Brunswick Sync - Wide Screen LED Overheadvideo Display Structure Certification; Certification and Release of Brunswick Proprietors

Sync Pre-Installation 67
PrintorTypeNameofArchitectorStructuralEngineer
    
       SignatureofArchitectorStructuralEngineer 
      
       Title
 
 Seal      Date
Wide Screen LED Overhead Video Display Structure Certication
MONITORS / WELDMENT
MONITOR / WELDMENT
SIZE
QTY * LBS * KG TOTAL
WEIGHT
32" Monitor (lb/kg) 10.5 4.8
40" Monitors (lb/kg) 16.1 7.3
49" Monitors (lb/kg) 28.8 13.1
55" Monitors (lb/kg) 33.5 15.2
Weldment Length
(Feet / Meter)
4.6 6.9
TOTAL
Certication & Release of Brunswick by Architect/Structural Engineer
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roofstructureofthebowlingcenterisfullyandsafelycapableofsupportingtheadditionalstaticweightforeachLEDOverhead
VideoDisplayunitasindicatedinFigure 1.Displaysupporttobeattachedtotheroofstructurebythemeansandmethodssetforthinthe
supportspecicationsonthereversesideofthispage.
NOTE:ItistheBrunswicksalesman'sresponsibility
toverifythequantitycolumn(s)inFigure1.
Figure1.LEDMonitorswithWideScreenContinuousMountingStructure.
PrintorTypeNameofProprietororCorporateOfcer
      
    
Signature
 
     
Title  
    
Date
Certication & Release of Brunswick by Proprietor
I,__________________________________________,astheproprietororasduly-authorizedrepresentativeoftheproprietor,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roofstructuredescribedintheStructureCerticationwillsupportthe
LEDOverheadVideoDisplayunitsselectedinFigure 1bytheproprietorandinstalledbyBrunswick.
 3. TheproprietorwillnothanganythingotherthantheBrunswick-providedvideodisplaysfromthedisplaysupports,andwillmonitorthe
bowlingcentertoensurethatcustomersofthecenterdonothangorplaceweightinanywayonthedisplaysupports.
InconsiderationofBrunswick’sagreementtoinstalltheLEDOverheadVideoDisplayunitsindicatedinFigure 1,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indemnifyandholdharmlessBrunswick,itsofcers,direc-
tors,employees,shareholders,parentcompany,subsidiaries,andafliatedcompanies,insurers,agents,contractorsandsubcontractors(collectively,
“Brunswick”)fromallliability,claims,demands,actions,causesofaction,ortheirfunctionalequivalent,thatanymember
oftheProprietorGroupor
BrunswickmayhaveormaysubsequentlyaccruetoanymemberoftheProprietorGrouporBrunswickarisingoutoforconnectedwith,directlyor
indirectly,(i)theinabilityoftheroofstructuredescribedintheStructureCerticationtosupporttheLEDOverheadVideoDisplayunitsindicatedin
Figure 1 andinstalledbyBrunswickinaccordancewiththesupportspecicationsonthereversesideofthissheet,or(ii)theinabilityofthedisplay
supportstosupportanyweightplaceduponitinexcessoftheweightoftheBrunswick-providedvideodisplays.
Send To: Contract Management
Brunswick Bowling Products
Muskegon, MI 49441-2601
Email: BBB.MSK.ContractManagement@brunbowl.com
Fax: 231-725-4464
*SamsungLEDmonitorweightasspeciedinSamsung's
productspecicationliterature