HomeMy WebLinkAboutSuffolk Security Systems ELIZABETt{ A. NEVILLE
TOVgN CLERK
REGISTRAR OF VITAL STATISTICS
_ViARRIAGE OFFICER
RECORDS ~LI2qAG~EMENT OFFICER
~FREEDOM OF INFORMATION OFFICER
Town Hall, 53095 Main Road
P.O. Box 1179
Southold. New York 11971
Fax (631 765-6145
Telephone (631) 765-1800
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS
ADOPTED AT A REGULAR MEETING OF THE SOUTHOLD TOWN BOARD
HELD ON MARCH 28. 2000:
RESOLVED that the Town Board of the Town of Southold hereby authorizes
Supervisor Jean W. Cochran to execute a contract with Suffolk Security
Systems, Inc. for the annual monitoring of the fire alarm system at Town
Hall, at a cost of $ 30.00 per month, all in accordance with the approval of
the Town Attorney.
Southold Town Clerk
March 28, 2000
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax ~631) 765-6145
Telephone (631) 765-1600
OFFICE OF THE TO~fN CLERK
TOWN OF SOUTHOLD
THIS IS TO CERTIFY
ADOPTED AT A REGULAR
HELD ON MARCH 28. 2000:
THAT THE FOLLOWING RESOLUTION WAS
MEETING OF THE SOUTHOLD TOWN BOARD
RESOLVED that the Town Board of the Town of Southold hereby accepts the
proposal of Suffolk Security Systems, Inc. to install a fire alarm system in
Town Hall, at a cost of $9,285.00, all in accordance with the approval
of the Town Attorney.
A. N&ville
Southold Town Clerk
March 28, 2000
Suffolk Security Systems, Inc.
Box 1355 -Southold, New York 11971
Telephone: (631) 765-5262 · Fax: (631) 765-5488. info@suffolksecurity, com
NYS Department of State License #12000004147
STANDARD ALARM SALES CONTRACT
Buyer's Name; Southold Town Hall
Mailing Address: Po iBox 1 I79, Southold, New York 11971
Telephonec
63095 Main Road. Southold. New York
(631) 765~1823
Suf[olk Security Systems Inc. agrees to sell and install, at Buyer's premises, and Buyer agrees to buy, an electronic UL listed
fire alarm system, consisting of the following equipment:
:SIlen~ ~n[ght "[ntelliKnight 5820XL Analog/Addressable Fire Alarm Control Panel in U.L. rated enclosure. This panel is ca-
pable o¥;~dl~ng up to~''38'~ aha og/addressable Points of protect on
· Po~/er s.upphy~rated at 5 ~ps
~ Dis.tr, ib~t~d~ ,~:t~lli~ p~ver
· Sensor sens~tivity settings
· Drif~ compensation
· I.np~#Outpuf~circuits
· AN,SI cadence pattern outputs
· Bai~.i~a~nur'~ia~orwth arge, easy-to-read display
· RS~485 bus prm/fdes communication to system accessories
· t3~i]~jnirr~if- h[gh-spee~ldigital communicator reports system events to monitoring station
· UL ~sted. co~plies with NFPA 72
· 1,~00 event ;~i~ry buffer
· Stroke Verifr~ca~:~ob (for fa se alarm prevention)
· Tw¢ built-in re[a~ eutputs
· ; as necessary (including 9ut not restricted to the following list) to complete the work:
where necessary
end of line resistors
upply (4 - 7AH. 12V batteries)
58~1,' Expanders
Fire Annunciators with LCD Display
addreesable input modules
Relay Modules
Mini Contact Modules
4" Bases for 5820
for analog smoke/heat detectors
Heat Sensor Heads
Ionization Smoke Heads
JJ Notification Modules for 5820XL
PLEASE N~TE THAT THIS PROPOSAL IS TO REPLACE ALL EXIST NG FIRE ALARM DEVICES AND
APPLIANC~IN ACCORDANCE WITH THE 1999 NFPA 72 FIRE ALARM CODE AND REQUIREMENTS AS
DESIGNA~E~D EP( SOUTHOLD TOWN SPECIFICATIONS DATED MARCH 1, 2000.
THIS PROPOSAL ALSO INCLUDES ADDITIONAL DEVICES AS REQUIRED BY NFPA 72.
THIS PROPOSAL IS FOR AN ADDRESSABLE/ANALOG FIRE ALARM SYSTEM, THUS IDENTIFYING
PREC SEL'Y WHICH DEViCE(S) WENT iNTO ALARM AND WHETHER IT'S A FIRE CONDITION OR A DIRTY
SENSOR. SYSTEM DESIGN ALSO INCLUDES THE FOLLOWING:
· 11 Manual Pull Stations. Replace 10 existing pull station locations plus the addition of 1 pull station at the Annex
community entrance. New pull stations will be addressable and supervised. All Pull stations include base and Mini-
input modules.
· 8 Horn/Strobes to replace existing fire alarm bells. New horn/strobes include base and remote annunciators where
necessary.
33 Addressable smoke detector bases with ionization smoke detector heads [to replace existing smoke detectors,
change existing heat detectors in basement vault/storage areas to smoke detectors and add smo~e detectors at
required locations as follows;
Ta~ Receiver's office (2)
Supervisor's office (1)
Supervisor's conference room (1)
Secretary Area (1)
Town Attorney's office (1)
Data Processing (1)
Annex Town Justice offices (1 in each of 2 rooms)
Annex Secretary Area (1)
Annex Conference Room (1)
Please note,~at With the exception of the furnace room, we are recommending replacement of all heat detectors
to ionization smoke detectors. They will reseond more accurately and provide eadier detection of smoldering fires
(particularl~in the document storage areas).
COMPLETED FIRE ALARM SYSTEM WILL BE DELIVERED IN ACCORDANCE WITH NFPA 72, FNCLUDING
OWNER'S/USERS:MANUAL AND OPERATION INSTRUCTIONS. SYSTEM WILL BE INSPECTEDAND
TESTED IN ACCORDANCE WITH CHAPTER 7 OF NFPA 72.
AFTER ONE YEAR. BUYER MAY PURCHASE A FIRE SYSTEM SERVICE CONTRACT FOR $385, INCLUDING
REPAIR/REPLACEMENT OF COMPONENTS THAT FAIL UNDER NORMAL USE CONDITIONS.
U.L. CENTRAL STATION MONITORING RATE IS $3~PER MONTH, ~NCLUDING A DALLY TEST SIGNAL AND
VERIFICATION TOA TOLL-FREE UL CENTRAL STATION NUMBER.
Purchase Price (exclusive of monitoring): $ 9,285.00
Taxes:
Total: $ 9,285.00
Down Payment: $ 2,325.00
Balance Due Upon Completion: $ 6,960.00
Approximate date work to begin:
Estimated date work will be substantially completed.
Within 3 weeks of approval
Within 5 weeks of approval
LIMITED WARRANTY
In the event that any part of the alarm system becomes defective, or in the event that any repairs are required. Suffolk Secudty
Systems agrees to make all repairs and replacement of paKs without costs to the Buyer for a period of one year from the date of
installation, Suffolk Secudty Systems reserves the option to either replace or repair the alarm equipment, and reserves the dght
to substitute materials of equal quality at time of replacement, or [o use reconditioned carts in fulfillment of this warranty. This
warranty does not include batteries, reprogramming, damage by lightning, electrical surges, wire or foil breaks.
ExcePt as set forth in this agreement Suffolk Security Systems makes no express warranties as to any matter whatsoever, in-
cluding, without limitation. [he condition of the equipment, its merchantebJlity, or its fitness for any particular purpose. Suffolk
Security Systems expressly disclaims any implied warranties, including implied warranties of merchantability or fitness for a par-
ticular purpose.
The warranty does not cover damage to material or equipment caused by accident, misuse, attempted or unauthorized repair
service, modification, or ~mproper installation by anyone other than Suffolk Security Systems. Suffolk Security Systems shall not
be liable for consequential damages. Buyer acknowledges that any affirmation of fact or premise made by Suffolk Security Sys-
tems shall not be deemed to create an express warranty unless included in this contract in wdting and that Suffolk Secudty Sys-
tems has offered additional and more sophisticated equipment for an additional charge which Buyer has declined.
Buyer's exclusive remedy for Suffolk Security Systems breach of this contract or negligence to any degree under this contract is
to require Suffolk Security Systems to repair or ret)lace, at Suffolk Secudty Systems' option, any equipment that is non-
operational.
This warranty gives you specific legal rights and you may also have other dghts that vary from state to state.
'lf CeqQi~d by law, Suffolk Security Systems will erocure all permits required by local law and will provide certificate of workman's
compensation, prior to starting work
SEE,;~EVERSE SIDE FOR ADDITIONAL TERMS AND CONDITONS OF THIS SALE WHICH ARE PART OF THIS
.COI~:'I'RACT. READ THEM BEFORE YOU SIGN THIS CONTRACT. YOU THE BUYER. MAY CANCEL THIS CONTRACT AT
ANY TIME PRIOR TO MIDNIGHT OF THIRD BUSINESS DAY OF THIS TRANSACTION. SEE ATTACHED NOTICE OF
AddCess: Southold~Town Hall 53095 Main Road, Southold, New Ygrk 11971
.---
Dated: March/~, 2000 Approvedby Suffolk Securi~ste _ms, In __
GENERAL CONDITIONS
1. ACCESS CODES: Dealer access codes to control panel software remain the property of Suffolk Security Systems inc.
DELAY IN INSTALLATION: Suffolk Security Systems shall not be liable for any damage or loss sustained by Buyer as a
result of delay Jr] installation of equipment, equipment failure or for interruption of service due to-electric failure, stdkes.
walkouts, war. acts of God or other causes including Suffolk Security System's negligence in the performance of this con-
tract. The estimated date work is to be substantially completed is not a definite completion date and time is not of the es-
sence.
TESTING OF SECURITY SYSTEM: The parties hereto agree that the alarm system, once installed, is in the exclusive pos-
session and control of the Buyer, and it is Buyer's sole responsibility to test the operation of the alarm system and to notify
Suffolk Security Systems if any equfpment is in need of repair. Suffolk Secudty Systems shall not be required to service the
a~arm system unless it has received notice from Buyer. and upon sucn notice. Suffolk Security Systems shall service the
alarm system to the best of its ability within 36 hours, exclusive of Saturday, Sunday and legal holidays, during the business
hours of 8am and 4pm. Buyer agrees to test and insoect the alarm system and to advise Suffolk Security Systems of any
defect, error or omission in the alarm system. In the event Buyer complies with the terms of this agreement and Suffolk Se-
curity Systems fails to respond within 36 hours after notice is given (excluding Saturdays. Sundays and legal holidays),
Buyer agrees to send notice that the system is in need of repair to Suffolk Security Systems. in writing, by certified or regis-
tered mail and Buyer shall not be reseonsible for payments due while the alarm remains inoperable. In any lawsuit between
the padies in which the condition or operation of the alarm equipment is ir~ issue, the Buyer shall be precluded from raising
the issue that the alarm equipment was not operating unless the Buyer can prodUCe a post office certified or registered re-
ceipt signed Dy Suffolk Security Systems, evidencing that service was reauested by Buyer.
ALTERATION OF PREMISES FOR INSTALLATION: Suffolk Security Systems is authorized to make preparations such as
drilling holes, driving nails, making attachments or doing any other thing necessary in seller's sole discretion for the installa-
tion and service of the alarm system and Buyer represents that the owner of the premises, if other than Buyer, authorizes
the installation of the alarm system under the terms of this agreement.
BUYER'S DUTY TO SUPPLY ELECTRIC AND TELEPHONE SERVICE: Buyer agrees to furnish, at Buyer's expense, all
110 Volt AC power (rewiring at fire alarm panel to be done by Suffolk Security Systems), two dedicated telephone hook-ups,
RJ31X Block or equivalent, as deemed necessary by Suffolk Security Systems.
BUYER'S RESPONSIBILITIES: Buyer is solely responsible for any false alarm fines, permit fees and any other municipal
assessments related to the alarm equipment and shall prompuy, on demand, reimburse and indemnify Suffolk Security Sys-
tems for any such expenses. Should Suffolk Security Systems be required by existing or hereinafter enacted law to perform
any service or furnish any material not specifically covered by the terms of this agreement Buyer agrees to ~ay Suffolk Se-
curity Systems for such service or material.
LIEN LAW: Suffolk Security Sys[ems or any subcontractor engaged by Suffolk Security Systems to perfom the work or fur-
nish matedal who is not paid may have a claim against purchaser or the owner of the oremises if other than the purchaser
which may be enforced against the property in accordance with the applicable lien laws.
APPLICATION OF PAYMENTS: Suffolk Security Systems is legally required to deoosit all Payments received prior to com~
pletJon in accordance with New York Lien Law subdivision four of section 71A and. in lieu of such deposit. Suffolk Security
Systems may post a bond or contract of indemnity with purchaser guaranteeing the return or proper application of such
payments to the purposes of this contract.
9.. INDEMNIFY/WA VER OF SUBROGAT ON RIGHTS: Buyer agrees to and shall indemnify and hold harmless Suffolk Secu-
rity Systems. its employees, agents and subcontractors, from and against all claims, lawsuits, including reasonable attor-
neys' fees and losses asserted against and alleged to be caused by Suffolk Security Systems' performance, negligant per-
formance or failure to perform any obligation. Parties agree that there are no third party beneficiaries of this contract. Buyer
on its behalf and any insurance carrier waives any right of subrogation Buyer's insurance carrier may otherwise have
against Suffolk Security Systems or Suffolk Security Systems' subcontractors arising out of this agreement or the relation of
the parties hereto.
t0.
EXCULPATORY CLAUSE: Suffolk Security Systems and Buyer agree that the alarm equipment, once installed, becomes
the personal property of the Buyer;, that the equipment is not permanently attached to the realty and shall not be deemed fix-
tures. Buyer agrees that Suffolk Security Systems is not an insurer and no insurance coverage is offered herein. The alarm
system is designated to reduce certain dsks of loss, though Suffolk Secudty Systems does not guarantee that no loss will
occur. Suffolk Security Systems is not assuming liability, and therefore shall not be liable to Buyer for any loss, personal Jn-
JcUry~or property damage sustained by Buyer as a result of burglary, theft hold-up fire equipment failure, smoke, or any other
a.use=~V?~soeVer, regardless of whether or not such loss or damage was caused by or contributed to by Suffolk Security
System~ negligent performance or failure to perform any obligation. Buyer reieases Suffolk Security Systems from any
oJaTms for c~tr~n, indethnify or s~rogation
1t.
INSURANCE: The Buyer shall maintain a policy of public liability, property damage, burglary and theft insurance under
which Suffdlk-Secudty Systems and:the B~er are named as insured, and under which the insurer agrees to indempify and
hoid Suffolk Security SyStems~harmless frem and against all costs, expenses (including attorney's fees and liability adsing
out of or based upon any and ali claims, i0judes and aamages arising under this agreement, including but not limited to.
those claims, in, ties and damages contributed to by Suffolk Security Systems' negligent performance to any degree or its
failure to per~rm any obligation. The minimum lira ts of lab ty of such nsurance aha be one mil an do ars for any njury or
death, and property damage, bprglary, and theft coverage in an amount necessary to indem~lify Buyer for property on its
premises. S'uffo~k Security Sys~tns shall not be responsible for any portion of any I~3Ss or damage which is recovered or re-
coverab e by Buyer frdm idsuranCe covering such ass or damage br for such ass or damage aga nat wh ch Buyer s ndem-
nified er Jnsared.
12.
LIMITATION OF LIABILITY: Buyer agrees, that should there arise any liability on the part of Suffolk Secudty Systems as a
result of Suffolk Security Systems' negligent performance to any degree of failure or perform any ef Suffolk Security Sye-
terns' obligations or equipment failure, that Suffolk Security Systems' liability shall be limited to the sum of $250 or 5% of the
sale price, whichever is greater. If Buyer wishes to increase Suffolk Security Systems' maximum amount of Suffolk Secudty
Systems' limltatien of liability, Buyer may, as a matter of right, at any t me, by entering nrc a supp ementa contract, abra n a
highe[ limit by paying an annual 3ayment consonant with Suffolk Security Systems' increased liability. This shall not be con-
strued as insurance coverage.
· 13. LEGAL ACTION: In the event Suffolk Security Systems institutes legal action to recover any amounts owed by Buyer to
Suffolk. Security Systems hereunder, the parties agree that the amount to be recovered, and any judgement to be entered.
shall include interest at the rate of 1¼ % per month from the date payment is due. In any litigation between the parties Buyer
shall pay Suffolk Security Systems' legal fees.
The parties waive trial by jury in any action between them. In any action commenced by Suffolk Security Systems against
Buyer, Buyer shall not be permitted to interpose any counterclaim.
Any action by Buyer against Suffolk Security Systems must be commenced within thirteen months of the accrual of the
cause of action or shall be barred. All actions or proceedings against Suffolk Security Systems must be based on the provi-
sions of this agreement. Any other action that Buyer may have or bring against Suffolk Security Systems in respect to other
services rendered in connection with this agreement shall be deemed to have merged in and be resthcted to the terms and
conditions of this agreement
Any action or dispute between the parties, including issues of arbitration, shall, at the option of either party, be determined
by arbitration administered by the National Arbitration Association (7600 Jedcho Turnpike Suite LL3. Woodbury, NY 11746)
under its Commercial Arbitration Rules
14.
SUFFOLK SECURITY SYSTEMS' RIGHT TO SUBCONTRACT SPECIAL SERVICES: Buyer agrees that Suffolk Security
Systems is authorized and permitted to subcontract any services to be provided by Suffolk Security Systems to thirs parties
who may be indeoendent of Suffolk Security Systems. and that Suffolk Security SysTems shall not be liable for any loss or
damage sustained by Buyer by reason of fire, theft, burglary or any other cause whatsoever causeo Dy the negligence of
third parties.
Buyer acknowledges that this agreement inure to the benefit of and are applicable to any assignee, subcontractors, and
communication centers of Suffolk Security Sys[ems.
FULL AGREEMENT/SEVERABILITY: This agreement constitutes the full understanding of the par~ies and may not be
amended or modified or cancelled except in writing by both parties, except that in the event Suffolk Secudty Systems issues
a UL certificate to Buyer, Suffolk Security Systems shall comply with Underwriters Laboratory or any local law requirements
regarding items of protection provided for in this agreement. Should any provision of this agreemenf~ be deemed void the
remaining parts shall not be affected.
JEAN W. COCHRAN
SUPERVISOR
TOWNHALL - 53095 MA1N ROAD
Fax. 516)-765-3136
JAMES A. RICHTER, R.A.
ENGINEER
TOWN OF S OUTHOLD, NEW YORK 11971
fei. '5t6'}. 765 * i802
OFFICE OF THE ENGINEER
TOWN OF SOUTHOLD
SPECIFICATIONS:
i;CENTRALLY MONITORED COMMERCIAL FIRE
ALARM SYSTEM FOR SOUTHOLD TOVvT~ ,HALL
MARCH 1, 2000
ALL WORK TO COMPLY WITH "NrFPA 72" FINAL WORK TO INCLUDE THE FOLLOWING:
1. AS-BUILT DRAWINGS INDICATING LOCATIONS OF ALL DEVICES AND
APPLIANCES IN CONFORMANCE WITH REQUIREMENTS OF "NFPA 72".
2. PROPOSAL FOR PERIODIC & ANNUAL TESTING AS REQUIRED BY "NFPA 72"
FIRST YEAR OF TESTING SHALL BE INCLUDED WITH 2~4E COST OF THE PROJECT,
3. PROPOSAL FOR CENTRAL STATION MONITORING
4. MINIMUM ONE (1) YEAR WARRANTY (PARTS & SERVICE)
5. COMPLETED CERTIFICATE OF COMPLIANCE ("NFPA 72")
THE PROPOSAL SHOULD 1NCLUDE ALL MATERIALS AND LABOR REQUIRED FOR THE
COMPLETE INSTALLATION OF A FULLY FUNCTIONING AND PROPERLY BALANCED
CENTRALLY MONITORED COMMERCIAL FIRE ALAKM SYSTEM FOR THE TOWN HALL.
THE SCOPE OF WORK SHALL INCLUDE THE ENTIRE TOWN HALL FACILITY.
THIS WILL INCLUDE ALL STAiRWELL, STORAGE & BASEMENT AREAS, AS WELL AS ALL
OFFICE AREAS AND MEETING ROOMS INCLUDING THE JUSTICE COURT OFFICES.
THE RETROFITTING OF EXISTING EQUIPMENT, WHERE APPLICABLE, AND THE
INSTALLATION 0]5 ALL NEW DEVICES, APPLIANCES AND WIRING SHALL MEET THE
MINIMUM REQUIREMENTS OF "NFPA 72"
ALL ELECTRICAL WORK REQUIRED BY THE INSTALLATION WILL BE THE RESPONSIBILITY
OF THE CONTRACTOR. THE INSTALLATION OF TELEPHONE LINES SHALL BE THE TOWNS
RESPONSIBILITY.
WORKMANS COMPENSATION ALL RELATED INSURANCE REQUIRED BY THE PROJECT
SH,A_LL BE THE RESPONSIBILITY OF THE CONTRACTOR.
ANY AND ALL DAMAGE TO EXISTING FINISHES WITHIN THE FACILITY SHALL BE
REPAIRED BY THE CONTRACTOR.
I - AD;:)I'i I().",IAL'(.;OD=S ~FM3/(,)~ ,'
-Bi
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TIIERE ARE NO WAHRANTIE$. FXP}IE$~ OH IMPLIED, WIII(~H FXTEND REYOND THE DESC -~IPTION ON TI E FACE' Oil I~IEVFII.C,E HI:I'IEOF. INCLiJDING ANY II, IPLIEI3 ·
GRAL PAR'F OF TIllS CONTHACT. SJBSCRIBER ACKNOWLEDGES RECEIPT OF A COPY OF CONTRACT. READ THE FRONT AND REVERSE REFORE SIGNING·
1. NAME
DBA
2, ADDRESS
Eurgmarm I ~tate LI~.~: t
PermE-~ I , ~al~r ~ SignS1 ~
ALARM MONITORING R .CE AGREEMENT
ST NV ~p//?'7 /
TIME ZONE
CROSS S3,'REET/NEAREST INTERSECTION
TEL# ~(--7(~'-~ [~#'-;.~o '~TEL#
M~MUM 8 ~ARA~
COUMU,~C~O; ~ZK~UO~;L~
~E COMMUNICATOR I~ ~N~E~ED TO PHONE. NUMBER(~:
~ ( ) ~( )
[] YES
ATTAOHED RIDERS
[] ADDITIONAL CODES (FM370) [] OPEN/CLOSE DATA (FM224)
REPO~NG CODE CONDITIONS
CODE DESCRIPTION / ZONE #
!
3
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HOLD UP/PaNIC
AGENCI,ES TO BE NOTIFIED
1
7-1
AGENCY CODE
] POLICE DEPT.
FIREDEPZ
GUARDAGENCY
] ALARM COMPANY
ONE-2-oNEe~SERvICE DYES ~
TEST~TIMER
[~]NOTEST ~LY [~WCEKLY E--LMONTHLY
INSTAl; ,lt.,TIC N TYPE
VERIFY AGENCY NOTIFY NOTIFY
SIGNAE CODE
NAME TEL NO.
1.t~_chard Nortd.un (631) 765-1383
2.Elizabeth Ne~ZL]_e ~31 ) 765-2054
4..
y (~) p v ®
lApproved:
( )
( )
( )
( )
AUTFI'ORI:ZED INDIVIDUALS lOBE NOTIFIED
CESC. NAME TEL. NO.
~ s. ( )
~ 6. ( )
(516) 909-9430 C 7 ( )
( ) 8.. ( )
Phone Descriptions are: C = Cellular, D = Digital Pager, H = Home, W= Work
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
DESC
THIS AGREEMENT IS MADE THE DATE SHOWN ABOVE, BY AND BETWEEN AFFIMATED CENTRA~ lNG. {'COMPANY* OR "ACI~ AND ITEM "1."ABOVE "S~BBORIBES"L LOCATION OF SUBSCRIBER
ITEMS ~,'. ~." ABOVE CPREMISE~L N CONSIDERATION OF AND SUBJECT TO THE TERMSAND CONDITIONS HEREINAFTER SET FORTH COMPANY AGREES TO MO~TOR AND SUBSCRIBER AGREES TO PER-
MIT COMPANY TO MONITOR AS[GRALING SYSTEM I%YSTEM~ IN SUBBCRIBEBS PREMISES AS A SUBCONTRACTOR OF INSTALLING DEALER ~EM %." ABOVE ("DEALER"}
THERE ARE-NO WARRANTIES. EXPRESS OR IMPEED. WHICH EXTEND BEYOND THE DESCRIPTION ON THE FACE OR REVERSE HEREOF. INCLUDING ANY IMPLIED
WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE:
SUBSCRIBER SPECIFICALLY ACKNOWLEDGES AND ACCEPTS PARAGRAPHS 2~ 5 AND 20 HEREOF. TERMS AND CONDITIONS ON THE REVERSE SIDE ARE AN INTE-
GRAL PART OF THIS CONTRACT. SUBSCRIBER ACKNOWLEDGES RECEIPT OF A COPY OF CONTRACT. READ THE FRONT AND REVERSE BEFORE SIGNING.
Signature of Subscfiber~~ '
Date:
CcrnpanyRepresen~e PdntNarheJe~m W. Cochran,Supervisor,Tow~ of Southold
SUBSCRrBER DEAEER
DBA
._ ZIP t/77 f
CHECK:
TIME ZONE
;r~ ADDITIONAL CODES (FM370)
REPORTING
CODE
8. CITy
CROSS STREET/NEARES'T INTERSECTION
' M~UM 8 CHARACTERS ACEACCOUNT-~. NUMERALS ONLY,
THE COMMUNICATOR IS CONNECTED TO PHONE NUMBER(S):
AT-FACHED R DERS
[] OPEN/CLOSE DATAfFM224)
CODE CONDITIONS
DESCRIPTION ! ZONE #
HOLD UP/PANIC
AGENCIES TO BE NOTiFIED,.
NAME
AGENCY CODE
] POLICE DEPT.
ST ~Y jz, P_
O.~-~-O.¢sER~CE ~YEs ~o
MAKE/MODEL Cf,,_
~EST TIMER
[] NOTEST ~"~AILY r-]WEEKLY []MONTHLY
~ COMMERCIAL
[] OTHER
FIRE DEPT.
] GUARD AGENCY
NAME TEL NO.
l~chard No~ktun ( 63I)765-1383
2 ~.; ..... 'lie ( 631)765-2054
3. "- " ( 5Z6 )909=9430
4. ( )
VER~Y' A~ENCY
S[GNAL~'~ CODE
[] RESIDENTIAL
CAi F~i~ST NOTIFY
AEARM CO.'-
N
N
N
N
N
N
N
N
N
N
N
N
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~ P Y ~
(~s~) "7~- ocs ~
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',IOTIFIED
Approved:.
DESC. NAME TEL. NO
~ 5, ( )
. 6. ( )
C 7, ( )
8._ ( )
DESC.
Phone. Descriptions are: C = Cellular, D = Digital PageT, H = Home, W = Work
THIS AGREEMENT IS MADE THE DATE SHOWN ABOVE, BY Arid BETWEEN AFRMATED CENTRAL, INC. ('COMPANY' OR 'ACi")AND ITEM %'ABOVE ('SUBSCRIBER"). LOCATION 0P~0BSBBIBER
ITEMS "2.", "3.' ABOVE ("PREMISEE'] IN CONSIDERATION OF AND SUBJECT TO THE TERMS AND CONDITIONS HEREINAFTER SET FORTH COMPANY AGREES TO MONITOR AND SUBSCRIBER AGREES TO PER-
MIT COMPANY TO MORITOR A SIGNALING SYSTEM ('SYSTEI~ N SUBSCRIBER'S PREMISES AS A SUBCONTRACTOR OF INSTALLING DEALER ITEM %'ABOVE ("DEALER").
THERE ARE NO WARRANTIES, EXPRESS OR IMPLIED. WHICH EXTEND BEYOND THE DESCRIPTION ON THE FACE OR REVERSB HEREOF. INCLUDING ANY IMPLIFrl
W~RRANT~ OF'MERCHANTABILITY OR FITNESS,FOR A PARTICUI~AR PURPOSE,
SUBSCRIBER SPECIFICALLY ACKNOWLEDGESAND ACCEPTS PARAGRAPRB 2, 5 AND 20 HEREOF, TERMS AND CONDITIONBON THE REVERSE BIDE ARE AN INTE-
GRAL PART OF THIS CONTRACT. SUBSCRIBER ACKNOWLEDGES, RECEIPT OF A COPY OF CONTRACT. READ THE FRONT AND REVERSE BEFORE SIGNING.
C-o~,~-~-
Signatureof. Subscfiber ,
Co~npany Repr eserltafive Print Name
Rm Al~arm '1 ' /
", SUBSCRIBER
NAME ':
DBA
CiTY
TIME ZONE
~CESERWCE? [] ~S ~
A~EACCOUNTS- NUMERALS ONLY.
CROSS STREET/NEAREST INTERSECTION
MAXIMUM # CHARACTERS
COMMUNICATOR MAKE/MODEL# ~C~ ?~ FORMAT. ~ ~
THE COMM~NI~TOR IS ~E~DTO P~NE NUMB~(S)~
~ ( ) ~2 ( )
A~ACHED RIDERS,
~ ADDITIONAL CODES [FM370) ~ OPEN/CLOSE DATA (FM224)'
.~.o~,.~ CODE CO,ND1TJONS
HOLD UP/PaNIC
AGENCIES TO BE NOTIFIED
ST NY ZIP /'//~7~/
AGENCY CODE
] POLICE D~PT.
oNE-2-oNE®sEI~VICE
MAKE/MODEL #:
TESTTIMER
] FIRE DEPT,
] GUARD AGENCY
] ALARM COMPANY
~NOTE~T: ~DAILY [] WEEKLY []MONTHLY
.~.., ,,COMmErCIAL ~, RESIDENTIAL
[] OTHER
V~EF{Ib-'Y' AGENCY NOTI NOTIFY
CODE ALARM CO.
TEL, NO.
AUTHORIZED I:N,DIVIDUALS.TO_BE'NOTIFIED
NAME TEL. NO.
I ' -_:. (63I)765-1383
2.Elizabeth Neville (631)765-2054
" " (516)909-9430 C
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DESC, ~AME TEL NO.
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DESC.
Phone Descriptions are: C = Cellular, D = Digital Pager, H = Home, W = Work
ffEMS~ ,~. ABOVE ~REMISES~. IN CONSIDERA~ON OFA~DSUBJECTTO THE TERMSANDCONDITIONSHEREINAF~ER SET FQRT~ CQMP~N~AG~EES TO MONITOR AND SUBSCRIBER AGREES TO PER~.
~ITc~MPANYT~M~N~T~RA~GNAL~NG~Y~TEM~SYSTE~)~NSUBSCR~BER~SPREM~SESA~ASUB~NTRACT~R~F~NSTAL~NG DEALER ITEM'4."ABOVE ~EALER.
THERE ARE NO WARRAN3qES, EXPBESS OR IMPLIED. WHICH EXTEND BEYOND THE DESCRIPTION ON THE FACE OR REVERSE HEREOF. INCLUDING ANY IMPLIED
WARRANTY OF MERCHANTABIUTY OR FITNESS FOR A PAR~CULAR PURPOSE.
SUBSCRIBERSPECIFICALLY~ACKNOWLEDGES AND ACCEPTSPARAGRAPNS2, 5 AND 20 HEREOR TERMS AND CONDiTIONS ON THE REVERSE SIDE ARE AN INTE-
GRAL'P~RT OFTHIS CONTRACT. SUBSCRIBER ACKNOWLEDGES'RECEIPT OF A COPY OF CONTRACT, READ THE FRONT AND REVERSE BEFORE SIGNING.
[Approved: Date: Sig nat u re of S u b~c rib er~,f..~.,.;L~'~,~
ComoanyReoreserttauve PrintName Jean W. Coch~'an,Supervisor,T(r~'n of Southolc]
DBA
ADDRESS
CROSS STREET/NEAREST INTERSECTION
T, EL# ~:~"~ (.~-"7 ~,~"~- [~ O~ TEL~
me COMMUNICAtoR ISCO~EC~ TO PH~E NUMBER(S);
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TIMEZONE
[] ADDITIONAL CODES (FM370)
REPORTING
CODE
ACE SERVICE ? [] "yes ~
ACEACCOUNTS- NuMERALS;ONLy. '
FeRUAT C..~'~"~'-~ r. ~__
ATTACHED RIDERS
Fi_ OPEN/CLOSE DATA (FM224) ·
CODE CONDITIONS
DESORIPTION/ ZONE ii
527, l""¢ o¢:-~_~__4<. ~4'-r' ' -.r'¢,-.x... ¢7,,-rrc-.,,d
HOLD UP/PaNIC
AGENCY CODE
] POMCEDEPT.
] FIRE DEPT
AGENCIES TO BE NOTIFIED
ONE;'2'ONE®$ERVICE E~?ES
MAI~E/MODEL ii:
TEST TIMER
/
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IN~AE~ON~E
~OMM ~RCI~ ~ RESIDENTIAL
~ o~
VERIFY
Y N
Y N
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Y N
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AGENCY NOT
'CODE CALL I~ST
'~" N
~IN
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_} GUARD AGENCY
ALARM COMPANY
[]
AUTHORIZED INDIVIDUALS TO BE-NOTIPED
NAME 'FEL NO,
1. ' -~-_, - (631) 765-1383
2, Elizabeth Neville ( 63t ) 765-2054
3, ( 516 ) 909-9430 C
DESC. NAME TEL. NO.
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7 ( )
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DESC
Approved:__
Date:
Signature of Subscriber ~.~_~
print,Name Jean W. Cochran,Supervisor,To~n of $outhold
Phone Descnptions are: C = Cellular, D = Digital Pager, H = Home, W = Work
THISAGREEMENTISMADETHEDATE 3HOWNABOVE, BYAND BETWEENAFFILIATEDCERTRALJNC,('COMPANY' OR"ACI")ANDITEM'I."ABOVE("SUESCRIBER").LOOATION OFSUESCRIEER
iTEMS %% '3? ABOVE ("PREMISES"). IN CONSIDERAT~ON.OFAND SUBJECT TO THE TERMS AND CONDITIONS HEREINAFTER SET FORTH COMPANYAGREESTO MONITOR AND SUBSCRIBER AGREES TO PER-
MIT COMPANY TO MONITOR A SIGNALING SYSTEM ("SYSTEM") IN SUESCRIBER':3 PREMISES AS A SUBCONTRACTOR OF INSTALUNG DEALER ITEM '4YABOVE ~D~Atf~.
THERE ARE NO WARRANTIES. EXPRESS OR IMPLIED. WHICH EXTEND BEYOND TIle DESCRIPTION ON THE FACE OR REVERSE HEREOF, INCLUDING ANY IMPLIED
WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE.
SUBSCRIBER SPECIFICALLY ACKNOWI~EDGES AND ACCEPTS-PARAGRAPHS 2, 5 AND 20 HEREOF. TERMS AND CONDITIONS ON THE REVER~E SIDE ARE AN INTE-
GRAL PART OF,THIS CONTRACT. SUBSCRIEER ACKNOWLEDGES RECEIPT OF A COPY OF CONTRACT. READ THE FRONT AND REVERSE BE~0~E SIGNING.