FIRE ALARMS FIRE SPRINKLERS FIRE SUPPRESSION FIRE EXTINGUISHERS

CT: 0199117-E1 RI AC-004699 MA 20686-A CT: F1-0011511 RI 416 MA 139242 MA-CR 4674 RI-CR 067

35 Philmack Drive, Middletown, CT

T: 800.966.0000 | www.encorefireprotection.com

SPRINKLER SYSTEM INSPECTION REPORT

BASIC INFORMATION

Inspection Scope Performed Annual

General Information Result Is the customer available to answer these questions? yes

List any areas of the building not accessible for inspection? .

Has the building use, occupancy, machinery changed since last inspection? no

Systems are in service and have had no modifications since the last inspection? yes

Are all areas of the building fully sprinklered? yes

Are all areas of the building containing water-filled piping that does not have another means of freeze protection being maintained at a minimum temperature of 40°F (4°C)?

yes

If a fire has occurred since the last inspection, has any damage caused to system been repaired? N/A

Stock/storage a minimum of 18'' below standard sprinkler heads and 36'' below ESFR? yes

Are all ceiling tiles in place and properly secured? No

All Standard Response Sprinkler Heads are newer than 50 years old? Yes

All Quick Response Sprinkler Heads are newer than 20 years old? Yes

All Dry Sprinkler Heads are newer than 10 years old? There are not any installed

All Sprinkler Heads installed in a corrosive environment are newer than 5 years old? There are not any installed

SYSTEM INVENTORY SUMMARY

# of Wet Systems # of Dry Systems # of Deluge # of Pre-action # of Antifreeze # of Standpipes

2 0 0 0 0 0

ALARM SYSTEM

System Location

Main office

System Manufacturer

Est 2

System Model

System Monitored yes

Alarm System Information Result Alarm Trip is reported to Central Station? yes

Trouble Trip is reported to Central Station? Yes

Supervisory Trip is reported to Central Station? Yes

Date: 2022-07-14

Location Name: NHS Brennan School

Location Street: 200 Wilmont Ave

City/State/Zip: New Haven, CT, 06510

Primary Contact: Lisa Hopkins

Job Number: 24873762

2022-07-14

SPRINKLER SYSTEM

Riser #1 - Sprinkler room by custodian office

System Type

Wet System Size

Sprinkler System Results Deficient

Valve Make (Alarm, Dry, Pre-action, or Deluge) Viking

Valve Model (Alarm, Dry, Pre-action, or Deluge) J1-2001

Date of last Obstruction Investigation (Sprinkler Piping, Trim Piping, Alarm Valves, Check Valves, etc.) 2018-04-17

Year of Gauges 2019

Location of Inspectors Test Valve @ riser

Quarterly & Semi Annual Inspection Result Are all gauges in good condition, showing normal pressures and been tested or replaced in last 5 years? Yes

Riser in good condition & unobstructed? Yes

Was the WMG or elec bell tested and OK? Yes

Hydraulic nameplate in place and in good condition? N/A

Water flow alarms tested and OK? Yes

Supervisory alarms and/or tampers tested and OK? Yes

Alarm trim valves OK & set properly? Yes

Are retard chambers or alarm drains free from leakage? Yes

Inspectors test connection(s) in good condition, free of damage & obstructions, has the appropriate orifice size, and not leaking?

Yes

Pipe and accessories appear to be in good condition, free of damage & obstructions, and not leaking? yes

Operate the Inspectors test connection. Confirm the alarm activated and the time to active is acceptable. Yes

SPRINKLER SYSTEM

Riser #2 - Sprinkler room by custodian office

System Type

Wet

Sprinkler System Results Pass

Valve Make (Alarm, Dry, Pre-action, or Deluge) Viking

Valve Model (Alarm, Dry, Pre-action, or Deluge) J1-2000

Date of last Obstruction Investigation (Sprinkler Piping, Trim Piping, Alarm Valves, Check Valves, etc.) 2018-04-17

Year of Gauges 2019

Location of Inspectors Test Valve @riser

Quarterly & Semi Annual Inspection Result Are all gauges in good condition, showing normal pressures and been tested or replaced in last 5 years? Yes

Riser in good condition & unobstructed? Yes

Was the WMG or elec bell tested and OK? Yes

Hydraulic nameplate in place and in good condition? N/A

Water flow alarms tested and OK? Yes

Supervisory alarms and/or tampers tested and OK? Yes

Alarm trim valves OK & set properly? Yes

Are retard chambers or alarm drains free from leakage? Yes

Inspectors test connection(s) in good condition, free of damage & obstructions, has the appropriate orifice size, and not leaking?

Yes

Pipe and accessories appear to be in good condition, free of damage & obstructions, and not leaking? yes

Operate the Inspectors test connection. Confirm the alarm activated and the time to active is acceptable. Yes

MAIN DRAIN & ALARM TEST

System Type

System Size

Location

Static Pressure Before

Test (PSI)

Residual Pressure

(PSI)

Static Pressure

After Test

(PSI)

Time Pressure to

Stabilize (sec)

Compare today's results to the previous test results:

is the variance acceptable?

Passes Main Drain Test

Wet 4 Riser #1 - Sprinkler room by custodian office

115 80 90 5 yes yes

Wet 4 Riser #2 - Sprinkler room by custodian office

90 80 90 0 yes yes

CONTROL VALVE

System Type

System Location Valve Type Valve Location Size Secured Valve

Supervision Operational

Result

Wet Riser #1 - Sprinkler room by custodian office

Butterfly Sprinkler room 2.5 Supervised Yes Pass

Wet Riser #1 - Sprinkler room by custodian office

Butterfly Basement outside switch gear area

1.5 Supervised Yes Pass

Wet Riser #2 - Sprinkler room by custodian office

Butterfly Riser 4 Supervised Yes Pass

SPRINKLER ALARM DEVICES

Dev Type System Location Location of Device Zone/Dev # Test Performed This

Inspection Result

Waterflow Device Riser #1 - Sprinkler room by custodian office

Sprinkler room Wet sprinkler system riser #1

Functional Testing Pass

Pressure Switch Riser #1 - Sprinkler room by custodian office

Sprinkler room Wet sprinkler system riser #2

Functional Testing Pass

Waterflow Device Riser #1 - Sprinkler room by custodian office

Sprinkler room Wet sprinkler system riser #1

Functional Testing Pass

Pressure Switch Riser #1 - Sprinkler room by custodian office

Sprinkler room Wet sprinkler system riser #2

Functional Testing Pass

SPRINKLER ALARM DEVICES

Dev Type System Location Location of Device Zone/Dev # Test Performed This

Inspection Result

Waterflow Device Riser #2 - Sprinkler room by custodian office

Sprinkler room Wet sprinkler system riser #2

Functional Testing Pass

Pressure Switch Riser #2 - Sprinkler room by custodian office

At riser . Functional Testing Pass

Waterflow Device Riser #2 - Sprinkler room by custodian office

Sprinkler room Wet sprinkler system riser #2

Functional Testing Pass

Pressure Switch Riser #2 - Sprinkler room by custodian office

At riser . Functional Testing Pass

LOW POINT DRAINS

Low Point Location Type Drain accessible, in good condition, free of leaks, and properly identified?

Low Point drained at this inspection

MASTER PRESSURE REDUCING VALVE

Location in Site Make Model Size PRV Passes Testing?

SPRINKLER HEAD TYPES INSTALLED AT THE SITE

Head Box Location SIN# Outlet Size Response Temp Adequate

Spares Head wrench

Available

Next to riser M 0.5 Quick 155 yes yes

Next to riser Vk300 0.5 Quick 200 yes yes

STANDPIPE VALVES

Standpipe Valve Location Type of Valve Valve Size Visual Inspection Reducing Value Test in the last 5 yrs.

Valve Result

FIRE DEPARTMENT CONNECTION

Main entrance

System Connection Type

Siamese

System Thread Type

NST/NH

System Check Valve Type

Grooved

Fire Department Connection General Information Result FDC Check Valve is not leaking yes

Date of last 5 Year Hydro Test 2021-11-01

FDC is visible, caps, gaskets & signs are in place and OK yes

FDC swivels are in good condition and rotate smoothly yes

FDC equipped with ball drip, is installed horizontally, and functioning properly yes

BACKFLOW DEVICES

Location Serial # Manufacturer Model Acceptable Condition

Date of Last Repair or Internal

Investigation

Relief Valve not

Continually Dripping

Tested in Last Year

INSPECTION COMMENTS:

Comments:

DEFICIENCIES

Device Type Location Description Deficiency Severity

Deficiency Status

Wet Riser #1 - Sprinkler room by custodian office

There is a lack of sprinkler coverage in the main entrance foyer. The sidewalls up high do not cover the lower flat portion.

suggested verified

Wet Riser #1 - Sprinkler room by custodian office

First room to the right in the hallway leading to the principals office. The sprinkler head is missing the cover plate.

deficient verified

Wet Riser #1 - Sprinkler room by custodian office

Room 13. The sidewall sprinkler above the teachers desk needs to have the escutcheon plate re-installed so that it does not obstruct the spray pattern deficient verified

Wet Riser #1 - Sprinkler room by custodian office

The sprinkler head outside of the classroom 14 is missing the cover plate.

deficient verified

Wet Riser #1 - Sprinkler room by custodian office

Classroom 15. The sidewall sprinkler over top of the teachers desk has the escutcheon plate hanging off of it. This needs to be reinstalled so that it does not obstruct the spray pattern.

deficient verified

DEFICIENCIES

Device Type Location Description Deficiency Severity

Deficiency Status

Wet Riser #1 - Sprinkler room by custodian office

Classroom 16. The sprinkler head over top of the teachers desk is missing the cover plate. The sprinkler head next to it is being covered by a banner which must be removed.

deficient verified

Wet Riser #1 - Sprinkler room by custodian office

Media center. All 6 of the sprinkler cover plates in the High area hard ceiling have been painted and must be replaced because they are inoperable.

The two cover plates over top of the library desk are the same.

(8) total inoperable verified

Wet Riser #1 - Sprinkler room by custodian office

Classroom 1. The (2) sidewall sprinklers head over the reading area by the windows have the escutcheon plate falling off of them. These must be reinstalled correctly to prevent obstruction of the spray pattern.

deficient verified

Wet Riser #1 - Sprinkler room by custodian office

Missing conceal plate in hall way by rm classroom 8 deficient verified

ACCEPTANCE OF CUSTOMER OR CUSTOMER'S REPRESENTATIVE:

Customer ACKNOWLEDGES AND AGREESTO THE TERMS AND CONDITIONS ON NEXT PAGE; Customer also acknowledges that the services have been completed to Customer's satisfaction and the system/equipment has been left in service with the conditions noted in both this report AND the Service Trade work acknowledgement.

Customer: Encore Fire Protection:

Authorized Signature:

Customer will be signing the work acknowledgement which will have this report attached Technician Signature:

Print Name Here: Print Name Here: Jaime Dejesus

TERMS AND CONDITIONS:

SCOPE OF WORK:

Unless otherwise specified, Encore Fire Protection’s, hereinafter “ENCORE,” scope of work is limited to accessible devices and system components: those where access can be obtained without restriction at the scheduled time of visit, and does not exceed heights reachable with a 6’ ladder.

RESPONSIBILITY OF THE CUSTOMER:

It is the responsibility of the CUSTOMER (such term herein includes all employees, agents and representatives of CUSTOMER) to:

• Properly maintain all fire safety systems, hereinafter “FIRE SYSTEM(S),” including but not limited to fire sprinkler, fire alarm, fire suppression systems and/or fire extinguishers, by means of periodic inspections, testing and maintenance, which shall show the FIRE SYSTEM(S) to be in good operating condition and/or reveal any defects or impairments.

• Promptly correct or repair deficiencies noted, damaged parts, or impairments found while performing the inspection and testing of FIRE SYSTEM(S). Corrections and repairs shall be performed by qualified personnel.

• Know the location of all extinguishers and FIRE SYSTEM components including but not limited to: low points, valves including those above ceiling, and auxiliary drains in attics and/or crawl spaces.

• Notify all parties that may be affected by alarms initiated during inspection, repair, service, maintenance or installation including but not limited to employees, building occupants, the fire alarm monitoring service, and authorities having jurisdiction.

• Manage the disposal of any water released during tests.

• Insure the safety and security of the site or location where the FIRE SYSTEM(S) are located and at which ENCORE will provide services.

• Maintain the FIRE SYSTEM(S), including but not limited to checking and draining low points and drum drips, maintaining adequate heat, maintaining proper levels of lubricant, ensuring FIRE SYSTEM(S) are on-line and operating, and executing on regular maintenance and alterations, repairs or replacement of faulty system components as necessary.

• Have as-built system drawings available on site to assist the technician in identifying FIRE SYSTEM components so that they can be properly located.

CUSTOMER is responsible for identifying FIRE SYSTEM(S) locations.

• Unless otherwise specified, pay all applicable local, state and federal taxes, license and permit fees, assessments, and other charges in connection with the FIRE

SYSTEM(S).

• Unless otherwise specified, pay any additional costs associated with the inspection, repair, service, maintenance or installation by ENCORE, including costs associated with fire department or other authorities having jurisdiction, rental of lift trucks or other equipment required to gain access to inaccessible FIRE SYSTEM components, and/or maintenance of dedicated phone lines.

CUSTOMER shall be solely responsible for keeping the FIRE SYSTEM(S) in good operating condition at all times. Final responsibility for the condition and operation of the FIRE SYSTEM(S) is with the CUSTOMER. This includes compliance with all laws, codes and regulations pertaining to the FIRE SYSTEM(S) and/or scope of work provided by ENCORE.

WARRANTY AND LIABILITY

UNLESS OTHERWISE EXPRESSLY SET FORTH HEREIN, ENCORE MAKES NO

WARRANTIES, EXPRESS OR IMPLIED, INCLUDING WITHOUT LIMITATION,

WARRANTIES OF MERCHANTABILITY OR WARRANTIES OF FITNESS FOR A

PARTICULAR PURPOSE. No representations made by an employee, agent or representative of ENCORE shall constitute a warranty by ENCORE or give rise to any liability or obligation.

CUSTOMER AGREES THAT ENCORE IS NOT AN INSURER. ENCORE’s liability to the CUSTOMER or any of their affiliates, representatives or assigns for personal injury, and/or property damage arising from the performance of any service, including repair, install or inspection, performed by ENCORE shall be limited to the amounts charged CUSTOMER for such service. In the event this Agreement relates to services provided at multiple CUSTOMER locations, ENCORE’S liability shall be limited to the amount of charges allocable to the location where the injury or damage occurred.

In no event shall ENCORE be liable, and the CUSTOMER assumes all liability, for all special, indirect, incidental, consequential, or liquidated, penal or any economic loss, damages of any character including but not limited to loss of use of the property, lost profits or lost production, whether claimed by the CUSTOMER or by any third party, irrespective of whether claims or actions for such damages are based upon contract, warranty, negligence, tort, strict liability or otherwise.

CUSTOMER shall hold ENCORE harmless from any and all claims by CUSTOMER and from any and all third-party claims for personal injury, and/or property damage arising from the CUSTOMER’s failure to maintain FIRE SYSTEM(S) and to keep such in operative condition, whether such claims are based upon contract, warranty, tort, strict liability, or otherwise. It is the sole responsibility of the CUSTOMER to notify their property insurance carrier of any suspension and/or shutdown in service of any FIRE SYSTEM(S). The CUSTOMER agrees to hold ENCORE harmless from any and all losses excluded by any Protective Safeguards Endorsement in ENCORE’s insurance policy.

STATE CODES/INDUSTRY STANDARDS

CUSTOMER is ultimately responsible for the operation and maintenance of all FIRE SYSTEM(S) in compliance with the applicable Federal, State and/or Local standards and codes. ENCORE has made the CUSTOMER aware of the existence of such requirements as set forth by NFPA, and/or state codes, and/or local regulations where applicable. CUSTOMER acknowledges that it has selected and authorized only the services and service level set forth in the Agreement, regardless of whether such services or service level meets or does not meet applicable requirements.

CUSTOMER shall advise ENCORE prior to the time of the scheduled appointment of the presence or possible presence of any hazardous materials at the site or location at which ENCORE is to provide any services.

PERFORMANCE OF WORK AND ACCESS

Unless otherwise specified, work performed by ENCORE will be completed Monday through Friday between 7:00am – 4:00pm, excluding holidays. Any work that is required to be done outside the hours noted above may result in additional cost to the CUSTOMER. CUSTOMER shall provide ENCORE with full and free access to the FIRE SYSTEM(S) to perform necessary work. If the nature of the work requires, CUSTOMER shall provide ENCORE with access to all spaces containing FIRE SYSTEM(S) equipment and one (1) qualified person to assist ENCORE when the FIRE SYSTEM(S) interface with other building systems.

IF ENCORE IS NOT PROVIDED FULL AND FREE ACCESS TO THE FIRE SYSTEM(S) AFTER

CONFIRMATION OF APPOINTMENT, VERIFIED WITH CUSTOMER THROUGH

TELEPHONE OR E-MAIL, AN ADDITIONAL FEE EQUAL TO 1 HOUR MINIMUM UP TO

4 HOURS MAXIMUM WILL BE CHARGED TO COMPENSATE FOR DELAYS IN ENCORE’S

ABILITY TO START AND/OR COMPLETE THE INSPECTION, REPAIR, SERVICE,

MAINTENANCE OR INSTALLATION WORK TO BE PERFORMED. THE LABOR RATE WILL

BE CHARGED AT ENCORE’S THEN CURRENT SERVICE RATE, UNLESS OTHERWISE

SPECIFIED.

MAINTENANCE, REPAIRS, ALTERATIONS, AND REPLACEMENTS

The scope of work and related pricing provided for in the Agreement, unless specifically noted otherwise, does not include any maintenance, repairs, alterations, and replacement of parts or any field adjustments.

Should any repairs, alterations, replacement of parts or field adjustments be requested by CUSTOMER there will be an additional charge. ENCORE shall furnish the CUSTOMER with an estimate before any additional work is performed.

ENCORE shall not be responsible or liable to CUSTOMER or any third party in any manner in the event that CUSTOMER declines ENCORE’s recommendations for alterations, repairs or replacement of faulty system components. REPORTS The inspection and/or test shall be completed on ENCORE’s then current Report form which shall be given to the CUSTOMER, with a copy, if required, to the authority having jurisdiction.

The report and recommendations by ENCORE are only advisory in nature and are intended to assist CUSTOMER in reducing the possibility of loss to property by indicating obvious defects or impairments noted to the FIRE SYSTEM(S) which require prompt consideration. They are not intended to imply that all other defects or hazards have been identified or that no others exist, or that all aspects of the FIRE SYSTEM(S and equipment are in operating condition at the time of inspection.

Final responsibility for the condition and operation of the FIRE SYSTEM(S) lies with the CUSTOMER.

ADDITIONAL EQUIPMENT

In the event additional equipment is installed after the date of the Agreement, the annual inspection charge shall be increased in accordance with ENCORE’s prevailing rates as of the first inspection of such additional equipment.

WATER SUPPLY

ENCORE shall not be liable or responsible for the adequacy or condition of the water supply post inspection.