18.1 B130_131 Annual FA Supplement(05 May 22).pdf

FIRE PROTECTION

OUR BUSINESS IS

PROTECTING YOURS

CONTACT US TODAY FOR A QUOTE

Phone: 315-451-0971

Online: davisulmer.com/rfq

INSPECTION

CAPABILITIES

FIRE

ALARM

FIRE

EXTINGUISHER

FIRE ALARM

MONITORING

FIRE

SPRINKLER

FIRE

SUPPRESSION

EXIT

EM/EXIT

LIGHTING

Fire Alarm Supplementary Form

Location Code: DTJARRG

Contact: Tim Stagner

Contact Address: BLD# 130, EAST MOLLOY ROAD

SYRACUSE, NY 13213

Phone:

Email: timothy.g.stagner.nfg@mail.mil

Property Evaluated: U.S. NEW YORK ANG/HANGAR - 174TH - BLD# 130/131 (Not Specified)

BLD# 130/131, 6001 EAST MOLLOY ROAD

SYRACUSE, NY 13213

Description: Fire Alarm Supplement (DEVICE LIST)

Work Order: SV2103170411@@1

Company: Davis Ulmer Sprinkler Co NYS FIRE ALARM 12000259060, Expires: 2/22/2022

Address: 7633 Edgecomb Drive Liverpool, NY 13088

Company Phone: 315-451-0971

Inspector: Jack Vanfossen

NOT REQUIRED

Date of Work: 5/5/2021

Attached Files

Terms and Limitations.pdf 0.2MB

Deficiency Summary

There are no reported deficiencies for this submission

General Comments

These items are outside the regular scope of the required inspection and are not the result of an engineering review. This information is not intended to be all-inclusive but rather a list of items discovered as a by-product of the required inspection.

There are no general comments for this submission

Davis Ulmer Sprinkler Co, 7633 Edgecomb Drive, Liverpool, NY, 13088 Phone: 315-451-0971 Page 1 of 8

Davis Ulmer Sprinkler Co 7633 Edgecomb Drive Liverpool, NY 13088 Phone: 315-451-0971

Fire Alarm Supplementary Form

The work covered on this form is (select one): Annual Date of Work 5/5/2021

Account Information

Facility Name:

U.S. NEW YORK ANG/HANGAR - 174TH - BLD# 130/131

Property Type:

Not Specified

Location Code:

DTJARRG

Service Address:

BLD# 130/131, 6001 EAST MOLLOY ROAD, SYRACUSE, NY, 13213

Owner:

Tim Stagner Owner's Phone:

Owner's Address:

BLD# 130, EAST MOLLOY ROAD, SYRACUSE, NY, 13213

Legend

AS - Abort Station BATT - Batteries CoD - Carbon Monoxide Detector CM - Control Module DA - Damper

DD - Duct Detector DH - Door Holder EL - Emergency/Exit Light FACP - Fire Alarm Control Panel HD - Heat Detector

HORN - Horns H/S - Horn-Strobes LA - Low Air MM - Monitor Module (Ansul, temp, CO, etc)

MR - Manual Release Other PR - Phase Reversal PS - Pull Station PWS - Power Supply

SC - Signal/Sounder Control SD - Smoke Detector SD-Ion - Ion Smoke Detector SD-Photo - Photo Smoke Detector SPKR - Speakers

STROBE - Strobes TS - Tamper Switch WF - Waterflow

Type Total Tested Not Tested

Passed Failed Type Total Tested Not Tested

Passed Failed

DD 4 4 0 4 0 HD 44 44 0 44 0

PS 27 27 0 27 0 SD-Photo 30 30 0 30 0

Zone: 1 Zone: 1 Type Address Location Notes Last Tested Test Results Comments PS n/a 132 entrance 5/5/2021 Pass PS n/a Bld 131 - Room 102 exit 5/5/2021 Pass PS n/a Bld 131 - Room 102 side exit 5/5/2021 Pass SD-Photo n/a Bld 131 - Room 103 5/5/2021 Pass SD-Photo n/a Bld 131 - Room 104 cage 5/5/2021 Pass PS n/a Bld 131 - Room 104 exit 5/5/2021 Pass

©2014 FormLink Systems, Inc., Fire Alarm Supplement v1.4 Page 2 of 8

Liverpool, NY 13088 Phone: 315-451-0971

Zone: 1 Type Address Location Notes Last Tested Test Results Comments SD-Photo n/a Bld 131 - Room 104 front 5/5/2021 Pass SD-Photo n/a Bld 131 - Room 104 rear 5/5/2021 Pass SD-Photo n/a Bld 131 - Room 106 5/5/2021 Pass PS n/a Bld 131 - Room 107 rear exit 5/5/2021 Pass PS n/a Bld 131 - Room 107 side exit 5/5/2021 Pass HD n/a Break room 108 5/5/2021 Pass PS n/a By 32A 5/5/2021 Pass SD-Photo n/a By 32A 5/5/2021 Pass SD-Photo n/a By 32B 5/5/2021 Pass SD-Photo n/a By men's room 5/5/2021 Pass SD-Photo n/a By women's room 5/5/2021 Pass HD n/a Chair storage 5/5/2021 Pass PS n/a Exit by 32B 5/5/2021 Pass SD-Photo n/a Exit by 32B 5/5/2021 Pass PS n/a Exit by room 114 5/5/2021 Pass PS n/a Exit by room 124 5/5/2021 Pass HD n/a Hall 131 5/5/2021 Pass SD-Photo n/a Hall by ladies room 5/5/2021 Pass SD-Photo n/a Hall by main entrance 5/5/2021 Pass SD-Photo n/a Hall by room 102 5/5/2021 Pass PS n/a Hall by room 106 5/5/2021 Pass SD-Photo n/a Hall by room 107 5/5/2021 Pass SD-Photo n/a Hall by room 108 5/5/2021 Pass SD-Photo n/a Hall by room 109 5/5/2021 Pass PS n/a Hall by room 111 5/5/2021 Pass SD-Photo n/a Hall by room 112 5/5/2021 Pass SD-Photo n/a Hall by room 129 5/5/2021 Pass HD n/a Ladies room 5/5/2021 Pass PS n/a Main entrance 5/5/2021 Pass HD n/a Men's room 5/5/2021 Pass HD n/a Mezz 47 5/5/2021 Pass HD n/a Mezz 47 5/5/2021 Pass HD n/a Mezz hall 5/5/2021 Pass PS n/a Mezz hall 5/5/2021 Pass PS n/a NE door room 129 5/5/2021 Pass PS n/a NW door room 129 5/5/2021 Pass

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Liverpool, NY 13088 Phone: 315-451-0971

Zone: 1 Type Address Location Notes Last Tested Test Results Comments HD n/a Outside phone room 5/5/2021 Pass HD n/a Room 100 5/5/2021 Pass HD n/a Room 101 5/5/2021 Pass HD n/a Room 102 5/5/2021 Pass HD n/a Room 103 5/5/2021 Pass HD n/a Room 105 5/5/2021 Pass HD n/a Room 106 5/5/2021 Pass HD n/a Room 107 NE 5/5/2021 Pass PS n/a Room 107 NE door 5/5/2021 Pass HD n/a Room 107 NW 5/5/2021 Pass HD n/a Room 107 SE 5/5/2021 Pass PS n/a Room 107 SE door 5/5/2021 Pass PS n/a Room 107 south door 5/5/2021 Pass HD n/a Room 107 SW 5/5/2021 Pass PS n/a Room 107 west door 5/5/2021 Pass HD n/a Room 109 5/5/2021 Pass HD n/a Room 110 5/5/2021 Pass HD n/a Room 111 5/5/2021 Pass HD n/a Room 112 5/5/2021 Pass HD n/a Room 113 5/5/2021 Pass HD n/a Room 114 5/5/2021 Pass HD n/a Room 115 5/5/2021 Pass HD n/a Room 120 NW 5/5/2021 Pass HD n/a Room 129 NE 5/5/2021 Pass HD n/a Room 129 NW 5/5/2021 Pass HD n/a Room 129 SE 5/5/2021 Pass HD n/a Room 129 SW 5/5/2021 Pass HD n/a Room 130 NE 5/5/2021 Pass PS n/a Room 130 NE exit 5/5/2021 Pass HD n/a Room 130 SE 5/5/2021 Pass PS n/a Room 130 SE exit 5/5/2021 Pass HD n/a Room 130 SW 5/5/2021 Pass PS n/a Room 130 SW exit 5/5/2021 Pass SD-Photo n/a Room 130 under floor NE 5/5/2021 Pass SD-Photo n/a Room 130 under floor NW 5/5/2021 Pass SD-Photo n/a Room 130 under floor SE 5/5/2021 Pass

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Liverpool, NY 13088 Phone: 315-451-0971

Zone: 1 Type Address Location Notes Last Tested Test Results Comments SD-Photo n/a Room 130 under floor SW 5/5/2021 Pass HD n/a Room 132 5/5/2021 Pass HD n/a Room 136 east 5/5/2021 Pass HD n/a Room 136 west 5/5/2021 Pass HD n/a Room 137 5/5/2021 Pass HD n/a Room 138 5/5/2021 Pass HD n/a Room 139 5/5/2021 Pass HD n/a Room 140 NE EXIT 5/5/2021 Pass HD n/a SCIF room 5/5/2021 Pass PS n/a Server room 32E front 5/5/2021 Pass SD-Photo n/a Server room 32E front 5/5/2021 Pass PS n/a Server room 32E rear 5/5/2021 Pass SD-Photo n/a Server room 32E rear 5/5/2021 Pass SD-Photo n/a Server room 32E underfloor 5/5/2021 Pass SD-Photo n/a Server room 32E underfloor 5/5/2021 Pass SD-Photo n/a Server Room 32E Front 5/5/2021 Pass SD-Photo n/a Server Room 32E Front 5/5/2021 Pass SD-Photo n/a Server Room 32E Rear 5/5/2021 Pass SD-Photo n/a Server Room 32E Rear 5/5/2021 Pass PS n/a Sprinkler room 5/5/2021 Pass DD n/a Sprinkler room mezz Photo 5/5/2021 Pass DD n/a Sprinkler room Mezz Photo 5/5/2021 Pass DD n/a Sprinkler room Mezz Photo 5/5/2021 Pass DD n/a Sprinkler Room Mezz 5/5/2021 Pass HD n/a Sprinkler room Mezz left 5/5/2021 Pass HD n/a Sprinkler room Mezz right 5/5/2021 Pass PS n/a SW door room 129 5/5/2021 Pass

Comments Any deficiencies or other problems found with the devices must be explained using the comment specific for each device. Additional comments can be added here.

Please see the summary section at the top of the form for the comments.

Inspector's Information Inspected By Jack Vanfossen Inspector License: NOT REQUIRED I state that the information on this form is correct at the time and place of my inspection, and that all equipment tested at this time was left in operating condition upon completion of this inspection except as noted in the Comments.

Signature of Inspector

©2014 FormLink Systems, Inc., Fire Alarm Supplement v1.4 Page 5 of 8

Liverpool, NY 13088 Phone: 315-451-0971

Date 5/5/2021

©2014 FormLink Systems, Inc., Fire Alarm Supplement v1.4©2014 FormLink Systems, Inc., Fire Alarm Supplement v1.4 Page 6 of 8

Liverpool, NY 13088 Phone: 315-451-0971

SECTION IV - OTHER TERMS AND LIMITATIONS

1. This Agreement is for inspection services only. If Customer wants Company to make any repairs, alterations or replacements as a result of the inspection services performed pursuant to this Agreement, such work and the additional compensation to Company must be specified in a separate written agreement between Company and Customer.

2. Any additional system equipment added to the Property after the date of this Agreement or not otherwise specified in Section II of this Agreement is not included in the inspection services to be provided pursuant to this Agreement. Inclusion of any such other equipment will require execution of an amendment to this agreement and adjustment of the inspection fee.

3. The inspection services provided by Company pursuant to this Agreement are limited to an evaluation of the functionality of the equipment identified in Section II above. Company will not evaluate or express any opinion as to whether the design and/or installation of the system are suitable for the Property or the operations at the Property.

4. Company’s inspection is limited to a visual inspection of external readily accessible parts of the system and will not include every component including but not limited to sprinkler heads, pipe, fittings, hangers, pull stations, smoke detectors, conduit wire or other parts of the system being inspected. Company will only inspect a representative number or sample of the sprinkler heads, pipes, hangers, valves or other devices and equipment in their current position. THEREFORE, BY CONDUCTING ITS INSPECTION UNDER THIS AGREEMENT, COMPANY DOES NOT GUARANTEE OR WARRANT THE CONDITION OR OPERATION OF EVERY PIPE, SPRINKLER HEAD OR OTHER PART OF

THE FIRE PROTECTION AND/OR FIRE ALARM/SECURITY SYSTEM ON THE PROPERTY.

5. AS A MATERIAL INDUCEMENT FOR COMPANY TO PROVIDE THE SERVICES SPECIFIED IN THIS AGREEMENT AT THE INSPECTION FEE QUOTED IN THIS AGREEMENT, CUSTOMER AGREES THAT COMPANY’S LIABILITY TO CUSTOMER AND ALL THIRD PARTIES WITH RESPECT TO ANY CLAIM UNDER THIS AGREEMENT, OR ARISING FROM THE SERVICES FURNISHED BY COMPANY, SHALL BE LIMITED TO THE LESSER OF $1,000.00 OR THE TOTAL CONSIDERATION ACTUALLY RECEIVED BY COMPANY UNDER THIS AGREEMENT. THE FOREGOING LIMITATION SHALL APPLY TO ALL CLAIMS REGARDLESS OF THE NATURE THEREOF, INCLUDING CLAIMS ASSERTED AS A BREACH OF CONTRACT, A BREACH OF WARRANTY, NEGLIGENCE, STRICT LIABILITY OR OTHERWISE. IN NO EVENT SHALL COMPANY BE LIABLE FOR INCIDENTAL, CONSEQUENTIAL, SPECIAL, AND INDIRECT OR PUNITIVE DAMAGES, OR DAMAGES FOR LOST PROFITS. If Customer desires Company to accept an increased limit of liability for the services provided under this Agreement, Company will provide an alternate inspection fee quote reflecting such increased limit, provided, however, that the increased limit shall be effective only upon Company’s and Customer’s execution of a replacement agreement confirming the same and Customer’s payment of the alternate fee.

6. Company, following each inspection, will provide to Customer a written “Report of Inspection” (“Report”). If required and/or with prior written authorization, Company will provide copies of the Report to the local or state authority having jurisdiction on behalf of Customer. If requested by Customer, a copy of the Report will also be forwarded to Customer’s insurance company. The Report and recommendations, if any, by Company are only advisory in nature and are intended to assist Customer in reducing the possibility of loss to the Property by indicating obvious defects or impairments to the system(s) which were discovered by Company’s inspection and which should receive prompt attention.

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Liverpool, NY 13088 Phone: 315-451-0971

7. Customer agrees to obtain and shall be solely responsible to maintain property and casualty insurance for the Property, all contents therein, and operations performed within or around the Property. No insurance company, insurer or bonding company or their successors or assigns shall have any right of subrogation or otherwise against Company arising out of this Agreement or the services provided by Company pursuant to this Agreement.

8. Customer agrees to indemnify, defend and hold harmless Company, its agents, and employees from and against any and all claims, demands, suits, liabilities, damages, judgments, losses and expenses (including, without limitation, attorneys’ fees) which may be asserted against or incurred by Company by any third party arising out of or related to this Agreement or the services provided by Company pursuant to this Agreement.

9. Company will make every reasonable effort to prevent the discharge of water into or onto areas of landscaping, decorative pavement, etc., at the Property, however it is 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 and to take measures to eliminate the formation of ice in any area where a slip and fall hazard could occur.

10. This Agreement may not be assigned by Customer without the written consent of 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. This Agreement constitutes the entire Agreement between Company and Customer regarding the subject matter hereof and supersedes all prior agreements and understandings relating thereto. Although Customer for its convenience or in furtherance of its internal procedures may issue to Company a purchase order, order acknowledgement or similar form in connection with the services provided by Company pursuant to this Agreement, no term or condition in any such form that is different from or in addition to the terms set forth in this Agreement shall be applicable, and all such different or additional terms shall be ineffective and void. This Agreement cannot be amended or modified except by a writing signed by Customer and Company.

13. Customer acknowledges Company is relying upon the accuracy of the information regarding Customer and the Property set forth in Sections I of this Agreement. Customer represents that all such information is complete and accurate as of the date on which this Agreement is signed by Customer. Customer will promptly advise Company in writing of any change to such information.

14. Other inclusions, exclusions, or attachments (if any) we exclude fire alarm.

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