This Agreement is made on this _______ day of ___________, 2022 between _______________ (hereinafter referred to as the “Contractor”) and ________________ (hereinafter referred to as the “Owner”).

The parties agree that the works to be performed under this Agreement at the specified below property (hereinafter referred to as the “Project”); –

Physical Address: __________________ City: _______________ State: ____________________ 

Zip Code: ________________________ Insurance Company: _______________________ 

Policy Number: ___________________

The undersigned represents and warrants that he/she/they are/is the Owner or Agent (s) of the Owner (hereinafter collectively referred to as “Owner” unless otherwise specified) of the property described above, including its contents.

As the Owner, you represent that you have complete authority to execute this Agreement and bind the Owner to the terms and obligations herein.

The Owner hereby authorizes and directs the Contractor to perform the work selected below.

The Owner authorizes and directs their insurer to make the Contractor a payee on all insurance drafts issued as a result of, on account of, or in any way connected to the work under this Agreement and to disclose any information concerning inspections, checks issued, and/or status and documents required for processing to the representatives of the Contractor.

Scope of work.

            Emergency Services


            Mold Remediation

All deductibles and depreciation costs taken out of any draft by the insurance company will become the undersigned’s responsibility which will pay the Contractor directly.

The Contractor shall be entitled to full payment of all Emergency Services Work performed regardless of whether a cancellation notice is provided after completing such services and work.

I have read this Agreement and accept all terms and conditions.

The Owner/Insured/Representative.

Signature:  ________________________

Date: _____________________________

The Contractor/Representative.

Signature: ________________________

Date: ____________________________

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