INVITATION TO TENDER
The Fort Vermilion School Division No. 52 invites tenders for the
Annual Certification of Fire Extinguishers
for 14 schools, 3 shops, administration building and approximately 77 housing units.
The successful bidder will agree to perform the certification of fire extinguishers at each location as specified in the contract documents:
SOUTH AREA NORTH AREA • Blue Hills Community School • High Level Public School • Buffalo Head Prairie School • Florence MacDougall Community • Ridgeview Central School School • Sand Hills Elementary School • Spirit of the North Community • La Crete Public School School • Hill Crest Community School • Rainbow Lake School • Fort Vermilion Public School • Zama City School • St. Mary’s Elementary School • Rocky Lane School • La Crete Bus/Maintenance Shop • High Level Shop • Fort Vermilion Warehouse • 44 school board housing • 33 school board housing • Rocky Acres Site • Central Office • High Level Learning Store • La Crete Learning Store • Bear Necessities Store • Fort Vermilion Learning Store • Northern Home Education
Inspection and/or testing and recharging shall be in conformance with the Alberta Fire Code 2014 (AFC 14) and NFPA 10 “Standard for Portable Fire Extinguishers”. Estimated total number of Extinguishers is 410.
For bid packages contact Mr. Daniel Dyck, Supervisor of Maintenance, at 928-3013, or email [email protected]. Bid packages are also available on our web site at www.fvsd.ab.ca.
Bids are to be submitted in a sealed envelope marked “Annual Certification of Fire Extinguishers - 2019 to the undersigned no later than April 5, 2019 at 2:00 pm.
Lowest or any tender not necessarily accepted.
Daniel Dyck Supervisor of Maintenance Fort Vermilion School Division No. 52 P.O. Box 1331 La Crete, AB T0H-2H0
FORT VERMILION SCHOOL DIVISION NO. 52 Fort Vermilion School Division No. 52 MaintenanceDepartment P.O. Box 1331, La Crete AB TOH 2H0 Phone: 928-3013, Fax: 928-3232
Fire Extinguisher Certification Contract 2019
With Contractor Name And the Fort Vermilion School Division # 52
ALL FVSD SCHOOL BOARD BUILDINGS FORT VERMILIONSCHOOL DIVISION NO. 52 TABLE OF CONTENTS
MAINTENANCEDEPARTMENT Page 1
Fire Extinguisher Certification
Unit Price Bid and Contract Forms...... Page 1-2
General Conditions Section 00761 ...... Page 1-8
General Requirements Section 01001...... Page 1-2
Freedom of Informationand ...... Page 1-3 Protection of Privacy Act
Contractor safety Informationsheets ...... non numbered
...... Letter of Acceptance ( when awarded )
Floor Plans with Fire Extinguisher location available upon request ......
END OF TABLE OF CONTENTS FORT VERMILIONSCHOOL DIVISION NO. 52 Document 00351 MAINTENANCEDEPARTMENT UNIT PRICE BID AND CONTRACT FORM Page 1 of 2
TO: Fort Vermilion School Division No. 52 Facilities Department
CONTRACT: Fire Extinguisher Certification - all FVSD Sites
We, the undersigned, hereby agree to render Services in accordance with the Bid Documents, for the unit prices and allowances, if any, set out in the attached Unit Price Schedule excluding Goods & Services Tax, the total estimated amount of which is:
In digital format
In written format
The Contract is for one year only.
Bidder:
Signature of Authorized Representative
Name & Status of Person Signing Above Witness's Signature or Corporate Seal
Accepted and executed thiS th day of , 2019 by an authorized representative of the Facilities Department of the Fort Vermilion School Division No. 52.
Signature Witness's Signi Daniel Dyck Supervisor of Maintenance Name & Title Name and Title FORT VERMILIONSCHOOL DIVISION NO. 52 Document 00351 MAINTENANCEDEPARTMENT UNIT PRICE BID AND CONTRACT FORM Page 2 of 2
It is understood and agreed that:
.1 The unit prices, lump sums, if any, and allowances, if any, set out below form the basis of the bid price and that the amount set out will be checked and, if necessary, arithmetically corrected by the School Board.
.2 The unit prices include all costs and charges, including overhead and profit. Shall not include G.S.T.
.3 Every unit price requested shall be submitted or the bid may be rejected.
.4 Unit prices will be the amount paid for additional water delivery as requested by the School Board from time to time, i.e. for cistern cleaning etc.
--- .5 Your W.C.B. Number ---
.6 Your BN Number --- -
Fire Inspection 6 Year 12 year Replacement Inspection and Total cost Extinguisher & Tag Maintenance Maintenance Price Tag price calculation from type Quantity Quantity Quantity asset sheet
5 lb type 224 22 3 ABC All brand names
6 It type K or 4 AK
10 lb ABC 122 6 All brand names
20 lb ABC 4 3 All brand names
2.5 lb 11
Estimated 1500 $ per km km travel to all sites
Estimated 15 hrs $ per hr travel time to all sites Site Fee Per Location
$
Parts - extras Estimated Estimate allowance per
site $
TOTALHID AMOUNTF Rl YEAR
Place total bid amount to page 1 of Unit price bid and contract form $ FORT VERMILIONSCHOOL DIVISION NO. 52 Section 00761 MAINTENANCEDEPARTMENT GENERAL CONDITIONS
Page 1 of 8
1. CONTRACT DOCUMENTS
.1 The "Contract Documents" consist of: the Letter of Acceptance; the executed Bid and Contract Form, the General Conditions, Supplementary Conditions when used, those parts of the Bidding Requirement documents having application during performance of the Contract; Drawings; Schedules; such other documents as may be identified as Contract Documents, and amendments thereto made in accordance with provisions of the contract.
.2 The School Board, in the first instance, shall decide on questions arising under the Contract Documents, interpret requirements therein, and judge performance thereof.
3 The Contract Documents are complementary, and what is required by any one
shall be as binding as if required by all.
2. ASSIGNMENT
.1 The Contractor shall not assign the Contract, either in whole or in part, nor shall
he sublet the Contract as a whole, without previous written consent of the School Board, which consent shall be at the School Board's sole discretion.
.2 The School Board shall not be bound by any assignment by the Contractor of any monies payable or to become payable to the Contractor under the Contract, without the written consent of the School Board, which consent:
.1 will not be given for a general assignment of book debts, but .2 may, at the School Board's sole discretion, be given for a specific assignment of all or part of monies payable to the Contractor under the Contract.
.3 The School Board reserves the right to assign this Contract, in whole or in part, to any person, firm or corporation, subject to the Contractor having been given 30 day written notice of the School Board's intention to make an assignment.
3. SUBCONTRACTS
.1 The School Board will recognize the Contractor only. Nothing contained in the Contract Documents shall create any contractual relationship between any subcontractor and the School Board.
.2 The Contractor agrees to bind every subcontractor by the terms of the Contract
Documents, as far as applicable to the performance of the Contract. FORT VERMILIONSCHOOL DIVISION NO. 52 Section 00761 MAINTENANCEDEPARTMENT
Page 2 of 8
4. PROTECTION OF WORK AND PROPERTY
.1 The Contractor shall take reasonable precautions necessary to protect the School Board's property from damage during the performance of the Contract and shall make good any damage to the School Board's property caused by the Contractor or any of its subcontractors during the performance of the Contract.
5. INDEMNIFICATION
.1 The Contractor shall indemnify and hold harmless the School Board, its employees and agents, from any and all claims, demands, actions and costs whatsoever that may arise, directly or indirectly out of any act or omission of the Contractor, his employees or agents, in the performance of the Contract by the Contractor. Such indemnity shall survive completion or termination of the Contract.
.2 The School Board shall not be liable nor responsible for any bodily or personal injury or property damage of any nature that may be suffered or sustained by the Contractor, his employees or agents in the performance of the Contract.
6. INSURANCE REQUIRMENTS
.1 Without restricting the generality of Article 5 and without limiting his obligations or liabilitics under the Contract, the Contractor shall provide, maintain and pay for following minimum insurance coverage in forms and amounts acceptable to the School Board:
.1 Comprehensive or Commercial General Liability Insurance with limits of not less than $2,000,000.00 inclusive per occurrence, insuring against bodily injury, death and property damage. Such insurance shall include blanket written contractual liability and broad form property damage endorsement.
.2 Automobile Liability Insurance on all vehicles owned, operated or licensed in the name of the Contractor with limits of not less than $2,000,000.00.
.2 The Contractor shall provide the School Board with proof that comprehensive or commercial liability insurance coverage are in effect and meet specified conditions. Such proof shall be in the form of a certificate of insurance submitted prior to commencement of activities under the contract. FORT VERMILIONSCHOOL DIVISION NO. 52 Section 00761 MAINTENANCEDEPARTMENT GENERAL CONDITIONS
Page 3 of 8
7. REGULATORYREQUIREMENTS
.1 The Contractor shall comply with all laws, ordinances, rules, regulations, orders, codes and other legally enforceable requirements applicable to the performance of the Contract.
.2 The Contractor shall apply and pay for necessary permits or licenses required for the performance of the Contract.
.3 The Contractor shall comply with the Occupational Health and Safety Act and regulations issued pursuant thereto.
.4 The Contractor shall comply with the Workers' Compensation Act of Alberta and all regulations thereto, when the & applies to the operations of the Contractor, and shall upon demand by the Board deliver to the Board's representative a certificate from the Workers' Compensation Board showing that the Contractor is registered and in good standing with the Workers' Compensation Board. Failure
to provide a certificate of good standing upon request may result in termination of the contract.
8. CLEANING
.1 The Contractor shall keep the assigned area of property free from accumulations of waste materials resulting from the performance of the Contract.
9. MATERIALSAND EQUIPMENT
.1 Unless otherwise specified, the Contractor shall provide, maintain and pay for all materials, tools, machinery, equipment, temporary facilities, controls and conveniences necessary for the performance of the Contract.
10. LABOUR
.1 Unless otherwise specified in the Contract Documents, the Contractor shall provide and pay for all labour necessary for the performance of the Contract.
.2 Persons employed in performance of the Contract shall be skilled in and competent to properly perform the tasks assigned to them and, when required by laws, rules, regulations or the Contract Documents, qualified to do so.
.3 Subject to the above, labour from the locality where the Contract is being performed shall be employed to the full extent to which it is available, consistent with proper economy and the expeditious performance of the Contract FORT VERMILIONSCHOOL DIVISION NO. 52 Section 00761 MAINTENANCEDEPARTMENT GENERAL CONDITIONS
Page 4 of 8
11. INDEPENDENT CONTRACTOR
.1 The Contractor agrees and shall ensure that wages, hours of work and other conditions of employment of all persons employed by the Contractor and any subcontractor in the performance of any required part of the Contract shall be in compliance with the requirements of the Alberta Employment Standards Act, the Alberta Labour Relations Act and any other applicable law, rule, regulation or order of the Government of Alberta.
.2 The Contractor is an independent contractor for the purposes of this contract and
shall not be deemed to be a servant, employee, or agent of the Board.
12. DEFECTIVE SERVICES
.1 "Defective Services" means services, including materials and equipment used or provided by the Contractor in the performance of the Contract, which are, in the School Board's opinion, unsatisfactory, faulty or deficient, or do not conform to the Contract Documents.
.2 If, at any time, the School Board notifies the Contractor of Defective Services, the Contractor shall promptly rectify such Defective Services and render acceptable services.
13. SCHOOL BOARD'S RIGHT TO TERMINATE
.1 If the Contractor should be adjudged bankrupt, or becomes insolvent, the School Board may, without prejudice to any other right or remedy he may have, by giving the Contractor or receiver or trustee in bankruptcy 14 days written notice, terminate the Contract.
.2 If the Contractor fails to comply with the requirements of the Contract to a substantial degree, the School Board may notify the Contractor in writing that he is default of his contractual obligations and instruct him to correct the default within three (3) days immediately following the receipt of such notice. If the Contractor fails to correct the default in the time specified in the notice, the School Board may, without prejudice to any other right or remedy he may have, terminate the Contract. FORT VERMILIONSCHOOL DIVISION NO. 52 Section 00761 MAINTENANCEDEPARTMENT GENERAL CONDITIONS Page 5 of 8
.3 The school board may, by giving THIRTY (30) DAYS written notice of termination to the contractor, terminate the contract at any other time for any reason.
.4 If the School Board terminates the Contract pursuant to 13.3, the Contractor shall be entitled to be paid for all services rendered in accordance with the Contract Documents up to the date of termination.
.5 If the School Board terminates the Contract pursuant to 13.3 or 13.2, the Contractor shall be entitled to be paid for all services rendered in accordance with the Contract Documents up to the date of termination.
14. CHANGES
or .1 The School Board, without invalidating the Contract, may at any time from time to time, order changes in the Services being rendered under the Contract, consisting of additions, deletions or other modifications. If required on account of such changes ordered by the School Board, equitable adjustments shall be made to the Contract Price. Such changes shall be authorized by written order from the School Board.
15. EXTENSIONTO CONTRACTTIME
.1 This Does not apply FORT VERMILIONSCHOOL DIVISION NO. 52 Section 00761 MAINTENANCEDEPARTMENT GENERAL CONDITIONS
Page 6 of 8
16. PAYMENT
.1 Unless otherwise agreed, payment will be made monthly, based on services rendered during preceding payment period.
.2 When payment is on the basis of a stipulated price arrangement, amounts invoiced by the Contractor shall be based on equal monthly amounts derived from the Contract price, less the amount of allowances, if any, included in the Contract price, divided by the number of months in the Contract time.
.3 When payment is on the basis of a unit price arrangement, amounts invoiced by the Contractor shall be based on contract unit prices.
.4 Notwithstanding 16.2 and 16.3, amounts invoiced by the Contractor shall be
adjusted as required on account of changes to the contract and expenditure of allowance amounts authorized by the School Board.
.5 The School Board will review invoices on a monthly basis and may make adjustment to amount claimed.
.6 The School Board may deduct from any amount claimed by or payable to the Contractor, an amount equal to the value, as determined by the School Board, of services not rendered, or not rendered in accordance with the Contract Documents.
.7 The School Board may deduct from any amount payable to the Contractor:
.1 the amount of any unresolved third party claim. .2 the amount of any unpaid and overdue statutory account related to the Contract.
.8 The School Board may withhold all or part of any amount payable to the Contractor in order to protect the School Board or third parties from loss due to the Contractor's:
.1 failure to make payments properly to subcontractors or for labour, materials, or equipment,
.2 persistent failures to render services in accordance with the Contract Documents.
.9 The Contractor's invoice for final payment under the Contract shall include:
.1 Certificate of Clearance from Workers' Compensation Board, FORT VERMILIONSCHOOL DIVISION NO. 52 Section 00761 MAINTENANCEDEPARTMENT GENERAL CONDITIONS
Page 7 of 8
17. WORK SITE SAFETY
.1 The Contractor shall,
.1 Do everything that is reasonably practicable to establish and maintain a system or process that will ensure compliance with the Act and its regulations, as required to ensure the health and safety of all persons at the "work site".
.2 also comply with the Fort Vermilion School Division Health and Safety Program
.3 provide the Owner with copies of safety reporting from work performed under this contract including but not limited to: a) Safety meeting minutes b) Hazard Assessments c) Work site inspections d) Incident reports .4 in the event of personal injury while performing work under this contract, report to the school board representative in writing within 24 hours after the incident.
.2 Protection of Persons, Work and Property
.1 The Contractor shall be solely responsible for initiating and supervising all safety programs in connection with the performance of the Work.
.2 The Contractor shall take reasonable precautions for the safety of and shall provide reasonable protection to prevent damage, injury, or loss to:
.1 All persons on the site. .2 The work and materials and equipment to be incorporated into the Work.
.3 Other property at the site or adjacent to it. FORT VERMILIONSCHOOL DIVISION NO. 52 Section 00761 MAINTENANCEDEPARTMENT GENERAL CONDITIONS
Page 8 of 8
.3 In case of emergency endangering life or threatening the safety of any person or property, the Contractor shall, without waiting for specific authorization from the Owner, act at its own discretion to safeguard persons or property. The contractor shall immediately notify the Consultant of such emergency action and make a full written report to the Consultant within five days after the event.
.3 Construction Vehicle Precautions
.1 Caution to be taken to protect children from vehicles.
.2 Only vehicles required to complete work may be permitted onto the site. Vehicles not required for work directly on the site may be parked on the street, away from pedestrian traffic.
END OF SECTION FORT VERMILIONSCHOOL DIVISION NO. 52 Section 01001 MAINTENANCEDEPARTMENT GENERAL REQUIREMENTS
Page 1 of 2
1. SERVICES OF THIS CONTRACT
.1 To inspect and tag all Fire Extinguishers as per supplied list. If additional extinguishers should be found, they are to be added to the list during inspections and will be paid for as extra at the same rate on bid document.
.2 To service all extinguishers that are due for a 6 year maintenance.
.3 To service all extinguishers that are due for a 12 year maintenance. If cost to replace is more economical, owner may choose this option. Any changed out extinguishers are to be handed over to the owner.
.4 A school board representative will accompany contractor for access to all rooms in schools and at school board owned and leased housing. Fort Vermilion School Division employees does not approve of overtime therefore assistance encompasses 8am till 4:30 pm during work days.
2. CO-OPERATION
.1 Co-operate with the School Board and user's representatives to minimize conflict with occupants of the property.
.2 The Contractor shall not carry on, co-ordinate or transact any business on the Property except for that described in this Contract.
3. SPECIAL PROCEDURES
.1 Comply with all security regulations and procedures in force at the commencement of the Contract and as required from time to time by the School Board, and which do not significantly change the scope of work
.2 The Contractor shall immediately report all threats on the property or users to the School Board and appropriate authorities.
3 Observe all construction safety measures required by the National Building Code of Canada, applicable Workers Compensation Board and municipal statutes or bylaws.
.4 In the event of conflict between any provisions of above authorities, the most stringent provision will apply FORT VERMILIONSCHOOL DIVISION NO. 52 Section 01001 MAINTENANCEDEPARTMENT GENERAL REQUIREMENTS Page 2 of 2
4. RESERVATIONS
to .1 The School Board reserves the right in the following circumstances call in alternate firms or personnel:
.1 Consultive;
.2 Highly specialized;
.3 Recurring and persistent problems;
.4 Emergencies in the event that the Contractor is not available or is unable to respond.
5. EMERGENCIES
.1 The School Board has authority, in an emergency, to stop the progress of the work whenever, in the opinion of its authorized representative, such stoppage may be necessary to ensure the safety of life, or the structure of property
6. DAMAGE TO EQUIPMENT AND BUILDING
and .1 The Contractor shall be responsible for all damages caused by his personnel equipment during the term of the Contract.
and .2 All repairs and replacements are to be approved by the School Board shall result in all equipment and buildings, etc. being returned to original condition prior to damage occurrence.
7. CONTRACTOR'SUSE OF PREMISES
Fort .1 Contractor's use of premises (if required ) will be coordinated with Vermilion School Division Representative
.2 Weekend and after hour Work (if required) shall be approved and coordinated through Fort Vermilion School Division. When an access key is made available to the Contractor, he takes responsibility for the security of the facility and therefore liable for loss or damages which may occur under his care. Doors shall not be wedged open and must remain locked at all times.
.3 The Owner may provide limited use to water and power, and washrooms which shall be coordinated with Fort Vermilion School Division representative. Access to telephone, fax, and other areas of the building will not be available to the contractor. INFORMATION FORT VERMILIONSCHOOL DIVISION NO. 52 FREEDOM OF MAINTENANCEDEPARTMENT AND PROTECTION OF PRIVACY ACT Page 1 of 3
OF PRIVACY ACT SECTION 2: FREEDOM OF INFORMATIONAN_D PROTECTION
General Clauses:
The contractor acknowledges that:
Protection privacy Act applies to all .1 the Freedom of Information and of or provided information and records relating to, or obtained, generated, collected under or pursuant to this contract;
who destroys any records .2 section 86 of the Act specifies that a person willfully access to records which are subject to the Act with the intent to evade a request for than $10,000; and is guilty of an offense and is liable to a fine of not more
the contractor, its employees and .3 the Board may commence legal action against the contract. agents if there is a breach of any of the terms or conditions of
contractor in connection For the records and information, possessed or obtained by the conduct himself to a with, under, or pursuant to this contract, the contractor agrees to duties or standard consistent with the Act when providing the services or carrying out the other obligations of the contractor under this contract.
compliance its employees and The contractor is responsible for ensuring complete of the event that the agents with all terms and conditions related to protection of privacy. In contractor becomes aware of breach of any of these terms or conditions, it shall notify the Fort Vermilion School Division No. 52 immediately in writing.
who may see or The contractor agrees to notify each employee, officer and other person obtain access to the personal information:
established by Part 2 of the .4 of the legal provisions, duties and obligations Freedom of Informationand Protection of Privacy Act which are stipulated in the contract.
may see or have access to the .5 that each employee, officer and other person who is subject to personal information is also obligated to comply with the duties and the liabilities and obligations of the contractor under this contract. FORT VERMILIONSCHOOL DIVISION NO. 52 FREEDOM OF INFORMATION MAINTENANCEDEPARTMENT AND PROTECTION OF PRIVACY ACT
Page 2 of 3
In this contract, personal information has the same meaning as in section 1(1)(n) of the Freedom of Information and Protection of Privacy Act and means information about an identifiable individual in any form. The definition in section 1(1)(n) of the Act is provided in attachment 1, Freedom of Information and Protection of Privacy Act, to this contract.
Collection:
.6 No personal information may be collected by the contractor, its employees or agents unless the collection is authorized under this contract.
.7 The contractor shall ensure that, prior to allowing any employee to have or have access to any personal information, each person named or referred to above swears an oath or undertaking of confidentiality with respect to the personal information they may become aware of in the performance of this contract. Oaths are to be maintained on file by the contractor for the duration of the contract and for three years after completion of the contract unless otherwise specified in writing by the Fort Vermilion School Division No. 52. Use:
.8 The contractor shall not either directly or indirectly use personal information except for carrying out the terms of this contract. Any other uses for any purpose other than those set out in this contract must be expressly authorized by the Board in writing in advance of the use. At the termination of this contract the contractor, its employees and agents shall not use any personal information obtained,
collected or complied as a result of this contract for any purpose. Disclosure:
.9 The contractor shall ensure that no use or disclosure may be made of the personal information obtained by or provided to the contractor for any purpose other than what is needed to carry out this contract unless the contractor has received the prior express written authorization for doing so from the Fort Vermilion School Division No. 52. FORT VERMILIONSCHOOL DIVISION NO. 52 FREEDOM OF INFORMATION MAINTENANCEDEPARTMENT AND PROTECTIONOF PRIVACY ACT
Page 3 of 3
10. FREEDOM OF INFORMATIONAND PROTECTION OF PRIVACY ACT
.1 Bidders, and the successful contractor will be subject to and required to operate under the provisions of the Freedom of Information and Protection of Privacy Act. All documents submitted by the Fort Vermilion School Division No. 52 are subject to the protection and disclosure provisions of the Freedom of Information and Protection of Privacy Act. While this Act allows persons a right of access to records in the board's custody or control it also prohibits the board from disclosing your personal or business information where disclosure would be harmful to your business interests or would be an unreasonable invasion of your personal privacy as defined under Sections 15 and 16 of the A Bidders are encouraged to identify what portions of the submissions are confidential and what harm could reasonably be expected from its disclosure.
ATTATCHMENT1
Personal information is extensively defined in the Act (section 1(1)(n)) and includes, but is not limited to:
• the individual's name, home or business address or home or business telephone number; • the individual's race, national or ethnic origin, color or religious or political beliefs or associations; • the individual's age, sex, marital status or family status; • an identifying number, symbol or other particular assigned to the individual; • the individual's fingerprints, blood type or inheritable characteristics; • information about the individual's health and heath care history, including information about a physical or mental disability; • information about the individual's educational, financial, employment or criminal history, including criminal records where a pardon has been given; • anyone's opinion about the individual; and • the individual's personal views or opinions, except if they are about someone else.
END OF SECTION Fort Vermilion Scliool DMelon No. 52 CONTRACTORSAFETY INFORMATION
Company Name:
Address:
Telephone: Fax:
Primary Contact: Phone: _
Safety Contact: Phone:
Services Provided:
Insurance O Please provide proof of your total liability insurance. (Minimum $2,000,000 coverage required)
Workers Compensation Board O Please provide a current clearance letter for all valid WCB accounts.
Occupational Health & Safety Does your company have a Health and Safety Program? O Yes O No
O If no, please complete the safety evaluation on the reverse of this form.
If yes, does your company have a Certificate of Recognition? O Yes O No
O If yes, please provide a copy. O If no, please complete the safety evaluation on the reverse of this form.
Has your Certificate of Recognition program been audited? O Yes O No If yes, what was the date of the most recent audit?
O Has your company been issued any health, safety or environmental related fines or orders in the past 12 months? If yes, please provide details.
I hereby confirm that the information provided in this document is accurate to the best of my knowledge
and that I am authorized to enter into agreements on behalf of the above listed company. I understand that, should our safety practices be deemed insufficient, implementation and adherence to additional safety practices may be required and compliance therewith will become a condition of any future work contracts with the Fort Vermilion School Division.
¯ Authorized Company Representative Date Safety Evaluation
Please complete the following questionnaire if one or both of the following apply: 1. My company does not have a health and safety program, or
2. My company has a health and safety program but does not have a Certificate of Recognition, Commitment to Safety
1. Do you have a written health and safety policy statement? | 0 Yes O No 2. Do you have clearly defined safety roles and responsibilities for your managers' o Yes O No supervisors and workers?
3. Do Managers/Supervisors visit the worksite regularly? o Yes a No 4. Do you evaluate your safety practices to ensure they are effective and that all areas a Yes a No for improvement are identified? If yes, how often? Hazard Assessment & Control
5. Do you conduct worksite hazard assessments? If yes, how often? O Yes o No
6. Are workers informed of job specific hazards? O Yes O No
7. Are you able to provide the necessary hazard controls to prevent incidents? O Yes O No 8. Are workers provided the necessary Personal Protective Equipment (PPE) based o Yes O No on the hazard assessment process? Orientation and Training
9. Do you provide general safety orientations for new employees? O Yes a No
10. Do you hold regular safety meetings including all staff? O Yes a No
11. Do you provide specific safety training to supervisors? O Yes o No
12. Do you provide on-the-job training for new staff? O Yes o No Worksite Inspections
13. Do you conduct regular inspections of the worksite? O Yes o No
14. Do you have a system in place to ensure proper corrective action is taken to o Ye s o N o remedy identified safety concerns? Incident Reporting & Investigations
15. Do you require all work-related incidents to be reported to a supervisor? O Yes a No
16. Do you have a system in place to track incidents and to ensure corrective action is O Yes o No taken to prevent similar incidents from reoccurring? Emergency Preparedness
17. Do you have an emergency response plan in place at your worksite(s)? O Yes o No
18. Do you have first aid trained staff available at all worksites? O Yes o No
19. Do you have first aid kit(s) and eye wash station(s) at all worksites? O Yes O No
INTERNAL USE ONLY Contractor Approval Status - o Acceptable meets current criteria. - O Conditional Acceptance following conditions must be met prior to performing work. O All workers are required to attend the Project Start-Up Meeting. O Hazards must be assessed weekly using the FVSD Field-Level Hazard Assessment form. O Monthly safety meetings must be held with all workers at the site. O Monthly site inspections must be conducted using the FVSD Inspection form. O All incidents must be recorded using the FVSD Incident Report & Investigation form. O Compliance with all emergency response requirements specified in the OH&S legislation. O The following PPE must be used by all workers at the site:
- o Rejected contractor does not meet current criteria and must meet the following conditions before being considered for work.
Date: Evaluated by: Blue Hills Community School Fire Extinguisher Certification
- - - - Blue Hills Community School & Residencesi SEI 1/4 1 i 104 18I W5 i780-920-3632 51 Last 6 Next 6 year year 12 year R c Extinguisher Manufact Extinguisher Serial Maintena Maintena Maintena Size Type Location ure Date brand name Number nce nce nce due service service date Ext # date date Ë $ .E e 2 if 3 O 1 East Exit Main 2014 s-first 5 abc 623106 2020 2026 2 Mechanical Room 2002 s-first 5 abc 59050 2022 2028 3 Staff Room 2008 buckeye 5 abc 753667 2017 2023 4 South Exit 2014 s-first 5 abc 623082 2020 2026 5 South Mechanical 2016 s-first 5 abc 224758 2022 2028 6 Kitchen 2010 s-first 5 abc 811201 2017 2023 7 North Exit 2002 s-first 5 abc 59031 2022 2028 8 Fuel Tank 2014 s-first 10 abc 26060202 1 Res 140 2012 S-First 5 ABC 686114 new 2 Res 140 2002 S-First 5 ABC 159073 1 Res 139 2012 S-First 5 ABC 686140 new 2 Res 139 2012 S-First 5 ABC 686173 new 1 Res 138 2012 S-First 5 ABC 686155 new 2 Res 138 2012 S-First 5 ABC 686115 new Buffalo Head Prairie School Fire ExtinguisherCertification Buffalo He ad Prairie School SE 1/4 - 23 - 104 - 15 - WS 20 19 km rou h of La Crete Last 6 Next 6 Next 12 .cœ o e . Manufacture Extinguisher Serial year year year ·o Extinguisher Location Size Type o .c Date brand name Number service service due date date date Ext # Ë $ E e 3 O 1 SE Corner Hall 2015 s-first 5 abc 26131623 2021 2027 2 Generator Room 2013 s-first 5 abc 697538 2019 2025 3 Science Room 2000 s-flag 5 abc 361731 2019 2024 4 Outside Fuel Pump 2014 s-first 5 abc 26060198 2020 2026 5 SW Exit 2005 s-first 5 abc 253173 2023 2029 6 Gym North 2005 s-first 5 abc 253169 2023 2029 7 South Gym 2017 s-first 5 abc 90132169 2023 2029 8 Mechanical Room 2005 e-first 5 abc 253165 2023 2029 9 Staff Room 2005 e-first 5 abc 253164 2023 2029 10 West Exit 2005 e-first 5 abc 253168 2023 2029 11 Library 2005 e-first 5 abc 253163 2023 2029 12 Kitchen 2005 e-first 5 abc 869866 2023 2029 13 Computer Room Ent. 2005 e-first 5 abc 253166 2023 2029 14 Front Foyer Hall 2005 e-first 5 abc 253157 2023 2029 15 South Girls Washroom 2017 e-first 5 abc 90132157 2023 2029 16 North Hall 2005 e-first 5 abc 253185 2023 2029 Ridgeview Central School Fire Extinguisher Certification Ridgeview Central School 10402 - 94 Ave La Crete. 780-928-3100 Last 6 Next 6 year year 12 year S Extinguish c . Manufact Serial Maintena Maintena Maintena O c Extinguisher Location er brand size Type o .o .c ure Date Number nce rtCe nce due name service service date 'iD .E Ext # date date O 1 Generator Room 2012 s-first 10 abc 657627 2018 2024 / 2 Gym 2010 s-first 5 abc 21889 2016 2022 3 North Central Exit 2010 s-first 10 abc 86124 2016 2022 4 SE Exit 2010 s-first 5 abc 21881 2016 2022 5 North Emergency Exit 2016 Flag 5 abc 640126 2022 2028 6 Portable Exit 2012 s-first 10 abc 657625 2018 2024 7 Portable Boot Room 2010 s-first 5 abc 852297 2016 2022 8 Staff Work Area 2010 s-first 5 abc 21479 2016 2022 9 Science Room 2009 s-first 5 abc 142984 2016 2022 10 Kitchen 1987 Flag 5 abc 476357 2016 2022 11 Staff Lounge 2010 s-first 5 abc 21879 2016 2022 12 Mental Health Office 2011 s-first 5 abc 21882 2017 2023 13 Upstairs Mechanical 2011 s-first 10 abc 86150 2017 2023 14 Front Foyer 2011 s-first 10 abc 82126 2017 2023 15 NW Exit 2011 s-first 10 abc 86123 2017 2023 Sand Hills School Fire Extinguisher Certification Sand Hills Elementary School 10202 - 94 Ave La Crete Alberta 780-928-3947 Last 6 Next 6 year year 12 year Extinguish o e . Manufact Serial Maintena Maintena Maintena ·o Extinguisher Location er brand Size Type .o .c ure Date Number sent sen nceadue name ce ce Ext # date date _Q .5 1 Staff Work Area 2013 s-first 5 abc 686150 2019 2025 2 Room 112 2007 s-first 5 abc 121217 2015 2021 3 Portable #123 2013 s-first 5 abc 686127 2019 2025 4 Portable #125 2013 s-first 5 abc 686134 2019 2025 5 Portable #127 2014 Amerax 10 abc 887188 2020 2026 6 Portable #129 2013 s-first 5 abc 686144 2019 2025 7 Portable #131/exit 2007 Flag 10 abc 55432 2014 2020 8 Staff Room 1982 general 5 abc 305667 2017 2023 9 Special Ed Room 1982 general 5 abc 305766 2017 2023 10 SW Exit 2017 s-first 10 abc 94072878 2023 2029 11 West Exit 2017 s-first 10 abc 94066899 2023 2029 12 Mechanical Room 2017 s-first 10 abc 94066894 2023 2029 13 Main Entrance 2017 s-first 10 abc 94072883 2023 2029 14 Gym 2017 s-first 10 abc 94066852 2023 2029 La Crete Public School Fire Extinguisher Certification La Crete Public School 10001 - 99 Ave La Crete, Alberta. 78 3-928-3913 Last 6 Next 6 year year 12 year Extinguish . Manufact Serial Maintena Maintena Maintena O c Extinguisher Location er brand Size Type o o .c ure Date Number nce nCe nce due name service service date . Ext # date date .6 O 1 Home Ec 2013 s-first 5 abc 690093 2019 2025 2 Home Ec 2013 s-first 5 abc 690107 2019 2025 3 NE Foyer 2014 Flag 10 abc 47900 2020 2026 4 Science 154 2001 Flag 5 abc 177962 2020 5 Science 156 2014 Flag 5 abc 177963 2020 2026 6 East Exit IE Shop 2014 Flag 5 abc 177968 2020 2026 7 IE Hall Entrance 2014 Flag 5 abc 177998 2020 2026 8 IE Wood Shop 2014 Flag 5 abc 177966 2020 2026 9 IE Wood Shop 2014 Flag 5 abc 177945 2020 2026 10 IE Office 2014 Flag 5 abc 361379 2020 2026 11 IE Shop Pain Room 2014 Flag 5 abc 178001 2020 2026 12 IE Shop Overhead Door 2001 Flag 5 abc 177944 2014 2020 13 IE Main Entrance 2012 Flag 5 abc 363955 2018 2024 14 Canteen Area 2014 Flag 10 abc 47891 2020 2026 15 SW Exit 2014 Flag 10 abc 47896 2020 2026 16 Kitchen 2014 Flag 10 abc 47895 2020 2026 17 Kitchen 2007 badger 6 k-guard 500135 2024 18 NW Exit 2014 Flag 10 abc 47901 2020 2026 19 Gym Entrance 2014 Flag 10 abc 47912 2020 2026 20 NW Hall Exit 2014 Flag 10 abc 47914 2020 2026 21 West Mechanical 2013 s-first 5 abc 690106 2019 2025 22 Staff Room 2003 s-first 5 abc 199318 2016 2022 23 General Office Hall 2014 Flag 10 abc 47897 2020 2026 24 East Mechanical 2014 Flag 10 abc 47902 2020 2026 25 IE Electrical 2014 Flag 5 abc 177975 2020 2026 26 Generator Room 2014 Flag 10 abc 47893 2020 2026 27 West Mechanical 2017 s-first 5 abc 90122062 2023 2029 La Crete Learning Store Fire Extinguisher Certification La Crete Learning Store 10306 - 100 street La Crete Alberta 780-928-4918 F1re Extinguisher records Last 6 Next 6 year year 12 year Q Extinguish c . . . Manufact Serial Maintena Maintena Maintena o e Extinguisher Location er brand Size Type o o .c ure Date Number nce nce nce due name . . service service date Ext # date date 1 Front Entrance 2014 General 5 abc 663425 2020 2026 2 Back Entrance 2014 Flag 5 abc 96394 2020 2026 Northern Home Education - Fire Extinguisher Certification Northern Home Education 10306 - 100 street La Crete, Alberta 780-928- 9883 Last 6 Next 6 year year 12 year Extinguish c O . Manufact Serial Maintena Maintena Maintena c y, Extinguisher Location er brand Size Type o 2 .c ure Date Number nce nce nce due name . . --· service service date c e a E # Ext date date m .3 & < E S O 1 Front Entrance 2010 s-first 5 abc 811209 2017 2023 2 Mechanical Room 2017 s-first 5 abc 90132166 2023 La Crete Support Services Building Fire Extinguisher Certification La Crete Support Services Building 9705-99 street La Crete, Alberta. 780-928-3013 Last 6 Next 6 year year 12 year Extinguish e . Manufact Serial Maintena Maintena Maintena O c Extinguisher Location er brand Size Type o .o .c ure Date Number nce nce nce due name service service date Ext # date date § 3 .5 1 West Paint Shop Exit 2013 s-first 5 abc 690062 2019 2025 2 Paint Shop 2000 Flag 5 abc 367745 2020 3 Front Office 2014 Flag 5 abc 223454 2020 2026 4 West Shop 2014 Flag 10 abc 349041 2020 2026 5 North Shop 2014 Flag 10 abc 349122 2020 2026 6 North Central Shop 2014 Amerex 5 CO2 303341 2020 2026 7 South Shop 2014 Flag 10 abc 349046 2020 2026 8 Parts Room Exit 2005 Amerex 5 abc 42107 2024 9 Coffee Room 2014 Flag 5 abc 363732 2020 2026 Hill Crest Community School Fire ExtinguisherCertification - - - Hill Crest Corimunityi SchoolI NEi 1/4 23i 107 13 - WE 27 km north east of La Crete . . Last 6 Next 6 c Extinguish 12 year o . Manufact Serial year year Extinguisher Location er brand Size Type due ·ò ure Date Number service service c - - .E name date u em a- .a o date date a Ext # g 1 North Library Entrance 2009 s-first 5 abc 137328 2016 2022 2 South Library 2009 s-first 5 abc 134404 2016 2022 3 South Hall Exit 2009 s-first 5 abc 137337 2016 2022 4 Staff Room 2009 s-first 5 abc 134356 2016 2022 5 Science Room 107 2011 s-first 5 abc 398438 2017 2023 6 Portable Hall Entrance 2007 s-first 5 abc 469296 2014 2020 7 Portable East Entrance 2007 s-first 5 abc 121243 2014 2020 8 Portable Hall 2007 s-first 5 abc 225756 2014 2020 9 Portable by Fountain 2007 s-first 5 abc 121528 2014 2020 10 Hall Portable 209 2007 s-first 5 abc 121218 2014 2020 11 Hall Portable 211 2007 s-first 5 abc 121524 2014 2020 12 Hall Portable West Exit 2001 Flag 5 abc 420700 2023 13 Computer Room 2012 s-first 5 abc 142999 2018 2024 14 Boiler Room 2008 s-first 10 abc 56986 2014 2020 15 Custodian Room 2009 s-first 10 abc 68295 2016 2022 16 Generator Room 1991 Flag 5 abc 95961 2022 17 Gym South 2009 s-first 5 abc 137370 2016 2022 18 Gym Entrance 2009 s-first 5 abc 134390 2016 2022 19 Kitchen 2009 s-first 5 abc 136938 2016 2022 Central Office Fire ExtinguisherCertification Central Office 5213 River Road Fort Vermilion Alberta. 780-927-3766 Last 6 Next 6 Next 12 .5 Extinguish o . . . Manufact serial year year year o .9 .c er Size Extinguisher Location brand Type -- ure Date Number service service service c name .c 4 date date due date Ext # . 1 South Exit 1990 Flag 10 abc 537888 2020 2026 2 SW Down Stairs 1990 Flag 10 abc 537899 2020 2026 3 SE Down Stairs 1990 Flag 10 abc 537898 2020 2026 4 N Exit 1990 Flag 10 abc 150739 2020 2026 5 N Upstairs 1990 Flag 10 abc 537982 2020 2026 6 SW Upstairs 1990 Flag 10 abc 537890 2020 2026 7 Boiler 1990 Flag 10 abc 537889 2020 2026 Fort Vermilion Learning Store Fort Vermilion Learning Store C-5101 River Road 780-927- 4875 Last 6 Next 6 0 e Extinguish 12 year o Extinguisher Manufactu Serial year year El -a er brand size Type due o ' e - Location re Date Number service service .c I e d ·g e -e name date u > date date c Ext # m S E e 2 E Ö $ O 1 South E×it 2011 s-first 5 abc 398430 2023 2 North Exit 2000 s-first 5 abc 99139 2023 Fort Vermilion Public School Fort Vermilior Public School 4401-50th Street 780-927-2706 Last 6 Next 6 Extinguish c o e . . . Manufact serial year year 12 year ·o ·-, Extinguisher Location er brand Size Type ·o .c ure Date Number service service due date A ' u name o I 1 Gym 2014 Flag 10 abc 291003 2020 2026 2 Gym 2014 Flag 10 abc 291000 2020 2026 3 Upstairs Mechanical 2006 S-First 5 abc 224795 2016 2022 4 Generator Room 2010 s-first 10 abc 64782 2016 2022 5 Main Entrance 2004 Flag 10 abc 679696 2016 2022 6 Central Hall Corner 2009 Flag 10 abc 114677 2016 2022 7 Shop Entrance 2010 Flag 10 abc 172219 2016 2022 8 Science Room 2016 Flag 5 abc 219918 2022 2028 9 IE Shop 2009 Flag 10 abc 68292 2015 2021 10 IE Shop 2010 e-first 10 abc 86125 2016 2022 11 Small Engine Room 2005 Flag 5 abc 618890 2020 2014 12 Home Ec 2011 pyrene 5 abc 14241 2016 2022 13 Home Ec Room 2014 s-first 10 abc 509008 2020 2026 14 Staff Room 2016 Flag 5 abc 855894 2022 2028 15 NW Exit 2009 S-First 10 abc 63880 2016 2022 16 NW Corner Hall 2009 s-first 10 abc 67463 2016 2022 17 NE Exit 2009 s-first 10 abc 67461 2016 2022 18 Library Upstairs 2009 s-first 10 abc 69017 2016 2022 19 Boiler Room 1980 Flag 10 abc 249972 2019 20 Kitchen 2004 Flag 6 k 61675 St Mary's Elementary School Fire Extinguisher Certification St Mary's Elementary School 4611 River Road Fort Vermilion Alberta 780-927-3201 Last 6 Next 6 year year 12 year Extinguish o e . Manufact Serial Maintena Maintena Maintena e Extinguisher Location er brand Size Type o .c ure Date Number nce nce nce due Ext # date date 1 Mechanical Room 2007 s-first 5 abc 71421 2014 2020 2 Main Entrance 2007 s-first 5 abc 66104 2014 2020 3 Staff Room 2016 Flag 5 abc 361732 2022 2028 4 Kitchen 2004 Flag 6L KG 654491 2024 5 Gym 2007 s-first 5 abc 55652 2014 2019 6 SW Hall 2007 s-first 5 abc 64461 2014 2019 7 Portable West Exit 2016 s-first 5 abc 26110311 2022 2028 8 Portable East Exit 2000 Flag 5 abc 358503 2020 9 Room 110 2016 s-first 5 abc 2007856 2022 2028 10 Room 111 2007 general 5 abc 304551 2020 11 Portable South Exit 2014 s-first 5 abc 67270 2020 2026 12 Science Room 2007 s-first 5 abc 225784 2022 13 ECS Room 2016 Flag 5 abc 419691 2022 2028 14 Custodian Room 2000 Flag 5 abc 361745 2020 15 NW Exit 2007 Flag 5 abc 89623 2013 2019 16 Portable South Exit 2002 Flag 5 abc 444112 2020 Fort Vermilion Warehouse Fire Extinguisher Certification Fort Vermilion Warehouse IT Shop 4507 - 45th street 780-927-3751 Extiyar dh 12 ar . ManuDaactu NSer Extinguisher Location Size Type ber s name date date Ext# & SQ E e -- EU 3 O 1 Stairway 2009 s-first 10 abc 69027 2022 2 Furnace Room 2009 flag 10 abc 872909 2022 3 West End Warehouse 2016 s-first 5 abc 39231293 2022 2028 Fort Vermilion Residences Fire ExtinguisherCertification Fort Vermilion Residences - As per address list last 6 Next 6 Manuf Extinguish 12 year c Serial year year e Location acture er brand Size Type service Number service service ' u Date name due date date due date .c o . Ext # 1 5103D 2010 s-first 5 abc 827474 2018 2024 2 5103D 2008 s-first 5 abc 501607 2024 3 5103D 2008 S-First 5 abc 315346 2017 2023 4 5103C 2014 s-first 5 abc 639710 2020 2026 5 5103C 2010 s-first 5 abc 134378 2016 2022 6 5103B 2008 s-first 5 abc 315398 2014 2020 7 5103B 2008 s-first 5 abc 811208 2014 2020 8 5103A 2017 s-first 5 abc 90131450 2023 2029 9 5103A 2002 flag 5 abc 436164 2018 2024 10 5106D 2012 e-first 5 abc 690075 2018 2024 11 5106D 2010 s-first 5 abc 811174 2016 2022 12 5106C 2011 s-first 5 abc 269479 2016 2023 13 5106C 2010 s-first 5 abc 811194 2017 2022 14 5106B 2015 s-first 5 abc 26110297 2021 2027 15 5106B 2015 s-first 5 abc 39244684 2021 2027 16 5106A 2005 s-first 5 abc 878563 2023 2029 17 9902 4601-2 2015 s-first 5 abc 26131667 2021 2027 18 9902 4601-2 2016 s-first 5 abc 62778 2022 2028 19 9904 4601-4 2015 s-first 5 abc 26131715 2021 2027 20 9904 4601-4 2017 s-first 5 abc 90131408 2023 2029 21 9901 4601-1 2016 Flag 5 abc 420702 2022 2028 22 9901 4601-1 2002 s-first 5 abc 59051 2024 2030 23 4908-43 ave unit #1 2016 s-first 5 abc 66744230 2022 2028 24 9903 4601-3 2005 s-first 5 abc 253159 2022 2028 25 4908-43 ave unit #2 2016 s-first 5 abc 66744203 2022 2028 26 4601-3 2000 flag 5 abc 358504 2006 2012 27 4604-unit A 2000 s-first 5 abc 102137 2006 2012 28 4604-unit B 1999 flag 5 abc 290218 2005 2011 29 4908-43 ave -unit #3 2016 s-first 5 abc 66744250 2014 2022 2028 30 Rocky Lane School Fire Extinguisher Certification Rocky Lane School S1/2 of -16 - 109 - 14 - W5 780-927-3297 24 km North West of Fort Vermilion luist 6 Next 6 year year 12 year Extinguish o ·me . Manufact Serial Maintena Maintena Maintena e Extinguisher Location er brand Size Type o .c ure Date Number nce nce nce due name service service date a. Ext # date date 1 NW Exit 2014 Flag 2.5G water 564812 2020 2026 2 North Mechanical 2 2013 s-first 5 abc 686126 2019 2025 3 Room 105 2003 Flag 5 abc 488932 2023 4 Mechanical Room 2003 Flag 5 abc 488897 2023 5 Science Prep room 2007 s-first 5 abc 224787 2014 2020 6 Room 104 2002 Flag 5 abc 431563 2023 7 Staff Room 2001 Flag 5 abc 420669 2023 8 Main Entrance 2014 Flag 2.5G water 564809 2020 2026 9 North Central Exit 2014 Flag 2.5G water 564813 2020 2026 10 Dining Room 2014 Flag 2G water 564742 2020 2026 11 Kitchen 2004 Flag 6L k guard 616179 2024 12 Dining Room Upstairs 2014 Flag 2.5G water 562065 2020 2026 13 Dining Room Exit 2014 Flag 2.5G water 564815 2020 2026 14 Library Upstairs 2017 Flag 2.5G water 780877 2023 2029 15 Gym 2015 s-first 10 abc 34248036 2021 2027 16 Gym 2014 Flag 2.5G water 564750 2020 2026 17 East Exit 2014 Flag 2.5G water 562066 2020 2026 18 Furnace Room 2017 s-first 10 abc 94072864 2023 2029 19 Generator Room 2002 Flag 5 abc 431565 2023 Rocky Acres and Residence Fire Extinguisher Certification Rocky Acres SE of 16 - 109 - 14 - W5 Near Rocky Lane School 24 km north West of Fort Vermilion 780-841-2916 Last 6 Next 6 - year year 12 year R Extinguish ·gc O c . Manufact Serial Maintena Maintena Maintena ·o Extinguisher Location er brand Size Type o .c ure Date Number nce nce nce due name service service date .c Ext # date date Rocky Acres Big Barn 1 Main Entrance 2013 s-first 20 abc 254995 2019 2025 2 Upstairs Stiarwell 2013 s-first 20 abc 254987 2019 2025 Small Shop 1 Souh East 2014 s-first 5 abc 640633 2020 2026 2 North Entrance 2013 s-first 20 abc 254715 2019 2025 Residence 1 Downstairs 2017 s-first 5 abc 90131425 2023 2029 2 Upstairs kitchen 2017 s-first 5 abc 99784906 2023 2029 High Level Public School Fire ExtinguisherCertification High Level Pulalic School 9701- 105 Ave High Level Alberta 780-926-3703 Extingui last 6 Next 6 12 e . Manufact sher Serial year year year .9 Extinguisher Location Size Type ure Date brand Number service service due .c - - o .E name date date o Ñ $ .5 # date Ext oc ..I I- .E e -- a. 3 O 1 South Library Hall 2014 s-first 10 abc 479856 2020 2026 2 Shop Entrance Hall 2009 s-first 10 abc 69019 2017 2023 3 IE Shop Wood Storage 2009 s-first 10 abc 675019 2018 2024 4 IE Shop North Entrance 2008 s-first 5 abc 329123 2014 2020 5 IE Shop Office Door 2005 s-first 10 abc 528993 2014 2020 6 IE Shop Office 2014 s-first 5 abc 897528 2020 2026 7 Mechanic Shop South 2016 s-first 10 abc 66879247 2022 2028 8 Mechanic Shop South 2016 s-first 10 abc 66879252 2022 2028 9 Mechanic Shop East 2016 s-first 10 abc 66879248 2022 2028 10 Mechanic Shop North 2016 s-first 10 abc 66879246 2022 2028 11 SE Hall by Kitchen 2014 s-first 10 abc 479854 2020 2026 12 South Hall East End 2014 s-first 10 abc 479858 2020 2026 13 SW Exit 2014 s-first 10 abc 479861 2020 2026 14 Main Ent. Boys Washrm 1997 s-first 10 abc 68291 2017 2023 15 Office Entrance 2014 s-first 10 abc 479862 2020 2026 16 Gym 2009 s-first 10 abc 675007 2014 2020 17 Gym Entrance 2014 s-first 10 abc 479853 2020 2026 18 West Mechanical 1989 Flag 10 abc 990165 2020 19 Science Room 1995 s-first 5 abc 66064 2017 2023 20 North Library Hall 2008 s-first 10 abc 46878 2014 2020 21 NE Exit 1990 crownin 10 abc 346049 2020 22 Main Office 2014 s-first 5 abc 888481 2020 2026 23 Science Prep room 1998 s-first 5 abc 21878 2017 2023 24 East Mechanical 2014 s-first 10 abc 460476 2020 2026 25 Kitchen 2016 ansul 6 k-guard 67023123 2022 2028 26 Electrical 2014 s-first 5 abc 21363 2014 2020 27 Mechanical Room North 2009 s-first 10 abc 675008 2015 2021 Florence MacDougall CommunitySchool Fire ExtinguisherCertification Florence McDougal Community School 10802 - Rainbow Blvd -ligh 1.evel Alberta 780-926-2331 Last 6 Next 6 Next 12 ·g . Manufacture Extinguisher Serial year year year o e Extinguisher Location Size Type ·o o Date brand name Number service service service .c date date due date .) Ext # Ë $ 5 e 2 iE S O 1 Main Entrance Hall 2007 s-first 10 abc 201472 2014 2019 2 NE Hall 2006 Flag 10 abc 231592 2014 2019 3 Custodian Room 2014 S-First 5 abc 144881 2020 2026 4 Kitchen 2013 s-first 5 abc 690083 2019 2025 5 Portable W Exit 2017 s-first 5 abc 99768181 2023 2029 6 Mechanical Room 2016 Flag 10 abc 706619 2022 2028 7 Generator Room 2017 s-first 5 abc 90131410 2023 2029 8 Main Hall West Ent 2006 Flag 10 abc 231595 2014 2020 9 Room 151 Entrance 2002 Flag 10 abc 349118 2023 2029 10 Science Prep room 2014 e-first 5 abc 623123 2020 2026 11 Gym 2006 Flag 10 abc 231611 2020 2026 12 Staff Room 2000 Flag 5 abc 363770 2020 2026 13 Staff Work Room 1997 s-first 5 abc 143005 2017 2029 14 West Hall 2006 Flag 10 abc 231602 2019 15 Hall 161 1985 Flag 10 abc 679685 2019 16 Portable W Exit 2015 s-first 5 abc 39244637 2021 2027 17 Portable W Exit 2015 s-first 5 abc 39244708 2021 2027 18 Library Hall 2007 s-first 10 201468 2014 2026 19 Library Storage 2014 s-first 5 abc 623089 2020 2026 20 Room 151 2002 Flag 5 abc 431556 2023 2029 21 Room 153 2003 Flag 5 abc 488937 2023 2029 22 Room 152 2003 Flag 5 abc 488915 2023 2029 23 Room 150 2009 simplex 10 abc 128080 2021 2027 24 Hall 161 Exit 1991 Flag 10 abc 559743 2019 25 New Portables-CR Hall ABC 10 abc 99768181 Spirit of the North Community School Fire Extinguisher Certification Spirit of the North School 10801-102 Street High Level Alberta. 780-ß41-7200 Last 6 Next 6 year year 12 year Extinguish ·m C . Manufact Serial Maintena Maintena Maintena e Extinguisher Location er brand Size Type o .c ure Date Number nce nce nce due 2' name o I u ' service service date .co 5 % a. Ext # date date & j O Front Foyer 2012 s-first 10 abc 662907 2018 2024 2 Staff Room Entrance 2012 s-first 10 abc 662916 2018 2024 3 Staff Room Entrance 2012 s-first 10 abc 662901 2018 2024 4 Learning Center B 2012 s-first 10 abc 662911 2018 2024 5 Learning Center B Exit 2012 s-first 10 abc 662917 2018 2024 6 Learning Center A 2012 s-first 10 abc 662912 2018 2024 7 Learning Center A Exit 2012 s-first 10 abc 662921 2018 2024 8 Library Hall 2012 s-first 10 abc 662931 2018 2024 9 Library 2012 s-first 10 abc 662933 2018 2024 10 Music Exit 2012 s-first 10 abc 661405 2018 2024 11 Gym 2012 s-first 10 abc 662914 2018 2024 12 Gym 2012 s-first 10 abc 662900 2018 2024 13 Mechanical Room 2012 s-first 10 abc 662925 2018 2024 ¯¯14 Mechanical Room 2012 s-first 10 abc 661410 2018 2024 15 North Point House 2012 s-first 10 abc 662905 2018 2024 16 West Point House 2012 s-first 10 abc 661421 2018 2024 High Level Support Services Building Fire ExtinguisherCertification High Level Support Services Building 10808 - 93 street 780-926-3966 or 780-841-2908 Last 6 Next 6 Next 12 o ·c a e Extinguish o o . Manufact Serial year year year os e .c Extinguisher Location er brand Size Type ure Date Number se ce se ce ddatee name Ext # 1 South Overhead Door 2016 s-first 10 abc 66850744 2022 2028 2 East Shop 2016 s-first 5 abc 2007748 2022 2028 3 North Exit 2010 s-first 5 abc 811143 2016 2022 4 Electrical Room 2013 s-first 10 abc 208951 2023 Bear Necessities Fire ExtinguisherCertification Bear Necessities Store 9901 - 105 Ave High Level Alberta 780-841-8139 I Next 6 O c . . Last 6 year Next 12 ' o Extinguisher Manufacture Extinguisher year Size Type Serial # service year due c -- Location Date brand name service .c -- o date u a. © date c- Ext # date 6 1 Front Entrance 2009 s-first 10 abc 68293 2016 2022 2028 High Level Learning Store Fire ExtinguisherCertification High Level Learning Store 9902 - 105 Ave High Level Alberta ! I I Last 6 Next 6 12 o a e Extinguish e o . Manufact serial year year year Extinguisher Location er brand Size Type en ure Date Number sed ce sedr ce ddatee name Ext # 1 Kitchen 2012 s-first 2.5 abc 878699 2018 2024 2024 2 Front Entrance 2013 s-first 5 abc 684885 2019 2025 3 East Room 2010 s-first 5 abc 811208 2017 2023 High Level Residences Fire ExtinguisherCertification High Level Leased Ret idences Adcresses as per list last 6 Next 6 i2 year o e Extinguish year Extinguishe Manufact Serial year service .9 er brand Size Type service r Location ure Date Number service due -- name due o à o 4 e date date S i È c .E Ext # date a ..I I- e - E .3 O 1 9905 -108 2013 s-first 5 abc 690089 2019 2025 2 9905 - 108 1991 Flag 5 abc 100259 2020 2026 - 3 9907 108 2013 s-first 5 abc 690067 2016 2022 4 9907 -108 2000 Flag 5 abc 925319 2022 5 9909 - 108 2013 s-first 5 abc 690076 2019 2025 6 9909 - 108 2000 Flag 5 abc 363730 2023 7 9911 - 108 2016 s-first 5 abc 66744239 2022 2028 8 9911 - 108 2016 s-first 5 abc 66744241 2022 2028 9 9904 -108 2016 s-first 5 abc 66744217 2022 2028 10 9904 - 108 2010 s-first 5 abc 811222 2017 2023 11 9906 -108 2013 s-first 5 abc 690032 2019 2025 12 9906 -108 1999 Flag 5 abc 282209 2014 2020 2026 13 9908 - 108 2010 s-first 5 abc 811222 2016 2022 14 9908 - 108 2013 s-first 5 abc 686124 2019 2025 15 9910 - 108 2013 s-first 5 abc 690068 2019 2025 16 9910 - 108 2013 s-first 5 abc 690061 2019 2025 Rainbow Lake School Fire Extinguisher Certification Rainbow Lake Echool il 2A Meander Crescent 780-956-3851 Last 6 Next 6 year year 12 year Extinguish o e . Manufact Serial Maintena Maintena Maintena e Extinguisher Location er brand Size Type o .c ure Date Number nce nce nce due name service service date c Ext # date date & 3 g .g 1 Mechanical Room 2016 pyrene 10 abc 9732 2022 2028 2 Generator Room 2016 pyrene 10 abc 11471 2022 2028 3 Staff Room 2014 s-first 5 abc 623072 2020 2026 4 Old Gym Entrance 1997 s-first 10 abc 58991 2017 2023 5 Main Entrance 2009 s-first 10 abc 467563 2016 2022 6 North Exit 2016 s-first 10 abc 66850752 2022 2028 7 Upstairs Storage Room 2009 Flag 10 abc 137576 2015 2021 8 Kitchen 2010 Flag 6L k guard 967070 2024 9 Gym 2010 pyrochem 5 abc 710980 2016 2022 10 New Gym Exit 2010 pytochem 5 abc 710978 2017 2023 11 Room 131 ECS 2009 s-first 5 abc 846316 2017 2023 12 IE Shop 2010 pyrochem 10 abc 74218 2017 2023 13 IE Shop 2010 pyrochem 10 abc 74280 2017 2023 14 West Hall Exit 1997 s-first 10 abc 68091 2017 2023 15 West Exit 1997 s-first 10 abc 68290 2017 2023 16 Storage Room 1997 s-first 10 abc 58568 2017 2023 17 West hall North Side 1997 Flag 10 abc 137582 2017 2023 18 Room 133 2017 s-first 10 abc 94053284 2023 2029 19 Room 134 2017 s-first 10 abc 32145301 2023 2029 20 Science Room 1998 s-first 5 abc 86132 2018 2024 21 Room 132 2011 s-first 5 abc 260489 2018 2024 22 Room 131 ECS 2009 s-first 5 abc 846284 2015 2021 23 custodian room 2016 s-first 10 abc 66850756 2022 2028 RBLK Day Care Fire ExtinguisherCertification Rainbow Lake Day Care # 2B Meander Crescent Behind the School I I I Last 6 Next 6 o 5 Extinguish Extinguisher Manufact Serial year year i2 year .c er brand Size Type Location ure Date Number servi e sed ce due date .c . name Ext # 1 North Exit 2011 s-first 5 abc 398441 2017 2023 / 2 Kitchen 2016 ansul 2.5 abc 71288254 2022 2028 / 3 Main Entrance 2010 s-first 5 abc 433543 2016 2022 / 4 West Exit 2010 s-first 5 abc 247730 2016 2022 / company*** Extinguishers were inspected by a different Rainbow Lake Learning Store Fire ExtinguisherCertification Rainbow Lake Learning Store # 5 Rainbow Drive in Rainbow Lake Alberta. 780-841-2934 Anne Roberts First 6 Next 6 o c Extinguish e Extinguisher Manufacture Serial year year 12 year o . er brand size Type os Location Date Number se ce se ce due date name Ext # 1 Classroom 2013 s-first 5 abc 912441 2019 2025 Rainbow Lake Residences Fire Extinguisher Certification Rainbow Lake Fesidences in the town of Rainbow Lake Addresses as per list Last 6 Next 6 year year 12 year Extinguish o ·me . . Manufact Serial Maintena Maintena Maintena e Extinguisher Location er brand Size Type o .c ure Date Number nce nce oce due ' u name service service date o. Ext # date date c O 1 14 Butler 2016 s-first 5 abc 2037051 2022 2028 2 Pembina 35 2014 s-first 5 abc 623086 2020 2026 3 Pembina 35 2015 s-first 5 abc 26131703 2021 2027 4 5A Meander 2004 Flag 5 abc 219878 2023 5 5A Meander 2004 Flag 5 abc 219910 2023 6 5B Meander 2004 Flag 5 abc 219911 2023 7 5B Meander 2004 Flag 5 abc 219898 2023 8 #2 Swan Cr 2000 Flag 5 abc 328532 2022 9 #3 Swan Cr 2016 s-first 5 abc 66744216 2022 2028 10 #4 Swan Cr 2015 s-first 5 abc 26110310 2021 2027 11 #4 Swan Cr 2016 s-first 5 abc 66744138 2022 2028 12 #5 Swan Cr 2016 s-first 5 abc 66744139 2022 2028 13 #5 Swan Cr 2015 s-first 5 abc 26131666 2021 2027 14 #10 Swan Cr 2004 Flag 5 abc 219861 2023 15 #10 Swan Cr 2011 s-first 5 abc 260523 2017 2023 16 #25 Marten St 2016 s-first 5 abc 66744155 2022 2028 17 #25 Marten St 2004 Flag 5 abc 219883 2023 18 #23 Marten St 2017 s-first 5 abc 90131428 2023 2029 19 #23 Marten St 2017 s-first 5 abc 90131421 2023 2029 20 #8B Marten St 2016 s-first 5 abc 66744202 2022 2028 21 #8B Marten St 2010 s-first 5 abc 247771 2016 2022 22 # 8A Marten St 2017 s-first 5 abc 90131409 2023 2029 23 # 8A Marten St 2017 s-first 5 abc 90131407 2023 2029 24 spare 2017 s-first 5 abc 99768476 2023 2029 Zama City School Last 6 Next 6 year year 12 year Extinguish ·ëe o c . . . Manufact Serial Maintena Maintena Maintena ·o Extinguisher Location er brand Size Type o .c ure Date Number nce nce nce due ' u name service service date # Ext date date Ë . E S O 1 Generator Room Outside 2012 s-first 5 abc 768840 2018 2024 2 Outside IE Shed 2011 s-first 5 abc 21880 2017 2023 3 NE Exit 2014 s-first 5 abc 935396 2020 2026 4 NW Exit 2014 s-first 5 abc 623091 2020 2026 5 Mechanical Room 2014 s-first 5 abc 623094 2020 2026 6 Main Entrance 2014 s-first 5 abc 623107 2020 2026 7 Electircal Room 2014 s-first 5 abc 935399 2020 2026 Zama Residences I last 6 Next 6 year year 12 year Extinguish e O c . Manufact Serial Maintena Maintena Maintena ·o Extinguisher Location er brand Size Type o .c ure Date Number nce nce nce due name service service date Ext # date date .E e i i O 1 Resident 1 2014 s-first 5 abc 935422 2020 2026 2 Resident 1 1987 General 5 abc 663378 2017 2023 Maintenance Fleet Vehicles Maintenance Fleet VehiclesI i I i Last 6 Next 6 year year 12 year Extinguish c O c Unit . Manufact Serial Maintena Maintena Maintena ·o Dnver er brand Size Type o .c Number ure Date Number nce nce nce due name service service date .c o .E Ext # date date i 3 3 O 1 701 Dan Dyck 2 702 Peter Janzen 3 704 Gary Driedger 4 709 Bruce Harder 5 780 Grounds truck 6 781 Spare Van 7 787 David Buhler 8 791 Paul Maretens 9 792 Stacey Froese 10 793 Rudy Janzen 11 797 Ed Friesen