ESA-4019
Assigned to Affiliate:
ON SITE Required Prior To:
MARMIC FIR
7/31/2021
Work Order Details
CFP WO#:
210701-1920
Customer PO:
60259699
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 FIRE SPRINKLER INSPECTION –
PLEASE PERFORM ANNUAL FIRE SPRINKLER INSPECTION. 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
PAGE
COMPANY NAME
BUILDING NAME
CONTACT NAME
e-mail
PHONE #
FAX #
CITY ZIP CODE
DATE TESTED: INSPECTOR:
GENERAL INSPECTION REPORT
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 according to in
formation 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 sy
stem 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
sult
s satisfacto
ry?
4.
TANKS, PUMPS, FIRE DEPT. CONNECTIONS
a.
Are fire pump
s
, gravity tanks, reservoirs and pre
s
su
re 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
***
Check one:
ANNUAL ___________
QUARTERLY_________
MONTHLY___________
VISUAL ONLY________
CFP
YES
N/A
NO *
5.
WET SYSTEMS
(See Section 13)
a.
Are col
d-weat
her 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
conditio
n?
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 requi
red?
g.
Are dry valves adequately protected from freezing?
h. Are valve house and heater condition satisfactory?
7.
SPECIAL SY
STEMS
(See Section 18)
a.
We
re valves t
ested as requ
ired?
b.
Were all heat responsive systems tested and results satisfactory?
c. Were supervisory features tested and results satisfactory?
8.
ALARMS
a.
Are wate
r mo
tor and gong test satisfacto
ry?
b.
Is electric alarm test satisfactory?
c. Is supervisory alarm service test satisfactory?
9.
SPRINKLERS -- PIPING
a.
Are all sp
rin
klers in good condition, not obstructed, and free of corrosion or load
ing?
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
spri
nklers, 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-syst
em 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 Mo
del?
Condition:
C-67-1 08/01 Page 2 of 3
Anti-Freeze Temperature Results (If Applicable): _____________________
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
18.
Explanation of any "NO" answers.
SYSTEM CONDITION:
Red Tag
* Explain "NO" answers in Item #19
C-67-1 08/01 Page 3 of 3