VA Medical Center - KitchenHoods- OCT2025.pdf

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Inspection Summary

Customer Information

Name VA Medical Center

Building Information

Name VA Medical Center

Address 1826 Veterans Blvd, Dublin, GA 31021

Contact Information

Name Daniel DiMartino

Role Monitoring Organization

E-Mail Daniel.dimartino2@va.gov

Phone 4783044664

Account Information

Service Provider Johnson Controls North America

Office Address 50 Technology Drive, Westminster, MA, US, Office Phone 470-214-7160

Office License

Inspector Name David Mills

Inspector License

4205XHP

Inspection Information

Start Date 10/08/2025

Date 10/08/2025

Inspection Type Joint Commission

Work Order# 59851798

Timezone GMT-04:00

Inspection Summary

The following Tests and Inspections have been covered in this inspection

EP 13 - Kitchen auto extinguishing systems

DEVICE DEFICIENCIES

No device deficiencies in this inspection.

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INSPECTION RESULTS SUMMARY

CURRENT INSPECTION RESULTS PREVIOUS INSPECTION RESULTS

TEST PERFORMED DEVICE TYPE TOTAL PASSED FAILED CANNOT INSPECT % INSPECTED TOTAL

EP13 Kitchen Hood Appliance 10 10 0 0 100 10

EP13 Kitchen Hood System 6 6 0 0 100 6

TOTAL 16 16 0 0 100 16

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KITCHEN AUTO EXTINGUISHING SYSTEMS

CUSTOMER NAME: VA Medical Center

BUILDING NAME: VA Medical Center

BUILDING ADDRESS: 1826 Veterans Blvd, Dublin, GA 31021

CONTACT NAME: Daniel DiMartino

CONTACT E-MAIL: Daniel.dimartino2@va.gov

CONTACT ROLE: Monitoring Organization

CONTACT PHONE: 4783044664

SERVICE PROVIDER: Johnson Controls North America

OFFICE PHONE: 470-214-7160

INSPECTOR: David Mills

INSPECTOR LICENSE: 4205XHP

INSPECTION START DATE: 10/08/2025

INSPECTION END DATE: 10/08/2025

WORK ORDER: 59851798

TIMEZONE: GMT-04:00

INSPECTION RESULTS SUMMARY

CURRENT INSPECTION RESULTS PREVIOUS INSPECTION RESULTS

DEVICE TYPE INVENTORY COUNT PASSED FAILED CANNOT INSPECT % INSPECTED INVENTORY COUNT

Kitchen Hood System 6 6 0 0 100 6

Kitchen Hood Appliance 10 10 0 0 100 10

DEVICE DEFICIENCIES

No device deficiencies in this inspection.

RETIRED DEVICES

No retired devices in this inspection.

Element of Performance - EP-13 Automatic Kitchen Hood Extinguishing Systems – Semi-Annual

NFPA 96-2011: 11.2

Joint Commission Standard EC.02.03.05 Element of Performance 13 EP

-1

07e3cbad-bcf3-415c-86a9-7f3d9c592983 | Kitchen auto extinguishing systems | 10/08/2025

Customer: VA Medical Center | Building: VA Medical Center

Elements of Performance #13

Every 6 months the facility tests all automatic fire extinguishing systems for the Kitchen Hoods. The completion date of the tests is documented.

Note: Discharge of the fire-extinguishing system is not required.

Automatic Kitchen Hood Systems

For additional guidance on performing the tests, see NFPA 96-2011: 11.2

Test Method

An inspection and servicing of the fire-extinguishing system and listed exhaust hoods containing a constant or fire-actuated water system shall be made at least every 6 months by properly trained and qualified persons.

All actuation components, including remote manual pull stations, mechanical or electrical devices, detectors, actuators, and fire-actuated dampers, shall be checked for proper operation during the inspection in accordance with the manufacturer's listed procedures.

Fusible links (including fusible links on fire damper assemblies) and automatic sprinkler heads shall be replaced at least annually or more frequently if necessary where required by the manufacturer.

Other detection devices not including fusible links and automatic sprinklers shall be serviced or replaced in accordance with the manufacturer's recommendations.

Where automatic bulb-type sprinklers or spray nozzles are used and annual examination shows no buildup of grease or other material on the sprinkler or spray nozzles, annual replacement shall not be required.

Element of Performance - EP-13 Automatic Kitchen Hood Extinguishing Systems – Semi-Annual

NFPA 96-2011: 11.2

Joint Commission Standard EC.02.03.05 Element of Performance 13 EP

-1

07e3cbad-bcf3-415c-86a9-7f3d9c592983 | Kitchen auto extinguishing systems | 10/08/2025

System Information

LOCATION DESCRIPTION BARCODE MANUFACTURER MODEL SERIAL NUMBER SERVICE TYPE SIZE

Building 85 — Ansul 1.5 gallon — 288140 Electric N/A

FUEL SHUT OFF TYPE

FUEL SHUT OFF

'ON'

360 FUSIBLE LINK 450 FUSIBLE LINK 500 FUSIBLE LINK

OTHER FUSIBLE

LINK

# LINKS CHANGED

THIS SERVICE

Electric Shunt Trip Yes 1 N/A N/A N/A 1

Ventilation Equipment Information

HOOD SIZE PLENUM SIZE FILTER TYPE FILTER SIZE

48x48 12x10 Baffle 19.5 x19.5

SIZE OF DUCT #1 SIZE OF DUCT #2 SIZE OF DUCT #3 SIZE OF DUCT #4

12x20 N/A N/A N/A

Cooking Appliance Locations

LOCATION DESCRIPTION Appliance Type APPLIANCE SIZE FUEL SOURCE

APPLIANCE

COVERAGE

NOZZLE TYPE NOZZLE QUANTITY

— Building 85 Range 36x36 Electric Pass 230 2

Maintenance Items Results

How many 360 degree Thermal Detectors? N/A

How many 600 degree Thermal Detectors? N/A

Thermal Detectors Tested N/A

All appliances properly protected with correct nozzles? Yes

Duct and plenum protected with correct nozzles? Yes

All nozzles properly aimed at hazard/unobstructed? Yes

Proper separation between fryer(s) and open flame? Yes

Nozzle blow-off caps installed (replace if needed) Yes

Hood & duct penetrations sealed with weld or UL device? Yes

Check cartridge weight (replace if needed)? Yes

Test detection system from terminal detector? Pass

Replace fusible links (every 6 months)? Yes

Date of links 2025

Test remote manual pull station? Pass

Test mechanical gas shut-off valve? N/A

Test electric solenoid gas shut-off valve with reset relay? N/A

Test electric switch for proper operation? Pass

Clean nozzles? Yes

System installed in accordance with mfg. UL listing? Yes

System meets UL 300 standards? Yes

Piping and conduit secured to rigid surface? Yes

Tamper seal(s) installed? Yes

Building fire alarm connected/activated? Pass

Actuation line vacuum test performed (every 6 months)? Yes

Distribution piping network last purged with dry air or nitrogen (every 12 months)? Yes

Exhaust fan(s) operating? Yes

Make-up/return air fan(s) shut down? N/A

Air filters/spacers reinstalled? Yes

Element of Performance - EP-13 Automatic Kitchen Hood Extinguishing Systems – Semi-Annual

NFPA 96-2011: 11.2

Joint Commission Standard EC.02.03.05 Element of Performance 13 EP

-1

07e3cbad-bcf3-415c-86a9-7f3d9c592983 | Kitchen auto extinguishing systems | 10/08/2025

Maintenance Items Results

Personnel instructed in manual operation of system? No

Class K extinguisher with placard present? No

Last regulator test date (every 12 years)? 10/08/2025

System returned to normal operation? Yes

Service and certification tag on system? Yes

Element of Performance - EP-13 Automatic Kitchen Hood Extinguishing Systems – Semi-Annual

NFPA 96-2011: 11.2

Joint Commission Standard EC.02.03.05 Element of Performance 13 EP

-1

07e3cbad-bcf3-415c-86a9-7f3d9c592983 | Kitchen auto extinguishing systems | 10/08/2025

Cafe back — Ansul 6 gallon — 4210015 Electric N/A

FUEL SHUT OFF TYPE

FUEL SHUT OFF

'ON'

360 FUSIBLE LINK 450 FUSIBLE LINK 500 FUSIBLE LINK

OTHER FUSIBLE

LINK

# LINKS CHANGED

THIS SERVICE

Electric Shunt Trip Yes 4 N/A N/A N/A 4

Ventilation Equipment Information

HOOD SIZE PLENUM SIZE FILTER TYPE FILTER SIZE

2-9ftx6ft 16x12 Baffle 12x20

SIZE OF DUCT #1 SIZE OF DUCT #2 SIZE OF DUCT #3 SIZE OF DUCT #4

20x20 20x20 N/A N/A

Cooking Appliance Locations

LOCATION DESCRIPTION Appliance Type APPLIANCE SIZE FUEL SOURCE

APPLIANCE

COVERAGE

NOZZLE TYPE NOZZLE QUANTITY

— Cafe back fryer Fryer 12x12 Electric Pass 3n 1

LOCATION DESCRIPTION Appliance Type APPLIANCE SIZE FUEL SOURCE

APPLIANCE

COVERAGE

NOZZLE TYPE NOZZLE QUANTITY

— Cafe back fryer Fryer 12x12 Electric Pass 3n 1

LOCATION DESCRIPTION Appliance Type APPLIANCE SIZE FUEL SOURCE

APPLIANCE

COVERAGE

NOZZLE TYPE NOZZLE QUANTITY

— Cafe back range Range 36x24 Electric Pass 290 2

Maintenance Items Results

How many 360 degree Thermal Detectors? N/A

How many 600 degree Thermal Detectors? N/A

Thermal Detectors Tested N/A

All appliances properly protected with correct nozzles? Yes

Duct and plenum protected with correct nozzles? Yes

All nozzles properly aimed at hazard/unobstructed? Yes

Proper separation between fryer(s) and open flame? Yes

Nozzle blow-off caps installed (replace if needed) Yes

Hood & duct penetrations sealed with weld or UL device? Yes

Check cartridge weight (replace if needed)? Yes

Test detection system from terminal detector? Pass

Replace fusible links (every 6 months)? Yes

Date of links 2025

Test remote manual pull station? Pass

Test mechanical gas shut-off valve? N/A

Test electric solenoid gas shut-off valve with reset relay? N/A

Test electric switch for proper operation? Pass

Clean nozzles? Yes

System installed in accordance with mfg. UL listing? Yes

System meets UL 300 standards? Yes

Piping and conduit secured to rigid surface? Yes

Element of Performance - EP-13 Automatic Kitchen Hood Extinguishing Systems – Semi-Annual

NFPA 96-2011: 11.2

Joint Commission Standard EC.02.03.05 Element of Performance 13 EP

-1

07e3cbad-bcf3-415c-86a9-7f3d9c592983 | Kitchen auto extinguishing systems | 10/08/2025

Tamper seal(s) installed? Yes

Building fire alarm connected/activated? Pass

Actuation line vacuum test performed (every 6 months)? Yes

Distribution piping network last purged with dry air or nitrogen (every 12 months)? Yes

Exhaust fan(s) operating? Yes

Make-up/return air fan(s) shut down? N/A

Air filters/spacers reinstalled? Yes

Personnel instructed in manual operation of system? No

Class K extinguisher with placard present? Yes

Last regulator test date (every 12 years)? 10/08/2023

System returned to normal operation? Yes

Service and certification tag on system? Yes

Element of Performance - EP-13 Automatic Kitchen Hood Extinguishing Systems – Semi-Annual

NFPA 96-2011: 11.2

Joint Commission Standard EC.02.03.05 Element of Performance 13 EP

-1

07e3cbad-bcf3-415c-86a9-7f3d9c592983 | Kitchen auto extinguishing systems | 10/08/2025

Cafe front — Ansul — 354544 Electric N/A

FUEL SHUT OFF TYPE

FUEL SHUT OFF

'ON'

360 FUSIBLE LINK 450 FUSIBLE LINK 500 FUSIBLE LINK

OTHER FUSIBLE

LINK

# LINKS CHANGED

THIS SERVICE

Electric Shunt Trip Yes 5 N/A N/A N/A 5

Ventilation Equipment Information

HOOD SIZE PLENUM SIZE FILTER TYPE FILTER SIZE

10x5 16x12 Baffle 12x20

SIZE OF DUCT #1 SIZE OF DUCT #2 SIZE OF DUCT #3 SIZE OF DUCT #4

20x20 N/A N/A N/A

Cooking Appliance Locations

LOCATION DESCRIPTION Appliance Type APPLIANCE SIZE FUEL SOURCE

APPLIANCE

COVERAGE

NOZZLE TYPE NOZZLE QUANTITY

— Cafe front fryer Fryer 21x13 Electric Fail 3n 1

LOCATION DESCRIPTION Appliance Type APPLIANCE SIZE FUEL SOURCE

APPLIANCE

COVERAGE

NOZZLE TYPE NOZZLE QUANTITY

— Cafe front fryer Fryer 21x13 Electric Pass 3n 1

Maintenance Items Results

How many 360 degree Thermal Detectors? N/A

How many 600 degree Thermal Detectors? N/A

Thermal Detectors Tested N/A

All appliances properly protected with correct nozzles? Yes

Duct and plenum protected with correct nozzles? Yes

All nozzles properly aimed at hazard/unobstructed? Yes

Proper separation between fryer(s) and open flame? Yes

Nozzle blow-off caps installed (replace if needed) Yes

Hood & duct penetrations sealed with weld or UL device? Yes

Check cartridge weight (replace if needed)? Yes

Test detection system from terminal detector? Pass

Replace fusible links (every 6 months)? Yes

Date of links 2025

Test remote manual pull station? Pass

Test mechanical gas shut-off valve? N/A

Test electric solenoid gas shut-off valve with reset relay? N/A

Test electric switch for proper operation? Pass

Clean nozzles? Yes

System installed in accordance with mfg. UL listing? Yes

System meets UL 300 standards? Yes

Piping and conduit secured to rigid surface? Yes

Tamper seal(s) installed? Yes

Building fire alarm connected/activated? Pass

Actuation line vacuum test performed (every 6 months)? Yes

Distribution piping network last purged with dry air or nitrogen (every 12 months)? Yes

Element of Performance - EP-13 Automatic Kitchen Hood Extinguishing Systems – Semi-Annual

NFPA 96-2011: 11.2

Joint Commission Standard EC.02.03.05 Element of Performance 13 EP

-1

07e3cbad-bcf3-415c-86a9-7f3d9c592983 | Kitchen auto extinguishing systems | 10/08/2025

Exhaust fan(s) operating? Yes

Make-up/return air fan(s) shut down? N/A

Air filters/spacers reinstalled? Yes

Personnel instructed in manual operation of system? Yes

Class K extinguisher with placard present? Yes

Last regulator test date (every 12 years)? 10/08/2023

System returned to normal operation? Yes

Service and certification tag on system? Yes

Element of Performance - EP-13 Automatic Kitchen Hood Extinguishing Systems – Semi-Annual

NFPA 96-2011: 11.2

Joint Commission Standard EC.02.03.05 Element of Performance 13 EP

-1

07e3cbad-bcf3-415c-86a9-7f3d9c592983 | Kitchen auto extinguishing systems | 10/08/2025

Main kitchen back hood

— Ansul 6 gallon — 132508 Electric N/A

FUEL SHUT OFF TYPE

FUEL SHUT OFF

'ON'

360 FUSIBLE LINK 450 FUSIBLE LINK 500 FUSIBLE LINK

OTHER FUSIBLE

LINK

# LINKS CHANGED

THIS SERVICE

Electric Shunt Trip Yes 4 N/A N/A N/A 4

Ventilation Equipment Information

HOOD SIZE PLENUM SIZE FILTER TYPE FILTER SIZE

2- 16 ft x4 ft 24x12 Baffle 19.5 x19.5

SIZE OF DUCT #1 SIZE OF DUCT #2 SIZE OF DUCT #3 SIZE OF DUCT #4

20x20 20x20 N/A N/A

Cooking Appliance Locations

LOCATION DESCRIPTION Appliance Type APPLIANCE SIZE FUEL SOURCE

APPLIANCE

COVERAGE

NOZZLE TYPE NOZZLE QUANTITY

Main back hood skillet Tilt Skillet 21x13 Electric Pass 3n 3

Maintenance Items Results

How many 360 degree Thermal Detectors? N/A

How many 600 degree Thermal Detectors? N/A

Thermal Detectors Tested N/A

All appliances properly protected with correct nozzles? Yes

Duct and plenum protected with correct nozzles? Yes

All nozzles properly aimed at hazard/unobstructed? Yes

Proper separation between fryer(s) and open flame? Yes

Nozzle blow-off caps installed (replace if needed) Yes

Hood & duct penetrations sealed with weld or UL device? Yes

Check cartridge weight (replace if needed)? Yes

Test detection system from terminal detector? Pass

Replace fusible links (every 6 months)? Yes

Date of links 2025

Test remote manual pull station? Pass

Test mechanical gas shut-off valve? N/A

Test electric solenoid gas shut-off valve with reset relay? N/A

Test electric switch for proper operation? Pass

Clean nozzles? Yes

System installed in accordance with mfg. UL listing? Yes

System meets UL 300 standards? Yes

Piping and conduit secured to rigid surface? Yes

Tamper seal(s) installed? Yes

Building fire alarm connected/activated? Pass

Actuation line vacuum test performed (every 6 months)? Yes

Distribution piping network last purged with dry air or nitrogen (every 12 months)? Yes

Exhaust fan(s) operating? Yes

Element of Performance - EP-13 Automatic Kitchen Hood Extinguishing Systems – Semi-Annual

NFPA 96-2011: 11.2

Joint Commission Standard EC.02.03.05 Element of Performance 13 EP

-1

07e3cbad-bcf3-415c-86a9-7f3d9c592983 | Kitchen auto extinguishing systems | 10/08/2025

Make-up/return air fan(s) shut down? N/A

Air filters/spacers reinstalled? Yes

Personnel instructed in manual operation of system? No

Class K extinguisher with placard present? Yes

Last regulator test date (every 12 years)? 10/08/2023

System returned to normal operation? Yes

Service and certification tag on system? Yes

Element of Performance - EP-13 Automatic Kitchen Hood Extinguishing Systems – Semi-Annual

NFPA 96-2011: 11.2

Joint Commission Standard EC.02.03.05 Element of Performance 13 EP

-1

07e3cbad-bcf3-415c-86a9-7f3d9c592983 | Kitchen auto extinguishing systems | 10/08/2025

Main kitchen front hood

— Ansul 6 gallon — 188162 Electric N/A

FUEL SHUT OFF TYPE

FUEL SHUT OFF

'ON'

360 FUSIBLE LINK 450 FUSIBLE LINK 500 FUSIBLE LINK

OTHER FUSIBLE

LINK

# LINKS CHANGED

THIS SERVICE

Electric Shunt Trip Yes 4 N/A N/A N/A 4

Ventilation Equipment Information

HOOD SIZE PLENUM SIZE FILTER TYPE FILTER SIZE

13ftx9.5 16.24 v bank Baffle 19.6x19.6

SIZE OF DUCT #1 SIZE OF DUCT #2 SIZE OF DUCT #3 SIZE OF DUCT #4

20x20 20x20 N/A N/A

Cooking Appliance Locations

LOCATION DESCRIPTION Appliance Type APPLIANCE SIZE FUEL SOURCE

APPLIANCE

COVERAGE

NOZZLE TYPE NOZZLE QUANTITY

Front main hood fryer Fryer 12 round Electric Pass 3n 1

LOCATION DESCRIPTION Appliance Type APPLIANCE SIZE FUEL SOURCE

APPLIANCE

COVERAGE

NOZZLE TYPE NOZZLE QUANTITY

Front main hood griddle Griddle 36x24 Electric Pass 1n 1

Maintenance Items Results

How many 360 degree Thermal Detectors? N/A

How many 600 degree Thermal Detectors? N/A

Thermal Detectors Tested N/A

All appliances properly protected with correct nozzles? Yes

Duct and plenum protected with correct nozzles? Yes

All nozzles properly aimed at hazard/unobstructed? Yes

Proper separation between fryer(s) and open flame? Yes

Nozzle blow-off caps installed (replace if needed) Yes

Hood & duct penetrations sealed with weld or UL device? Yes

Check cartridge weight (replace if needed)? Yes

Test detection system from terminal detector? Pass

Replace fusible links (every 6 months)? Yes

Date of links 2025

Test remote manual pull station? Pass

Test mechanical gas shut-off valve? N/A

Test electric solenoid gas shut-off valve with reset relay? N/A

Test electric switch for proper operation? Pass

Clean nozzles? Yes

System installed in accordance with mfg. UL listing? Yes

System meets UL 300 standards? Yes

Piping and conduit secured to rigid surface? Yes

Tamper seal(s) installed? Yes

Building fire alarm connected/activated? Pass

Element of Performance - EP-13 Automatic Kitchen Hood Extinguishing Systems – Semi-Annual

NFPA 96-2011: 11.2

Joint Commission Standard EC.02.03.05 Element of Performance 13 EP

-1

07e3cbad-bcf3-415c-86a9-7f3d9c592983 | Kitchen auto extinguishing systems | 10/08/2025

Actuation line vacuum test performed (every 6 months)? Yes

Distribution piping network last purged with dry air or nitrogen (every 12 months)? Yes

Exhaust fan(s) operating? Yes

Make-up/return air fan(s) shut down? N/A

Air filters/spacers reinstalled? Yes

Personnel instructed in manual operation of system? No

Class K extinguisher with placard present? Yes

Last regulator test date (every 12 years)? 10/08/2023

System returned to normal operation? Yes

Service and certification tag on system? Yes

Element of Performance - EP-13 Automatic Kitchen Hood Extinguishing Systems – Semi-Annual

NFPA 96-2011: 11.2

Joint Commission Standard EC.02.03.05 Element of Performance 13 EP

-1

07e3cbad-bcf3-415c-86a9-7f3d9c592983 | Kitchen auto extinguishing systems | 10/08/2025

Main kitchen serving line

— Ansul 3 gallon — 51117 Electric N/A

FUEL SHUT OFF TYPE

FUEL SHUT OFF

'ON'

360 FUSIBLE LINK 450 FUSIBLE LINK 500 FUSIBLE LINK

OTHER FUSIBLE

LINK

# LINKS CHANGED

THIS SERVICE

Electric Shunt Trip Yes 3 N/A N/A N/A 3

Ventilation Equipment Information

HOOD SIZE PLENUM SIZE FILTER TYPE FILTER SIZE

7x4.6ft 13x10 Water wash N/A

SIZE OF DUCT #1 SIZE OF DUCT #2 SIZE OF DUCT #3 SIZE OF DUCT #4

12x12 N/A N/A N/A

Cooking Appliance Locations

LOCATION DESCRIPTION Appliance Type APPLIANCE SIZE FUEL SOURCE

APPLIANCE

COVERAGE

NOZZLE TYPE NOZZLE QUANTITY

— Serving line oven Oven 42x36 Electric Pass 290 2

Maintenance Items Results

How many 360 degree Thermal Detectors? N/A

How many 600 degree Thermal Detectors? N/A

Thermal Detectors Tested N/A

All appliances properly protected with correct nozzles? Yes

Duct and plenum protected with correct nozzles? Yes

All nozzles properly aimed at hazard/unobstructed? Yes

Proper separation between fryer(s) and open flame? Yes

Nozzle blow-off caps installed (replace if needed) Yes

Hood & duct penetrations sealed with weld or UL device? Not Answered

Check cartridge weight (replace if needed)? Yes

Test detection system from terminal detector? Pass

Replace fusible links (every 6 months)? Yes

Date of links 2025

Test remote manual pull station? Pass

Test mechanical gas shut-off valve? N/A

Test electric solenoid gas shut-off valve with reset relay? N/A

Test electric switch for proper operation? Pass

Clean nozzles? Yes

System installed in accordance with mfg. UL listing? Yes

System meets UL 300 standards? Yes

Piping and conduit secured to rigid surface? Yes

Tamper seal(s) installed? Yes

Building fire alarm connected/activated? Pass

Actuation line vacuum test performed (every 6 months)? Yes

Distribution piping network last purged with dry air or nitrogen (every 12 months)? Yes

Exhaust fan(s) operating? Yes

Make-up/return air fan(s) shut down? N/A

Element of Performance - EP-13 Automatic Kitchen Hood Extinguishing Systems – Semi-Annual

NFPA 96-2011: 11.2

Joint Commission Standard EC.02.03.05 Element of Performance 13 EP

-1

07e3cbad-bcf3-415c-86a9-7f3d9c592983 | Kitchen auto extinguishing systems | 10/08/2025

Air filters/spacers reinstalled? Yes

Personnel instructed in manual operation of system? Yes

Class K extinguisher with placard present? Yes

Last regulator test date (every 12 years)? 10/08/2025

System returned to normal operation? Yes

Service and certification tag on system? Yes

Inspector Signature

Inspector Name David Mills Date 10/08/2025

Element of Performance - EP-13 Automatic Kitchen Hood Extinguishing Systems – Semi-Annual

NFPA 96-2011: 11.2

Joint Commission Standard EC.02.03.05 Element of Performance 13 EP

-1

07e3cbad-bcf3-415c-86a9-7f3d9c592983 | Kitchen auto extinguishing systems | 10/08/2025

Terms And Conditions

1. Limitation of Liability; Limitations Of Remedy. It is understood and agreed by the Customer that Company is not an insurer and that insurance coverage, if any, shall be obtained by the Customer and that amounts payable to Company hereunder are based upon the value of the services and the scope of liability set forth in this agreement and are unrelated to the value of the Customer's property and the property of others located on the premises. Customer agrees to look exclusively to the Customer's insurer to recover for injuries or damage in the event of any loss or injury and that Customer releases and waives all right of recovery against Company arising by way of subrogation. Company makes no guaranty or Warranty, including any implied warranty of merchantability or fitness for a particular purpose that equipment or services supplied by Company will detect or avert occurrences or the consequences there from that the equipment or service was designed to detect or avert.<br />It is impractical and extremely difficult to fix the actual damages, if any, which may proximately result from failure on the part of Company to perform any of its obligations under this agreement. Accordingly, Customer agrees that, Company shall be exempt from liability for any loss, damage or injury arising directly or indirectly from occurrences, or the consequences therefrom, which the equipment or service was designed to detect or avert. Should Company be found liable for any loss, damage or injury arising from a failure of the equipment or service in any respect, Company's liability shall be limited to an amount equal to the agreement price (as increased by the price for any additional work) or where the time and material payment term is selected, Customer's time and material payments to Company. Where this agreement covers multiple sites, liability shall be limited to the amount of the payments allocable to the site where the incident occurred. Such sum shall be complete and exclusive. If Customer desires Company to assume greater liability, the parties shall amend this agreement by attaching a rider setting forth the amount of additional liability and the additional amount payable by the Customer for the assumption by Company of such greater liability, provided however that such rider shall in no way be interpreted to hold Company as an insurer. IN NO EVENT SHALL COMPANY BE LIABLE FOR ANY DAMAGE, LOSS, INJURY, OR ANY OTHER CLAIM ARISING FROM ANY SERVICING, ALTERATIONS, MODIFICATIONS, CHANGES, OR MOVEMENTS OF THE COVERED SYSTEM(S) OR ANY OF ITS COMPONENT PARTS BY THE CUSTOMER OR ANY THIRD PARTY. COMPANY SHALL NOT BE LIABLE FOR INDIRECT, INCIDENTAL OR CONSEQUENTIAL DAMAGES OF ANY KIND, INCLUDING BUT NOT LIMITED TO DAMAGES ARISING FROM THE USE, LOSS OF THE USE, PERFORMANCE, OR FAILURE OF THE COVERED SYSTEM(S) TO PERFORM. The limitations of liability set forth in this agreement shall inure to the benefit of all parents, subsidiaries and affiliates of Company, whether direct or indirect, Company's employees, agents, officers and directors.

2. Limited Warranty. COMPANY WARRANTS THAT ITS WORKMANSHIP AND MATERIAL FURNISHED UNDER THIS AGREEMENT WILL BE FREE FROM DEFECTS FOR A PERIOD OF NINETY

(90) DAYS FROM THE DATE OF FURNISHING. Where Company provides product or equipment of others, Company will warrant the product or equipment only to the extent warranted by such third party. EXCEPT AS EXPRESSLY SET FORTH HEREIN, COMPANY DISCLAIMS ALL WARRANTIES, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO ANY IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE WITH RESPECT TO THE SERVICES PERFORMED OR THE PRODUCTS, SYSTEMS OR EQUIPMENT, IF ANY, SUPPORTED HEREUNDER. COMPANY MAKES NO WARRANTY OR REPRESENTATION, AND UNDERTAKES NO OBLIGATION TO ENSURE BY THE SERVICES PERFORMED UNDER THIS AGREEMENT, THAT COMPANY'S PRODUCTS OR THE SYSTEMS OR EQUIPMENT OF THE CUSTOMER WILL CORRECTLY HANDLE THE PROCESSING OF CALENDAR DATES BEFORE OR

AFTER DECEMBER 31, 1999.

3. Indemnity. Customer agrees to indemnify, hold harmless and defend Company against any and all losses, damages, costs, including expert fees and costs, and expenses including reasonable defense costs, arising from any and all third party claims for personal injury, death, property damage or economic loss, including specifically any damages resulting from the exposure of workers to Hazardous Conditions whether or not Customer pre-notifies Company of the existence of said hazardous conditions, arising in any way from any act or omission of Customer or Company relating in any way to this agreement, including but not limited to the Services under this agreement, whether such claims are based upon contract, warranty, tort (including but not limited to active or passive negligence), strict liability or otherwise. Company reserves the right to select counsel to represent it in any such action.

4. Hazardous Materials. Customer represents that, except to the extent that Company has been given written notice of the following hazards prior to the execution of this agreement, to the best of Customer's knowledge there is no:

a. "permit confined space," as defined by OSHA, or space in which work must be performed that, because of its construction, location, contents or work activity therein, accumulation of a hazardous gas, vapour, dust or fume or the creation of a risk of infectious disease

b. need for air monitoring, respiratory protection, or other medical risk

c. asbestos, asbestos-containing material, formaldehyde or other potentially toxic or otherwise hazardous material contained in or on the surface of the floors, walls, ceilings, insulation or other structural components of the area of any building

d. All of the above are hereinafter referred to as "Hazardous Conditions". Company shall have the right to rely on the representations listed above. If hazardous conditions are encountered by Company during the course of Company's work, the discovery of such conditions shall constitute an event beyond Company's control and Company shall have no obligation to further perform in the area where the hazardous conditions exist until the area has been made safe by Customer as certified in writing by an independent testing agency, and Customer shall pay disruption expenses and re-mobilization expenses as determined by Company. This agreement does not provide for the cost of capture, containment or disposal of any hazardous waste materials, or hazardous materials, encountered in any of the Covered System(s) and/or during performance of the Services. Said materials shall at all times remain the responsibility and property of Customer. Company shall not be responsible for the testing, removal or disposal of such hazardous materials.

5. Equipment Disconnections. This represents Company's notice to you that the system(s)/device(s) listed on the face of this agreement as temporarily or permanently disconnected are no longer in service and, thus, cannot detect, perform and/or report

6. General. Unless otherwise specified, work shall be performed during company's regular business hours,, exclusive of Saturdays, Sundays and Company holidays. All work is subject to review and rebilling in accordance with the terms and conditions of Customer's agreement/contract with Company, if one is in effect. Company shall not be responsible for failure to render services due to causes beyond its control, including but not limited to material shortages, work stoppages, fires, civil disobedience or unrest, severe weather, fire or any other cause beyond the control of Company. Customer is aware that the Limitation of Liability and other provisions set forth in any existing agreement/contract, if one is in effect, or set forth above, apply to services performed and materials supplied. The terms of this agreement shall govern notwithstanding any inconsistent or additional terms and conditions in any purchase order or other document submitted by Customer.

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DEVICE NOTE IMAGE APPENDICES

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