(KEC) companies, please download the application to ... - IKECA

2013 MEMBERSHIPINFORMATIONAND APPLICATIONActiveSupplementalC L E A N I N G T O A H I G H E R S T A N D A R D

SERVING THE COMMERCIAL KITCHEN EXHAUST INDUSTRY WORLDWIDEABOUT IKECAIKECA was founded in 1989 when a small group ofexhaust kitchen exhaust cleaning specialists wereattending the same meeting. They found that they allhad similar needs and beliefs in the importance of properand complete exhaust cleaning to the fire protectionworld. Within two years, these founders had created thefirst trade association for the kitchen exhaust cleaningindustry.Today, IKECA Members represent the best in the industry.They are proud to have made significant contributions tothe decrease in commercial kitchen fires in the US. Thecurrent membership is approximately 250.MISSIONThe International Kitchen Exhaust Cleaning Associationis committed to serve and represent the interests ofthe commercial kitchen exhaust cleaning industry bypromoting the highest cleaning and ethical standards;providing education and certification opportunities;creating a broader awareness of the need for continuallyimproving fire prevention by cooperating with andinvolving fire departments and the insurance industryand influencing in a positive manner regulations andgovernmental actions affecting the industry; advancingthe safety, image, efficiency, competitiveness andprofitability of industry members; and working to createhealthier, cleaner and safer environments in which tooperate a kitchen.IKECA OthersBENEFIT COMPARISON 100 North 20 th Street, Suite 400 | Philadelphia, PA 19103215-320-3876 | Fax: 215-564-2175www.ikeca.orgPAGE 2

Types of MembershipACTIVE | $880/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 meeting and allother balloting initiatives.SUPPLEMENTAL | $715/yearA subsidiary or branch office of an Active Member, which is a ls o engaged in providing commercial kitchen exhaust c l e a n i n g services. IndependentFranchisee operations shall n o t q u a l i f y 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 a p p l y for Active M emb ersh i p . Supplemental Members are r eq u i r ed to provide proofs of insurance for General Liability, Vehicle andWorkers’ Comp, as well as certify at least one CECS per company.ASSOCIATE | $880/yearAn owner, corporate officer or his d e s i g n a t e d 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 c o m p a n y . Such membership shall entitle the m e m b e r to all rights and p r i v i l e g e s of membership, but s h a l l not e n t i t l e him to vote or holdelective office within the Associat ion . Associate Members are n ot r eq u i r ed to provide proofs of insurance and do not n e e d certified staff.INTERNATIONAL | $880/yearEither A c t i v e or Supplemental member s, located outside of North America, will be considered International Members and w i l l 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 M e x i c o are r eq u i red to meet all certification and insurance requirements as stated.INSTITUTIONAL | $500/yearComprising of facility managers, restaurants, hospitals, universities, municipalities and other related organizations. No application fee applies . ThisMember type is non-voting, but h a s a c c e s s to all other member benefits.FIRE MARSHALS & AHJs | $0/yearIndividual who works in a municipality or for a government entity and h a s o v er s i g h t on exhaust system inspections and r e g u l a t i o n s regarding installationand maintenance of exhaust systems. No application fee applies. This member type is nonvoting, but h a s a c c e s s to all other member benefits.Member Code of EthicsALL MEMBERS SHALL AGREE TO UPHOLD THE FOLLOWING:• To, at all times, serve our clients with integrity, competence andobjectivity;• To perform a l l work f o r clients in accordance with lateststandards and p r a c t i c e s published by IKECA;• To c l e a n all readily accessible areas of t h e kitchen exhaustremoval system, utilizing positive cleaning methods andtechniques consistent with proactive product management;• To s t r i v e to c o m p l y with all a p p l i c a b l e municipal, stateand national codes and guidelines during the course ofb u s i n e s s engagement;• To ensure that safety of life a n d property remain an i n t e g r a loperations effort;• To strive to comply with all applicable i n d u s t r y -related environmental standards, and p r a c t i c e s with ongoingawareness as continuing education advances the i n d u s t r y ;• To operate with a good working knowledge of available productsand to specify, where applicable, those accepted within theindustry as efficient and e f f e c t i v e ;• To establish initial and o n g o i n g documentation consistent withlocal, state a n d n a t i o n a l guidelines regarding kitchen ventilationby-product management service schedules and s c o p e ;• To strive to continually educate consumers, neighboringindustries and authorities with respect to kitchen exhaustremoval systems;• To s t r i v e to o p e r a t e morally, ethically and in g o o dc o n s c i e n c e during the c o u r s e of maintaining kitchen exhaustremoval systems;• To obey l o c a l , s t a t e and federal laws, rules and regulations asthey pertain to our indu st r y;• To r e m a i n w ith in compliance of t h e policies, standards andpractices and by-laws of the International Kitchen ExhaustCleaning Association.PAGE 3

CECS Certification ExamAll a p p l i c a n t s for A c t i v e , Supplemental, Franchisor-ParentCompany, and Franchisee-Independent Private Businessmembership are required to have at least one employee takeand pass the CECS certification exam. Application to take thee x a m is a required part of the m e m b e r s h i p application.Certification and Membership are separate. Certified staff arerequired to renew their certification annually.For complete information on the CECS exam,visit www.ikeca.orgEXAM F E E SIKECA Member Company Representatives $ 3 5 0 . 0 0Non-IKECA Member Company Representatives $ 7 0 0 . 0 0Rush fee for all exams scheduled within 15 days of application $ 3 0 0 . 0 0Annual Certification Renewal $ 1 0 0 . 0 0Retakes (one in a calendar year) $ 1 0 0 . 0 0Fees are non-refundable.DURATION OF CERTIFICATIONUpon passing the IKECA exam, an individual shall be certified fora period of one year. In order to be re-certified on a yearlybasis, the i n d i v i d u a l must earn a total of two ( 2) ContinuingEducation Units each year, and s u b m i t a re-certificationapplication along with the r e n e w a l fee. Individuals who donot e a r n the r e q u i r e d CEUs, will be r e q u i r e d to re-take theexamination in order to maintain certification.DESCRIPTION OF THE PROCTORED EXAMINATIONIKECA administers a c l o s e d book, multiple-choice, writtenexamination. The l e n g t h of the e x a m is 150 questions. Thetime provided to complete the exam is three (3) hours.EXAM SCORING AND THE PASS-FAIL SCO R EThe pass-fail score for the IKECA exam is 70%. In other words,you m u s t answer a minimum of 105 o u t o f 150 q u e s t i o n scorrectly in order to pass the exam.SCORE REPORTWithin approximately 2-3 weeks of taking the t e s t , you w i l lreceive a “score report” by mail. The r e p o r t will also indicatewhether you passed or f a i l e d 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 - 2011 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 (2009)202 General Definitions506 Commercial Kitchen Grease Ducts and E x h au s t Equipment507 Commercial Kitchen Hoods508 Commercial Kitchen Make Up Air509 Fire Suppression Systems917 (Solid Fuel) Cooking AppliancesInternational Fire Code (2009)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. IfCEUs are not obtained, renewal will n o t 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.orgI n -house (OSHA, fire safety, cleaning practices, etc.)2 CEU2 CEU.5 CEU.3 CEU.1/hour.1/hour.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

2013 APPLICATION FOR MEMBERSHIPActive-North American, Supplemental, Franchisor-Parent Company,Franchisee-Independent Private BusinessPlease fill out all three pages of this application clearly. This application and supporting materials should be sent to:100 North 20th Street, Suite 400 • Philadelphia, PA 19103 • 215-320-3876 • fax 215-564-2175 • www. ikeca.orgAPPLICATION REQUIREMENTSAll applications MUST be submitted with the following materials, unless noted otherwise in the IKECA Policies and Procedures:1. A minimum of $2,000,000.00 in Liability and Completed Operations insurance coverage2. Workers’ Compensation coverage3. Vehicle Insurance4. A separate telephone business listing for the company5. Completed CECS Certification Application6. All required fees7. Signed Supplemental Membership FormIncomplete applications will not be processed until allattachments are submitted and requirements are met.The application for International, Associate, Fire Marshal/AHJ and InstitutionalMembership is a separate form and can be found online at www.ikeca.org.Thank you for your interest in “Cleaning to a Higher Standard.”APPLICATION CHECKLIST FOR SUBMISSIONo Completed Exam Applicationo Proctor Indentifiedo Date of exam selectedo Signed affidavit of work experienceo Signed applicationo Proofs of all required Insurance submittedo Liability ($2,000,000 aggregate)o Workers’ Compensationo Vehicle Insuranceo Read and understand the IKECA Code of Conduct and Code of Ethicso Completed Information and Backgroundo Signed Supplemental Membership Form for all Active Membership ApplicantsFailure to provide a completed application including all required attachments and verifications will delay membershipbenefits including access to the IKECA website, listing in the member directory and use of the IKECA logo.Applications that do not meet membership eligibility requirements after 90 days will be denied.Membership dues and fees are non-refundable.100 North 20th Street, Suite 400 • Philadelphia, PA 19103 • 215-320-3876 • fax 215-564-2175 • www. ikeca.org

MEMBERSHIP TYPE2013 APPLICATION FOR MEMBERSHIPActive-North American, Supplemental, Franchisor-Parent Company,Franchisee-Independent Private BusinessPART ONE: APPLICANT INFORMATIONPlease select the type of company membership you are applying for by checking the appropriate box below.Active-North AmericanSupplementalOwners, corporate officers or their designated representatives of companies located in the US, Canada and Mexico, who actively engage in providingcommercial kitchen exhaust cleaning services may apply for Active Membership on behalf of the company. Active members shall be entitled to all rights andprivileges of membership, and shall maintain one (1) vote at all official meetings of the Association.A subsidiary or branch office of an Active Member, which is also engaged in providing commercial kitchen exhaust cleaning services. Independent franchiseeoperations shall not qualify for Supplemental Membership. Supplemental Members shall receive the same benefits and opportunities as ActiveMembers, but shall not have voting rights or be entitled to hold elective office within the Association. Companies eligible for Supplemental Membership maynot apply for Active Membership.Annual Dues$880.00$715.00Non-Refundable Application Fee $250.00MEMBER INFORMATION (please print clearly)Company NameMain AddressCityZip or Postal CodeState/ProvinceCountryBilling Address(if different than mailing address)CityZip or Postal CodeState/ProvinceCountryWhich address is the primary address to be listed in the online member directory? 0 Main 0 BillingTelephoneFaxWebsiteNumber of years in businessNumber of locationsNumber of FullTime EmployeesType of business 0 Private or Public Independent 0 Subsidiary or Branch Location 0 Franchisor 0 FranchiseePrimary Contactall invoices and official notificationswill be sent to this personFirst/Last:Title:Email:Secondary ContactFirst/Last:Title:Email:COMPANY BACKGROUND INFORMATIONIKECA reserves the right, in its sole discretion, to deny an application based on responses to these background questions.Answers to the following questions are mandatory. Failure to respond to each question will result in the application being returned. Failure to provide accurate, true and correct information shall constitute grounds fordenial of your membership application, or termination of your membership. If the applicant answers “Yes” to any of questions 1-4 it must submit the following before its application will be considered:1) A complete written explanation of the circumstances surrounding the proceedings, including a narrative describing where the incident occurred, the date of the incident; and the outcome of the proceedings.2) Copies of relevant court documents.HAS THE APPLICANT:1. Ever violated or infringed upon any IKECA intellectual property, including but not limited to, IKECA trademarks? YES NO2. Ever been deemed or found to be in noncompliance with any state, local or federal law? YES NO3. Ever failed to obtain a license or authorization needed to conduct its business? YES NO4. Been a defendant in civil litigation in which the basis of the complaint against the applicant alleged negligence, malpractice, lack of professional conduct or fraud? YES NO5. Is the company located at the exact address provided on the application? If not, please explain the discrepancy. YES NO6. Please provide the name and address of the Authority Having Jurisdiction (AHJ)/Fire Authority closest to the address listed on this application.

CERTIFICATION APPLICANT INFORMATIONApplicant Name2013 APPLICATION FOR MEMBERSHIPActive-North American, Supplemental, Franchisor-Parent Company,Franchisee-Independent Private BusinessPART TWO: CECS CERTIFICATIONCandidate’s affiliation withapplicant companyDate of your examLocation of ExamOwner Manager Employee Other:Note: Exams scheduled within 15 business days of applicationsubmission will be subject to a $100 rush fee.PRIVATE PROCTOR INFORMATION (Only completed if you are requesting a privately proctored exam.)In order to set up a privately proctored IKECA exam, you must find a qualified proctor to administer the exam. You will need to contact the proctor to arrange an appointment totake the exam that is convenient for both of you. Three hours are allowed for the CECS exam. The proctor should be a disinterested, third-party, and cannot be a direct supervisorof anyone taking the exam. The exam packet will be sent to the proctor, with a prepaid return envelope, and returned by the proctor. Both the examinee and proctor will needto sign an affidavit verifying that exam procedures were followed.Proctor NameCompany NameStreet AddressCityZip or Postal CodeTelephoneEmailDeadline:State/ProvinceCountryCertification Applications are due 15 business days prior to the test date. Exams scheduled earlier are subject to a$300 rush fee.FaxCancellation Policy:Refund Policies:ADA COMPLIANCEAll exam cancellations must be received in writing no less than 10 business days in advance of the test date.No refunds shall be provided for exams; however, examination fees may be applied toward taking the exam at afuture administration of the exam.The IKECA Certification Examination shall be administered in accordance with the requirements set forth in theAmericans with Disabilities Act (ADA). If you require special assistance or unique conditions in taking the IKECACertification Examination as a result of a disability or physical impairment, please contact IKECA Headquarters formore information.100 North 20th Street, Suite 400 • Philadelphia, PA 19103 • 215-320-3876 • fax 215-564-2175 • www. ikeca.org

SUPPLEMENTAL MEMBERS2013 APPLICATION FOR MEMBERSHIPActive-North American, Supplemental, Franchisor-Parent Company,Franchisee-Independent Private BusinessPART THREE: SUPPLEMENTAL MEMBER FORMActive Members of IKECA with branch or satellite offices are required to report the branches to IKECAHeadquarters so they are in compliance with the membership eligibility requirements detailed below:a) Defined as branch or satellite offices of Active Members where:i) The Supplemental Member is an office of the parent organization and cannot be a separately incorporated entity;ii) The Supplemental Member offices must have the same name as their principal office/parent organization;b) Annual Dues will be $715.00 USD per year and pro-rated for members who join after January.c) Supplemental Members have use of the IKECA logo on promotional and marketing materials;d) Supplemental Members have a listing in the IKECA membership directory and on the IKECA website;e) Supplemental Members are eligible for leads generated through the IKECA website;f) Supplemental Members are required to provide proof of:i. A minimum of $2,000,000 in Liability and Completed Operations insurance coverage.ii. Workers’ Compensation coverage. The requirement for workers’ compensation coverage applies to all applicants, including soleproprietorships with no salaried employees and companies that subcontract their labor through a third-party staffing agency. Noexceptions to this policy will be considered for companies doing business in the USA.iii. Vehicle Insurance.iv. Where applicable – all Supplemental members shall notify insurers to add IKECA to any/all Notices of Cancellation.v. Supplemental Members are required to update their insurance information with IKECA. Failure to do so will result in the Member’sstatus being changed to Pending.g) Supplemental Members are required to maintain one CECS certified employee.i. Failure to do so will result in the Member’s status being changed to Pending.h) Supplemental Members are subject to the same application and certification requirements as Active Members.i) Supplemental Members are required to pay annual membership dues/assessments as prescribed by the IKECA Board of Directors;j) Failure to report the existence of a Supplemental office and/or failure to pay dues for that office shall result in disciplinary action by the IKECABoard of Directors.k) Supplemental members do not have voting privileges;Please list your supplemental locations below (if they are not already Supplemental Members) and return this form to IKECA and we willinvoice them for supplemental membership: (If you require additional space, please use a separate sheet of paper.)Company Name Address Contact Name Contact Phone Number Contact Email AddressRequired Affidavit: I attest to the best of my knowledge that the supplemental membership information provided is complete and accurate inaccordance with IKECA’s Supplemental membership eligibility requirements detailed above.Signature:Company Name:Thank you for your cooperation.100 North 20th Street, Suite 400 • Philadelphia, PA 19103 • 215-320-3876 • fax 215-564-2175 • www. ikeca.org