Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
sprinkler inspections
1301 L'ORIENT STREET " �� d� � � • aa-, (yr, k, N ST.PAUL,MINNESOTA 55117(651)558-3300•(800)-229-6263 K;:# * el AUTOMATIC SPRINKLER CO. FAX: (651)558-3310 s t � ,. &) �,,, SHEET t OF 2-Use separate sheet for each bui ding inspection REPORT OF INSPECTION MINNESOTA LICENSE NO.C00005 WISCONSIN LICENSE NO.265989 x 4 REPORT TO `; r — BUILDING OR LOCATION -'4 Y) . '""•' ' STREET 30 v C 0(1,5s--/-7 i. 34 INSPECTOR / )-5- 4 2 CITY & STATE OI Olin 17/,'1/ DATE 107/cy/Ol r Owner's Section(To be answered by Owner or Occupant) A. Explain any occupancy hazard changes since the previous inspection: B. Describe fire protection modifications made since last inspection. i c. C. Describe any fires since last inspection. �.i D. When was the system piping last checked for stoppage, corrosion or foreign material? E. When was the dry-piping system last checked for proper pitch? F /Are dry valves adequately protected from freezing? Signature Title Date Inspector's Section(All responses reference current inspection) NA =NOT APPLICABLE 1. General i - - '` 7, a- Is the building occupied? Yes ❑No 7 , ,,. , e _`.r „ fl _ °,, ; 1 b. Are all systems in service Yes ❑No - -,'�, C. Is there a minimum of 18 in. (457 mm)clearance between the top of the torage and the sprinkler deflectors?Q Yes ❑No ,r , 4. r d. Does all electrical heat tape appear to be satisfactory?El Yes ❑NoA e. Does the hand hose on the sprinkler system(s) appear to be satisfactory?❑Yes El No. ,5 NA ,,: ' ,' ., , ' 2. Control Valves(See Item 15.) � a. Are all sprinkler system control valves and all other valves in the appropriate open or closed position?Q.'Yes ❑No b- Are all control valves in the open position locked, sea .or equipped with a tamper switch Yes ❑No p --...,t1,,, >t� s, 3. Water Supplies(See Item 16.) - X a. Was a water flow test of main drain made at the sprinkler riser(s)?6Yes ❑No 4. Tanks,Pumps, Fire Department Connections a. Are fire pumps, gravity tanks,reservoirs and pressure tanks in good condition and properly maintained?❑Yes ❑No [ )NA b. Are fire department connections in satisfactory condition,couplings free,caps in place, and check valves tight?i&Yes ❑No El NA Are they accessible and visible?aYes ❑No El NA 5. Wet Systems a. Are cold weather valves (O.S. &Y.)in the appropriate open or closed position?RYes ❑No ❑NA b. Have antifreeze system solutions been tested?❑Yes ❑No ETNA c. Were the antifreeze test results satisfactory?El Yes ❑No n NA d. In areas protected by wet system(s),does the building appeatto be properly heated in all areas, including b-Id attics and perimeter areas where accessible?K5 Yes ❑No ❑NA Do all exterior openings appear to be protected against freezing?Le es ❑No ❑NA 6. Dry System(See Items 11 to 13.) _ ; a. Are dry valve(s)in service?❑Yes ❑No ❑NA ...+# `� .- - , T '� b. Are the air pressures and priming water levels in accordance withthe manufacturer's instructions?❑Yes ❑No ❑NA "t.' -pv+ »> ,'s" c. Has the operation sof the air or?itr gen supplies been tested?❑Yes ❑No ❑NA Are they in se ce?❑Yes ❑No ❑Nt ? ..il.•; yrs. sy, h . .-.....4,-;.,v..- •rte 54 ,' d. Were low points tamed duri g this inspection- ❑Yes ❑No ❑NA e. Did quick-openi deuces oper to satisfactorily?❑Yes ❑No ❑NA A „„ •':-t-5''''. i, f. Did the dry valve(s)trip properly during the trip pressure test?❑Yes ❑No ❑NA 4 •, 4 "I'll z.t 1 g. Did the heating equipment in the dry-pipe value room(s) operate at time of inspection ?❑Yes ❑No ❑NA ,- r .•:./' `-',* a 7. Special Systems(See Item 14.) 1` a. Did the deluge or pre-action valves operate properly during testing?El Yes ❑No ❑NA A '' . ` . '.. '& -.*‘1';'.:4..i.,...'fix.,, b. Did the heat-responsive deviceperate properly during testing?El Yes El No ❑NA c. Did supervisory devizes'opeateduring testing?❑Yes ❑No ❑NA 8. Alarms , t' ,L •r; z,, a. Did water motor(s) and gong(s)test satisfactorily?❑Yes ❑No EVNA ,, & - R '-* b. Did electric alarm(s)test satisfactory?4N Yes ❑No ❑NA } s ,f., �' c. Did supervisory alarm service test satisfactory?❑Yes El No pis' k•- ;•yk . "�`t` = k` -� 3 4: 9. Sprinklers a. Are all sprinklers free from corrosion, loading or obstruction to spray discharge ?6 Yes ❑No .k f -: b. Are sprinklers less than 50 years old? (Older sprinklers require sample testing)L�Yes ❑No ,, i. {� r• c. Are quick response and residential sprinklers less than 20 years old?(Older sprinklers require sample testing)OYes ❑No .m d. Is f spare e. Does thcke exterior sprinklers of slable?rn Yes sprinkler system No appear to be satisfactory ? Yes ❑No - � f�1 l-' P Y PPe . .- ,,°"i,^r , _, f. Are sprinklers of proper temperature rating for their locations?[ DYes ❑No - '....,.3,,`;'!•-:'1" 10.Explain any"No"answer and comments: / / Signature: sufl't- �/� - Z--(Ce Date: %'-1/l J/ ,L ; 4' - gw. 9 Je,,.z,,,,.*: ' r�I Z LS<' gL ;-'4--,::,..4;f4, ,1 :• '°" .y `{tt r .++ .. 'i - - e Grp `-�n .--''''.7',.'-4-1:-? t z 4, ^.' ).. om,':,'.-41-3.r' r x :papuamuuooai ain swuauaanoiduai aignsisap 2uimojo3 ow `mainal 2uuaaut8ua ue Jo iinsai am jou aie S1U tU O3 asagI g8nogaltf '61 if �:.t. en. ' ) 0-1— 117r91. s Z. f 0 ?�rP°. _L,k it : 7 �►j+-e �.; G fo, 3c50 c7' ,I/3 ji :uoTaaadsut sl 3utan a nuz suonooIoa.zo sivaunsnFC '` � 4:" e✓ •S d g' 3t'7 ter 7e'26a, c�7 `3 � w P P Pty' '8T 4 fv �; , - a - ' 7-'‘,434 :sluatuuoa pun sIOPAsun ON ,Cue uidxg 'LI fi ; . m$4-. - , ; r / ! f Tsai, moil .laaeM spit a P n 00/ 0 ( ]saZ moil TalnM lsn I (Mold) aznssaid adrd fsaZ uognao I innpisa21 ar�naS 3o aziS t,�` adrd asaZ aaeQ dun xun) Aat0 :aamos ,iiddnS Ja1nM ", .iasIN JOINUudS ae ISO" MOld .IOT'M •91 .l ; amen IaluoO uagoli){ sanlen I0a000 Jagl0 r Ai ki '9 . i sanlen Ioaluo0 wals�s , a x sanlen Ioaluo0 IeuolloaS ' F' sanlen Ioaluo0 dwnd -,- _ ,;. sanlen 104..100)1UJ w zr` amen Ioiluo0 uolloauuo0 40 uompuoO su6lg pasol0 peanaag uado edAj aagwnN SOA Io.quo0 lewaougy {# uleldx3 � ' ` algl,aaaueua;uiew aniIA ioa;uo3 '"i aigel aaueualuteyAi anieA Ior1uo0 aaS 'Si l� L ' a , "",`:` ON SOA ON SO). ON T s31. o '` aseelaJ eleJado eseelei amwW en aleJado �ele ssol uolspuedns 13OO3HW V '::',;-.7:14, 4j.:,:' of ewll wnwlxeyj i!noiIo pee seen eleJedo priojlo yoea seoa ON ❑ S3A 0 S3A1VA s Malo-6ul sa o o a 6ul sa ,o nap oea ul l pe a Issaooe ue a,a s 1 1 1) P 41 W 1 1 i t U 11 1 ly ul I NOLLOV3Hd " m 4 ON 0 S3A 0 suoge;s laluoo alowe �o/pue dol lenuew NI wal ejs edo amen scop g 3011130` #'%t?.?. ON 0 S3A ❑ peslAiedns elpew 6ulloalea ON ❑ SOA ❑ pesuuedng 6uidid OI1f1VHGAH 0 OIH±O3T3!❑ OIlVWf13Nd.❑ uolleJed0 gZ9VZ 1531 dIlI.L :,. .,ii (sMollo{ yoiyM eigel lsal dol aas) pafso amen uoilaeald to oSniap afeu •bi '4,;; jaw °.' _ .O.O.O ,. ,a. 4, aux . ql" '' ' '' 4-''',,,i.=,,,,:-44.7.'-'-:-.'.':.=.‘ ' —4° vj ' a 0 0 q 1no4uA 1S31 '• ON S3A 030 'NIA ISd ISd ISd '035 'NIW ;;%. - - - - - ONIIVH3dO x"'• ° 't • Rpedoid 1811u0;sal wnssaid nV a,nssad amssad odd Tsai_nu.a. palmed()waely peyoueid Jelem ewli_ luted dui_ JIM Jelem dui of ewll 3dld AHO a 3 'ON IVIF3S 130OW 3NV ON 1V11:138 BOON ),IVW ' z� , � ,.Svr...,,,,,..-,?,.!,,:44,-;-:---4./#*1'.-,* 0 0.0 3111V1 1SmdDLL 3AIVn na0 •* • '' (sMolof do4iM ejgel lsej dol aas) paiso catnap 2uivado-iamb alga •£i (sanollof uol(pM algal lsal dol aas) (uado ,Ciin3 anion ianuoa) palsal duT amen ad►d-Lip aaeQ 'ZI (sMolloJ Lionpu algel ]sal dial aas) (uado iiiieta.rnd amen IoJluoa).palsal duni I aon adrd Qi kip aae • i ,` 4� poda)l uopoodsul . '� ..,..•••••7 /') , 6 (( sw scs .+.c•o ,.'-i.+q. �,.,,r'..S aiduinw p uoiiduaso .1 1•°N WO1SAS uotxaadsui uaaas Cs gena to3 wags OIOJOdas asp Z AO Z 3US Oi££-855(159) :XV.3 'OD 113DINI11dS DU.vWO1f1V so" £LII55 Z (008) •• IIN 'lSS(IS9) M ' , *J LASS t�.LOS3idAIIY�t `'Ifldd Is Ift,..... 4",,,..,,, .., ,„„:„.,..,,,, ,,„,,„„.4. ..., ,?.;,� .L332LLS.LNgIU0,-I IO£I ,. etitt,9. i, `7! ..._r.Z. .,' * * .. 4,.... ,T.-...r-"a►!Rw-'•,,,.�+...-,;.._..yp r:1' 4.„/'"3 wre.G'%:o yTdirl s'► 4:nW-." .wd " "` 1301 L'ORIENT STREET 44 ST.PAUL,MINNESOTA 551171 /l', 1 1 NG (651)558-3300.(800 -229-6263 AUTOMTIC SPRINKLER CO. FAX:(651)558-3310) SHEET 1 OF 2-Use separate sheet for each ou,ldung inspection REPORT OF INSPECTION MINNESOTA LICENSE NO.C00005 WISCONSIN LICENSE NO.265989 t. REPORT TO (---10.- O N U , i<=- BUILDING OR LOCATION J f ` STREET t r 0 fi`�i(Ij l t.r S/fyr-�1 :` t /./'; INSPECTOR ' 7)1 CITY &_STATE 6�CC�j(,/(7 /" r i/ I, ,. DATE Owner's Section(To be answered by Owner or Occupant) ` . A. Explain any occupancy hazard changes since the previous inspection: i.#' v , it) 4,,„--r . ..,�.4 B. Describe fire protection modifications made since last inspection. �'- J'e. 4,'.'4: - _ 1..\\*) ppn TrYkt C. Describe any fires since last inspection. Q _ D. When was t i- ste 't pipin. . t checked .r stoppage, corrosion or foreign material? E. When w:• e ,ryf.ing ste a ch l ed for proper pitch? F. Are dr valve •uatel pr . fro; freezing? Signatb 't i i` .4. --- Title/1 '� ''2' / Date F Inspector's Sect'.n(All responses reference current inspection) NA =NOT APPLICABLE 1. General �_• a. Is the balding occupied? Yes _No b. Are all systems in service?likes ❑No c. Is there a 'mum of 18 in.(457 mm)clearance between the top of the storage and the sprinkler deflectors?.l fes ❑No d. Does ail-elec aT aat tape appear to be satisfactory?❑Yes U No [ NA e. Does the hand hose on the sprinkler system(s)appear to be satisfactory?❑Yes —No. A r 2. Control Valves(See Item 15.) �: a. Are all sprinkler system control valves and all other valves in the appropriate open or closed position?tomes ❑No 4i. b. Are all control valves in the open position locked, sealed or equipped with a tamper switch?`Y°Yes ❑No 3. Water Supplies (See Item 16.) --`"'r"' a. Was a water flow test of main drain made at the sprinkler riser(s)?des O.No 4. Tanks, Pumps,Fire Department Connections a. Are fire pumps,gravity tanks, reservoirs and pressure tanks in good condition and properly maintained?❑Yes ❑No t NA tt ,s b. Are',fire department connections i satisfactory condition,couplings free,gaps in place, andtcl1eck vflves tight?des ❑No U NA Are they accessible and visible?I"4'L{s i U.No _. NA f.= t 5. Wet Systems a. Are cold weather valves(O.S. & Y.) in the appropriate open or closed position? Yes ❑No ❑NA 1 .) b. Have antifreeze system solutions been tested?❑Yes ❑No i NA ' c. Were the antifreeze test results satisfactory?❑Yes ❑No -PIA • d. In areas protected by wet system(s),does the building appear to be properly heated in all areas, including blind attics and perimeter areas ' where accessible?PhYes ❑No ❑NA Do all exterior openings appear to be protected against freezing?fig-Yes ❑No ❑NA ' , 6. Dry System(See Items 11 to 13.) k` a. Are dryvalve(s)inS ,service?❑Yes ❑No NA ''- b. Are thOdir des and priming water levels in accordance with the manufacturer's instructions?❑Yes ❑No fI NA c. Has the operation of the air or nitrogen supplies been tested?❑Yes ❑No e?'tA Are they in service?❑Yes ❑No SNA d. Were low points drained during this inspection?❑Yes ❑No *DIA .: e. Did quick-opening devices operate satisfactorily?a Yes D.No ANA f. Did the dry valve(s)trip properly during the trip pressure test?❑Yes C No "NA g- Did the heating equipment in the dry-pipe value room(s)operate at time of inspection ?❑Yes ❑No PIN*rl ,* 7. Special Systems(See Item 14.) - I� `t t "r ,,,t t a. Did the deluge or pre-action valves operate properly during testing? Yes -. No (''NA ~r k t b. Did the heat-responsive devices operate properly during testing?❑Yes O No SFA c. Did supervisory devices operate during testing?U Yes ❑No 0+1A 8. Alarms - a. Did water motor(s)and gong(s)test satisfactorily?0 Yes ❑No li)b. Did electric alarms)test satisfactory?1�4 es ❑No ❑NA �c.Did supervisory alarm service test satisfactory? 9.-Yes ❑No ❑N ��I�«�`��L'�fOki 9. Sprinklers �/ a.Are all sprinklers free4frpm corrosion,fading pr obstruction to spray discharge ? es ❑No b. Are sprinklers less than 50 years old?(Older sprinklers require sample testing)testing)jilkices ❑'Nicr* - -= P,- -' c. Are quick response and residential sprinklers less than 20 years old?(Older sprinklers require sample testing)des LiNo - d. Is stock of spare sprinklers available?d'afes ❑No e. Does the exterior condition of sprinkler system appear to be satisfactory ?1s O No f.Are sprinklers of proper temperature rating for their locations?Vain ❑No 10.Explain any"No" wer and ft / f' Signature- �rr:fi =, 4i Date: _____Ze24Z.,/ -, 4 k Y, 1 x g - ' - 1301 L'ORIENT STREET ter rw. r � ` ST.PAUL, e rte : L , = sMINNESOTA 55117 �= t V1 I N G s � (651)558-3300• (800)-229-6263 r '. ' ; +°mss ss z P AUTOMATIC SPRINKLER CO �'� `''', 4:„.7z y - FAX (651)558-3310 x r' SHEET 2 OF f- Use separate sheet for each system inspection i System No. or Description if multiple , "� ` r 4 systems x > Inspection Report - sr.,,, y : ; Z I * 77 4 ' Vin /w' 41 'w 3�" -+' :lid. r-}*n .Y•4{� tµ -T ! a - .: '.41 11. Date dry-pipe valve trip tested (control valve partially open) (See rip Test Table which follows) ,.:,;-,,,,.:4,,:-.4,-,,:-.4.3 F 12. Date dry-pipe valve trip tested (control valve fully open) z =, : (See Trip Test Table which follows) *" t 13. Date quick-opening device tested (See Trip Test Table which follows) _ „,.:. ,, h • "; - - DRY VALVE TRIP TEST TABLE 0.0.D. ` m "M _ MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO. `t ' ",',','''.'-;-•',,-:"'- ' t�� DRY PIPE Time to Trip Water Air Trip Point Time Water Reached Alarm Operated .. T. Thru Test Pipe Pressure pressure Air Pressure Test Outlet Properly '—÷7.-' „�., ” TEST MIN SEC. } PSI PSI PSI MIN.i SEC. YES NO y -Without Q.O.D. F.-..1.-...":.,',.: 4 ,--s ' -a With . �54,5,5,-- 5........„- 14. Date deluge or preaction valve tested _ -. . (See Trip Test Table which follows) rfF �� ` TRIP TEST TABLE : . - Operation 0 PNEUMATIC 0 ELECTRIC 0 HYDRAULIC „ h> Piping Supervised 0 YES 0 NO Detecting media supervised ❑ YES ❑ NO 4 .;.,...x,,„7.-4.4..",,,.,..u_'-4-4-,' ,. •fir'_DELUGE& Does valve operate from the manual trip and/or remote control stations 0 YES 0 NO i" ' , '''-:‘,,,-4-4,1„g:'''.. , '� Is there an accessible facility in each circuit for testing Method of testing-circuits nr t`�"K� �•s ,� VALVES 0 YES 0 NO a s'a« ,� �,.�.T Does each circuit operate Does each circuit Maximum time to K �.,+ I ` „ ��,.,,,, , MAKE MODEL supervision loss alarm operate valve release operate release YES NO YES NO YES NO .--,"4--.. 15. See Control Valve Maintenance Table. •0 :-. ;, ,75 �- �` ` ,� :t Control Valve Maintenance Table ' `- i 7� � W Explain , Abnormal a % '%' "kControl Valves -" Number Type Open Secured Closed Signs Condition y .�; „ <;. ?" City Connection Control '''''''"-:'•- Valve ..r Tank Control Valves - Pump Control Valves - > Sectional Control Valves �`/ / // System Control Valves JJ jp�, iv,yv; /`f7 Other Control Valves , Kitchen Control Valve I -'-:, y '; 16. Water Flow,Te§C at Sprinkler Riser ;, Water Supply Source: City Tank Pump M;-- Date Test Pipe Size of Static Residual , - *`,. i..,-.4.,... .Y.,"aLocation Test Pipe Pressure (Flow) - .7.ititePressure Last Water Flow T - This Water Flow Test " c}-- ,/, 14,-..„...,„-.:,-.,,,,,, 17.Explain any "No"answers and comments ' - >e s 18. Adjustments or corrections made during this inspection: 19. Although these comments are not the result of an engineering review, the following desirable improvements are recommended .,,,;„.„;_„..,.1:.t.,,.....,' mss. " '� °� tb ., a ,.t., - 'r- megZ- ` .'1. ;: g N 1301 L'Orient Street St Paul,< N (651)558-330Minnesota (800)229-6263 AUTOMATIC SPRINKLER CO. Fax: (651)558-3310 Setting The Standard... AGREEMENT AND REPORT OF INSPECTION • SHEET 1 of42-Use separate sheet for each building inspected *INSPECTION d f 36-$-(/ MINNESOTA LICENSE NO.COOS REPORT TO (le "16 S1-4,,104 ti... (e_,v 0.1 BUILDINGJOR LOCATION j 0.9 pet it STREET _ . L n v sig {. 9 �ta�.N INSPECTOR / 6.op#1,ti 04 CITY&STATE D Q y o , ii,.4 DATE /, ).. /9.el ► Owner hires Viking Automatic Sprinkler Company to conduct an inspection of the fire suppression system at the above location or building,and prepare a written report of that inspection for an agreed upon fee. As part of this agreement,owner agrees to terms and conditions on rear of form and will complete the Owner's Section of this document. Owner's Section(To be answered by Owner or Occupant) A. Explain any occupancy hazard changes since the previous inspection: Aid,t,1 B. Describe fire protection modifications made since last inspection: iiki eo /J C. Describe any fires since last inspection: /"'Q Q D.When was the system piping last checked for stoppage,corrosion or foreign material? '4 E. When was the dry-piping system last checked for proper pitch? Si 1$- F. Are dry valves adequately projected from freezing? /`'' f1 SignatureLTTitle Date Inspector's Section(All re reference current inspection) N/A=NOT APPLICABLE 1 General a. Is the building occupied?fYes a No b. Are all systems in service. -Yes ❑No c. Does there appear to be a minimum of 18 in.(457 mm)clearance between the top of the storage and the sprinkler deflectors?ifil.,yes a No d. Does the valve hose on the sprinkler system(s)appear to be satisfactory? a Yes o NoN/A J 2 Control Valves(See ltm .5) a. Do sprinkler system control valves appear to be in the appropriate open or closed position?/kYes a No b. Are control valves in the open position locked,sealed or equipped with a tamper switch? Yes a No 3 Water Supplies(See Item 16) a. Was a water flow test of main drain made at the sprinkler riser(s)? r'es o No 4 Tanks,Pumps,Fire Department Connections a. Are fire pumps,gravity tanks,reservoirs and pressure tanks in good condition and properly maintained? ❑Yes o No ON/A b. Are fire department connections in satisfactory condition,couplings free,caps in place,and check valves tight?OLYes o No o N/A Are they accessible and visible?LYes a No a N/A 5 Wet Systems a. Are cold weather valves(O.S.&Y.)in the appropriate open or closed position? o Yes o No ON/A b. Have antifreeze system solutions been tested? a Yes :a No X-N/A c. Were the antifreeze test results satisfactory? o Yes o No FIN/A d. In areas protected by wet system(s),does the building appear to be properly heated in all areas,including blind attics and perimeter areas where accessible ".Yes a No o N/A Do all exterior openings appear to be protected against freezing? Yes a NO o N/A 64 Dry System(See Items 11 to 13) a. Are dry valves(s)in service? a Yes a No /A b. Are the air pressures and priming water levelsin accordance with the manufacture's instructions? o Yes ❑No `/A c. Has the operation of the air or nitrogen supplies been tested? a Yes o No PM/A Are they in service? o Yes a No tikl/A - d. Were all know low points drained during this inspection? o Yes o No �I/A 'Y`� e. Did quick-opening devices operate satisfactorily? o Yes a No T/A f. Did the dry valve(s)trip properly during the trip pressure test? 'q Yes a No A g. Did the heating equipment in the dry-pipe valve room(s)operate at time of inspection? a Yes a No 0014/A 7 Special Systems(See Item 14) a. Did the deluge or pre-action valves operate properly during testing? o Yes a No pN/A b. Did the heat-responsive devices operate properly during testing? a Yes o No is.N/A c. Did supervisory devices operate during testing? o Yes a No ON/A 8 Alarms a. Did water motor(s)and gong(s)test satisfactorily? o Yes o No .l/A b. Did electric alarm(s)test satisfactory/ -Yes a No o N/A c. Did supervisory alarm service test satisfactory?E'es a No a N/A 9 Sprinklers a. Do visible sprinklers appear to be free from corrosion,loading or obstruction to spray discharge? 'es o No b. Are sprinklers less than 50 years old? (Older sprinklers require sample testing) Yes a No c. Are quick response and residential sprinklers less than 20 years old? (Older sprinklers require sample testing) a Yes o No I/A d. Is stock of spare sprinklers available? Ees ❑No e. Does the exterior condition of sprinkler system appear to be satisfactory?fres o No f. Do visible sprinklers appear to be of proper temperature rating for their locations? '$'es a No 10 Explain any"No"answers and comments: Signature: ,z2. at.�e.j I *... •GlLt,. Date: /0-/'// c Terms and Limitations 1 This Agreement is for inspection services only. If Subscriber wants the Company to make any repairs, ' alterations or replacements as a result of this inspection, the Company will do so for additional compensation to be agreed upon in writing by the parties. 2 The Company does not know and does not represent whether the current fire protection system on the Property was originally designed and installed in such a way that the system will perform as originally intended or is suitable and sufficient for its intended purpose given the way in which the Property has been or will be used. In other words, the Property has been or may be used in ways such that the configuration of partition walls, the location of and type of materials (including the presence of hazardous materials) and other conditions of the Property's use are such that the fire protection system is inadequate, insufficient or unsuitable for the Property. THIS REPORT IS NOT A GUARANTEE OR WARRANTY THAT THE SYSTEM WILL IN ALL CASES (A) PROVIDE THE LEVEL OF PROTECTION FOR WHICH IT WAS ORIGINALLY INTENDED(B) IS FREE OF ALL DEFECTS AND DEFICIENCIES(C)AND IS IN COMPLIANCE WITH ALL APPICABLE CODES. 3 The Company's inspection will not include every sprinkler head, pipe or other parts of the fire protection sprinkler system that currently exist and is limited to a visual inspection of external readily accessible parts of the system. The Company shall only be obligated to inspect a representative number or sample of the sprinkler heads, pipes, hangers,valves or other devices and equipment in their current position. 4 The Company will be permitted, at all reasonable times, to enter the Property indicated above to conduct the inspection as outlined in this Agreement. 5 The Company's potential liability arising out of its inspection services must be limited. THEREFORE, THE LIABILITY, IF ANY, OF THE COMPANY TO THE SUBSCRIBER AND/OR OTHER OCCUPANTS OR VISITORS OF THE PROPERTY ARISING OUT OF THE COMPANY'S INSPECTION, REPORT, ACT OR OMISSION OR FAILURE TO ACT, OR ANY CLAIMED BREACH OF THIS AGREEMENT BY THE COMPANY, SHALL IN NO EVENT EXCEED THE TOTAL FEE PAID BY THE SUBSCRIBER FOR THE INSPECTION SERVICES THAT GIVE RISE TO ANY SUCH LIABILITY. 6 The Company, following each inspection, will provide to the Subscriber a written "Report of Inspection" ("Report"). If required by state or local codes, the Company will provide a copy of the Report to fire and/or building officials. If desired, a copy of the Report will also be forwarded to the Subscriber's insurance company. The Report and recommendations by the Company are only advisory in nature and are intended to assist the Subscriber in reducing the possibility of loss to the Property by indicating obvious defects or impairments to the fire protection system(s) which were discovered by the Company's inspection and which should receive prompt attention. 7 Subscriber agrees to obtain and shall be soley responsible to maintain insurance for the Property, all contents therein,and/or operations performed within or around the Property to be inspected. 8 The Subscriber agrees to assume the entire responsibility and liability, to the fullest extent permitted by law, for all damages or injury to all persons, whether employees or otherwise, and to all property, arising out of it, resulting from or in any manner connected with, the execution of the work provided for in this Inspection Agreement or occurring or resulting from the use by the Company or its agents or employees of materials, equipment, instrumentalities or other property, whether the same be owned by the Subscriber, the Company or third parties, and the Subscriber, to the fullest extent permitted by law, agrees to indemnify and save harmless the Company, its agents and employees from all such claims including, without limiting the generality of the foregoing, claims for which the Company may be or may be claimed to be, liable and legal fees and disbursement paid or incurred to enforce the provisions of this paragraph and the Subscriber further agrees to obtain, maintain and pay for such general liability insurance coverage and endorsements as will insure the provisions of this paragraph. 9 While the Company will make every reasonable effort to prevent the discharge of water into or onto areas of landscaping, decorative pavement, etc., it is the Subscriber's responsibility to provide sufficient and readily accessible means to accept the full flow of water that may be required by tests as determined by the type of inspection. 10 This Agreement may not be assigned by Subscriber without the written consent of the Company. 11 This Agreement may be signed in counterparts; a signed facsimile, photocopy, and/or electronic mail of this Agreement shall be as binding on both parties just as though this Agreement were executed in its original, pre- printed form. 12 If payment for work provided in this Agreement is not paid when due, Subscriber agrees to pay all costs of collection including attorney's fees. (Rev.2/8/06) ��� `` 1301 L'Orient Street �. We. WA IM St.Paul,Minnesota 55117 AUTOMATIC SPRINKLER CO. (651)558-3300 • (800)229-6263 Setting The Standard... Fax: (651)558-3310 SHEET 2 i 2-Use separate sheet for each system inspected System No.or!Description if multiple ! systems • Lc1 Q ie Inspection Report No.01/355/ 11 Date dry-pipe valve trip tested(control valve partially open) /l/iff (See Trip Test Table which follows) 12 Date dry-pipe valve trip tested(control valve fully open) /t/ (See Trip Test Table which follows) 13 Date quick-opening device tested Ai A (See Trip Test Table which follows) DRY VALVE TRIP TEST TABLE Q.O.D. MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO. DRY PIPE Time to Trip Water Air Trip Point Time Water Reached Alarm Operated OPERATING Thru Test Pipe Pressure Pressure Air Pressure Test Outlet Properly TEST MIN. SEC. PSI PSI PSI MIN. SEC. YES NO Without Q.O.D With Q.O.D 14 Date deluge or preaction valve tested N 4 (See Trip Test Table which follows) TRIP TEST TABLE Operation n PNEUMATIC o ELECTRIC ❑HYDRAULIC Piping Supervised o YES ❑ NO Detecting Media Supervised o YES ❑ NO DELUGE& Does valve operate from the manual trip and/or remote control stations ❑ YES ❑ NO PREACTION Is there an accessible facility in each circuit for testing ❑ YES ❑ NO Method of Testing Circuits VALVES Does each circuit operate Does each circuit Maximum time to MAKE MODEL supervision loss alarm operate valve release operate release YES NO YES NO YES NO 15 See Control Valve Maintenance Table CONTROL VALVE MAINTENANCE TABLE Explain Abnormal Control Valves Number Type Open Secured Closed Signs Condition City Control Valves Bypass Valves Tank Control Valves Pump Control Valves Sectional Control Valves System Control Valves /..1/ rt A F irp 4 t71 < tA'< Other Control Valves Kitchen Control Valves 16 Water Flow Test at Sprinkler Riser // 1/ Water Supply Source: &Go Tank Pump Residual Test Pipe Size of Static (Flow) Date Location Test Pipe Pressure Pressure Last Water Flow Test /d`/j.09 2 e SQ1�. 2°' ga Q This Water Flow Test /D DSS n I S ail 2.If 5 17 Explain any"No"answers and comments: 18 Adjustments or cArrection made during this inspection: a k (9.0 e D A)t-i2 o( L1 A I Ut S - ....-c t. o c k4., .41,f 4,...s 1 5, GAir? L5 19 Although these comments are not the result of an engineering review,the following desirable improvements are recommended: Signature: 7 4 55 _ . 4.4J2Date: /0- /'7O ' (Rev.2/8/06) Terms and Limitations 1 This Agreement is for inspection services only. If Subscriber wants the Company to make any repairs, alterations or replacements as a result of this inspection, the Company will do so for additional compensatidn to • be agreed upon in writing by the parties. 2 The Company does not know and does not represent whether the current fire protection system on the Property was originally designed and installed in such a way that the system will perform as originally intended is -` suitable and sufficient for its intended purpose given the way in which the Property has been or will helmet!. .111, other words, the Property has been or may be, sed-in ways sUch'thafMe configuration of partition'WaWs,the location of and type of materials (including the presence:Qf hazardous materials) and other conditions of the: Property's use are such that the fire protection system is jeadequate, insufficient or unsuitable for the Property. - THIS REPORT IS NOT A GUARANTEE OR WARRANTY'THAT'THE SYSTEM WILL IN ALL CASES (A) PROVIDE THE LEVEL OF PROTECTION FOR WHICH IT WAS ORIGINALLY INTENDED(B) IS FREE OF ALL DEFECTS AND DEFICIENCIES(C)AND IS IN COMPLIANCE WITH ALL APPICABLE CODES. 3 The Company's inspection will not include every sprinkler head, pipe or other parts of the fire protection sprinkler system that currently exist and is limited to a visual inspection of external readily accessible parts of the system. The Company shall only be obligated to inspect a representative number or sample of the sprinkler heads, pipes, hangers,valves or other devices and equipment in their current position. 4 The Company will be permitted, at all reasonable times, to enter the Property indicated above to conduct the inspection as outlined in this Agreement. 5 The Company's potential liability arising out of its inspection services must be limited. THEREFORE, THE LIABILITY, IF ANY, OF THE COMPANY TO THE SUBSCRIBER AND/OR OTHER OCCUPANTS OR VISITORS OF THE PROPERTY ARISING OUT OF THE COMPANY'S INSPECTION, REPORT, ACT OR OMISSION OR FAILURE TO ACT, OR ANY CLAIMED BREACH OF THIS AGREEMENT BY THE COMPANY, SHALL IN NO EVENT EXCEED THE TOTAL FEE PAID BY THE SUBSCRIBER FOR THE INSPECTION SERVICES THAT GIVE RISE TO ANY SUCH LIABILITY. 6 The Company, following each inspection, will provide to the Subscriber a written "Report of Inspection" ("Report"). If required by state or local codes, the Company will provide a copy of the Report to fire and/or building officials. If desired, a copy of the Report will also be forwarded to the Subscriber's insurance company. The Report and recommendations by the Company are only advisory in nature and are intended to assist the Subscriber in reducing the possibility of loss to the Property by indicating obvious defects or impairments to the fire protection system(s) which were discovered by the Company's inspection and which should receive prompt attention. 7 Subscriber agrees to obtain and shall be soley responsible to maintain insurance for the Property, all contents therein,and/or operations performed within or around the Property to be inspected. 8 The-Subscriber agrees to assume the entire responsibility and liability, to the fullest extent permitted by law, for all-damages or injury to all persons, whether employees or otherwise, and to all property, arising out of it, resulting from or in any manner connected with, the execution of the work provided for in this Inspection Agreement or occurring or resulting from the use by the Company or its agents or employees of materials, equipment, instrumentalities or other property, whether the same be owned by the Subscriber, the Company or third parties, and the Subscriber, to the fullest extent permitted by law, agrees to indemnify and save harmless the Company, its agents and employees from all such claims including, without limiting the generality of the foregoing, claims for which the Company may be or may be claimed to be, liable and legal fees and disbursement paid or incurred to enforce the provisions of this paragraph and the Subscriber further agrees to obtain, maintain and pay for sachy:general liability insurance coverage and endorsements as will insure the provisions of this paragraph. - • 9 While the Company will make every reasonable effort to prevent the discharge of water into or onto areas of landscaping, decorative pavement, etc., it is the Subscriber's responsibility to provide sufficient and readily accessible means to accept the full flow of water that may be required by tests as determined by the type of inspection. 10 This Agreement may not be assigned by Subscriber without the written consent of the Company. 11 This Agreement may be signed in counterparts; a signed facsimile, photocopy, and/or electronic mail of this Agreement shall be as binding on both parties just as though this Agreement were executed in its original, pre- printed form. 12 If payment for work provided in this Agreement is not paid when due, Subscriber agrees to pay all costs of collection including attorney's fees. (Rev.2/8/06) 301 York Ave St.Paul,Minnesota 55130 Nr 1 'Feu N G f R (651)558-3300 • (800)229-6263 AUTOMATIC SPRINIU.ER CO. Fax: (651)558-3310 • -_` AGREEMENT AND REPORT OF INSPECTION SFIELrr 2 of 2-Use separate sheet for each building inspected #INSPECTION / f / MINNESOTA LICENSE NO.C005, REPORT TO ('�' IteA}Q 4)tg4<t> Gatkill3ULLDNy OR LOCATION f y-3 STREET //yel51,04C Asa_ r INSPECTOR /97 G/2.04+o CITY&STATE Oft,tltMO MI. DATE /6 -/c-09 -Customer hires Viking Automatic Sprinkler Company to conduct an inspection of the fire suppression system at the above location or building,and prepare a written report of that inspection for an agreed upon fee. As part of this agreement,customer agrees to terms and conditions on rear of form and will complete the Owner's Section of this document. Viking Automatic Sprinkler Company will not be held liable for incorrect or unkown answers provided in the Owner's Section. Owner's Section(To be answered by Owner,Occupant or Customer) A. Explain any occupancyhazard changes since the previous inspection: A/p 4 B. Describe fire protection modifications made since last inspection: JL./a 4J C. Describe any fires since last inspection: 4,),P) /¢� D.When was the system piping last checked for stoppage,corrosion or foreign material? NIR— E. When was the dry-piping system last checked for proper pitch? F. Are dry valves adequately protected from freezing? .. G.L "item con ' any low point drains? o Yes Imo If yes,please state how many and the general location of each: 0-- Signature Signature. Title Date Inspector's Section(All responses reference current inspection) N/A=NOT APPLICABLE 1 General a. Is the building occupied? /Yes o No b. Are all systems in service? Aces o No c. Does there appear to be a minimum of 18 in.(457 mm)clearance between the top of the storage and the sprinkler deflectors? cites o No d. Does the valve hose on the sprinkler system(s)appear to be satisfactory? ❑Yes o No pIN/A 2 Control Valves(See Item 15) a. Do sprinkler system control valves appear to be in the appropriate open or closed position? iltlYes ❑No h •Are ixitro4 valves in the open position locked,sealed or equipped with a tamper switch? likes o No 3 Water Stipplies(See Item 16) a. Was"a water flow test of rriain drain made at the sprinkler riser(s)?: Yes o No' 4 Tanks,Pumps,Fire Department Connections .' -a. Are fire pumps,gravity tanks,reservoirs and pressure tanks in good condition and properly maintained? ❑Yes o No 1/A b. Are fire department connections in satisfactory condition,couplings free,caps in place,and check valves tight? izAtes ❑No o N/A Arethey accessible and visible?tikes o No o N/A 5 Wet Systems a. Are cold weather valves(O.S.&Y.)in the appropriate open or closed position? o Yes o NoT/A b. Have antifreeze system solutions been tested? o Yes ❑No /A • c. Were the antifreeze test results satisfactory?'a Yes o No /A d.•In areas protected by wet system(s),does the building appear to be properly heated in all areas,including blind attics and perimeter areas • where accessible?. es ❑No o N/A Do all exterior openings appear to beprotected against freezing?Oitztes o No ❑N/A 6 Dry System(See Items II to 13) a. Are dry valves(s)in service? o Yes ❑No (144/A b. Are the air pressures and priming water levels in accords to with the manufacture's instructions? ❑Yes o No OCT/A c, Has the operation of the air or nitrogen supplies been tested? t?Yes o No /A Are they in service? o Yes ❑No pili/A d. Were all know low points drainedduring this inspection? ❑Yes a No /A e. Did quick-opening devices operate satisfactorily? o Yes o No 01/A f. Did the dry valve(s)trip properly during the trip rifessure test? o Yes a No I N/A g. Did the heating equipment in the dry-pipe valve roorn(s)operate at tinie'of inspection? o Yes` .ci No-=01N/A .7 Special Systems(See Item 14) a. Did the deluge or pre-action valves operate properly during testing? o Yes ❑No QW/A b. Did the heat-responsive devices operate properly during testing? 0 Yes n;Np /A c. Did supervisory devices operate during testing? a Yes ❑No /A 8 Alarms a. 'Old water motor(s)and gong(s)test satisfactorily'•o Yes-©No .04/A • b. •Did electric alarm(s)test satisfactory? ?res ❑No o N/A c. Did supervisory alarm service test satisfactory? idles ❑No oN/A 9 Sprinklers a -Do visible sprinklers appear to be free from corrosion,loading or obstruction to spraydischarge?pikes o No b. Are spripklerx.Iess than 50 years old?.(+Older sprinklers require.sampletesting) 'ea: ❑No c. Are quick response and residential sprinklers less than 20 years old? (Older sprinklers requiresample testing) o Yes o'No 1)1/41,/A d. Is stock of spare sprinklers.available? Ivies o No n Does the exterior condition of sprinkler system appear to be satisfactory?OPY,es o No f. Do visible sprinklers appear to be of proper temperature rating for their locations?OYes ❑No 10 Expkdn any"No"-answers and comments: - , ' Signature: ' . Date: ofr " f✓ t •(R'.9/02/09) Terms and Coalitions 1 This Agreement is for inspection services only. If Customer wants Viking Automatic Sprinkler Company, herein after referred to as the Company,to make any repairs, alterations or replacements as a result of this inspection, the Company will do so for additional compensation to be agreed upon in writing by the parties. 2 The Company does not know and does not represent whether the current fire protection system on the Property was originally designed and installed in such a way that the system will perform as originally intended or is suitable and sufficient for its intended purpose given the way in which the Property has been or will be used. In other words, the Property has been or may be used in ways such that the configuration of partition walls, the location of and type of materials (including the presence of hazardous materials) and other conditions of the Property's use are such that the fire protection system is inadequate, insufficient or unsuitable for the Property. THIS REPORT IS NOT A GUARANTEE OR WARRANTY THAT THE SYSTEM WILL IN ALL CASES (A) PROVIDE THE LEVEL OF PROTECTION FOR WHICH IT WAS ORIGINALLY INTENDED(B) IS FREE OF ALL DEFECTS AND DEFICIENCIES(C)AND IS IN COMPLIANCE WITH ALL APPLICABLE CODES. 3 The Company's inspection will not include every sprinkler head, pipe or other parts of the fire protection sprinkler system that currently exist and is limited to a visual inspection of external readily accessible parts of the system. The Company shall only be obligated to inspect a representative number or sample of the sprinkler heads, pipes, hangers,valves or other devices and equipment in their current position. 4 The Company will be permitted, at all reasonable times, to enter the Property indicated above to conduct the inspection as outlined in this Agreement. 5 The Company's potential liability arising out of its inspection services must be limited. THEREFORE, THE LIABILITY, IF ANY, OF THE COMPANY TO THE CUSTOMER AND/OR OTHER OCCUPANTS OR VISITORS OF THE PROPERTY ARISING OUT OF THE COMPANY'S INSPECTION, REPORT, ACT OR OMISSION OR FAILURE TO ACT, OR ANY CLAIMED BREACH OF THIS AGREEMENT BY THE COMPANY, SHALL IN NO EVENT EXCEED THE TOTAL FEE PAID BY THE CUSTOMER FOR THE INSPECTION SERVICES THAT GIVE RISE TO ANY SUCH LIABILITY. 6 The Company, following each inspection, will provide to the Customer a written Report of Inspection ("Report"). If required by state or local codes, the Company will provide a copy of the Report to fire and/or building officials. If desired, a copy of the Report will also be forwarded to the Customer's insurance company. The Report and recommendations by the Company are only advisory in nature and are intended to assist the Customer in reducing the possibility of loss to the Property by indicating obvious defects or impairments to the fire protection system(s)which were discovered by the Company's inspection and which should receive prompt attention. 7 Customer agrees to obtain and shall be solely responsible to maintain insurance for the Property, all contents therein,and/or operations performed within or around the Property to be inspected. 8 The Customer agrees to assume the entire responsibility and liability,to the fullest extent permitted by law,for all damages or injury to all persons, whether employees or otherwise, and to all property, arising out of it, resulting from or in any manner connected with, the execution of the work provided for in this Inspection Agreement or occurring or resulting from the use by the Company or its agents or employees of materials, equipment, instrumentalities or other property, whether the same be owned by the Customer, the Company or third parties, and the Customer, to the fullest extent permitted by law, agrees to indemnify and save harmless the Company, its agents and employees from all such claims including, without limiting the generality of the foregoing, claims for which the Company may be or may be claimed to be liable and legal fees and disbursement paid or incurred to enforce the provisions of this paragraph and the Customer further agrees to obtain, maintain and pay for such general liability insurance coverage and endorsements as will insure the provisions of this paragraph. 9 While the Company will make every reasonable effort to prevent the discharge of water into or onto areas of landscaping, decorative pavement, etc., it is the Customer's responsibility to provide sufficient and readily accessible means to accept the full flow of water that may be required by tests as determined by the type of inspection. 10 This Agreement may not be assigned by Customer without the written consent of the Company. 11 This Agreement may be signed in counterparts; a signed facsimile, photocopy, and/or electronic mail of this Agreement shall be as binding on both parties just as though this Agreement were executed in its original, pre- printed form. 12 If payment for work provided in this Agreement is not paid when due, Customer agrees to pay all costs of collection including attorney's fees. (Rev.9/02/09) A 1301 L'Orient Street IC....1,111 . • St.Paul,Minnesota 55117 AUTOMATIC SPRINKLER CO. (651)558-3300 • (800)229-6263 Setting The Standard.... Fax: (651)558-3310 SHEET 2 of 2-Use separate sheet for each system inspected System No.or Description if multiple systems / Gtr Q 7 Inspection Report No. ‘229--/-13 13 11 Date dry-pipe valve trip tested(control valve partially open) /OA- (See Trip Test Table which follows) 12 Date dry-pipe valve trip tested(control valve fully open) )A.- (See Trip Test Table which follows) 13 Date quick-opening device tested 3 4. (See Trip Test Table which follows) DRY VALVE TRIP TEST TABLE Q.O.D. MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO. DRY PIPE Time to Trip Water Air Trip Point Time Water Reached Alarm Operated OPERATING Thru Test Pipe Pressure Pressure Air Pressure Test Outlet Properly TEST MIN. SEC. PSI PSI PSI MIN. SEC. YES NO Without Q.O.D With Q.O.D 14 Date deluge or preaction valve tested l.) /9-- (See Trip Test Table which follows) TRIP TEST TABLE Operation ❑PNEUMATIC ❑ELECTRIC o HYDRAULIC Piping Supervised ❑ YES ❑ NO 'Detecting Media Supervised ❑ YES ❑ NO DELUGE& Does valve operate from the manual trip and/or remote control stations o YES o NO PREACTION Is there an accessible facility in each circuit for testing 0 YES o NO 'Method of Testing Circuits VALVES Does each circuit operate Does each circuit Maximum time to MAKE MODEL supervision loss alarm operate valve release operate release YES NO YES NO YES NO 15 See Control Valve Maintenance Table CONTROL VALVE MAINTENANCE TABLE Explain Abnormal Control Valves Number Type Open Secured Closed Signs Condition City Control Valves Bypass Valves Tank Control Valves Pump Control Valves Sectional Control Valves System Control Valves #- y t t g Yp S `t 4 T S Other Control Valves Kitchen Control Valves 16 Water Flow Test at Sprinkler Riser Water Supply Source: ity V " Tank Pump Residual Test Pipe Size of Static (Flow) Date Location Test Pipe Pressure Pressure Last Water Flow Test i0- / dR R_ / s 02 JC.._ oZ t (a O <j This Water Flow Test /045,- R ; 5 0 2 2 " S, 5C1 17 Explain any"No"answers and comments: 18 Adjustments or collections made during this inspection: • C.adi A; t e_0 c G oti ig a( i 1 A I S —r G e c ks Pci/ .4 L.ol A. p-1 c 1 •5,,Aim'5 19 Although these comments are not the result of an engineering review,the following desirable improvements are recommended: Signature: 14.4..... "—c„,4 .y tj Date: /6 -lc.- OQ (Rev.2/8/06) Terms and Limitations 1 This Agreement is for inspection services only. If Subscriber wants the Company to make any repairs, alterations or replacements as a result of this inspection,the Company will do so for additional compensation to be agreed upon in writing by the parties. 2 The Company does not know and does not represent whether the current fire protection system on the Property was originally designed and installed in such a way that the system will perform as originally intended or S ;suitable and sufficient for its.intended purpose given-the way in which the Propertyhas-been or.will be used, In other words1 The Property has been.or W4 be used in ways such that the configuration of partition-walls, the location of and type of materials (including the presence of hazardous materials) and other conditions of the Property's use are such that the fire protection system is inadequate, insufficient or unsuitable for the Property. THIS REPORT IS NOT A GUARANTEE OR WARRANTY THAT THE SYSTEM WILL IN ALL CASES (A) PROVIDE THE LEVEL OF PROTECTION FOR WHICH IT WAS ORIGINALLY INTENDED(B) IS FREE OF ALL DEFECTS AND DEFICIENCIES(C)AND IS IN COMPLIANCE WITH ALL APPICABLE CODES. 3 The Company's inspection will not include every sprinkler head, pipe or other parts of the fire protection sprinkler system that currently exist and is limited to a visual inspection of external readily accessible parts of the system. The Company shall only be obligated to inspect a representative number or sample of the sprinkler heads, pipes, hangers,valves or other devices and equipment in their current position. 4 The Company will be permitted, at all reasonable times, to enter the Property indicated above to conduct the inspection as outlined in this Agreement. 5 The Company's potential liability arising out of its inspection services must be limited. THEREFORE, THE LIABILITY, IF ANY, OF THE COMPANY TO THE SUBSCRIBER AND/OR OTHER OCCUPANTS OR VISITORS OF THE PROPERTY ARISING OUT OF THE COMPANY'S INSPECTION, REPORT, ACT OR OMISSION OR FAILURE TO ACT, OR ANY CLAIMED BREACH OF THIS AGREEMENT BY THE COMPANY, SHALL IN NO EVENT EXCEED THE TOTAL FEE PAID BY THE SUBSCRIBER FOR THE INSPECTION SERVICES THAT • GIVE RISE TO ANY SUCH LIABILITY. 6 The Company, following each inspection, will provide to the Subscriber a written "Report of Inspection" ("Report"). If required by state or local codes, the Company will provide a copy of the Report to fire and/or building officials. If desired;a copy of the Report will also be forwarded to the Subscriber's insurance company. The Report and recommendations by the Company are only advisory in nature and are intended to assist the Subscriber in reducing the possibility of loss to the Property by indicating obvious defects or impairments to the fire protection system(s) which were discovered by the Company's inspection and which should receive prompt attention. 7 Subscriber agrees to obtain and shall be soley responsible to maintain insurance for the Property, all contents therein,and/or operations performed within or around the Property to be inspected. 8 The Subscriber agrees to assume the entire responsibility and liability, to the fullest extent permitted by law, for all damages or injury to all persons, whether employees or otherwise, and to all property, arising out of it, resulting from or in any manner connected with, the execution of the work provided for in this Inspection Agreement or occurring or resulting from the use by the Company or its agents or employees of materials, equipment, instrumentalities or other property, whether the same be owned by the Subscriber, the Company or third parties, and the Subscriber, to the fullest extent permitted by law, agrees to indemnify and save harmless the Company, its agents and employees from all such claims including, without limiting the generality of the foregoing, claims for which the Company may be or may be claimed to be, liable and legal fees and disbursement paid or incurred to enforce the provisions of this paragraph and the Subscriber further agrees to obtain, maintain and pay for such general liability insurance coverage and endorsements as will insure the provisions of thieparagraph. 9 While the Company will make every reasonable effort to prevent the discharge of water into or onto areas of landscaping, decorative pavement, etc., it is the Subscriber's responsibility to provide sufficient and readily accessible means to accept the full flow of water that may be required by tests as determined by the type of inspection. 10 This Agreement-may rigt be assigned by Subscriber without the written consent of the Company. 11 This Agreement may be signed inscounterparts;"a signed facsimile _photpc opy, andtor etectronlc,mail of this Agreement shall be as binding on both parties just as though this Agreement were executed in its original, pre- printed form. 12 If payment for work provided in this Agreement is not paid when due, Subscriber agrees to pay all costs of collection including attorney's fees. (Rev.2/8/06)