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DeBerry Insurance 5232 Main Street Spring Hill, TN 37174 SERVPRO ® of Williamson County Representative: Branden Rochelle Phone: 615-790-9634 ®

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®

DeBerry Insurance

5232 Main Street

Spring Hill, TN 37174

SERVPRO

® of Williamson County

Representative: Branden Rochelle Phone: 615-790-9634

®

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EMERGENCY ACTION CHECKLIST

Below is a top line Action Checklist of what to do in the event of a fire or water damage that will help keep employees safe and help reduce business interruption.

Advanced Warning: Be Alert and Stay Informed

Always Think Safety First

Stop the Source of Damage

Notify Emergency Contacts

Call SERVPRO® Emergency Services

Notify Key Contacts

Secure the Property

Take Photos of Damage

Write Summary of Event / Documentation

WHAT IS IN THIS PROFILE

-Emergency Action Checklist

-Advanced Warning and Emergency Contacts

-Emergency Contacts

-Main Utility Information (Shut Off Locations)

-Primary Contact Information (Work Authorization Contact)

-Insurance Contact Information

-Miscellaneous Contact Information

-Property Overview

-Building Access Information

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ADVANCED WARNING

It is important to listen to local weather reports when severe weather is threatening. There are precautions that may help minimize damage to certain areas of your business:

Turn off utilities at the main switches or valves when instructed to do so.

Disconnect electrical equipment and appliances.

Move vehicles out of low lying parking garages or to higher ground.

Raise elevators from the bottom floor.

Review evacuation floor plans. Note: Make copies and file with your ERP.

Board up windows prior to forecasted high wind storm events, such as hurricanes.

EMPLOYEE AND EMERGENCY CONTACTS NOTIFICATION

Before, during and after any disaster event, employee safety should always be the first priority. Account for all employees by establishing evacuation plans in advance, identifying areas outside the building that are designated meeting places. Appoint Team Leaders responsible for keeping a list of names and contact information of their team members in order to account for their whereabouts. Establish a central form of contact, ideally a Human Resources lead, and contact them immediately upon learning of any damage. A Phone Tree is recommended to help ensure all employees are contacted and accounted for. Also consider a password-protected information page on your website. Once the HR Lead is contacted, it will be necessary to then contact your local emergency authorities to respond and begin securing the facility.

Name Title Phone Emergency Phone

Main HR Contact Eric DeBerry Owner 931-486-3300 615-969-6009

Email: [email protected]

Emergency Non Emergency Local Direct Line

Spring Hill Fire Department 911 615-302-3462 615-302-3462

Spring Hill Police Department 911 931-486-2632 931-486-2632

Maury Regional Hospital 911 931-381-1111 931-381-1111

Williamson Medical Center 911 615-435-5000 615-435-5000

SAFETY FIRST

BE ALERT

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Insert Photo

Phone Number After Hours Ph Acct #

CPWS 931-388-4833 931-388-5616

Phone Number After Hours Ph Acct #

Atmos 615-771-8300 1-866-322-8667

Phone Number After Hours Ph Acct #

Spring Hill Water 931-486-2252

Shut Off Location: X Inside Outside Floor Location? Basement

Description of Location: North end of basement. Grey panel on wall. Main breaker is at the top of the upper panel.

Is there a key needed for access? YES X NO If yes, location:

Shut Off Location: X Inside Outside Floor Location? Basement

Description of Location: To the left of the stairway on the pipe going Into the furnace.

Is there a key needed for access? X YES NO If yes, location:

Shut Off Location: X Inside Outside Floor Location? Basement

Description of Location: To the right of the stairway on the wall

Is there a key needed for access? YES X NO If yes, location:

INSERT PHOTO

INSERT PHOTO

INSERT PHOTO

UTILITY CONTACT AND SHUT OFF G

AS

W

AT

ER

E

LE

CT

RIC

ITY

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INSERT PHOTO

Insert Photo Insert Photo

INSERT PHOTO

Insert Photo

Phone Number After Hours Ph Acct #

Alarm Company N/A

Phone Number After Hours Ph Acct #

Sprinkler Company N/A

Contact Cell Work Phone

IT/IS Division N/A

Shut Off Location: Inside Outside Floor Location?

Description of Location:

Is there a key needed for access? YES NO If yes, location:

Shut Off Location: Inside Outside Floor Location?

Description of Location:

Is there a key needed for access? YES NO If yes, location:

Battery Backup: Inside Outside Floor Location?

Description of Location:

Is there a key needed for access? YES NO If yes, location:

INSERT PHOTO

INSERT PHOTO

UTILITY CONTACT AND SHUT OFF G

AS

A

LA

RM

S

PR

INK

LE

R

INSERT PHOTO

SE

RV

ER

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Name Title Phone Emergency Phone

Building Owner Eric DeBerry owner 931-486-3300 615-969-6009

Email [email protected]

Building Contact same

Email

Work Authorization (Main Structure)

same

Email

Maintenance same

Email

SERVPRO® Branden Rochelle manager 931388-4248 931-334-9034

Email [email protected]

Risk/Prop Mngr N/A

Email

Email

INSURANCE CONTACT INFORMATION: Structural Insurance Information (if applicable)

Insurance Broker: Phone: 888-922-3743

Insurance Carrier: Erie Insurance Policy:

Dec Pg Attached? YES X No Bulletin Reference: 3994-SF

Contents Insurance Information (if applicable) – Mainly for Tenant Use

Insurance Broker: Policy Number:

Insurance Carrier: Phone:

Dec Pg Attached? YES No Bulletin Reference:

PRIMARY CONTACTS

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Phone Number After Hours Account Number

Charter Internet 888-692-8635 same

HVAC

Flooring Company

Archer Plumbing 931-489-9337

Newsom Roofing 615-614-2144

Charter Phone 888-692-8635 same

Electrician

Mechanical

(Other)

(Other)

(Other)

Other

Other

Other

MISCELLANEOUS CONTACTS

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5232 Main Street

Spring Hill, TN 37174

931-486-3300

From I-65 take Saturn Parkway to US 31 north (Main Street). 5232 will be on the right.

Year Built: 1947 Renovations? X Yes No If yes, what year? 2003

Are you Energy Program Certified? YES X NO Multi-Tenant Building? X YES NO KNOWN HAZARDOUS MATERIAL INFORMATION: N/A

Main Contact: Eric DeBerry Phone: 931-486-3300

Type Location: Report? Y N Attached? Y N

Type Location: Report? Y N Attached? Y N

Type Location: Report? Y N Attached? Y N

Brick Structure. 2 stories with full basement. Parking in front. Entrances in front, right side and rear. TOTAL SQUARE FOOTAGE OF BUILDING: 2622 Floor Primary Use Square Footage Type of Flooring

LL Storage/Shutoffs Other: approx 1000 Concrete

1 Offices Other: Kitchen/Bath approx 1000 Hardwood

2 Offices Other: Attic Space Approx 622 Hardwood

3 Other:

4 Other:

5 Other:

Other:

BLUEPRINTS AVAILABLE?: YES XNO If YES, Location:

SUPPLEMENTAL GENERATOR POWER

YES X NO NOTES:

Photo of Front of Building

Photo of Generator Location

Building Address:

Directions to Property:

DESCRIPTION OF BUILDING:

PROPERTY OVERVIEW

PROPERTY OVERVIEW

© Copyright 2011

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LOCATION TO PARK SERVPRO® VEHICLES

Notes: Front of Building

PREFERRED BUILDING ACCESS FOR SERVICE Notes: Front door

ELEVATOR ACCESS FOR SERVICE Notes: N/A

STAIRWAY ACCESS FOR SERVICE Notes: In hallway on main level

Other Special Instructions:

Type of Work Preauthorized:

Photo of stairway access

Photo of parking location

Photo of building access location

Photo of elevator access location

BUILDING ACCESS

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Additional Notes About Property:

ADDITIONAL NOTES

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COPY OF INSURANCE DEC PAGE

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COPY OF EVACUATION FLOOR PLANS 1

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COPY OF EVACUATION FLOOR PLANS 2

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COPY OF EVACUATION FLOOR PLANS 3