Premier Fire Alarm Control Panel Address, Name in block letters, Signature, Date, Postcode

PREMIER SX USER MANUAL, MAINTENANCE GUIDE & LOG BOOK

Certificate of Design for the Premier SX Fire Alarm System installed at:

Address:

I/we being the competent person(s) responsible (as indicated by my/our signatures below) for the design of the fire alarm system, particulars of which are set out below, CERTIFY that the said design for which I/we have been responsible complies to the best of my/our knowledge and belief with the recommendations of section 2 of BS 5839-1:2002 for the system category described below, except for the variations, if any, stated in this certificate

Name (in block letters):	Position:
Signature:	Date:
For and on behalf of:
Address:

Postcode:

The extent of liability of the signatory is limited to the system described below.

System Category (see BS 5839-1:2002, Clause 5):

Variations from the recommendations of section 2 of BS 5839-1:2002 (see Clause 7):

Extent of system covered by this certificate:

Brief description of areas protected (not applicable for Category M, L1 or P1 systems):

Approved Document No: GLT.MAN-102		PAGE 18
Issue: 1.3 Authorised: GH	Date: 9/6/2004