Agent Authorization

FCC ID: LDK-CGMOFDM

Attestation Statements

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FCCID_3779135

(Insert Company Letterhead) Letter of Authorization and Anti- Drug Statement Applicant Name: Cisco Systems, Inc. Address: 125 West Tasman Drive, San Jose, CA 95134 Product Name: Cisco Connected Grid WPAN Module for the Cisco 1000 Series Connected Grid Router Model Number: CGM-WPAN-OFDM FCC ID: LDK-CGMOFDM We authorize: CETECOM Inc., to act on our behalf on all matters concerning the above named equipment. We declare that CETECOM Inc. is allowed to forward all information related to the approval project to the Federal Communications Commission and discuss any issues concerning the approval application. The applicant must certify that neither the applicant nor any party to the application is subject to a denial of Federal benefits, that include 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 47 CFR 1.2002(b) for the definition of a "party" for these purposes. Does the applicant or authorized agent so certify? ☒ Yes I certify that I am authorized to sign this application. 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 as a result of the representations made in this application, the applicant is responsible for (1) labeling the equipment with the exact FCC ID specified in this application, (2) compliance statement labeling pursuant to the applicable rules, and (3) compliance of the equipment with the applicable technical rules. 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 FCC's technical requirements. Authorizing an agent to sign this application, is done solely at the applicant's discretion; however, the applicant remains responsible for all statements in this application. If an agent has signed this application on behalf of the applicant, a written letter of authorization which includes information to enable the agent to respond to the above section 5301 (Anti-Drug Abuse) Certification statement has been provided by the applicant. It is understood that the letter of authorization must be submitted to the FCC upon request, and that the FCC reserves the right to contact the applicant directly at any time. Signature of Authorized Person Filing: Title: Manager, Compliance Date: 2/28/2018


Document Created: 2018-03-13 10:32:16
Document Modified: 2018-03-13 10:32:16
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