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CERTIFICATION OF SEISMIC COMPLIANCE

(For Existing Building and/or New Buildings)

Date:

I certify that the building at ___________________________________________________

Complete This Section for Existing Buildings:

q Is in COMPLIANCE of SUBSTANTIAL LIFE SAFETY with regard to seismic safety and meets, at a minimum, the appropriate provisions of ICSSC RP4, Standards of Seismic Safety for Existing Federally Owned or Lease Buildings as follows:

q Building meets appropriate seismic provisions of ________ edition of

(Date)_______________________.

(Standard or Code)

OR

q Is LESS THAN SUBSTANTIAL LIFE SAFETY with regard to seismic safety. The building has adequate strength to resist the appropriate evaluation earthquake defined in FEMA 178, NEHPR Handbook for the Seismic Evaluation of Existing Buildings, without significant structural failure. (Required documentation attached)

 

Name:

License No.:SEAL

Expiration Date:

FAA Use: Building is exempt from seismic consideration because _____________________

______________________________. ____________________

Contracting Officer