FCC ID QDS-BRCM1059

802.11agn WLAN+BT PCI-E Custom Combination Card

by Broadcom Corporation

Grantee Code: QDS   Product Code: BRCM1059
Latest application date: 2011-05-09

FCC ID Device Details

FCC IDQDS-BRCM1059
Mirrorsfcc.id | gov | fccid.ai
Grantee CodeQDS
Product CodeBRCM1059
Applicant BusinessBroadcom Corporation 🇺🇸
Related Domains broadcom.com ccsemc.com
Equipment Class802.11agn WLAN+BT PCI-E Custom Combination Card
Test FirmCompliance Certification Services (UL CCS)

Operating Frequencies

Frequency RangeApplication PurposeFinal Action Date
2402-2480 MHzOriginal Equipment2011-05-09
5180-5240 MHzOriginal Equipment2011-05-09
2402-2480 MHzOriginal Equipment2011-05-09

Exhibits

DocumentTypeAvailableFile
OEM Installation GuideUsers Manual2011-11-01PDF 250.7 KB
User ManualUsers Manual2011-11-01PDF 683.8 KB
User manualUsers Manual2011-11-01PDF 683.8 KB
Photos IntInternal Photos2011-11-01PDF 294.5 KB
Phottos IntInternal Photos2011-11-01PDF 294.5 KB
Photos ExtExternal Photos2011-11-01PDF 322.5 KB
LabelID Label/Location Info2011-05-09PDF 22.6 KB
Photos Test SetupTest Setup Photos2011-11-01PDF 222.3 KB
Photos Test Setup BT-LETest Setup Photos2011-11-01PDF 221.3 KB
Photos Test Setup WLANTest Setup Photos2011-11-01PDF 278.3 KB
Photos test setupTest Setup Photos2011-11-01PDF 335.7 KB
Photos test setupTest Setup Photos2011-11-01PDF 221.3 KB
Test Report BTTest Report2011-05-09PDF 1.4 MB
Test Report BT-LETest Report2011-05-09PDF 844.4 KB
Test Report WLANTest Report2011-05-09PDF 3.6 MB
Test reportTest Report2011-05-09PDF 5.7 MB
Test reportTest Report2011-05-09PDF 275.1 KB
Ad Hod AttestationAttestation Statements2011-05-09PDF 24.5 KB
Auth Ltr 1Cover Letter(s)2011-05-09PDF 115.5 KB
Auth Ltr 2Cover Letter(s)2011-05-09PDF 95.9 KB
Auth Ltr 2Cover Letter(s)2011-05-09PDF 115.5 KB
Conf LtrCover Letter(s)2011-05-09PDF 36.4 KB
Confidential LtrCover Letter(s)2011-05-09PDF 36.4 KB
Modular LtrCover Letter(s)2011-05-09PDF 20.8 KB
Response SummaryCover Letter(s)2011-05-09PDF 87.8 KB
TCB QuestionsCover Letter(s)2011-05-09PDF 172.1 KB
MPERF Exposure Info2011-05-09PDF 127.1 KB
MPE WLANRF Exposure Info2011-05-09PDF 122.6 KB

Application Information

Application IDzJfn+6lON5ja4ppnIU92tw==
Final Action Date2011-05-09
Application PurposeOriginal Equipment
Applicant FRN0007091952
Model-BRCM1059
Frequency Range2402-2480 MHz
Equipment ClassDTS - Digital Transmission System
Device Description802.11agn WLAN+BT PCI-E Custom Combination Card
Responsible PartyDaniel Lawless, Director of Engineering, System Operations, ComplianceEngineering-list-CA-list@broadcom.com , 408-543-3300
Technical ContactThu Chan, Compliance Certification Services, Thu.Chan@CCSEMC.COM , (510) 771-1000
Non-Technical ContactThu Chan, Compliance Certification Services, Thu.Chan@CCSEMC.COM , (510) 771-1000
Test FirmBarbara Judge, Compliance Certification Services (UL CCS), barbara.judge@ccsemc.com , 510-771-1104
TCB Emailcertnotice@ccsemc.com
TCB ScopeA4: UNII devices & low power transmitters using spread spectrum techniques
Short-Term ConfidentialityYes
Short-Term Confidentiality Date11/01/2011
Long-Term ConfidentialityYes
Grant DeferralNo
Modular EquipmentSingle Modular Approval
Composite DeviceYes
Composite PartNo
Cognitive RadioNo
Authorization WaiverNo
Authorization Waiver ApprovedNo
Section 5301 CertificationYes
Related OET Knowledge DataBase InquiryNo
Grant CommentsPower listed is the maximum combined conducted output power. Client device without radar detection per section 15.202 definition. Device is a 3x3 Spatial Multiplexing MIMO Module. Approval is limited to OEM installation only. The antenna(s) used for this transmitter must be installed to provide a separation distance of at least 20 cm from all persons and must not be co-located or operating in conjunction with any other antenna or transmitter except in accordance with the FCC multi-transmitter product procedures or as described in the filing. OEM integrators must be provided with antenna installation instructions. OEM integrators and End-Users must be provided with transmitter operation conditions for satisfying RF exposure compliance. This device is restricted to indoor-only operations within the 5150-5250 MHz band. This grant is valid only when the device is sold to OEM integrators and the OEM integrators are instructed to ensure that the end user has no manual instructions to remove or install the device.

Applications

Application IDDatePurpose
zJfn+6lON5ja4ppnIU92tw==2011-05-09Original Equipment
fcXWb9OoYGC4vUMbrnB4rQ==2011-05-09Original Equipment
ZskEV4umwGwkf6XQXxVcmw==2011-05-09Original Equipment
0baONq3wg5jbPTmwmekI2g==2011-05-09Original Equipment

Equipment Authorization

FrequencyOutputRulesGrant Notes
15BCC
2402-2480 MHz0.001300015CCC
2402-2480 MHz0.001315CCC, MO
2412-2462 MHz0.289615CCC, MO
2412-2462 MHz0.256515CCC, MO
5180-5240 MHz0.03115ECC, MO
5180-5240 MHz0.032715ECC, MO
5190-5230 MHz0.049415ECC, MO
5260-5320 MHz0.112215ECC, MO
5260-5320 MHz0.134915ECC, MO
5270-5310 MHz0.133715ECC, MO
5500-5700 MHz0.110915ECC, MO
5500-5700 MHz0.145615ECC, MO
5510-5670 MHz0.184515ECC, MO
5745-5825 MHz0.311615CCC, MO
5755-5795 MHz0.258115CCC, MO

Grants

TCB Grant - Application ZskEV4umwGwkf6XQXxVcmw==

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: 05/09/2011

Application Dated: 05/09/2011
Broadcom Corporation
190 Mathilda Place
Sunnyvale, CA 94086
 
Attention: Daniel Lawless , Director of Engineering, System Operations

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-BRCM1059
Name of Grantee:  Broadcom Corporation
Equipment Class: Part 15 Class B Computing Device Peripheral
Notes: 802.11agn WLAN+BT 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 ZskEV4umwGwkf6XQXxVcmw==

COPY FEDERAL COMMUNICATIONS
COMMISSION
WASHINGTON, D.C. 20554

GRANT OF EQUIPMENT
AUTHORIZATION
COPY
Certification

Broadcom Corporation
190 Mathilda Place
Sunnyvale, CA 94086
United States
  Date of Grant: 05/09/2011

Application Dated: 05/09/2011
 
Attention: Daniel Lawless , Director of Engineering, System Operations

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-BRCM1059
Name of Grantee:  Broadcom Corporation
Equipment Class: Part 15 Class B Computing Device Peripheral
Notes: 802.11agn WLAN+BT 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 zJfn+6lON5ja4ppnIU92tw==

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: 05/09/2011

Application Dated: 05/09/2011
Broadcom Corporation
190 Mathilda Place
Sunnyvale, CA 94086
 
Attention: Daniel Lawless , Director of Engineering, System Operations

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-BRCM1059
Name of Grantee:  Broadcom Corporation
Equipment Class: Digital Transmission System
Notes: 802.11agn WLAN+BT PCI-E Custom Combination Card
Modular Type: Single Modular
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
CC MO 15C 2412.0  -  2462.0 0.2896  
CC MO 15C 2412.0  -  2462.0 0.2565  
CC MO 15C 5745.0  -  5825.0 0.3116  
CC MO 15C 5755.0  -  5795.0 0.2581  
CC MO 15C 2402.0  -  2480.0 0.0013  

Power listed is the maximum combined conducted output power. Client device without radar detection per section 15.202 definition. Device is a 3x3 Spatial Multiplexing MIMO Module. Approval is limited to OEM installation only. The antenna(s) used for this transmitter must be installed to provide a separation distance of at least 20 cm from all persons and must not be co-located or operating in conjunction with any other antenna or transmitter except in accordance with the FCC multi-transmitter product procedures or as described in the filing. OEM integrators must be provided with antenna installation instructions. OEM integrators and End-Users must be provided with transmitter operation conditions for satisfying RF exposure compliance. This device is restricted to indoor-only operations within the 5150-5250 MHz band. This grant is valid only when the device is sold to OEM integrators and the OEM integrators are instructed to ensure that the end user has no manual instructions to remove or install the device.

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 zJfn+6lON5ja4ppnIU92tw==

COPY FEDERAL COMMUNICATIONS
COMMISSION
WASHINGTON, D.C. 20554

GRANT OF EQUIPMENT
AUTHORIZATION
COPY
Certification

Broadcom Corporation
190 Mathilda Place
Sunnyvale, CA 94086
United States
  Date of Grant: 05/09/2011

Application Dated: 05/09/2011
 
Attention: Daniel Lawless , Director of Engineering, System Operations

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-BRCM1059
Name of Grantee:  Broadcom Corporation
Equipment Class: Digital Transmission System
Notes: 802.11agn WLAN+BT PCI-E Custom Combination Card
Modular Type: Single Modular
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
CC MO 15C 2412.0  -  2462.0 0.2896  
CC MO 15C 2412.0  -  2462.0 0.2565  
CC MO 15C 5745.0  -  5825.0 0.3116  
CC MO 15C 5755.0  -  5795.0 0.2581  
CC MO 15C 2402.0  -  2480.0 0.0013  

Power listed is the maximum combined conducted output power. Client device without radar detection per section 15.202 definition. Device is a 3x3 Spatial Multiplexing MIMO Module. Approval is limited to OEM installation only. The antenna(s) used for this transmitter must be installed to provide a separation distance of at least 20 cm from all persons and must not be co-located or operating in conjunction with any other antenna or transmitter except in accordance with the FCC multi-transmitter product procedures or as described in the filing. OEM integrators must be provided with antenna installation instructions. OEM integrators and End-Users must be provided with transmitter operation conditions for satisfying RF exposure compliance. This device is restricted to indoor-only operations within the 5150-5250 MHz band. This grant is valid only when the device is sold to OEM integrators and the OEM integrators are instructed to ensure that the end user has no manual instructions to remove or install the device.


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 fcXWb9OoYGC4vUMbrnB4rQ==

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: 05/09/2011

Application Dated: 05/09/2011
Broadcom Corporation
190 Mathilda Place
Sunnyvale, CA 94086
 
Attention: Daniel Lawless , Director of Engineering, System Operations

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-BRCM1059
Name of Grantee:  Broadcom Corporation
Equipment Class: Unlicensed National Information Infrastructure TX
Notes: 802.11agn WLAN+BT PCI-E Custom Combination Card
Modular Type: Single Modular
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
CC MO 15E 5180.0  -  5240.0 0.031  
CC MO 15E 5180.0  -  5240.0 0.0327  
CC MO 15E 5190.0  -  5230.0 0.0494  
CC MO 15E 5260.0  -  5320.0 0.1122  
CC MO 15E 5260.0  -  5320.0 0.1349  
CC MO 15E 5270.0  -  5310.0 0.1337  
CC MO 15E 5500.0  -  5700.0 0.1109  
CC MO 15E 5500.0  -  5700.0 0.1456  
CC MO 15E 5510.0  -  5670.0 0.1845  

Power listed is the maximum combined conducted output power. Client device without radar detection per section 15.202 definition. Device is a 3x3 Spatial Multiplexing MIMO Module. Approval is limited to OEM installation only. The antenna(s) used for this transmitter must be installed to provide a separation distance of at least 20 cm from all persons and must not be co-located or operating in conjunction with any other antenna or transmitter except in accordance with the FCC multi-transmitter product procedures or as described in the filing. OEM integrators must be provided with antenna installation instructions. OEM integrators and End-Users must be provided with transmitter operation conditions for satisfying RF exposure compliance. This device is restricted to indoor-only operations within the 5150-5250 MHz band. This grant is valid only when the device is sold to OEM integrators and the OEM integrators are instructed to ensure that the end user has no manual instructions to remove or install the device.

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 fcXWb9OoYGC4vUMbrnB4rQ==

COPY FEDERAL COMMUNICATIONS
COMMISSION
WASHINGTON, D.C. 20554

GRANT OF EQUIPMENT
AUTHORIZATION
COPY
Certification

Broadcom Corporation
190 Mathilda Place
Sunnyvale, CA 94086
United States
  Date of Grant: 05/09/2011

Application Dated: 05/09/2011
 
Attention: Daniel Lawless , Director of Engineering, System Operations

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-BRCM1059
Name of Grantee:  Broadcom Corporation
Equipment Class: Unlicensed National Information Infrastructure TX
Notes: 802.11agn WLAN+BT PCI-E Custom Combination Card
Modular Type: Single Modular
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
CC MO 15E 5180.0  -  5240.0 0.031  
CC MO 15E 5180.0  -  5240.0 0.0327  
CC MO 15E 5190.0  -  5230.0 0.0494  
CC MO 15E 5260.0  -  5320.0 0.1122  
CC MO 15E 5260.0  -  5320.0 0.1349  
CC MO 15E 5270.0  -  5310.0 0.1337  
CC MO 15E 5500.0  -  5700.0 0.1109  
CC MO 15E 5500.0  -  5700.0 0.1456  
CC MO 15E 5510.0  -  5670.0 0.1845  

Power listed is the maximum combined conducted output power. Client device without radar detection per section 15.202 definition. Device is a 3x3 Spatial Multiplexing MIMO Module. Approval is limited to OEM installation only. The antenna(s) used for this transmitter must be installed to provide a separation distance of at least 20 cm from all persons and must not be co-located or operating in conjunction with any other antenna or transmitter except in accordance with the FCC multi-transmitter product procedures or as described in the filing. OEM integrators must be provided with antenna installation instructions. OEM integrators and End-Users must be provided with transmitter operation conditions for satisfying RF exposure compliance. This device is restricted to indoor-only operations within the 5150-5250 MHz band. This grant is valid only when the device is sold to OEM integrators and the OEM integrators are instructed to ensure that the end user has no manual instructions to remove or install the device.


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 0baONq3wg5jbPTmwmekI2g==

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: 05/09/2011

Application Dated: 05/09/2011
Broadcom Corporation
190 Mathilda Place
Sunnyvale, CA 94086
 
Attention: Daniel Lawless , Director of Engineering, System Operations

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-BRCM1059
Name of Grantee:  Broadcom Corporation
Equipment Class: Part 15 Spread Spectrum Transmitter
Notes: 802.11agn WLAN+BT 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 0.0013  

Power listed is conducted output. Approval is limited to OEM installation only. The antenna(s) used for this transmitter must be installed to provide a separation distance of at least 20 cm from all persons and must not be co-located or operating in conjunction with any other antenna or transmitter except in accordance with the FCC multi-transmitter product procedures or as described in the filing. OEM integrators must be provided with antenna installation instructions. OEM integrators and End-Users must be provided with transmitter operation conditions for satisfying RF exposure compliance. This grant is valid only when the device is sold to OEM integrators and the OEM integrators are instructed to ensure that the end user has no manual instructions to remove or install the device.


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

EAS Grant - Application 0baONq3wg5jbPTmwmekI2g==

COPY FEDERAL COMMUNICATIONS
COMMISSION
WASHINGTON, D.C. 20554

GRANT OF EQUIPMENT
AUTHORIZATION
COPY
Certification

Broadcom Corporation
190 Mathilda Place
Sunnyvale, CA 94086
United States
  Date of Grant: 05/09/2011

Application Dated: 05/09/2011
 
Attention: Daniel Lawless , Director of Engineering, System Operations

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-BRCM1059
Name of Grantee:  Broadcom Corporation
Equipment Class: Part 15 Spread Spectrum Transmitter
Notes: 802.11agn WLAN+BT 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 0.0013  

Power listed is conducted output. Approval is limited to OEM installation only. The antenna(s) used for this transmitter must be installed to provide a separation distance of at least 20 cm from all persons and must not be co-located or operating in conjunction with any other antenna or transmitter except in accordance with the FCC multi-transmitter product procedures or as described in the filing. OEM integrators must be provided with antenna installation instructions. OEM integrators and End-Users must be provided with transmitter operation conditions for satisfying RF exposure compliance. This grant is valid only when the device is sold to OEM integrators and the OEM integrators are instructed to ensure that the end user has no manual instructions to remove or install the device.


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

Mail To: