ESA-4019
Assigned to Affiliate:
ON SITE Required Prior To:
MARMIC FIR
7/31/2021
Work Order Details
CFP WO#:
210701-1921
Customer PO:
60259567
Priority Status:
Account Rep:
TANYA K.
Customer Location Details
Extended Stay America LLC
ESA-4019
MOD
618-624-1757
154 Regency Park
O FALLON, IL 62269
Instructions For Technicians
1
Tech MUST use site phone to Check In of CFP IVR @ 1-844-423-7487; failure to use the IVR will result to a 10% deduction of payment.
2
COVID 19 UPDATE:
** WHEN ARRIVING ONSITE ALL TECHS ARE REQUIRED TO WEAR FACE MASK AND GLOVES AS WELL AS ABIDE BY THE 6 FOOT SOCIAL
DISTANCING LAWS.
IF TECHS ARRIVE ONSITE AND DO NOT HAVE THE PROPER SAFETY EQUIPMENT THEY MAY BE TURNED AWAY AND NO TRIP CHARGE WILL BE
ACCEPTED. **
Tech(s) MUST sign in & out of the ESA log book at front desk to avoid payment issues. See the Manager on duty for details.
All work orders must have a manager's signature & date for each trip to the site.
1. Log into Mobile Verisae site (via smart device) in route
a. http://mobile.verisae.com , (Username: cfp1, Password: cfp1)
2. Select (My Jobs) and then Select WO# (CUSTOMER PO)
3. Select (Start Work) then OK. If second tech is on site, Select (Add Technician) and choose (cfp2)
4. Check in and out of CFP IVR with store phone
a. (1-844-4 CFP IVR (1-844-423-7487) WO # (CFP WORK ORDER)
b. CFP IVR Confirmation #_____________________
5. Once complete follow steps 1&2,then Select (Pause Work) - DO NOT SELECT COMPLETE WORK
6. ENTER BRIEF RESOLUTION
**FIRE WATCH - If a system is impaired or not in service, Store Manager must be notified of fire watch and note name of manager. Tech must contact CFP by
calling 1-866-556-4501 and speak to a representative.
****PICTURES MUST BE PROVIDED FOR ANY QUOTED REPAIRS****
Nature Of Problem
ANNUAL BACKFLOW INSPECTION –
PLEASE PERFORM ANNUAL BACKFLOW INSPECTION ON ALL DEVICES BELONGING TO EXTENDED STAY. INSPECTION REPORT MUST BE
PROVIDED AND A COPY LEFT ON SITE.
ALL INSPECTIONS MUST BE SCHEDULED WITH CFP 5 DAYS PRIOR TO ARRIVAL OR TECH WILL BE TURNED AWAY. PLEASE EMAIL
ESA@CFPFIRE.COM WITH SCHEDULE DATE
ALL TECHS MUST CHECK IN AND OUT OF CFP IVR, FAILURE WILL RESULT IN DEDUCTION OF PAYMENT
CFP IVR: 1-844-423-7487 | CFP WORK ORDER
IVR ISSUES OR QUESTIONS CALL 1-866-556-4501 AND ASK FOR ESA TEAM
Customer's Signature & Store Stamp
3
Obtain customer's signature for proof of service:
Date on Location:
Manager's Signature:
Print Name:
Place the store stamp in this section:
Resolution Notes
4
5
Tech MUST use site phone to Check Out of CFP IVR @ 1-844-423-7487; failure to use the IVR will result to a 10% deduction of payment.
Invoice Instructions
All work orders must be invoiced & submitted with signed/stamped paperwork within 14 days of job completion.
Any invoice over 30 days is NOT guaranteed payment. If invoices are sent without the proper back up (signed/stamped CFP work order) payment will not be processed.
All inspection reports must be filled out entirely & include a managers signature when submitting the invoice for processing.
Proof of submission to the compliance engine for all inspections and repairs must be submitted along with signed work orders and/or inspection reports. This is now a
requirement for all ESA work.
****YOU MUST PROVIDE: a certificate showing submitted from the compliance engine system.****
**INVOICING/PAYMENT INSTRUCTIONS: ALL INVOICES, SIGNED WORK ORDERS, INSPECTION REPORTS, & PICTURES MUST BE SUBMITTED THROUGH OUR
AFFILIATE PORTAL. THE LINK FOR THE AFFILIATE PORTAL IS: http://affiliate.cfpfire.com/Login.aspx. IF YOU DO NOT HAVE A USER NAME & PASSWORD FOR
THE AFFILIATE PORTAL OR IF YOU HAVE ANY QUESTIONS PLEASE EMAIL: affiliateportal@cfpfire.com
TERMS and CONDITIONS
1) By performing the work described herein. Technician and Technician's company and/or employee accept all terms and conditions of this work order.
2) If Technician is a CFP Affiliate, the terms and conditions of the Affiliate Contract apply to and are incorporated into this work order.
3) Technician and Technician's company and/or employer represent that they are covered by adequate worker's compensation, general liability, and automotive liability insurance policies.
4) Technician and Technician's company and/or employer represent that they are properly licensed/certified and trained to perform this work order.
5) No mechanic's or similiar lien will be recorded or asserted against Customer.
6) LIMITATION OF LIABILITY
The Contractor makes NO WARRANTIES, EXPRESS, OR IMPLIED, INCLUDING, WITHOUT LIMITATION, WARRANTIES OF PERFORMANCE OR WARRANTIES OF FITNESS FOR A PARTICULAR PURPOSE. No promise not
contained herein or affirmation of fact made by any employee, agent or representative of the Contractor shall constitute a warranty by the Contractor or give rise to any liability or obligation. Contractor’s liability to Customer for personal
injury, death, or property damage arising from performance under this contract shall be limited to the contract price. Customer shall hold Contractor harmless from any and all third party claims for personal injury, death or property
damage, arising from Customer’s failure to maintain these systems or keep them in operative condition, whether based upon contract, warranty, tort, strict liability or otherwise. In no event shall the Contractor be liable for any special,
indirect, incidental, consequential or liquidated, penal or any economic loss damages of any character, including but not limited to loss of use of the Customer’s property, lost profits or lost production, whether claimed by the Customer or
by any third party, irrespective of whether claims or actions for such damage are based upon contract, warranty, negligence, tort, strict liability or otherwise.
7) INDEMNITY Customer shall indemnify and hold CFP harmless from any and all third party claims for bodily injury, death, property, or economic loss arising from Customer's failure to maintain it's fire and alarm systems or to keep
them in operative condition.
153 Technology Drive, Ste. 200, Irvine, CA 92618 | 24 HOUR EMERGENCY SERVICE 1-866-556-4501 Fax 949-861-6889
Test and Maintenance Report for Backflow Preventer Assemblies
Test Date: Account No.
Commercial Residential
Address Phone
Contact
Assembly Information
Annual Replace Repair Failure
RP Serial No. Size
DC Make New Install
Other Model Location
Isolation
Test Results
Passed psi
Failed Relief Valve
Leaked Leaked
Closed Tight Closed Tight
Closed Tight Closed Tight
Opened at
psid
Tester (signature): Cert. No:
Tester (print): Cert Expires:
Company Name: Phone:
Company Address:
Owner/Officer (signature): Title:
Owner/Officer (print): Date:
Certification - Facility I hereby certify that the above backflow prevention assembly has been in constant use at this location during
the entire prescribed interval between test periods and during that period this assembly was not bypassed, made inoperative or
removed without proper authorization. All defects found during the operation period or during tests of assembly were satisfactorily
corrected without delay. I further certify that I have the responsibility and authority to insure the above.
Final Test
Certification - Tester I hereby certify that I have personally tested the above backflow prevention assembly, that the assembly is in
proper operating condition, and that the above data is correct.
Containment
System Type
Line Pressure
Test Before Repair
Check Valve No. 1
Check Valve No. 2
Opened at
(Office Use Only)
Facility Name