Osceola County Department of Fire Rescue and Emergency Medical Services

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St. Number Dir Street Name Street Type Inspected Time of Day to be Re-inspected Zip Code Occupancy Type Emergency Contact Phone (Inc. Area Code) Building Owner Building Owner Mailing Address Bldg. Owner Phone (Area Code) Bldg. Owner Fax (Area Code.) Occupancy Fax Person Authorizing Inspection The Following Violations were noted at the Time of Inspection A General Code Reference Yes No N/A Has An Inspection, Test, & Maintenance Log For The Fire Alarm System Been A-1 Has An Inspection, Test, & Maintenance Log For Smoke Detectors Been A-2 Has An Inspection, Test, & Maintenance Log For The Fire Sprinkler System Been A-3 Has An Inspection, Test, & Maintenance Log For The Standpipe System Been A-4 Has An Inspection, Test, & Maintenance Log For The Fire Pump Been A-5 Has An Inspection, Test, & Maintenance Log For The Fire Hydrants Been A-6 Has An Inspection, Test, & Maintenance Log For Fire Suppression Systems Been A-7 Has An Inspection, Test, & Maintenance Log For The Fire Extinguishers Been A-8 Has An Inspection, Test, & Maintenance Log For Exit And Emergency Illumination Been A-9 Has An Inspection, Test, & Maintenance Log For Fire Doors, Dampers, & Shutters Been A-10 Has An Inspection, Test, & Maintenance Log For Stair Pressurization Systems Been A-11 Osceola County Fire Rescue Department s Office of the Fire Marshal is charged by county ordinance and state statue to conduct inspections to secure beneficial interests and purposes of public safety, health, and general welfare, through safety to life and property from fire, explosion and other hazards incident to the use and occupancy of buildings, structures, and premises. County ordinance and state statue requires the Office of the Fire Marshal to provide written notice or orders to remove or remedy conditions that constitute a danger to human life, or hazard to safety or health identified during an inspection. Page 1 of 10

Thank you for your attention to this matter in a timely manner. A General (continued) Code Reference Yes No N/A Has Documentation Showing That Fire Exit Drills Are Regularly Conducted Been A-12 Establish and maintain a log of Fire Exit Drills per code. Has An Inspection, Test, & Maintenance Log For The Emergency Generator Been A-13 Has Documentation That Fire Fighter Service Elevators Are Operated Monthly Been A-14 Establish and maintain a log that elevators equipped with fire fighter service are operated monthly. Has Documentation That Hotel Emergency Organization Drills Are Performed Been A-15 Establish and maintain a log of Hotel Emergency Organization Drills per code. Has Written Emergency Instructions Meeting The Life Safety Code For Residents Or Guests Been Provided? A-16 Establish, maintain, & provide a floor diagram with fire safety information for each guest room suite per code. Has An Inspection/Test/Maintenance Log For Smoke Evacuation & Containment Systems Been A-17 Other Inspection/Test/Maintenance Listed Within the Remarks Section Has Not Been Maintained. A-18 Establish and maintain an inspection, test, and maintenance log as specified in remarks section. B Means of Egress Code Reference Yes No N/A Has The Means Of Egress Been Maintained Free of Obstructions? B-1 Remove obstructions from the means of egress. Are Exit Doors Unlocked When The Building Is Occupied? B-2 Unlock exit doors when the building is occupied. Do Door Locks Or Latches Meet Life Safety Code? B-3 Provide locks or latches per code. Do Delayed Egress Locks Meet All Life Safety Code Criteria? B-4 Delayed egress locks shall meet all Life Safety Code criteria. Do Access Control Locks Meet All Life Safety Code Criteria? B-5 Access control locks shall meet all Life Safety Code criteria. Are Electromagnetic Hold Open Devices B-6 Provide, maintain, or repair as necessary per code. Is Required Panic Hardware Provided And Maintained Per Life Safety Code? B-7 Provide/Maintain Panic Hardware. Is Required Fire Exit Hardware Provided And Maintained Per Life Safety Code? B-8 Provide, maintain, or repair as necessary per code. Are Required Exits Provided And Maintained Per Life Safety Code? B-9 Provide, maintain, or repair as necessary per code. Are Required Exit Signs & Exit Directional Signs Provided and or Maintained Per Life Safety Code? B-10 Provide, maintain, or repair as necessary per code. Is Required Exit Illumination Provided and or Maintained Per Life Safety Code? B-11 Provide, maintain, or repair as necessary per code. 14.4.1 NFPA 101 7.1.10.1 14.5.2.1 NFPA 101 7.2.1.5.1 14.5.2.2 NFPA 101 7.2.1.5.2 14.5.3.1 14.5.3.2 14.5.4.2 NFPA 101 7.2.1.8.1 14.5.3.3 NFPA 101, 7.2.1.7 14.5.3.3 NFPA 101, 7.2.1.7 14.4.2.1 NFPA 101 7.1.10.2.1 14.14.1.1 NFPA 101 7.10.1.1 14.12.2.1 NFPA 101 7.8.2.1 Page 2 of 10

B Means of Egress (continued) Code Reference Yes No N/A Are Required Emergency Lights Provided and or Maintained Per Life Safety Code? B-12 Provide, maintain, or repair as necessary per code. Are Required Exit Corridors Provided and or Maintained Per Life Safety Code? B-13 Provide, maintain, or repair as necessary per code. Does Interior Finish Within The Means Of Egress Meet Life Safety Code? B-14 Provide interior finish per code. Are Stairs Handrails & Guardrails Provided And Maintained Per Life Safety Code? B-15 Provide, maintain, or repair as necessary per code. Is Exit Discharge Provided and or Maintained To A Public Way? B-16 Provide, maintain, or repair as necessary per code. Is The Premises Free Of Open Flames Or Flame Producing Devices Located In Means Of Egress? B-17 Remove open flames or flame producing devices from the means of egress. B-18 Provide, maintain, or repair as necessary per remarks. 14.13.2.1 NFPA 101 7.9.3.1 14.10.1.2 14.10.2.1 4.6; NFPA 101, 7.2.2.4 7.2.2.6 14.11.1 NFPA 101, 7.7.1 14.4.3 14.1 Fire Alarm Systems C No Fire Alarm System Code Reference Yes No N/A Is The Fire Alarm System Inspection Tag Current? Is An Inspection Tag Provided? C-1 Provide a current inspection tag @ the fire alarm panel. Is The Fire Alarm System Inspection, Test & Maintenance Per NFPA 72* Current? C-2 Inspections, tests, & maintenance shall be performed per NFPA 72. Is The Number & Location Of The F/A Circuit Breaker Indicated @ The Fire Alarm Control Panel? C-3 Provide the number and location of all circuit breakers/ panels for the system @ the FACP. Is A Lock Out Device For The F/A Circuit Breaker To The FACP Provided? C-4 Provide a lock out device for all circuit breakers serving fire alarm equipment. Is Fire Alarm Control Equipment Protected By A Smoke Or Heat Detector Interconnected To The FACP? C-5 Provide a smoke or heat detector interconnected to the FACP in room. Note: Fire Department Permit Required! Has A Zone Indicator Map/Display Been Provided @ The FACP Or Fire Alarm Annuciator Panel? C-6 Provide a zone indicator map / display @ the FACP or FAAP. Has Remote Station Monitoring Required By Code Been Provided? C-7 Provide remote station monitoring as required per code. Have Three (3) Emergency Contacts Been Posted @ The Main Entry Door? C-8 Post emergency contacts @ the main entry door so that they are visible from the exterior of the building. Has Fire Alarm Conduit, Cabling, Or Wiring Been Maintained Free of Damage? C-9 Repair fire alarm conduit, cabling, or wiring as necessary per code. C-10 Provide, maintain, or repair as necessary per remarks. 13.7.3.4.2.1 SFMRR 69A-48.006 13.7.3.5.1 NFPA 72, 4.4.1.4.2.3 NFPA 72, 4.4.1.4.2.2 NFPA 72, 4.4.5 NFPA 72, 4.4.6.1 13.3.1.7 13.7.1.4.11 7-7.3.2 13.1 Page 3 of 10

Smoke and Heat Detectors D No Smoke or Heat Detectors Code Reference Yes No N/A Have Smoke Detectors Been Inspected, Tested, And Maintained Per NFPA72*? D-1 Inspect, test, and maintain all smoke detectors per NFPA 72. Is Smoke Detectors Sensitivity Testing Current with NFPA 72 Criteria? D-2 Provide sensitivity testing of smoke detectors per NFPA 72 and manufacturers specs. Are Required Smoke Detectors Provided and Located To Meet NFPA 72*? D-3 Relocate smoke detectors to meet NFPA 72 and manufacturers specifications. Are Required CO (Carbon Monoxide) Detectors Provided? D-4 Provide CO detectors where Fossil fuel appliances are in use. FSS 509.211 Are Heat Detectors Inspected, Tested, And Maintained Per NFPA72*? D-5 Inspect, test, and maintain all heat detectors per NFPA 72. Are Heat Detectors Located To Meet NFPA 72*? D-6 Relocate heat detectors to meet NFPA 72 and manufacturers specifications. Are Required Heat Detectors Provided? D-7 Provide heat detectors as required by code. D-8 Provide, maintain, or repair as necessary per remarks. 13.7.4.4.1 13.7.4.7 13.7.4.3 13.7.4.1.2.2 13.7.4.1.2.2 NFPA 72, 6.8.4.10 NFPA 720 13.7.4.5.1 13.7.4.1.2.2 13.7.4.3.4 13.7.4.2 Automatic Sprinkler Systems E No Automatic Sprinkler Systems Code Reference Yes No N/A Is The Hydraulic Calculation or Pipe Schedule Data Plate Provided? E-1 Provide a hydraulic or pipe schedule calculation data plate on the sprinkler riser. Is The Sprinkler System Inspection, Testing, And Maintenance Per NFPA 25* Current? E-2 A Florida licensed sprinkler contractor shall perform inspections, tests, & maintenance per NFPA 25. Is The Sprinkler System Riser Inspection Tag Current? Has A Tag Been Provided? E-3 Provide a current inspection tag on the sprinkler system riser. Has A Sign Indicating Location Of Fire Department Connection Been Provided? E-4 Provide permanent signs indicating the location of all FDC(s) & buildings or areas they protect. Is The Access To Fire Department Connection Maintained Free of Obstructions? E-5 Remove obstructions to all fire department connections. Are The Fire Department Connection Caps Provided? E-6 Provide caps for all fire department connections. Are The Labels For Sprinkler System Valves Provided? E-7 Provide permanent labels for all sprinkler system valves. Is The Sprinkler System Coverage Obstructed? E-8 Remove obstructions to sprinkler coverage. Has The Required Remote Station Monitoring By a UL Listed Central Station Facility Been Provided? E-9 Provide remote station monitoring. Note: Fire Department Permit Required. E-10 Provide, maintain, or repair as necessary per remarks. NFPA 13, 16.5 13.3.3.2 13.3.3.4 NFPA 13, 8.16.2.4.7 13.1.3 NFPA 13, 6.8.4 NFPA 13, 6.7.4 13.3.4 13.7.1.4.11 13.3.4 Page 4 of 10

Standpipe Systems F No Standpipe Systems Code Reference Yes No N/A Is The Standpipe System Riser Inspection Tag Current? Is a tag provided? F-1 Provide a current inspection tag on the standpipe system riser. Is Standpipe System In Of Inspection, Testing And Maintenance Per NFPA 25* Current? F-2 Inspections, tests, & maintenance shall be performed per NFPA 25. Are The Required Warning Labels Denoting Pressures Exceeding 100Psi Provided @ Fire Hose Valves? F-3 If operating pressures exceed 100 psi, provide warning labels. Are Hose Valve Caps Provided For Hose Valve Outlets? F-4 Replace all missing fire hose valve caps. Has Access To Standpipe Risers, Fire Hose Cabinets, Or Fire Hose Valves Been Maintained Free of Obstructions? F-5 Remove all obstructions to standpipe risers, fire hose cabinets, and fire hose valves. Is The Fire Hose Inspection, Testing, & Maintenance Per NFPA 25 Current? F-6 Provide inspection, testing, & maintenance by a licensed contractor per NFPA 25. Do Pressure Reducing Valves Have Current Inspection, Testing, & Maintenance Per NFPA 25? F-7 Provide inspection, testing, & maintenance by a licensed contractor per NFPA 25 Is The Standpipe System Pressure Gauge Provided? Is It Working? F-8 Provide or repair the standpipe pressure gauge. Is The Hose Valve Cabinet Or Hose Valve Rack Maintained Free of Damage? F-9 Repair hose valve cabinet or hose valve rack. F-10 Provide, maintain, or repair as necessary per remarks. 13.3.3.4 13.3.3.2 NFPA 13, 8.15.1.1.8 13.2.3 13.1.3 13.2.3 13.2.3 13.2.3 13.1.3 13.3.4 Fire Pumps and Fire Pump Rooms G No Fire Pumps and Fire Pump Rooms Code Reference Yes No N/A Is Fire Pump Inspection, Testing, And Maintenance Per NFPA 25* Current? G-1 Inspections, tests, & maintenance shall be performed per NFPA 25. Is The Fire Pump Room Being Maintained Free of Storage? G-2 Remove Storage From The Fire Pump Room & Post No Storage Signs @ Pump Room Door. Has Signage Identifying The Fire Pump Room Been Provided? G-3 Provide a sign identifying the fire pump room on the door. Is The Weekly Automatic Fire Pump Run Time Being Conducted? (Engine Driven Pumps) G-4 Conduct weekly fire pump run times. Is The Required Fire Pump Room Heater Provided & Is it Operational? G-5 Provide a fire pump room heater per NFPA 20 or repair as needed. Is The Required Fire Pump Room Emergency Lighting Provided & Is it Operational? G-6 Provide emergency lighting within the fire pump room or repair as needed. Is The Required Fire Pump Room Ventilation Provided? G-7 Provide ventilation within the fire pump room by mechanical or by gravity venting. Has A Fire Extinguisher Been Provided In The Fire Pump Room? G-8 Provide a 4A60BC rated fire extinguisher, State Tagged. G-9 Provide, maintain, or repair as necessary per remarks. 13.4.8 13.4.2.1 13-4 13.3.4.4.1 13.3.4.2.2 13.3.4.2.4 13.3.4.2.5 13.6.1.2 13.4 Page 5 of 10

Commercial Cooking Equipment H No Commercial Cooking Equipment Code Reference Yes No N/A Has Commercial Cooking Equipment Been H-1 Repair commercial cooking equipment. Is The Fire Suppression Systems Semi-Annual Inspection Current? H-2 Provide semi-annual inspection. Is The Hood/Duct Exhaust Systems Clean? H-3 Clean hood/duct/exhaust system. Does The Rated Fire Extinguisher Provided Meet NFPA 10 & 96 Criteria? H-4 Provide a fire extinguisher meeting criteria set forth by NFPA 10 & 96. Are Cooking Appliances Protected With Fire Suppression System And Is The Coverage Correct? H-5 Provide protection or correct protection Are Hood Duct Exhaust System Provided With Listed Grease Extraction Filters? H-6 Provide listed grease extraction filters. H-7 Provide, maintain, or repair as necessary per remarks. Does Height Of Fire Hydrant Above Finished Grade Meet NFPA 24? J-1 Adjust hydrant so that the centerline of the large port is not less than 18 or more than 24 above grade. Are Fire Hydrants Inspected, Tested, And Maintained Per NFPA 25*? J-2 NFPA 25 requires that hydrants have annual inspections, flow tests, maintenance performed. Are Caps To Fire Hydrant Ports Provided? J-3 Replace missing fire hydrant caps. Is The Access To Fire Hydrants Maintained Free of Obstructions? J-4 Remove any fence, growth, trash, or other obstruction to any fire hydrant. 50.2.2 50.5.2.1 50.5.4.1 50.4.12.1 13.1 13.8 50.4.3.2 50.1 I Fire Extinguishers Code Reference Yes No N/A Is Fire Extinguishers Inspection Tag Current? Is There An Inspection Tag Provided? I-1 Provide a current inspection tag on the fire extinguisher. Is Fire Extinguishers Inspection, Testing, Maintenance Per NFPA 10*? I-2 Provide inspection, testing, & maintenance by a licensed contractor per NFPA 10. Are Required Fire Extinguisher(s) Provided? I-3 Provide fire extinguishers as required per code. Is The Travel Distance To Reach Fire Extinguisher(s) Adequate Per NFPA 10 Criteria? I-4 Reduce travel distance or provide additional fire extinguishers NFPA 10. Are Fire Extinguisher(s) Located So As To Be Visible And Accessible? I-5 Relocate fire extinguishers or provide signage-indicating location per NFPA 10. Are Fire Extinguishers Mounted Greater Than 60 Above Finish Floor To Their Handles? I-6 Fire extinguisher brackets be mounted no greater than 42 above finish floor. I-7 Provide, maintain, or repair as necessary per remarks. 13.6.6.8.3.3 13.6.6.8.3.3 13.6.1.2 13.6.6.1 13.6.3.6 13.6.3.10 13.6.1 Fire Hydrants J No Fire Hydrants Code Reference Yes No N/A 13.1.4 NFPA 24, 7.3.3 LDC, CH 12 18.3.5 NFPA 24, 7.3.8 LDC, CH 12 13.1.4 18.3.1 NFPA 18, 3.4.1 Page 6 of 10

Fire Hydrants (continued) J No Fire Hydrants Code Reference Yes No N/A Are Fire Hydrants Painted To Meet NFPA 291? J-5 The authority having jurisdiction establishes criteria for painting and color-coding of fire hydrants. Are Roadway Reflectors Identifying Location Of Fire Hydrants Provided? J-6 Provide blue roadway deflectors in the middle of the driving lane next to hydrants. J-7 Provide, maintain, or repair as necessary per remarks. LDC Ch 12 LDC Ch 12 13.1.4 LDC Ch -12 K Fire Department Access Code Reference Yes N0 N/A Is An Access Road Of 20 Ft Width & Adequate Turning Radius Provided? K-1 Provide an all-weather driving surface with 20 feet of unobstructed width and adequate turning radius. Is The Fire Department Access Maintained Free of Obstructions? K-2 Access roadways shall not be obstructed in any manner, including the parking of vehicles. Has 13 6 Clearance Above Roads Been Provided & K-3 Access roadways to be provided with 13 feet 6 inches of vertical clearance. Has an Access Lock Box For Fire Department Been Provided? K-4 Provide an Access Lock Box. It is ordered through OC Fire Marshal s Office. Are Required Fire Lanes Provided And K-5 The AHJ requires fire lanes to be established to assure fire department access. Are Required No Parking-- Fire Lane Signs Provided? K-6 The AHJ requires the installation of NO PARKING----FIRE LANE signs. Has A Siren-Operated Switch and Access Key Switch Been Provided For Emergency Access? (Gated Complexes Only) K-7 Osceola County requires all gated communities to be provided with a siren-operated switch and Key Access Switch. K-8 Provide, maintain, or repair as necessary per remarks. 18.2.2.5.1.1 18.2.3.1.1 18.2.2.5.1.1 10.12.1 18.2.2.5.8 18.2.2.5.8 10.12.2 18.1 L Electrical Code Reference Yes No N/A Does Installation Meet National Electrical Code And Local Ordinances? L-1 Have a licensed contractor make repairs per NEC and Local ordinances. Are Electrical Circuits, Electrical Panels, Electrical Shunts, & Electrical Rooms Provided With Labels? L-2 Provide labels for all electrical circuits, electrical panels, electrical shunts, & electrical rooms. Are Electrical Panels Provided With 36 Inches Of Clearance? L-3 Provide 36 inches of clearance in front of electrical panels. Are Junction, Panel, Switch And Outlet Boxes Provided With Cover Plates? L-4 Provide cover plates for all junction panel, switch, and outlet boxes. Are Open Circuits In Electrical Panels Provided With Safety Caps? L-5 Provide safety caps for all open circuits within electrical panels. Is The Premises Free Of Extension Cords Or Unapproved Multi-Plug Adapters Being Used In Lieu Of Permanent Wiring? L-6 Remove extension cords and provide permanent wiring per NFPA 70. Provide adapters that meet NFPA 70 criteria. 11.1.2 11.1.2 11.1.2 11.1.2 11.1.2 11.1.5 Page 7 of 10

L Electrical (continued) Code Reference Yes No N/A Has A Fire Extinguisher Been Provided For The Electrical Equipment Room? L-7 Provide a 4A60BC rated fire extinguisher, State Tagged. L-8 Provide, maintain, or repair as necessary per remarks. 13.6.1.2 11.1.1 M Structural Code Reference Yes No N/A Is The Numerical Street Address Visible From The Roadway? M-1 Post a numerical street address that is visible from the roadway. (At least 6 inches in height) Has Building, Suite, Or Unit Number Been Posted? M-2 Post building, suite, or unit number as required per code. 3 Residential 6 All Others Are Occupant Load Signs In Assembly, Meeting Rooms, Restaurants, & Lounges Posted? M-3 Post an occupant load sign that is visible to the public. Is The Required Fire-Rated Separation Provided And (Make A Referral To Bldg. Dept. If The Answer Is No) M-4 Provide, maintain, or repair as necessary per code. Are Automatic Closure Devices For Fire-Rated Doors Provided and or M-5 Provide, maintain, or repair as necessary per code. Are Required Fire-Rated Doors Provided And M-6 Provide, maintain, or repair as necessary per code. Are Fire Rated Doors Maintained Closed? M-7 Fire rated doors shall be kept closed. Is The Required Draft Stopping Provided and M-8 Provide, maintain, or repair as necessary per code. Is The Vertical Openings Enclosed Per Life Safety Code? (Stairs, Shaftways, Chutes, etc.) M-9 Provide, maintain, or repair as necessary per code. Are Trash And Linen Chute Doors Provided and M-10 Repair doors as needed to maintain their listings. Has Accumulation of Combustible Waste Materials Been Removed? M-11 Remove combustible waste materials. Has Structural Integrity Been (Damaged Structural Elements)? (Make A Referral To Bldg. Dept. If The Answer Is No) M-12 Maintain, or repair as necessary per The Building Code. Are Dryers Vented To The Exterior of the Building? (Referral to Bldg. Dept.) M-13 Vent dryers to the exterior. Are Required Smoke / Fire Dampers And Shutters Provided and M-14 Repair smoke / fire dampers and shutters. Do Interior Finishes Meet Life Safety Code? M-15 Provide / maintain / repair as necessary per code. M-16 Provide, maintain, or repair as necessary per remarks. 10.13.1.1 10.13.1.2.1 20.1.4.10.3 12.7.1 1-7.3.1 12.9.4.4 12.4.1 12.9.4.4 12.3.2.1 12.7.4 11.6.2 10.19.1 4.1.4.2.3 1-7.3.1 11.5.1.9.1 12.9 12.5 10.1 Page 8 of 10

Flammable/Combustible Liquids & Hazardous Materials N No Flammable/Combustible Liquids & Hazardous Materials Code Reference Yes No N/A Is Automatic Leak Detection Of Poisonous Gases, Toxic/Corrosive Materials Provided? N-1 Provide automatic leak detection per code. Is Hazard Material Information Provided At The Entrance To And Inside Of Hazardous Materials Storage Areas? N-2 Provide hazardous materials information at hazardous materials storage areas. Does Hazardous Materials Storage Meet Code and Manufacturers Specifications? N-3 Provide hazardous materials storage per code and manufacturer s specifications. Does Electrical System Meet National Electrical Code For Hazardous Areas? N-4 Provide, maintain, or repair as necessary per code. Has A Hazardous Materials Lock Box Been Provided? N-5 Provide hazardous materials lock box per code. Are Pressure Cylinders Secured In An Upright Position With A Chain and Safety Cap? N-6 Secure pressure cylinders in an upright position with a chain. Does Flammable Liquids Storage Meet NFPA 30*? (Flammable Liquids Code) N-7 Provide flammable liquids storage meeting NFPA 30*. (Flammable Liquids Code) Are Sources Of Ignition Eliminated Where Flammable Liquids Are Stored / Handled? N-8 Eliminate sources of ignition where flammable liquids are stored / handled. Are NO SMOKING Signs Posted Where Flammable Liquids Are Stored/Handled? N-9 Post NO SMOKING signs where flammable liquids are stored / handled. Are Flammable Liquids & Hazardous Materials Storage Containers Labeled? N-10 Label storage containers per NFPA 704 criteria. Are Flammable Liquids Storage Areas Labeled? N-11 Label all flammable liquids storage areas. N-12 Provide, maintain, or repair as necessary per remarks. Remarks 60.4.5 60.1.8.3 NFPA 1 60.1.1 60.1.17.1 10.12.1 NFPA 55, 7.1.4.4 66.1.1 66.2.4.3 66.2.4.3.2 66.2.5.2 60.1.14.2 60.1.14.2.3 60.1 Page 9 of 10

Remarks Page 10 of 10