C05_SolicitationAmendmentAttachment7AppFSampleLabels_1232SA26Q0763.pdf

Note:

Refer to last page for Terms and Conditions.

The following artwork will be printed as shown, with the size, and materials as indicated below.

When foreign message is included, please ensure message is appropriate for the application.

Clarion Safety Systems, LLC 190 Old Milford Road, P.O. Box 1174 Milford, PA 18337 Ph (800) 748-0241 Fax (800) 748-0536 www.clarionsafety.com

Instructions: Please review each page carefully and if the label design(s) meet with your approval, sign this page, initial all subsequent pages, when applicable circle the design of choice, and return the entire document, via fax 800-748-0536, to my attention. If modifications need to be made, please mark up the label design and fax it back; We will send you new Approval Forms as necessary.

Prepared By: Roseann Stark Company Name: KJWW Engineering Consultants Date: 1/29/10

Quote #: 14533 Purchase Order #: B11050

Signature: Date:Title:

95Qty.:80 - 5.00 x 3.25Size:C22443-03-SERPart Number:

Material:

Approved: Not Approved/Make Necessary Modifications:

P - Premium Polyester w / Ultra Clear Overlam. and Premium Adhesive

(See subsequent pages for actual label size and detail)

Please note the following:

* All colors fall within the color tolerances as defined by the ANSI and ISO safety labeling color code standards.

5Qty.:80 - 5.00 x 3.25Size:C22443-04-SERPart Number:

Material:

Approved: Not Approved/Make Necessary Modifications:

P - Premium Polyester w / Ultra Clear Overlam. and Premium Adhesive

(See subsequent pages for actual label size and detail)

Please note the following:

* All colors fall within the color tolerances as defined by the ANSI and ISO safety labeling color code standards.

Clarion Safety Systems, LLC • 190 Old Milford Road, P.O. Box 1174, Milford, PA 18337 • ph (800) 748-0241 • fax (800) 748-0536

(Field Z)

(Field D) (Field F) (Field E)

(K)

(Field C) (Field H) (Field I) (Field J)

No. C22443-03-SER 0 1

Arc-Flash Hazard and Shock Hazard

©Clarion Safety Systems, LLC clarionsafety.com xxxxx

- Arc-Flash Protection Boundary78.6 in

- Incident Energy Flash Hazard at10.5 cal/cm2 18 inches

Category 3 Arc-Flash Hazard

Risk Category

Shock Hazard

- Prohibited Approach Boundary

- Shock Hazard with covers/doors open

- Limited Approach Boundary

- Restricted Approach Boundary

480 Vac 42 in 12 in

1 in

ATS# 1

CB-OSD4-P1 VIA ATS#1

Appropriate PPE Required for both Arc-Flash and Shock Hazards:

Refer to NFPA 70E-2009 for table 130.7(C)(10) for PPE required for given arc flash hazard/risk category when working within the arc flash protection boundary

Appropriate PPE Required for both Arc-Flash and Shock Hazards:

Refer to NFPA 70E-2009 for table 130.7(C)(10) for PPE required for given arc flash hazard/risk category when working within the arc flash protection boundary

Template 80 - 5.00 x 3.25

0.063 Corner Radius

No Holes

ALL TEXT BLACK

Sample 1 80 - 5.00 x 3.25

0.063 Corner Radius

No Holes

ALL TEXT BLACK

Arc-Flash Hazard and Shock Hazard

©Clarion Safety Systems, LLC clarionsafety.com xxxxx

- Arc-Flash Protection Boundary

- Incident Energy Flash Hazard at Arc-Flash Hazard

Risk Category

Shock Hazard

- Prohibited Approach Boundary

- Shock Hazard with covers/doors open

- Limited Approach Boundary

- Restricted Approach Boundary

Design Option 1 (for your consideration)

(Field A) (Field B)Protective Device:

Equipment Bus:

Protective Device:

Equipment Bus:

(Field Z)

(Field D) (Field F) (Field E)

(K)

(Field C) (Field H) (Field I) (Field J)

(Field L) (Field M) (Field N)

Arc flash incident energy exceeds the rating of category 4 PPE Do not work on live!

No. C22443-04-SER 0 1

Arc-Flash Hazard and Shock Hazard

©Clarion Safety Systems, LLC clarionsafety.com xxxxx

- Arc-Flash Protection Boundary285.4 in

- Incident Energy Flash Hazard at75.4 cal/cm2 36 inches

Dangerous!

Arc-Flash Hazard

Risk Category

Shock Hazard

- Prohibited Approach Boundary

- Shock Hazard with covers/doors open

- Limited Approach Boundary

- Restricted Approach Boundary

13800 Vac 60 in 26 in

7 in

15KV SWITCH HVL (USS-1 BUS A)

FEED FROM CITY OF AMES

Appropriate PPE Required for both Arc-Flash and Shock Hazards:

No FR Category Found

Template 80 - 5.00 x 3.25

0.063 Corner Radius

No Holes

ALL TEXT BLACK

Sample 1 80 - 5.00 x 3.25

0.063 Corner Radius

No Holes

ALL TEXT BLACK

Arc-Flash Hazard and Shock Hazard

©Clarion Safety Systems, LLC clarionsafety.com xxxxx

- Arc-Flash Protection Boundary

- Incident Energy Flash Hazard at Arc-Flash Hazard

Risk Category

Shock Hazard

- Prohibited Approach Boundary

- Shock Hazard with covers/doors open

- Limited Approach Boundary

- Restricted Approach Boundary

(Field A) (Field B)Protective Device:

Equipment Bus:

Protective Device:

Equipment Bus:

Appropriate PPE Required for both Arc-Flash and Shock Hazards:

Design Option 1 (for your consideration)

TERMS AND CONDITIONS

Clarion guarantees to you, the original Buyer, that its safety signs and labels are free from defects in material or workmanship. Clarion limits its obligation under this warranty to credit the portion of the sale price or replacement of the product that is shown to Clarion’s satisfaction to have been defective at the time Clarion sold it. All claims must be made within fourteen days from the date the product shipped from Clarion’s headquarters.

THIS WARRANTY IS IN LIEU OF ANY OTHER WARRANTY, EXPRESSED OR IMPLIED, INCLUDING, BUT NOT LIMITED TO ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE, AND OF ANY OTHER OBLIGATIONS OR LIABILITY ON CLARION’S PART. UNDER NO CIRCUMSTANCES WILL CLARION BE LIABLE FOR ANY LOSS, DAMAGE, EXPENSE, OR CONSEQUENTIAL DAMAGE INCLUDING ANY CLAIM OF PERSONAL INJURY OR DAMAGE, INCURRED FROM THE USE, OR INABILITY TO USE, ANY OF

CLARION’S PRODUCTS OR SERVICES.

Clarion makes no representations or warranties as to the sufficiency, legal or otherwise, of any of the products or services provided to the Buyer. If your safety sign designs contain a symbol, the symbol may or may not have demonstrated understandability for the users of your products. Clarion strongly encourages its customers to perform comprehension testing for their safety signs and labels prior to production or use in accordance with the ANSI Z535.3 Standard Criteria for Safety Symbols or ISO 9186. Verification of the accuracy of any and all translation is the responsibil ity of the purchaser. It is the responsibility of the manufacturer of a product to ensure that the product contains adequate warnings. Due to the variety of products and uses to which any product may be placed, it is impossible for Clarion to render any opinion as to the adequacy of any signs/labels it sells. Adequacy of warnings, as well as non-defective design, is the responsibil ity of the manufacturer. Clarion expects all its customers to contact their legal, engineering and risk management consultants to ascertain their responsibilities in the field of product safety, warnings, and product liability law.

The Buyer hereby agrees to indemnify, defend, reimburse, and hold Clarion and its employees harmless from any and all liability, claims, demands, suits, judgments, settlements, and causes of action and all costs, charges and expenses, including counsel fees associated therewith, incurred by or accruing against Clarion arising out of or in connection with injury or death of any person or damage to or loss or destruction of property which allegedly results from or is attributable to any defect or claim of defect, negligence or breach of warranty of any of the Clarion's products or services.

The copyright for all label/sign designs remain the sole property of Clarion. Clarion limits permission to the Buyer to use the Clarion label/sign designs for the Buyer's use for inclusion in a product's instructional material and on the labels/signs that Clarion manufactures.

Warranty and Representation

Buyer warrants and represents to Clarion that all copyrights, trademarks, marks, designs, drawings or other intellectual property provided by Buyer to Clarion in connection with production of products by Clarion for Buyer are the property of Buyer and do not infringe upon any copyright, patent, trademark, or proprietary right of any third party.

Indemnity

Buyer shall defend or settle, at its own expense, any claim or suit against Clarion arising out of or in connection with an assertion that any material furnished by Buyer to Clarion infringes any copyrights, patents, trademarks or other intellectual property rights, and Buyer shall indemnify and hold harmless Clarion from all damages, loss, costs, and attorneys’ fees, incurred by Clarion as a result of such assertion of infringement. In the event that an allegation of infringement of intellectual property rights is made against Clarion, Clarion will (i) give Buyer prompt written notice of and control over the defense and settlement of any demand, claim, action or lawsuit for which Clarion believes it is entitled to indemnification under this paragraph and (ii) cooperate fully in such defense and settlement.

If any such claim of infringement of intellectual property rights has occurred or in Buyer’s or Clarion’s opinion is likely to occur, then Buyer may, in addition to indemnifying Clarion as set forth in the preceding paragraph and at its option and expense:

(a) procure for Clarion the right to use the infringing data; or

(b) modify the infringing material so that the same is no longer subject to any such infringement claim.

If neither of the foregoing solutions is available or chosen by Buyer, Buyer may request or Clarion may elect to cease the use of all in the infringing material. In such event, Buyer shall be obligated to compensate Clarion for all work done on behalf of Buyer with respect to such material prior to such termination.

Leaders In The Design And Production Of Product Safety Signs And Labels Member ANSI Z535 Committee – Chair US Tag to ISO/TC 145

Clarion Safety Systems, LLC • 190 Old Milford Road, P.O. Box 1174, Milford, PA 18337 • ph (800) 748-0241 • fax (800) 748-0536