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, - '•�t,1 z..vlC��='� 'c:� � '�.y[��1'�,tei,'t't.. .. R)ESTORATION SPECIALISTS "Oood People To nrn Tex" Goneml Connmtors-State Certifted-Lieeneo#COC 04216S 244 N,W,9tb Surat,teat%Ftartda$4475•(352)732-2322 F fox(352)73M950 23 15 Griffin Road Unit 3,Lmbvr$,Florida 34748•(352)787-4223-Fax(352)314A320 7.24 t1X Ath Avoaup,,gvitc B•Gnlncovi 1c.PIwida 3201 (352)37"721•Fax(352)373.0341 36 W.QuINo Lake HighwAy.Lau,eto.Florida 34461•(352)744.467E-Fox(342)746-d120 q division of Pro0slcr&Aesoelater.,Ino, 13419 Chftbord8t,•Arookavdie„FL 24613•(352)754.114.7.•Fax(352)597.4090 144 SW Wotorlbrd Ct,#107+LWo GStA FL 32025•(386)487.0297• Fox(386)715-2726 ww W.,rc:54drt�tibra�eci3lests.Cann WORKAITHORTZArION Insured Name 1'T�-'I aq Home Phone Loss Address 1t—T Co , - i r (� �It�U *Phone Residence Address t Cell phone Temporary Address Alternate Phone Email Address • Birthday,Month Day Only Insurance Company ( Claim# � Agent Name ` Lt r' Adjuster Name ; Mortgage Company Phone# Address Loan# We,the property owner,the insured,or their agent(insured)a chorine Restoration Specialists(Contractor)to perform the work-outlined below to our property at the shove address The damage was caused by an ar about - ?--�zU ysigning below,the Insured agrees to all 111k m9 and Conditions"on the front and back of this authorization. * The Contractor agrees to proceed witti the work as described in the original estlmate and my supplemental m t liter which Are incorporated herein by reference,plus any change orders approved by the Insured and Contractor. Duo to the nature of the work,no contple(ion date is specified. • The insured hereby gives authorization to the Contractor to proceed with the work and appoints the adjuster or Insurance companyas their agent for all work 4 covered by insurance. Th e Insured authorizes the Insurance company to pay all proceeds due COtltrattor payable under Insured's policy directly to Conh actor.If Insured's nAme is included on the payment,Insured agrees to promptly cndorsc and deliver said payment to Contractor, The insured fully understands that he,/she has the right to select a contractor,and in doing so,Restoration Specialists is aciingsolely for the undersigned and not for any lasut'ance company or any third patty, • The Insured understands that the price of,%vrk will be bored on the ewsting quality of Items to be repaired or replaced. • The Insured thoroughly understands that payment in full is due and payable Immedlotely upon substantial completion. The Insured agrees that any payments not made In Accordance with this agreement Shalt be considered delinquent alter 10 days from dtte date, Default interest will accrue at the highest rate allowed by law on any delinquent payment, • The Insured agrees,when the Job exceeds$8000,that the Insurance company will be requested to Issue"draws"so that payment may be issued to Contractor under the schedule of 115 upon commencement,1/3 midway through►he job,and 1/3 within 10 days of substamial domptetion. The In red agrees to pay the deductible portion of$_t at tfie time of signing this contract. LT 9 IS AN iMFORTANT DOCUMENT—PLEASE-READ ITBEFORE-SIGNINO IT 01.1" Insured,or r1th6r blKlaIllo—rins trtsured,or Atldiorizod Agent fox lmureA Authorized Contractor.signature WORtt PERFORSIED BY Restoration 5pvclai1s>r IS GUAItWMED FOR THE PERIOD OF ONE(I)YBAR VROM TIIB DATC OP COMPLETION PROWDED PAYMENT HAS BEEN MADE IN A TIMELY MANNER. MATERIALS gE WAMMEED AYTl1E MANUFACTURER ONLY. Comments ANY CLAIMS I'OIt CONSTRUCTION DEFECTS Albs SUBJECT TO THE NOTICE AND CURS PROVISIONS OF CHAMR 555,) MI)A.Sie['I'U'Ci3S NadudBJti rsrzs