Loading...
HomeMy WebLinkAboutALL DOCS - 12-00375 - Code Red Fire Services Annual Certificationoo a 1 E E a a E E o H fr E H 4 Ho E Hoz H \'r \-, J v t-.4\ FD:gftsFd \r/ P \./ofr FF{ Frlt:lO Jtfr\ s)- H (n l..F{')-) A |J lJ. \.TDrs Fso-E P. c-r- O rbtD O lJ. lr*oc 15 l-ro C)4JC) HP-O (n tr H N H 19E O :[h H H[9,t9 c ,-tv g, { gt )-|--.i HPI.[. Lr-l$xi+ li-i SfL'1 '4 .*, f r.!r l-'J ":":x'^J;n $ L{J a z Fl p E t- FJ - Frl (, EN o m tn[f j E t9 b.9 -.t v. rry t \wt -*.tyu.J:J J|.144 Y.td''ITITfrZA r4UG) o Rexburg-Modison Counfy wwwreftufg.otg EmegencyScryfcec Ptwp:208,37L2826 Forn83s9.fi22 *A safrg gttcn efiufion pnzit is nqttind n itzttau ,ndb, aaiatain, mscnia ail *mt ad xirtingfntdp&uitbcrt,fn aqlnsiaa ytt t,1* ot*n g4hat, ora ilurty, uqE gstcrzs uithin * cg opnxt a" COI\TTACTPERSON: R-,^ .E-/ CF,I,L PIIONE #, 846...[ff-r4fJ C OI'4 PIfASE IDEI{TI T SYSTEI\IS TO BE COVERED BYTHIS PERIUIT. CFTECXAIITHAT APPLY. il|O fi**" * sYgrEMs - Alarm cootractors shalt havc a piniqsm of NrcEr Lc,rrcl 1r Lertt$cauods ot c$rivral$e ee pLEASB PROVIDE CERTHC.ATIONS: +NlCE"f Ccttifcatioo, {'Paod Ccctific"rtioa *Pmof of Lbbitity Ins'r.irrce +NICEil I*vd llrequircd for dcsign wotk -AUToMAITC SPRI\IKLER SYSilEIUS * Fitc Sprinkler C,on6actors shall, have s't'airnr:rs of MCET Levcl I cecificationr * "q"i*r*r'+ PLEASE PROVIDE CERTTETCATIONS: ANICET Cenif,catioo *Any Additioqal C,ertificetions..!.Proof of Liabiliry Insurancc A MCET Lcvet U $quLcd for.{^sign work oy 35N t.,€ Rexbug, tD Ba44O BUSINESS NAIVTE: OFFICEADDRESS: OFFICE PFIONENUMBEE REXBIJRG -(tlt+ kt*ttrdRttrtlyQmaoily OsTo I're,S€rulce!, -t- Page 1 6tr:60 Ztoz-Iz-lnu 2(oo ExrrNGUrsHERs -x4rro*^',.r#;:ill'HrHKtJ;rursFoRcoMMERcrAL COOKNG d..Proof of dafoxng for cornmcrcial cookiog heads-srANDrrpe $agtEMs _sFEcrAL rrAzaRD strsrEhls*SMOKE COI{TROL SYSTEMS F'INE PUMP 012-03-20 13:aS I nn . Yl uu ct 20E 359 3022 6L\rZ9980ZI c r sssudxs 't33uvd tra/t 4ro a-r:Ntc. ".lrutell,li't ***Pr-EA,s:E PROUIDE nocaMENrarloN oF I:?ArNnvG r.EuELs,rNsrALr.ATroN ffiKrrErqTror\E, zrerzrzy anitnexa, Erc FoR Ar.LDISIPLtrtpst** l#"H3:r*-Y:.T?59^"-g.*-peo.ltyoipctynryttettbciarom*roncomeircdffi ;'JtrL*"*'*;'tsF:So4ffi ilffi ;ffi#:ffi Affi*B1n**ffi:,#Th*""1"*l;*1-^;1i1"F8ffi .,boeby aurhotizccrcoy 'utu(ltttc tcrtlcscatetivce of this cin' io inrpect ooy *'ort br coupllue p*p;;*. I il'iffic:otEciot lcslonribh fot ttre worlg ot I rcprc"oot lbe oq,rrcr os *imiiltAar.r,- --: -- ^^4^ ^7ilffi;ffiffi;iffi.jffi: .op*tcDt tbe o,ocs es risnifrcdabovc ,i'a!- *ri"g with rbe on,oedr :,f#fi ,mp.Ellt oF THE CAT.ENDAR yElrR appLrED FoR flt*" So^,( (-o/ ftr^:/ -h6--!, M"/A:// JAL/,o f//;'"'D/,/nRl'.r/ / ,-,L4ah0 f svaa € F/*,, o Ck^-rJ, ,,{ h4 A.'s U6oa rcB hzt /,;0/ E'p ov//F- Lorte ?.i] (,oJo 2'J Frc Seru,rrs 6slot )12-03-20 13:50 zoo'd 208 3s9 3022 6Lttz9980zr -2' Page 2 0z:60 z'toz-Iz-gnuJI SSSUdXS 'ISSUVd Y,f, /; /.1 tl<t/4a.',{ 9l.< a:4ai i{I t.d *. E$gF $g tt* E: $g E$ai'E;rsgl'! ?;gs EIgE DC8BgE 3E B$*e$flr$gE Eg €$ I1: Ft Fffoo6I GI 9P LLaC' G'a-og FszrR i R2 H 3,fi,2 f E h!{'A 'qixv7r'l)rl Il"l$ItgI lrI t'a\IE \q|5..vlg' A\ IE ,\\lErl- ggffi$ Ttstd €8 6 fi() aF {J i,o>rct) A!lo.Fto(r)of{g"q FI o(u l{ tr{ r-l€() .F( FF {U?1-O L -\Jtslr{-(J haaoF. J TJ FI FI :(, 00 \JCItr o0q c3.g€ s.g So)EE iobO o'r'B -v(u co?tio UJ od9u 5H'ax Urd PE'= (rl sg .tt '€€ ,gk !a(J'lJetr ds3(uU2u5r!a-q)dc) 4 dg"E€ s'F a;E> ?rc E(E tr q.) a<{;8FhO.: L.e E go .t) !)E_E 8fi & a9f-{ ;1>.jEe.r|F9FEE ffi.9(Ji3 ;9ffF(N E8€F6? -TGI o G){.)>.o tsq,) H€re^b'g|d!- 8E ord I.2S ftrF NR ^\ $ .SU b Nt' -\)U 0z:60 zI0z-IZ-zIUdr sssudxs ls3uvd6Lrrz9980zr800'd gf gE gf Otfg$E.tl 5€9t3= !*$f €f*frff $gF.5FgFsFgrlAFiEixtEiEto lo 1€IB E $E€EaF € Da5aFb:*f,( Ei ? gj !$iI if,i €E*f.gs $gF.5Fg;FF E{,$E AFff *Eifi -!49o!$F s$ $H!: $€E.9 i+:o l6;co I C-il z c, $IJ f q),(.) III q,qo (! .(s:t o0 lct LklFIrlu Itrl€ IroI f-r ob c, og oU(t) s oGl o\o q) tJ oz (u (llnF{ $ qx II / il lf:\l\ l\l =C>(\t c\c) qJ.o (,} oz g (\to tu oq /It I'\l IItf\ ll\U\, r lrb\ l\ \ tt\ tr.\ l\\;\ \\ ?atro*,o a go ooor{t\-aqact) at.!aF.. (6() .!{ aaF:(, FIU .Jcl 7 HH(g- I oaog (! & 3.rg) OD J*IJc3E o0q EE €€ ES'ir & Eo c.r'\'3SA E Er.- b ro*ja'iE t: ts 9.14E fr AEE g 5gEs{ Xoo.A/t?ir{€ s tf fr 1;€ € F H f,gg U u) a : Ef; €,$ ff €€I-N€* tFt .-EE ut oFi$tts u2-,iA n-Y>IU(l3OtJ q F7 eG 8'f A>..E)E: F Ed; $5hU.; r.=Fi6 3'o'E.E3A $$[pr (! a $.1(,)(, an CN flF tEa fio f N'.R a\s bs $ .$ \) 02260 zI0z-rz-1nudI sssudxs .Is3uvd6Lrtz9980zr?00'd vv .Fg t Is$ E€a9)iB fi$.r5-9 $i.eEgE EiiE€io= FT{;F.Ortt tt al, hEiEFiEsfr?t.Q'tfiFfEfiH5E f€gE g$ fi€t3 \c {Rtrx-v GlgE s4 c;ou'd qlt F .EI .:; xvril rctto IUIOt(Ueg. g C.c|-tn M t$tg (l EI ?esfi ct7tuHv.E€ >'E !E€g FEn$ E, #e 5= Efi 'A E Eq is €.9 .gB sF x E o gg j{ g rD - ZA €.i Fl!u - t o.3ie C,.5 C lPrii E f,EF; € E E s! €€ Eta, s $3€'n & EE 6 OZa(!'F(d E js {? g#n, '9 9T' E976t{ c Egoau5 \ rr) a9urtrto aic,€Qr(, cAa-E tn!(! F (tl q,'If Eo-v-fre; -'IN.\ l i" -"a.,iU froUa-o.E ch'H.15 9CJ N - .\- !.cEno .C!Crf+rrrl= .>. (, dE I €rl< t-f ! Ect) g OFI+, {u ts^Cr, .- q:f.-A= .A}!^X.z 6t afi t'\ -Er&r l.fo o(u -9 HE(u g (E b € -\&bssa \\ :R \ \) .v.N t\ F-l S).N .$5 tz:60 zloz- Iz-envJr sssudxs .ts3uvd6Lr \299802r900'd T}I(; CERTIFICATE t8 |sSU€ ffiifffiH"'I'?1.f$h*51[S#]Ii.*l^flE$:-#ds! trys oE '',ERAGE ^FF.RDE' B/ THE pouqergg.llf#mnng1TJj+il:="ffi #ff3ffiHet-d;,fi *tT'l[=*-#W=,,ffiK''lE,H*T Ithr--ccrr|'brteho@g1*.31g*'f :"."_lrbiliy,U',ifi;il,ff;fr;ir?."T,ffi11ffi lf f :fi ffiffi ,'*i#trtn'l:n**:r*i*crcrmrvioqtri'"i-'ffi t'ilfi .ffi ;fr ,:3.1"fi##l;lffid#f 'rl Cactle Lrtcc la.eurenoor 3385 S. Hol,ees DO bx 27SL Idaho 8a11a ID 93603 A-1 COdg Rcd l'l.re Senriccc, LLe 6340 Sharlrtd.I um s ro c^,e:[rNorcArEo. r{orvurnsrAr{nNo mri'neolriEil-EiiliE^i"bH_ffit?rffb?'rtrN&i'fl8^&:qfrf;9"ffi Tete* s suareci ro eriii'e rcnruc cuan+r 06 [J o..r* At rpatoilltu^..lt?Y ^t|Y t''OfiJi8t"'o flffffi*-xneo^{,!o8 Ll Slbg*"00o|rY [ru{/RY (Pr c€a6n{l AlloatAoYltd ulrfiJtY o?3cBrnoil o? oP!RA?!OB r,^oc^rcr JUL, O lU&V& CERTIF o ICATE OF LIABILITY INSU CE q{9U!O_44y o} tHE AsOvE D_escRt8EO po[JctEs BE CAtcEttED EEFORE?:'rE ExpFATroN oATE Tl€REoF. norrce- -*rr- be gftveRfo r{rlAccoRgArcEwrrHtxepoucvpndvrsoNE-'- -- o RAN ACORD 25 l2O1U05t lN8025(aro4or @ 1988.20{0 acoRDThe ACORD namo rnd logo ere regte&red marfte of ACORD TION,righa ruecnnd. 900'd 6lrtz9980zr dr ssgddxs 'Is3uvd 12.60 z\oz-Iz-1fiu Xpress Bill Pay - Payment frgine Page 1 of I City af Rexburg 35 Northlst East Rexburg, lD 83440 208-359-3020 4O Col, Printer J I {: I | } (} t IUIX{}URfi h Transaction detail for payment to City of Rexburg.Date:0812212012 - 10:05:58 AM Description :FIRE PERMIT Billing Information Code Red Fire Services Code Red Fire Services , 83401 Transaction Number: 16625263PT Visa - XXXX-XXXX-XXXX-1 581 Status: Successful 12 00375 irotatt"*'**-,,i;il;l sta0.00 1 a : I I: Transaction taken by: amanda km | rcP*l Payment Service Provided By www.xpressbillpay.com Copyright @ Xpress Bill Pay 2012 - All Rights Reserved https : //www. xpressbillpay. com/common/paymentjrocess.php 8/22/20t2