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ntertek �ntertek BLUE RAVE N Listing Constructional Data Report (CDR) Listing Constructional Data Report (CDR) Tutd!QL)dlity Assured Total Quality.Assured 1403 N.Research Way Orem,UT 84097 800.377.4480 1.0 Reference and Address 1.0 Reference and Address WWW.BLUERAVENSOLAR.COM Report Number 102393982LAX-002 Original 11-A r-2016 Revised: 2-Jan-2022 Report Number 102393982LAX-002 Original 11-A r-2016 Revised: 2-Jan-2022 CONFIDENTIAL-THE INFORMATION HEREIN CONTAINED SHALL NOT BE Email USED FOR THE BENEFIT OF ANYONE Mounting Systems, Mounting Devices, Clamping/Retention Devices, and Ground Lugs for Use EXCEPT BLUE RAVEN SOLAR NOR with Flat-Plate Photovoltaic Modules and Panels[UL 2703:2015 Ed. +R:29May2019] SHALL IT BE DISCLOSED IN WHOLE OR Standard(s) IN PART TO OTHERS OUTSIDE RECIPIENTS ORGANIZATION,EXCEPT PV Module and Panel Racking Mounting System and Accessories[CSA TIL No.A-40:20201 IN CONNECTION WITH THE SALE AND USE OF THE RESPECTIVE EQUIPMENT, WITHOUT THE WRITTEN PERMISSION Applicant Unirac, Inc Manufacturer 2 OF BLUE RAVEN SOLAR LLC. Address 1411 Broadway Blvd NE Address Albuquerque, NM 87102NABCEP Country USA Country CERTIFIED Contact Klaus Nicolaedis Contact PV INSTALLATION Todd Ganshaw PROFESSIONAL 505-462-2190 Scott Gurney Phone 505-843-1418 Phone #PV-011719-015866 FAX NA FAX CONTRACTOR: klaus.nicolaedis@unirac.com BRS FIELD OPS Email itoddg@unirac.com Email 385-498-6700 Manufacturer 3 Manufacturer 4 Address Address Country Country Contact Contact Phone Phone FAX FAX Email Email Manufacturer 5 Address Country DRAWING BY: Contact Phone PLOT DATE: FAX PROJECT NUMBER: Page 1_of 136 Page 2_of 136 This report is for the exclusive use of IMertek's Client and is provided pursuant to the agreement between Intertek and its Client Inlertek's respons+bMy and This report is for the exclusive use of Imertek's Client and a provided pursuant to the agreemerq between Intertek and its Client Inlertek's resp=i tx ty ani kab ity are timded to the terms and conditions of the agreement Intertek assumes no liability to any party. other than to the Client In accordance with the liability are limited to the terms and conditions of the agreement IMertek assumes no liability to any party.other than to the Client In accordance with the agreement for any loss.expense or damage occasioned by the use of this report Only the Client is authorized to permit copying or distribution of this report and agreement for any loss,expense or damage occasioned by the use of this report Only the Ctrent is authorised to permit copying or distribution of this report and SHEET NAME: then only in its enbrety Any use of the Intertek name of one of its marks for the sale or advertisement of the tested matenal, product or service must first be then only in its enbrety Any use of the Intertek name or one of its marks for the sale or advertisement of the tested material.product or service must first be approved in writing by In lertek.The observations and test results in this report are relevant only to the sample tested This report by rued does not impry that the approved in writing by Imertek.The observabons and test results in this report are relevant only to the sample tested This report by itself does not imply that the SPEC SHEET material product a service is or has ever been under an Intertek certification program material product,a service is or has ever been under an Intertek certification program. REVISION: PAGE NUMBER: ---- SS