FCC ID QDS-BRCM1095
802.11ax WLAN PCI-E Custom Combination Card
by Broadcom Corporation
Grantee Code: QDS Product Code: BRCM1095
Latest application date: 2022-05-02
FCC ID Device Details
| FCC ID | QDS-BRCM1095 |
|---|---|
| Mirrors | fcc.id | gov | fccid.ai |
| Grantee Code | QDS |
| Product Code | BRCM1095 |
| Applicant Business | Broadcom Corporation 🇺🇸 |
| Related Domains |  broadcom.com |
| Equipment Class | 802.11ax WLAN PCI-E Custom Combination Card |
| Test Firm | SPORTON International Inc. |
Operating Frequencies
| Frequency Range | Application Purpose | Final Action Date |
|---|---|---|
| 6025-6985 MHz | Original Equipment | 2022-05-02 |
| 6025-6985 MHz | Original Equipment | 2020-12-07 |
Exhibits
| Document | Type | Available | File |
|---|---|---|---|
| QDS-BRCM1095 OEM installation Guide rev9 | Users Manual | 2022-05-02 | PDF 529 KB |
| QDS-BRCM1095 User Manual_rev1 | Users Manual | 2022-05-02 | PDF 818.7 KB |
| Installation Guidance Document_rev9 | Users Manual | 2021-02-20 | PDF 529 KB |
| QDS-BRCM1095 OEM Installation Guidance Document_rev1 Metadata only | Users Manual | 2021-02-20 | PDF 274.2 KB |
| QDS-BRCM1095 OEM Installation Guidance Document_rev3 Metadata only | Users Manual | 2021-02-20 | PDF 211.7 KB |
| QDS-BRCM1095 OEM Installation Guidance Document_rev4 Metadata only | Users Manual | 2021-02-20 | PDF 20.7 KB |
| QDS-BRCM1095 OEM Installation Guidance Document_rev8 Metadata only | Users Manual | 2021-02-20 | PDF 142.5 KB |
| QDS-BRCM1095 Internal Photos | Internal Photos | 2022-05-02 | PDF 130.1 KB |
| Internal Photos_20200820_v1 - QDS-BRCM1095 Internal Photos | Internal Photos | 2021-02-20 | PDF 130.1 KB |
| QDS-BRCM1095 External Photos | External Photos | 2022-05-02 | PDF 453.4 KB |
| External Photos_20200820_v1 - QDS-BRCM1095 External Photos | External Photos | 2021-02-20 | PDF 453.4 KB |
| QDS-BRCM1095 Lable and Location | ID Label/Location Info | 2022-05-02 | PDF 31.3 KB |
| QDS-BRCM1095 Label and Location | ID Label/Location Info | 2020-12-07 | PDF 31.3 KB |
| QDS-BRCM1095 Test Photos_rev1 | Test Setup Photos | 2022-05-02 | PDF 383.4 KB |
| QDS-BRCM1095 RF Exposure test report_rev2 | RF Exposure Info | 2022-05-02 | PDF 287.6 KB |
| QDS-BRCM1095 RF Test Report_rev4 | Test Report | 2022-05-02 | PDF 3.5 MB |
| QDS-BRCM1095 RF Test Report_rev2 Metadata only | Test Report | 2020-12-07 | PDF 3.1 MB |
| QDS-BRCM1095 RF Test Report_rev3 Metadata only | Test Report | 2020-12-07 | PDF 3.3 MB |
| Test report Rev 4 | Test Report | 2020-12-07 | PDF 3.5 MB |
| Attestations_20220401_v1 - QDS-BRCM1095 FCC C2PC request Mar 2022 | Cover Letter(s) | 2022-05-02 | PDF 153.8 KB |
| Attestations_20220401_v1 - QDS-BRCM1095_POA | Cover Letter(s) | 2022-05-02 | PDF 135.7 KB |
| QDS-BRCM1095 FCC Dual Client attestation letter Metadata only | Cover Letter(s) | 2022-05-02 | PDF 139.6 KB |
| QDS-BRCM1095 FCC Dual Client attestation letter | Attestation Statements | 2022-05-02 | PDF 139.6 KB |
| LPI Client Device Declarations Metadata only | Attestation Statements | 2020-12-07 | PDF 133.1 KB |
| LPI Client Device Declarations Rev 1 Metadata only | Attestation Statements | 2020-12-07 | PDF 192.4 KB |
| LPI Client Device Declarations Rev 10-28-2020 | Attestation Statements | 2020-12-07 | PDF 135.3 KB |
| QDS-BRCM1095 FCC confidentiality request Apr 2022 | Cover Letter(s) | 2022-05-02 | PDF 139.7 KB |
| Limited Modular Approval Request Metadata only | Cover Letter(s) | 2020-12-07 | PDF 291.8 KB |
| Limited Modular Approval Request 11-20-20 | Cover Letter(s) | 2020-12-07 | PDF 111.2 KB |
| LoA Explanation | Cover Letter(s) | 2020-12-07 | PDF 110 KB |
| QDS-BRCM1095 FCC confidentiality letter | Cover Letter(s) | 2020-12-07 | PDF 136.3 KB |
| QDS-BRCM1095 LOA | Cover Letter(s) | 2020-12-07 | PDF 129.1 KB |
| QDS-BRCM1095 Modular approval letter Metadata only | Cover Letter(s) | 2020-12-07 | PDF 293.4 KB |
| QDS-BRCM1095 Block Diagram_rev1 Metadata only | Block Diagram | PDF 249.8 KB | |
| QDS-BRCM1095 Block Diagram_rev2 Metadata only | Block Diagram | PDF 27.6 KB | |
| QDS-BRCM1095 Schematics_rev1 Metadata only | Schematics | PDF 249.8 KB | |
| NDA agreement for OEM Metadata only | Operational Description | PDF 346.3 KB | |
| QDS-BRCM1095 Operation Description Metadata only | Operational Description | PDF 211.6 KB | |
| QDS-BRCM1095 Operation Description_FCC15.407 Compliance [LPI_STA]_V1 Metadata only | Operational Description | PDF 294 KB | |
| Attestations_20220401_v1 - QDS-BRCM1095 U-NII Device SW Security Statement Metadata only | SDR Software/Security Inf | PDF 272 KB | |
| QDS-BRCM1095 Operation Description_software security Metadata only | SDR Software/Security Inf | PDF 681.9 KB | |
| QDS-BRCM1095 software security rev 5 Metadata only | SDR Software/Security Inf | PDF 203.8 KB | |
| QDS-BRCM1095 software security rev 7 Metadata only | SDR Software/Security Inf | PDF 272 KB |
Application Information
| Application ID | 16VOaXjCK8LuR4JbKME5lg== |
|---|---|
| Final Action Date | 2022-05-02 |
| Application Purpose | Original Equipment |
| Applicant FRN | 0007091952 |
| Model | BRCM1095 |
| Frequency Range | 6025-6985 MHz |
| Equipment Class | 6CD - 15E 6 GHz Low Power Dual Client |
| Device Description | 802.11ax WLAN PCI-E Custom Combination Card |
| Responsible Party | Anne Liang, Manager, Compliance Engineering, aliang@broadcom.com , 4089225890 |
| Technical Contact | Elsa Lin, Sporton International Inc., elsalin@sporton.com.tw  , 886-3-656-9065 |
| Test Firm | Sharon Jiang, SPORTON International Inc., sharonjiang@sporton.com.tw , +886-3-656-9065 |
| TCB Email | LST.FRE.CertNotice@ul.com  |
| TCB Scope | A4: UNII devices & low power transmitters using spread spectrum techniques |
| Short-Term Confidentiality | No |
| Long-Term Confidentiality | Yes |
| Grant Deferral | No |
| Modular Equipment | Limited 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 | Yes |
| Grant Comments | Class II Permissive Change to support Dual Client (6CD equipment Class) mode. This device can connect to both low power indoor and standard power access points. The output power when connected to a standard power AP is the same as when connected to an indoor AP. Output power listed is EIRP. Limited modular approval. This module may only be marketed and sold to an OEM system integrator that has an agreement with the grantee and has been provided detailed instructions on installation conditions to ensure that the correct firmware is installed. Host systems must be intended for indoor use only, outdoor applications are NOT allowed. The module grantee is responsible for providing the documentation to the system integrator on restrictions of use, for continuing compliance of the module including the maximum and minimum antenna gains and antenna type. The host integrator must follow the integration instructions provided by the module manufacturer. The host integrator installing this module into their product must ensure that the final composite product complies with the FCC requirements by a technical assessment or evaluation to the FCC rules, including the transmitter operation and should refer to guidance in KDB 996369. To satisfy RF exposure requirements the module antennas must be installed with a minimum separation distance of 20 cm from persons. Users and installers must be provided with antenna installation instructions and transmitter operating conditions for satisfying RF exposure compliance. Co-location of this module with other transmitters that operate simultaneously are required to be evaluated using the FCC multi-transmitter procedures. |
Applications
| Application ID | Date | Purpose |
|---|---|---|
| 16VOaXjCK8LuR4JbKME5lg== | 2022-05-02 | Original Equipment |
| ll686+wlPnFzHQb6tru2vw== | 2020-12-07 | Original Equipment |
Grants
TCB Grant - Application ll686+wlPnFzHQb6tru2vw==
| 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: 12/07/2020 Application Dated: 08/26/2020 |
| 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-BRCM1095 |
| Name of Grantee: | Broadcom Corporation |
| Equipment Class: | 15E 6 GHz Low Power Indoor Client |
| Notes: | 802.11ax WLAN PCI-E Custom Combination Card |
| Modular Type: | Limited Single Modular |
| Grant Notes | FCC Rule Parts | Frequency Range (MHZ) | Output Watts | Frequency Tolerance | Emission Designator |
| EP MO | 15E | 6025.0 - 6985.0 | 0.062 |
| Output power listed is EIRP. Limited modular approval. This module may only be marketed and sold to an OEM system integrator that has an agreement with the grantee and has been provided detailed instructions on installation conditions to ensure that the correct firmware is installed. Host systems must be intended for indoor use only, outdoor applications are NOT allowed. The module grantee is responsible for providing the documentation to the system integrator on restrictions of use, for continuing compliance of the module including the maximum and minimum antenna gains and antenna type. The host integrator must follow the integration instructions provided by the module manufacturer. The host integrator installing this module into their product must ensure that the final composite product complies with the FCC requirements by a technical assessment or evaluation to the FCC rules, including the transmitter operation and should refer to guidance in KDB 996369. To satisfy RF exposure requirements the module antennas must be installed with a minimum separation distance of 20 cm from persons. Users and installers must be provided with antenna installation instructions and transmitter operating conditions for satisfying RF exposure compliance. Co-location of this module with other transmitters that operate simultaneously are required to be evaluated using the FCC multi-transmitter procedures. |
| EP: | Output power is Effective Isotropic Radiated Power (EIRP) |
| MO: | This Multiple Input Multiple Output (MIMO) device was evaluated for multiple transmitted signals as indicated in the filing. |
EAS Grant - Application ll686+wlPnFzHQb6tru2vw==
| 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: 12/07/2020 Application Dated: 08/26/2020 |
| 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-BRCM1095 |
| Name of Grantee: | Broadcom Corporation |
| Equipment Class: | 15E 6 GHz Low Power Indoor Client |
| Notes: | 802.11ax WLAN PCI-E Custom Combination Card |
| Modular Type: | Limited Single Modular |
| Grant Notes | FCC Rule Parts | Frequency Range (MHZ) | Output Watts | Frequency Tolerance | Emission Designator |
| EP MO | 15E | 6025.0 - 6985.0 | 0.062 |
| Output power listed is EIRP. Limited modular approval. This module may only be marketed and sold to an OEM system integrator that has an agreement with the grantee and has been provided detailed instructions on installation conditions to ensure that the correct firmware is installed. Host systems must be intended for indoor use only, outdoor applications are NOT allowed. The module grantee is responsible for providing the documentation to the system integrator on restrictions of use, for continuing compliance of the module including the maximum and minimum antenna gains and antenna type. The host integrator must follow the integration instructions provided by the module manufacturer. The host integrator installing this module into their product must ensure that the final composite product complies with the FCC requirements by a technical assessment or evaluation to the FCC rules, including the transmitter operation and should refer to guidance in KDB 996369. To satisfy RF exposure requirements the module antennas must be installed with a minimum separation distance of 20 cm from persons. Users and installers must be provided with antenna installation instructions and transmitter operating conditions for satisfying RF exposure compliance. Co-location of this module with other transmitters that operate simultaneously are required to be evaluated using the FCC multi-transmitter procedures. |
| EP: | Output power is Effective Isotropic Radiated Power (EIRP) |
| MO: | This Multiple Input Multiple Output (MIMO) device was evaluated for multiple transmitted signals as indicated in the filing. |
| 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: 05/02/2022 Application Dated: 04/25/2022 |
| 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-BRCM1095 |
| Name of Grantee: | Broadcom Corporation |
| Equipment Class: | 15E 6 GHz Low Power Dual Client |
| Notes: | 802.11ax WLAN PCI-E Custom Combination Card |
| Modular Type: | Limited Single Modular |
| Grant Notes | FCC Rule Parts | Frequency Range (MHZ) | Output Watts | Frequency Tolerance | Emission Designator |
| EP MO | 15E | 6025.0 - 6985.0 | 0.062 |
| Class II Permissive Change to support Dual Client (6CD equipment Class) mode. This device can connect to both low power indoor and standard power access points. The output power when connected to a standard power AP is the same as when connected to an indoor AP. Output power listed is EIRP. Limited modular approval. This module may only be marketed and sold to an OEM system integrator that has an agreement with the grantee and has been provided detailed instructions on installation conditions to ensure that the correct firmware is installed. Host systems must be intended for indoor use only, outdoor applications are NOT allowed. The module grantee is responsible for providing the documentation to the system integrator on restrictions of use, for continuing compliance of the module including the maximum and minimum antenna gains and antenna type. The host integrator must follow the integration instructions provided by the module manufacturer. The host integrator installing this module into their product must ensure that the final composite product complies with the FCC requirements by a technical assessment or evaluation to the FCC rules, including the transmitter operation and should refer to guidance in KDB 996369. To satisfy RF exposure requirements the module antennas must be installed with a minimum separation distance of 20 cm from persons. Users and installers must be provided with antenna installation instructions and transmitter operating conditions for satisfying RF exposure compliance. Co-location of this module with other transmitters that operate simultaneously are required to be evaluated using the FCC multi-transmitter procedures. |
| EP: | Output power is Effective Isotropic Radiated Power (EIRP) |
| MO: | This Multiple Input Multiple Output (MIMO) device was evaluated for multiple transmitted signals as indicated in the filing. |
EAS Grant - Application 16VOaXjCK8LuR4JbKME5lg==
| 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: 05/02/2022 Application Dated: 04/25/2022 |
| 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-BRCM1095 |
| Name of Grantee: | Broadcom Corporation |
| Equipment Class: | 15E 6 GHz Low Power Dual Client |
| Notes: | 802.11ax WLAN PCI-E Custom Combination Card |
| Modular Type: | Limited Single Modular |
| Grant Notes | FCC Rule Parts | Frequency Range (MHZ) | Output Watts | Frequency Tolerance | Emission Designator |
| EP MO | 15E | 6025.0 - 6985.0 | 0.062 |
| Class II Permissive Change to support Dual Client (6CD equipment Class) mode. This device can connect to both low power indoor and standard power access points. The output power when connected to a standard power AP is the same as when connected to an indoor AP. Output power listed is EIRP. Limited modular approval. This module may only be marketed and sold to an OEM system integrator that has an agreement with the grantee and has been provided detailed instructions on installation conditions to ensure that the correct firmware is installed. Host systems must be intended for indoor use only, outdoor applications are NOT allowed. The module grantee is responsible for providing the documentation to the system integrator on restrictions of use, for continuing compliance of the module including the maximum and minimum antenna gains and antenna type. The host integrator must follow the integration instructions provided by the module manufacturer. The host integrator installing this module into their product must ensure that the final composite product complies with the FCC requirements by a technical assessment or evaluation to the FCC rules, including the transmitter operation and should refer to guidance in KDB 996369. To satisfy RF exposure requirements the module antennas must be installed with a minimum separation distance of 20 cm from persons. Users and installers must be provided with antenna installation instructions and transmitter operating conditions for satisfying RF exposure compliance. Co-location of this module with other transmitters that operate simultaneously are required to be evaluated using the FCC multi-transmitter procedures. |
| EP: | Output power is Effective Isotropic Radiated Power (EIRP) |
| MO: | This Multiple Input Multiple Output (MIMO) device was evaluated for multiple transmitted signals as indicated in the filing. |
| Mail To: |