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FM200/Halon/Sapphire - Up to 300lbs (Use Fire section for device testing)0 1 April <br />Panel 0 0 <br />Additional Cylinder - less than 350lbs 0 0 <br />Additional Cylinder - more than 350lbs 0 0 <br />Abort 0 0 <br />Smoke Detector Inspection 0 0 <br />Smoke Detector Sensitivity Testing Not Included <br />Smoke Detector Cleaning Not Included <br />Sub-Floor Smoke Detector 0 0 <br />Sub-Floor Smoke Detector Sensitivity Testing (Essential Only)Not Included <br />Sub-Floor Smoke Detector Cleaning (Essential Only)Not Included <br />Above Ceiling Smoke Detector (Functionality Test of Detector above ceiling grid)0 0 <br />Heat Detector 0 0 <br />Pull Station 0 0 <br />A/V 0 0 <br />Hours 3 <br />Essential Special Hazard Standard Hours Only Yes <br />After-Hours Special Hazard Inspection (Essential Coverage Only)No <br />$0.00 <br />Annual Cost $795.00 <br />Extinguishers Annual Inspection Month <br />ABC (Minimum Price of 15 per Location)20 April <br />Clean Agent/Halon (Minimum Price of 7 per Location)0 <br />CO2/K-Class (Minimum Price of 9 per Location)0 <br />Water - Stored Pressure (Minimum Price of 15 per Location)0 <br />Wheeled Unit 0 <br />Hours 1 <br />Essential Extinguisher Yes <br />Optional Enhanced (parts, recharge, service)No <br />After-Hours Extinguisher Inspection (Based on Essential Coverage - if No <br />Enhanced Coverage is required, contact Melanie LeClair to update) <br />$0.00 <br />Annual Cost $221.00 <br />Emergency Lighting Annual Inspection Month <br />Emergency Light(s) w/Battery Back-Up (Minimum Price of 2 per Location)0 <br />Exit Light(s) w/Battery Back-Up (Minimum Price of 2 per Location)0 <br />Hours 0 <br />Essential E-Light No <br />Optional Enhanced Coverage (parts, component replacement)No <br />After-Hours Emergency Lighting Inspection (Based on Essential No <br />coverage - if Enhanced is required, contact Melanie LeClair to update) <br />$0.00 <br />Annual Cost $0.00 <br />Kitchen Hoods Annual Semi-Annual Inspection Month <br />Hood System (Inc. 1 Tank & up to 3 links)0 0 <br />Additional Tank(s)0 0 <br />Additional Link(s)0 0 <br />Hours 0 <br />Essential Kitchen Hood No <br />Optional Enhanced Coverage (parts, component replacement)No <br />After-Hours Kitchen Hood Inspection (Based on Essential Coverage - if No <br />Enhanced Coverage is required, contact Melanie LeClair to update) <br />$0.00 <br />Annual Cost $0.00 <br />Additional Fire Alarm Inspector Time 0 <br />Additional Sprinkler Inspector Time 0 <br />Additional EX/E-Light/KH Inspector Time 0 <br />Additional Special Hazard Inspector Time 0 <br />Total Additional Inspector Time 0 <br />$0 <br />Insert addt'l svc coverage desc. (hood clean, parts, union labor) <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />Annual Recurring Cost:$2,637.00 <br />Date: ____________ Customer <br />Signature:__________________