Title Page
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Document Number
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Certificate of modification for the fire alarm system at:
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Customer Name
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Site Address:
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I/we being the competent person(s) responsible (as indicated by my/our signatures below) for the modification of the fire alarm system, particulars of which are set out below, CERTIFY that the said modification work for which I/we have been responsible has to the best of my/our knowledge and belief been carried out in accordance with the recommendations of 46.4 of BS 5839-1:2017, except for the variations, if any, stated in this certificate:
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Name, Signature & Date:
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Position:
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For and on behalf of:
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The extent and liability of the signatory is limited to the system described below.
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Extent of system covered by this certificate:
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Variations from the recommendations of 46.4 of BS 5839-1:2017
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Following the modifications, the system has been tested in accordance with the recommendations of 46.4.2 of BS 5839-1:2017.
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Following the modifications, “as fitted” drawings and other system records have been updated as appropriate.
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I/we the undersigned confirm that the modifications have introduced no additional variations from the recommendations of BS 5839-1:2017, other than those recorded above:
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Signed:
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Capacity: (e.g. maintenance organisation, system designer,)
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Cura Property Services Ltd
Suite 5/6 Fountain House, Fountain Lane, Oldbury. B69 3BH
TEL: 0121 7401436 E-Mail: cura@curapropertyservices.com.
