Fillable Work Order V2 (City of Oakland)

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Work Order V2 (City of Oakland)

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ETHAN-418
Assigned to Affiliate:
ON SITE Required Prior To:
MARMIC FIR
1/31/2022
Work Order Details
CFP WO#:
220119-0046
Customer PO:
ANDY
Priority Status:
Within 30 days
Account Rep:
APRIL G.
Customer Location Details
Ethan Allen Global, Inc
ETHAN ALLEN-418
636-536-2774
16860 Chesterfield Airport Rd
CHESTERFIELD, MO 63005
Instructions For Technicians
1
While working in our customer’s locations, we ask that our vendor partners & technicians wear face masks/covering, practice social distancing guidelines by
keeping a safe distance of at least six feet from others, as well as practicing good hygiene as recommended by the CDC.
TECHS MUST CHECK INTO THE CFP IVR
CFP IVR: (844) 423-7487 & CFP WO#
CFP IVR ISSUES: (866) 556-4501
** FAILURE TO CHECK IN/OUT WILL RESULT IN NON-PAYMENT **
2
1. IVR IN AND CHECK IN WITH MANAGER WHEN YOU ARRIVE ONSITE
2. ADDRESS THE ISSUE
3. CHECK OUT WIITH MANAGER
4. GET STORE STAMP AND SIGNATURE FROM MANAGER ON CFP PAPERWORK BEFORE LEAVING LOCATION
6. IF STORE IS ON FIRE WATCH- ADVISE MANAGER THAT THE STORE IS ON FIRE WATCH, GET MANAGER'S FIRST AND LAST NAME AND WRITE IT
ON THE WORK ORDER. THEN NOTIFY CFP THAT THE STORE HAS BEEN PLACED ON FIRE WATCH.
7. NOTIFY CFP THAT WORK IS COMPLETED AND WHAT TECH DID ONSITE.
8. CHECKOUT WITH CFP IVR
Nature Of Problem
JANUARY ANNUAL SPRINKLER INSPECTION
While on site, please wear a face mask/covering, and maintain a 6’ foot distance from others.
SCHEDULE WITH SITE PRIOR TO GOING OUT. LEAVE A COPY OF REPORT WITH MANAGER.
NTE: INSPECTION (REPAIRS REQUIRE APPROVAL) PLEASE CONTACT 1-866-556-4501 AND ASK TO SPEAK TO TEAM FOR APPROVAL
TECH MUST CHECK IN/OUT OF CFP IVR
CFP IVR: (844) 423-7487 & CFP WO#
** 10% INVOICE DEDUCTION IF FAILURE TO CHECK IN/OUT
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
TECHS MUST CHECK OUT OF CFP IVR
**FAILURE TO CHECK IN/OUT WILL RESULT IN NON-PAYMENT**
1. CFP IVR: 1-844-423-7487 | CFP WO-
2. GET SIGNATURES ON THE CFP WORK ORDER
3. NOTIFY CFP OF WHAT WAS DONE ONSITE AND IF FIRE WATCH IS NEEDED. IF FIRE WATCH IS NEEDED- PROVIDE MANAGER’S NAME AND PRINT
ON WORK ORDER WHO WAS NOTICED FIRE WATCH IS NEEDED.
Invoice Instructions
** INVOICES MUST BE SUBMITTED THROUGH THE AFFILIATE PORTAL WITHIN 14 DAYS AFTER WORK IS COMPLETE ON THE CFP WORK ORDER. INVOICES
MUST INCLUDE SIGNED CFP WORK ORDER AND/OR VENDORS SIGNED WORK ORDER BY SITE MANAGER IN ORDER TO BE PROCESSED OR PAID.
REPORTS MUST BE SUBMITTED FOR ALL INSPECTION WORK ORDERS ALONG WITH SIGNED WORK ORDER FROM SITE MANAGER AT THE LOCATION.
** INVOICE WILL NOT BE PAID/PROCESSED WITHOUT ALL OF THE ABOVE.
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
PAGE
COMPANY NAME
BUILDING NAME
CONTACT NAME
e-mail
PHONE #
FAX #
CITY ZIP CODE
DATE TESTED: INSPECTOR:
Fire Sprinkler System
REPORT OF INSPECTION
REPORT OF 5 YEAR TEST
***Date of last 5 year Test
***Must be filled in by Technician
OF
STREET ADDRESS
STATE
Inspection Report # Conferred With
Inspection Contract # (Job #):
1.
GENERAL
YES
N/A
NO *
a.
Is the building occupied accordi
ng to information furnished by owner or owner's
representativ
e?
b.
Is occupancy same as previous inspection according to information furnished by owner
or owner's representative?
c. Are all systems in service?
d.
Are all fire protection systems same as last inspection according to information furnished
by owner or owner's representative?
e. Is building completely sprinklered?
f.
Are all new additions and building changes properly protected according to information
furnished by owner or owner's representative?
g. Is all stock or storage properly below sprinkler piping?
h.
Was property free of fires since last inspection according to information furnished by
owner or owner's representative? (Explain any fire on separate sheet)
i.
In areas protected by wet system, does the building appear to be properly heated in all
area
s, including blind attics, perimeter areas and are all exterior openings protect
ed
against entrance of cold air?
2.
CO
NTROL VALVES
(See Section 16)
a.
Are all sp
rin
k
l
er system main control valves op
en?
b.
Are all other valves in proper position?
c. are all control valves in good condition and sealed or supervised?
3.
WATER SUPPLIES
(See Section 17)
a.
Wa
s a wate
r flow test mad
e and re
sults satisfacto
ry?
4.
TANKS, PUMPS, FIRE DEPT. CONNECTIONS
a.
Are fire pump
s
, gravity tanks, reservoirs and pre
s
sure tanks in good condition and
properly maintained?
b.
Are fire dept. connections in satisfactory condition, couplings free, caps in place and
check valves tight?
* Explain "NO" answers in Item #19
C-67-1 08/01 Page 1 of 3
***
Inspection Company Name:
Address
City
State
Zip Code
___________________________________________
___________________________________________
____________________ ______
______________
CFP
YES
N/A
NO *
5.
WET SYSTEMS
(See Section 13)
a. Are col
d-weather valves open or closed as necessary?
b. Have anti-freeze systems been tested and left in satisfactory condition?
c. Are alarm valves, water-flow indicators and retards in satisfactory condition?
6.
DRY SYSTEMS
(See Section 14)
a. Is dry valve in service and
good condition?
b. Is air pressure and priming water level normal?
c. Is air compressor in good condition?
d. Were low points drained during fall and winter inspections?
e. Are quick-opening devices in service?
f. Have dry valves been trip tested satisfactorily as required?
g. Are dry valves adequately protected from freezing?
h. Are valve house and heater condition satisfactory?
7.
SPECIAL SYSTEMS
(See Section 18)
a. We
re valves tested as required?
b. Were all heat responsive systems tested and results satisfactory?
c. Were supervisory features tested and results satisfactory?
8.
ALARMS
a. Are wate
r motor and gong test satisfactory?
b. Is electric alarm test satisfactory?
c. Is supervisory alarm service test satisfactory?
9.
SPRINKLERS -- PIPING
a. Are all sp
rinklers in good condition, not obstructed, and free of corrosion or loading?
b. Are all sprinklers less than 50 years old?
c. Are extra sprinklers readily available?
d.
Is condition of piping, drain valves, check valves, hangers, pressure gages, open
sprinklers, strainers satisfactory?
e. Have sprinklers been checked for proper temperature rating?
f. Are portable fire extinguishers in good condition?
g. Is hand hose on sprinkler systems satisfactory?
10.
Date Dry-system Piping last checked for stoppage.
11.
Date Dry-system Piping last checked for proper pitch.
12.
Date Dry-pipe Valve last trip tested.
13.
Wet Systems: NO. Make and Model:
14.
Dry Systems: NO. Make and Model:
15.
Special System: NO.
Make and Model? Condition:
Make and Model? Condition:
C-67-1 08/01 Page 2 of 3
City Connection Control Valve
Tank Control Valves
Pump Control Valves
Sectional Control Valves
FIRE PUMP
Water-flow Test
Yellow Tag
Green Tag
CFP
Open Secured
Closed
Signs
16.
CONTROL VALVES No Type
YES NO YES NO YES NO YES NO Condition
System Control Valves
17.
WATER-FLOW TEST
Water Pressure CITY PSI TANK PSI PSI
If none made, why?
Test Pipe
Located
Size Test
Pipe
Pressure
Before
Flow
Pressure
Pressure
After
Test Pipe
Located
Size Test
Pipe
Pressure
Before
Flow
Pressure
Pressure
After
19.
Explanation of any "NO" answers.
SYSTEM CONDITION:
Red Tag
* Explain "NO" answers in Item #19
C-67-1 08/01 Page 3 of 3
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Work Order V2 (City of Oakland)

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Completed 27 January 2022

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