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Technical Committee on Mining Facilities First Draft Meeting - NFPA 120 and 122 Zurich – Hosted 1400 America Lane Schaumburg, Illinois May 22 – 23, 2013 AGENDA 1. Chair Matt Bujewski calls meeting to order at 8:30 a.m. on May 22 nd 2. Welcome & Self-Introduction of Committee Members & Guests 3. Chair & Staff Liaison Remarks 4. Technical Committee Update: a. Review changes in Membership (See Attachment A) 5. Approve TC minutes from 4/09 ROC meeting in St. Louis, MO (See Attachment B) 6. Review of Fall 2014 code revision cycle and new NFPA process (Staff Liaison presentation on new process and procedures for this meeting) 7. Committee Correspondence 8. Act on public input to NFPA 120 and prepare Committee input 9. Act on public inputs to NFPA 122 and prepare Committee input 10. Old Business 11. New Business & Determination of next meeting date and location 12. Adjournment - Meeting will adjourn at 5 p.m. on Wednesday, May 22 nd and at 3 p.m. on Thursday, May 23 rd .

Technical Committee on Mining Facilities...Technical Committee on Mining Facilities First Draft Meeting - NFPA 120 and 122 Zurich – Hosted 1400 America Lane Schaumburg, Illinois

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Page 1: Technical Committee on Mining Facilities...Technical Committee on Mining Facilities First Draft Meeting - NFPA 120 and 122 Zurich – Hosted 1400 America Lane Schaumburg, Illinois

Technical Committee on Mining Facilities First Draft Meeting - NFPA 120 and 122

Zurich – Hosted

1400 America Lane Schaumburg, Illinois

May 22 – 23, 2013

AGENDA

1. Chair Matt Bujewski calls meeting to order at 8:30 a.m. on May 22nd 2. Welcome & Self-Introduction of Committee Members & Guests 3. Chair & Staff Liaison Remarks 4. Technical Committee Update: a. Review changes in Membership (See Attachment A) 5. Approve TC minutes from 4/09 ROC meeting in St. Louis, MO (See Attachment B) 6. Review of Fall 2014 code revision cycle and new NFPA process (Staff Liaison presentation on new process and procedures for this meeting) 7. Committee Correspondence 8. Act on public input to NFPA 120 and prepare Committee input 9. Act on public inputs to NFPA 122 and prepare Committee input 10. Old Business 11. New Business & Determination of next meeting date and location 12. Adjournment - Meeting will adjourn at 5 p.m. on Wednesday, May 22nd and

at 3 p.m. on Thursday, May 23rd.

Page 2: Technical Committee on Mining Facilities...Technical Committee on Mining Facilities First Draft Meeting - NFPA 120 and 122 Zurich – Hosted 1400 America Lane Schaumburg, Illinois

Address List No PhoneMining Facilities MIN-AAA

Susan Bershad04/02/2013

MIN-AAAMatthew J. BujewskiChairMJB Risk Consulting9650 Mill Hill LaneSt. Louis, MO 63127

SE 4/1/1993MIN-AAA

David G. AdenPrincipalState of Alaska Department of Public SafetyDivision of Fire & Life Safety1979 Peger RoadFairbanks, AK 99709

E 3/1/2011

MIN-AAASteven M. BehrensPrincipalXL Global Asset Protection Services100 Constitution PlazaHartford, CT 06103

I 11/2/2006MIN-AAA

J. Emmett BevinsPrincipalAmerex Corporation7595 Gadsden HighwayPO Box 81Trussville, AL 35173-0081Alternate: Kendall A. Pate

M 10/23/2003

MIN-AAADennis D. BrohmerPrincipalTyco Fire Protecion ProductsOne Stanton StreetMarinette, WI 54143Alternate: Dennis M. Phillips

M 4/17/1998MIN-AAA

Jack Douglas ConawayPrincipalArch Coal, Inc.One CityPlace Drive, Suite 300St. Louis, MO 63141

U 3/4/2009

MIN-AAAThomas A. Delorie, Jr.PrincipalMarsh USASix PPG Place, Suite 400Pittsburgh, PA 15222-5406

I 08/09/2012MIN-AAA

L. Harvey Kirk IIIPrincipalUS Department of LaborMine Safety & Health Administration1100 Wilson Blvd., Room 2446Arlington, VA 22209-3939Alternate: Michael G. Kalich

E 3/15/2007

MIN-AAAJames M. KohlPrincipalCintas Fire Protection401B Industrial Park RoadCarbondale, IL 62901National Association of Fire Equipment DistributorsAlternate: Jeff Krieger

IM 10/28/2008MIN-AAA

Larry J. MoorePrincipalFM Global11628 Ranch Elsie RoadGolden, CO 80403Alternate: Scott C. Strickling

I 1/1/1988

MIN-AAAMario G. OrozcoPrincipalZurich Services Corporation902 West Milburn AvenueMt. Prospect, IL 60056

I 1/10/2002MIN-AAA

Rob RosovichPrincipalFireIce Inc.1460 Park Lane South, Suite 1Jupiter, FL 33458

M 03/07/2013

MIN-AAASteven A. SheldonPrincipalFisher Engineering, Inc.3707 East Southern AvenueMesa, AZ 85206

SE 08/09/2012MIN-AAA

Alex C. SmithPrincipalNational Institute for Occupational Safety & HealthPittsburgh Research LaboratoryPO Box 18070Pittsburgh, PA 15236

RT 1/16/2003

1

Page 3: Technical Committee on Mining Facilities...Technical Committee on Mining Facilities First Draft Meeting - NFPA 120 and 122 Zurich – Hosted 1400 America Lane Schaumburg, Illinois

Address List No PhoneMining Facilities MIN-AAA

Susan Bershad04/02/2013

MIN-AAAThomas D. StilwellPrincipalXtralis, Inc.700 Longwater Drive, Suite 100Norwell, MA 02061

M 8/2/2010MIN-AAA

Brent SullivanPrincipalNorth American Coal CorporationCoteau Properties CompanyFreedom Mine204 County Road 15Beulah, ND 58523-9475

U 10/23/2003

MIN-AAABruce WatzmanPrincipalNational Mining Association101 Constitution Avenue, NWSuite 500 EastWashington, DC 20001

U 7/1/1994MIN-AAA

Rick WellsPrincipalPeabody Energy701 Market StreetSaint Louis, MO 63101

U 03/07/2013

MIN-AAARobert A. WesselPrincipalGypsum Association6525 Belcrest Road, Suite 480Hyattsville, MD 20782Alternate: Michael A. Gardner

U 4/17/1998MIN-AAA

Chris YoderPrincipalPillar Innovations32 Corporate DriveGrantsville, MD 21536

M 03/07/2013

MIN-AAAMichael A. GardnerAlternateGypsum Association6525 Belcrest Road, Suite 480Hyattsville, MD 20782Principal: Robert A. Wessel

U 10/27/2009MIN-AAA

Michael G. KalichAlternateUS Department of LaborMine Safety & Health Administration41980 Ural DriveStone Ridge, VA 20105Principal: L. Harvey Kirk III

E 03/05/2012

MIN-AAAJeff KriegerAlternateAPS Fire2000 West Detroit StreetBroken Arrow, OK 74012National Association of Fire Equipment DistributorsPrincipal: James M. Kohl

IM 03/07/2013MIN-AAA

Kendall A. PateAlternateAmerex Corporation7595 Gadsden HighwayPO Box 81Trussville, AL 35173-0081Principal: J. Emmett Bevins

M 8/9/2011

MIN-AAADennis M. PhillipsAlternateTyco Fire Protection Products1700 Valleyview DriveMount Juliet, TN 37122Principal: Dennis D. Brohmer

M 10/18/2011MIN-AAA

Scott C. StricklingAlternateFM Global3460 Highfield CourtBellingham, WA 98226Principal: Larry J. Moore

I 3/1/2011

MIN-AAASusan BershadStaff LiaisonNational Fire Protection Association1 Batterymarch ParkQuincy, MA 02169-7471

09/05/2012

2

Page 4: Technical Committee on Mining Facilities...Technical Committee on Mining Facilities First Draft Meeting - NFPA 120 and 122 Zurich – Hosted 1400 America Lane Schaumburg, Illinois

Address List No PhoneMining Facilities MIN-AAA

Susan Bershad04/02/2013

3

Page 5: Technical Committee on Mining Facilities...Technical Committee on Mining Facilities First Draft Meeting - NFPA 120 and 122 Zurich – Hosted 1400 America Lane Schaumburg, Illinois

Minutes for Mining Facilities ROC Meeting – April 2009

1

NFPA Mining Facilities Committee – ROC Meeting

Peabody Energy

St. Louis, MO

April 21-22, 2009

I. Attendees:

Members: Matthew J. Bujewski – MJB Risk Consulting, MO – TC Chair

David A. Beerbower – Peabody Energy, MO

Steven M. Behrens – XL Global Asset Protection Services, CT

J. Emmett Bevins – Amerex Corporation, AL

Dennis D. Brohmer – Tyco Fire Suppression & Building Products, WI

Jack Douglas Conaway – Arch Coal, Inc., MO

L. Harvey Kirk – U.S. Dept. of Labor / Mine Safety & Health Admin., VA

James M. Kohl – Cintas Fire Protection, IL – Rep. National Assn. of Fire Equipment Distributors

Larry J. Moore – FM Global, CO

Alex C. Smith – U.S. National Institute for Occupational Safety & Health, PA

NFPA Staff: Martha H. Curtis, Staff Liaison, MA

Guests: Charles Carpenter – U.S. Dept. of Labor / Mine Safety & Health Admin., VA

James H. Rowland – U.S. National Institute for Occupational Safety & Health, PA

Principals without Alternates Present:

J.J. Kenny – Marsh Canada Ltd., BC

Mario G. Orozco – Zurich Services Corp., IL

Brent Sullivan – North American Coal Corporation, ND

Bruce Watzman – National Mining Association, DC

Robert A. Wessel – Gypsum Association, DC

Page 6: Technical Committee on Mining Facilities...Technical Committee on Mining Facilities First Draft Meeting - NFPA 120 and 122 Zurich – Hosted 1400 America Lane Schaumburg, Illinois

Minutes for Mining Facilities ROC Meeting – April 2009

2

I. Minutes of Meeting:

1. The Chair called the meeting to order at 8:45 AM and welcomed all attendees.

2. The Committee was welcomed to St. Louis, MO by Dave Beerbower, Peabody Energy as our meeting host. Dave briefly reviewed the evacuation procedures from the conference room on the third floor.

3. Welcome & Self-Introduction of Committee Members & Guests

4. Remarks from TC Chair & Staff Liaison:

a. The August 2008 ROP Meeting (Marinette, WI) minutes were approved with edits to add additional names of the Ansul guests that attended the meeting.

b. The TC is currently balanced with 15 voting members consisting of: 4 Insurance representatives; 4 Users; 3 Manufacturers; 1 Enforcing Authority; 1 Installer/Maintainer; 1 Research/Testing agency; and 1 Special Expert.

c. The Staff Liaison gave a PowerPoint Presentation on procedures for the ROC meeting for NFPA 120 & 122.

5. The Committee acted on the public comments submitted on NFPA 122 and developed Committee comments for additional changes on Tuesday. Once the ROC balloting is completed, the Report on Comments (ROC) will contain the proposed Committee actions.

6. The Committee acted on the public comments submitted on NFPA 120 and developed Committee comments for additional changes on Wednesday. Once the ROC balloting is completed, the Report on Comments (ROC) will contain the proposed Committee actions.

7. Old Business: The Committee reviewed diagrams on water spray protection for conveyor belts in NFPA 15 versus the sprinkler protection strategies in NFPA 13. They also reviewed pictures from underground mines with examples of water spray system applications and valves. The Committee indicated that they have issues with NFPA 13 regarding piping and hangers. The Committee remarked that it is hard to find older editions of NFPA codes and standards on the standards online catalog. You can contact Martha Curtis if you are having this problem.

8. New Business: Alex Smith gave an update on underground conveyor belt fire resistance. He encouraged Committee members to go to the MSHA website to see the expert panel report and the new fire suppression fire tunnel that can be used for research. NIOSH is evaluating new technologies for fire protection for conveyor belts and mining equipment.

Page 7: Technical Committee on Mining Facilities...Technical Committee on Mining Facilities First Draft Meeting - NFPA 120 and 122 Zurich – Hosted 1400 America Lane Schaumburg, Illinois

Minutes for Mining Facilities ROC Meeting – April 2009

3

The Australian mining community is doing research on PVC and other materials used in mining applications.

The Committee also discussed MSHA PPLs (Program Policy Letters) regarding sprinklers for underground belt drives. A new document is on hold until a new Assistant OSHA Director is in place (DOL).

The TC Chair thanked everyone for their participation on the Mining TC and told them that this was the last scheduled meeting for this revision cycle. The next meeting will be in about 3 years. In the interim, TIAs can be used to modify the document between revision cycles.

9. The Committee was thanked for their efforts and the meeting adjourned at 11:15 AM on April 22, 2009.

Respectfully submitted,

Martha H. Curtis

Staff Liaison to the TC on Mining Facilities

Page 8: Technical Committee on Mining Facilities...Technical Committee on Mining Facilities First Draft Meeting - NFPA 120 and 122 Zurich – Hosted 1400 America Lane Schaumburg, Illinois

2014 FALL REVISION CYCLE *Public Input Dates may vary according to standards and schedules for Revision Cycles may change.  Please check the NFPA Website for the most up‐to‐date information on Public Input Closing Dates and schedules at 

www.nfpa.org/document# (i.e. www.nfpa.org/101) and click on the Next Edition tab.  

Process Stage 

 

Process Step  

Dates for TC 

Dates forTC with 

CC   Public Input Closing Date*  1/4/2013  1/4/2013 

  Final Date for TC First Draft Meeting  6/14/2013  3/15/2013 

Public Input  Posting of First Draft and TC Ballot  8/2/2013  4/26/2013 

Stage  Final date for Receipt of TC First Draft ballot  8/23/2013  5/17/2013 

(First Draft)  Final date for Receipt of TC First Draft ballot ‐ recirc  8/30/2013  5/24/2013 

  Posting of First Draft for CC Meeting    5/31/2013 

  Final date for CC First Draft Meeting    7/21/2013 

  Posting of First Draft and CC Ballot    8/2/2013 

  Final date for Receipt of CC First Draft ballot    8/23/2013 

  Final date for Receipt of CC First Draft ballot ‐ recirc    8/30/2013 

  Post First Draft Report for Public Comment  9/6/2013  9/6/2013 

 

  Public Comment closing date   11/15/2013  11/15/2013 

  Final Date to Publish Notice of Consent Standards (Standards that received no Comments) 

11/29/2013  11/29/2013 

  Appeal Closing Date for Consent Standards (Standards that received no Comments) 

12/13/2013  12/13/2013 

  Final date for TC Second Draft Meeting  5/2/2014  1/24/2014 

Comment  Posting of Second Draft and TC Ballot  6/13/2014  3/7/2014 

Stage    Final date for Receipt of TC Second Draft ballot  7/7/2014  3/28/2014 

(Second  Final date for receipt of TC Second Draft ballot ‐ recirc  7/14/2014  4/4/2014 

Draft)  Posting of Second Draft for CC Meeting    4/11/2014 

  Final date for CC Second Draft Meeting    5/23/2014 

  Posting of Second Draft for CC Ballot    6/13/2014 

  Final date for Receipt of CC Second Draft ballot    7/3/2014 

  Final date for Receipt of CC Second Draft ballot ‐ recirc    7/11/2014 

  Post Second Draft Report for NITMAM Review  7/18/2014  7/18/2014 

 

Tech Session  Notice of Intent to Make a Motion (NITMAM) Closing Date  8/22/2014  8/22/2014 

Preparation  Posting of Certified Amending Motions (CAMs) and Consent Standards 

10/17/2014  10/17/2014 

(& Issuance)  Appeal Closing Date for Consent Standards  11/1/2014  11/1/2014 

  SC Issuance Date for Consent Standards  11/11/2014  11/11/2014 

 

Tech Session  Association Meeting for Standards with CAMs  6/22‐25/2015  6/22‐25/2015 

 

Appeals and  Appeal Closing Date for Standards with CAMs  7/15/2015  7/15/2015 

Issuance  SC  Issuance Date for Standards with CAMs  8/20/2015  8/20/2015 

 

Approved___  October 18, 2011   _                                       Revised_October 30, 2012______ 

Page 9: Technical Committee on Mining Facilities...Technical Committee on Mining Facilities First Draft Meeting - NFPA 120 and 122 Zurich – Hosted 1400 America Lane Schaumburg, Illinois

There are only three actions a TC can take at the First Draft (ROP) meeting: 1. Resolve a Public Input (no change to the document) 2. Create a First Revision (change to the document) 3. Create Committee Input

Resolve Public Input (no change to the document)

TC must provide a response (Committee Statement/CS) to ALL Public Input (proposal). CS for not doing what is suggested Sample Motion: “I make a motion to resolve PI#_ with the following committee statement__.” Approval by meeting vote (simple majority). Not subject to Ballot.

Create a First Revision (change to the document)

TC must create a First Revision (FR) for each change they wish to make to the document, either using Public Input for the basis of the change or not using a Public Input for the basis. One or more Public Input can be considered for the FR. All Public Input requires a response

TC can use a Public Input for basis i. Sample Motion: “I make a motion to revise section __ using PI#_ as the

basis for change.” Approval by meeting vote (simple majority) and final approval through ballot.

TC develops revision without a Public Input for basis i. Sample Motion: “I make a motion to revise section __ as follows___.”

Approval by meeting vote (simple majority) and final approval through ballot.

First Revisions require a committee statement Committee Input

TC may create a Committee Input (CI). This replaces the old system “rejected” Committee Proposals. CIs will get printed in the report but will not be balloted or shown as a change in the draft. CIs are used to solicit public comments and/or as a placeholder for the comment stage.

i. Sample Motion: “I make a motion to create a CI with a proposed revision to section__ as follows___.” Approval by meeting vote (simple majority). Not subject to ballot.

Requires a committee statement to explain the intent of making a CI.

Page 10: Technical Committee on Mining Facilities...Technical Committee on Mining Facilities First Draft Meeting - NFPA 120 and 122 Zurich – Hosted 1400 America Lane Schaumburg, Illinois

Comparison to Previous Process: PREVIOUS ACTIONS NEW PROCESS ACTIONS Sample Motion

Accept or any variation of Accept (APA, APR, APP) on a public proposal

1) Committee generates a First Revision and Substantiation (CS) for change 2) Committee provides response (CS) to each PI that is associated with the revision

1)“I make a motion to revise section __ using PI#_ as the basis for change.”

2)“ I make a motion to resolve PIs#_ through ## with the following statement__”

Rejected Public Proposal Committee provides response (CS) to PI

“I make a motion to resolve PI#_ with the following committee statement__.”

Accepted Committee Proposal Committee generates a First Revision and Substantiation (CS) for change

“I make a motion to revise section __ as follows___.” Committee generates a statement for reason for change.

Rejected Committee Proposal Committee generates a Committee Input (CI) and reason (CS) for proposed change

“I make a motion to create a CI with a proposed revision to section__ as follows___.” Committee generates a statement for reason for CI.

Notes: 1) All meeting actions require a favorable vote of a simple majority of the members present. 2) All First Revisions will be contained in the ballot and will require a 2/3 affirmative vote to

confirm the meeting action. 3) Only the First Revisions will be balloted. PIs and CIs will be contained in the report but will

not be balloted. 4) Comments may be submitted on all PIs, FRs and CIs

Page 11: Technical Committee on Mining Facilities...Technical Committee on Mining Facilities First Draft Meeting - NFPA 120 and 122 Zurich – Hosted 1400 America Lane Schaumburg, Illinois

New Terms:

NEW TERM OLD TERM

Input Stage ROP Stage

Public Input (PI) Proposal

First Draft Meeting ROP Meeting

Committee Input Committee Proposal that Fail Ballot

Committee Statement (CS) Committee Statement

First Revision (FR) Committee Proposal or Accepted Public Proposal

First Draft Report ROP

First Draft ROP Draft

Comment Stage ROC Stage

Public Comment Public Comment

Second Draft Meeting ROC Meeting

Committee Comment Committee Comment that Fail Ballot

Committee Action Committee Action

Second Revision Committee Comment or Accepted Public Comment

Second Draft Report ROC

Second Draft ROC Draft

Note: The highlighted terms are the ones that will be most applicable at the First Draft Meeting.

Page 12: Technical Committee on Mining Facilities...Technical Committee on Mining Facilities First Draft Meeting - NFPA 120 and 122 Zurich – Hosted 1400 America Lane Schaumburg, Illinois

Public Input No. 1-NFPA 120-2012 [ Section No. 4.2.1 ]

4.2.1 Smoking materials, matches, and lighters shall not be allowed underground or near openings to go underground .

Statement of Problem and Substantiation for Public Input

TESTING: Dropped smoking materials could enter the opening and cause ignition.

Submitter Information Verification

Submitter Full Name: Chris DubayOrganization: NFPASubmittal Date: Wed Aug 22 11:34:27 EDT 2012

Copyright Assignment

I, Chris Dubay, hereby irrevocably grant and assign to the National Fire Protection Association (NFPA) all and full rights in copyright in this Public Input (including both the Proposed Change and the Statement of Problem and Substantiation). I understand and intend that I acquire no rights, including rights as a joint author, in any publication of the NFPA in which this Public Input in this or another similar or derivative form is used. I hereby warrant that I am the author of this Public Input and that I have full power and authority to enter into this copyright assignment.

By checking this box I affirm that I am Chris Dubay, and I agree to be legally bound by the above Copyright Assignment and the terms and conditions contained therein. I understand and intend that, by checking this box, I am creating an electronic signature that will, upon my submission of this form, have the same legal force and effect as a handwritten signature

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Page 13: Technical Committee on Mining Facilities...Technical Committee on Mining Facilities First Draft Meeting - NFPA 120 and 122 Zurich – Hosted 1400 America Lane Schaumburg, Illinois

Public Input No. 2-NFPA 120-2012 [ Section No. B.1.2.7 ]

B.1.2.7 UL Publications. Underwriters Laboratories Inc., 333 Pfingsten Road, Northbrook, IL 60062-2096.

UL 80, Standard for Steel Tanks for Oil Burner Fuels or Other Combustible Liquids, 2007, revised 2009 .

UL 142, Standard for Steel Above-Ground Tanks for Flammable andCombustible Liquids, 2006, Revised 2007 2010 .

Statement of Problem and Substantiation for Public Input

Update referenced standards to most recent edition as indicated.

Submitter Information Verification

Submitter Full Name: John BenderOrganization: UL LLCSubmittal Date: Fri Dec 28 08:34:32 EST 2012

Copyright Assignment

I, John Bender, hereby irrevocably grant and assign to the National Fire Protection Association (NFPA) all and full rights in copyright in this Public Input (including both the Proposed Change and the Statement of Problem and Substantiation). I understand and intend that I acquire no rights, including rights as a joint author, in any publication of the NFPA in which this Public Input in this or another similar or derivative form is used. I hereby warrant that I am the author of this Public Input and that I have full power and authority to enter into this copyright assignment.

By checking this box I affirm that I am John Bender, and I agree to be legally bound by the above Copyright Assignment and the terms and conditions contained therein. I understand and intend that, by checking this box, I am creating an electronic signature that will, upon my submission of this form, have the same legal force and effect as a handwritten signature

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Page 14: Technical Committee on Mining Facilities...Technical Committee on Mining Facilities First Draft Meeting - NFPA 120 and 122 Zurich – Hosted 1400 America Lane Schaumburg, Illinois

Public Input No. 1-NFPA 122-2012 [ Section No. C.1.2.6 ]

C.1.2.6 UL Publications. Underwriters Laboratories Inc., 333 Pfingsten Road, Northbrook, IL 60062-2096.

UL 80, Standard for Steel Tanks for Oil Burner Fuels or Other Combustible Liquids, 2007, revised 2009 .

UL 142, Standard for Steel Aboveground Tanks for Flammable and Combustible Liquids, 2006, revised 2010 .

Statement of Problem and Substantiation for Public Input

Update referenced standards to most recent edition as indicated.

Submitter Information Verification

Submitter Full Name: John BenderOrganization: UL LLCSubmittal Date: Fri Dec 28 08:35:56 EST 2012

Copyright Assignment

I, John Bender, hereby irrevocably grant and assign to the National Fire Protection Association (NFPA) all and fullrights in copyright in this Public Input (including both the Proposed Change and the Statement of Problem and Substantiation). I understand and intend that I acquire no rights, including rights as a joint author, in any publication of the NFPA in which this Public Input in this or another similar or derivative form is used. I hereby warrant that I am the author of this Public Input and that I have full power and authority to enter into this copyright assignment.

By checking this box I affirm that I am John Bender, and I agree to be legally bound by the above Copyright Assignment and the terms and conditions contained therein. I understand and intend that, by checking this box, I am creating an electronic signature that will, upon my submission of this form, have the same legal force and effect as a handwritten signature

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