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Exhibit A

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HAVE A MAJORITY OF THE UNIT OWNERS VOTED TO OPT OUT OF REQUIRED SPRINKLER PROTECTION YES NO‘C

IF THE ANSWER IS YES,THEN PROCEED WITH THE OPT OUT VERSIONTHIS VERSION S INTENDED FOR THOSE BU LDINGS THAT WISH TO OPT OUT OF SPRINKLER PROTECTION FOR THE BUILDING. THIS CHECKLISTDOES NOT ROVIDE AN EQUIVALENT LEVEL OF LIFE SAFETY TO BUILDING OCCUPANTS AND FIRE FIGHTERS AS THE NON-OPT OUT VERSION

Risk Parameters

ENTER (01) ______

ENTER (FF1) _______

2, OCCUPANT LOAD

ENTER (02) I3. FIRE COMPARTMENT LOCA11ON (L)

ENTER (FF2)

MOBILITY STATUS NORMAL I REQUIRE NOTMOBILITY1 ASSISTANCE MOVABLE

OCCUPANTRISKFACTOR(0l) 1.50 2.50 4,00FIRE FIGHTER RISK FACTOR (FF1) 1,60 3,00 SOD

The occpuant load Is persons

5THFLOOR FLOOR

OR 5THTO 1OTHTO 2OTHTOLOWER 9TH 19TH 29TH ‘30TH

OCCUPANTRISK FACTOR (03) 1.00 1.10 1.20 1.30 1.40FIRE FIGHTER RISK FACTOR (FF3)

_________ Highest floor wiIh residential dwellings is

Table 2. Risk Factor Calculations

OCCUPANT RISK FACTOR (ORF)

FIRE FIGHTER RISK FACTOR (FFRF)

Table 3A and SB Building Status

This facIlity is an existing building.OCCUPANT RISK FACTOR (ORF)

FIRE FIGHTER RISK FACTOR (FFRF)

Table 3*. New BuildingsORF ORF

1.00 x I 2.31 I 2,31

FFRF ORFlao I 0.00 = I 0.00

1.39

2.11

Table 3B. (Existing BuildIngs) IORF ORF

0.60 x I 2,31 I 1.39

FFRF if?!]0.60 x I 3,52 I I~i~i1

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Waltsheet Cover SheetEVALUATION WORK SHEET FOR HIGH-RISE RESIDENTIAL BUILDINGS

OPT-OUT VERSION

FACILITh’ XXXXXX BUILDING ~X)CXFIRE COMPARTMENTEVALUATOR~ DAIS. 2121f2018

PURPOSE

Complete thIs work sheet fov each fire compartment (floor). Where conditions are the Same in several fire compartments, one work sheet sheet can be used for thosefire conlpactments

Table 1. Occupant and Firefighter Risk Parameters

1. RESIDENT EVACUATION CAPABILITY

RISK PARAMETER VALUES

RESIDENTS ITO 25 26 TO 50 51 TO 100 >100OCCUPANT RISK FACTOR (02) 1.00 1.10 1,20 1.30

Jt’IRE FIGI-1TER RISl~ FACTOR (FF2) 1.00 1.10 1.20 1.30

ENTER (03)

ENTER (FF3)

100 1,20 1.50 1.00 2.00floor.

OPEN 4 on MOREFLOORS

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• For locations where there are no interior corridors, onlyexterior egress balconies. use 4 points, regardless of walltype.

• For buildings with exterior egress balconies enter 5regardless of door type

Table 4 Fire Safety Parameter ValuesOPT-OUT VERSION

lParsir.eien ParamelerValuesNONCOMSUSTISLE

CONSTRuCTIoN TYPE TYPES I AND II

TYPE II e. TYPE ittH (ONE HOURI (FIRE RESISTIVE

LOCATION OF FIRE COSWARTMENTETHORt.ESS HP NP 17THTOISTH NP NP1eTH TO 20TH NP NPlIST TO 30Th NP NP -130Th AND ABOVE tIP NP -2

ENTER 1.

UNDETERMINEDOR LESS THAN CLASS C CLASS B CLASS A

CLASS C

1. INTERIOR FINISH (Considers and Eslta) 010 -5 •2

ENTER 2.

INCOIWLETE III HR >113< I OHR >a 1.0 HR

NON-MASONRYe.g. gypsum voal MASONRY OR CONCRETE

pertlion)

1 CORRIDOR & DWEWNG UNrr SEPAPATION WALLS -10 -S 0 4ENTER 3.

NO DOOR OR <MIN I 314 INCHDOOR CONTAINS >20 MIN. FPR SOLID W000 MINIMUM 20 lEN. FPRUNPROTECTED NO CLOSER CORE WITH CLOSER

OPENINGS WITH CLOSER

- InterIor Snish of Class B or lees that is provided with alist, approved fire retardant coating providing a Class Arating is acceptable.

DOORS TO CORRIDOR • 10

ENTER 4.

PC DEAO EIC ‘205 EXIT ACCESS (lies value trees — webs applIcable) ~IMOM CORRIDOR DEAD END TRAVEL DISTANCE >150 10ff- 15ff <100 FEET

>100 FEET 1 51 - 10ff 21- 5ff FEET -2 -1

~ NDDEAOEND>3054 INTERIOR CORRIDOR MAXIMUM CORRIDOR DEAD END

TRAVEL DISTANCE ‘ItO lao- 15ff .100 FEET>IOOFEET { Sff-lø -W FEET

EXTERIOR EGRESS EALCONIES (EXTERIOR EXIr -2 I 10IS ACCESS) ~ I

ENTERS.

• VeRTICAl. OPENINGS -14ENTERL _____________

OPEN 2 OR 3FLOORS

I ENCLOSED WITH INDICATED FIRE RESISTANCE

I ~0 I 0 I 2<INN I ..rIHR.2HR

DOUBLE DERCIENCY SINGLE DEFICIENCY I NO DEFICIENCIESIN FIRE I OUTSIDE FIRE IN FIRE I OUTSIDE FIRE I

COIWANTMENT ICOIWARTMENTI COMPARTMENT I COSFANTMENT I7 14#ZAROOUSEREAS I 11 -5 I I 2 I 0

ENTER 7 IEXTERIOR I

SMOKEPROOF ISTAIRS ORSTAIR SHAFT ENCLOSURE II MEChANICAL SMOKESMOKEPROOF

WITH EXTERIOR (VIA NATURAL I CONTROL WITHIN FIRENONeENCLOSURE EXIT ACCESS VENTILATION OR I COMPARTMENTMECHANICAL

FOR ALL EXIT PRESSURIZATION) ISTAIRS IIN ONLY ONE

ALL EXIT STAIRS IEXIT STAIR I

S. SMOKE MM4AOEMENT -5 2 3 4 4ENTER S.

u 2 ROUTES MULTIPLE ROUTESNOT DEFICIENT Wi I

DEFICIENT I NOT DEFICIENT I COMPLIANT STAIRWELL Ia~~SR~ -5 -2 I ° I IREENTRY

ENTERe. t

NONENONOPERATIOt4A MANUAL INITIATION WITHOUT

L. OR FIRE DEPARTIu~NT NOTIFICATIONNONCOMPLLANT

OCCUPANT I OCCUPANTNOTIFICATION I NOTIFICATION

WITHOUT VOICE I WITH VOICECOMMUNICATIO I COMMUNICATID

N I N

10- ~E4.4RMSYSIEM 10 I IENTER 10.

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* For locations where there are noTOTAL SMOKE interior corridors, only exterior

NONE CORRIDORS’ DETECtiONTHROUGHOUT FIRE egress balconies, use 3 points,

COMPARTMENT even if there is no smokedetection.

SMOXE DETECTIONENTER ii.

• For locations where there are noCORRIDOR & BUILDING WITH interior corridors, only exterior

NONE COMMON NFPA 1W ON ENTIRE SUILDIHrAREAS RESIDENTIAL egress balconies, use 5 points,

FLOORS even if there is no sprinkler

IS AUTOMATIC SPR8IKLERS 0’• 0 8 10 (St “For Opt Out only, a sprinkler protection valueENTER 13, of ‘0’ will be used to calculate the score

for extinguishment fire safety.IN AU. eEDROOMS AND IN ALL BEDROOMS AI4DONE IN HALL

NONE NEAR ONLY IN HALLWAYS NEAR HALLWAYS NEARBEDROOM BEDROOMISI BEDROOMS NO TANDEM eEDROOMS WITH

OPERATION TANDEM OPERATION

15. SMOKE AL&RMS ‘10 ‘2 ‘1 2 4ENTER 14.

ClASS ISTANDPIPE CLASS I AUTOMATIC WET • Credit for a combined system is‘COhCNEO SYSTEMPRESENT BUT MANUAL STANDPIPE SYSTEM WITH WITH HOSE VALVES IN only permitted if the Parameter 13STANOPIPE INNONE NOT INALL

HOSE VALVES IN ALL EXIT ALL EXIT ENCLOSURES Automatic Sprinklers value Is B orALLEXIT ENCOSUReS 10REOUIRED ENCLOSURESEXITS

14 STMIDPIPE SYSTEM ‘10 ‘S 5 7 10ENTER It,

WITH RECALL AND FIRE FIGHTERNO FIRE FIGHTER SERVICE

RFRVICF

NOEW~RGENCY EI,CROENCY

POWERPOWERle ELEVATORS ‘S

ENTER 13,

NO EMERGENCY EXIT ACCESSEXITS ONLYLIGHTING AND EXITSit EMERGENCY LIGHTING ‘EXITS MID EXIT ACCESS ‘S 0 2

ENTER IS.

tIP Not permitted, this evaluation method cannot be used.

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Table 5 Individual Safety Evaluations OPT-OUT VERSION

COMPARTMENTATION FIRE EXTINGUISHMENT EGRESS FIRE GENERAL OCCUPANT GENERAL FIREFIRE SAFETY

SAFETY FIRE SAFETY SAFETY SAFETY FIGHTER SAFETYPARAMETER

(SI) (S2) (S3) (S4) (S5)

1. CONSTRUCTION -2 -2 -2 -2INTERIOR FINISH

2. (Corridors and Exits)

CORRIDOR & DWELLING~ UNITSEPARATIONWALLS 0 D 0

use 1/2 of item 34. DOORS TO CORRIDOR * 5 5 5 2.5

EXIT ACCESS (use value -2 -2 -2~ from 6a or 6b as applicable)

use 1/2 item 66. VERTtCAL OPENINGS 2 2 2 17. HAZARDOUSAREAS 0 0 0 0

use 1/2 item 88. SMOKE MANAGEMENT 3 3 1.59. EGRESS ROUTES I I 1

use 112 of item 101U. FIREALARMSYSTEM I I I11, SMOKE DETECTION 5 5 5 512. AUTOMATICSPRINKLERS 0 0 D 013. SMOKE ALARMS -1 -214. STANDPIPE SYSTEM 5 515. ELEVATORS 016. EMERGENCY LIGHTING -

EXITS AND EXIT ACCESS 0 D 0SUBTOTALS 8 9 16 14 16

OCCUPANT RISK FIRE FIGHTER RISKADDITIONAL FACTORS OCCUPANT RISK FACTORFACTOR FACTOR

1.39 1.39 2.11

S1 I 52= S3 54= 55=TOTAL VALUE 8 9 11.5 10.1 7.6

P*g~ 4

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Table 6 Minimum Required Fire Safety Indices OPT-OUT VERSION

COMPARTMENT EXTINGUISHMENT EGRESS FIRE GENERAL OCCUPANT FIRE FIGHTERFIRE SAFETY (Sa) FIRE SAFETY (Sb) SAFETY (Sc) FIRE SAFETY (Sd) SAFETY (Se)

Sd SeEXIST. EXIST. EXIST. EXIST. EXIST.

6 6 8 6 6

~fl 1 61 181 1 6

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CALCULATED FIRE SAFETYINDEX

COMPARTMENTATION FIRESAFETY

(SI)

MINIMUM REQUIREDFIRE SAFETY INDEX

ITable 7. FIre Compartment Safety Equivalency Evaluation

I~PT-OUT VERSION I YES I NO I~~1

COMPARTMENTless FIRE SAFETY (Sa)

S2EXTINGUISHMENT FIRE inEXTINGUISHMENT FIRESAFETY less SAFETY (Sb)

(S2)

S3

EGRESS FIRE SAFETY less EGRESS FIRE SAFETY(S3) (Sc)

54GENERAL OCCUPANT GENERAl. OCCUPANT

[ ($4) (Sd) I............iSAFETY less SAFETY

7:

Is C no?C

2.0

E lsE’=Q?

3.0

Not a true extinguishment value

P lsPnO?

3.6

G ISG>0?

4.1

F lsFnO?

1.6

r 85FIRE FIGHTER SAFETY FIRE FIGHTER SAFETY[~ (S5) less (SE)

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TABLE 8 CONCLUSIONS OPT-OUT VERSION

I lAll of the checks in Table 7 are in the “Yes” column. The level of fire safety is acceptable.

I lone or more of the checks in Table 7 are in the “No” column. The level of fire safety is not acceptable.

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