FCC ID QDS-BRCM1089

802.11b/g/n/a/ac 3X3 WLAN + Bluetooth PCI-E Custom Combination Card

by Broadcom Corporation

Grantee Code: QDS Product Code: BRCM1089

Latest application date: 2015-05-30

FCC ID Device Details

FCC ID	QDS-BRCM1089
Mirrors	fcc.id \| gov \| fccid.ai
Grantee Code	QDS
Product Code	BRCM1089
Applicant Business	Broadcom Corporation 🇺🇸
Related Domains	broadcom.com ul.com
Equipment Class	802.11b/g/n/a/ac 3X3 WLAN + Bluetooth PCI-E Custom Combination Card
Test Firm	UL Verification Services Inc. (formerly UL CCS)

Operating Frequencies

Frequency Range	Application Purpose	Final Action Date
2402-2480 MHz	Original Equipment	2015-05-30
2402-2480 MHz	Original Equipment	2015-05-30
5180-5240 MHz	Original Equipment	2015-05-30

Exhibits

Document	Type	Available	File
User Manual	Users Manual	2015-11-04	PDF 762.5 KB
User manual	Users Manual	2015-11-04	PDF 762.5 KB
Photos Internal	Internal Photos	2015-11-04	PDF 531.7 KB
Photos External	External Photos	2015-11-04	PDF 2.6 MB
Label	ID Label/Location Info	2015-05-30	PDF 24.2 KB
Photos Test Setup	Test Setup Photos	2015-11-04	PDF 281.3 KB
Photos Test Setup BLE	Test Setup Photos	2015-11-04	PDF 414.4 KB
Photos Test Setup BT	Test Setup Photos	2015-11-04	PDF 414.4 KB
Photos Test Setup DFS	Test Setup Photos	2015-11-04	PDF 272.4 KB
Photos Test Setup WLAN NII	Test Setup Photos	2015-11-04	PDF 548.2 KB
DFS Report Metadata only	Test Report	2015-05-30	PDF 1.3 MB
Test Report	Test Report	2015-05-30	PDF 796.2 KB
Test Report BLE	Test Report	2015-05-30	PDF 1.9 MB
Test Report DFS	Test Report	2015-05-30	PDF 1 MB
Test Report DSS	Test Report	2015-05-30	PDF 3.2 MB
Test Report WLAN DTS	Test Report	2015-05-30	PDF 4.5 MB
Test Report WLAN NII -1	Test Report	2015-05-30	PDF 4.7 MB
Test Report WLAN NII -2	Test Report	2015-05-30	PDF 4.8 MB
Test Report WLAN NII -3	Test Report	2015-05-30	PDF 3.7 MB
Test Report WLAN NII -4	Test Report	2015-05-30	PDF 3.4 MB
Test Report WLAN NII -5	Test Report	2015-05-30	PDF 3.6 MB
Test Report WLAN NII -6	Test Report	2015-05-30	PDF 2.5 MB
Attestation KDB 644545	Attestation Statements	2015-05-30	PDF 195.9 KB
Attestation KDB 848637	Attestation Statements	2015-05-30	PDF 241 KB
Agent Letter	Cover Letter(s)	2015-05-30	PDF 62.6 KB
Confidential Letter	Cover Letter(s)	2015-05-30	PDF 36.6 KB
Confidentiality Letter	Cover Letter(s)	2015-05-30	PDF 36.6 KB
Modular Letter	Cover Letter(s)	2015-05-30	PDF 136.9 KB
MPE	RF Exposure Info	2015-05-30	PDF 339.2 KB
Block Diagram Metadata only	Block Diagram		PDF 92 KB
Schematics Metadata only	Schematics		PDF 488.5 KB
Antenna Spec 1 Metadata only	Operational Description		PDF 2.3 MB
Antenna Spec 2 Metadata only	Operational Description		PDF 719.6 KB
Installation Guide Metadata only	Operational Description		PDF 328.3 KB
Operation Description Metadata only	Operational Description		PDF 1.8 MB
Operational Description Metadata only	Operational Description		PDF 1.8 MB
SW Security Metadata only	Operational Description		PDF 110.6 KB

Application Information

Application ID	yVNVpfiNf2SqwijXcFqbhA==
Final Action Date	2015-05-30
Application Purpose	Original Equipment
Applicant FRN	0007091952
Model	BRCM1089
Frequency Range	2402-2480 MHz
Equipment Class	DSS - Part 15 Spread Spectrum Transmitter
Device Description	802.11b/g/n/a/ac 3X3 WLAN + Bluetooth PCI-E Custom Combination Card
Responsible Party	Anne Liang, Manager, Compliance Engineering, aliang@broadcom.com , 4089225890
Technical Contact	Ana Aumentado, UL VERIFICATION SERVICES INC., Ana.M.Aumentado@ul.com , 510.771.1087
Non-Technical Contact	Ana Aumentado, UL VERIFICATION SERVICES INC., Ana.M.Aumentado@ul.com , 510-771-1000
Test Firm	Jay Kogoma, UL Verification Services Inc. (formerly UL CCS), jay.kogoma@ul.com , 510-319-4135
TCB Email	LST.FRE.CertNotice@ul.com
TCB Scope	A4: UNII devices & low power transmitters using spread spectrum techniques
Short-Term Confidentiality	Yes
Short-Term Confidentiality Date	11/04/2015
Long-Term Confidentiality	Yes
Grant Deferral	No
Modular Equipment	Single Modular Approval
Composite Device	Yes
Composite Part	No
Cognitive Radio	No
Authorization Waiver	No
Authorization Waiver Approved	No
Section 5301 Certification	Yes
Related OET Knowledge DataBase Inquiry	No
Grant Comments	Power output listed is conducted. This transmitter is approved for use in mobile RF exposure category configurations with the antenna(s) installed to provide a separation distance of at least 20 cm from all persons. The antennas used for this transmitter must not be co-located or operating in conjunction with any other antenna or transmitter within a host device, except in accordance with FCC multi-transmitter product procedures. Grantee must provide installation and operating instructions for complying with FCC multi-transmitter product procedures. Grantee must coordinate with OEM integrators to determine applicable host configurations to ensure RF exposure compliance, including simultaneous transmission.

Applications

Application ID	Date	Purpose
yVNVpfiNf2SqwijXcFqbhA==	2015-05-30	Original Equipment
kDLxTYLH2oIzhcHti0KlGQ==	2015-05-30	Original Equipment
homDnju+rQfRnZbovJfbJA==	2015-05-30	Original Equipment
YzrC/pbyC26XgsZgW6nnow==	2015-05-30	Original Equipment

Equipment Authorization

Frequency	Output	Rules	Grant Notes
		15B	CC
2402-2480 MHz	0.002	15C	CC
2402-2480 MHz	0.0170000	15C	CC
2412-2472 MHz	0.292	15C	CC, MO
5180-5240 MHz	0.143	15E	38, CC, MO
5260-5320 MHz	0.134	15E	38, CC, MO
5500-5720 MHz	0.128	15E	38, CC, MO
5530-5690 MHz	0.188	15E	38, CC, MO
5745-5825 MHz	0.204	15E	38, CC, MO

Grants

TCB Grant - Application YzrC/pbyC26XgsZgW6nnow==

TCB	GRANT OF EQUIPMENT AUTHORIZATION	TCB
Certification
Issued Under the Authority of the
Federal Communications Commission
By:

UL Verification Services Inc. (formerly UL CCS)
47173 Benicia Street
Fremont, CA 94538

Date of Grant: 05/30/2015

Application Dated: 05/29/2015

Broadcom Corporation

270 Innovation Drive

San Jose, CA 95134

Attention: Anne Liang , Manager, Compliance Engineering

NOT TRANSFERABLE

EQUIPMENT AUTHORIZATION is hereby issued to the named GRANTEE, and is VALID ONLY for the equipment identified hereon for use under the Commission's Rules and Regulations listed below.

FCC IDENTIFIER:	QDS-BRCM1089

Name of Grantee:	Broadcom Corporation

Equipment Class:	Part 15 Class B Computing Device Peripheral
Notes:	802.11b/g/n/a/ac 3X3 WLAN + Bluetooth PCI-E Custom Combination Card

Grant Notes	FCC Rule Parts	Frequency Range (MHZ)	Output Watts	Frequency Tolerance	Emission Designator
CC	15B	-

CC:	This device is certified pursuant to two different Part 15 rules sections.

EAS Grant - Application YzrC/pbyC26XgsZgW6nnow==

COPY	FEDERAL COMMUNICATIONS COMMISSION WASHINGTON, D.C. 20554 GRANT OF EQUIPMENT AUTHORIZATION	COPY
Certification

Broadcom Corporation
270 Innovation Drive
San Jose, CA 95134
United States

Date of Grant: 05/30/2015

Application Dated: 05/29/2015

Attention: Anne Liang , Manager, Compliance Engineering

NOT TRANSFERABLE

EQUIPMENT AUTHORIZATION is hereby issued to the named GRANTEE, and is VALID ONLY for the equipment identified hereon for use under the Commission's Rules and Regulations listed below.

FCC IDENTIFIER:	QDS-BRCM1089

Name of Grantee:	Broadcom Corporation

Equipment Class:	Part 15 Class B Computing Device Peripheral
Notes:	802.11b/g/n/a/ac 3X3 WLAN + Bluetooth PCI-E Custom Combination Card
Modular Type:	Does not apply

Grant Notes	FCC Rule Parts	Frequency Range (MHZ)	Output Watts	Frequency Tolerance	Emission Designator
CC	15B	-

CC:	This device is certified pursuant to two different Part 15 rules sections.

TCB Grant - Application yVNVpfiNf2SqwijXcFqbhA==

Mail To:

TCB	GRANT OF EQUIPMENT AUTHORIZATION	TCB
Certification
Issued Under the Authority of the
Federal Communications Commission
By:

UL Verification Services Inc. (formerly UL CCS)
47173 Benicia Street
Fremont, CA 94538

Date of Grant: 05/30/2015

Application Dated: 05/29/2015

Broadcom Corporation

270 Innovation Drive

San Jose, CA 95134

Attention: Anne Liang , Manager, Compliance Engineering

NOT TRANSFERABLE

EQUIPMENT AUTHORIZATION is hereby issued to the named GRANTEE, and is VALID ONLY for the equipment identified hereon for use under the Commission's Rules and Regulations listed below.

FCC IDENTIFIER:	QDS-BRCM1089

Name of Grantee:	Broadcom Corporation

Equipment Class:	Part 15 Spread Spectrum Transmitter
Notes:	802.11b/g/n/a/ac 3X3 WLAN + Bluetooth PCI-E Custom Combination Card
Modular Type:	Single Modular

Grant Notes	FCC Rule Parts	Frequency Range (MHZ)	Output Watts	Frequency Tolerance	Emission Designator
CC	15C	2402.0 - 2480.0	0.017

Power output listed is conducted. This transmitter is approved for use in mobile RF exposure category configurations with the antenna(s) installed to provide a separation distance of at least 20 cm from all persons. The antennas used for this transmitter must not be co-located or operating in conjunction with any other antenna or transmitter within a host device, except in accordance with FCC multi-transmitter product procedures. Grantee must provide installation and operating instructions for complying with FCC multi-transmitter product procedures. Grantee must coordinate with OEM integrators to determine applicable host configurations to ensure RF exposure compliance, including simultaneous transmission.

CC:	This device is certified pursuant to two different Part 15 rules sections.

EAS Grant - Application yVNVpfiNf2SqwijXcFqbhA==

COPY	FEDERAL COMMUNICATIONS COMMISSION WASHINGTON, D.C. 20554 GRANT OF EQUIPMENT AUTHORIZATION	COPY
Certification

Broadcom Corporation
270 Innovation Drive
San Jose, CA 95134
United States

Date of Grant: 05/30/2015

Application Dated: 05/29/2015

Attention: Anne Liang , Manager, Compliance Engineering

NOT TRANSFERABLE

EQUIPMENT AUTHORIZATION is hereby issued to the named GRANTEE, and is VALID ONLY for the equipment identified hereon for use under the Commission's Rules and Regulations listed below.

FCC IDENTIFIER:	QDS-BRCM1089

Name of Grantee:	Broadcom Corporation

Equipment Class:	Part 15 Spread Spectrum Transmitter
Notes:	802.11b/g/n/a/ac 3X3 WLAN + Bluetooth PCI-E Custom Combination Card
Modular Type:	Single Modular

Grant Notes	FCC Rule Parts	Frequency Range (MHZ)	Output Watts	Frequency Tolerance	Emission Designator
CC	15C	2402.0 - 2480.0	0.017

CC:	This device is certified pursuant to two different Part 15 rules sections.

TCB Grant - Application kDLxTYLH2oIzhcHti0KlGQ==

Mail To:

TCB	GRANT OF EQUIPMENT AUTHORIZATION	TCB
Certification
Issued Under the Authority of the
Federal Communications Commission
By:

UL Verification Services Inc. (formerly UL CCS)
47173 Benicia Street
Fremont, CA 94538

Date of Grant: 05/30/2015

Application Dated: 05/29/2015

Broadcom Corporation

270 Innovation Drive

San Jose, CA 95134

Attention: Anne Liang , Manager, Compliance Engineering

NOT TRANSFERABLE

EQUIPMENT AUTHORIZATION is hereby issued to the named GRANTEE, and is VALID ONLY for the equipment identified hereon for use under the Commission's Rules and Regulations listed below.

FCC IDENTIFIER:	QDS-BRCM1089

Name of Grantee:	Broadcom Corporation

Equipment Class:	Digital Transmission System
Notes:	802.11b/g/n/a/ac 3X3 WLAN + Bluetooth PCI-E Custom Combination Card
Modular Type:	Single Modular

Grant Notes	FCC Rule Parts	Frequency Range (MHZ)	Output Watts	Frequency Tolerance	Emission Designator
CC	15C	2402.0 - 2480.0	0.002
CC MO	15C	2412.0 - 2472.0	0.292

Power output listed is maximum combined conducted. Device operates with specific antennas in 3TX, 2TX MIMO and 1TX SISO modes described in this filing. This device supports 20 MHz and 40 MHz bandwidths. This transmitter is approved for use in mobile RF exposure category configurations with the antenna(s) installed to provide a separation distance of at least 20 cm from all persons. The antennas used for this transmitter must not be co-located or operating in conjunction with any other antenna or transmitter within a host device, except in accordance with FCC multi-transmitter product procedures. Grantee must provide installation and operating instructions for complying with FCC multi-transmitter product procedures. Grantee must coordinate with OEM integrators to determine applicable host configurations to ensure RF exposure compliance, including simultaneous transmission.

CC:	This device is certified pursuant to two different Part 15 rules sections.
MO:	This Multiple Input Multiple Output (MIMO) device was evaluated for multiple transmitted signals as indicated in the filing.

EAS Grant - Application kDLxTYLH2oIzhcHti0KlGQ==

COPY	FEDERAL COMMUNICATIONS COMMISSION WASHINGTON, D.C. 20554 GRANT OF EQUIPMENT AUTHORIZATION	COPY
Certification

Broadcom Corporation
270 Innovation Drive
San Jose, CA 95134
United States

Date of Grant: 05/30/2015

Application Dated: 05/29/2015

Attention: Anne Liang , Manager, Compliance Engineering

NOT TRANSFERABLE

EQUIPMENT AUTHORIZATION is hereby issued to the named GRANTEE, and is VALID ONLY for the equipment identified hereon for use under the Commission's Rules and Regulations listed below.

FCC IDENTIFIER:	QDS-BRCM1089

Name of Grantee:	Broadcom Corporation

Equipment Class:	Digital Transmission System
Notes:	802.11b/g/n/a/ac 3X3 WLAN + Bluetooth PCI-E Custom Combination Card
Modular Type:	Single Modular

Grant Notes	FCC Rule Parts	Frequency Range (MHZ)	Output Watts	Frequency Tolerance	Emission Designator
CC	15C	2402.0 - 2480.0	0.002
CC MO	15C	2412.0 - 2472.0	0.292

CC:	This device is certified pursuant to two different Part 15 rules sections.
MO:	This Multiple Input Multiple Output (MIMO) device was evaluated for multiple transmitted signals as indicated in the filing.

TCB Grant - Application homDnju+rQfRnZbovJfbJA==

Mail To:

TCB	GRANT OF EQUIPMENT AUTHORIZATION	TCB
Certification
Issued Under the Authority of the
Federal Communications Commission
By:

UL Verification Services Inc. (formerly UL CCS)
47173 Benicia Street
Fremont, CA 94538

Date of Grant: 05/30/2015

Application Dated: 05/29/2015

Broadcom Corporation

270 Innovation Drive

San Jose, CA 95134

Attention: Anne Liang , Manager, Compliance Engineering

NOT TRANSFERABLE

EQUIPMENT AUTHORIZATION is hereby issued to the named GRANTEE, and is VALID ONLY for the equipment identified hereon for use under the Commission's Rules and Regulations listed below.

FCC IDENTIFIER:	QDS-BRCM1089

Name of Grantee:	Broadcom Corporation

Equipment Class:	Unlicensed National Information Infrastructure TX
Notes:	802.11b/g/n/a/ac 3X3 WLAN + Bluetooth PCI-E Custom Combination Card
Modular Type:	Single Modular

Grant Notes	FCC Rule Parts	Frequency Range (MHZ)	Output Watts	Frequency Tolerance	Emission Designator
38 CC MO	15E	5180.0 - 5240.0	0.143
38 CC MO	15E	5260.0 - 5320.0	0.134
38 CC MO	15E	5500.0 - 5720.0	0.128
38 CC MO	15E	5745.0 - 5825.0	0.204
38 CC MO	15E	5530.0 - 5690.0	0.188

Power output listed is maximum combined conducted. Operations in the 5.15-5.25 GHz band are for indoor use only. Device operates with specific antennas in 3TX, 2TX MIMO and 1TX SISO modes described in this filing. This device supports 20 MHz, 40 MHz and 80 MHz bandwidths. This device supports client-only operating modes in the 5250-5350 MHz and 5470-5725 MHz bands. This transmitter is approved for use in mobile RF exposure category configurations with the antenna(s) installed to provide a separation distance of at least 20 cm from all persons. The antennas used for this transmitter must not be co-located or operating in conjunction with any other antenna or transmitter within a host device, except in accordance with FCC multi-transmitter product procedures. Grantee must provide installation and operating instructions for complying with FCC multi-transmitter product procedures. Grantee must coordinate with OEM integrators to determine applicable host configurations to ensure RF exposure compliance, including simultaneous transmission.

38:	This device has shown compliance, in all grant-listed U-NII sub-bands, with the new rules for U-NII devices adopted under Docket No. 13-49 and may be marketed, manufactured or imported after the June 1, 2016 transition deadline.
CC:	This device is certified pursuant to two different Part 15 rules sections.
MO:	This Multiple Input Multiple Output (MIMO) device was evaluated for multiple transmitted signals as indicated in the filing.

EAS Grant - Application homDnju+rQfRnZbovJfbJA==

COPY	FEDERAL COMMUNICATIONS COMMISSION WASHINGTON, D.C. 20554 GRANT OF EQUIPMENT AUTHORIZATION	COPY
Certification

Broadcom Corporation
270 Innovation Drive
San Jose, CA 95134
United States

Date of Grant: 05/30/2015

Application Dated: 05/29/2015

Attention: Anne Liang , Manager, Compliance Engineering

NOT TRANSFERABLE

EQUIPMENT AUTHORIZATION is hereby issued to the named GRANTEE, and is VALID ONLY for the equipment identified hereon for use under the Commission's Rules and Regulations listed below.

FCC IDENTIFIER:	QDS-BRCM1089

Name of Grantee:	Broadcom Corporation

Equipment Class:	Unlicensed National Information Infrastructure TX
Notes:	802.11b/g/n/a/ac 3X3 WLAN + Bluetooth PCI-E Custom Combination Card
Modular Type:	Single Modular

Grant Notes	FCC Rule Parts	Frequency Range (MHZ)	Output Watts	Frequency Tolerance	Emission Designator
38 CC MO	15E	5180.0 - 5240.0	0.143
38 CC MO	15E	5260.0 - 5320.0	0.134
38 CC MO	15E	5500.0 - 5720.0	0.128
38 CC MO	15E	5745.0 - 5825.0	0.204
38 CC MO	15E	5530.0 - 5690.0	0.188

38:	This device has shown compliance, in all grant-listed U-NII sub-bands, with the new rules for U-NII devices adopted under Docket No. 13-49 and may be marketed, manufactured or imported after the June 1, 2016 transition deadline.
CC:	This device is certified pursuant to two different Part 15 rules sections.
MO:	This Multiple Input Multiple Output (MIMO) device was evaluated for multiple transmitted signals as indicated in the filing.

Mail To: