Date: February 1, 2024 Federal Communications Commission 7435 Oakland Mills Road Columbia MD 21046 To whom it may concern:
I, the undersigned, hereby authorize Kevin Tsai / Deputy Manager of SGS Compliance Certification Services INC to act on behalf of Samsara INC in all matters relating to application for equipment authorization, including signing of all documents relating to these matters. Any and all acts carried out by SGS Compliance Certification Services INC on our behalf shall have the same effect as acts of our own. I, the undersigned, hereby certify that we are not subject to a denial of federal benefits, that includes FCC benefits, pursuant to Section 5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C. 862. In authorizing SGS Compliance Certification Services INC as our representative, we still recognize that we are responsible to:
a) comply with the relevant provisions of the certification program;
b) make all necessary arrangements for the conduct of the evaluation, including provision for examining documentation and access to all areas, records (including internal audit reports) and personnel for the purposes of evaluation (e.g. testing, inspection, assessment, surveillance, reassessment) and resolution of complaints;
c) make claims regarding certification only in respect of the scope for which certification has been granted;
d) do not use our product certification in such a manner as to bring the Certification Division into disrepute and not make any statement regarding our product certification which the Certification Division may consider misleading or unauthorized;
e) upon suspension or cancellation of certification, discontinue use of all advertising matter that contains any reference thereto and return any certification documents as required by the Certification Division;
f) use certification only to indicate the products are certified as being in conformity with specified standards;
g) endeavor to ensure that no certificate or report nor any part thereof is used in a misleading manner;
h) ensure that any reference to our product certification in communication media such as documents, brochures or advertising, complies with the requirements of the Certification Division;
DocuSign Envelope ID: 316C8B01-2314-4D0A-BCF9-0B2EDADE1537 i) keep a record of all complaints made known to us relating to the products compliance with requirements of the relevant standard and to make these records available to the when requested;
j) take appropriate action with respect to such complaints and any deficiencies found in products or services that affect compliance with the requirements for certification;
k) document the actions taken. Applicant Declaration I, SAMSARA INC (FRN: 0025597428) Grantee Code: 2AIHD, apply for FCC ID: 2AIHD-0055, the undersigned, certify that I am an authorized signatory for the Applicant and therefore declare;
a) b) in accordance with 47CFR2.911(d), all of the statements herein and the exhibits attached hereto are true and correct to the best of my knowledge and belief. 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:
(1) labeling the equipment with the exact FCC ID as specified in this application,
(2) compliance statement labeling pursuant to the applicable rules,
(3) compliance of the equipment with the applicable technical rules, c) d) e) if the Applicant is not the actual manufacturer of the equipment, appropriate arrangements have been made with the manufacturer to ensure that production units of this equipment will continue to comply with the FCCs technical requirements. in accordance with 47 CFR 2.909 and KDB394321, the Applicant has read, understood and agrees to accept that they are the responsible party and agree to abide by their responsibilities as specified under 47 CFR 2.909 and KDB394321. in accordance with ISO 17065, FCC KDB641163, FCC KDB610077, KDB394321 and RSP-100, the Applicant has read, understood, accepts and agrees to abide by the post market surveillance requirements.
(1) the Applicant understands, accepts and agrees that a sample may be requested for surveillance testing.
(2) the Applicant shall make provisions to always have a production sample available upon request by SGS, FCC and/or ISED.
(3) the Applicant shall, upon request by SGS, at the Applicants expense, provide a production sample of the requested product to SGS, FCC and/or ISED as instructed. The sample shall include all support devices, cables, software, accessories or other hardware or software required for evaluation, review, certification and audit surveillance of products certified by SGS. f) neither the Applicant nor any party to the application is subject to a denial of Federal benefits, that g) includes FCC benefits, pursuant to Section 5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C. 862 because of a conviction for possession or distribution of a controlled substance. See 47CFR 1.2002(b) for the definition of a party for these purposes. the Applicant has read, understood, accepts and agrees to abide by the SGS North America, INC(TCB) terms and conditions. SAMSARA INC 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. DocuSign Envelope ID: 316C8B01-2314-4D0A-BCF9-0B2EDADE1537 SAMSARA INC certifies that, as of the date of the filing of the application, the applicant is not identified on the Covered list, established pursuant to 1.50002, as an entity producing covered equipment. FCC Certification Section 2.911(d)(7) Information SAMSARA INC certifies that, as of the date of the filing of the application, SAMSARA INC, is our designated U.S. agent for service of process for the above referenced grantee code. SAMSARA INC 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. SAMSARA INC 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 grantee code. Designated U.S. Agent Information:
Name: SAMSARA INC FRN: 0025597428 Address: 1 De Haro Street, San Francisco, CA, 94107, United States Contact Person: Benjamin Calderon Tel.: (415) 985-2400 Email: compliance@samsara.com This authorization is valid until further written notice from the applicant. Sincerely Yours, Signed by:
Company Name: SAMSARA INC Contact Name: Benjamin Calderon Title of Person: EVP/CTO Address: 1 De Haro Street, San Francisco, CA, 94107, United States DocuSign Envelope ID: 316C8B01-2314-4D0A-BCF9-0B2EDADE1537