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UNIVERSAL CERTIPICATION

NB 2163

EU TYPE EXAMINATION CERTIFICATE Certificate No: 2163-PPE-1577

Respiratory protective devices, filtering halfmasks to protect against particles manufactured by

GROB Aircraft SE Lettenbachstrabe 9, 86874 Tussenhausen-Mattsies Germany

are tested and evaluated according to

EN 149:2001 + Al:2009 Respiratory Protective Devices - Filtering Half Masks to Protect Against Particles -

Requirements, Testing, Marking Based on the type examination conducted with the evaluation of test reports, technical file

according to Personal Protective Equipment Regulation (EU) 2016/425 Annex 5, it is approved that the product meets the requirements ofthe regulation.

Product Definition

Model: GAMCO-20 Filtering halfmask

Classification: FFP2 NR Here by the manufacturer is allowed to use notified body number (2163) and can fix CE mark, as

shown below, on the Category III product models given above, with; • Issuing an appropriate EU Declaration ofConformity according to Personal Protective

Equipment Regulation (EU) 2016/425 Annex 9. • Ongoing successful performance in fulfilment ofthe requirements set out in Personal

Protective Equipment Regulation (EU) 2016/425 and harmonised standards, ensured by assessments based on Annex 7 (Module C2) or Annex 8 (Module D) ofthe regulation no later than I year from the beginning of serial production

This certificate is initially issued on 15/10/2020 and will be valid for 5 years, ifthere is no change in the relevant harmonised standard affecting the essential health and safety

requirements.

CE 2163

UNIVERSAL CERTIFICATION Director

Necip Fazrl Bulvan Keyap Sitesi E2 Blok No:44/84 Yukan Dudullu Ümraniye - iSTANBUL- TURKEY T:+90 216 455 80 80

UNIVERSALCERT .COM

PROTECTIVEGEAR powered by GROBAIRCRAFT

EU-Konformitätserklärung gemäß Verordnung (EU) 2016/425 Der Hersteller oder sein in der Gemeinschaft niedergelassener Bevollmächtigter

Grob Aircraft SE Lettenbachstraße 9

D-86874 Tussenhausen

erklärt in seiner alleinigen Verantwortung hiermit, dass das nachstehende Produkt

FFP2 NR Filtrierende Halbmaske GAMCO-20

übereinstimmt mit den Bestimmungen der Verordnung (EU) 2016/425 und übereinstimmt mit der einzelstaatlichen Norm, durch die die harmonisierte Norm EN 149:2001 + A1 :2009 umgesetzt wird und identisch ist mit der PSA, die Gegenstand des von der genannten notifizierten Stelle ausgestellten Zertifikates zur EU-Baumusterprüfbescheinigung über die Baumusterprüfung ist.

Die notifizierte Stelle NB 2163

Universal Certification and Surveillance Service Trade Ltd. Co. Necip Fazil Bulvari Keyap Sitesi E2 Blok No: 44/84 Yukari Dudullu ümraniye-lstanbul Turkey

hat die EU-Baumusterprüfung durchgeführt und die EU-Baumusterprüfbescheinigung Nr. 2163-PPE-1577 vom 15/10/2020 ausgestellt.

Die PSA unterliegt folgenden Konformitätsbewertungsverfahren:

Konformität mit dem Baumuster auf der Grundlage einer internen Fertigungskontrolle mit überwachten Produktprüfungen in unregelmäßigen Abständen (Modul C2) und der Überwachung durch Universal Certification and Surveillance Service Trade Ltd. Co. Necip Fazil Bulvari Keyap Sitesi E2 Blok No: 44/84 Yukari Dudullu Ümraniye-lstanbul, Turkey.

Unterzeichnung für und im Namen von Grob Aircraft SE Protective Gear, Lettenbachstraße 9, D-86874 Tussenhausen.

U..1,ql.Lv, Rudolf Vodermeier Director Quality Management Tussenhausen, 15.10.2020

PROTECTIVEGEAR powered by GROBAIRCRAFT

EU Declaration of Conformity according Regulation (EU) 2016/425 The Manufacturer or his Authorised Representative established in the Community

Grob Aircraft SE Lettenbachstraße 9

D-86874 Tussenhausen

hereby declares on its sole responsibility that the following product

FFP2 NR Filtering Half Mask GAMCO-20

complies with the provisions of Regulation (EU) 2016/425 and is in conformity with the national standard transposing the harmonised standard EN 149:2001 + A 1 :2009 and is identical to the PPE that is the subject of the EU Type Examination Certificate issued by the said Notified Body

The Notified Body NB 2163

Universal Certification and Surveillance Service Trade Ltd. Co. Necip Fazil Bulvari Keyap Sitesi E2 Blok No: 44/84 Yukari Dudullu ümraniye-lstanbul Turkey

has carried out the EU Type Examination and issued the EU Type Examination Certificate No. 2163-PPE- 1577 of 15/10/2020.

The PPE is subject to the following conformity assessment procedures:

Conformity to type based on internal production control plus supervised product checks at random intervals (Module C2) and surveillance by Universal Certification and Surveillance Service Trade Ltd. Co. Necip Fazil Bulvari Keyap Sitesi E2 Blok No: 44/84 Yukari Dudullu ümraniye-lstanbul, Turkey.

Signed for and on behalf of

Grob Aircraft SE Protective Gear, Lettenbachstraße 9, D-86874 Tussenhausen.

Tussenhausen, 15.10.2020

l~t~&:: Director Quality Management Tussenhausen, 15.10.2020