Certificate Number Report Reference Issue Date 20110906 – E84967A E84967 – 2003 August 26 2011 September 06 Page 1 of 2 Issued to: SCHNEIDER ELECTRIC USA INC / SQUARE D CO 1010 AIRPARK CENTER DR NASHVILLE, TN 37217 USA This is to certify that Circuit Breakers, Molded Case and Circuit-breaker representative samples of Enclosures Circuit Breaker and Combination Arc Fault Circuit Interrupter, Type QO and QOB, Series 1, single pole rated 15 A and 20 A. (See following page for additional model information.) Complementary Product Category: ARC FAULT CIRCUIT INTERRUPTERS, COMBINATIONTYPE (AWAH) Have been investigated by Underwriters Laboratories in accordance with the Standard(s) indicated on this Certificate. Standard(s) for Safety: ANSI/UL 489, "Molded-Case Circuit Breakers, Molded-Case Switches and Circuit-Breaker Enclosures," ANSI/UL 1699, "Arc-Fault CircuitInterrupters." UL 1998, “Software in Programmable Components” and CAN/CSA-C22.2 No. 5 (2002), "Molded-Case Circuit Breakers, Molded-Case Switches and Circuit Breaker Enclosures." Additional Information: See UL On-line Certification Directory at WWW.UL.COM for additional information. Only those products bearing the UL Listing Mark for the US and Canada should be considered as being covered by UL's Listing and Follow-Up Service meeting the appropriate requirements for US and Canada. The UL Listing Mark for the US and Canada generally includes: the UL in a circle symbol with “C” and “US” identifiers: the word “LISTED”; a control number (may be alphanumeric) assigned by UL; and the product category name (product identifier) as indicated in the appropriate UL Directory. Look for the UL Listing Mark on the product William R. Carney Director, North American Certification Programs Underwriters Laboratories Inc. Any information and documentation involving UL Mark services are provided on behalf of Underwriters Laboratories Inc. (UL) or any authorized licensee of UL. For questions, please contact a local UL Customer Service Representative at http://www.ul.com/global/eng/pages/corporate/contactus Certificate Number Report Reference Issue Date Page 2 of 2 20110906 – E84967A E84967 – 2003 August 26 2011 September 06 Breaker Type QO, QOB QO, QOB Interrupting Rating, kA 10 22 Current Rating, A 15 & 20 15 & 20 Voltage Cat. No. Rating, V 120 120 QO(B)115CAFI, QO(B)120CAFI QO(B)115VHCAFI, QO(B)120VHCAFI These circuit breakers may be marked "40°C". This is to certify that representative samples of the product as specified on this certificate were tested according to the current UL requirements. William R. Carney Director, North American Certification Programs Underwriters Laboratories Inc. Any information and documentation involving UL Mark services are provided on behalf of Underwriters Laboratories Inc. (UL) or any authorized licensee of UL. For questions, please contact a local UL Customer Service Representative at http://www.ul.com/global/eng/pages/corporate/contactus