TOTAL EQPT INV TYPE CLASS AND LOC.pdf

PDF 6 MB Posted May 27, 2021

Attached to: J042-- New Service Request Fire Suppression Systems Service Base + 4 Option Yr| Engineering (VA-21-00020822)
Solicitation number: 36C26121Q0315
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 21

About this file

Written by GovTribe AI · Dec 28, 2023

This is a pre-solicitation notice for a total service disabled veteran owned small business set-aside solicitation for fire testing and maintenance services for the VA Las Vegas. The VA Network Contracting Office 21 intends to issue solicitation number 36C26121Q0315 on or around March 5, 2021. Interested parties may review the attached draft performance work statement and request for quote documentation, and submit any questions. Interested parties should monitor Contract Opportunities for the official RFQ release. The anticipated period of performance includes a one year base period and four one-year option periods.

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Other files

File	Type	Posted
36C26121Q0315 0003.docx	DOCX document	Jun 1, 2021
36C26121Q0315 0002.docx	DOCX document	May 27, 2021
36C26121Q0315 0001.docx	DOCX document	May 13, 2021
EQPT INVENTORY LIST.xlsx	XLSX spreadsheet	Apr 27, 2021
WAGE DETERMINATION.pdf	PDF	Apr 27, 2021
Self-Performance Worksheet.docx	DOCX document	Apr 27, 2021
36C26121Q0315.docx	DOCX document	Apr 27, 2021

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Inspection performed in accordance with NFPA 25 Standard for the Inspection, Testing, and Maintenance of Water-Based Fire Protection Systems, 2017 edition.

Inspection Location

VA SOUTHERN NEVADA HEALTHCARE 4445

6900 NORTH PECOS ROAD

NORTH LAS VEGAS, NV 89086

Phone:

Customer

VETERANS FIRE & LIFE SAFETY 2206

7 SHERRI LANE

ST PETERS, MO 63376

Phone: 314-489-8621

ACE FIRE SYSTEMS

2620 WESTERN AVE

LAS VEGAS, NV 89109

PHONE: 702-384-2932

FAX: 702-384-7282

ACEFIRENV.COM

Annual Water-Based Fire Protection Systems Inspection

Inspector: ERIC WARNER Inspection date: 04/22/2020

Customer

VETERANS FIRE & LIFE SAFETY 2206

7 SHERRI LANE

ST PETERS, MO 63376

Inspection Date: 04/22/2020

Inspection Location

VA SOUTHERN NEVADA HEALTHCARE 4445

6900 NORTH PECOS ROAD

NORTH LAS VEGAS, NV 89086

Contact: ALEX VERLANIC

Technician: ERIC WARNER

ACE FIRE SYSTEMS

2620 WESTERN AVE

LAS VEGAS, NV 89109

PHONE: 702-384-2932

FAX: 702-384-7282

ACEFIRENV.COM

Annual Fire Pump Flow Test

Inspection Comments

FIRE PUMP #1 TEST RESULTS - PASS

Inspection Comments

FIRE PUMP #2 TEST RESULTS - PASS

Inspection performed in accordance with NFPA 25 Standard for Inspection, Test, and Maintenance of Water-Based Fire Protection Systems, and 2018 Environment of Care; Elements of Performance for EC.02.03.05 EC.02.03.05 EP 11: For automatic sprinkler systems: Every 12 months, the hospital tests fire pumps under flow. The results and completion date are documented. Note: For addditional guidance on performing tests, see NFPA 25-2011:

8.3.3.

Liability Release Statement:

The owner and/or designated representative acknowledges the responsibility of the operating condition of the component parts at the time of this inspection. It is agreed that the inspection service provided by the contractor as prescribed herein is limited to performing a visual inspection and/or routine testing, and any investigation or unscheduled testing, modification, maintenance, repair, etc., of the component parts is not included as part of the inspection work performed. It is further understood that all information contained herein is provided to the best of the knowledge of the party providing such information.

Customer: Tech: ERIC WARNER

Veteran's Hospital PUMP Page 1 of 11

PUMP #1 PUMP ROOM

Churn Test

Test Point % - 0 Target Flow - 0

Flow

0.0

Suction

Discharge

Net Pressure

Speed (rpm)

Volts Amps

L1: 476

L2: 480

L3: 484

Piping Suction valve size 8"

Bypass valve size 8"

Minimum static supply pressure 0.01

Discharge gauge 14

Discharge valve size 8"

Test Header #/Size of hose 10"

Pressure Relief valve size .75

System gauge 145.00

Roof Manifold #/size of hose 8"

Suction gauge 9.00

Start/Stop Value Jockey pump start (psi) 135 Fire pump stop (psi) 0

Fire pump start (psi) 130 Manual stop NA

Automatic stop (min) 10

Jockey stop (psi) 165

Pump Pump type Horizontal Split Case

Mfr A-C Fire Pump

Model # 8100

Serial # 09-0555122-01-01/QKJ146

Rated GPM 1500.00

Rated PSI 115.00

Rated RPM 1780

Max PSI 128

150% PSI 93

150% GPM 2250

Impeller 17.25"

Stages 1

Electric Motor Driver type

Mfr WEG

Model # 150180P3G444TS

Serial # 1002571352

Horsepower 150

RPM 1477

Volts 380

Amps 203.4

Phase 3

Cycles 60

Service factor 1.15

Controller Type Electric Across-the-Line Start

Mfr Metron

Model # MP700-150-480C MTS

Serial # NA-09N41681-12

Horsepower 150

Volts 480

Phase 3

Cycles 60

Interrupt cap 480

Transfer Switch Mfr Metron Model # MTS260 Serial # NA-09N41681-12

Nozzle Coefficient

Nozzle Type

1.31

Pitotless Nzzl- 2" GVD w/ Lttl Hose Monst

Test Point 1

L3: 483

3548494

L1: 476

2 121

L2: 479

Flow Test Point %:

100%

Measured Flow: 1495

Adj. Flow 750

Measured Press: 119 0

50710.5

Nozzle Pitot Flow Suction Discharge Net Pressure Speed (rpm)

Adj. Press.: 30

Press. Test Point %:

26.09%

Volts Amps

0 0

Electric Fire Pump Pump S/N 09-0555122-01-

01/QKJ146

Veteran's Hospital PUMP Page 2 of 11

Test Point 2

Flow Test Point %:

150% Nozzle Pitot Flow Suction Discharge Net

Pressure Speed (rpm) Volts Amps

Press. Test Point %:

23.48%

Adj. Press.: 27

Measured Press: 108

Adj. Flow 1133

Measured Flow: 2256 2

0 0

564 -10 98 108 3545 L1: 476

L2: 478

L3: 482 165

0 0

Graph- Electric Pressure Flow

Veteran's Hospital PUMP Page 3 of 11

Graph- Electric RPM Correction

Veteran's Hospital PUMP Page 4 of 11

Graph- Electric Motor Current

Veteran's Hospital PUMP Page 5 of 11

PUMP #2 PUMP ROOM

Churn Test

Test Point % - 0 Target Flow - 0

Flow

0.0

Suction

Discharge

Net Pressure

Speed (rpm)

Volts Amps

L1: 480

L2: 482

L3: 482

Piping Suction valve size 8"

Bypass valve size 8"

Minimum static supply pressure 0.01

Discharge gauge 7

Discharge valve size 8"

Test Header #/Size of hose 10"

Pressure Relief valve size .75

System gauge 145.00

Roof Manifold #/size of hose 8"

Suction gauge 9.00

Start/Stop Value Jockey pump start (psi) 165 Fire pump stop (psi) 0

Fire pump start (psi) 130 Manual stop NA

Automatic stop (min) 10

Jockey stop (psi) 145

Pump Pump type Horizontal Split Case

Mfr A-C Fire Pump

Model # 8100

Serial # 09-055122-01-02

Rated GPM 1500

Rated PSI 115

Rated RPM 1780

Max PSI 129

150% PSI 97

150% GPM 2250

Impeller 17.25"

Stages 1

Electric Motor Driver type

Mfr WEG

Model # 150180P3G444TS

Serial # 1003760597

Horsepower 150

RPM 1780.00

Volts 380

Amps 203.4

Phase 3

Cycles 60

Service factor 1.15

Controller Type Electric Across-the-Line Start

Mfr Metron

Model # MP700-150-480C

Serial # NA-09N4168111

Horsepower 150

Volts 480

Phase 3

Cycles 60

Interrupt cap 480

Transfer Switch Mfr Metron Model # MTS260 Serial # NA-09N4168111

Nozzle Coefficient

Nozzle Type

1.31

Pitotless Nzzl- 2" GVD w/ Lttl Hose Monst

Test Point 1

10.5

L3: 479

1788507

L1: 473

2 125

L2: 482

Flow Test Point %:

100%

Measured Flow: 1495

Adj. Flow 1488

Measured Press: 121 0

49410

Nozzle Pitot Flow Suction Discharge Net Pressure Speed (rpm)

Adj. Press.: 120

Press. Test Point %:

104.35%

Volts Amps

0 0

Electric Fire Pump Pump S/N 09-055122-01-02

Veteran's Hospital PUMP Page 6 of 11

Test Point 2

Flow Test Point %:

150% Nozzle Pitot Flow Suction Discharge Net

Pressure Speed (rpm) Volts Amps

Press. Test Point %:

86.09%

Adj. Press.: 99

Measured Press: 100

Adj. Flow 2250

Measured Flow: 2256 2

0 0

564 -5 95 100 1785 L1: 472

L2: 482

L3: 478 193

0 0

Graph- Electric Pressure Flow

Veteran's Hospital PUMP Page 7 of 11

Graph- Electric RPM Correction

Veteran's Hospital PUMP Page 8 of 11

Graph- Electric Motor Current

Veteran's Hospital PUMP Page 9 of 11

Flow Test Point %: Measured Flow: Adj. Flow Measured Press: Adj. Press.: Press. Test Point %:

Test Point 1 100% 1495 1489 123 122 1%

Previous Electric Fire Pump Inspection Data Pump S/N 09-0555122-01-

01/QKJ146

PUMP #1 PUMP ROOM Test Date: 4/11/2019

Test Point 2 150% 2256 2251 95 95 0%

Test Point 3 0% 0 0 0 0 0%

Veteran's Hospital PUMP Page 10 of 11

Flow Test Point %: Measured Flow: Adj. Flow Measured Press: Adj. Press.: Press. Test Point %:

Test Point 1 100% 1495 1487 119 118 1%

Previous Electric Fire Pump Inspection Data Pump S/N 09-055122-01-

PUMP #2 PUMP ROOM Test Date: 4/11/2019

Test Point 2 150% 2256 2250 94 93 0%

Test Point 3 0% 0 0 0 0 0%

Veteran's Hospital PUMP Page 11 of 11

Fire Alarm and Life Safety System Inspection Certificate

For

Las Vegas VAMC Fisher House 6900 N Pecos Rd Las Vegas, NV 89086

Veterans Fire and Life Safety has performed this inspection and testing service in compliance with The Joint Commission/VHA Standards. The inspection/testing frequencies adhered to for this service have been performed in accordance with The Joint Commission/VHA Clarification Memorandum on EC & LS Standards effective January 31, 2020. This Inspection was performed in accordance with applicable NFPA Standards. The subsequent pages of this report provide performance measurements, listed ranges of acceptable results, and complete documentation of the inspection. Whenever discrepancies exist between acceptable performance standards and actual test results, notes and/or recommended solutions have been proposed or provided for immediate review and approval.

Inspection Completion Date May 5, 2020

Building: Las Vegas VAMC Fisher House Company: Veterans Fire and Life Safety Contact: Dan White Contact: Michael Gill

Title: Engineering Staff Title: Field Supervisor/Technician

Veterans Fire and Life Safety 1 05/06/2020

Executive Summary Generated by: BuildingReports.com

Building Information Building: Las Vegas VAMC Fisher House Contact: Dan White

Address: 6900 N Pecos Rd Phone: 17027919000

Address: Fax:

City/State/Zip: Las Vegas, NV 89086 Mobile:

Country: United States of America Email:

Inspection Performed By Company: Veterans Fire and Life Safety Inspector: Michael Gill

Address: 7 Sherri Lane Phone: 386-747-2294

Address: Fax: 3145020737

City/State/Zip: St. Peters, MO 63376 Mobile:

Country: United States of America Email: michaelgill15@yahoo.com

Monitoring Company: Phone: Account #:

Central Station Signal Verification Type: Mfg: Model #:

Test Time/Date: Restore Time

Veterans Fire and Life Safety 2 05/06/2020

Inspection Completion Date: May 5, 2020

Building: Las Vegas VAMC Fisher House

EC 02.03.05 EP 02

Semi-annual testing of water flow devices and valve tamper switches

Devices Tested This Quarter

Pass Fail Tested YTD

(2020) Untested YTD

(2020) Total Quantity

Tamper Switch 1 1 0 1 0 1 Waterflow Switch 1 1 0 1 0 1

EC 02.03.05 EP 03

Annual testing of duct detectors, heat detectors, manual fire alarm boxes, and smoke detectors

Devices Tested This Quarter

Pass Fail Tested YTD

(2020) Untested YTD

(2020) Total Quantity

Duct Detector 3 3 0 3 0 3 Heat Detector 3 3 0 3 0 3 Pull Station 9 9 0 9 0 9 Smoke Detector 41 41 0 41 0 41

EC 02.03.05 EP 04

Annual test of visual and audible fire alarms, including speakers and door releasing devices.

Devices Tested This Quarter

Pass Fail Tested YTD

(2020) Untested YTD

(2020) Total Quantity

Releasing Device 5 5 0 5 0 5 Speaker/Strobe 29 29 0 29 0 29 Strobe 7 7 0 7 0 7

EC 02.03.05 EP 19

Annual test of automatic smoke-detection shutdown devices for air-handling equipment per NFPA 90A-2018

Devices Tested This Quarter

Pass Fail Tested YTD

(2020) Untested YTD

(2020) Total Quantity

Duct Detector 3 3 0 3 0 3 Fan Shutdown 3 3 0 3 0 3

LS 02.01.10 EP 10

All other Life Safety Code fire alarm requirements related to NFPA 101-2018 18/19.3.4

Devices Tested This Quarter

Pass Fail Tested YTD

(2020) Untested YTD

(2020) Total Quantity

CO Detector 7 7 0 7 0 7

LS 02.01.30 EP 25

All other Life Safety Code fire and smoke protection requirements related to

NFPA 101-2018 18/19.3

Devices Tested This Quarter

Pass Fail Tested YTD

(2020) Untested YTD

(2020)

Damper Control 1 1 0 1 0 1

LS 02.01.34 EP 03

Approved location for remote annunciator panel

Devices Tested This Quarter

Pass Fail Tested YTD

(2020) Untested YTD

(2020)

Annunciator 1 1 0 1 0 1

LS 02.01.34 EP 04

18/19.3.4

Veterans Fire and Life Safety 3 05/06/2020

Devices Tested This Quarter

Pass Fail Tested YTD

(2020) Untested YTD

(2020) Total Quantity

Battery 6 0 6 6 0 6 Power Supply 3 3 0 3 0 3

LS 02.01.50 EP 04

Elevators are fully equipped and protected

Devices Tested This Quarter

Pass Fail Tested YTD

(2020) Untested YTD

(2020) Total Quantity

Elevator 4 4 0 4 0 4

Total Device Count: 124

Veterans Fire and Life Safety 4 05/06/2020

Certification Company: Veterans Fire and Life Safety Building: Las Vegas VAMC Fisher House

Inspector: Michael Gill Contact: Dan White

Signed: Signed:

Veterans Fire and Life Safety 5 05/06/2020

Discrepancy Report

Building: Las Vegas VAMC Fisher House Control Panel: n/a

The Discrepancy Report consolidates each discrepancy listed within the various Testing sections of your Inspection.

Discrepancies are listed by Category, and grouped by device type. The description of the problem is provided and where appropriate, code references are listed for your convenience. Any item that was inspected that is listed on the Consumer Product Safety Commission's website and is subject to a recall by the manufacturer is included.

Device Type Manufacturer ModelNumber Date Qty

Items listed for Recall by Manufacturer No recalled items found during this inspection.

ScanID Location Problem Address Reference

LS 02.01.34 EP 04 All other Life Safety Code fire alarm requirements related to NFPA 101-2018 18/19.3.4

Battery 45309159 1 Room 107 Power Supply Right Panel Date Expired 0-12V-8Ah NFPA72 Table

14.4.3.2 (9a)(1) 45309160 1 Room 107 Power Supply Right Panel Date Expired 0-12V-8Ah NFPA72 Table

14.4.3.2 (9a)(1)

Code References NFPA72 Table

14.4.3.2 (9a)(1)

Batteries shall be replaced in accordance with the recommendations of the alarm equipment manufacturer or when the recharged battery voltage or current falls below the manufacturer's recommendations

Veterans Fire and Life Safety 6 05/06/2020

Building: Las Vegas VAMC Fisher House Control Panel: 1

The Discrepancy Report consolidates each discrepancy listed within the various Testing sections of your Inspection.

Device Type Manufacturer ModelNumber Date Qty

Items listed for Recall by Manufacturer No recalled items found during this inspection.

ScanID Location Problem Address Reference

LS 02.01.34 EP 04 All other Life Safety Code fire alarm requirements related to NFPA 101-2018 18/19.3.4

Battery 19020150 1 Room 107 Power Supply Failed Test 1-12V-26Ah NFPA72 Table

14.4.3.2 (9a)(1) 19020151 1 Room 107 Power Supply Failed Test 1-12V-26Ah NFPA72 Table

14.4.3.2 (9a)(1) 19020152 1 Room 107 Power Supply Left Panel Date Expired 1-12V-8Ah NFPA72 Table

14.4.3.2 (9a)(1) 19020153 1 Room 107 Power Supply Left Panel Date Expired 1-12V-8Ah NFPA72 Table

14.4.3.2 (9a)(1)

Code References NFPA72 Table

14.4.3.2 (9a)(1)

Batteries shall be replaced in accordance with the recommendations of the alarm equipment

Veterans Fire and Life Safety 7 05/06/2020

Proposed Solutions Report

The Proposed Solution Report provides a solution for each discrepancy listed on the Discrepancy Report. Provide a check mark where indicated to approve repairs listed within the report. Items listed as T/M are available for repair on a Time and Materials basis.

ScanID Location Solution Model # Cost Fix

All other Life Safety Code fire alarm requirements related to NFPA 101-2018 18/19.3.4

Battery

45309159 1 Room 107 Power Supply Right Panel Replace

T/M 45309160 1 Room 107 Power Supply Right Panel Replace

19020150 1 Room 107 Power Supply Replace

19020151 1 Room 107 Power Supply Replace

19020152 1 Room 107 Power Supply Left Panel Replace

19020153 1 Room 107 Power Supply Left Panel Replace

PO #: (none) T/M

Veterans Fire and Life Safety 8 05/06/2020

Notes & Recommendations

The Notes & Recommendations Report details additional inspection notes made by the Inspectors during the course of the building inspection.

ScanID Note Device Type Location Comment

EC 02.03.05 EP 03 Annual testing of duct detectors, heat detectors, manual fire alarm boxes, and smoke detectors

45309149 1 Duct Detector Attic ATTIC LVL DUCT AC-3 Passed Shuts Down Unit

45309147 2 Duct Detector 1 LVL 1 DUCT AC-1 Passed Shuts Down Unit

45309148 3 Duct Detector 1 LVL 1 DUCT AC-2 Passed Shuts Down Unit

45309140 4 Smoke Detector 2 SMOKE LVL 2 ELEV. LOBBY Passed Recalls To Primary Floor

Veterans Fire and Life Safety 9 05/06/2020

Inspection & Testing

The Inspection & Testing section lists all of the items inspected in your building, which are then categorized by the applicable code reference. The most recent inspection is listed in the far right column and is based on the Finish Date of that inspection. The latest inspection uploaded in each previous quarter appears in the four columns to the left.

Passed=P, Failed=F, Replaced=R

Operate valve and verify signal receipt shall be verified to be within the first two revolutions of the hand wheel or within one-fifth of the travel distance, or per the manufacturer's published instructions. (NFPA 72-19 Table 14.4.3.2 (17)(10)(a))

Devices Tested Q2/20 Pass Q2/20 Fail Q2/20 Tested YTD (2020) Total Quantity

Tamper Switch 1 1 0 1 1

Device Type Location ScanID Address Q2/19 Q2/20

Tamper Switch 1 In MECHANICAL 111 45309157 0-19020131 04/25-P 04/16-P

Device Total: 1

Veterans Fire and Life Safety 10 05/06/2020

Water shall be flowed through an inspector's test connection indicating the flow of water equal to that from a single sprinkler of the smallest orifice size installed in the system for wet-pipe systems, or an alarm test bypass connection for dry-pipe, pre-action, or deluge systems in accordance with NFPA 25-20. (NFPA 72-19 Table 14.4.3.2 (17)(11))

Waterflow Switch 1 1 0 1 1

Waterflow Switch 1 In MECHANICAL 111 45309161 0-19020130 04/25-P 04/16-P

Veterans Fire and Life Safety 11 05/06/2020

Annual testing of duct detectors, heat detectors, manual fire alarm boxes, and smoke detectors

Test duct smoke detectors that use sampling tubes to ensure that they will properly sample the airstream in the duct using a method acceptable to the manufacturer or in accordance with their published instructions. (NFPA 72-19 Table 14.4.3.2 (17)(7)(e))

Duct Detector 3 3 0 3 3

Duct Detector Attic ATTIC LVL DUCT AC-3 45309149 0-19020047 04/17-P 04/16-P

Duct Detector 1 LVL 1 DUCT AC-2 45309148 0-19020046 04/25-P 04/21-P

Duct Detector 1 LVL 1 DUCT AC-1 45309147 0-19020045 04/25-P 05/05-P

Device Total: 3

Veterans Fire and Life Safety 12 05/06/2020

Restorable: Perform heat test with a listed and labeled heat source or in accordance with the manufacturer's published instructions.

Non-Restorable: Do not perform heat test. Test functionality mechanically and electrically. (NFPA 72-19 Table 14.4.3.2 (17)(4)(a))

Heat Detector 3 3 0 3 3

Heat Detector 1 HEAT LVL 1 LAUNDRY 107 45309089 0-19020002 04/25-P 04/16-P

Heat Detector 1 HEAT LVL 1 KITCHEN 108 45309091 0-19020007 04/25-P 04/21-P

Heat Detector 1 HEAT LVL 1 ELEV. EQUIP. RM 45309090 0-19020005 04/25-P 05/05-P

Veterans Fire and Life Safety 13 05/06/2020

Operate manual fire alarm boxes per the manufacturer's published instructions. Test both key-operated presignal and general alarm manual fire alarm boxes. (NFPA 72-19 Table 14.4.3.2 (17)(5))

Pull Station 9 9 0 9 9

Pull Station 1 PULL LVL 1 HALL 121 SOUTH 45309101 0-19020139 04/17-P 04/16-P

Pull Station 1 PULL LVL 1 FOYER 100 45309100 0-19020138 04/17-P 04/16-P

Pull Station 1 PULL LVL 1 KITCHEN 108 45309097 0-19020129 04/17-P 04/16-P

Pull Station 1 PULL LVL 1 HALL 112 SOUTH 45309099 0-19020137 04/17-P 04/16-P

Pull Station 1 PULL LVL 1 HALL 112 NORTH 45309098 0-19020136 04/17-P 04/16-P

Pull Station 1 PULL LVL 1 HALL 121 NORTH 45309102 0-19020140 04/17-P 04/21-P

Pull Station 2 PULL LVL 2 HALL 200A 45309105 0-19020143 04/17-P 04/16-P

Pull Station 2 PULL LVL 2 ELEV. LOBBY 45309104 0-19020142 04/17-P 04/16-P

Pull Station 2 PULL LVL 2 HALL 200B 45309103 0-19020141 04/17-P 04/16-P

Device Total: 9

Veterans Fire and Life Safety 14 05/06/2020

Test smoke detectors in place to ensure smoke entry into the sensing chamber and an alarm response. (NFPA 72-19 Table 14.4.3.2 (17)(7)(a))

Smoke Detector 41 41 0 41 41

Smoke Detector 1 SMOKE LVL 1 BEDROOM 108 45309128 0-19020026 04/17-P 04/16-P

Smoke Detector 1 SMOKE LVL 1 HALL 121 SOUTH 45309127 0-19020025 04/17-P 04/16-P

Smoke Detector 1 SMOKE LVL 1 BEDROOM 107 45309129 0-19020027 04/25-P 04/16-P

Smoke Detector 1 SMOKE LVL 1 HALL 121 MIDDLE 45309126 0-19020024 04/17-P 04/16-P

Smoke Detector 1 SMOKE LVL 1 CLOSET 105 45309107 0-19020003 04/25-P 04/16-P

Smoke Detector 1 SMOKE LVL 1 BEDROOM 106 45309130 0-19020028 04/17-P 04/16-P

Smoke Detector 1 SMOKE LVL 1 BEDROOM 105 45309131 0-19020029 04/17-P 04/16-P

Smoke Detector 1 SMOKE LVL 1 HALL 121 NORTH 45309133 0-19020031 04/17-P 04/16-P

Smoke Detector 1 SMOKE LVL 1 OFFICE 110 45309132 0-19020030 04/17-P 04/16-P

Smoke Detector 1 SMOKE LVL 1 HALL 103 EAST 45309117 0-19020015 04/17-P 04/16-P

Smoke Detector 1 SMOKE LVL 1 LIVING RM 101 S 45309123 0-19020021 04/17-P 04/16-P

Smoke Detector 1 SMOKE LVL 1 LIVING RM 101 N 45309124 0-19020022 04/17-P 04/16-P

Smoke Detector 1 SMOKE LVL 1 FOYER 100 SOUTH 45309122 0-19020020 04/17-P 04/16-P

Smoke Detector 1 SMOKE LVL 1 DINE RM. 102 S. 45309119 0-19020017 04/17-P 04/16-P

Smoke Detector 1 SMOKE LVL 1 DINE RM. 102 N. 45309118 0-19020016 04/17-P 04/16-P

Smoke Detector 1 SMOKE LVL 1 HALL 103 WEST 45309125 0-19020023 04/17-P 04/16-P

Smoke Detector 1 SMOKE LVL 1 FAMILY RM 109 45309106 0-19020001 04/17-P 04/16-P

Smoke Detector 1 SMOKE LVL 1 HALL 112 SOUTH 45309115 0-19020013 04/17-P 04/16-P

Smoke Detector 1 SMOKE LVL 1 BEDROOM 101 45309114 0-19020012 04/25-P 04/16-P

Smoke Detector 1 SMOKE LVL 1 HALL 112 MIDDLE 45309116 0-19020014 04/17-P 04/16-P

Smoke Detector 1 SMOKE LVL 1 BEDROOM 103 45309112 0-19020010 04/25-P 04/16-P

Smoke Detector 1 SMOKE LVL 1 BEDROOM 104 45309111 0-19020009 04/25-P 04/16-P

Smoke Detector 1 SMOKE LVL 1 HALL 112 NORTH 45309110 0-19020008 04/17-P 04/16-P

Smoke Detector 1 SMOKE LVL 1 BEDROOM 102 45309113 0-19020011 04/25-P 04/16-P

Smoke Detector 1 SMOKE LVL 1 MECHANICAL 111 45309108 0-19020004 04/25-P 04/16-P

Smoke Detector 1 SMOKE LVL 1 ELEV. EQUIP. RM 45309109 0-19020006 04/25-P 05/05-P

Smoke Detector 1 SMOKE LVL 1 HALL 103 MIDDLE 45309120 0-19020018 04/25-P 05/05-P

Smoke Detector 1 SMOKE LVL 1 ELEV. LOBBY 45309121 0-19020019 04/17-P 05/05-P

Smoke Detector 2 SMOKE LVL 2 BEDROOM 208 45309142 0-19020040 04/17-P 04/16-P

Smoke Detector 2 SMOKE LVL 2 HALL 200A 45309141 0-19020039 04/17-P 04/16-P

Smoke Detector 2 SMOKE LVL 2 BEDROOM 201 45309143 0-19020041 04/17-P 04/16-P

Smoke Detector 2 SMOKE LVL 2 BEDROOM 202 45309144 0-19020042 04/17-P 04/16-P

Smoke Detector 2 SMOKE LVL 2 TOP OF STAIRS 45309139 0-19020037 04/17-P 04/16-P

Smoke Detector 2 SMOKE LVL 2 BEDROOM 207 45309138 0-19020036 04/17-P 04/16-P

Smoke Detector 2 SMOKE LVL 2 CLOSET 45309137 0-19020035 04/17-P 04/16-P

Smoke Detector 2 SMOKE LVL 2 HALL 200B 45309136 0-19020034 04/17-P 04/16-P

Smoke Detector 2 SMOKE LVL 2 BEDROOM 206 45309134 0-19020032 04/17-P 04/16-P

Smoke Detector 2 SMOKE LVL 2 BEDROOM 205 45309135 0-19020033 04/17-P 04/16-P

Smoke Detector 2 SMOKE LVL 2 BEDROOM 204 45309146 0-19020044 04/17-P 04/16-P

Smoke Detector 2 SMOKE LVL 2 BEDROOM 203 45309145 0-19020043 04/17-P 04/16-P

Smoke Detector 2 SMOKE LVL 2 ELEV. LOBBY 45309140 0-19020038 04/17-P 05/05-P

Device Total: 41

Veterans Fire and Life Safety 15 05/06/2020

Annual test of visual and audible fire alarms, including speakers and door releasing devices.

Test interface equipment connections by operating or simulating the equipment being supervised. Verify signals required to be transmitted are received at the control unit. (NFPA 72-19 Table 14.4.3.2 (20))

Releasing Device 5 5 0 5 5

Releasing Device 1st Kitchen 42020040 1 04/25-P 04/21-P

Releasing Device 1st 42020038 1 04/25-P 04/21-P

Releasing Device 1st 42020039 1 04/25-P 04/21-P

Releasing Device 2nd 42020036 1 04/25-P 04/21-P

Releasing Device FIRE CURTAIN CONTROL 45309096 0-19020150 04/25-P 04/21-P

Device Total: 5

Veterans Fire and Life Safety 16 05/06/2020

For periodic testing, verify the operation of the notification appliances. (NFPA 72-19 Table 14.4.3.2 (22)(2))

Speaker/Strobe 29 29 0 29 29

Speaker/Strobe 1st In Room 104 42020023 1 04/25-P 04/21-P

Speaker/Strobe 1st By Room 104 42020022 1 04/25-P 04/21-P

Speaker/Strobe 1st By Room 103 42020021 1 04/25-P 04/21-P

Speaker/Strobe 1st In Room 103 42020020 1 04/25-P 04/21-P

Speaker/Strobe 1st In Room 101 42020019 1 04/25-P 04/21-P

Speaker/Strobe 1st By Room 101 42020018 1 04/25-P 04/21-P

Speaker/Strobe 1st In Kitchen 42020016 1 04/25-P 04/21-P

Speaker/Strobe 1st In Room 107 42020012 1 04/25-P 04/21-P

Speaker/Strobe 1st In Room 108 42020013 1 04/25-P 04/21-P

Speaker/Strobe 1st In Room 110 42020009 1 04/25-P 04/21-P

Speaker/Strobe 1st In Room 105 42020008 1 04/25-P 04/21-P

Speaker/Strobe 1st By Room 105 42020005 1 04/25-P 04/21-P

Speaker/Strobe 1st By Room 108 42020004 1 04/25-P 04/21-P

Speaker/Strobe 1st By Rest Room 42020003 1 04/25-P 04/21-P

Speaker/Strobe 1st Dining Room 42020002 1 04/25-P 04/21-P

Speaker/Strobe 1st living room 42020001 1 04/25-P 04/21-P

Speaker/Strobe 1st main hall by dining 42020000 1 04/25-P 04/21-P

Speaker/Strobe 2nd By Room 203 42020029 1 04/25-P 04/21-P

Speaker/Strobe 2nd In Room 202 42020027 1 04/25-P 04/21-P

Speaker/Strobe 2nd In Room 201 42020026 1 04/25-P 04/21-P

Speaker/Strobe 2nd By Top Of Stairs 42020024 1 04/25-P 04/21-P

Speaker/Strobe 2nd In Room 208 42020025 1 04/25-P 04/21-P

Speaker/Strobe 2nd In Room 203 42020028 1 04/25-P 04/21-P

Speaker/Strobe 2nd By Room 204 42020030 1 04/25-P 04/21-P

Speaker/Strobe 2nd In Room 207 42020031 1 04/25-P 04/21-P

Speaker/Strobe 2nd In Room 205 42020033 1 04/25-P 04/21-P

Speaker/Strobe 2nd In Room 204 42020032 1 04/25-P 04/21-P

Speaker/Strobe 2nd In Room 206 42020034 1 04/25-P 04/21-P

Speaker/Strobe 2nd In Riser Room 42020035 1 04/25-P 04/21-P

Device Total: 29

Veterans Fire and Life Safety 17 05/06/2020

For periodic testing, verify that each appliance flashes. (NFPA 72-19 Table 14.4.3.2 (22)(3))

Strobe 7 7 0 7 7

Strobe 1st In Room 106 Restroom 42020011 1 04/25-P 04/21-P

Strobe 1st By Guest Room 105 42020007 1 04/25-P 04/21-P

Strobe 1st In Room 106 42020010 1 04/25-P 04/21-P

Strobe 1st By Room 108 Kitchen 42020014 1 04/25-P 04/21-P

Strobe 1st By Living Room Off Of Kitchen 42020015 1 04/25-P 04/21-P

Strobe 1st In Laundry 42020017 1 04/25-P 04/21-P

Strobe 1st In Room 105 Storage 42020006 1 04/25-P 04/21-P

Device Total: 7

Veterans Fire and Life Safety 18 05/06/2020

Annual test of automatic smoke-detection shutdown devices for air-handling equipment per NFPA 90A-2018

Duct Detector 3 3 0 3 3

Duct Detector Attic ATTIC LVL DUCT AC-3 45309149 0-19020047 04/17-P 04/16-P

Duct Detector 1 LVL 1 DUCT AC-2 45309148 0-19020046 04/25-P 04/21-P

Duct Detector 1 LVL 1 DUCT AC-1 45309147 0-19020045 04/25-P 05/05-P

Veterans Fire and Life Safety 19 05/06/2020

90A-2018

Fan Shutdown 3 3 0 3 3

Fan Shutdown AC-1 CONTROL 45309086 0-19020146 04/25-P 04/16-P

Fan Shutdown AC-3 CONTROL 45309088 0-19020148 04/25-P 04/16-P

Fan Shutdown AC-2 CONTROL 45309087 0-19020147 04/25-P 04/16-P

Veterans Fire and Life Safety 20 05/06/2020

LS 02.01.10 EP 10

Test fire-gas detectors and other fire detectors as prescribed by the manufacturer and as necessary for the application. (NFPA 72-19 Table 14.4.3.2 (17)(3))

CO Detector 7 7 0 7 7

CO Detector 1 CO DET. LVL 1 HALL 121 NORTH 45309154 0-19020154 04/25-P 04/16-P

CO Detector 1 CO DET. LVL 1 HALL 121 SOUTH 45309155 0-19020155 04/25-P 04/16-P

CO Detector 1 CO DET. LVL 1 LAUNDRY RM 107 45309153 0-19020153 04/25-P 04/16-P

CO Detector 1 CO DET. LVL 1 HALL 112 SOUTH 45309152 0-19020152 04/25-P 04/16-P

CO Detector 1 CO DET. LVL 1 HALL 112 NORTH 45309151 0-19020151 04/25-P 04/16-P

CO Detector 1 CO DET. LVL 1 MECH RM 111 45309150 0-19020128 04/25-P 04/16-P

CO Detector 2 CO DET. LVL 2 BY STAIRS 45309156 0-19020156 04/25-P 04/16-P

Device Total: 7

Veterans Fire and Life Safety 21 05/06/2020

All other Life Safety Code fire and smoke protection requirements related to NFPA 101-2018 18/19.3

Damper Control 1 1 0 1 1

Damper Control DAMPER CONTROL 45309085 0-19020149 04/25-P 04/16-P

Veterans Fire and Life Safety 22 05/06/2020

Verify the correct operation and identification of annunciators. If provided, verify the correct operation of annunciator under a fault condition. (NFPA 72-19 Table 14.4.3.2 (11))

Annunciator 1 1 0 1 1

Annunciator 1st By Main Entrance 42020037 1 04/25-P 04/21-P

Veterans Fire and Life Safety 23 05/06/2020

With the batteries fully charged and connected to the charger, measure the voltage across the batteries with a voltmeter. Then, with the battery charger disconnected, load test the batteries following the manufacturer's recommendations. (NFPA 72-19 Table 14.4.3.2 (9))

Battery 6 0 6 6 6

Battery 1 Room 107 Power Supply Right Panel 45309159 0-12V-8Ah 04/17-P 04/16-F

Battery 1 Room 107 Power Supply Right Panel 45309160 0-12V-8Ah 04/17-P 04/16-F

Battery 1 Room 107 Power Supply Left Panel 19020152 1-12V-8Ah 04/25-P 04/16-F

Battery 1 Room 107 Power Supply Left Panel 19020153 1-12V-8Ah 04/25-P 04/16-F

Battery 1 Room 107 Power Supply 19020151 1-12V-26Ah 04/25-P 04/16-F

Battery 1 Room 107 Power Supply 19020150 1-12V-26Ah 04/25-P 04/16-F

Device Total: 6

Veterans Fire and Life Safety 24 05/06/2020

Verify correct receipt of alarm, supervisory and trouble signals (inputs), operation of evacuation signals and auxiliary functions (outputs), circuit supervision including detection of open circuits and ground faults, and power supply supervision for detection of loss of ac power and disconnection of secondary batteries. (NFPA 72-19 Table 14.4.3.2 (2)(1))

Power Supply 3 3 0 3 3

Power Supply 1 Power Supply Right Panel 45309158 0-19020126 04/25-P 04/16-P

Power Supply 1 Power Supply 19020154 1-19020126 04/25-P 04/16-P

Power Supply 1 Power Supply Left Panel 19020155 1-19020126 04/25-P 04/16-P

Veterans Fire and Life Safety 25 05/06/2020

Elevator 4 4 0 4 4

Elevator ELEV. PRIMARY RECALL 45309092 0-19020133 04/25-P 05/05-P

Elevator ELEV. ALTERNATE RECALL 45309093 0-19020134 04/25-P 05/05-P

Elevator ELEV. SHUNT TRIP 45309094 0-19020135 04/25-P 05/05-P

Elevator ELEV. 3RD CKT. FIRE HAT 45309095 0-19020144 04/25-P 05/05-P

Device Total: 4

Veterans Fire and Life Safety 26 05/06/2020

Service Summary

The Service Summary section provides an overview of the services performed in this report.

Device Type Service Quantity

Failed/Other

Battery Tested 6

Total 6

Passed

Annunciator Tested 1

CO Detector Tested 7

Damper Control Tested 1

Duct Detector Tested 3

Elevator Tested 4

Fan Shutdown Tested 3

Heat Detector Tested 3

Power Supply Tested 3

Pull Station Tested 9

Releasing Device Tested 5

Smoke Detector Tested/Cleaned 41

Speaker/Strobe Tested 29

Strobe Tested 7

Tamper Switch Tested 1

Waterflow Switch Tested 1

Total 118

Grand Total 124

Veterans Fire and Life Safety 27 05/06/2020

Auxiliary Functions Testing

The Auxiliary Functions Testing section lists each of the ancillary items, systems, and emergency equipment that are controlled by the system control unit. Items are grouped by Passed or Failed/Other. The items are listed by device type, and a check box is provided to indicate if the test conducted was simulated.

Type Location Comment ScanID Simulated

Passed

Damper Control

DAMPER CONTROL Passed 45309085

Elevator

Shunt Trip ELEV. 3RD CKT. FIRE HAT Passed 45309095 Alternate Recall ELEV. ALTERNATE RECALL Passed 45309093 Primary Recall ELEV. PRIMARY RECALL Passed 45309092 Shunt Trip ELEV. SHUNT TRIP Passed 45309094

Fan Shutdown

AC-1 CONTROL Passed 45309086

AC-2 CONTROL Passed 45309087

AC-3 CONTROL Passed 45309088

Releasing Device

Door Holder FIRE CURTAIN CONTROL Passed 45309096

Duct Detector

Fan Shutdown Attic ATTIC LVL DUCT AC-3 Passed 45309149

Fan Shutdown 1 LVL 1 DUCT AC-1 Passed 45309147

Fan Shutdown 1 LVL 1 DUCT AC-2 Passed 45309148

Heat Detector

Shunt Trip 1 HEAT LVL 1 ELEV. EQUIP. RM Passed 45309090

Smoke Detector

Elevator Recall 1 SMOKE LVL 1 ELEV. EQUIP. RM Passed 45309109

Elevator Recall 1 SMOKE LVL 1 ELEV. LOBBY Passed 45309121

Elevator Recall 2 SMOKE LVL 2 ELEV. LOBBY Passed 45309140

Type Location Comment ScanID Simulated

Veterans Fire and Life Safety 28 05/06/2020

Type Location Comment ScanID Simulated

Passed

Releasing Device

Door Holder 1st Kitchen Passed 42020040 Door Holder 1st Passed 42020038 Door Holder 1st Passed 42020039 Door Holder 2nd Passed 42020036

Veterans Fire and Life Safety 29 05/06/2020

Time, Temperature & Level Testing

The Time, Temperature, & Level Testing section details the measurements taken from various devices that are designed to respond in a certain amount of time, respond at a certain temperature, or respond within the acceptable range of volume or level. Items are grouped by Passed or Failed/Other.

Type Location Comment Sec Deg Lvl ScanID

Passed Waterflow Switch

1 In MECHANICAL 111 Passed 15 n/a n/a 45309161

Veterans Fire and Life Safety 30 05/06/2020

Battery & Power Supply Testing

The Battery & Power Supply Testing section details the readings and measurements of batteries and power supplies used to provide power to the fire alarm and life safety systems. Items are grouped by Passed or Failed/Other.

Battery

Type Location Rated Ah

Rated Volts

Pre Test

Post Test

Min Ah

Tested Ah

Failed/Other Sealed Lead Acid 1 Room 107 Power Supply

Right Panel 26Ah 12V

Sealed Lead Acid 1 Room 107 Power Supply Right Panel

26Ah 12V

Power Supply

Protection Type Location Rated Ah Rated Volts Charging Voltage

Passed Breaker 1 Power Supply Right Panel 8Ah 12V

Building: Las Vegas VAMC Fisher House Control Panel: 1

Battery

Type Location Rated Ah

Rated Volts

Pre Test

Post Test

Min Ah

Tested Ah

Failed/Other Sealed Lead Acid 1 Room 107 Power Supply 26Ah 12V 13.01 20

Sealed Lead Acid 1 Room 107 Power Supply 26Ah 12V 12.97 4.6

Sealed Lead Acid 1 Room 107 Power Supply Left Panel

8Ah 12V

Sealed Lead Acid 1 Room 107 Power Supply Left Panel

8Ah 12V

Power Supply Protection Type Location Rated Ah Rated Volts Charging Voltage

Veterans Fire and Life Safety 31 05/06/2020

Breaker 1 Power Supply 52Ah 12V

Breaker 1 Power Supply Left Panel 8Ah 12V

Veterans Fire and Life Safety 32 05/06/2020

Inventory & Warranty Report

Building: Las Vegas VAMC Fisher House Control Panel: n/a

The Inventory & Warranty Report lists each of the devices and items that are included in your Inspection Report. A complete inventory count by device type and category is provided. Items installed within the last 90 days, within the last year, and devices installed for two years or more are grouped together for easy reference.

Device or Type Category % of Inventory Quantity

Smoke Detector Initiating 33.06% 41

Pull Station Initiating 7.26% 9

Heat Detector Initiating 2.42% 3

Duct Detector Initiating 2.42% 3

Fan Shutdown Auxiliary 2.42% 3

CO Detector Initiating 5.65% 7

Damper Control Auxiliary 0.81% 1

Power Supply Control 2.42% 3

Battery Control 4.84% 6

Tamper Switch Supervisory 0.81% 1

Waterflow Switch Initiating 0.81% 1

Strobe Indicating 5.65% 7

Speaker/Strobe Indicating 23.39% 29

Releasing Device Auxiliary 4.03% 5

Annunciator Control 0.81% 1

Elevator Auxiliary 3.23% 4

Type

Qt y Model # Description Install Date

In Service - 2 Years to 3 Years

EST

CO Detector 2 Siga-SD

05/30/2017

Duct Detector 3 Siga-SD Photoelectric 05/30/2017

Smoke Detector 4 Siga-PS

05/30/2017

In Service - 3 Years to 5 Years

Battery 2

Sealed Lead Acid 05/04/2017

Damper Control 1

05/04/2017

Fan Shutdown 3

Power Supply 1

Pull Station 2 Siga-270

Releasing Device 1

Door Holder 05/04/2017

Elevator 1

Alternate Recall 05/01/2017

Elevator 1

Primary Recall 05/01/2017

Veterans Fire and Life Safety 33 05/06/2020

Elevator 2

Shunt Trip 05/01/2017

Heat Detector 2

05/01/2017

Heat Detector 1

Fixed Temperature 05/01/2017

Pull Station 7 Siga-270

Smoke Detector 36 Siga-PS

Tamper Switch 1

Waterflow Switch 1

Smoke Detector 1 Siga-PS

04/25/2017

In Service - 25 Years or Older

CO Detector 5 Siga-SD

12/31/1969

Type

Qt y Model # Description Install Date

In Service - 3 Years to 5 Years

Battery 4

Sealed Lead Acid 05/04/2017

Power Supply 2

In Service - 25 Years or Older

Annunciator 1

LCD Display 12/31/1969

Releasing Device 4

Door Holder 12/31/1969

Speaker/Strobe 29

Strobe 7

Veterans Fire and Life Safety 34 05/06/2020

Zone Address Report

The Zone Address Report lists all of the devices and items that have an individual address, or are grouped together under a common zone. The device type, location, and description are included for your reference.

Address Device Type Location Type ScanID 12V-8Ah Battery 1 Room 107 Power Supply Right Panel Sealed Lead Acid 45309159 12V-8Ah Battery 1 Room 107 Power Supply Right Panel Sealed Lead Acid 45309160 19020001 Smoke Detector 1 SMOKE LVL 1 FAMILY RM 109 45309106 19020002 Heat Detector 1 HEAT LVL 1 LAUNDRY 107 45309089 19020003 Smoke Detector 1 SMOKE LVL 1 CLOSET 105 45309107 19020004 Smoke Detector 1 SMOKE LVL 1 MECHANICAL 111 45309108 19020005 Heat Detector 1 HEAT LVL 1 ELEV. EQUIP. RM Fixed Temperature 45309090 19020006 Smoke Detector 1 SMOKE LVL 1 ELEV. EQUIP. RM 45309109 19020007 Heat Detector 1 HEAT LVL 1 KITCHEN 108 45309091 19020008 Smoke Detector 1 SMOKE LVL 1 HALL 112 NORTH 45309110 19020009 Smoke Detector 1 SMOKE LVL 1 BEDROOM 104 45309111 19020010 Smoke Detector 1 SMOKE LVL 1 BEDROOM 103 45309112 19020011 Smoke Detector 1 SMOKE LVL 1 BEDROOM 102 45309113 19020012 Smoke Detector 1 SMOKE LVL 1 BEDROOM 101 45309114 19020013 Smoke Detector 1 SMOKE LVL 1 HALL 112 SOUTH 45309115 19020014 Smoke Detector 1 SMOKE LVL 1 HALL 112 MIDDLE 45309116 19020015 Smoke Detector 1 SMOKE LVL 1 HALL 103 EAST 45309117 19020016 Smoke Detector 1 SMOKE LVL 1 DINE RM. 102 N. 45309118 19020017 Smoke Detector 1 SMOKE LVL 1 DINE RM. 102 S. 45309119 19020018 Smoke Detector 1 SMOKE LVL 1 HALL 103 MIDDLE 45309120 19020019 Smoke Detector 1 SMOKE LVL 1 ELEV. LOBBY 45309121 19020020 Smoke Detector 1 SMOKE LVL 1 FOYER 100 SOUTH 45309122 19020021 Smoke Detector 1 SMOKE LVL 1 LIVING RM 101 S 45309123 19020022 Smoke Detector 1 SMOKE LVL 1 LIVING RM 101 N 45309124 19020023 Smoke Detector 1 SMOKE LVL 1 HALL 103 WEST 45309125 19020024 Smoke Detector 1 SMOKE LVL 1 HALL 121 MIDDLE 45309126 19020025 Smoke Detector 1 SMOKE LVL 1 HALL 121 SOUTH 45309127 19020026 Smoke Detector 1 SMOKE LVL 1 BEDROOM 108 45309128 19020027 Smoke Detector 1 SMOKE LVL 1 BEDROOM 107 45309129 19020028 Smoke Detector 1 SMOKE LVL 1 BEDROOM 106 45309130 19020029 Smoke Detector 1 SMOKE LVL 1 BEDROOM 105 45309131 19020030 Smoke Detector 1 SMOKE LVL 1 OFFICE 110 45309132 19020031 Smoke Detector 1 SMOKE LVL 1 HALL 121 NORTH 45309133 19020032 Smoke Detector 2 SMOKE LVL 2 BEDROOM 206 45309134 19020033 Smoke Detector 2 SMOKE LVL 2 BEDROOM 205 45309135 19020034 Smoke Detector 2 SMOKE LVL 2 HALL 200B 45309136 19020035 Smoke Detector 2 SMOKE LVL 2 CLOSET 45309137

Veterans Fire and Life Safety 35 05/06/2020

19020036 Smoke Detector 2 SMOKE LVL 2 BEDROOM 207 45309138 19020037 Smoke Detector 2 SMOKE LVL 2 TOP OF STAIRS 45309139 19020038 Smoke Detector 2 SMOKE LVL 2 ELEV. LOBBY 45309140 19020039 Smoke Detector 2 SMOKE LVL 2 HALL 200A 45309141 19020040 Smoke Detector 2 SMOKE LVL 2 BEDROOM 208 45309142 19020041 Smoke Detector 2 SMOKE LVL 2 BEDROOM 201 45309143 19020042 Smoke Detector 2 SMOKE LVL 2 BEDROOM 202 45309144 19020043 Smoke Detector 2 SMOKE LVL 2 BEDROOM 203 45309145 19020044 Smoke Detector 2 SMOKE LVL 2 BEDROOM 204 45309146 19020045 Duct Detector 1 LVL 1 DUCT AC-1 Photoelectric 45309147 19020046 Duct Detector 1 LVL 1 DUCT AC-2 Photoelectric 45309148 19020047 Duct Detector Attic ATTIC LVL DUCT AC-3 Photoelectric 45309149 19020126 Power Supply 1 Power Supply Right Panel 45309158 19020128 CO Detector 1 CO DET. LVL 1 MECH RM 111 45309150 19020129 Pull Station 1 PULL LVL 1 KITCHEN 108 45309097 19020130 Waterflow Switch 1 In MECHANICAL 111 45309161 19020131 Tamper Switch 1 In MECHANICAL 111 45309157 19020133 Elevator ELEV. PRIMARY RECALL Primary Recall 45309092 19020134 Elevator ELEV. ALTERNATE RECALL Alternate Recall 45309093 19020135 Elevator ELEV. SHUNT TRIP Shunt Trip 45309094 19020136 Pull Station 1 PULL LVL 1 HALL 112 NORTH 45309098 19020137 Pull Station 1 PULL LVL 1 HALL 112 SOUTH 45309099 19020138 Pull Station 1 PULL LVL 1 FOYER 100 45309100 19020139 Pull Station 1 PULL LVL 1 HALL 121 SOUTH 45309101 19020140 Pull Station 1 PULL LVL 1 HALL 121 NORTH 45309102 19020141 Pull Station 2 PULL LVL 2 HALL 200B 45309103 19020142 Pull Station 2 PULL LVL 2 ELEV. LOBBY 45309104 19020143 Pull Station 2 PULL LVL 2 HALL 200A 45309105 19020144 Elevator ELEV. 3RD CKT. FIRE HAT Shunt Trip 45309095 19020146 Fan Shutdown AC-1 CONTROL 45309086 19020147 Fan Shutdown AC-2 CONTROL 45309087 19020148 Fan Shutdown AC-3 CONTROL 45309088 19020149 Damper Control DAMPER CONTROL 45309085 19020150 Releasing Device FIRE CURTAIN CONTROL Door Holder 45309096 19020151 CO Detector 1 CO DET. LVL 1 HALL 112 NORTH 45309151 19020152 CO Detector 1 CO DET. LVL 1 HALL 112 SOUTH 45309152 19020153 CO Detector 1 CO DET. LVL 1 LAUNDRY RM 107 45309153 19020154 CO Detector 1 CO DET. LVL 1 HALL 121 NORTH 45309154 19020155 CO Detector 1 CO DET. LVL 1 HALL 121 SOUTH 45309155 19020156 CO Detector 2 CO DET. LVL 2 BY STAIRS 45309156

Veterans Fire and Life Safety 36 05/06/2020

Address Device Type Location Type ScanID 12V-8Ah Battery 1 Room 107 Power Supply Left Panel Sealed Lead Acid 19020152 12V-8Ah Battery 1 Room 107 Power Supply Left Panel Sealed Lead Acid 19020153

12V-26Ah Battery 1 Room 107 Power Supply Sealed Lead Acid 19020150 12V-26Ah Battery 1 Room 107 Power Supply Sealed Lead Acid 19020151 19020126 Power Supply 1 Power Supply 19020154 19020126 Power Supply 1 Power Supply Left Panel 19020155

Fire Alarm and Life Safety System Inspection Certificate

For

Las Vegas VAMC Bldg 1 6900 N Pecos Rd Las Vegas, NV 89086

Inspection Completion Date May 5, 2020

Building: Las Vegas VAMC Bldg 1 Company: Veterans Fire and Life Safety Contact: Dan White Contact: Michael Gill

Title: Engineering Staff Title: Field Supervisor/Technician

Veterans Fire and Life Safety 1 05/06/2020

Executive Summary

Building Information Building: Las Vegas VAMC Bldg 1 Contact: Dan White

Address: 6900 N Pecos Rd Phone: 702-791-9000

Address: Fax:

City/State/Zip: Las Vegas, NV 89086 Mobile:

Country: United States of America Email:

Inspection Performed By Company: Veterans Fire and Life Safety Inspector: Michael Gill

Address: 7 Sherri Lane Phone: 386-747-2294

Address: Fax: 3145020737

City/State/Zip: St. Peters, MO 63376 Mobile:

Country: United States of America Email: michaelgill15@yahoo.com

System Control Unit Manufacturer: EST Inspection Date: 04/27/2020 IDC Style:

Model Number: Install Date: 04/25/2017 SLC Style:

Software Version: Version Date: 04/25/2017 NAC Style:

Location: 3 3D404 Current Protection: Breaker

Monitoring Company: Phone: Account #:

Central Station Signal Verification Type: Digital Communicator Mfg: EST Model #:

Test Time/Date: 4/28/20 3:57:43 PM Restore Time30

Veterans Fire and Life Safety 2 05/06/2020

Inspection Completion Date: May 5, 2020

Building: Las Vegas VAMC Bldg 1