CCTV Site Survey Report

Page 1 of 2

INTERNET SECURITY SYSTEMS INC. P.O. BOX 438 112 SPRUCE ST. CEDARHURST, NY 11516

CCTV Site Survey Report

Application of System Indoor Outdoor Location on Cameras Hallways Interior Parking Lot Perimeter Building Light Levels (Worst Case) Lens Wide angle Normal Telephoto Camera Power 120 V AC 24 V AC Number of Total Cameras Pan & Tilts or Swivel Indoor Light Duty Medium Duty Heavy Duty Outdoor Light Duty Medium Duty Heavy Duty

Housings Indoor Outdoor Special Mounts Wall Ceiling Parapet Control Systems Pan & Tilt Zoom Lens Indoor Outdoor Sequential Switchers, Quads, Multiplexers Monitors 9 12 17 Other Time Lapse Recorders 24 hr Other Cable Requirements Coax Fiber Optics Surge Suppression Other Requirements

Please copy and use this form or equivalent for site layout diagram. Note scale size. = ______________ ft.

file://C:\Documents and Settings\Tal\My Documents\Alarms\CCTV Site Survey Report.html

7/9/2008

CCTV Site Survey Report

Page 2 of 2

COMMENTS/DESCRIPTION OF OPERATION

____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________

Please Fax this completed form, signed and dated, to Internet Security Systems Inc. at 212-202-3763 ATTN: Sales Department

file://C:\Documents and Settings\Tal\My Documents\Alarms\CCTV Site Survey Report.html

7/9/2008