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  3. TVE-111T17A

TVE-111T17ANetwork Security Gateway

Fortinet Inc.
Network Security Gateway - FCC ID TVE-111T17A - Fortinet Inc.
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Application Details

Equipment Class
DTS - Digital Transmission System
Date of Grant
Oct 25, 2023
Application Purpose
Original Equipment
Date of Application
Oct 21, 2023
Equipment Note
Network Security Gateway
Frequency Range
2402.00000000 - 2480.00000000
Company
Fortinet Inc.
Country
United States

Documents & Files

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Users Manual

Attestation Statements

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Cover Letter(s)

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External Photos

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ID Label/Location Info

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Internal Photos

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RF Exposure Info

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Test Report

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Test Setup Photos

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Document Text

Text extracted from the exhibit documents filed with the FCC. Open a document above to read the original.

Attestation Statements

Tel: +1-408-235-7700 Fax: +1-408-235-7737 www.fortinet.com 899 Kifer Road Sunnyvale, CA 94086 Federal Communications Commission 7435 Oakland Mills Road Columbia MD 21046 Date: October 4, 2023 Subject: Certifications concerning “covered” equipment pursuant to Part 2.911(d)(5)(i) and (ii) To whom it may concern, [Fortinet Inc.] (“the applicant”) certifies that the equipment [FCC ID: TVE-111T17A] for which authorization is sought is not “covered” equipment prohibited from receiving an equipment authorization pursuant to section 2.903 of the FCC rules. [Fortinet Inc.] (“the applicant”) certifies that, as of the date of the filing of the application, the applicant [is not] identified on the Covered List (as a specifically named entity or any of its subsidiaries or affiliates) as an entity producing “covered” equipment. If you have any questions regarding the authorization, please don’t hesitate to contact us. Thank you. Sincerely yours, Andrew Ji Sr. Director Operations Fortinet, Inc. Tel: 408-235-7700 ext. 81340 Fax: 408-235-7737 E-mail: [email protected]

Attestation Statements

Tel: +1-408-235-7700 Fax: +1-408-235-7737 www.fortinet.com 899 Kifer Road Sunnyvale, CA 94086 Federal Communications Commission 7435 Oakland Mills Road Columbia MD 21046 Date: October 4, 2023 Subject: Certifications concerning “covered” equipment pursuant to Part 2.911(d)(5)(i) and (ii) To whom it may concern, [Fortinet Inc.] (“the applicant”) certifies that the equipment [FCC ID: TVE-111T17A] for which authorization is sought is not “covered” equipment prohibited from receiving an equipment authorization pursuant to section 2.903 of the FCC rules. [Fortinet Inc.] (“the applicant”) certifies that, as of the date of the filing of the application, the applicant [is not] identified on the Covered List (as a specifically named entity or any of its subsidiaries or affiliates) as an entity producing “covered” equipment. If you have any questions regarding the authorization, please don’t hesitate to contact us. Thank you. Sincerely yours, Andrew Ji Sr. Director Operations Fortinet, Inc. Tel: 408-235-7700 ext. 81340 Fax: 408-235-7737 E-mail: [email protected]

Attestation Statements

Tel: +1-408-235-7700 Fax: +1-408-235-7737 www.fortinet.com 899 Kifer Road Sunnyvale, CA 94086 Federal Communications Commission 7435 Oakland Mills Road Columbia MD 21046 Subject: Certification designating a U.S. agent for service of process pursuant to Part 2.911(d)(7) To whom it may concern, [ Fortinet Inc., Grantee Code TVE] (“the applicant”) certifies that, as of the date of the filing of application, [Fortinet, Inc.] (“the agent”) is designated as the U.S. agent for the purpose of accepting service of process on behalf of the applicant. The information for the designated agent is: Company Name: Fortinet, Inc. Physical U.S. address: [899 Kifer Road Sunnyvale, CA 94086 United States ] Email: [[email protected] ] Telephone number: 1-408-235-7700 FRN: 0014392971 The applicant accepts to maintain an agent for service of process in the United States for no less than one year after either the grantee has permanently terminated all marketing and importation of the applicable equipment within the U.S., or the conclusion of any Commission-related administrative or judicial proceeding involving the equipment, whichever is later. The applicant further acknowledges their responsibility to inform the FCC whenever the following agent information changes. The agent accepts the designation by (the applicant) as the U.S. agent to accept service of process includes, but is not limited to, delivery of any correspondence, notices, orders, decisions, and requirements of administrative, legal, or judicial process related to Commission proceedings. Sincerely yours, Signed by the Applicant Signed by the Agent (if different from the Applicant) Name: Andrew Ji Name: Title: Sr. Director Operations Title: Email: [email protected] Email: Date: June 16, 2023 Date:

Cover Letter(s)

Tel: +1-408-235-7700 Fax: +1-408-235-7737 www.fortinet.com 899 Kifer Road Sunnyvale, CA 94086 Request for Confidential Treatment Date: October 12, 2023 Federal Communications Commission Office of Engineering and Technology Authorization and Evaluation Division 7435 Oakland Mills Rd Columbia MD 21046-1609 Subject: Request for Confidential Treatment – Application for Equipment Authorization (FCC ID: TVE-111T17A) To Whom It May Concern: Fortinet, Inc. (“Fortinet”) hereby respectfully requests that the Federal Communications Commission (“FCC”) withhold from public inspection and grant long term confidential treatment pursuant to 47 CFR §§ 0.457 and 0.459 to the information listed below and accompanying the Application for Equipment Authorization referenced above. Exhibit Type File Name Schematics [TVE-111T17A_Schematic.pdf] Block Diagrams [TVE-111T17A_Block Diagram.pdf] Operational Descriptions [TVE-111T17A_ Operational Descriptions.pdf] The above-listed materials contain Fortinet trade secrets, and proprietary information not customarily released to the public and treated as confidential by Fortinet. Fortinet has invested significant time and resources in the research, design, and development of the product(s) and materials described above. The public disclosure of this information could therefore result in substantial competitive harm to Fortinet, as well as result in the provision of unjustified benefits to its competitors. We understand that pursuant to 47 CFR § 0.457, disclosure of this Application and the above- listed accompanying materials will not be made. In addition, Fortinet wishes to clarify that in no event shall the FCC nor any of its direct or indirect organizations, access Fortinet source code or reverse engineer any Fortinet products. Sincerely yours, ________________________ Andrew Ji Sr. Operations Director Fortinet, Inc. Tel: 408-235-7700 ext. 81340 Fax: 408-235-7737 E-mail: [email protected]

Cover Letter(s)

Tel: +1-408-235-7700 Fax: +1-408-235-7737 www.fortinet.com 899 Kifer Road Sunnyvale, CA 94086 Power of Attorney October 4, 2023 Federal Communications Commission Office of Engineering and Technology Authorization and Evaluation Division 7435 Oakland Mills Rd Columbia MD 21046-1609 Subject: Power of Attorney for Application for Equipment Authorization (FCC ID: TVE-111T17A) To whom it may concern: We, the undersigned, Fortinet, Inc. (“Fortinet”), hereby authorize Sporton International Inc. to act on our behalf as our agent, in the following matters exclusively related to authorization of Fortinet’s products by the Federal Communications Commission (the “FCC”): Application for Equipment Authorization submission, including supporting materials and related correspondence. Any document(s) submitted by Sporton International Inc. within the scope of this authorization shall have the same effect as if submitted by Fortinet, provided, in all events, (a) Sporton International Inc. has acted legally, in good faith and properly in furtherance of obtaining authorization of Fortinet’s products by the FCC, (b) the only documents submitted by Sporton International Inc. on Fortinet’s behalf have been reviewed and approved, in advance and in writing, by an authorized representative of Fortinet with requisite authority, and in advance of submission of such documents to the FCC by Sporton International Inc., and (c) Sporton International Inc. provides a copy of the document(s) submitted to the Fortinet legal team at [email protected] at the same time such documents are submitted to the FCC. This Power of Attorney is effective as of the date of signature hereof and shall remain in effect until March 30, 2024, unless revoked earlier in writing by Fortinet. Sporton International Inc. shall only exercise the powers granted herein under Fortinet’s express instructions. For the avoidance of doubt, any exercise of these powers shall be deemed null and void if performed in absence of or deviating from Fortinet’s instructions and/or in violation of the restrictions of this Power of Attorney, applicable laws and/or Fortinet’s policies. This Power of Attorney explicitly excludes the power to delegate Power of Attorney (sub-delegation). Should you have any questions regarding the Application for Equipment Authorization, please do not hesitate to contact Fortinet directly via the contact information provided below. Thank you. Sincerely yours, Andrew Ji Sr. Director Operations Fortinet, Inc. Tel: 408-235-7700 ext. 81340 Fax: 408-235-7737 E-mail: [email protected]

External Photos

PHOTOGRAPHS OF EUT Report No.: EP380838 TEL : 886-3-327-3456 Page Number : 1 of 23 FAX : 886-3-328-4978 Issue Date : Oct. 26, 2023 Report Version : 02 1. External Photograph of EUT Brand Name: FORTINET Model Name: FortiGate 120Gxxxxxxxxxx, FG-120Gxxxxxxxxxx, FORTIGATE-120Gxxxxxxxxxx, FortiGate 121Gxxxxxxxxxx, FG-121Gxxxxxxxxxx, FORTIGATE-121Gxxxxxxxxxx (where “x” can be “A-Z”, or “0-9”, or “-“, or blank for software changes or marketing purposes only) Marketing Name: FortiGate 120G, FortiGate 121G PHOTOGRAPHS OF EUT Report No.: EP380838 TEL : 886-3-327-3456 Page Number : 2 of 23 FAX : 886-3-328-4978 Issue Date : Oct. 26, 2023 Report Version : 02 PHOTOGRAPHS OF EUT Report No.: EP380838 TEL : 886-3-327-3456 Page Number : 3 of 23 FAX : 886-3-328-4978 Issue Date : Oct. 26, 2023 Report Version : 02 PHOTOGRAPHS OF EUT Report No.: EP380838 TEL : 886-3-327-3456 Page Number : 4 of 23 FAX : 886-3-328-4978 Issue Date : Oct. 26, 2023 Report Version : 02 PHOTOGRAPHS OF EUT Report No.: EP380838 TEL : 886-3-327-3456 Page Number : 5 of 23 FAX : 886-3-328-4978 Issue Date : Oct. 26, 2023 Report Version : 02 PHOTOGRAPHS OF EUT Report No.: EP380838 TEL : 886-3-327-3456 Page Number : 6 of 23 FAX : 886-3-328-4978 Issue Date : Oct. 26, 2023 Report Version : 02 PHOTOGRAPHS OF EUT Report No.: EP380838 TEL : 886-3-327-3456 Page Number : 7 of 23 FAX : 886-3-328-4978 Issue Date : Oct. 26, 2023 Report Version : 02 2. Photograph of Accessory Brand Name: FORTINET Model Name: FortiGate 120Gxxxxxxxxxx, FG-120Gxxxxxxxxxx, FORTIGATE-120Gxxxxxxxxxx, FortiGate 121Gxxxxxxxxxx, FG-121Gxxxxxxxxxx, FORTIGATE-121Gxxxxxxxxxx (where “x” can be “A-Z”, or “0-9”, or “-“, or blank for software changes or marketing purposes only) Marketing Name: FortiGate 120G, FortiGate 121G Specification of Accessory AC-DC power supply Brand Name SPI Model Name FSP065-P24-B12 Power Cable Brand Name I-SHENG Model Name SP-305B E55943 Ethernet Cable Brand Name LINE ETECH Model Name 621-184 Console Cable Brand Name COXOC Model Name C85881A02E1M8 Remark: For accessories equipped with this EUT, please refer to the following photos. PHOTOGRAPHS OF EUT Report No.: EP380838 TEL : 886-3-327-3456 Page Number : 8 of 23 FAX : 886-3-328-4978 Issue Date : Oct. 26, 2023 Report Version : 02

ID Label/Location Info

Device Bottom Label Location

Internal Photos

PHOTOGRAPHS OF EUT Report No.: EP380838 TEL : 886-3-327-3456 Page Number : 9 of 23 FAX : 886-3-328-4978 Issue Date : Oct. 18, 2023 Report Version : 01 3. Internal Photograph of EUT Brand Name: FORTINET Model Name: FortiGate 120Gxxxxxxxxxx, FG-120Gxxxxxxxxxx, FORTIGATE-120Gxxxxxxxxxx, FortiGate 121Gxxxxxxxxxx, FG-121Gxxxxxxxxxx, FORTIGATE-121Gxxxxxxxxxx (where “x” can be “A-Z”, or “0-9”, or “-“, or blank for software changes or marketing purposes only) Marketing Name: FortiGate 120G, FortiGate 121G PHOTOGRAPHS OF EUT Report No.: EP380838 TEL : 886-3-327-3456 Page Number : 10 of 23 FAX : 886-3-328-4978 Issue Date : Oct. 18, 2023 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP380838 TEL : 886-3-327-3456 Page Number : 11 of 23 FAX : 886-3-328-4978 Issue Date : Oct. 18, 2023 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP380838 TEL : 886-3-327-3456 Page Number : 12 of 23 FAX : 886-3-328-4978 Issue Date : Oct. 18, 2023 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP380838 TEL : 886-3-327-3456 Page Number : 13 of 23 FAX : 886-3-328-4978 Issue Date : Oct. 18, 2023 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP380838 TEL : 886-3-327-3456 Page Number : 14 of 23 FAX : 886-3-328-4978 Issue Date : Oct. 18, 2023 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP380838 TEL : 886-3-327-3456 Page Number : 15 of 23 FAX : 886-3-328-4978 Issue Date : Oct. 18, 2023 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP380838 TEL : 886-3-327-3456 Page Number : 16 of 23 FAX : 886-3-328-4978 Issue Date : Oct. 18, 2023 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP380838 TEL : 886-3-327-3456 Page Number : 17 of 23 FAX : 886-3-328-4978 Issue Date : Oct. 18, 2023 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP380838 TEL : 886-3-327-3456 Page Number : 18 of 23 FAX : 886-3-328-4978 Issue Date : Oct. 18, 2023 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP380838 TEL : 886-3-327-3456 Page Number : 19 of 23 FAX : 886-3-328-4978 Issue Date : Oct. 18, 2023 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP380838 TEL : 886-3-327-3456 Page Number : 20 of 23 FAX : 886-3-328-4978 Issue Date : Oct. 18, 2023 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP380838 TEL : 886-3-327-3456 Page Number : 21 of 23 FAX : 886-3-328-4978 Issue Date : Oct. 18, 2023 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP380838 TEL : 886-3-327-3456 Page Number : 22 of 23 FAX : 886-3-328-4978 Issue Date : Oct. 18, 2023 Report Version : 01 PHOTOGRAPHS OF EUT Report No.: EP380838 TEL : 886-3-327-3456 Page Number : 23 of 23 FAX : 886-3-328-4978 Issue Date : Oct. 18, 2023 Report Version : 01 ─────THE END──── Bluetooth-LE Antenna

RF Exposure Info

TEL : 886-3-327-3456 Page : 1 of 6 FAX : 886-3-328-4978 Issued Date : Oct. 18, 2023 Form version: 200414 RF EXPOSURE EVALUATION REPORT Report No. : FA380838 RF EXPOSURE EVALUATION REPORT FCC ID : TVE-111T17A Equipment : Network Security Gateway Brand Name : FORTINET Model Name : FortiGate 120Gxxxxxxxxxx, FG-120Gxxxxxxxxxx, FORTIGATE-120Gxxxxxxxxxx, FortiGate 121Gxxxxxxxxxx, FG-121Gxxxxxxxxxx, FORTIGATE-121Gxxxxxxxxxx (where “x” can be “A-Z”, or “0-9”, or “-“, or blank for software changes or marketing purposes only) Applicant : Fortinet, Inc. 899 KIFER RD SUNNYVALE CA 94086 UNITED STATES Manufacturer : Fortinet, Inc. 899 KIFER RD SUNNYVALE CA 94086 UNITED STATES Standard : 47 CFR Part 2.1091 We, SPORTON INTERNATIONAL INC has been evaluated this product in accordance with 47 CFR Part2.1091 and it complies with applicable limit. Sporton Lab is accredited to ISO 17025 by Taiwan Accreditation Foundation (TAF code: 1190) and the FCC designation No. TW1190 under the FCC 2.948(e) by Mutual Recognition Agreement (MRA) in FCC evaluation. The results in this report apply exclusively to the tested model / sample. Without written approval of SPORTON INTERNATIONAL INC. Laboratory, the test report shall not be reproduced except in full SPORTON INTERNATIONAL INC. EMC & Wireless Communications Laboratory No. 52, Huaya 1st Rd., Guishan Dist., Taoyuan City, Taiwan (R.O.C.) Approved by: Cona Huang / Deputy Manager TEL : 886-3-327-3456 Page : 2 of 6 FAX : 886-3-328-4978 Issued Date : Oct. 18, 2023 Form version: 200414 RF EXPOSURE EVALUATION REPORT Report No. : FA380838 Table of Contents 1. DESCRIPTION OF EQUIPMENT UNDER TEST (EUT) ............................................................................. 4 2. MAXIMUM RF AVERAGE OUTPUT POWER AMONG PRODUCTION UNITS ........................................ 4 3. RF EXPOSURE LIMIT INTRODUCTION .................................................................................................... 5 4. RADIO FREQUENCY RADIATION EXPOSURE EVALUATION ............................................................... 6 4.1. Standalone Power Density Calculation ............................................................................................. 6 TEL : 886-3-327-3456 Page : 3 of 6 FAX : 886-3-328-4978 Issued Date : Oct. 18, 2023 Form version: 200414 RF EXPOSURE EVALUATION REPORT Report No. : FA380838 History of this test report Report No. Version Description Issued Date FA380838 Rev. 01 Initial issue of report Oct. 18, 2023 TEL : 886-3-327-3456 Page : 4 of 6 FAX : 886-3-328-4978 Issued Date : Oct. 18, 2023 Form version: 200414 RF EXPOSURE EVALUATION REPORT Report No. : FA380838 1. Description of Equipment Under Test (EUT) Product Feature & Specification EUT Type Network Security Gateway Brand Name FORTINET Model Name FortiGate 120Gxxxxxxxxxx, FG-120Gxxxxxxxxxx, FORTIGATE-120Gxxxxxxxxxx, FortiGate 121Gxxxxxxxxxx, FG-121Gxxxxxxxxxx, FORTIGATE-121Gxxxxxxxxxx (where “x” can be “A-Z”, or “0-9”, or “-“, or blank for software changes or marketing purposes only) FCC ID TVE-111T17A Wireless Technology and Frequency Range Bluetooth: 2400 MHz ~ 2483.5 MHz Mode Bluetooth LE Reviewed by: Jason Wang Report Producer: Paula Chen 2. Maximum RF average output power among production units Mode Maximum Tune-up (dBm) Bluetooth LE 7.5 TEL : 886-3-327-3456 Page : 5 of 6 FAX : 886-3-328-4978 Issued Date : Oct. 18, 2023 Form version: 200414 RF EXPOSURE EVALUATION REPORT Report No. : FA380838 3. RF Exposure Limit Introduction According to ANSI/IEEE C95.1-1992, the criteria listed in Table 1 shall be used to evaluate the environmental impact of human exposure to radio frequency (RF) radiation as specified in §1.1310. The MPE was calculated at 20 cm to show compliance with the power density limit. The following formula was used to calculate the Power Density: 퐒= 퐏퐆 ퟒ훑퐑 ퟐ Where: S = Power Density P = Output Power at Antenna Terminals G = Gain of Transmit Antenna (linear gain) R = Distance from Transmitting Antenna TEL : 886-3-327-3456 Page : 6 of 6 FAX : 886-3-328-4978 Issued Date : Oct. 18, 2023 Form version: 200414 RF EXPOSURE EVALUATION REPORT Report No. : FA380838 4. Radio Frequency Radiation Exposure Evaluation 4.1. Standalone Power Density Calculation Band Antenna Gain (dBi) Maximum Power (dBm) Maximum EIRP (dBm) Maximum EIRP (W) Average EIRP (mW) Power Density at 20cm (mW/cm^2) Limit (mW/cm^2) Bluetooth 2.44 7.5 9.9 0.01 9.86 0.002 1.000 Conclusion: According to 47 CFR §2.1091, the RF exposure analysis concludes that the RF Exposure is FCC compliant.

Test Report

FG-120G 025.9028D.0001 Model: ARY196-0047-012-00 Engineer : Ting Report date : 2023/05/19 REV.04 WiesonAddress: 新北市汐止區大同路一段237號15樓 15F,No.237,Sec.1,Datong Rd., XizhiDist., New Taipei City 221006, Taiwan 2 www.wieson.com Revision History RevisionDateEngineerDescription 012022/05/16TingNew Release 022022/06/08Royupdatedata 032022/06/17Tingupdatedata 042023/05/19Ting Antennadesign 3 www.wieson.com Antenna Specification The antenna Vector network analyzer measurement Antenna S Parameter measurement The antenna anechoic chamber measurement Antenna Gain Value Index 4 www.wieson.com ItemSpecification Operating Frequency(MHz)2400-2500 Bandwidth100MHz (Min.) Return Loss9dB Typical PolarizationLinear Azimuth BandwidthOmni-directional Antenna TypeDipole Peak Gain2.44dBi (Max) Impedance50Ω MaterialPCB Maximum Power1W V.S.W.R2.1: 1 RadiationOmni directional Efficiency39% (Max) ConnectorMHF I Cable typeOD: 1.13 Operating Temperature-55~125°C Storage temp5~40°C Antenna specification 5 www.wieson.com Antenna photo Ant 6 www.wieson.com Antenna Measurement Vector Network Analyzer 7 www.wieson.com S-Prameter Frequency (MHz) 240024502500 S11(dB) -13-16.2-18.2 8 www.wieson.com VSWR Frequency (MHz) 240024502500 1.51.31.2 9 www.wieson.com Chamber Measurement Photo Z Y 10 www.wieson.com Frequency (GHz) Peak Gain (dBi) 3D Gain (dBi) 3D Radiation Efficiency (%) 2.4 1.31-5.0132 2.41 1.34-4.9632 2.42 1.61-4.6934 2.43 1.99-4.3737 2.44 2.42-4.0839 2.45 2.44-4.1239 2.46 2.17-4.4136 2.47 2.34-4.3337 2.48 2.16-4.6334 2.49 1.97-4.8733 2.5 1.75-5.0331 3D Gain Total 11 www.wieson.com XZ-planeYZ-planeXY-plane X Z Y Z Y X X Z Y Z Y X X Z Antenna Pattern 2400MHz 12 www.wieson.com XZ-planeYZ-planeXY-plane X Z Y Z Y X Antenna Pattern 2450MHz 13 www.wieson.com XZ-planeYZ-planeXY-plane X Z Y Z Y X X Z Y Z Y X Antenna Pattern 2500MHz

Test Report

TEL : 886-3-327-3456 Page Number : 1 of 23 FAX : 886-3-328-4978 Issue Date : Oct. 20, 2023 Report Template No.: BU5-FR15CBT4.0 Version 2.4 Report Version : 02 FCC RADIO TEST REPORT Report No. : FR380838 FCC RADIO TEST REPORT FCC ID : TVE-111T17A Equipment : Network Security Gateway Brand Name : FORTINET Model Name : FortiGate 120Gxxxxxxxxxx, FG-120Gxxxxxxxxxx, FORTIGATE-120Gxxxxxxxxxx, FortiGate 121Gxxxxxxxxxx, FG-121Gxxxxxxxxxx, FORTIGATE-121Gxxxxxxxxxx (where “x” can be “A-Z”, or “0-9”, or “-“, or blank for software changes or marketing purposes only) Marketing Name : FortiGate 120G, FortiGate 121G Applicant : Fortinet, Inc. 899 KIFER RD SUNNYVALE CA 94086 UNITED STATES Manufacturer : Fortinet, Inc. 899 KIFER RD SUNNYVALE CA 94086 UNITED STATES Standard : FCC Part 15 Subpart C §15.247 The product was received on Aug. 09, 2023 and testing was performed from Aug. 21, 2023 to Sep. 20. 2023. We, Sporton International Inc. EMC & Wireless Communications Laboratory, would like to declare that the tested sample has been evaluated in accordance with the test procedures and has been in compliance with the applicable technical standards. The test results in this report apply exclusively to the tested model / sample. Without written approval from Sporton International Inc. EMC & Wireless Communications Laboratory, the test report shall not be reproduced except in full. Approved by: Louis Wu Sporton International Inc. EMC & Wireless Communications Laboratory No. 52, Huaya 1st Rd., Guishan Dist., Taoyuan City 333, Taiwan (R.O.C.) TEL : 886-3-327-3456 Page Number : 2 of 23 FAX : 886-3-328-4978 Issue Date : Oct. 20, 2023 Report Template No.: BU5-FR15CBT4.0 Version 2.4 Report Version : 02 FCC RADIO TEST REPORT Report No. : FR380838 Table of Contents History of this test report ................................................................................................................................. 3 Summary of Test Result................................................................................................................................... 4 1 General Description ................................................................................................................................... 5 1.1 Product Feature of Equipment Under Test ........................................................................................ 5 1.2 Modification of EUT ........................................................................................................................... 5 1.3 Testing Location ................................................................................................................................ 6 1.4 Applicable Standards ......................................................................................................................... 6 2 Test Configuration of Equipment Under Test ......................................................................................... 7 2.1 Carrier Frequency Channel ............................................................................................................... 7 2.2 Test Mode .......................................................................................................................................... 8 2.3 Connection Diagram of Test System ................................................................................................. 9 2.4 Support Unit used in test configuration and system ........................................................................ 10 2.5 EUT Operation Test Setup .............................................................................................................. 10 2.6 Measurement Results Explanation Example ................................................................................... 10 3 Test Result ................................................................................................................................................ 11 3.1 6dB and 99% Bandwidth Measurement .......................................................................................... 11 3.2 Output Power Measurement ............................................................................................................ 12 3.3 Power Spectral Density Measurement ............................................................................................ 13 3.4 Conducted Band Edges and Spurious Emission Measurement ..................................................... 14 3.5 Radiated Band Edges and Spurious Emission Measurement ........................................................ 15 3.6 AC Conducted Emission Measurement........................................................................................... 19 3.7 Antenna Requirements .................................................................................................................... 21 4 List of Measuring Equipment ................................................................................................................. 22 5 Measurement Uncertainty ....................................................................................................................... 23 Appendix A. Conducted Test Results Appendix B. AC Conducted Emission Test Result Appendix C. Radiated Spurious Emission Appendix D. Radiated Spurious Emission Plots Appendix E. Duty Cycle Plots Appendix F. Setup Photographs TEL : 886-3-327-3456 Page Number : 3 of 23 FAX : 886-3-328-4978 Issue Date : Oct. 20, 2023 Report Template No.: BU5-FR15CBT4.0 Version 2.4 Report Version : 02 FCC RADIO TEST REPORT Report No. : FR380838 History of this test report Report No. Version Description Issue Date FR380838 01 Initial issue of report Oct. 18, 2023 FR380838 02 Revise Section 1.1 and Appendix D This report is an updated version, replacing the report issued on Oct. 18, 2023. Oct. 20, 2023 TEL : 886-3-327-3456 Page Number : 4 of 23 FAX : 886-3-328-4978 Issue Date : Oct. 20, 2023 Report Template No.: BU5-FR15CBT4.0 Versio…

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Test Setup Photos

TEL: 886-3-327-3456 Page Number : F1 of F4 FAX: 886-3-328-4978 FCC RADIO TEST REPORT Report No. : FR380838 Appendix F. Setup Photographs <Conducted Emission> Remote View TEL: 886-3-327-3456 Page Number : F2 of F4 FAX: 886-3-328-4978 FCC RADIO TEST REPORT Report No. : FR380838 Rear View TEL: 886-3-327-3456 Page Number : F3 of F4 FAX: 886-3-328-4978 FCC RADIO TEST REPORT Report No. : FR380838 <Radiated Emission> LF HF TEL: 886-3-327-3456 Page Number : F4 of F4 FAX: 886-3-328-4978 FCC RADIO TEST REPORT Report No. : FR380838 SHF ─────THE END─────

Contact Information

Applicant

Andrew Ji(Sr Director Operations)
[email protected]408 235 7700Fax: 408 235 7737

Test Firm

SPORTON International Inc.Alex Chen
[email protected]+886-3-327-3456Fax: +886-3-327-0973

Technical Specifications

#Rule PartsFrequency RangePower Output
115C2.40 GHz - 2.48 GHz5.10 mW
Confidentiality
Long Term
Grant Notes
Output power listed is conducted. 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 transmitter. End-users and installers must be provided with antenna installation instructions and transmitter operating conditions for satisfying RF exposure compliance.

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