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AUTHORIZATION TO MARK
Total Quality.Assured.
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This authorizes the application of the Certification Mark(s) shown below to the models described in the Product(s)
Covered section when made in accordance with the conditions set forth in the Certification Agreement and Listing
Report. This authorization also applies to multiple listee model(s) identified on the correlation page of the Listing
Report.
This document is the property of Intertek Testing Services and is not transferable. The certification mark(s) may be
applied only at the location of the Party Authorized To Apply Mark.
Applicant: Concrete Pool Concepts Inc Manufacturer: Wiggin Precast Corp.
736 Washington Street 79 Barlows Landing Rd
Address: South Easton, MA 02375 Address: Pocasset, MA 02559
Country: USA Country: USA
Party Authorized To Apply Mark: Same as Manufacturer
Report Issuing Office: Intertek Testing Services NA, Inc., Cortland, NY
Control Number: 5025043 Authorized by: p • `m
for L. Matthew Snyder, Certification Manager
US
3ST U
Intertek
This document supersedes all previous Authorizations to Mark for the noted Report Number.
This Authorization to Mark is for the exclusive use of Intertek's Client and is provided pursuant to the Certification agreement between Intertek and its Client.Intertek's responsibility and liability are
limited to the terms and conditions of the agreement.Intertek 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 Authorization to Mark.Only the Client is authorized to permit copying or distribution of this Authorization to Mark and then only in its entirety.Use of Intertek's Certification mark is
restricted to the conditions laid out in the agreement and in this Authorization to Mark.Any further use of the Intertek name for the sale or advertisement of the tested material,product or service must
first be approved in writing by Intertek. Initial Factory Assessments and Follow up Services are for the purpose of assuring appropriate usage of the Certification mark in accordance with the
agreement,they are not for the purposes of production quality control and do not relieve the Client of their obligations in this respect.
Intertek Testing Services NA Inc.
545 East Algonquin Road,Arlington Heights, IL 60005
Telephone 800-345-3851 or 847-439-5667 Fax 312-283-1672
Standard(s): Grounding And Bonding Equipment (R2017) [UL 467:2013 Ed.10]
Product: Concrete Pool
Brand Name: Plunge+
Models: The Vineyard, The Cape, The Nantucket.
ATM for Report 105045710CRT-004 Page 1 of 1 ATM Issued: 13-Dec-2022
ED 16.3.15(1-Jul-2022)Mandatory
Intertek Listing Constructional Data Report (CDR)
Total Quality.Assured.
1.0 Reference and Address
Report Number 105045710CRT-004 Original Issued: 6-Jul-2022 Revised: None
Standard(s) Grounding And Bonding Equipment (R2017) [UL 467:2013 Ed.10]
Applicant Concrete Pool Concepts Inc Manufacturer 1 Wiggin Precast Corp.
Address 736 Washington Street Address 79 Barlows Landing Rd
South Easton, MA 02375 Pocasset, MA 02559
Country USA Country USA
Contact David Hobaica Contact David Hobaica
Phone 508.989.3928 Phone 508.989.3928
FAX NA FAX NA
Email dave@plungepools.com Email dave@plungepools.com
Page 1 of 16
This report is for the exclusive use of Intertek's Client and is provided pursuant to the agreement between Intertek and its Client. Intertek's responsibility and
liability are limited to the terms and conditions of the agreement Intertek 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
then only in its entirety.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 Intertek.The observations and test results in this report are relevant only to the sample tested.This report by itself does not imply that the
material,product,or service is or has ever been under an Intertek certification program.
Report No. 105045710CRT-004 Page 2 of 16 Issued: 6-Jul-2022
Concrete Pool Concepts Inc Revised: None
2.0 Product Description
Product Concrete Pool
Brand name Plunge+
Description The product covered by this report is concrete pool and the means of grounding all metal parts
involved, rebar, metal mesh, grounding lugs, metal skimmer, wire ties.
Models The Vineyard, The Cape, The Nantucket.
Model Similarity Models differ in overall size and shape, no change in grounding means.
Ratings Direct Burial
Other Ratings NA
ED 16.3.15(1-Jul-2022)Mandatory
Report No. 105045710CRT-004 Page 3 of 16 Issued: 6 Jul 2022
Concrete Pool Concepts Inc Revised: None
3.0 Product Photographs
Photo 1 - External View Rebarb
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ED 16.3.15(1-Jul-2022)Mandatory
Report No. 105045710CRT-004 Page 4 of 16 Issued: 6 Jul 2022
Concrete Pool Concepts Inc Revised: None
3.0-Product Photographs
Photo 3 -Grounding Wire
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ED 16.3.15(1-Jui-2022)Mandatory
Report No. 105045710CRT-004 Page 5 of 16 Issued: 6 Jul 2022
Concrete Pool Concepts Inc Revised: None
3.0 Product Photographs
Photo 4 - Ground Clamp
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ED 16.3,15(1-Jul-2022)Mandatory
Report No. 105045710CRT 004 Page 6 of 16 Issued: 6-Jul-2022
Concrete Pool Concepts Inc Revised: None
3.0 Product Photographs
Photo 5 - Exterier Skimmer Plate
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Photo 6 - Exterior Close
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ED 16.3.15(1-Jul-2022)Mandatory
Report No. 105045710CRT-004 Page 7 of 16 Issued: 6-Jul-2022
Concrete Pool Concepts Inc Revised: None
4.0 Critical Components
v
m- Item Manufacturer/ Technical data and securement Mark(s) of
Name 2 Type/model2 3
0 no. trademark means conformity
xt
1 1 Rebar Various Various No. 5 Horizontal, No. 4 Vertical NR
ETLus or
3 2 Wire Various Various 8 AWG copper cSA or
UL
ETLus or
4 3 Ground Clamp Various Various 1/2" to 1" csAor
UL
1 4 Wire Mesh Various Various 6"x6" Grade A1054 GR65 NR
(Not Shown)
5 5 Skimmer Plate Various Various 304 Stainless 1/16" NR
NOTES:
1) Not all item numbers are indicated(called out)in the photos, as their location is obvious.
2)"Various"means any type,from any manufacturer that complies with the"Technical data and securement means"and meets the"Mark(s)
of conformity"can be used.
3) Indicates specific marks to be verified,which assures the agreed level of surveillance for the component. "NR"-indicates Unlisted and
only visual examination is necessary. "See 5.0" indicates Unlisted components or assemblies to be evaluated periodically refer to section
5.0 for details.
ED 16.3.15(1-Jul-2022)Mandatory
Report No. 105045710CRT-004 Page 8 of 16 Issued: 6-Jul-2022
Concrete Pool Concepts Inc Revised: None
5.0 Critical Unlisted CEC Components
No Unlisted CEC components are used in this report.
ED 16.3.15(1-Jul-2022)Mandatory
Report No. 105045710CRT-004 Page 9 of 16 Issued: 6-Jul-2022
Concrete Pool Concepts Inc Revised: None
6.0 Critical Features
Recognized Component-A component part, which has been previously evaluated by an accredited certification
body with restrictions and must be evaluated as part of the basic product considering the restrictions as specified
by the Conditions of Acceptability.
Listed Component-A component part, which has been previously Listed or Certified by an accredited
Certification Organization with no restrictions and is used in the intended application within its ratings.
Unlisted Component-A part that has not been previously evaluated to the appropriate designated component
standard. It may also be a Listed or Recognized component that is being used outside of its evaluated Listing or
component recognition.
Critical Features/Components -An essential part, material, subassembly, system, software, or accessory of a
product that has a direct bearing on the product's conformance to applicable requirements of the product
standard.
Construction Details- For specific construction details, reference should be made to the photographs and
descriptions. All dimensions are approximate unless specified as exact or within a tolerance. In addition to the
specific construction details described in this Report, the following general requirements also apply.
1. Grounding -All exposed dead-metal parts and all dead-metal parts within the enclosure that are exposed are
connected to the grounding lead.
2. Markings - The product is marked as follows: Applicant's name, model number; Direct Burial.
ED 16.3.15(1-Jul-2022)Mandatory
Report No. 105045710CRT-004 Page 10 of 16 Issued: 6-Jul-2022
Concrete Pool Concepts Inc Revised: None
7.0 Illustrations
No Illustrations are used in this report.
ED 16.3.15(1-Jul-2022)Mandatory
Report No. 105045710CRT-004 Page 11 of 16 Issued: 6-Jul-2022
Concrete Pool Concepts Inc Revised: None
8.0 Test Summary
Evaluation Period 5/18/22—7/5/22 Project No. G105045710
Sample Rec. Date 18-May-2022 Condition Prototype Sample ID. CRr2206211336-001
Test Location Intertek, 3933 US RT 11, Cortland, NY 13045
Test Procedure Testing Lab
Determination of the result includes consideration of measurement uncertainty from the test equipment and
methods. The product was tested as indicated below with results in conformance to the relevant test criteria.
The following tests were performed:
Test Description UL 467
Clause
Short-Time Current 7.5
8.1 Signatures
A representative sample of the product covered by this report has been evaluated and found to comply with the
applicable requirements of the standards indicated in Section 1.0.
Completed by: Matt Menotti Reviewed by: Ken Morgan
Title: Staff Engineer Title: Reviewer
Signature: i! ".� � Signature: .�'.""r %. ?
ED 16.3 15(1-Jul-2022)Mandatory
Report No. 105045710CRT-004 Page 12 of 16 Issued: 6-Jul-2022
Concrete Pool Concepts Inc Revised: None
9.0 Correlation Page For Multiple Listings
The following products, which are identical to those identified in this report except for model number and Listee
name, are authorized to bear the ETL label under provisions of the Intertek Multiple Listing Program.
BASIC LISTEE Concrete Pool Concepts Inc
Address 736 Washington Street
South Easton, MA 02375
Country USA
Product Concrete Pool
MULTIPLE LISTEE 1 None
Address
Country
Brand Name
ASSOCIATED
MANUFACTURER
Address
Country
MULTIPLE LISTEE 1 MODELS BASIC LISTEE MODELS
MULTIPLE LISTEE 2 None
Address
Country
Brand Name
ASSOCIATED
MANUFACTURER
Address
Country
MULTIPLE LISTEE 2 MODELS BASIC LISTEE MODELS
MULTIPLE LISTEE 3 None
Address
Country
Brand Name
ASSOCIATED
MANUFACTURER
Address
Country
MULTIPLE LISTEE 3 MODELS BASIC LISTEE MODELS
ED 16.3.15(1-Jul-2022)Mandatory
Report No. 105045710CRT-004 Page 13 of 16 Issued: 6-Jul-2022.
Concrete Pool Concepts Inc Revised: None
10.0 General Information
The Applicant and Manufacturer have agreed to produce, test and label ETL Listed products in accordance with
the requirements of this Report. The Manufacturer has also agreed to notify Intertek and to request authorization
prior to using alternate parts, components or materials.
COMPONENTS
Components used shall be those itemized in this Intertek report covering the product, including any amendments
and/or revisions.
LISTING MARK
The ETL Listing mark applied to the products shall either be separable in form, such as labels purchased from
Intertek, or on a product nameplate or other media only as specifically authorized by Intertek. Use of the mark is
subject to the control of Intertek.
The mark must include the following four items:
1) applicable country identifiers "US" and/or"C" or"US", "C" and "EU"
2) the word "Listed" or"Classified" or"Recognized Component" (whichever is appropriate)
3) a control number issued by Intertek
4) a product descriptor that identifies the standards used for certification. Example:
For US standards, the words, "Conforms to" shall appear with the standard number along with the word,
"Standard" or"Std." Example: "Conforms to ANSI/UL Std. XX."
For Canadian standards, the words "Certified to CAN/CSA Standard CXX No. XX." shall be used, or
abbreviated, "Cert. to CAN/CSA Std. CXX No. XX."
Can be used together when both standards are used.
If all standards on the ATM have the same standard title, the shared title or its abbreviation may be used in
place of the examples above. Example: "Medical Electrical Equipment" or"MEE"; "Information Technology
Equipment" or"ITE"; "Audio/Video Information And Communication Technology Equipment" or"A/V ICTE".
Note: A facsimile must be submitted to Intertek, Attn: Follow-up Services for approval prior to use.
The facsimile need not have a control number. A control number will be issued after signed Certification
Agreements have been received by the Follow-up Services office, approval of the facsimile of your
proposed Listing Mark, satisfactory completion of the Listing Report, and scheduling of a factory
assessment in your facility
MANUFACTURING AND PRODUCTION TESTS
Manufacturing and Production Tests shall be performed as required in this Report.
FOLLOW-UP SERVICE
Periodic unannounced audits of the manufacturing facility (and any locations authorized to apply the mark) shall
be scheduled by Intertek. An audit report shall be issued after each visit. Special attention will be given to the
following:
1. Conformance of the manufactured product to the descriptions in this Report.
2. Conformance of the use of the ETL mark with the requirements of this Report and the Certification Agreement.
3. Manufacturing changes.
4. Performance of specified Manufacturing and Production Tests.
In the event that the Intertek representative identifies non-conformance(s) to any provision of this Report, the
Applicant shall take one or more of the following actions:
1. Correct the non-conformance.
2. Remove the ETL Mark from non-conforming product.
3. Contact the issuing product safety evaluation center for instructions.
ED 16.3.15(1-Jul-2022)Mandatory
Report No. 105045710CRT-004 Page 14 of 16 Issued: 6-Jul-2022
Concrete Pool Concepts Inc Revised: None
10.1 Evaluation of Unlisted Components
Because Unlisted Components are uncontrolled, and they do not fall under a third party follow up program,
Intertek may require these components to be tested and/or evaluated at least once annually, more often for
certain components, as part of the independent certification process. The Unlisted Components in Section 5.0
require testing and/or evaluation as indicated.
The Applicant will be notified, in writing, via the applicable contact methods, as defined in Section 1.0,
when these components must be selected and sent to Component Evaluation Center (CEC) for re-
evaluation.
Due to particular testing requirements, some components may be requested to be shipped to specific
labs. Thus, specific shipment destination(s) for each sample will be provided in the written notification.
Managing CEC Location:
Intertek Testing Services NA Inc.
ETL Component Evaluation Center
1717 Arlingate Ln.
Columbus, Ohio 43228 USA
Attn: CEC Safety
Sample Disposition: Due to the destructive nature of the testing, all samples will be
discarded at the conclusion of testing unless, the manufacturer specifically requests the
return of the samples. The request for return must accompany the initial component
shipment.
ED 16.3.15(1-Jul-2022)Mandatory
Report No. 105045710CRT-004 Page 15 of 16 Issued: 6-Jul-2022
Concrete Pool Concepts Inc Revised: None
11.0 Manufacturing and Production Tests
The manufacturer agrees to conduct the following Manufacturing and Production Tests as specified:
Required Tests
None
ED 16.3.15(1-Jul-2022)Mandatory
Report No. 105045710CRT-004 Page 16 of 16 Issued: 6-Jul-2022
Concrete Pool Concepts Inc Revised None
12.0 Revision Summary
The following changes are in compliance with the declaration of Section 8.1:
Date( Project Handler/ Section Item Description of Change
Proj# Site ID Reviewer
None
•
ED 16.3.15(1-Jul-2022)Mandatory