Smoke Alarm Inspection Form

Smoke Alarm Inspection Form

Agreement Recitals

WHEREAS Client Name: (hereafter "Client") desires a professional inspection of smoke detection systems located at the Property identified below; and

WHEREAS Inspection Company Name: (hereafter "Inspector") is qualified and agrees to perform the inspection in accordance with the Scope of Work and terms set forth in this form; and

WHEREAS the parties agree that this form documents the inspection activities, findings, payment terms, and certification related to smoke alarm devices at the Property.

Property & Contact Information

Inspection Details

Inspection Date:    Time:    Inspector Name:

Alarm Locations & Condition

For each location, indicate Present, Tested, Functional, Date Replaced, Battery Type and provide brief comments where applicable.

Test Results & Observations

Functional Test Method:

Recommendations / Corrective Actions

Scope of Work

The Inspector will perform visual and functional testing of smoke alarm devices described above, record locations and conditions, and provide a written report. The Inspector is not responsible for removal of finishes, opening of walls, or concealed defects. The detailed scope accepted by the parties is set forth below.

Payment Terms

Service Fee Amount:    Payment Schedule:

Late Fee:    Payment Due (days):

Term and Termination

Agreement Start Date:    Term End Date (if applicable):

Either party may terminate this agreement for material breach if the breaching party fails to cure within days after written notice. Termination does not relieve the obligation to pay for services performed through the effective date of termination.

Confidentiality

Each party shall keep confidential all non-public reports, findings, and information disclosed in connection with this inspection, and shall not disclose such information except as required by law or with prior written consent of the other party. Confidential information does not include information that is or becomes public through no fault of the receiving party.

Liability, Certification & Acknowledgements

The Inspector certifies that the inspection described herein was performed by qualified personnel and limited to visual and functional tests of accessible devices. This inspection is not a warranty, guarantee, or substitute for continuous monitoring. Inspector liability for claims arising from this inspection shall be limited to direct damages up to the lesser of the fee paid for the inspection or $5,000. Neither party shall be liable for consequential damages.

Client acknowledges receipt of the inspection report and that identified deficiencies should be remediated by a licensed technician as required. By signing below Client accepts the findings and recommendations unless otherwise noted in writing.

Client Acknowledgement: I acknowledge the limitations and scope of this inspection.

Governing Law; Entire Agreement

Governing Law: This Agreement shall be governed by and construed in accordance with the laws of the State of without regard to conflict of laws principles.

Entire Agreement: This form, together with any written attachments expressly incorporated herein, constitutes the entire agreement between the parties with respect to the subject matter and supersedes all prior proposals, agreements, or representations, whether written or oral.

Inspector Certification (for record)

I hereby certify that I performed the inspection in accordance with the Scope of Work and that the observations recorded on this form reflect the condition at the time of inspection to the best of my professional knowledge.

Inspector Signature Required Below.

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