TR 3.2.1 - Appendix 1 Supplier statement The undersigned hereby declares that the plant type(s): - Specify type in writing Specify type in writing Specify type in writing comply/complies with TR 3.2.1 version 2.1 for electricity-generating plants with a rated current of 16 A per phase or less. This supplier statement must be supplemented with the following appendices: If you want an approval cf. TR 3.2.1 (EN 50438-DK) the following documents must be submitted: - Supplier-specific documentation for rated current per phase CE Statement of conformity TR 3.2.1 Appendix 2: Test report On the other hand if you want approval cf. TR 3.2.1 (VDE-AR-N 4105) the following documents must be submitted: - Supplier-specific documentation for rated current per phase CE Statement of conformity VDE-AR-N 4105 appendix F3: Prüfbericht für Erzeugungseinheiten (Test report for production units) VDE-AR-N 4105 appendix F4: Prüfbericht zum NA-Schutz (Test report for grid and plant protection) VDE-AR-N 4105 appendix G2: Konformitätsnachweis für Erzeugungseinheiten (Statement of conformity for production units) VDE-AR-N 4105 appendix G3: Konformitätsnachweis für Netz- und Anlagenschutz (Statement of conformity for grid and plant protection) Date - Company Signature of supplier Delete the guidelines on the following pages before submitting the statement! Doc. no. : 98304/11 15 March 2012 1/3 Guidelines for filling in and contents of the supplier statement The supplier of electricity-generating plants is responsible for ensuring that the plants supplied comply with the requirements in technical regulation TR 3.2.1. The supplier must fill in a supplier statement for each plant type declaring that the requirements in TR 3.2.1 have been complied with, supplemented with documentation to the effect that the required tests in accordance with the underlying standards have been completed. When each individual plant type complies with the requirements in TR 3.2.1, the plant type will be added to Energinet.dk's positive list. If the plant type is not added to Energinet.dk's positive list, the supplier statement (and relevant appendices) must be sent to Energinet.dk, Front Office Electricity, fo@energinet.dk, for review. If the plant complies with the requirements in TR 3.2.1, the plant type will be added to the positive list (photovoltaic cell installations, wind farms and other installations). Procedure: 1. In this supplier statement the supplier must declare that the requirements in the technical regulation TR 3.2.1 have been complied with. 2. The supplier statement must be supplemented by the following appendices: If you want an approval cf. TR 3.2.1 (EN 50438-DK) the following documents must be submitted: - Supplier-specific documentation for rated current per phase CE Statement of conformity TR 3.2.1 Appendix 2: Test report On the other hand if you want approval cf. TR 3.2.1 (VDE-AR-N 4105) the following documents must be submitted: - Supplier-specific documentation for rated current per phase CE Statement of conformity VDE-AR-N 4105 appendix F3: Prüfbericht für Erzeugungseinheiten (Test report for production units) VDE-AR-N 4105 appendix F4: Prüfbericht zum NA-Schutz (Test report for grid and plant protection) VDE-AR-N 4105 appendix G2: Konformitätsnachweis für Erzeugungseinheiten (Statement of conformity for production units) VDE-AR-N 4105 appendix G3: Konformitätsnachweis für Netz- und Anlagenschutz (Statement of conformity for grid and plant protection) 3. The supplier statement (including appendices) must be sent electronically to Ener- ginet.dk's Front Office Electricity, fo@energinet.dk, before the electricity-generating plant is sold or installed in Denmark. Doc. no. : 98304/11 15 March 2012 2/3 4. A supplier statement does not cover several different plant types. This means that one statement for photovoltaic cell installations and one for wind turbines must be prepared. 5. One supplier statement does not cover several technical regulations. This means that one statement must be prepared for TR 3.2.1 and one statement for TR 3.2.5 (for wind turbines larger than 11 kW). Example of a completed supplier statement for an inverter which follows the requirements cf. TR 3.2.1 (EN 50438-DK): TR 3.2.1 - Appendix 1 Supplier statement The undersigned hereby declares that EndkSol: - EndkSol2KW EndkSol3KW EndkSol4KW comply/complies with TR 3.2.1 version 2.1 for electricity-generating plants with a rated current of 16 A per phase or less. The supplier statement is supplemented by the following relevant appendices: - Supplier-specific documentation for rated current per phase. CE statement of conformity TR 3.2.1 appendix 2: Test report _____ Date Doc. no. : 98304/11 ________ Company ______________ Supplier's signature 15 March 2012 3/3