Seismic Form B (Exhibit H).pdf
PDF 133 KB Posted
- Solicitation number
- 4GA0278
About this file
This is Seismic Form B, which is a Certificate of Seismic Compliance template for existing buildings that must be completed by an engineer in charge of seismic evaluation. The form is associated with a GSA lease pre-solicitation for office space in Atlanta, GA.
The form requires documentation of building characteristics including ASCE Building Type, number of stories, approximate area, building design code, and year of construction. It calls for evaluation at the Life Safety Performance Level using ASCE/SEI 31 methodology through either Tier 1, 2, or 3 evaluation methods. The engineer must certify whether the building meets or does not meet Life Safety Performance Level requirements of ICSSC RP 8. The form requires the engineer's professional details including name, firm, license information, and official stamp/signature, along with attached ASCE/SEI 31 checklists covering structural, nonstructural, geologic site hazards and foundation aspects.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
SEISMIC FORM B
CERTIFICATE OF SEISMIC COMPLIANCE
EXISTING BUILDING
Date: __________
This affirms that ________________________ served as engineer in charge of the seismic evaluation of the building located at ______________________________________________.
The building has the following characteristics:
ASCE Building Type: No. of Stories: Approx. Area:
Building Design Code: Year of Design Code: Year of Construction:
I have evaluated this building at the Life Safety Performance Level as set forth in the ICSSC RP 8, Standards of Seismic Safety for Existing Federally Owned and Leased Buildings, using ASCE/SEI 31 methodology:
___Tier 1 Evaluation
___Tier 2 Evaluation
___Tier 3 Evaluation
___Other (please explain below)
Documentation of this evaluation must be attached to this Certificate.
On the basis of the building characteristics and to the extent permitted by this level of evaluation it is my opinion that subject Building (check one) does / does not meet the Life Safety Performance Level of
ICSSC RP 8.
Affix Stamp and Sign Here
Engineer’s Name:
Firm:
Address:
Telephone:
License No.:
License State:
Expiration Date:
Comments:
Attach: ASCE/SEI 31 Checklist(s) Structural, Nonstructural, and Geologic Site Hazards and Foundation
SEISMIC FORM B
File details come from the government source that posted it. Updated .