.2503 OM- Headquarter: 250 Route de I'Empereur 92848 RUEIL MALMAISON CEDEX - FRANCE MALMAISON. Jac s

( 41006 BOIs-COLOn,

Sagemcom SAGEMCOM BROADBAND SAS At m

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250 Route de lEmpereur - 92848 RUEIL MALMAISON CEDEX- FRANCE testation State ents Date: 2024-03-12 Federal Communications Commission 7435 Oakland Mills Road Columbia MD 21046 Subject: Attestation Statements Part 2.911(d)(5)(i)-(ii) Filing FCC ID > VW3DCIW377D To Whom It May Concern:

Statement for 47 CFR section 2.911(d)(5)(i) SAGEMCOM BROADBAND SAS certifies that the equipment for which authorization is sought is not covered equipment prohibited from receiving an equipment authorization pursuant to section 2.903 of the FCC rules. Statement for 47 CFR section 2.911(d)(5)(ii) SAGEMCOM BROADBAND SAS certifies that, as of the date of the filing of the application, the applicant is not identified on the Covered List as an entity producing covered equipment. Respectfully, Applicants company name SAGEMCOM BROADBAND SAS Applicants company address 250 Signature Name and Job Title | Methods Department Manager E-Mail jacques.leroux@sagemcom.com

+33 (0)1 57 61 25 72

+33 (0)1 57 61 38 99 Headquarter: 250 Route de |'Empereur 92848 RUEIL MALMAISON CEDEX - FRANCE 92848 RUEIL MALMAISON CEDEX- FRANCE AS

LONG-TERM CO QUES for Certification Service in the USA Federal Communication Commission Equipment Authorization Division, Application Processing Branch 7435 Oakland Mills Road Columbia, MD 21048 TO WHOM IT MAY CONCERN Pursuant to Paragraphs 0.457 and 0.459 of the Commissions Rules (47 C.F.R.) and Section 552(b)(4) of the Freedom of Information Act, we request Long-Term Confidentiality for the following product:

Check your GC here Grantee Code Equipment Product Code Click Grantee Search FCC ID: VW3 DCIW377D For the product stated above, we request Long-Term Confidentiality for exhibits which contain Block Diagram, Operational Description, Parts List/Tune Up Info, Schematics, SDR Software/Security Info. The above exhibits contain our trade secrets and proprietary information that could be of benefit to our competitors. This information will not be publicly available. If you have any questions, please feel free to contact us at the address shown below Sincerely, ComPanY SAGEMCOM BROADBAND SAS Phone: +33 157612572 Name:

250 Route de lEmpereur Fax:

Company as Address: 92848 E-mail: _jacques.leroux@sagemcom.com RUEIL MALMAISON CEDEX- FRANCE Contact Name:

Jacques LE ROUX Signature Date: 2024/03/12 Signature:

Document Versior 2020-|:

S au capital de 52

SHORT-TERM CONFIDENTIA for Certification Service in the USA Federal Communication Commission Equipment Authorization Division, Application Processing Branch 7435 Oakland Mills Road Columbia, MD 21048 TO WHOM IT MAY CONCERN Pursuant to Paragraphs 0.457 and 0.459 of the Commissions Rules (47 C.F.R.) and Section 552(b)(4) of he Freedom of Information Act, we request Short-Term Confidentiality for the following product:

. Check your GC here Grantee Code Equipment Product Code Click Grantee Search FCC ID: VW3 DCIW377D For the product stated above, we request Short-Term Confidentiality for exhibits which contain External Photos, Internal Photos, Test Setup Photos, User Manual. e request Short-Term Confidentiality on the basis of ensuring that business sensitive information remains onfidential until the actual marketing of our new device which is planned for: 2024/05/20 e are aware that the Short-Term Confidentiality must be released when the product is marketed. If you have any questions, please feel free to contact us at the address shown below Sincerely, Company AGEMCOM BROADBAND SAS/ Phone: +33 1 57 61 25 72 Name:

250 Route de l'Empereur Fax Company a. Address: 7248 E-mail: jacques.leroux@sagemcom.com RUEIL MALMAISON CEDEX-FRANCE Contact Name:

Jacques LE ROUX Signature Date: 2024/03/12 Sagemcom Breadhand SAS