Attachment 1 Lakemont - Fire Extinguisher Report.pdf

FIRE EXTINGUISHER

Customer Information

Name Orlando VA Building Lakemont Campus

Building Information

Name Orlando VA Building Lakemont Campus

Address 2500 Lakemont Ave, Orlando, FL 32814

Inspection Information

Name Fire Extinguisher

SR# 001046380

Frequency Monthly

Timezone GMT-05:00

Start Date 02/28/2023

Account Information

Name Johnson Controls North America

Address 50 Technology Drive, Westminster, MA, US, 1441

Phone

Office License

Date 02/28/2023

Inspector License

Contact Information

Name Tony Salley

Role Building Management

E-Mail Anthony.salley@va.gov

Phone 3212281638

INSPECTION RESULTS SUMMARY

DEVICE TYPE INVENTORY COUNT PASSED FAILED CANNOT INSPECT

ABC Extinguisher 39 37 0 2

Extinguisher - Clean Agent 1 1 0 0

Extinguisher - CO2 3 3 0 0

TOTAL 43 41 0 2

COMING 5 YEAR MAINTENANCE DUE

DEVICE TYPE TOTAL IN THE NEXT 3 YEARS NEXT YEAR DUE THIS YEAR

Extinguisher - CO2 3 0 0 2

Fire Extinguisher–Monthly

Customer: Orlando VA Building Lakemont Campus Building: Orlando VA Building Lakemont Campus Address: 2500 Lakemont Ave, Orlando, FL 32814

FIRE EXTINGUISHER REPORT | DATE: 02/28/2023 Page 1 of 8

5 YEAR MAINTENANCE DUE THIS YEAR

EXTINGUISHER - CO2

LOCATION DESCRIPTION MODEL BARCODE INSPECTOR

DATE OF TEST RESULT

AGENT TYPE EXT SIZE MFG NEW DATE ANNUAL

CONDUCTIVITY TEST LAST 5yr HYDRO

1st Fl B — U357674 Jose Romero

02/28/2023 Passed Co2 10 lbs — — 02/22/2016

1st Fl B — — Jose Romero

02/28/2023 Passed Co2 5 lbs — — 02/22/2017

COMING 6 YEAR MAINTENANCE DUE

DEVICE TYPE TOTAL IN THE NEXT 3 YEARS NEXT YEAR DUE THIS YEAR

ABC Extinguisher 39 0 1 1

Extinguisher - Clean Agent 1 0 0 0

6 YEAR MAINTENANCE DUE THIS YEAR

ABC EXTINGUISHER

LOCATION DESCRIPTION MODEL BARCODE INSPECTOR

DATE OF TEST RESULT

AGENT TYPE EXT SIZE MFG NEW DATE LAST 6yr

MAINTENANCE LAST 12yr HYDRO

1st Fl Elevator room — — Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 5 lbs 02/22/2010 02/22/2016 —

6 YEAR MAINTENANCE DUE NEXT YEAR

ABC EXTINGUISHER

LOCATION DESCRIPTION MODEL BARCODE INSPECTOR

DATE OF TEST RESULT

AGENT TYPE EXT SIZE MFG NEW DATE LAST 6yr

MAINTENANCE LAST 12yr HYDRO

1st Fl B — AP976584 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs 02/22/2011 02/22/2018 —

COMING 12 YEAR MAINTENANCE DUE

DEVICE TYPE TOTAL IN THE NEXT 3 YEARS NEXT YEAR DUE THIS YEAR

ABC Extinguisher 39 0 0 0

Extinguisher - Clean Agent 1 0 0 0

DEVICE DEFICIENCIES

No device deficiencies in this inspection.

Fire Extinguisher–Monthly

Customer: Orlando VA Building Lakemont Campus Building: Orlando VA Building Lakemont Campus

FIRE EXTINGUISHER REPORT | DATE: 02/28/2023 Page 2 of 8

CANNOT INSPECT REPORT

LOCATION DESCRIPTION ADDRESS DEVICE MAKE MODEL BARCODE DATE OF TEST TYPE IMAGES

1st Fl Outside — ABC Extinguisher — — wt366220 02/28/2023 Cannot Inspect —

Reason cannot inspect: No key

1st Fl Outside — ABC Extinguisher — — Yb718004 02/28/2023 Cannot Inspect —

Reason cannot inspect: No key

Fire Extinguisher–Monthly

Customer: Orlando VA Building Lakemont Campus Building: Orlando VA Building Lakemont Campus

FIRE EXTINGUISHER REPORT | DATE: 02/28/2023 Page 3 of 8

ABC EXTINGUISHER

LOCATION DESCRIPTION MODEL BARCODE INSPECTOR

DATE OF TEST RESULT

AGENT TYPE EXT SIZE MFG NEW DATE LAST 6yr

MAINTENANCE LAST 12yr HYDRO

1st Fl B — A30577880 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/22/2021

1st Fl B — AP976584 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs 02/22/2011 02/22/2018 —

1st Fl B — wt366221 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/22/2018

1st Fl B — wt366233 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/22/2018

1st Fl B — wt366198 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/22/2018

1st Fl B — wt366224 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/22/2018

1st Fl B — Wt366203 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/22/2018

3rd B — wt366204 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/22/2018

3rd B — wt366251 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/22/2018

3rd B — wt366234 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/22/2018

3rd B — wt366213 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/22/2018

3rd B — wt366226 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/22/2018

3rd B — wt366201 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/22/2018

3rd B — wt366222 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/22/2018

3rd B — wt366230 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/22/2018

3rd B — wt366202 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/22/2018

3rd B — wt366245 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/22/2018

2nd fl B — wt366206 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/22/2018

2nd fl B — wt 367217 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/22/2018

2nd fl B — wt 366246 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/22/2018

2nd fl B — wt 366252 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/22/2018

22 2nd fl B — wt 366205 Jose Romero 02/28/2023 Passed

Fire Extinguisher–Monthly

Customer: Orlando VA Building Lakemont Campus Building: Orlando VA Building Lakemont Campus

FIRE EXTINGUISHER REPORT | DATE: 02/28/2023 Page 4 of 8

ABC EXTINGUISHER

LOCATION DESCRIPTION MODEL BARCODE INSPECTOR

DATE OF TEST RESULT

AGENT TYPE EXT SIZE MFG NEW DATE LAST 6yr

MAINTENANCE LAST 12yr HYDRO

ABC - Stor Press Refill 10 lbs — — 02/22/2018

2nd fl B — wt366211 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/22/2018

2nd fl B — wt366229 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/22/2018

2nd fl B — wt366218 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/22/2018

2nd fl B — wt366209 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/22/2018

2nd fl B — wt366214 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/22/2018

1st Fl B — wt366215 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/22/2018

1st Fl B — wt366207 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/22/2018

1st Fl B — — Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/22/2016

1st Fl B — WT366223 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/22/2018

1st Fl B — WT 366208 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/22/2018

1st Fl Elevator room — — Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 5 lbs 02/22/2010 02/22/2016 —

1st Fl Kitchen — YU102076 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/22/2021

— Mail room — A34037934 Jose Romero

02/28/2023 Passed

1st Fl Outside — wt366220 Jose Romero

02/28/2023 Cannot Inspect ABC - Stor Press Refill 10 lbs — — 02/22/2018

Reason cannot inspect: No key

1st Fl Outside — Yb718004 Jose Romero

02/28/2023 Cannot Inspect ABC - Stor Press Refill 10 lbs — — 02/22/2021

Reason cannot inspect: No key

1st Fl Plant — wt366228 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/22/2018

1st Fl Plant — wt366210 Jose Romero

02/28/2023 Passed ABC - Stor Press Refill 10 lbs — — 02/22/2018

EXTINGUISHER - CLEAN AGENT

LOCATION DESCRIPTION MODEL BARCODE INSPECTOR

DATE OF TEST RESULT

AGENT TYPE EXT SIZE MFG NEW DATE LAST 6yr

MAINTENANCE LAST 12yr HYDRO

1 1st Fl B — X492531 Jose Romero 02/28/2023 Passed

Fire Extinguisher–Monthly

Customer: Orlando VA Building Lakemont Campus Building: Orlando VA Building Lakemont Campus

FIRE EXTINGUISHER REPORT | DATE: 02/28/2023 Page 5 of 8

EXTINGUISHER - CLEAN AGENT

LOCATION DESCRIPTION MODEL BARCODE INSPECTOR

DATE OF TEST RESULT

AGENT TYPE EXT SIZE MFG NEW DATE LAST 6yr

MAINTENANCE LAST 12yr HYDRO

FE-36 9.75 lbs — — 02/22/2021

EXTINGUISHER - CO2

LOCATION DESCRIPTION MODEL BARCODE INSPECTOR

DATE OF TEST RESULT

AGENT TYPE EXT SIZE MFG NEW DATE ANNUAL

CONDUCTIVITY TEST LAST 5yr HYDRO

1st Fl B — U357674 Jose Romero

02/28/2023 Passed Co2 10 lbs — — 02/22/2016

1st Fl B — — Jose Romero

02/28/2023 Passed Co2 5 lbs — — 02/22/2017

1st Fl OIT supply room — — Jose Romero

02/28/2023 Passed Co2 5 lbs — — —

Inspector Signature

Inspector Name Jose Romero Date 02/28/2023

Fire Extinguisher–Monthly

Customer: Orlando VA Building Lakemont Campus Building: Orlando VA Building Lakemont Campus

FIRE EXTINGUISHER REPORT | DATE: 02/28/2023 Page 6 of 8

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.

FIRE EXTINGUISHER REPORT | DATE: 02/28/2023 Page 7 of 8

DEVICE NOTE IMAGE APPENDICES

FIRE EXTINGUISHER REPORT | DATE: 02/28/2023 Page 8 of 8