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HomeMy WebLinkAboutAdden 14Version: March 2021 1 Site License Addendum (Exhibit C to Master License Agreement No. ______________ Between _______________________________ and City of Renton) Company shall apply to the City for approval of this Site License Addendum by filling out the below form and submitting the form to the City for approval with the applicable Administrative Fee. For each Small Cell, the Company shall fill out a Site License Addendum. This Site License Addendum (“Addendum”), made this _____ day of ____________, 20____ (the “Site License Addendum Effective Date”) between the City of Renton, hereinafter designated the “City” and ___________________, d/b/a ________, with its principal offices at _________________________, hereinafter designated “Company”: 1. Addendum. This is a Site License Addendum as referenced in that certain Master License Agreement between The City and Company dated ______________, ____ ("Agreement"). All of the terms and conditions of the Agreement are incorporated hereby by reference and made a part hereof without the necessity of repeating or attaching the Agreement. In the event of a contradiction, modification or inconsistency between the terms of the Agreement and this Addendum, the terms of this Addendum shall govern. Capitalized terms used in this Addendum shall have the same meaning described for them in the Agreement unless otherwise indicated herein. 2.Project Location. Attachment 1 identifies the physical location of the City Poles on which the Site Equipment shall be attached. 3.Project Description. Attachment 2 identifies the Site Equipment to be installed on the City Poles and shall include the construction details (e.g. electrical and fiber connections, antennas, radios and accessory components). If deviating from the standard detail, Company shall provide photo simulations of such Site Equipment attached to the City Poles and a load bearing study. The photo simulations shall include photos indicating the existing City Pole without the Site Equipment and with the proposed Site Equipment attached. If there are any accessory components, for example conduit holding backhaul or electrical, such accessory components shall be depicted in the photo simulations. 4.NIER Report. Company has commissioned an NIER Report for the City Poles. Such report is attached hereto in Attachment 3. 5. Backhaul. Backhaul services shall be provided to the Site Equipment as follows: □underground fiber □ aboveground fiber □ microwave □ other_________________ and from the following entity: __________________________________. Access to the backhaul system shall be separate from the City’s communication and electrical conveyance system. The Company, or its third party contractor, is responsible for the placement and installation of any junction boxes. 6.Electrical Fee. The estimated peak draw power for the Small Cell is _______. The Small Cell electrical usage falls within ____ tier as described in the Fee Schedule. 7.Usage of City-Owned Conduit. Company requests usage of City’s streetlight power conduit. □Yes □No (if yes, see Attachment 4) 5978 ExteNet Systems ExteNet Systems, Inc. a Delaware Corporation 3030 Warrenville Road, Suite 340 Lisle, IL 60532 December 18 2020 ExteNet Systems, Inc. 21.6 kwh the 2nd 4 4 12 January 22 CAG-20-489, Adden #14-22 Version: March 2021 2 8.Term. The term of this Addendum shall run concurrently with the Agreement and shall terminate upon the Agreement termination unless earlier terminated by a party consistent with the Agreement. 9. Commencement Date. The Company shall notify the City upon the installation of its Site Equipment on the City Pole. 10.Fees. The Rent and Administrative Fee for the Site Equipment installed pursuant to this Addendum shall be in accordance with Section 6 of the Agreement. 11. Counterparts. This Site License Addendum may be signed in counterparts, each of which shall be deemed an original, but all of which will constitute one and the same document. 12. Authority. Each individual executing this Site License Addendum represents and warrants that such individual is duly authorized to execute and delivery this Site License Addendum on behalf of the party it represents. 13. Carrier. The following third-party wireless carrier’s equipment will be located on this City Pole: _____________________________ or □ same as Company. 14. Acknowledgment. Company acknowledges that (i) this Site License Addendum is only effective upon the signatures of both parties and (ii) Company shall not have the right to install its Site Equipment on the City Poles until it has received Government Approvals and complied with the requirements (including any insurance or bonding requirements) of such Government Approvals. EXECUTED to be effective as of the Site License Addendum Effective Date. CITY OF RENTON: ______________________________ By: ___________________________ Name: _________________________ Title:__________________________ COMPANY ______________________________ By: ___________________________ Name: _________________________ Title:__________________________ Exhibits: Attachment 1 – Physical Location of City Poles Attachment 2 – Photo Simulations, Description of Site Equipment and Load Bearing Study Attachment 3 – NIER Report Attachment 4 – Conduit Lease Addendum Rachel Fenton Government Relations Director - PNW ExteNet Systems, Inc. 4 Nathan Janderscommunity and economic development nathan janders civil engineer III Version: March 2021 3 Attachment 1 Physical Location of City Poles City of Renton Pole No. 1092D - Adjacent to 350 Wells Ave N (47.488403, -122.204336) Version: March 2021 4 Attachment 2 Equipment Installation Plans/ Construction Details TITLE SHEET T−1 DRAWING INDEX SITE INFORMATION PROJECT CONTACTS DRIVING DIRECTIONS VICINITY MAP APPROVAL/SIGN OFF SITE PHOTO SHEET REVISIONS TITLE GLOTEL PROJECT #:J6633 CITY OF RENTON LIGHT POLE: 1092D ADJACENT ADDRESS: 350 WELLS AVE N RENTON, WA 98057 KING COUNTY NW−WA−STTRNT02−VZW NODE 00282 >Integrity Delivered™ NW−WA−STTRNT02−VZW NODE 00282 CITY OF RENTON LIGHT POLE: 1092D SITE COORDINATES LATITUDE: 47° 29’ 18.25" N (47.488403°) LONGITUDE: 122° 12’ 15.61" W (−122.204336°) SITE ADDRESS ADJACENT TO ADDRESS: 350 WELLS AVE N RENTON, WA 98057 SITE 100% CONSTRUCTION DRAWINGS SC21001345 GENERAL NOTES G−1CALL AT LEAST TWO WORKING DAYS BEFORE YOU DIG DIG ALERT LIMITS OF LIABILITY:ABBREVIATIONS: CONTRACT DOCUMENTS: ADMINISTRATIVE REQUIREMENTS: SITE SAFETY: WORK REQUIREMENTS: UTILITY REQUIREMENTS: SPECIAL CONSIDERATIONS FOR WEATHERPROOFING: CAST−IN PLACE CONCRETE: “” CONCRETE OR MASONRY ANCHORAGE: REINFORCING STEEL: CONCRETE SLABS ON GRADE: EXISTING STRUCTURES: LEGEND: SHEET REVISIONS TITLE GLOTEL PROJECT #:J6633 CITY OF RENTON LIGHT POLE: 1092D ADJACENT ADDRESS: 350 WELLS AVE N RENTON, WA 98057 KING COUNTY NW−WA−STTRNT02−VZW NODE 00282 >Integrity Delivered™ SITE PLAN A−1 1SITE PLAN SHEET REVISIONS TITLE GLOTEL PROJECT #:J6633 CITY OF RENTON LIGHT POLE: 1092D ADJACENT ADDRESS: 350 WELLS AVE N RENTON, WA 98057 KING COUNTY NW−WA−STTRNT02−VZW NODE 00282 >Integrity Delivered™ VICINITY MAP SITE ENLARGED SITE PLAN, EQUIPMENT & ANTENNA LEVELS A−2 SHEET REVISIONS TITLE GLOTEL PROJECT #:J6633 CITY OF RENTON LIGHT POLE: 1092D ADJACENT ADDRESS: 350 WELLS AVE N RENTON, WA 98057 KING COUNTY NW−WA−STTRNT02−VZW NODE 00282 >Integrity Delivered™ 1ENLARGED SITE PLAN2PROPOSED EQUIPMENT LEVEL PROPOSED ANTENNA LEVEL RAD CENTER OF 5G ANTENNAS @ 40’−3" A.G.L. 3 EXISTING & PROPOSED WEST ELEVATION A−3 SHEET REVISIONS TITLE GLOTEL PROJECT #:J6633 CITY OF RENTON LIGHT POLE: 1092D ADJACENT ADDRESS: 350 WELLS AVE N RENTON, WA 98057 KING COUNTY NW−WA−STTRNT02−VZW NODE 00282 >Integrity Delivered™ 2PROPOSED WEST ELEVATION EXISTING WEST ELEVATION 1 EXISTING & PROPOSED NORTH ELEVATION A−4 SHEET REVISIONS TITLE GLOTEL PROJECT #:J6633 CITY OF RENTON LIGHT POLE: 1092D ADJACENT ADDRESS: 350 WELLS AVE N RENTON, WA 98057 KING COUNTY NW−WA−STTRNT02−VZW NODE 00282 >Integrity Delivered™ 12EXISTING NORTH ELEVATIONPROPOSED NORTH ELEVATION VALMONT POLE DESIGN A−5 SHEET REVISIONS TITLE GLOTEL PROJECT #:J6633 CITY OF RENTON LIGHT POLE: 1092D ADJACENT ADDRESS: 350 WELLS AVE N RENTON, WA 98057 KING COUNTY NW−WA−STTRNT02−VZW NODE 00282 >Integrity Delivered™ VALMONT POLE DESIGN A−5.1 SHEET REVISIONS TITLE GLOTEL PROJECT #:J6633 CITY OF RENTON LIGHT POLE: 1092D ADJACENT ADDRESS: 350 WELLS AVE N RENTON, WA 98057 KING COUNTY NW−WA−STTRNT02−VZW NODE 00282 >Integrity Delivered™ VALMONT POLE FOUNDATION DESIGN A−5.2 SHEET REVISIONS TITLE GLOTEL PROJECT #:J6633 CITY OF RENTON LIGHT POLE: 1092D ADJACENT ADDRESS: 350 WELLS AVE N RENTON, WA 98057 KING COUNTY NW−WA−STTRNT02−VZW NODE 00282 >Integrity Delivered™ SHEET REVISIONS TITLE GLOTEL PROJECT #:J6633 CITY OF RENTON LIGHT POLE: 1092D ADJACENT ADDRESS: 350 WELLS AVE N RENTON, WA 98057 KING COUNTY NW−WA−STTRNT02−VZW NODE 00282 >Integrity Delivered™ 117.1 A & 117.1B DETAIL A−5.3 Transmitting Antenna(s) Radio frequency fields above this point MAY EXCEED the FCC occupational exposure limit. Obey all posted signs and site guidelines. Call Verizon Wireless at 1-800-264-6620 PRIOR to working beyond this point. STATE:SWITCH: SITE ID: SECTOR/NODE: DETAILS A−6 SHEET REVISIONS TITLE GLOTEL PROJECT #:J6633 CITY OF RENTON LIGHT POLE: 1092D ADJACENT ADDRESS: 350 WELLS AVE N RENTON, WA 98057 KING COUNTY NW−WA−STTRNT02−VZW NODE 00282 >Integrity Delivered™ 3COMBINED PANEL ANTENNA/RRU SPECIFICATIONS PROPOSED ANTENNA CONFIGURATION AND CABLE SCHEDULE 1ANTENNA SCHEDULE 5RF CAUTION SIGNAGE 2NODE ID SIGNAGE 75G TOP SHROUD 6DISCONNECT 4FIBER TRAY NOTE(S): 1. CLEAR NOTICE STICKER W/ WHITE LETTERING 2. LOCATED AT BASE OF LIGHT POLE 3. PROVIDED BY VERIZON WIRELESS NOTE(S): 1. CLEAR STICKER W/ WHITE LETTERING 2. LOCATED AT BASE OF LIGHT POLE 3. MADE OF WEATHER AND CORROSIVE RESISTANT MATERIAL DETAILS A−7 SHEET REVISIONS TITLE GLOTEL PROJECT #:J6633 CITY OF RENTON LIGHT POLE: 1092D ADJACENT ADDRESS: 350 WELLS AVE N RENTON, WA 98057 KING COUNTY NW−WA−STTRNT02−VZW NODE 00282 >Integrity Delivered™ 1TYPICAL TRANSVERSE PATCH 2TYPICAL LONGITUDINAL PATCH FOR FLEXIBLE PAVEMENT 3TYP LONGITUDINAL PATCH & OVERLAY FOR FLEXIBLE PAVEMENT DETAILS A−7.1 SHEET REVISIONS TITLE GLOTEL PROJECT #:J6633 CITY OF RENTON LIGHT POLE: 1092D ADJACENT ADDRESS: 350 WELLS AVE N RENTON, WA 98057 KING COUNTY NW−WA−STTRNT02−VZW NODE 00282 >Integrity Delivered™ 1TYPICAL CURB AND GUTTER REPLACEMENT 4JUNCTION BOX IN CONCRETE PAD2TYPICAL PATCH FOR RIGID PAVEMENT 3UTILITY IN CONCRETE SIDEWALK 5SIGN MOUNTING ON SINGLE METAL POST RF WIRING DIAGRAM A−8 SHEET REVISIONS TITLE GLOTEL PROJECT #:J6633 CITY OF RENTON LIGHT POLE: 1092D ADJACENT ADDRESS: 350 WELLS AVE N RENTON, WA 98057 KING COUNTY NW−WA−STTRNT02−VZW NODE 00282 >Integrity Delivered™ 2NOT USED15G WIRING DIAGRAM POWER SITE PLAN E−1 SHEET REVISIONS TITLE GLOTEL PROJECT #:J6633 CITY OF RENTON LIGHT POLE: 1092D ADJACENT ADDRESS: 350 WELLS AVE N RENTON, WA 98057 KING COUNTY NW−WA−STTRNT02−VZW NODE 00282 >Integrity Delivered™ 1POWER SITE PLAN 1SITE PLAN GROUNDING DIAGRAM & ONE−LINE DIAGRAM E−2 SHEET REVISIONS TITLE GLOTEL PROJECT #:J6633 CITY OF RENTON LIGHT POLE: 1092D ADJACENT ADDRESS: 350 WELLS AVE N RENTON, WA 98057 KING COUNTY NW−WA−STTRNT02−VZW NODE 00282 >Integrity Delivered™ 1TYPICAL GROUNDING DIAGRAM2ONE LINE DIAGRAM LEGEND GROUNDING DETAILS E−3 SHEET REVISIONS TITLE GLOTEL PROJECT #:J6633 CITY OF RENTON LIGHT POLE: 1092D ADJACENT ADDRESS: 350 WELLS AVE N RENTON, WA 98057 KING COUNTY NW−WA−STTRNT02−VZW NODE 00282 >Integrity Delivered™ 3GROUND BAR1GROUNDING NOTES 2CABLE GROUND KIT CONNECTIONS 6HAND HOLE 4POWER & FIBER TRENCHING 5CONDUIT ELEVATION SHEET REVISIONS TITLE GLOTEL PROJECT #:J6633 CITY OF RENTON LIGHT POLE: 1092D ADJACENT ADDRESS: 350 WELLS AVE N RENTON, WA 98057 KING COUNTY NW−WA−STTRNT02−VZW NODE 00282 >Integrity Delivered™ POWER SERVICE CABINET E−4 1POWER SERVICE CABINET (FOR REFERENCE ONLY) Version: March 2021 5 Attachment 3 NIER Report Radio Frequency - Electromagnetic Energy (RF-EME) Jurisdictional Report Site No. TBD NW-WA-WINONASC-00282 Wells Avenue N Renton, Washington 98057 King County 47° 29' 18.25'' N, -122° 12' 15.61'' W NAD83 EBI Project No. 6221000702 February 25, 2021 Prepared for: ExteNet Systems, Inc 3030 Warrenville Rd # 340 Lisle, Illinois 60532 Prepared by: RF-EME Compliance Report Site No. TBD EBI Project No. 6221000702 Wells Avenue N, Renton, Washington E B I C o n s u l t i n g TABLE OF CONTENTS EXECUTIVE SUMMARY .................................................................................................................... 1 1.0 SITE DESCRIPTION AND ANTENNA INVENTORY ................................................................. 2 2.0 BACKGROUND INFORMATION AND MODELING PROCEDURE .............................................. 3 3.0 MITIGATION/SITE CONTROL OPTIONS ............................................................................... 4 4.0 SUMMARY AND CONCLUSIONS ............................................................................................ 5 5.0 LIMITATIONS ........................................................................................................................ 5 APPENDICES APPENDIX A CERTIFICATIONS APPENDIX B FEDERAL COMMUNICATIONS COMMISSION (FCC) REQUIREMENTS APPENDIX C RADIO FREQUENCY ELECTROMAGNETIC ENERGY SAFETY / SIGNAGE PLANS RF-EME Compliance Report Site No. TBD EBI Project No. 6221000702 Wells Avenue N, Renton, Washington EBI Consulting  21 B Street  Burlington, MA 01803  1.800.786.2346 1 EXECUTIVE SUMMARY Purpose of Report EnviroBusiness Inc. (dba EBI Consulting) has been contracted by ExteNet Systems, Inc to conduct radio frequency electromagnetic (RF-EME) modeling for ExteNet Site NW-WA-WINONASC-00282 to be located on a light pole at Wells Avenue N in Renton, Washington to determine RF-EME exposure levels from proposed wireless communications equipment at this site. As described in greater detail in Appendix B, the Federal Communications Commission (FCC) has developed Maximum Permissible Exposure (MPE) Limits for general public exposures and occupational exposures. This report summarizes the results of RF-EME modeling in relation to relevant FCC RF-EME compliance standards for limiting human exposure to RF-EME fields. Modeling results included in this report are based on site node list dated February 18, 2021 as provided to EBI Consulting. Subsequent changes to the drawings or site design may yield changes in the MPE levels or FCC Compliance recommendations. A two story building was identified approximately 20 feet from the proposed light pole and is assumed to be accessible to the general public, including all persons not fully aware of RF hazards and who are not trained in RF safety procedures. Since the exact height of the adjacent structure is unknown, these values were calculated at the Maximum Antenna Face Value at a horizontal distance of 20 feet. Maximum Permissible Exposure (MPE) Summary Location % of FCC General Public/Uncontrolled Exposure Limit % of FCC Occupational/Controlled Exposure Limit Power Density (mW/cm2) Horizontal Approach Distance of Occupational Limit Horizontal Approach Distance of General Public Limit Proposed Verizon Antennas Maximum Antenna Face Value 134.80 26.96 1.3480 N/A 3 Nearest Walking Surface 6.00 1.20 0.0600 N/A N/A Ground Level 0.55 0.11 0.0055 N/A N/A These results are calculated based on max power assumptions for this site. The mounted antennas will contribute the majority to these emissions. Workers accessing any equipment on the light pole should follow all safety procedures outlined by the carrier and property owner. Statement of Compliance Signage recommendations are presented in Section 3.0 to bring the site into compliance with the FCC Rules and Regulations. RF-EME Compliance Report Site No. TBD EBI Project No. 6221000702 Wells Avenue N, Renton, Washington EBI Consulting  21 B Street  Burlington, MA 01803  1.800.786.2346 2 1.0 SITE DESCRIPTION AND ANTENNA INVENTORY This project involves the installation of 3 (three) active wireless telecommunication antennas on a light pole at Wells Avenue N in Renton, Washington. This site is located in the right of way. The antennas are to be mounted on a light pole and operating in the directions, frequencies, and heights mentioned below. Ant # Operator Antenna Make Antenna Model Frequency (MHz) Azimuth (deg.) Aperture (feet) Total Power Input (Watts) Antenna Gain (dBd) Total ERP (Watts) Total EIRP (Watts) 1 Verizon ERICSSON SM6701 28000 0 1.7 0.6 26.01 243.3 399.1 2 Verizon ERICSSON SM6701 28000 120 1.7 0.6 26.01 243.3 399.1 3 Verizon ERICSSON SM6701 28000 240 1.7 0.6 26.01 243.3 399.1 ID Carrier X Y Antenna Radiation Centerline Z-Height Ground 1 Verizon 45.2 46.1 40.5 39.6 2 Verizon 44.5 44.9 40.5 39.6 3 Verizon 45.9 44.9 40.5 39.6 *Z-Height represents the distance measured from the bottom of the antenna. RF-EME Compliance Report Site No. TBD EBI Project No. 6221000702 Wells Avenue N, Renton, Washington EBI Consulting  21 B Street  Burlington, MA 01803  1.800.786.2346 3 2.0 BACKGROUND INFORMATION AND MODELING PROCEDURE EBI has performed theoretical modeling using Roofmaster™ software to estimate the worst-case power density at the site antenna face and rooftop and ground-level resulting from the operation of the antennas. Using the computational methods set forth in Federal Communications (FCC) Office of Engineering & Technology (OET) Bulletin 65, “Evaluating Compliance with FCC Guidelines for Human Exposure to Radiofrequency Electromagnetic Fields” (OET-65), Roofmaster™ calculates predicted power density in a scalable grid based on the contributions of all RF sources characterized in the study scenario. At each grid location, the cumulative power density is expressed as a percentage of the FCC limits. Manufacturer antenna pattern data is utilized in these calculations. Roofmaster™ models consist of the Far Field model as specified in OET-65 and an implementation of the OET-65 Cylindrical Model (Sula9). The models utilize several operational specifications for different types of antennas to produce a plot of spatially-averaged power densities that can be expressed as a percentage of the applicable exposure limit. For this report, EBI utilized antenna and power data provided by ExteNet and compared the resultant worst-case MPE levels to the FCC’s occupational/controlled exposure limits outlined in OET Bulletin 65. The assumptions used in the modeling are based upon information provided by ExteNet and information gathered from other sources. The parameters used for modeling are summarized in Section 1.0. A site is considered out of compliance with FCC regulations if there are areas that exceed the FCC exposure limits and there are no RF hazard mitigation measures in place. Any carrier which h as an installation that contributes more than 5% of the applicable MPE must participate in mitigating these RF hazards. RF-EME Compliance Report Site No. TBD EBI Project No. 6221000702 Wells Avenue N, Renton, Washington EBI Consulting  21 B Street  Burlington, MA 01803  1.800.786.2346 4 3.0 MITIGATION/SITE CONTROL OPTIONS EBI’s modeling indicates that there are no areas in front of the Verizon antennas that exceed the FCC standards for occupational or general public exposure at ground level. All exposures above the FCC’s safe limits require that individuals be elevated above the ground. In order to alert people accessing the light pole blue notice signs are recommended for installation on opposite sides of the light pole, 3 feet below the lowest antenna (36.6 feet above ground level). To reduce the risk of exposure and/or injury, EBI recommends that access to areas associated with the active antenna installation be restricted and secured where possible. Access to this site is accomplished by approaching the light pole at ground level. Access to the antennas is gained via a lift or climbing with fall protection and therefore the antennas are not considered to be accessible to the general public. Implementation of recommended signage in this report will bring this site into compliance with the FCC’s rules and regulations. Attachment 1: Signage Table Sign Description Posting Instructions Required Signage / Mitigation Blue Notice Sign Used to alert individuals that they are entering an area where the power density emitted from transmitting antenna(s) may exceed the FCC’s maximum permissible exposure limit for the general population. Securely post on opposite sides of the light pole 3.0 feet below the antennas (36.6 feet above ground level). 2 signs posted below the antennas RF-EME Compliance Report Site No. TBD EBI Project No. 6221000702 Wells Avenue N, Renton, Washington EBI Consulting  21 B Street  Burlington, MA 01803  1.800.786.2346 5 4.0 SUMMARY AND CONCLUSIONS EBI has prepared this Radiofrequency – Electromagnetic Energy (RF-EME) Compliance Report for the proposed ExteNet site to be located on a light pole at Wells Avenue N in Renton, Washington. EBI has conducted theoretical modeling to estimate the worst-case power density from the proposed antennas to document potential MPE levels at this location and to ensure that site control measures are adequate to meet FCC and OSHA requirements. Maximum Permissible Exposure (MPE) Summary Location % of FCC General Public/Uncontrolled Exposure Limit % of FCC Occupational/Controlled Exposure Limit Power Density (mW/cm2) Horizontal Approach Distance of Occupational Limit Horizontal Approach Distance of General Public Limit Proposed Verizon Antennas Maximum Antenna Face Values 134.80 26.96 1.3480 N/A 3 Nearest Walking Surface 6.00 1.20 0.0600 N/A N/A Ground Level 0.55 0.11 0.0055 N/A N/A Workers should be informed about the presence and locations of antennas and their associated fields. Recommended control measures are outlined in Section 3.0. To reduce the risk of exposure and/or injury, EBI recommends that access to areas associated with the active antenna installation be restricted and secured where possible. Implementation of the signage recommended in this report will bring this site into compliance with the FCC’s rules and regulations. 5.0 LIMITATIONS This report was prepared for the use of ExteNet. It was performed in accordance with generally accepted practices of other consultants undertaking similar studies at the same time and in the same lo cale under like circumstances. The conclusions provided by EBI are based solely on the information provided by the client. The observations in this report are valid on the date of the investigation. Any additional information that becomes available concerning the site should be provided to EBI so that our conclusions may be revised and modified, if necessary. This report has been prepared in accordance with Standard Conditions for Engagement and authorized proposal, both of which are integral parts of this report. No other warranty, expressed or implied, is made. RF-EME Compliance Report Site No. TBD EBI Project No. 6221000702 Wells Avenue N, Renton, Washington EBI Consulting  21 B Street  Burlington, MA 01803  1.800.786.2346 Appendix A Certifications RF-EME Compliance Report Site No. TBD EBI Project No. 6221000702 Wells Avenue N, Renton, Washington EBI Consulting  21 B Street  Burlington, MA 01803  1.800.786.2346 Preparer Certification I, David Keirstead, state that: ▪ I am an employee of EnviroBusiness Inc. (d/b/a EBI Consulting), which provides RF-EME safety and compliance services to the wireless communications industry. ▪ I have successfully completed RF-EME safety training, and I am aware of the potential hazards from RF-EME and would be classified “occupational” under the FCC regulations. ▪ I am fully aware of and familiar with the Rules and Regulations of both the Federal Communications Commissions (FCC) and the Occupational Safety and Health Administration (OSHA) with regard to Human Exposure to Radio Frequency Radiation. ▪ I have been trained on RF-EME modeling using Roofmaster™ modeling software. ▪ I have reviewed the data provided by the client and incorporated it into this Site Compliance Report such that the information contained in this report is true and accurate to the best of my knowledge. RF-EME Compliance Report Site No. TBD EBI Project No. 6221000702 Wells Avenue N, Renton, Washington EBI Consulting  21 B Street  Burlington, MA 01803  1.800.786.2346 Appendix B Federal Communications Commission (FCC) Requirements RF-EME Compliance Report Site No. TBD EBI Project No. 6221000702 Wells Avenue N, Renton, Washington EBI Consulting  21 B Street  Burlington, MA 01803  1.800.786.2346 The FCC has established Maximum Permissible Exposure (MPE) limits for human exposure to Radiofrequency Electromagnetic (RF-EME) energy fields, based on exposure limits recommended by the National Council on Radiation Protection and Measurements (NCRP) and, over a wide range of frequencies, the exposure limits developed by the Institute of Electrical and Electronics Engineers, Inc. (IEEE) and adopted by the American National Standards Institute (ANSI) to replace the 1982 ANSI guidelines. Limits for localized absorption are based on recommendations of both ANSI/IEEE and NCRP. The FCC guidelines incorporate two separate tiers of exposure limits that are based upon occupational/controlled exposure limits (for workers) and general public/uncontrolled exposure limits for members of the general public. Occupational/controlled exposure limits apply to situations in which persons are exposed as a consequence of their employment and in which those persons who are exposed have been made fully aware of the potential for exposure and can exercise control over their exposure. Occupational/ controlled exposure limits also apply where exposure is of a transient nature as a result of incidental passage through a location where exposure levels may be above general public/uncontrolled limits (see below), as long as the exposed person has been made fully aware of the potential for exposure and can exercise control over his or her exposure by leaving the area or by some other appropriate means. General public/uncontrolled exposure limits apply to situations in which the general public may be exposed or in which persons who are exposed as a consequence of their employment may not be made fully aware of the potential for exposure or cannot exercise control over their exposure. Therefore, members of the general public would always be considered under this category when exposure is not employment-related, for example, in the case of a telecommunications tower that exposes persons in a nearby residential area. Table 1 and Figure 1 (below), which are included within the FCC’s OET Bulletin 65, summarize the MPE limits for RF emissions. These limits are designed to provide a substantial margin of safety. They vary by frequency to take into account the different types of equipment that may be in operation at a particular facility and are “time-averaged” limits to reflect different durations resulting from controlled and uncontrolled exposures. The FCC’s MPEs are measured in terms of power (mW) over a unit surface area (cm2). Known as the power density, the FCC has established an occupational MPE of 5 milliwatts per square centimeter (mW/cm2) and an uncontrolled MPE of 1 mW/cm2 for equipment operating in the 1900 MHz frequency range. Equipment operating in the 700 MHz frequency range has an established occupational MPE of 2.33 (mW/cm2) and a general public MPE of 0.47 mW/cm2, equipment operating in the 850 MHz frequency range the occupational MPE is 2.83 mW/cm2 and the general public MPE is 0.57 mW/cm2, and equipment operating in the 1900 and 2100 MHz frequency range the occupational MPE is 5 mW/cm2 and general public MPE is 1 mW/cm2. These limits are considered protective of these populations. RF-EME Compliance Report Site No. TBD EBI Project No. 6221000702 Wells Avenue N, Renton, Washington EBI Consulting  21 B Street  Burlington, MA 01803  1.800.786.2346 Table 1: Limits for Maximum Permissible Exposure (MPE) (A) Limits for Occupational/Controlled Exposure Frequency Range (MHz) Electric Field Strength (E) (V/m) Magnetic Field Strength (H) (A/m) Power Density (S) (mW/cm2) Averaging Time [E]2, [H]2, or S (minutes) 0.3-3.0 614 1.63 (100)* 6 3.0-30 1842/f 4.89/f (900/f2)* 6 30-300 61.4 0.163 1.0 6 300-I,500 -- -- f/300 6 1,500-100,000 -- -- 5 6 (B) Limits for General Public/Uncontrolled Exposure Frequency Range (MHz) Electric Field Strength (E) (V/m) Magnetic Field Strength (H) (A/m) Power Density (S) (mW/cm2) Averaging Time [E]2, [H]2, or S (minutes) 0.3-1.34 614 1.63 (100)* 30 1.34-30 824/f 2.19/f (180/f2)* 30 30-300 27.5 0.073 0.2 30 300-1,500 -- -- f/1,500 30 1,500-100,000 -- -- 1.0 30 f = Frequency in (MHz) * Plane-wave equivalent power density Power Density (mW/cm2) RF-EME Compliance Report Site No. TBD EBI Project No. 6221000702 Wells Avenue N, Renton, Washington EBI Consulting  21 B Street  Burlington, MA 01803  1.800.786.2346 Based on the above, the most restrictive thresholds for exposures of unlimited duration to RF energy for several personal wireless services are summarized below: Personal Wireless Service Approximate Frequency Occupational MPE Public MPE Microwave (Point-to-Point) 5,000 - 80,000 MHz 5.00 mW/cm2 1.00 mW/cm2 Broadband Radio (BRS) 2,600 MHz 5.00 mW/cm2 1.00 mW/cm2 Wireless Communication (WCS) 2,300 MHz 5.00 mW/cm2 1.00 mW/cm2 Advanced Wireless (AWS) 2,100 MHz 5.00 mW/cm2 1.00 mW/cm2 Personal Communication (PCS) 1,950 MHz 5.00 mW/cm2 1.00 mW/cm2 Cellular Telephone 870 MHz 2.90 mW/cm2 0.58 mW/cm2 Specialized Mobile Radio (SMR) 855 MHz 2.85 mW/cm2 0.57 mW/cm2 Long Term Evolution (LTE) 700 MHz 2.33 mW/cm2 0.47 mW/cm2 Most Restrictive Frequency Range 30-300 MHz 1.00 mW/cm2 0.20 mW/cm2 MPE limits are designed to provide a substantial margin of safety. These limits apply for continuous exposures and are intended to provide a prudent margin of safety for all persons, regardless of age, gender, size, or health. Personal Communication Services (PCS) facilities operate within a frequency range of 1850-1990 MHz. Facilities typically consist of: 1) electronic transceivers (the radios or cabinets) connected to wired telephone lines; and 2) antennas that send the wireless signals created by the transceivers to be received by individual subscriber units (PCS telephones). Transceivers are typically connected to antennas by coaxial cables. Advanced Wireless Services (AWS) facilities operate within a frequency range of 2155-2180 MHz. Facilities typically consist of: 1) electronic transceivers (the radios or cabinets); and 2) antennas that send the wireless signals created by the transceivers to be received by individual subscriber units. Transceivers are typically connected to antennas by coaxial cables. Because of the short wavelength of PCS/AWS services, the antennas require line-of-site paths for good propagation, and are typically installed above ground level. Antennas are constructed to concentrate energy towards the horizon, with as little energy as possible scattered towards the ground or the sky. This design, combined with the low power of PCS facilities, generally results in no possibility for exposure to approach Maximum Permissible Exposure (MPE) levels, with the exception of areas directly in front of the antennas. FCC Compliance Requirement A site is considered out of compliance with FCC regulations if there are areas that exceed the FCC exposure limits and there are no RF hazard mitigation measures in place. Any carrier which has an installation that contributes more than 5% of the applicable MPE must participate in mitigating these RF hazards. RF-EME Compliance Report Site No. TBD EBI Project No. 6221000702 Wells Avenue N, Renton, Washington EBI Consulting  21 B Street  Burlington, MA 01803  1.800.786.2346 Appendix C Radio Frequency Electromagnetic Energy Safety Information and Signage Plans RF-EME Compliance Report Site No. TBD EBI Project No. 6221000702 Wells Avenue N, Renton, Washington EBI Consulting  21 B Street  Burlington, MA 01803  1.800.786.2346 Antenna Face Simulation RF-EME Compliance Report Site No. TBD EBI Project No. 6221000702 Wells Avenue N, Renton, Washington EBI Consulting  21 B Street  Burlington, MA 01803  1.800.786.2346 Ground Level Simulation RF-EME Compliance Report Site No. TBD EBI Project No. 6221000702 Wells Avenue N, Renton, Washington EBI Consulting  21 B Street  Burlington, MA 01803  1.800.786.2346 Elevation Simulation and Signage Plan Sign Description Posting Instructions Required Signage / Mitigation Blue Notice Sign Used to alert individuals that they are entering an area where the power density emitted from transmitting antenna(s) may exceed the FCC’s maximum permissible exposure limit for the general population. Securely post on opposite sides of the light pole 3.0 feet below the antennas (36.6 feet above ground level). 2 signs posted below the antennas Post on opposite sides of the light pole 3.0’ below the antennas RF-EME Compliance Report Site No. TBD EBI Project No. 6221000702 Wells Avenue N, Renton, Washington EBI Consulting  21 B Street  Burlington, MA 01803  1.800.786.2346 RF Signage and Safety Information RF Signage Areas or portions of any transmitter site may be susceptible to high power densities that could cause personnel exposures in excess of the FCC guidelines. These areas must be demarcated by conspicuously posted signage that identifies the potential exposure. Signage MUST be viewable regardless of the viewer’s position. GUIDELINES NOTICE CAUTION WARNING This sign will inform anyone of the basic precautions to follow when entering an access point to an area with transmitting radiofrequency equipment. This sign indicates that RF emissions may exceed the FCC General Population MPE limit. This sign indicates that RF emissions may exceed the FCC Occupational MPE limit. This sign indicates that RF emissions may exceed at least 10x the FCC Occupational MPE limit. NOC INFORMATION Information signs are used as a means to provide contact information for any questions or concerns. They will include specific cell site identification information and the Verizon Wireless Network Operations Center phone number. Physical Barriers Physical barriers are control measures that require awareness and participation of personnel. Physical barriers are employed as an additional administration control to complement RF signage and physically demarcate an area in which RF exposure levels may exceed the FCC General Population limit. Example: chain-connected stanchions Indicative Markers Indicative markers are visible control measures that require awareness and participation of personnel, as they cannot physically prevent someone from entering an area of potential concern. Indicative markers are employed as an additional administration control to complement RF signage and visually demarcate an area in which RF exposure levels may exceed the FCC General Population limit. Example: paint stripes Occupational Safety and Health Administration (OSHA) Requirements A formal adopter of FCC Standards, OSHA stipulates that those in the Occupational classification must complete training in the following: RF Safety, RF Awareness, and Utilization of Personal Protective Equipment. OSHA also provides options for Hazard Prevention and Control: Hazard Prevention Control • Utilization of good equipment • Enact control of hazard areas • Limit exposures • Employ medical surveillance and accident response • Employ Lockout/Tag out • Utilize personal alarms & protective clothing • Prevent access to hazardous locations • Develop or operate an administrative control program RF-EME Compliance Report Site No. TBD EBI Project No. 6221000702 Wells Avenue N, Renton, Washington EBI Consulting  21 B Street  Burlington, MA 01803  1.800.786.2346 Aerial View of Antenna Face Level Simulation Version: March 2021 6 Attachment 4 Conduit Lease Addendum