Contract for Services

This Contract is an Agreement between Warren Restoration, LLC and
This Contract is an Agreement between Warren Restoration, LLC and
for property located at
for property located at
Nature of Damage to Premises:
Nature of Damage to Premises:
Date of Loss (if known):
Date of Loss
Claim#: (If no claim#, then this account is self-pay.)
Claim#:
Email:
Email:
Services/Estimate

The Parties to this Contract agree that Warren Restoration will perform the services detailed in the Estimate prepared for Customer based on the damage to the Premises. The Terms and Conditions which are attached to this Contract are also incorporated herein and are a part of this Contract.

Customer acknowledges that this price is only an estimate and may be subject to change based on conditions that are unknown at the time the estimate was prepared or that change as the project progresses.
Work Authorization/Direction to Pay

I authorize Warren Restoration, LLC to proceed with any work necessary to restore the structure/contents back to original condition as was before the loss.

If I have an insurance claim, I agree to pay Warren Restoration, LLC the amount of my deductible as a deposit prior to commencement of work and I further authorize my insurance company,
Insurance Company
to pay Warren Restoration, LLC directly and solely for all restoration work completed with regard to the above-referenced loss. I agree, that if checks/drafts are sent directly to me, to endorse them and forward to Warren Restoration, LLC immediately upon receipt.

If there is no insurance claim, I agree to give Warren Restoration, LLC a credit or debit card to hold on file, which will be used to pay the balance in full at completion, unless payment is rendered via another method, such as a check, cash or wire transfer.

I have read, understand, and agree to this contract.
Signature*
Date
Date Format: MM slash DD slash YYYY
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Services/Estimate

Work Authorization/Direction to Pay