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CERTIFICATE OF COMPLIANCE Certificate Number 20151014-E131881 Report Reference E131881-A1542-UL Issue Date 2015-OCTOBER-14 Bruce Mahrenholz, Director North American Certification Program UL LLC Any information and documentation involving UL Mark services are provided on behalf of UL LLC (UL) or any authorized licensee of UL. For questions, please contact a local UL Customer Service Representative at http://ul.com/aboutul/locations/ Page 1 of 1 DELTA ELECTRONICS INC Issued to: 3 TUNGYUAN RD CHUNGLI INDUSTRIAL ZONE TAOYUAN COUNTY 32063 TAIWAN POWER SUPPLIES, INFORMATION TECHNOLOGY EQUIPMENT INCLUDING ELECTRICAL BUSINESS EQUIPMENT This is to certify that representative samples of AC/DC Adapter, models ADP-120RH B, ADP-120RH D Have been investigated by UL in accordance with the Standard(s) indicated on this Certificate. Standard(s) for Safety: UL 60950-1 and CSA C22.2 No. 60950-1-07, Information Technology Equipment - Safety - Part 1: General Requirements Additional Information: See the UL Online Certifications Directory at www.ul.com/database for additional information Only those products bearing the UL Certification Mark should be considered as being covered by UL's Certification and Follow-Up Service. Look for the UL Certification Mark on the product. Created by UL Document Assembler 2015-11-07 03:14:53 -06:00
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Page 1: CERTIFICATE OF COMPLIANCE - BitGravityasrock.pc.cdn.bitgravity.com/TSD/PEGA/JPT/DOC/Adaptor/120W Adap… · CERTIFICATE OF COMPLIANCE Certificate Number 20151014-E131881 ... Part

C E R T I F I C A T E O F C O M P L I A N C ECertificate Number 20151014-E131881

Report Reference E131881-A1542-ULIssue Date 2015-OCTOBER-14

Bruce Mahrenholz, Director North American Certification Program

UL LLC

Any information and documentation involving UL Mark services are provided on behalf of UL LLC (UL) or any authorized licensee of UL. For questions, please contact a local UL Customer Service Representative at http://ul.com/aboutul/locations/

Page 1 of 1

DELTA ELECTRONICS INCIssued to:

3 TUNGYUAN RDCHUNGLI INDUSTRIAL ZONETAOYUAN COUNTY 32063 TAIWAN

POWER SUPPLIES, INFORMATION TECHNOLOGY EQUIPMENT INCLUDING ELECTRICAL BUSINESS EQUIPMENT

This is to certify thatrepresentative samples of

AC/DC Adapter, models ADP-120RH B, ADP-120RH D

Have been investigated by UL in accordance with the Standard(s) indicated on this Certificate.

Standard(s) for Safety: UL 60950-1 and CSA C22.2 No. 60950-1-07, Information Technology Equipment - Safety - Part 1: General Requirements

Additional Information: See the UL Online Certifications Directory atwww.ul.com/database for additional information

Only those products bearing the UL Certification Mark should be considered as being covered by UL's Certification and Follow-Up Service.

Look for the UL Certification Mark on the product.

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Issue Date: 2012-09-27 Page 1 of 15 Report Reference # E131881-A1542-UL2015-10-12

Copyright © 2015

UL TEST REPORT AND PROCEDURE

Standard: UL 60950-1, 2nd Edition, 2014-10-14 (Information Technology Equipment - Safety - Part 1: General Requirements)CAN/CSA C22.2 No. 60950-1-07, 2nd Edition, 2014-10 (Information Technology Equipment - Safety - Part 1: General Requirements)

Certification Type: ListingCCN: QQGQ, QQGQ7 (Power Supplies for Information Technology

Equipment Including Electrical Business Equipment)

Product: AC/DC AdapterModel: ADP-120RH B, ADP-120RH DRating: Input: AC 100-240V, 50-60Hz, 2A;

Output: 19Vdc/6.32A

Applicant Name and Address: DELTA ELECTRONICS INC3 TUNGYUAN RDCHUNGLI INDUSTRIAL ZONETAOYUAN COUNTY32063 TAIWAN

This is to certify that representative samples of the products covered by this Test Report have been investigated in accordance with the above referenced Standards. The products have been found to comply with the requirements covering the category and the products are judged to be eligible for Follow-Up Service under the indicated Test Procedure. The manufacturer is authorized to use the UL Mark on such products which comply with this Test Report and any other applicable requirements of UL LLC ('UL') in accordance with the Follow-Up Service Agreement. Only those products which properly bear the UL Mark are considered as being covered by UL's Follow-Up Service under the indicated Test Procedure.

The applicant is authorized to reproduce the referenced Test Report provided it is reproduced in its entirety.

Any information and documentation involving UL Mark services are provided on behalf of UL LLC (UL) or any authorized licensee of UL.

Prepared by: Patrick Tsai Reviewed by: David Chen

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Issue Date: 2012-09-27 Page 2 of 15 Report Reference # E131881-A1542-UL2015-10-12

Supporting DocumentationThe following documents located at the beginning of this Procedure supplement the requirements of this Test Report: A. Authorization - The Authorization page may include additional Factory Identification Code markings. B. Generic Inspection Instructions -

i. Part AC details important information which may be applicable to products covered by this Procedure. Products described in this Test Report must comply with any applicable items listed unless otherwise stated in the body of this Test Report.

ii. Part AE details any requirements which may be applicable to all products covered by this Procedure. Products described in this Test Report must comply with any applicable items listed unless otherwise stated in the body of each Test Report.

iii. Part AF details the requirements for the UL Certification Mark which is not controlled by the technical standard used to investigate these products. Products are permitted to bear only the Certification Mark(s) corresponding to the countries for which it is certified, as indicated in each Test Report.

Product DescriptionConsist of electronic components mounted on PWB, housed with a plastic enclosure.

There are Construction A and B in models ADP-120RH B and ADP-120RH D. See Enclosure ID 7-03 for difference details.

Model DifferencesModel ADP-120RH D is similar to model ADP-120RH B except for model designation and trademark.

Technical Considerations Equipment mobility : transportable/movable Connection to the mains : pluggable A Operating condition : continuous Access location : operator accessible Over voltage category (OVC) : OVC II Mains supply tolerance (%) or absolute mains supply values : +10%, -10% (Manufacturer declared) Tested for IT power systems : No IT testing, phase-phase voltage (V) : N/A Class of equipment : Special Application - Functional Earthing Considered current rating of protective device as part of the building installation (A) : 16 (20A for

North America) Pollution degree (PD) : PD 2 IP protection class : IP X0 Altitude of operation (m) : up to 5,000m Altitude of test laboratory (m) : less than 2,000 m Mass of equipment (kg) : Approx. 0.44 The product was submitted and evaluated for use at the maximum ambient temperature (Tma)

permitted by the manufacturer’s specification of: 40 degree C

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Issue Date: 2012-09-27 Page 3 of 15 Report Reference # E131881-A1542-UL2015-10-12

The means of connection to the mains supply is: Detachable power cord, Pluggable A The product is intended for use on the following power systems: TN The equipment disconnect device is considered to be: Appliance inlet The product was investigated to the following additional standards: EN 60950-1:2006 + A11:2009 +

A1:2010 + A12:2011 + A2:2013 (which includes all European national differences, including those specified in this test report). IEC 60664-1: 2007 table A.2. The Clearances and Creepage Distances have additionally been assessed for suitability up to 5,000m elevation.

The following accessible locations (with circuit/schematic designation) are within a limited current circuit: CY1 secondary

The following are available from the Applicant upon request: Installation (Safety) Instructions / Manual

Type MST made by Conquer Electronics Co., Ltd. was used for Fuse(F1) during the abnormal test for Model ADP-120RH B construction A; Type 5ET made by Hollyland Co. was used for Fuse(F1) during the abnormal test for Model ADP-120RH B construction B.

Additional Information- The original report was modified on 2015-05-28 to include the following changes/additions:This test Report is reissued from report No.:1. E131881-A1542-CB-1,issued date 2012-09-27, with CB Certificate No.DK-28282-UL, issued date 2012-09-27, 2. E131881-A1542-CB-Amenment-1,issued date 2012-10-18, with CB Certificate No.DK-28282-A1-UL, issued date 2012-10-183. E131881-A1542-CB-Amenment-2,issued date 2012-11-01, with CB Certificate No.DK-28282-A2-UL, issued date 2012-11-02.4. E131881-A1542-CB-Amenment-3,issued date 2012-12-21, with CB Certificate No.DK-28282-A3-UL, issued date 2012-12-21.

- This report was deemed to reissue due to employing: Alternate Construction B: Model ADP-120RH B and upgrade standard to IEC 60950-1:2005 (Second Edition); Am1:2009 + Am2:2013

- Only limited tests were necessary as below:END PRODUCT REFERENCE PAGEGENERAL GUIDELINESPOWER SUPPLY REFERENCE PAGE1.6.2 - INPUT TEST: SINGLE-PHASE2.1.1.5, 2.1.2, 1.2.8.10 ENERGY HAZARD MEASUREMENTS2.1.1.7 CAPACITANCE DISCHARGE TEST2.2.2, 2.2.3, 2.2.4, PART 22 6.1 SELV RELIABILITY TEST INCLUDING HAZARDOUS VOLTAGE MEASUREMENTS2.4.1, 2.4.2 - LIMITED CURRENT CIRCUIT MEASUREMENTS2.9.1, 2.9.2, 5.2.2 HUMIDITY TEST2.10.2 DETERMINATION OF WORKING VOLTAGE - WORKING VOLTAGE MEASUREMENT TEST3.2.6, 4.2.1, 4.2.7 STRAIN RELIEF TEST4.2.1 - 4.2.4 - STEADY FORCE TESTS4.2.5, 4.2.1, PART 22 10.2 IMPACT TEST4.2.6, 4.2.1 DROP TEST4.2.7, 4.2.1 STRESS RELIEF TEST4.5.1, 1.4.12, 1.4.13 HEATING TEST5.1, ANNEX D TOUCH CURRENT TEST (SINGLE-PHASE; TN/TT SYSTEM)5.2.2 ELECTRIC STRENGTH TEST5.3.1, 5.3.4, 5.3.7 COMPONENT FAILURE TEST

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Issue Date: 2012-09-27 Page 4 of 15 Report Reference # E131881-A1542-UL2015-10-12

5.3.3, 5.3.7b, ANNEX C.1 - TRANSFORMER ABNORMAL OPERATION TEST5.3.7 POWER SUPPLY OUTPUT SHORT-CIRCUIT/OVERLOAD TESTAdditional StandardsThe product fulfills the requirements of: EN 60950-1:2006 + A1:2010 + A11:2009 + A12:2011 + A2:2013Markings and instructionsClause Title Marking or Instruction Details Power rating - Ratings

Ratings (voltage, frequency/dc, current)

Power rating -Company identification

Listee's or Recognized company's name, Trade Name, Trademark or File Number

Power rating -Model

Model Number

Fuses - Rating Rated current and voltage and type located on or adjacent to fuse or fuseholder.

Special Instructions to UL RepresentativeProduction-Line Electric Strength (Dielectric Voltage-Withstand) Test:Inspect the transformer(s) listed in table "Electric Strength Test Special Constructions" per AA1.1- (C): When the tests are conducted at other location, inspect test record and specification sheet provided by the component manufacturer. Verify the specification sheet indicates 100% routine test specified in the table be conducted at the component manufacturer.

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Issue Date: 2012-09-27 Page 5 of 15 Report Reference # E131881-A1542-UL2015-10-12

Production-Line Testing RequirementsElectric Strength Test Special Constructions - Refer to Generic Inspection Instructions, Part AC for further information.

Model ComponentRemovable

Parts Test probe locationV

rms V dcTest Time,

sADP-120RH

B, ADP-120RH D

transformer T1 N/A Primary to Secondary 3000

4242 1

Earthing Continuity Test Exemptions - This test is not required for the following models:ADP-120RH B, ADP-120RH D

Electric Strength Test Exemptions - This test is not required for the following models:

Electric Strength Test Component Exemptions - The following solid-state components may be disconnected from the remainder of the circuitry during the performance of this test:

Sample and Test Specifics for Follow-Up Tests at UL

Model Component Material Test Sample(s) Test

Specifics N/A

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Issue Date: 2012-09-27 Page 6 of 15 Report Reference # E131881-A1542-UL2015-10-12

1.5.1 TABLE: list of critical components PassObject/part or Description

Manufacturer/ trademark

type/model technical data Product Category CCN(s)

Required Marks of Conformity

Supplement ID

1. Appliance Inlet DELTA ELECTRONICS, INC.

SK-1024M 2.5A, 250Vac, 70 degree C AXUT2 UL

2. Fuse (F1) LITTELFUSE WICKMANN WERKE (for UL) Littelfuse, Inc. (for VDE), LITTELFUSE PHILIPPINES INC. (for CQC)

392 T3.15AL, 250Vac JDYX2 UL

2a. Fuse (F1) (Alternate) EVER ISLAND ELECTRIC CO LTD & WALTER ELECTRIC, Suzhou Walter Electronic Co., Ltd. (for CQC) Dongguan Walter Electric Co., Ltd(CQC)

2010 T3.15AL, 250Vac JDYX2 UL

2b. Fuse (F1) (Alternate) BEL FUSE INC (for UL) Bel Fuse Ltd. (for VDE and CCC)

RST T3.15AL, 2 50Vac(ccc and VDE), 277 Vac(for UL)

JDYX2 UL

2c. Fuse (F1) (Alternate) Conquer Electronics Co., Ltd.

MST T3.15AL, 250V (for VDE, CQC, UL), 300V (for UL)

JDYX2 UL

2d. Fuse (F1) (Alternate) Hollyland Co 5ET T3.15AL, 250Vac JDYX2, JDYX8 UL3. Bleeder Resistors (R1, R2)

Interchangeable Interchangeable Connected in series, each 2M ohm, 1/4 W.

-- --

4. Capacitor (C1) Interchangeable Interchangeable 120uF, min. 420V , 105 Degree C

-- --

5. X-Capacitor (CX1 ) (Alternate)

KEMET ELECTRONICS ITALIA SRL (for UL),

R.46 0.33uF, 275Vac (For ENEC), 250Vac (For UL) 110 degree C, X2 type, Comply with IEC

FOWX2 UL

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KEMET ELECTRONICS CORPORATION (for IMQ), 1.ARCOTRONICS ITALIA S.P.A (for CQC), 2.3. ARCOTRONICS Industries S.r.l (for CQC)

60384-14

5a. X-Capacitor (CX1 ) (Alternate)

Hua JungComponents Co.,Ltd

MKP 0.33uF 250Vac,110 degree C, X2 type, Comply with IEC 60384-14

FOWX2 UL

5b. X-Capacitor (CX1 ) (Alternate)

Europtronic (Taiwan) Ind. Corp. (for ENEC, VDE and CQC) EUROPTRONIC (TAIWAN) INDUSTRIAL CORP (for UL)

MPX2 0.33uF, 275 Vac or 305 Vac (For ENEC and VDE ), 250Vac or 275Vac (for UL) 110 degree C, X2 type, Comply with IEC 60384-14

FOWX2 UL

5c. X-Capacitor (CX1 ) (Alternate)

Pilkor Electronics Co Ltd

PCX2 339 0.33uF, 305Vac, 110 degree C, X2 type. Comply with IEC60384-14.

FOWX2 UL

5d. X-Capacitor (CX1 ) (Alternate)

Epcos Electronic Components S A

B3292x-x3xxx(UL), B3292#(VDE, CQC)

0.33uF, 250Vac(UL), 305Vac(VDE, CQC), 110 degree C, X2 type. Comply with IEC60384-14. Comply with IEC60384-14.

FOWX2 UL

5e. X-Capacitor (CX1 ) (Alternate)

ZhuHai Sung Ho Electronics Co. Ltd.,(CQC: ����������; ������� )

CMPP 0.33uF; 275Vac/310Vac, 105 degree C; X2 type, Comply with IEC 60384-14

FOWX2, FOWX8 UL

6. Y-Capacitors (CY1, CY2 ) (CY2 only For Construction A)

Murata Mfg. Co., Ltd. (for VDE, UL) Murata Manufacturing Co., Ltd. (for CQC)

KX CY1=680pF,CY2=22pF max., 250Vac (for UL and CQC, Y1 type ), 300Vac (for VDE, Y1 Cap), 440Vac (for VDE and

FOWX2 UL

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CQC, X1 Cap), Y1 type and X1 type, 125 degree C.

6a.Y-Capacitors (CY1, CY2) (Alternate) (CY2 only For Construction A)

Walsin Technology Corp. (for UL and VDE) Walsin Technology Corporation (for CQC)

AH CY1=680pF,CY2=22pF max, 250Vac (for UL, VDE and CQC, Y1 & X1 Cap), 400Vac (for VDE and CQC, Y1 & X1 Cap), Y1 type and X1 type, 125 degree C.

FOWX2 UL

6b.Y-Capacitors (CY1, CY2 ) (Alternate) (CY2 only For Construction A)

TDK-EPC Corporation (for VDE); TDK-EPC CORP (for UL); TDK XIAMEN CO., LTD (for CQC); TDK-EPC Corporation (for CQC)

CD CY1=680pF,CY2=22pF max., 250Vac (for UL, VDE and CQC, Y1 & X1 Cap), 400Vac (for VDE and CQC, X1 Cap), Y1 type and X1 type, 125 degree C.

FOWX2 UL

7.Line Filter (FL1) (Only for Construction A)

Interchangeable Interchangeable 130 degree C. Refer to enclosure 4-01 for details.

-- -- 4-01

7-1.Line Filter (FL1) (Only for Construction B)

Interchangeable Interchangeable 130 degree C. Refer to enclosure 4-16 for details.

-- -- 4-16

8.Line Filter (FL2) (Only for Construction A)

Interchangeable Interchangeable 130 degree C. Refer to enclosure 4-02 for details.

-- -- 4-02

8.Line Filter (FL2) (Only for Construction B)

Interchangeable Interchangeable 130 degree C. Refer to enclosure 4-17 for details.

-- -- 4-17

9.Line Filter (L1) Interchangeable Interchangeable 130 degree C. Refer to enclosure 4-03 for details.

-- -- 4-03

10.Line Filter (L2) (Only for Construction A)

Interchangeable Interchangeable 130 degree C. Refer to enclosure 4-04 for details.

-- -- 4-04

10.Line Filter (L2) (Only for Construction B)

Interchangeable Interchangeable 130 degree C. Refer to enclosure 4-18 for details.

-- -- 4-18

11. MOSFET (Q1 ) (Only for Construction A)

Interchangeable Interchangeable 600V-650, 10.6-17A --

11-1. MOSFET (Q3, Q4 ) (Only for Construction B)

Interchangeable Interchangeable 600V, 7~8.1A --

12. Optocoupler (For Construction A, IC35)

Renesas Electronics Corporation (for

PS2561DL-1, PS2561DL-

dti.>0.4 mm, ext. cr.>7.0mm, Int. cr.>4.0mm, 120 hours

FPQU2 UL

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(For Construction B, IC51, IC52)

UL,VDE,S) 1xx(for CCC) thermal cycling test, 110 degree C, isolation: AC 4800V min. Humidify 120h.

12a. Optocoupler (For Construction A, IC35) (For Construction B, IC51, IC52) (Alternate)

EVERLIGHT ELECTRONICS CO LTD(For UL), Everlight Electronics Co., Ltd(for VDE,FI)

EL816 (for UL and CQC) EL816 V (for VDE) EL816.("."=A-Z or blank or number ) (for N)

dti.>0.5mm, ext. cr.>=7.6mm, int. cr.>=6.0mm, thermal cycling test ,110 degree C, isolation: AC 4800V min. Humidfy test 120h,

FPQU2 UL

12b. Optocoupler (For Construction A, IC35) (For Construction B, IC51, IC52) (Alternate)

COSMO Electronics Corporation (for VDE and FI); COSMO ELECTRONICS CORP (for UL);

K1010 (for VDE, FI and CQC), K1010X-1 (for UL)

dti.>0.4mm, ext. cr.>7.0mm, int. cr.>4.0mm, 120 hours thermal cycling test, isolation: AC 4800V min, 115 degree C,Humidify 120h.

FPQU2 UL

12c. Optocoupler (For Construction A, IC35) (For Construction B, IC51, IC52) (Alternate)

SHARP CORP ELECTRONIC COMPONENTS AND DEVICES GROUP (for UL ) Sharp Corporation (for VDE, S)

PC123 dti>0.4mm, ext>8.0mm,int cr.>4.0mm, 120 hours thermal cycling test, isolation: AC 5000V Min, 110 degree C, Humidify 120h.

FPQU2 UL

12d. Optocoupler (For Construction A, IC35) (For Construction B, IC51, IC52) (Alternate)

TOSHIBA CORP, SEMICONDUCTOR CO DISCRETE SEMICONDUCTOR DIV (for UL) Toshiba Corporation Semicon. Co. Discrete Div (for VDE) Toshiba Corporation Semiconductor Company (for S)

TLP781/TLP781F dti>0.5 mm, ext. cr. > 8.0 mm, int cr. > 5.0 mm, thermal cycling tested, isolation: AC 4800V Min, 115 degree C .

FPQU2 UL

12e. Optocoupler (For Construction A, IC35) (For Construction B, IC51, IC52) (Alternate)

Vishay Semiconductor GMBH

VOL617AX(X=2, 3, 4)(for UL), VOL617A-X(X=2,3,4)(for CQC),

Dti.>0.4mm, external Cr>8.0mm, thermal cycling tested, 110 degree C.

FPQU2 UL

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VOL617A(1,2,3)X001(for VDE)

12f. Optocoupler (For Construction A, IC35) (For Construction B, IC51, IC52) (Alternate)

Vishay Semiconductor GMBH

VOL618AX(X=2, 3, 4)(for UL), VOL618A-X(X=2,3,4)(for CQC), VOL618A(1,2,3)X001(for VDE)

Dti.>0.4mm, external Cr>8.0mm, thermal cycling tested, 110 degree C.

FPQU2 UL

12g. Optocoupler (For Construction A, IC35) (For Construction B, IC51, IC52) (Alternate)

LITE-ON TECHNOLOGY CORP(for VDE, FI, UL, N, S), Lite-On Technology Corporation(for CQC)

LTV-816M(for UL,N,CQC),LTV-816(for VDE)

dti>0.6 mm, ext. cr.>7.0mm, int cr.>5.2mm, thermal cycling tested, isolation: min. AC 4800V, 110 degree C

FPQU2,FPQU8 UL

12h. Optocoupler (For Construction A, IC35) (For Construction B, IC51, IC52) (Alternate)

TOSHIBA CORP, SEMICONDUCTOR CO DISCRETE SEMICONDUCTOR DIV (for UL)

TLP785/TLP785F dti>0.4 mm, ext. cr. > 8.0 mm, int. cr. > 5.0 mm, thermal cycling tested, isolation: AC 4800V Min, 115 degree C .

FPQU2 UL

13. Thermistor (NTC31) THINKING ELECTRONIC INDUSTRIAL CO LTD

TSM1A474 470k ohm at 25 degree C XGPU2 UL

13a. Thermistor (NTC31) (Alternate)

Interchangeable interchangeable 470k ohm at 25 degree C XGPU2 UL

14. Transformer (T1) (For Construction A)

Delta Electronics (Jiangsu) Co., Ltd.

MV-MP11204 or or MV-MP12664

Open type construction with ferrite core, see Enclosure 4-05, 4-15 for detail.

-- -- 4-05

14a. Transformer (T1) (For Construction B)

Delta Electronics (Jiangsu) Co., Ltd.

MV-MP15038 Open type construction with ferrite core, see Enclosure 4-19 for detail.

OBJY2 UL 4-19

14-01. Insulation System Delta Electronics, Inc. MP-130I Class B OBJY2 UL15. Plastic Enclosure SABIC INNOVATIVE

PLASTICS B V945 V-0, 120 degree C, 2.2mm min.

thickness. See Enclosure 4-06 and 4-07 for the detail shape.

QMFZ2 UL

15a. Plastic Enclosure SABIC INNOVATIVE 945 V-0, 120 degree C, 2.2 mm QMFZ2 UL

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(Alternate) PLASTICS JAPAN L L C

min. thickness

15b. Plastic Enclosure (Alternate)

SABIC INNOVATIVE PLASTICS US L L C

945 V-0, 120 degree C, 2.2 mm min. thickness

QMFZ2 UL

15c. Plastic Enclosure (Alternate)

BAYER MATERIALSCIENCE AG

Makrolon 6485 V-0, 115 degree C, 2.2 mm min thickness

QMFZ2 UL

15d. Plastic Enclosure (Alternate)

TRINSEO (HONG KONG) LTD

CELEX 3600 V-0, 125 degree C, 2.2 mm min thickness

QMFZ2, QMFZ2 UL

15e. Plastic Enclosure (Alternate)

SAMSUNG SDI CO LTD

INFINO HN-1064I V-0, 130 degree C2.2 mm min thickness

QMFZ2 UL

15f. Plastic Enclosure (Alternate)

IDEMITSU KOSAN CO LTD

AZ2201 V-0, 125 degree C, 2.2 mm min thickness

QMFZ2 UL

16. Insulation tape (for FL2)

3M COMPANY ELECTRICAL MARKETS DIV (EMD)

1350F-1 130 degree C, minimum two layers

OANZ2 UL

16a. Insulation tape (for FL2) (Alternate)

3M COMPANY ELECTRICAL MARKETS DIV (EMD)

1350T-3 130 degree C OANZ2 UL

16b. Insulation tape (for FL2) (Alternate)

3M Taiwan Ltd. 1388Y-1 130 degree C, minimum two layers

OANZ2 UL

17. Shield Ass'y(For Construction A)

Interchangeable Interchangeable See Enclosure 4-10 for dimension details.

-- -- 4-10

17a. Shield Ass'y(For Construction B)

Interchangeable Interchangeable See Enclosure 4-20 for dimension details.

-- -- 4-20

17-1.Insulator Sabic Innovative Plastics US L L C

FR25A V-0, 125 degree C, Min. 0.4 mm thick

QMFZ2 UL

17-1a. Insulator (Alternate)

Sun Delta Corp VS120 V-0, 130 degree C, min. 0.4 mm thick,

QMFZ2 UL

17-1 b. Insulator (Alternate)

Sun Delta Corp VS520 V-0, 130 degree C, min. 0.4 mm thick,

QMFZ2 UL

17-1c. Insulator (Alternate)

Sabic Innovative Plastics US L L C

FR1 Min. 0.4mm thickness, VTM-0, 125 degree C

QMFZ2 UL

17-1d. Insulator (Alternate)

Sabic Innovative Plastics Japan L L C

FR1 Min. 0.4mm thickness, VTM-0, 125 degree C

QMFZ2 UL

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17-1e. Insulator (Alternate)

Sumitomo Bakelite Co Ltd

PHF150MA Min. VTM-0, 130 degree C, min. 0.40 mm thick.

QMFZ2 UL

17-1f. Insulator (Alternate)

SABIC INNOVATIVE PLASTICS JAPAN L L C

FR25A V-0, 125 degree C, Min. 0.4 mm thick

QMFZ2 UL

18. Shield Top(For Construction A)

Interchangeable Interchangeable See Enclosure 4-09 for dimension details.

-- -- 4-09

18. Shield Top(For Construction B)

Interchangeable Interchangeable See Enclosure 4-21 for dimension details.

-- -- 4-21

18-1. Insulation tape 3M COMPANY ELECTRICAL MARKETS DIV (EMD)

1350F-1 130 degree C, minimum two layers

OANZ2 UL

18-1a. Insulation tape (Alternate)

3M COMPANY ELECTRICAL MARKETS DIV (EMD)

1350T-3 130 degree C, OANZ2 UL

18-1b. Insulation tape (Alternate)

3M COMPANY ELECTRICAL MARKETS DIV (EMD)

1388Y-1 130 degree C, minimum two layers

OANZ2 UL

19. Heat sink (HS1) (For Construction A)

Interchangeable Interchangeable See Enclosure 4-12 for dimension details.

-- -- 4-12

19. Heat sink (HS1) (For Construction B)

Interchangeable Interchangeable See Enclosure 4-22 for dimension details.

-- -- 4-22

19. Heat sink (HS2) (For Construction A)

Interchangeable Interchangeable See Enclosure 4-12 for dimension details.

-- -- 4-12

19. Heat sink (HS2) (For Construction B)

Interchangeable Interchangeable See Enclosure 4-22 for dimension details.

-- -- 4-22

20. Heat sink (HS3) (For Construction A)

Interchangeable Interchangeable See Enclosure 4-12 for dimension details.

-- -- 4-12

19. Heat sink (HS3) (For Construction B)

Interchangeable Interchangeable See Enclosure 4-22 for dimension details.

-- -- 4-22

21. Interconnecting cable

Interchangeable Interchangeable Min. 80 degree. C, 30 V, max 3.05m long, jacketed, VW-1 or FT-1, had been evaluated for external use

AVLV2 UL 4-08

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21-1. Strain Relief Means

Interchangeable Interchangeable PVC plastic bushing integrally molded on Output Cord.

QMFZ2 UL

22. PWB Interchangeable Interchangeable Rated V-0, 130 degree C, ZPMV2 UL23. Internal Wiring Interchangeable Interchangeable FEP, PTFE, PVC, TFE,

neoprene, polyimide or marked VW-1; min 300 V, 80 degree C, routed away from secondary (SEC, ELV, SELV) uninsulated live parts

AVLV2 UL

24. Glue Interchangeable Interchangeable Min. V-2. QMFZ2 UL25. Functional earthingWiring

FURUKAWA ELECTRIC CO LTD

TEX-E 130 degree C OBJT2 UL

25a. Functional earthingWiring (Alternate)

Totoku Electric Co Ltd

TIW-3(for TÜV), TIW-3X(for UL)

155 degree C OBJT2 UL

25b. Functional earthingWiring (Alternate)

Totoku Electric Co Ltd

TIW-2(for TÜV), TIW-2X(for UL)

130 degree C OBJT2 UL

25-1.Heat Shrinkable Tubing used on FG wire

DONGGUAN SALIPT CO LTD

SALIPT S-901-600

Rating 125 degree C, VW-1, isolation: AC 3000V, min. 0.40 mm thickness

YDPU2 UL

25-1a.Heat Shrinkable Tubing used on FG wire (Alternate)

Tyco Electronics Corp (RAYCHEM)

Versafit Rating 125 degree C, VW-1, isolation: AC 3000V, min. 0.40 mm thickness

YDPU2 UL

25-1b.Heat Shrinkable Tubing used on FG wire (Alternate)

Tyco Electronics Corp (RAYCHEM)

Versafit V2 Rating 125 degree C, VW-1, isolation: AC 3000V, min. 0.40 mm thickness

YDPU2 UL

25-1c.Heat Shrinkable Tubing used on FG wire (Alternate)

WELL ONE CO LTD GT-2 Rating 125 degree C, VW-1, isolation: AC 3000V, min. 0.44 mm thickness

YDPU2 UL

25-1d.Heat Shrinkable Tubing used on FG wire (Alternate)

Tyco Electronics Corp (RAYCHEM)

ZH2 Rating 125 degree C, VW-1, isolation: AC 3000V, min. 0.40 mm thickness

YDPU2 UL

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Enclosures

Type Supplement Id DescriptionPhotographs 3-01 External View - Inlet sidePhotographs 3-02 External View - Cover sidePhotographs 3-03 External View - Chassis sidePhotographs 3-04 Side View 1Photographs 3-05 Side View 2Photographs 3-06 Construction A - Internal View 1- with metal shieldingPhotographs 3-07 Construction A - Internal View 2- with metal shieldingPhotographs 3-08 Construction A - internal 3 -without metal shieldingPhotographs 3-09 Construction A - internal 4 -without metal shieldingPhotographs 3-10 Construction A - Component Side ViewPhotographs 3-11 Construction A - Trace Side ViewPhotographs 3-12 Construction A - Glue Point View 1Photographs 3-13 Construction A - Glue Point View 2Photographs 3-15 Construction A - Trace side view(add one tape on outside of

transformer)Photographs 3-16 Component side(transformer with tape)Photographs 3-17 Construction A - Transformer view-1(with tape)Photographs 3-18 Construction A - Transformer view-2(with tape)Photographs 3-19 Construction A - Trace side view( one tape was added on

transformer MV-MP12664)Photographs 3-20 Construction B Internal View 1- with metal shieldingPhotographs 3-21 Construction B Internal View 2- with metal shieldingPhotographs 3-22 Construction B Internal View 3- open metal shieldingPhotographs 3-23 Construction B Component sidePhotographs 3-24 Construction B - Trace side

Diagrams 4-01 Construction A - Line Filter FL1 SpecDiagrams 4-02 Construction A - Line Filter FL2 SpecDiagrams 4-03 Line Filter L1 SpecDiagrams 4-04 Construction A - Line Filter L2 SpecDiagrams 4-05 Construction A - Transformer T1 SpecDiagrams 4-06 Enclosure chassisDiagrams 4-07 Enclosure coverDiagrams 4-08 Output Cord and strain reliefDiagrams 4-09 Construction A - Shield Top (EMI Shielding)

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Diagrams 4-10 Construction A - Shield Ass'y (EMI Shielding)Diagrams 4-12 Construction A - Heatsink SpecDiagrams 4-13 Construction A - Glue Location and AmountDiagrams 4-14 Construction A - Working voltage location(A1 to A4)Diagrams 4-15 Construction A - Alternative transformer T1 spec.Diagrams 4-16 Construction B - Line Filter FL1 SpecDiagrams 4-17 Construction B - Line Filter FL2 SpecDiagrams 4-18 Construction B - Line Filter L2 SpecDiagrams 4-19 Construction B - Alternative transformer T1 spec. (MV-MP15038)Diagrams 4-20 Construction B - Shield Ass'yDiagrams 4-21 Construction B - Shield TopDiagrams 4-22 Construction B Heatsink (HS1, HS2, HS3)Diagrams 4-23 Construction B - Glue location

Schematics + PWB 5-01 Construction A - Model ADP-120RH B PWB Layout (P/N: ADP-120RH BA)

Schematics + PWB 5-02 Construction B - Model ADP-120RH B PWB Layout (P/N: ADP-120RH DA)

Miscellaneous 7-03 Model difference

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Issue Date: 2012-09-27 Page 1 of 9 Report Reference # E131881-A1542-ULRevision Date: 2015-10-12 Test Record

Test Record No. 1-The manufacturer submitted a sample representing production of AC/DC Adapter, Models ADP-120RH B for examination and test.

-Tests were conducted by Delta Electronics (Jiangsu) Ltd, address NO 1688 JIANGXING EAST RD WUJIANG ECONOMIC DEVELOPMENT ZONE WUJIANG CITY JIANGSU PROVINCE 215200 CHINA, under WTDP program.

-Test results reported relate only to the items tested.

-- Any information and documentation involving UL Mark services are provided on behalf of UL LLC (UL) or any authorized licensee of UL

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Issue Date: 2012-09-27 Page 2 of 9 Report Reference # E131881-A1542-ULRevision Date: 2015-10-12 Test Record

The following tests were conducted:Test Testing Location/CommentsEnd Product Reference PageGeneral GuidelinesGuide Information Page - Maximum Output Voltage, Current, and Volt Ampere Measurement (1.2.2.1)Input: Single-Phase (1.6.2)Capacitance Discharge (2.1.1.7)SELV Reliability Test Including Hazardous Voltage Measurements (2.2.2, 2.2.3, 2.2.4, Part 22 6.1)Limited Current Circuit Measurement (2.4.1, 2.4.2)Humidity (2.9.1, 2.9.2, 5.2.2)Determination of Working Voltage; Working Voltage Measurement (2.10.2)Transformer and Wire /Insulation Electric Strength (2.10.5.13)Strain Relief (3.2.6, 4.2.1, 4.2.7)Steady Force (4.2.1 - 4.2.4)Impact (4.2.5, 4.2.1, Part 22 10.2)Drop (4.2.6, 4.2.1)Stress Relief (4.2.7, 4.2.1)Heating (4.5.1, 1.4.12, 1.4.13)Touch Current (Single-Phase; TN/TT System) (5.1, Annex D)Electric Strength (5.2.2)Component Failure (5.3.1, 5.3.4, 5.3.7)Transformer Abnormal Operation (5.3.3, 5.3.7b, Annex C.1)Power Supply Output Short-Circuit/Overload (5.3.7)

Test results are valid only for the tested equipment. These tests are considered representative of the products covered by this Test Report. The test methods and results of the above tests have been reviewed and found to be in accordance with the requirements in the Standard(s) referenced at the beginning of this Test Report.

The following tests were waived:Test Rationale for WaivingDurability of Marking (1.7.11) R/C Label usedThin Sheet Material (2.10.5.9, 2.10.5.10, 2.10.5.6) The ES test for insulation tape was

evaluated in previous investigation.Ball Pressure (4.5.5, 4.5) The ES test for insulation tape was

evaluated in previous investigation.

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Issue Date: 2012-09-27 Page 3 of 9 Report Reference # E131881-A1542-ULRevision Date: 2015-10-12 Test Record

The following supplements are provided as a part of this Test Record. NOTE: These supplements are only available to the Applicant via the CDA system.

Type Supplement Id DescriptionAttachment 2-01 CRD of 12CA45826Datasheet 2-02 DS of 12CA45826

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Issue Date: 2012-09-27 Page 4 of 9 Report Reference # E131881-A1542-ULRevision Date: 2015-10-12 Test Record

Test Record No. 2- The manufacturer submitted a sample representing production of AC/DC Adapter, model ADP-12RH B employing the changes below for investigation and evaluation:1. Correct bleeder resistors(R1, R2) rating from "1M ohm" to "2M ohm."2. Add alternate optocoupler IC35: Vishay Semiconductor GMBH, types VOL617AX(X=2, 3, 4), VOL618AX(X=2, 3, 4).3. Add alternate X-Capacitors (CX1):3-1. Pilkor Electronics Co Ltd, type PCX2 339.3-2. Epcos Electronic Components S A, types B3292x-x3xxx(UL), B3292#(VDE, CQC).

- No test was considered necessary.

The following supplements are provided as a part of this Test Record. NOTE: These supplements are only available to the Applicant via the CDA system.

Type Supplement Id DescriptionAttachment 2-03 CRD

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Issue Date: 2012-09-27 Page 5 of 9 Report Reference # E131881-A1542-ULRevision Date: 2015-10-12 Test Record

Test Record No. 3-- The manufacturer submitted representative production sample of AC/DC Adapter, Model ADP-120RH B, employing1. Add one tape on outside of transformer.2. Add alternate insulator source.3. Correct technical data of insulation tape(item 16a of table 1.5.1)

-- No test was considered necessary due to engineering judgment based on the change will not negatively impact the performance of the product.

-- Additional tests were not considered necessary due to tests conducted in Test Record 1.

The following supplements are provided as a part of this Test Record. NOTE: These supplements are only available to the Applicant via the CDA system.

Type Supplement Id DescriptionAttachment 2-04 CRD

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Issue Date: 2012-09-27 Page 6 of 9 Report Reference # E131881-A1542-ULRevision Date: 2015-10-12 Test Record

Test Record No. 4-- The manufacturer submitted representative production sample of AC/DC Adapter, Model ADP-120RH B, with alternative transformer MV-MP12664 with adding one tape to base.

-- No test was considered necessary due to engineering judgment based on the change will not negatively impact the performance of the product.

-- Additional tests were not considered necessary due to tests conducted in Test Record 1 to 3.

The following supplements are provided as a part of this Test Record. NOTE: These supplements are only available to the Applicant via the CDA system.

Type Supplement Id DescriptionAttachment 2-05 CRD

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Issue Date: 2012-09-27 Page 7 of 9 Report Reference # E131881-A1542-ULRevision Date: 2015-10-12 Test Record

Test Record No. 5-The manufacturer submitted a sample representing production of AC/DC Adapter, Models ADP-120RH B for examination and test.

1. alternate construction B2. upgrade standard to UL60950 2nd A1+A2

-Test results reported relate only to the items tested.The following tests were conducted:Test Testing Location/CommentsEnd Product Reference PageGeneral GuidelinesGuide Information Page - Maximum Output Voltage, Current, and Volt Ampere Measurement (1.2.2.1)Input: Single-Phase (1.6.2)Capacitance Discharge (2.1.1.7)SELV Reliability Test Including Hazardous Voltage Measurements (2.2.2, 2.2.3, 2.2.4, Part 22 6.1)Limited Current Circuit Measurement (2.4.1, 2.4.2)Humidity (2.9.1, 2.9.2, 5.2.2)Determination of Working Voltage; Working Voltage Measurement (2.10.2)Strain Relief (3.2.6, 4.2.1, 4.2.7) for output cordSteady Force (4.2.1 - 4.2.4)Impact (4.2.5, 4.2.1, Part 22 10.2)Drop (4.2.6, 4.2.1)Stress Relief (4.2.7, 4.2.1)Heating (4.5.1, 1.4.12, 1.4.13)Touch Current (Single-Phase; TN/TT System) (5.1, Annex D)Electric Strength (5.2.2)Component Failure (5.3.1, 5.3.4, 5.3.7)Transformer Abnormal Operation (5.3.3, 5.3.7b, Annex C.1)Power Supply Output Short-Circuit/Overload (5.3.7)

Test results are valid only for the tested equipment. These tests are considered representative of the products covered by this Test Report. The test methods and results of the above tests have been reviewed and found to be in accordance with the requirements in the Standard(s) referenced at the beginning of this Test Report.

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Issue Date: 2012-09-27 Page 8 of 9 Report Reference # E131881-A1542-ULRevision Date: 2015-10-12 Test Record

The following tests were waived:Test Rationale for WaivingDurability of Marking (1.7.11) UL LabelEnergy Hazard Measurements (2.1.1.5, 2.1.2, 1.2.8.10) See 1.2.2.1Thin Sheet Material (2.10.5.9, 2.10.5.10, 2.10.5.6) See refer reportTransformer and Wire /Insulation Electric Strength (2.10.5.13) See 2.9.2

The following supplements are provided as a part of this Test Record. NOTE: These supplements are only available to the Applicant via the CDA system.

Type Supplement Id DescriptionAttachment 2-06 CRDDatasheet 2-07 DataSheet

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Issue Date: 2012-09-27 Page 9 of 9 Report Reference # E131881-A1542-ULRevision Date: 2015-10-12 Test Record

Test Record No. 6-The manufacturer submitted a sample representing production of AC/DC Adapter, Models ADP-120RH B for examination and test.

1. Provided lost information on component list table for Transformer (T1) (For Construction A), Model MV-MP12664

- No tests were necessary as below:

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Issue Date: 2012-09-27 Page 10 of 9 Report Reference # E131881-A1542-ULRevision Date: 2015-10-12 Test Record

Test Record No. 7The manufacturer submitted representative production sample of AC/DC Adapter, Model ADP-120RH D employing the following changes.

1) Added a new model ADP-120RH D which is similar to model ADP-120RH B except for trademark.

No tests were deemed necessary due to engineering judgments.

The results of this investigation, including construction review and testing, indicate that the products evaluated comply with the applicable requirements in the U.S. and Canadian (Bi-National) Standard for Safety of Information Technology Equipment, Including Electrical Business Equipment, CAN/CSA-C22.2 No. 60950-1-07, Second Edition and UL 60950-1, Second Edition issued March 27, 2007, including revisions through revision dated October 14, 2014. Any information and documentation involving UL Mark services are provided on behalf of Underwriters Laboratories Inc. (UL) or any authorized licensee of UL.

The following supplements are provided as a part of this Test Record. NOTE: These supplements are only available to the Applicant via the CDA system.

Type Supplement Id DescriptionAttachment 2-08 CRD

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