2011 MEMBERSHIP INFORMATION AND APPLICATION ... - IKECA

2011 MEMBERSHIPINFORMATIONAND APPLICATIONC L E A N I N G T O A H I G H E R S T A N D A R D

types of membershipACTIVE | $840/yearOwners, corporate officers or their designated representatives of companies actively engaged in providing commercial kitchen exhaust cleaning servicesmay apply for Active Membership on behalf of the company. Active members shall be entitled to all benefits, rights and privileges of membershipincluding listing on the IKECA website as well as use of the IKECA Logo. Active Members are required to provide proofs of insurance for General Liability,Vehicle and Workers’ Comp, as well as certify at least one CECS per company. Active members receive one (1) vote at the Annual Membership meetingand all other balloting initiatives.SUPPLEMENTAL | $675/yearA subsidiary or branch office of an Active Member, which is also engaged in providing commercial kitchen exhaust cleaning services. Independentfranchisee operations shall not qualify for Supplemental Membership. Supplemental Members shall receive the same benefits and opportunities asActive Members, but shall not have voting rights or be entitled to hold elective office within the Association. Companies eligible for SupplementalMembership may not apply for Active Membership. Supplemental Members are required to provide proofs of insurance for General Liability, Vehicle andWorkers’ Comp, as well as certify at least one CECS per company.ASSOCIATE | $840/yearAn owner, corporate officer or his designated representative, who operates a company which provides products, equipment and/or services to kitchenexhaust cleaning companies, or a company which manufactures or supplies commercial kitchen equipment, may apply for Associate Membership onbehalf of the company. Such membership shall entitle the member to all rights and privileges of membership, but shall not entitle him to vote or holdelective office within the Association. Associate Members are not required to provide proofs of insurance and do not need certified staff.INTERNATIONAL | $840/yearEither Active or Supplemental members, located outside of North America, will be considered International Members and will be exempt from meetingIKECA certification requirements. Insurance requirements may be waived or altered, based on requirements of members in their own country. Membersin Canada and Mexico are required to meet all certification and insurance requirements as stated.INSTITUTIONAL | $445/yearComprising facility managers, restaurants, hospitals, universities, municipalities and other related organizations. No application fee applies. Thismember type is non-voting, but has access to all other member benefits.FIRE MARSHALS & AHJs | $50/yearIndividual who works in a municipality or for a government entity and has oversight on exhaust system inspections and regulations regarding installationand maintenance of exhaust systems. No application fee applies. This member type is nonvoting, but has access to all other member benefitsFRANCHISOR—Parent Company | $2,000/yearCompanies that establish a franchise to have local affiliates provide cleaning services of kitchen exhaust systems. A franchise is a license from theowner of a trademark or trade name permitting another to sell a product or service under that name or mark and under terms and conditions whichare mutually agreed. Franchisor Members are required to provide proofs of insurance for General Liability. Vehicle and Workers’ Comp, as well as certifyat least one CECS per company. They receive one (1) vote at the Annual Meeting and all other balloting initiatives.FRANCHISEE—Independent Private Business | $840/yearCompanies that establish a franchise with a Franchisor – Parent Company for the purpose of providing cleaning services of kitchen exhaust systemsunder an established identity or name. The franchisee undertakes to conduct a business or sell a product or service in accordance with methods andprocedures prescribed by the franchisor. Franchisee Members are required to provide proofs of insurance for General Liability. Vehicle and Workers’Comp, as well as certify at least one CECS per company. This member type is non-voting, but has access to all other member benefits.ALL MEMBERS SHALL AGREE TO UPHOLD THE FOLLOWING:• To, at all times, serve our clients with integrity, competence andobjectivity;• To perform all work for clients in accordance with lateststandards and practices published by IKECA;• To clean all readily accessible areas of the kitchen exhaustremoval system, utilizing positive cleaning methods andtechniques consistent with proactive product management;• To strive to comply with all applicable municipal, state andnational codes and guidelines during the course of businessengagement;• To ensure that safety of life and property remain an integraloperations effort;• To strive to comply with all applicable industry-relatedenvironmental standards, and practices with ongoing awarenessas continuing education advances the industry;member code of ethics• To operate with a good working knowledge of available productsand to specify, where applicable, those accepted within theindustry as efficient and effective;• To establish initial and ongoing documentation consistent withlocal, state and national guidelines regarding kitchen ventilationby-product management service schedules and scope;• To strive to continually educate consumers, neighboringindustries and authorities with respect to kitchen exhaustremoval systems;• To strive to operate morally, ethically and in good conscienceduring the course of maintaining kitchen exhaust removalsystems;• To obey local, state and federal laws, rules and regulations asthey pertain to our industry;• To remain within compliance of the policies, standards andpractices and by-laws of the International Kitchen ExhaustCleaning Association.PAGE 3

cecs certification examAll applicants for Active, Supplemental, Franchisor-ParentCompany, and Franchisee-Independent Private Businessmembership are required to have at least one employee takeand pass the CECS certification exam. Application to takethe exam is a required part of the membership application.Certification and Membership are separate. Certified staffare required to renew their certification annually.For complete information on the CECS exam,visit www.ikeca.orgEXAM FEESIKECA Member Company Representatives $ 325.00Non-IKECA Member Company Representatives $ 700.00Rush fee for all exams scheduled within 15 days of application $ 300.00Annual Certification Renewal $ 75.00Retakes (one in a calendar year) $ 100.00Fees are non-refundable.DURATION OF CERTIFICATIONUpon passing the IKECA exam, an individual shall be certifiedfor a period of one year. In order to be re-certified on a yearlybasis, the individual must earn a total of two (2) ContinuingEducation Units each year, and submit a re-certificationapplication along with the renewal fee. Individuals who donot earn the required CEUs, will be required to re-take theexamination in order to maintain certification.DESCRIPTION OF THE PROCTORED EXAMINATIONIKECA administers a closed book, multiple-choice, writtenexamination. The length of the exam is 150 questions. Thetime provided to complete the exam is three (3) hours.EXAM SCORING AND THE PASS-FAIL SCOREThe pass-fail score for the IKECA exam is 70%. In other words,you must answer a minimum of 105 out of 150 questionscorrectly in order to pass the exam.SCORE REPORTWithin approximately 2-3 weeks of taking the test, you willreceive a “score report” by mail. The report will also indicatewhether you passed or failed the exam. If you passed theexam, your score report will be followed by a certificate fromIKECA within a few weeks.CODES AND STANDARDS IN THE EXAMNFPA 96 - 2008 EditionStandard for Ventilation Control and Fire Protection of Commercial CookingOperationsOSHA Standards:Hazardous CommunicationRef: 29 CFR 1910.1200 (c) Ref: 29 CFR 1910.1200 (d) Ref: 29 CFR 1910.1 (e)Ref: 29 CFR 1910.1200 (f) Ref: 29 CFR 1910.1200 (g) Ref: 29 CFR 1910.1 (h)Ref: 29 CFR 1910.1200 (i)Control of Hazardous Energy (Lock-out / Tag-out)Ref: 29 CFR 1910.147 (a) Ref: 29 CFR 1910.147 (c) Ref: 29 CFR 1910.147 (d)Ref: 29 CFR 1910.147 (e) Ref: 29 CFR 1910.147 (f)Respiratory ProtectionRef: 29 CFR 1910.134 (a) Ref: 29 CFR 1910.134 (b) Ref: 29 CFR 1910.134 (c)Ref: 29 CFR 1910.134 (d) Ref: 29 CFR 1910.134 (e)Personal Protective EquipmentRef: 29 CFR 1910.132 (d) Ref: 29 CFR 1910.132 (f) Ref: 29 CFR 1910.133 (a)Ref: 29 CFR 1910.133 (b) Ref: 29 CFR 1910.135 (a) Ref: 29 CFR 1910.136 (a)Ref: 29 CFR 1910.138 (a)Ladder SafetyRef: 29 CFR 1926.1053 (a) Ref: 29 CFR 1926.1053 (b)International Mechanical Code (2006)202 General Definitions506 Commercial Kitchen Grease Ducts and Exhaust Equipment507 Commercial Kitchen Hoods508 Commercial Kitchen Make Up Air509 Fire Suppression Systems917 (Solid Fuel) Cooking AppliancesInternational Fire Code (2006)904 Alternative Automatic Fire-Extinguishing Systems, including904.2.1 Hood suppression systems904.3.2 Actuation904.3.3 System interlocking904.3.5 Monitoring904.11 Commercial cooking systems904.11 thru 904.11.6.5 apply to commercial cooking systemscontinuing educationrequirementsAll IKECA certifications require ContinuingEducation Units (CEUs) to qualify for renewal.If CEUs are not obtained, renewal will not begranted and you will need to retake the examfor certification.There are many ways you canearn your CEUs:Attendance at the IKECA Annual MeetingAttendance at the IKECA Fall Technical SeminarActive participation in an IKECA CommitteeSubmission of a technical article for The IKECA JournalAttendance at an industry-related conference,meeting or seminar. (NADCA, ASHRAE, NAFA, NFPA)Online Courses at ikeca.org2 CEUs2 CEUs.5 CEU.3 CEU.1/hour.1/hourAttendance at in-house training seminar, or one at anotherfacility. (OSHA, fire safety, cleaning practices, etc.) .1/hourConfined Space EntryRef: 29 CFR 1910.146 (b) Ref: 29 CFR 1910.146 (c) Ref: 29 CFR 1910.146 (d)Ref: 29 CFR 1910.146 (e) Ref: 29 CFR 1910.146 (g) Ref: 29 CFR 1910.146 (h)PAGE 4One CEU is equivalent of 10 contact hours of educational content. One hour ofcontent equals .1 CEU. Submissions of CEUs from alternate methods will bereviewed by the IKECA Board on a case by case basis for approval.FOR MORE INFORMATION - WWW.IKECA.ORG

2011 APPLICATION FOR MEMBERSHIPAssociate, International, Fire Marshal/AHJ, InstitutionalMEMBERSHIP TYPEPlease select the type of company membership you are applying for by checking the appropriate box below.r Associate.An owner, corporate officer or a designated representative, who operates a company which provides products, equipment and/or services to kitchen exhaust cleaningcompanies, or a company which manufactures or supplies commercial kitchen equipment, may apply for Associate Membership on behalf of the company. Suchmembership shall entitle the member to all rights and privileges of membership, but shall not entitle a representative to vote or hold elective office within the Association.Annual Dues$840.00r International. Either Active or Supplemental members, located outside of North America, will be considered International Members and will be exempt from meeting IKECA certificationrequirements. Insurance requirements vary by country.$840.00r Fire Marshal/AHJ.Individual who works in a municipality or for a government entity and has oversight of exhaust system inspections and regulations regarding installation and maintenanceof exhaust systems. No application fee applies. This member type is non-voting, but has access to all other member benefits.$50.00r Institutional. Comprising facility managers, restaurants, hospitals, universities, municipalities and other related organizations. No application fee applies. This member type is nonvoting,but has access to all other member benefits.$445.00Non-Refundable Application Fee – applies to all applicants except Fire Marshal/AHJ & Institutional$250.00MEMBER INFORMATION (please print clearly)Company NameMain AddressCityZip or Postal CodeBilling Address(if different than mailing address)CityZip or Postal CodeState/ProvinceCountryState/ProvinceCountryWhich address is the primary address to be listed in the online member directory? r Main r BillingTelephoneWebsiteNumber of years in businessPrimary Contactall invoices and official notificationswill be sent to this personSecondary ContactPAYMENT INFORMATIONFirst/Last:Title:First/Last:Title:FaxNumber of FullTime EmployeesEmail:Email:r Check Enclosed made payable to IKECA in US Dollars r Visa r MasterCard r American Express r DiscoverCardNumberExp. DateCCVName of Card HolderTotal Annual Membership Fee$SignatureAddress if different from above:Application Fee(non-refundable – applies to Associateand International membership only)Total Amount Due $$250.00100 North 20th Street, Suite 400 • Philadelphia, PA 19103 • 215-564-3484 • fax 215-963-9785 • www. ikeca.org

2011 APPLICATION FOR MEMBERSHIPVERIFICATIONSAPPLICANT VERIFICATIONSBy signing below, I certify that all information contained in this application is true and accurate to the best of my knowledge. I authorize the InternationalKitchen Exhaust Cleaning Association, its officers, directors, committee members, employees, agents and divisions (“IKECA”) to reviewmy application, and I will cooperate promptly and fully in such review. I will submit to IKECA such documents and information deemed necessaryto confirm the information in this application. All documents submitted to IKECA are the property of IKECA and will not be returned to me. I authorizeIKECA to communicate any information relating to my application, certification and review thereof, including but not limited to pendency oroutcome of actions taken pursuant to IKECA’s Code of Professional Conduct, to state and federal authorities, licensing boards, employers, othercertificants, and others. I release, discharge and exonerate IKECA for any action taken relating to such review, including denial of my application,revocation, suspension or other sanction. I agree to indemnify and hold harmless IKECA for any action taken pursuant to the rules and standardsof IKECA with regard to this application, and/or my certification. I acknowledge that I have read and understood this information, the IKECA Codeof Professional Conduct and agree to abide by these terms and rules. I understand that, if granted, certification is valid for a period of one year.I have read and understood the Policies and Procedures, Bylaws, Member Code of Professional Conduct and Guidelines and Best Practices ofthe International Kitchen Exhaust Cleaning Association. I understand that failure to comply with these is just cause for disciplinary action not toexclude expulsion from the membership.UNTIL SUCH A TIME THAT MY MEMBERSHIP IS APPROVED, I ACKNOWLEDGE THAT MY COMPANY IS NOT CONSIDERED A MEMBEROF THE ASSOCIATION AND HAS NO CLAIM TO SUCH DESIGNATION OR ANY BENEFITS NOTED HEREIN, INCLUDING ANY USE OF THEIKECA LOGO IN ANY FORM, OR OTHER ANCILLARY BENEFITS.Signature: __________________________________________________________________ Date: ______________________Printed Name and Title:___________________________________________________________________________________Thank you for your interest in “Cleaning to a Higher Standard.”