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° .�ONIf�/S�fC'�`iI"%/1/1�'I� BE SAFE.
. S�MMARY OF SERVICES
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3orinkler Test & Inspect
TEST AND NVSPECTION:
SimplexGrinnell tratned technicians will perform (nspections and diagnostic tests for the accessibfe flre sprinkler
devices listed and currently connecfed to fire sprinkler system. Tests will be scheduled in advance. (See "List of
EquipmenY' page for equipment to be tested.) �
DOCUMENTATiON:
Accessible components and devEces logged for:
- Test resulfis
� - Any discrepancies found noted (individually and on a separate summary page)
]nspedion documentation provided to Customer. NOTE: Cettain additional serrices may be required by fhe :
AutEiority Having Jurisdiction (AHJ). AHJ or intemal organizational requirements may be more restrictive than
skatelprovincial requiremen#s. Building awners and managers should rnake themselves aware of applicable codes �
and refecences in order to ensure that contracted Services futfifl requirements.
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Fire Alarm Test 8� Ins�,ect ,
TEST AIVD INSPECTION: •
SimplexGrinnell trained techniaans will perForm inspections and diagnosfic tests for the accessible peripheral ,
devices flsted and currently conr�ected to the facility fire afaRn system. Tesfs wrifl be scheduted in advance. (See �
"List of Equipment" page for equipmerrt to be tested)
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DOCUMENTATION:
Accessible c�mponents ar►d devices logged for. �
- Location of each device tested, includfng system address or zone location
- Test results and appticable voltage readings
- any discrepancies found noted (individually and on a separate summary page) _
inspection dacurnentatian prov�ded to Customers representative. NOTE: Certain additional services may be
required by the Authority Having Jurisdicfion (AHJ). AHJ or intemal organizational requirements may be more
restrlcfive than state/provincial requirements. Building owners and managers should make tfiemselves aware of
appiicable codes and references in order to ensure tf�at contracted services are in compliance with these
requirements.
Fire Alarm Monitarina Basic Service (Ua to 100 Q,evicesl
Alarm signal initiated by a fire a(arm control panel. Central Station will endeavor to riotify the .
fire department and Customer when an alarm or trouble signal is rec�ived. This senrice includes 1- 800 toll-firee
signal transmission, 24houc auto dialer test, and notffication of Customer-provfded Emergency Cali List.
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SG0001 US.ENG (Rev. 12J2d10) Page 2 of 7 � 2010 SimplexGrinnep LP. All rights reserved =
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� Sirs��slexGrirnnef/ eF s.aFf �
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Service Solufiion �
Customer: Tequesta �Ilage Hall SimplexGrinnell
Date: 13-OCT-11 Sales Representative:
� . - Proposal #:127690 GAIL E MCCARTHY
Term:01-NoV 11 to 31-OCT-12 1830 Park Lane South
JUPITER, FL 33458-0000
GaMcCarthy@simplexgrinnell.com
Billing Cusfomer: Senrice Location
Tequesta Village� Hall 7equesta Village Hall
345 Tequesta Dr 345 Tequesta Dr
TEQUESTA, FL 334fi9 ' TEQUESTA, FL 33469
INVESTMENT SUMMARY
ServlcelProduct DescrEption uan Freauencv Investment
Recurring Annual Investment i
Fire Alarm Test & Inspect �
51MPLEX PROG 4010 SYSTEM �
Main Flre Alarm Panel 1 Annual �
Annunciator 2 Annual I
Smoke Detector Convenfional 3 Annual
Duct Detedor Canventional 6 Annual �
Pull Station 3 Annua) �
Audio-Usual Notification Conventional 31 Annual !
ALARM & DETECTION- M�NITORING �
SIMPLEX PROG 4010 SYSTEM �
Fre Alarm Monitoring Basic Service (Up to 1
100 Devices)
Sprinkler Test & Inspect
WET Sl�RINKLER SYSTEM i
Wet System Annual Test (Includes Tamper, 1 Annual I
Flow, Gate Valve, Fire Dept Connection, !
Hydraulic Nameplate Verification & Main ;
Drain)
Flow switch 1 Quarterty ;
Tamper Switch 1 Quarterly i
Sprinkler Test & Inspect
BACKFLOW SYSTEM
Backflow Preventer-Fire 1 Annual
Total Recurring Annual Investment: $1,781.00
Excludes applicabfe Sales Tax r
Service Sotution 1/alfd for 45 Days
SG0001 US.ENG (Rev. 12l2010) Page t oi 7 � 2010 SimplexGrinnell LP. Aq rights reserved
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� �irr��Isx�:rirnn�// B SAFE. •
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Service Solution �
This Service Solution (the "Agreement") sets fnrth ihe Terms ancf Conditions for the provision of equipment and
services to be provided by SimplexGrinnell LP {"Company") to Tequesfa Vfilage Hali and is effective 01-NOV-11 to
31ACT-12 (the "Ini#ial 7erm"). �
PAYMENT TERM: Annual In Advance
PAYMENTAMOUNT: $1,781.00 �- Proposal#:
127690
CUSTOMER ACCEPTANGE: in accepting this Agreement, Customer agrees.to the Terms and Conditions on the
following pages and any attachments or riders ai#ached hereto that contain additional terms and conditions. It is
understood that these terms and conditions shafl prevail over any variation in terms and cohditians on any purchase
order or other document that the Customer may issue. Any changes in the system requested by the Customer after
the execution of Agreement shall be paid for by the Customer and such changes shall be authorized in writing.
ATTEN'fION iS DIRECTED TO THE LIMITATION OF LIABILfTY, WARRANTY� INDEMNITY AND QTHER
CONDITIONS CONTAINED IN THIS AGREEMENT.
Customer: SimplexGrinnell:
Signature: E MCCARTHY
Print Name: � � �Phone #: �
Title: � Fax #: �,�� � � _ __._�__. __
Phone#: 5(o l- `��' D 7O � License #: (If Applicable)
Fax #: J���' 7 ��� Authorized Signature:
Email: _/ �lCONZZ[� /P_y�,�eS�'A, ()(' Prirrt Name:
—s� �
PO#: Ti�e: '
Date: ,�'" ���� Date:
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SG0001 US.ENG (Rev. 72J2010} Page 3 of 7 � 201Q SimplexGrinnell LP. AA rights reserv�
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