TUNNEL TESTING

Omega Point Laboratories, Inc.

SAMPLE SUBMITTAL FORM 16015 Shady Falls Road
Elmendorf, TX 78112-9784
Please Type or Print Clearly (800) 966-5253
FAX: (210) 635-8101

This Form Must Be Filled Out For Each Product or Material Submitted
Company Today's Date
FOR OPL USE

Contact Name Title Client No.

Billing Address Shipping Address for Report (If different) No P.O. Project No.
Boxes Please!!

Client P. O. No.

Telephone No. Fax No.

Will Mfr's Rep. Witness? Requested Test Date:

Name(s):

Test Requested: NFPA 703 UL 723 UL 1887

ASTM E84 UBC 8-1 UL 910 ULC S102.2

NFPA 255 UBC 17-4 (Pt. 2) UL 1256 Other

NFPA 262 UMC 6-2 UL 1820

Specimen Information
Specimen ID or Model No. (To be used in Report Title):

Description of Specimen (For Test Report and Data Sheets):

Specimen Mounting Information: (Extra charges may apply)

1) Will the specimen support itself?
2) If no, what substrate should the specimen be applied to?
3) What adhesive should be used?

Other Comments on Special Conditioning Requirements, Sample Preparation, etc. (Extra charges may apply):

By executing and submitting this form to OPL, the client agrees that all work will be performed by OPL in accordance with terms and
conditions set forth on the reverse side hereof.
READ THE REVERSE SIDE CAREFULLY, NO OTHER TERMS OR CONDITIONS WILL APPLY.

Authorized Signature Name Title

NOTE: Omega Point Laboratories will not accept “Collect” shipments nor pay charges for items returned.
01-101 08/21/1997
 Terms and Conditions

1. All work that is to be performed hereunder shall be performed by OPL within a reasonable period of time in accordance with its
customary practices. Any different standard of performance must be agreed upon by OPL in writing in advance.
2. The client represents to OPL that all information which is provided by the client hereunder regarding product samples will be complete
and accurate in all respects. Any breach of this representation will nullify any test results or certifications provided by OPL.
3. All product testing by OPL shall be conducted under, and subject to, specific test conditions. These conditions shall be as set forth on
the reverse side hereof and additionally set forth in a resulting written test report that will be provided to the client.
4. Product test results shall only apply to the specific sample tested by OPL under the test conditions set forth in its written test report.
OPL will warrant to the client that the actual sample tested by OPL performed as indicated in the report under the specific conditions set
forth therein.
5. EXCEPT AS SPECIFICALLY SET FORTH IN THESE TERMS AND CONDITIONS OR IN ITS WRITTEN TEST REPORTS, OPL MAKES NO
EXPRESS OR IMPLIED REPRESENTATIONS OR WARRANTIES OF ANY NATURE WHATSOEVER, TO ANY PARTY, REGARDING ITS
TESTS OR REPORTS OR REGARDING ANY OTHER SAMPLES OR PRODUCTS OF THE CLIENT.
6. The services performed by OPL shall be performed solely for the client and not for the benefit of other parties. The client is authorized to
reproduce or distribute the report only if reproduced in its entirety. The client may disclose or publish that OPL performed tests for the
client and the results of those tests. The client shall accurately report the results of any tests performed by OPL.
7. In the future, OPL shall have the right, but not the duty, to take any steps which it deems necessary to uncover and correct any inaccurate
or incomplete statements of the client or any inaccurate or incomplete impressions of third parties, regarding the services which OPL has
performed hereunder.
8. The client shall indemnify and hold OPL harmless to the fullest extent permitted by law from any reasonable loss or expense which OPL
may incur as a result of causes of action, suits or legal proceedings brought against OPL arising out of or related to any products, or any
acts or omissions of the client, except to the extent such causes of action, suits or legal proceedings arise out of or are related to any
negligent acts or omission of OPL.
9. The client agrees to pay OPL, at its offices in Bexar County, Texas, the amount set on the reverse side hereof or, if no amount is set forth,
then the customary charges of OPL for similar services. All payments shall be due for services without conditions and without regard to
test results.
10. Payment shall be made in full when a written report is issued by OPL: provided, however, that if services continue for more than one (1)
month, a proportionate payment will be made to OPL by the client by the tenth (10th) of each calendar month for work that has been
performed by OPL the previous month.
11. The client will also pay OPL its customary charges for any services OPL is requested to perform which are not set forth on the reverse side
hereof, or any services which OPL renders in connection with any legal proceeding respecting the client or its products, in the same
manner as set forth above.
12. In the event this agreement is terminated by the client for any reason prior to the completion of its terms, the client will pay OPL an
amount sufficient to reimburse OPL for all of its direct and indirect costs related to the performance of services hereunder incurred prior
to the date of termination.
13. Samples provided by the client may be consumed in testing and OPL will not have any obligation to reimburse the client for the cost of
such samples. If requested, samples not consumed will be returned to the client, at its expense, within fourteen (14) days following
delivery of a written test report.
14. Unless otherwise required, OPL will treat any designated trade secrets of the client in a confidential manner and will not disclose such
matters to any other party until such matters have become a matter of public knowledge from sources other than OPL or their disclosure
is required by law.
15. The performance of Omega Point hereunder shall be delayed and excused during any period of time when such performance is rendered
commercially impossible as a result of war, strikes, shortages, weather events, or other causes beyond its reasonable control.
16. These terms and conditions, and those matters set forth on the reverse side hereof, constitute the entire and exclusive agreement between
the parties regarding the subject matter hereof and may not be modified or augmented in any manner by any other terms or conditions
from any sources whatsoever.
17. This agreement and the performance of the parties hereunder will be governed by the laws of the State of Texas.

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