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EMERGENCY SERVICE CONTRACT/WORK ORDER M (888)365-3566 Fax.(888)-502-2376 4.) f FLOOD&FIRE Date______ Property Owner Business I Tenant Address City _Zip Phone Cell Email ____ Insurance Company Claim# Adjuster Phone Fax _ Email 24/7 Rep. Ext Type of Damage Job Scope i Notes This is authorization for 24/7 Flood&Fire to begin services. The Xactimate estimating program serves as the basis for most pricing.Rentals are deemed to begin at time of arrival to that midnight.Any portion of a day shall constitute one day.Equipment rental shall continue until wet materials have dried according to industry standards,and equipment is removed.if the removal of equipment is requested for any reason prior to reaching safe drying conditions equipment shall remain and rental shall continue until a release of liability has been signed by owner,insured,or acting agent. There is a three day rental minimum on all equipment that is requested to be removed prior to reaching safe drying conditions.Equipment is billed for time on site not time operated.24/7 Flood&Fire will directly bill a third party upon request.However,if full payment is not made by the third party the balance or complete payment is the responsibility of you the customer,and due within 30 days of the completion of work. This also serves as your sales draft and gives authorization for your credit card to be billed for full payment.Further,you agree that upon receiving a third party check,to endorse and forward It,including payment from any unpaid portion including the deductible,postmarked to 24/7 Flood&Fire at 3414 A St SE#104 Auburn, WA 98002 within 14 days from the date on the third party check. Unless otherwise stated in writing,finance charges of 1.5%will be added to past due balances with a corresponding annual percentage rate of 18%. Transactions from clients that receive third party payments who wish to pay with a credit card are subject to a 3.5%convenience fee. This is notice to you,the customer,under state law those who provide labor,materials,services, equipment,repair or alteration of your property and who are not paid in full,or any balance not paid,have a right to enforce their claim for payment against your property. This is known as a construction lien.By signing this contract you acknowledge awareness of the full construction lien notice on the back side of this contract. The liability of 24/7 Flood&Fire is limited to the amount of this contract and shall not be liable for consequential damages of any kind.All expenses including attorneys fees incurred by 24/7 Flood&Fire to collect money owed,will be added to the amount due. This signed work authorization also grants permission for all necessary chemical treatments to be applied. SALES DRAFT I _l i EXPIRATION DATE / DEPOSIT PAID VISA AMEX. SUPPLEMENT PAID M.C. DISC. CAPTURE# SECURITY CODE CHECK# TOTAL DUE This authorizes all work to be performed and authorizes my insurance company to directly pay and solely name 24/7 FLOOD& FIRE X INSURED OR ACTING AGENT WHITE COPY:OFFICE YELLOW COPY:CUSTOMER