300_STS.pdf

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COVER SHEET

SimplexGrinnell Office SimplexGrinnell - 233 Louisville

Address 10610 Bluegrass Pkwy

Office Phone (502) 318 0500

Office License

Date 10-11-2015

License Number FAR 1083

Fire Alarm and Detection System Inspection Report

Customer Address

Customer Name Bldg #300 & STS Side

Address 1101 Grade Lane

City, State, Zip Code LOUISVILLE,KY40213

Phone Number 502-418--4708

Fax Number Attention Kays,Mark

Building Name

Site Address

Site Name Bldg #300 & STS Side

Address 1101 Grade Lane

City, State, Zip Code LOUISVILLE,KY40213

Site Contact Mark Kays

Phone Number 502-418--4708

Fax Number

Report Destinations

Primary Email Other Email

TABLE OF CONTENTS

Company Name: Bldg #300 & STS Side Building Name:

COVER SHEET

DEFICIENCY REPORT

PROPOSED RECOMMENDATIONS REPORT

COMMENTS REPORT

FIRE ALARM SYSTEM NFPA 72 REPORT OF INSPECTION AND TEST

TERMS AND CONDITIONS

DEFICIENCY REPORT

Company Name Bldg #300 & STS Side Simplex Grinnell

Office SimplexGrinnell - 233 Louisville

Address 1101 Grade Lane Office Phone (502) 318 0500

City,State&Zip LOUISVILLE,KY40213 Office License Attention Kays,Mark Date 10-11-2015

Building Name

The Deficiency Report consolidates each discrepancy listed within the various testing sections of your Inspection. Discrepancies are grouped by device type. The description of the problem will be provided in the Deficiency Statement

No deficiencies in this inspection © 2012 SimplexGrinnell LP. All rights reserved Rev. 5/1/2010

PROPOSED RECOMMENDATIONS REPORT

Company Name Bldg #300 & STS Side Simplex Grinnell

Office SimplexGrinnell - 233 Louisville

Address 1101 Grade Lane Office Phone (502) 318 0500

City,State&Zip LOUISVILLE,KY40213 Office License Attention Kays,Mark Date 10-11-2015

Building Name

The Proposed Recommendations Report consolidates each recommendation listed within the various testing sections of your Inspection. Recommendations are grouped by device type

No recommendations in this inspection reserved Rev. 5/1/2010

COMMENTS REPORT

Company Name Bldg #300 & STS Side Simplex Grinnell

Office SimplexGrinnell - 233 Louisville

Address 1101 Grade Lane Office Phone (502) 318 0500

City,State&Zip LOUISVILLE,KY40213 Office License Attention Kays,Mark Date 10-11-2015

Building Name

The Comments Report consolidates each comment listed within the various testing sections of your Inspection. Comments are grouped by device type.

No comments in this inspection reserved

Rev. 5/1/2010

FIRE ALARM SYSTEM NFPA 72 REPORT OF INSPECTION AND TEST

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FIRE ALARM SYSTEM

NFPA 72 REPORT OF INSPECTION AND TEST

Company Name Bldg #300 & STS Side Simplex Grinnell

Office SimplexGrinnell - 233 Louisville

Address 1101 Grade Lane Office Phone (502) 318 0500

City,State&Zip LOUISVILLE,KY40213 Office License Attention Kays,Mark Date 10-11-2015

Building Name

Monitoring Entity KYANG FIRE HOUSE Approving Agency NA

Central Station Phone Number NA Contact KIRK Monitoring System Account Number NA Telephone -

Transmission Type Service Type Manufacturer MODEL Software Revision Date of Last Software Revision

None Protected Premises Simplex 4010. 4.01.04. 2/12/2009

Panel Area Panel Location Last Service Date Initiating Circuit Style Notification Circuit Style # Of Circuits

Not Specified

IN SCIF

ELECTRIC

ROOM

NA IDC Style B(Class B) IDC Style B(Class B) 2

NOTIFICATIONS MADE PRIOR TO ANY TESTING

ENTITY NOTIFIED NAME DATE & TIME

Central Station Operator DUTY OFFICER NA Building Management KIRK 7:00 Building Occupants KIRK 7:00

AHJ Notified of pre-existing Impairments FIRE MARSHAL 10/7/2015

SUMMARY OF ALARM INITIATING DEVICES AND THEIR CIRCUIT INFORMATION

Alarm Verification feature is Enabled

Circuit Style Total Inventory Device Type

X V IDC Style B(Class B) 6 Heat Detector X

X V IDC Style B(Class B) 6 Smoke Detector X

X V IDC Style B(Class B) 3 Pull Station X

SUMMARY OF ALARM NOTIFICATION APPLIANCES AND THEIR CIRCUIT INFORMATION

Are circuits monitored for electrical integrity? Pass

Circuit Style Total Inventory Device Type

X B 2 Combination Horn/Strobe X

SUMMARY OF SUPERVISORY SIGNAL INITIATING DEVICES AND THEIR CIRCUIT INFORMATION

Circuit Style Total Inventory Device Type

SUMMARY OF CONTROL AND RELEASE DEVICES AND THEIR CIRCUIT INFORMATION

Circuit Style Total Inventory Device Type

SUMMARY OF DEVICES TESTED

Device Classification Device Type Total Inventory Total Tested Passed PAR FAILED

Initiating Devices Summary Heat Detector 6 6 6 0 0 Initiating Devices Summary Smoke Detector 6 6 6 0 0 Initiating Devices Summary Pull Station 3 3 3 0 0

Notification Device Summary Combination Horn/Strobe

2 2 2 0 0

TOTAL 17 17 17 0 0

Quantity of SLC in this System 1 STYLE OF SIGNALING LINE CIRCUITS CONNECTED TO THIS SYSTEM IDC Style B(Class B)

PRIMARY SYTEM POWER SUPPLIES SECDARY (STANDBY) POWE SUPPLY

Primary Main Nominal Voltage 120 Amps 3 Battery Type Sealed Lead Acid Amp Hr Rating 18 AH

Over current Protection Type FUSE Amps 5 Calculated capacity to operate the system, in hours 24 Location of Supply Panel board 01 Type of engine-driven generator dedicated to alarm system NA Disconnecting means location BREAKER Location of Fuel Storage NA Is an Emergency or Standby system used as a backup to primary power, instead of using a secondary power supply NA If the answer is "YES" what type & article as defined in NFPA 70 NA

SYSTEM TESTS AND INSPECTIONS CONTROL PANELS

TYPE VISUAL FUNCTIONAL

Control Unit Pass Pass Interface Equipment Pass Pass

Lamps & LED's Pass Pass Fuses Pass Pass

Primary Power Supply Pass Pass Trouble Signals Pass Pass

Disconnect Switches Pass Pass Ground - Fault Monitoring Pass Pass

Transient Suppressors Pass

Remote Annunciators NA NA

SYSTEM TESTS AND INSPECTIONS FACP SECONDARY POWER

TYPE VISUAL FUNCTIONAL EXPIRATION DATE BATTERY

Battery Condition Pass 9/2016 Load Voltage Pass 25 Discharge Test Pass 25 Charger Test Pass 27

SYSTEM TESTS AND INSPECTIONS REMOTE POWER SUPPLY

SYSTEM TESTS AND INSPECTIONS FOR NOTIFICATION EQUIPMENT

TYPE VISUAL FUNCTIONAL

Audible Pass Pass Visible Pass Pass Speakers NA NA Voice Clarity NA

SYSTEM TESTS AND INSPECTIONS EMERGENCY COMMUNICATIONS EQUIPMENT

TYPE VISUAL FUNCTIONAL

Phone Set NA NA Phone Jacks NA NA Off - Hook Indicator NA NA Call - in Signal NA NA Amplifier (s) NA NA Tone Generator (s) NA NA

SYSTEM TESTS AND INSPECTIONS INTERFACE EQUIPMENT

TYPE VISUAL FUNCTIONAL

Elevator Recall NA NA Elevator Shunt Trip NA NA Smoke Control System NA NA HVAC Shut Down NA NA Exhaust Fan Shut Down NA NA Door Unlock NA NA Door Release to Close NA NA Fire Damper Control NA NA Emergency Power Shunt Trip NA NA

SYSTEM TESTS AND INSPECTIONS SPECIAL HAZARD SYSTEMS

TYPE VISUAL FUNCTIONAL

Kitchen Hood System NA NA Gas Suppression System NA NA Dry Chemical System NA NA Deluge System NA NA Pre-Action System NA NA AFFF Foam System NA NA

CENTRAL STATION SIGNAL VERIFICATION

TYPE RESULT TIME

Alarm Signal Pass 9:10 Alarm Restoration Pass 9:11 Trouble Signals NA NA Supervisory Signal NA NA Supervisory Restoration NA NA

NOTIFICATIONS THAT TESTING IS COMPLETE

ENTITY NOTIFIED NAME DATE

Central Station Operator DUTY OFFICER 10/11/2015

Building Management KIRK 10/11/2015

Building Occupants KIRK 10/11/2015

System Restored to Normal Operation? Pass Date 10/7/2015 Time 3:00

This Fire Alarm System was left NORMAL

Inspector Name : BRENTLINGER, GARY LYNN Inspector Signature: Date: 10/07/2015

Customer Name: Mark Kays Customer Signature: Date:

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.

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:

• "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 an ox

• risk of infectious disease,

• need for air monitoring, respiratory protection, or other medical risk

• 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

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 oc

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.