8/10/2019 Sample Assurance Letters

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SAMPLE LETTER OF ASSURANCE #1:This Sample Letter canbe used when a contractor performs service to buildings without using roofequipment. This document is for educational purposes only. Remember tocreate on your own company letterhead.

Date: __________

Mr. John DoeWindow Cleaners123 Any StreetLos Angeles, CA 91234

Re: Letter of Assurance for any Exterior Building Operations

Dear Mr. John:

This letter is issued to HSG, Inc. in accordance with Title 8 of the CA Code of Regulations,Sections 3282 (p) and 3292 (c); Form (8.19.7).

This courtesy letter is provided to you according to the above-mentionedregulations. It is understood you, the contractor, will perform serviceto this building utilizing long poles, ladders, and/or aerial lifts which arenot within the guidelines of the above-mentioned regulations. Therefore, abuilding equipment inspection is not required for this service.

Please be advised we are owner(s) and/or manager(s) of real estate and arenot qualified to determine if the exterior building maintenance system, includingsafety equipment and devices, should any exist, complies with Title 8 of the CACode of Regulations.

Should any additional information be required, please contact our office.

Sincerely,

________________________________Signature

8/10/2019 Sample Assurance Letters

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SAMPLE LETTER OF ASSURANCE #2:This sample letter shouldbe used when a window cleaning contractor performs service to buildings witheyebolt and/or davit-sockettype roof equipment and they bring their ownswing stage. This document is for educational purposes only. Please remember

to create on your companys own letterhead.

Date: __________

Mr. John DoeWindow Cleaners123 Any StreetLos Angeles, CA 91234

Re: Letter of Assurance for any Exterior Building Operations

Dear Mr. Doe:

This letter is issued to HSG, Inc. in accordance with Title 8 of the CA Code of Regulations,Sections 3282 (p) and 3292 (c). Attached is a copy of our CERTIFICATION from a CaliforniaLicensed Scaffold Inspection & Testing (SIT) Company.

We were Assured by the SIT contractor that our buildings safetyequipment and devices were inspected and certified for use as statedon the attached inspection report in compliance with Title 8, Article 5,Section3282 (p)(1)(A); Form (8.19.7).

Please be advised we are owner(s) and/or manager(s) of real estate and arenot qualified to determine if the exterior building maintenance system,including safety equipment and devices, complies with Title 8 of the CA Code ofRegulations. Accordingly, we hired a company in possession of a validCAL-OSHA SIT license to inspect and certify our building roof equipment.

Should any additional information be required, please contact our office.

Sincerely,

________________________________Signature

8/10/2019 Sample Assurance Letters

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SAMPLE LETTER OF ASSURANCE #3:This sample letter shouldbe used when a window cleaning contractor performs service to buildings withthe buildings own swing stage equipment. This document is for educationalpurposes only. Remember to create on your own company letterhead.

Date: __________

Mr. John DoeWindow Cleaners123 Any StreetLos Angeles, CA 91234

Re: Letter of Assurance for any Exterior Building Operations

Dear Mr. Doe:

This letter is issued to HSG, Inc. in accordance with Title 8 of the CA Code of Regulations,Sections 3282 (p) and 3292 (c). Attached is a copy of our CERTIFICATION from ourCalifornia Licensed Scaffold Inspection & Testing (SIT) Company.

We were Assured by the SIT contractor that our buildings safety equipment and deviceswere inspected and certified for use as stated on the attached inspection report in compliancewith Title 8, Article 6, Section 3292 (c)(1); Form (8.19.7).

Please be advised we are owner(s) and/or manager(s) of real estate and are not qualified todetermine if the exterior building maintenance system, including safety equipment anddevices, complies with Title 8 of the CA Code of Regulations. Accordingly, we hired acompany in possession of a valid CAL-OSHA SIT license to inspect and certify our buildingroof equipment.

Should any additional information be required, please contact our office.

Sincerely,

________________________________Signature