Affinity Site Survey. Address: City: State: Zip: Distributor: ACP #: Address: City: State: Zip: Date Submitted: Requested Installation Date:

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1 For questions concerning pricing and quotes: Wesley Colquitt, Pricing Manager ASSA ABLOY Door Security Solutions x 0 For questions concerning doors, frames and hardware preparations: Paul Johnson, Affinity Project Manager ASSA ABLOY Hospitality, Inc. - Vingcard pjohnson@vcegroup.com x The Affinity Site Survey document MUST be completed for each job and submitted with quote request. Instructions:. Fill out this cover sheet.. Make additional copies of pages - for each door type or condition, such as resident rooms, storage closets, exterior doors, etc.. Fill out an entire survey for each door type. Label each door type "Survey XX of XX" on each page.. If there are unique situations for installation, digital pictures may also be submitted for review.. All information must be completed to received quote.. Submitt form via only to both Wesley Colquitt and Paul Johnson. Job Name: Contact: Address: City: State: Zip: Distributor: ACP #: Address: City: State: Zip: Contact Name: Phone: Title: Fax: ASSA AABLOY Door Security Solutions Agency Information Submitted By Name: Phone: Territory Number: Date Submitted: Project is: New Construction Retrofit Add on to an Existing Customer Quantity of Encoders: Requested Installation Date: Internal Use Only: Quantity of PCs: Quantity of Monitors: Vingcard Quote Number: ASSA ABLOY DSS Quote Number:

2 Door Type: Resident Rooms Storage Room Exterior Entrance Other: Lock Type: Affinity Mortise Lock Remote Reader Finish on Outside: Bright Brass (0) Satin Brass (0) Bright Chrome () Satin Chrome () Survey: Handle Style: VAU - Handle with Return VAR - Wing Handle VGH - Gothic Handle VMO - Straight Handle Finish on Inside: Bright Brass (0) Satin Brass (0) Bright Chrome () Satin Chrome () of Function: VCAF Without Cylinder Override VCAF With Cylinder Override Optional Metal Battery Cover on Inside: Yes No Door Handing & Quantity RH LH RHR LHR Total Locks: Spare Locks: Total Quantity: Edge of Door Characteristics (Circle One) Flush Two Seams Center Seam Edge Seam Edge of Door Material: Wood Wood Center Steel Aluminum Plastic Veneer Fiberglass Solid Plastic Notes:

3 Doors Door Type: Resident Rooms Storage Room Exterior Entrance Other: Survey: of Door Characteristics (Check One) Double Flush Double Fire Lite Double Full Glass Double Half Lite Single Flush Single Fire Lite Single Full Glass Single Half Lite Double Six Panel Single Six Panel Other (Explain)

4 Doors Door Characteristics Continued Doors are: Existing Doors New Doors Distance from edge of door to Moulding, Recessed Panel, Raised Panel or Glass Stop (if any): Location: Interior Corridor Exterior Corridor Exterior Breezeway Height of Moulding (if any): Interior of Door: Solid Core Hollow Core Asbestos Fiberglass Solid Wood Gypsum Material on Face of Door: Solid Wood Wood Veneer Aluminum Wood Grain Plastic Veneer Wood Grain Vinyl Veneer Stamped Sheetmetal Sheetmetal Doors have: Recessed Panels Raised Moulding Raised Glass Bead Flush Glass Bead Recessed Glass Bead Finish on the Door: Painted Stained Factory Veneer Anodized Unfinished Doors are: Prepped for Affinity Mortise Pocket Only Blank Have Existing Locks Door Thickness: Door Width: Door Height: Is there any other hardware on the door: None Chain Guard Bar Guard Kickplate Notes for this set of doors:

5 Affinity Site Survey Frames Frame Characteristics (Check One) Check here if Frame is new and prepped for Affinity Double Rabbet Double Rabbet Double Rabbet Double Rabbet Double Rabbet Double Rabbet Double Rabbet Double Rabbet Double Rabbet Frame Material: Wood Steel Aluminum Frame is: New Existing Frame Finish: Painted Stained Wood grain vinyl Anodized Baked Enamel Will the frame accommodate a one inch deadbolt extension? Yes No Height of Lockset Strike (Critical) Height of Deadbolt Strike (Critical) Distance between Strikes (Critical) Notes: Is the frame concrete filled? Yes No

6 Affinity Site Survey Hardware Existing Lockset Characteristics Check here if doors are Prepped for Affinity Key in Knob/Lever with Deadbolt Interconnected Ctr. to Ctr. Dim. = Key in Knob/Lever Mortise Lockset Tesa Sargent Saflok Ilco Touch Mortise Bar Mortise Paddle Mortise Exit Mortise Push Bar with Night Latch Adams Rite Star Rim Touch Rim Bar Rim Exit Rim Bar Concealed Vertical Rod Touch Concealed Vert. Rod Exit Concealed Vertical Rod Bar Surface Vertical Rod Bar Surface Vertical Rod Bar Surface Vertical Rod Other (Explain) Lockset Backset: (edge of door to centerline) Deadbolt Backset: (edge of door to centerline) Lockset Bolt Height: (on edge of door) Lockset Manufacturer: Deadbolt Bolt Height: (on edge of door) Deadbolt Manufacturer: -/0N