HomeMy WebLinkAboutALL DOCS - 13-00259 - 1105 Iona Rd, Idaho Falls - Gem State Fire Protection Annual Safety Certificationa
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Rexburg -Modison Cou nly
Emelgency Services
Phone: 208.372.2326
Fax: 208.359.3022www.rexourg.org
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"A toftu ysten certficalion permit is required to install, nodzfi, maintain, or seruice a// new and existiigfre
extinguishers,fre suppression Etstems,fre alarzt s1t$ems, and other /fe safe4t slstens aithin the Ciyt of Rexburg"
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REXBURG
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Am e ri cals Fam i \ Co ntmun i ty35N l'tE
Rexburg, lD 83440
BUSINESS NAME:Patcel:
OFFICE AI}DRESS:
OFFICE PHONE NUMBER:
coNrACr pERSo*, //AS/ r/ 6*./ r
PLEASE IDENTIFY SYSTEMS TO BE COVERED BY THIS PERMIT. CHECK ALL
THAT APPLY.
-FIRE AI-ARM SYSTEMS - Alarm Contractors shall have a minimum of NICET Level 1
Certifications or equivalent.
' PLE,ASE PROVIDE CE,RTIFICATIONS:
{.NICET Certification
{.Panel Certification
*Proof of Liability Insurance
{.NICET Level II requfued for design work
AUTOMATIC SPRINKLER SYSTEMS * Fire Sprinkler Contractots shall have a
um of NICET Level I Certifications or equivalent.
{.PLEASE PROVIDE CERTIFICATIONS:
..?.NICET Cerification
.i.Any Additional C ertifi cations
{.Proof of Liability Insurance
i. NICET Level II required for design work
-FIRE EXTINGUISHERS
{.Proof of Certification & Training
AUTOMATIC FIRE EXTINGUISHING SYSTEMS FOR COMMERCIAL
COOKING
{.Proof of training for cornmercial cooking heads
STANDPIPE SYSTEMS -SPECIAL HAZARD SYSTEMS
-FIRE PUMP-SMOKE CONTROL SYSTEMS
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i,1 -"--;'li."J;1, llj3"l'l-i.'J l; r:iji{ ii,qTlt-ii"l i,'ll,l l*'\' :l;:, l:*:r:.);l -'?l; lil-f,C 5;,Approvai Letter
Name:
I)ate of Alvard:
Certitication Number:
Certilication [xpire Date:
Nfarshall J. Gardner
April 8. 2011
86390
04/0ri?014
It is m.v pleasure to inform you that recertification has been granted as follows:
f IRU PROTUCTIO\ ENG[]rEERt.\G TECITNOLOGY/WATER-BASED (FCltr,XSRLy A'.]TO]I_.1.TIC StR$iI(L:R]
SYSTBMS LAYOUT/LEVEL III
Yi:u will find -vour new wallet card attached to the bottom of this letter. Also enclosed with this letter is your new
certificate. Your new three-year period of certification is printed on both your wallet card anrl your certificate. You will
need to accumulate another 90 continuing professional dcvelopmcnt points to continue your certification beyond this nerv
expirntion date.
Prior to renroving the rvallet card irom this letter. we advise that
lette[ ma), be required as proof of certification.
youmake a copy of the letter for your files as the complete
Ihc interest you have shotYn in your career development b-v obtaining professional recognition anct status through
certificatitln is rnost commendablt. On behalf of the Board of Governors, please accept our congratulations and bestryishes.
trulv yours.'#cu-
\lichacl A. Clrrrk
Chief Operating Executive
remove card slowly
hl,ATloNl\L tfvSTtTuTE f oR crRTtFicl\Tto$d
iN ET{6INEERIIVC TECHI\OLOGIES'
Marshall.I. Gardner
Nlarshall J. Gardner
353 N. 1587 E
Saint Anthony. ID 83445
1VATER-8ASf, D fi ORIVIERLY AUTOMATIC SPRINKLER)
SYSTEPIS LAYOUT/III
CUR,T NO, 86390 VALID THRU O4iOll201J
*1-703-548-1518 7A3-682-2756 tax
Verl
142C KirE Streel, Alexanriria, VA 22314-2194 BB8-476-42 38
04/30/2013 12:02 T0:+l (208)359 3022
I
FR0ll: 2089022565 Page:2
TE OF LIABILITY INSURANCETH|S CERT|FICATE ts tssuEo ls A MATT
::i$:iJE??'_#llil1lTfl,1F^.,J"?11*l*r:: -i.i.**. covERAGEAFFoRDED ByrHEpol,c,EsiEill;,,^ffi,iislfll=,iilxlffiii:i?i?,!ilrffiili'!-i;T;oH;iH#fffi:r.",:,f,,is,R"?J,:1ff"?ffJ:;
IMPORTANT: ITtTre
f"ff;il1ff:'1ff1,"*,lit;llilLl#,ilglioeslivrec"i'i;"J"0"ilJ'l,mli sratemem "" ni" *,,m""," docs nor conrer rishB rothe
Insure lt All
1490 Midway
Ammon, lD 83rt06
License #: 328802
Gem State Fire protection, LLC
1105 E. lona Road
ldaho Falls, tD 83401
THIS IS TO CERT'F"*ot tlNDlcArED' NorwrrHsrANDr*gtfl.llqulREMiiri'linii.ilgoNorroivo-irrifc6-r.irHqcr_ororHERDocuMENrwrxnesprcrrowHrcHrHrs
BrTiB"".e"ilTEf il'.tUJ."r ro o.. nra iiCr,ri, "-
COMMERCI,AI GENERAT LIABIUTY
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G€N! AGGREGAJE Ut dT AppUES pER:
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AUTOTI}O8ILE UAB[.ITY
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wonK€RS COUPE!lSATtotl
AND EXPLOYERS' LIAsILFY
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DESCRIPIION OF OPERAIIONS/ LOCATIONS rVErrC
Gity of Rexburg
19 E Main Street
Rexburg, lD 83440
SHO{'LD AilY OF TI{E ABOVE DESCRTAEO POUCIES BE CANCELLEO BEFORET)rE gl(plRATlon DAIE THEREoF, r{ortcE wrr.r- as oeuviilo-rrACCORDANCE Wtfl r}tE poltcy pRovtstoNs.
AUTHORIZED REPRESEI{TATTVE
A;il /4"oil,
Fax: (208)359-3022
oless_2oroecon@
The ACORD name and logo are registered marts of ACORD
Prinled by CSR on Aprit 30, 2013 at 01:39pM
ACORD 25 (2010/0s)
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City ofRexburg Receipf#:259
Date:6/28f2013
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Tdel Amountllre:
TddPelment:
Co&: REXBURG_ReAI259_28_6_201 3_madas
100.00
100.00
Pag€c I of IReceivcdBy: a'adcr,