Brunswick Sync - Required Certificates; Curtain Wall Structure Certification; Certification and Release of Brunswick Proprietors

Sync Pre-Installation 65
Required Certicates
I, by signing this document, certify to Brunswick Bowling Products Corporation and to the proprietor named below that:
1. I am an engineer/architect licensed by and in good standing with the State of ______________________; and
2. I have examined the bowling center premises known as __________________________________________ ,
located at ___________________________________________________________________________ ; and
 3. Thecurtainwallstructureofthebowlingcenterisfullyandsafelycapableofsupportingthecongurationof
curtain wall electronic units, not exceeding 30 pounds actual/static weight for each peripheral controller to be
attachedtothecurtainwallorsuitablestructurebythemeansandmethodssetforthinthesupportspecica-
tions on the reverse side of this sheet.
Curtain Wall Structure Certication
Certication and Release of Brunswick by Proprietor
I, __________________________________________, as the proprietor or as duly-authorized representative of the pro-
prietor, certify to Brunswick Bowling Products Corporation that:
 1. TheproprietorhasobtainedtheaboveStructureCerticationfortheproprietor'sownbenet;and
2. The proprietor is not relying upon Brunswick for assurance that the curtain wall or suitable structure described
intheStructureCerticationwillsupportthecurtainwallelectronicunitsselectedbytheproprietorandin-
stalled by Brunswick.
In consideration for Brunswick’s agreement to install the curtain wall electronic units, and by signing below, proprietor
forproprietor'sownselfandforproprietor'sheirs,successors,assigns,employees,agents,representatives,insurers,
contractors, subcontractors, invitees, and their spouses and relatives (“Proprietor Group”), releases and agrees to indem-
nifyBrunswick,itsofcers,directors,employees,shareholders,parentcompany,subsidiaries,andafliatedcompanies,
insurers, agents, contractors, and subcontractors from all claims, demands, actions, causes of action, or their functional
equivalent, that any member of the Proprietor Group may have or which may subsequently accrue to a member of the
Proprietor Group arising out of or connected with, directly or indirectly, the inability of the curtain wall or suitable struc-
turedescribedintheaboveStructureCerticationtosupportthecurtainwallelectronicunitsinstalledbyBrunswickin
accordancewiththesupportspecicationsonthereversesideofthissheet.
PrintorTypeNameofProprietororCorporateOfcer
Signature
Title
Date
Print or Type Name of Architect or Structural Engineer
Signature of Architect or Structural Engineer
Title
Seal Date
Send To:
Contract Management
Brunswick Bowling Products
Muskegon, MI 49441-2601
or Fax: 231-725-4464