HomeMy WebLinkAboutALL DOCS - 14-00541 - Alarm Control Systems, Inc. Annual Safety Certao
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35N IrE
Rexburg' D 8344o
Rexburg-Modison County
www.rexburg.org
Emergency Serylces
Phone: N8.372.2341
Fox:M,350.302
cl1'v ol
REXBURG
rlnrrrircl Firraill. Crrtr',ilfirrt)'
$100 Fee Paid: Yes/No Petmit Approved: Yes/No
BY: Date:
'A ulcE glcn ceflifcaiionpemit is nqaind to hstall, modifi, aaiilafu, or nticc all nep and cxistingfn
fn uppnfion grtcnqfn alatm grtems, and otbt lifc salery gstns vithin tbc CiE of kxbng"
BUsrNEssNArvrE: Atorm ConlfO\ 3-|$\,rvrS,:tne p"r""r,
oFFrcEADDREss, Z-teo S. %O f. . So,tt LoF,e Cili.UT 8.{lOU
OFFICE PHONE NUMBER -XOI - '{ 8U' 8 -T 3 T
CONTACTpERSON: JOne Ae Lrna cELLpHoNE#:
PLEASE IDENTIFY SYSTEMS TO BE CO\IERED BY THIS PERMIT. CHECK ALL
TI{AT APPLY.
-lr-rlRg ALARM SYSTEMS - Alarm ConEactors shall have a minimum of NICET kvel 1
Certifications or equivalenl
*PLEASE PROVIDE CERTIFICATIONS:
I?.NICET Cetification
*Panel Certification
*Proof of Liability Insuraoce
AUTOMATIC SPRINI0-ER SYSTEMS * Fire SprinHer Contractors shall have a
mLlimum of NICET Level III Cettificetions or equivalenl
+PLEASE PROVIDE CERTIFICATIONS:
+NICET Certification
.&Aoy Additioaal Certifications
{'Ptoof of Liability Insurance
FIRE EXTINGUISHERS
-STAhIDPIPE SYSTEMS
-SMOKE CONTN.OL SYSTEMS
jlspecrAr. r{AzARD sysrEMs
FIRE PUMPS
_AUTOMATTC FIRE H'(TTNGUTSHTNG SYSTEMS FOR COMMERCIAL
COOKING
***PLE/ISE PROWDE DOCAMENTATION OF TRAINING IEVELS,
TNSTALLATION CERTIFIQITIONS, I-ABrLITY INSUR NICE, ETC. FOR AIJ
BUSINESS NAME:
PLEASE LIST ALL COMPAI{IES YOUR BUSINESS IS AUTHORIZED TO
REPRESENT:
COMPAhIY NAME:
COMPANYNAME:
COMPAIVYNAME:
PHONE #:
PHONE #:
PHONE #:
i*PLEASE LIST ADDITIONAL COMPAI{Y AUTHORIZATIONS ON THE BACK OF
THIS FORM{"}
I ccrti$ that I havc reod this rpplication snd dccl,irc undcr penalty of pctiury that thc infotmation conteined
hercin is conect end complete. I egree to comply with all city ordinances, adopted codes, and state laws
relating to thc inrtallation, modification, ccnicc, and maintcnancc of new end cxicting lifc safcty cyctcmc. I
hereby tuthorizc repreeentetivce of thie city to inepect any work fot compliance purpos€r. I em either the
contfirctor reeponsible for thc workr or I represent th€ owncr es significd ebovc end an with the owneds
PRINT NAME OF APPLICAI$T
tt-tz'ttDATE
CAI{T'S SIGNATURE
PENMIT VALID TJNTIL DECEMBER 3T OF THE CALENDARYEAR APPLIED FOR
***{alol.!l.rl.:|:l.tl.{atF|.{cg|$lo}{a|ctsl.*{dt{.*l.{.**trl.ffiffi:tffi#ffiffi*'Hnl.ffirlr{drlr+rttt{rdnHlttftr
DISIPLINES***
/conractot's full koowlcdgc or consent
-2-
^AD"
\-''CERTIFICATE OF LIABILITY INSURANGE
THls cERTIFIcATE ls l{tst ED As A MATTER oF tNFoRitATbr{ oNLy A}tD coNFERs 1{o RreHTs upoit rHE c=nrrmre lrolorn" rxrsCERNFEATE DOES NOT AFFIRilATTUELY OR NEEATVELY ATET{D! EXTEND OR ALTER THE COVERAGE AFFORDED BY THE FOLICIESBELOW. THIS CERTIFEATE OF IIISURANGE DOES llOT COilSmUTE A CONTRAGT BETmEN THE tSSUNc lltsuRER(sl, AUTHORtrEDREPRESENTATN'E OR PRODUCER, AI{D TIIE CERITIFICATE HOLOER
tho terms rnd condfllonc of thr pollcy' ccrta&r pollclce may nqulrc en endomcrnrnt A stet moot on thlc cartiftcsto docr not corfar righir to thec,artlftcato holdor ln llcu of such endonemcnilcl-
Pn@ucEn
Strmi t Inguranee Group LI.C
7430 Souttr Creek Road *300
[tllUnEO
Alarm Control Systena, Inc Alan:m Control
2156 SOOIE 900 EAST
sll|! LrsE crTr ut 8{106
THAT THE POLICIES OF INSURA,'ICE USTED BELow HAVE BEEN IsSuED To THE INST.RED NAilED Aso,E FoR fie po|.Icv pEnrod
lNolcATED. NOTWffiISTANDINO AtlY REQUIREMENT, TERM OR cONDfTloN OF Al.lY coNTRAcT OR OTIGR DOCLn EuT Wtfi RESFEcT To WHICH THlsCERTIFICATE MAY BE ISSUEO OR UAY PERTASiI, THE INSURANCE AFFORDED BY fiE POLICIES DESCRIBED HEREIN IS SI..'B"ECT TO ALL THE TERMS,EXCLUSIONS AND CONOIT]ONS OF SUCH POLEIES. UMITT! SHON'N MAY HAVE BEEN REDUCED BY PAID CI.AIMA,
G€NERAL IIASIUW
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CERTIFEATE 723682
CERTIFICATE I{OLDER
ACORD 25 {2010'0q
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CAI{CELLATTOII
Ecebive Fedcral Credit tlnl-on
1087 Erickaon Dr
Renburg, XD 83{{0
SHOIILD AIIY OF THE AAOVE DEECRIED FOLEIES !E GIIIC€IJ.ED EEfOf,ETHE EXPRATTOOI DATE fiENgOF, IIOTFE Wil-L BE DELN'EIED IIIACGMDATCE MTH THE POUEY 'MVE|oTs.
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FEW
Protection Sysfems
A UTC Fire & Security Company
November 12,2014
To Whom lt May Concem:
Alarm Control is an authorized distributor in lJtah and ldaho of Fenwal Protection Systems.Accordingly, they are certified to design, install, inspect and maintain Fenwalfire detectionand suppression systems within the marketplace.
They have acted with the highest degree of professionalism as a Fenwal distributor
qqal{ng over thirty y€ars. During this period, Alarm Control has continuously maintaineddlstributor status enabling them to keep abreast of all new product developments andrepresent Fenwal Protection Systems with the highest degree of professionalism.
Fenwal is extremely proud of our partnership with Ararm control.
Very truly yours,
Ron Parker
RegionalSales Manager
Fenwal Protestion Systems
Cell: (480) 428-9003
Ronald. Parke r@fs. utc.co m www.fenwa lfi re. co m
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Date: 1112612014
ReceiPt #: 3456
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Alarm Control Systems, Inc.
Annual Safety Cert.
Please contact the Building Department at
(208)372-2341 for further questions about this
receipt
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NOv ? 6 ?0i'1
CIfi *F REXBURG
1732320
24 Hour Notice for insPections
Call insPection hotline at
(2081372-2344
"**Credit card payments are accepted, but are subject to a 3% convenience fee on payment amounts ov€r $$gg***