12060129 - SIon
F
�1
Project Name:
Service Agreement No.: 6:324
Date: 1/03/13
Reg ❑ Night ❑ Sat ❑ Sun ❑ PW
Job/Project M
P.O. M
Address: 22249 Hammond Drive
Cupertino CA
Contact:
Jim Redman
Tel M
650-222-0038
��,tJ � � v� e � �- Grote �� ..�E yr e 7"r« T ; � ��a ✓ ; ,
�(�c�0
> ,p
-�icde-S�
l.le.,->f ica� c�feefp 1Z- 1-z// ej4�C ce�r7 c✓
Operator.. Ken Strouse Start Time:/U�, Lunch Break End Time: w, Total Hours:
Oper / Helper: Start Time: Lunch Break _ End Time: Total Hours:
Disclaimer
Ground Penetrating Radar (GPR) is a non-destructive- method used to locate embedded materials in concrete and -soil such as plastic, metal, steel, voids etc.
Safe2core, Inc, will not be liable for any damages to rebar, post -tension cables, conduits, or any other embedded targets that arise as a result of Ground Penetrating
Radar inspections performed by our technicians. GPR has accuracy limitations that could result in human error. Safe2core, Inc, will not be liable for any
damages to nonconductive lines (Non metallic, PVC, Water, Etc.) and for any conductive lines (Electrical, Gas,,Etc,) with no accessible connection point or those
that do not appear on blueprints, maps, or as-builts provided by customer prior to locating. Safe2core, Inc, will not be responsible for any loss or damage arising
out of the use of, or reliance on the data collected, or the report presented, Customer further agrees that he/she has carefully read the forgoing release agreement
knows and understands the contents of the same, and signs this release agreement as his/her owri free act. Customer shall indemnify and hold Safe2core, Inc. and
its directors, officers, employees, and agents harmless from and against any liability and all claims, actions, proceedings, damages, losses and expenses (including
attorneys' fees) arising from any personal injury or death, and for injury or destruction of property of a person or organization, including any loss that arise from
the performance of the work under this agreement,
Accepted By (Print Name)
(Signature)
31t+
13 " c42'P Gc vvT e v�
-�icde-S�
l.le.,->f ica� c�feefp 1Z- 1-z// ej4�C ce�r7 c✓
Operator.. Ken Strouse Start Time:/U�, Lunch Break End Time: w, Total Hours:
Oper / Helper: Start Time: Lunch Break _ End Time: Total Hours:
Disclaimer
Ground Penetrating Radar (GPR) is a non-destructive- method used to locate embedded materials in concrete and -soil such as plastic, metal, steel, voids etc.
Safe2core, Inc, will not be liable for any damages to rebar, post -tension cables, conduits, or any other embedded targets that arise as a result of Ground Penetrating
Radar inspections performed by our technicians. GPR has accuracy limitations that could result in human error. Safe2core, Inc, will not be liable for any
damages to nonconductive lines (Non metallic, PVC, Water, Etc.) and for any conductive lines (Electrical, Gas,,Etc,) with no accessible connection point or those
that do not appear on blueprints, maps, or as-builts provided by customer prior to locating. Safe2core, Inc, will not be responsible for any loss or damage arising
out of the use of, or reliance on the data collected, or the report presented, Customer further agrees that he/she has carefully read the forgoing release agreement
knows and understands the contents of the same, and signs this release agreement as his/her owri free act. Customer shall indemnify and hold Safe2core, Inc. and
its directors, officers, employees, and agents harmless from and against any liability and all claims, actions, proceedings, damages, losses and expenses (including
attorneys' fees) arising from any personal injury or death, and for injury or destruction of property of a person or organization, including any loss that arise from
the performance of the work under this agreement,
Accepted By (Print Name)
(Signature)