Certificate No.: 968/FSP 1910.00/19 Product to Safety-elated Programmable Certificate Rockwell Automation, Electronic System holder Inc 1201 South Second Street Milwaukee, Wi 53204 Usa Type designation AADvarce System, Details soo actual Revision List” Codes and standards IE 61508 Parts 1-7:2010 EN 61000-6-72015 HEC 61131-2:2017 EN 50130-6:2011 + A1:2014 1EC 61326-9-1:2017 EN 50178:1997 Intended application _—_The product complies wit the requirements of SC 3 and SIL 3 according to IEC 61508 and can be used in safety-related applications for Process Control, Burner Management, Fire & Gas, Emergency Shutdown Systems, where the safe state is the de-energized state and applications, where the demand state is the de-energized or energized state, upto SIL. 3. The product was also reviewed in reference to the requirements of IEC 61511-1:2017+A1:2017, EN 50156-1:2015, EN 54-2:1997+AC:1969 +4A1:2008, NFPA 72:2019, NFPA 85:2019, NFPA 86:2019, applicable during a type examination and can be used in application as such, Specific requirements For the use of the system the safety manual, product descriptions and the actual Revision List released by Rockwell Automation, Inc. and TOV Rheinland must be considered. Valid until 2024-07-11 ‘The ssuo ofthis cetficate is based upon an examination, whose results are documented in Report No. 968/FSP 1810.00/19 dated 2019-07-11. “This cetcat is valid ony for products which are identical with the product tested. ‘TOV Rheinland Industrie Service GmbH oe atalch tore <> Funkionale Sicherheit ln, 2019-07-11 ‘Am Grauen Stoin, 51105 K6ln eset Bay Seely & Sect ter Asaraion GE —Dip-ng, Thomas Stffens nee AX TOvrheiniand® Precisely Right. o/s reir Gnbl hn Oru Sia 15 th enaWwaishsS Tr’ TA sueAqyYoop ub 202 61 00 OL6t dss sev eted » ot pen | 6b/00;0161 dS4/e06 ota PayBIOs| ‘|SUUEYD 9} “OPAKZ ‘INPOW, Induy ZOr6L si ren — | at,00'0161 dsae9s aa pHeA BL/00'0L61 dS4/896 ou ol 218}08| 'eUUEYD @“2PANz ‘eINPON Indy Loren pen | 6b/00;0461 dS.4/006 ty 31 pling oaovee PHEA 61/00'0161 dS4/896 go'9 wun seg Of OOE6L prea | 6L/00°061 48/896 (e010 pine) - Eo Loot ozzrse ‘impor 198890014 ou 40} remus Kieroo—y4] (ENTS prea _ | Fere0'0re) asare06 (©1907 Pine) FF LA CorrSe ‘inpoR| 10886001g 84 30) BAEMUANH| HSWTHOAUOO OLV6L pen |} 20016) aa/e06| © 170'F PIE OZLYSE ey pen _ | Hei'016) asale06 tem ainpoyy s0sse001d oneL 5 | 910N 905 Tar pen | a4s00'016 896 enous pier [ew/00'01G) d31896 29 74 ¢a 20 380g 109800013 0018 smog n uoneoyi0D Fon-uodoy UOISINOY MS | MH uonduoseg: uoneubisog odAy AYBiy Ajosioe1g puejuleyyAN yy warshs bp'LA aouendyy “Jonpold 61/00'016) dS/896 “ON ayeDyI1409 Uo 0} pa1s9je1 ‘sjuauoduioa / sainpow payejai Mayes, 3st] worsiaay uolHewopny HeADPOYoop ub 202 61 00 OL6t dss 3 puna pn [eno oies asses 8 “rag eww on ya ees a pen —_| 6/00'0161 dSa/e96 ne Jouueyo ¢ ‘oinpow indino enbojeuy zeveL ren | svievo1s: sssrees yt jowveuo ¢ imponineino sréowey] sve oy enue o1en [ovo ote assns a sewn g pare angoy ye sro sren | ovovotes asstoos oi pawejos| Teuueyd 94 ‘aInpow induy enBojeuy zeveL ren | 6000161 dsaie68 ia ou v1en | enoooies asstos a pores Yuueus a9neon nda erdowy] ——_LsroL ren | evens! sarees sy won | wots | zon-uodon versa vonduosea vonevsea oh warshs by'LA aouent cyonpos, ower Aeoata nshs by'LA souenayy AMpoLd uoljewopyny 7 TON ateaystieg uo 01 paiiajar PURIUIONANL 57 61/00°0L61 dS/896 “ON a1eDILI09 Uo 0} pa1iay: Henypoy 3817 uoIsIAaysiocoteg fuewues / py sous ‘91421 04) Ut P9151 SoH HSW)O4UOD ou} Bulsn popesbidn oq ysmwl OveMULY OU :L SION, pier | 6t/00 0461 dS.4/006 3 PPG "NO 8 "VL INENO onBoreUy 26061 pier | 64/00°0161 dS/898 3 PavoUlWeD ‘xoIEIS "NO @ VL INdNO enBojeuy e661 pen | 64/00 0461 dS.4/006 3 PaUOUNUOD “end “eUUEED 8 VLINdINO IIA 29061 pAUOLLNLED pier | 6L/00;0461 dS.4/006 3 “rods ‘TeuUeyD 8 “WL InaiNo 1eHBIG bse pier | 64/00°0161 dS/808 8 Pave.0s| "WV. |OUUELUD OL “VL Indu enBo‘eUy e861, prea | 64/00°0161 aS4/096 3 ajei0s Tend "JAUUEUD OF "YL Indu endojeuy 26061 © pauow pen | 6t/00;0461 dS./e06 : sxoyduuig eouusyg 94 ‘ys wndoy ondoveuy Leen pier | 641000161 dS/806 8 aIeI0s1 "MIN. 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