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Docu$lgn Envelope 10:639MAl57-E8CC489D.86B1-C266,2.2506B59
<br /> Account Manager;Theran.BTaCy
<br /> 300 Colonial Cunlcr PuklVay STE 130 contact#770-426-5500
<br /> Lake Niuy,FL 32746 Rooklaim.com Insurance Company Information-
<br /> Companv,.Universal Property&Casualty
<br /> (407)278-7789 Policy*: 1501-1301-6434
<br /> (32I),3-l&91554 Kant Claim 0:
<br /> (813)$67-7898 Mortgage Company,Information:
<br /> CompanV:-Pc6nvinae,L6afi'Services
<br /> (863)SOS44�4 Loan#:
<br /> info(4,jasperinc.com
<br /> ROOF REPLACEMENT CONTRACT
<br /> Owner(s): Phone.
<br /> Jason'Thompson 813-766-8268
<br /> Address: Alt Phone:
<br /> 4744 Timber Way
<br /> City:,, State: Zip Code: Shi
<br /> ngle
<br /> Z60hyrhills FL' 133542 0a kridge-Beachwood Sand
<br /> Email:, Roof RWArnount/Contract Prices Drip Edge Color.
<br /> tampahegt77@yahoo.com $15,200.00 'Drip Edge-White 6"
<br /> If Owner's Insurance Company does not agree to pay for a full roof replacement,this contract shall be voidable,
<br /> Assignment oflinsurance Benefits;1,hereby assign any and all insurance rights,benefits and proceeds u-rider any applicable
<br /> insurance policy(ies),to Jasper Contractors,Inc. ('DBA-Ro6fCIaim.com").,1 make this assignmentand authorization in
<br /> consideration ofRobf0aim,com's agreement tb.pdrfbrm.scrViccs,supply materials and othe'rwl'se perform its:obligations under
<br /> this Contract;,including not requiring full payment at the time of contract signing.I also hereby direct my insurer(s)to release
<br /> any and all information requested by RoofClaimcomor its representative(s),for the direct purpose of obtaining actual benefits
<br /> to be paid by my insurers)for services rendered.In this regard,lwaive my privacy rights.I agree that any portion of work,
<br /> deductibles,betterment or additional work requested by the Owncr(s)j.not covered by insurance,must be paid by Owner(s)on
<br /> the day of installation.Deductible:It is the Owner's responsibility to pay all insurance deductibles at the'time of Contract
<br /> signing but no later than the day of installation.Owner's out-of-pocket expense will not exceed the deductible amount as listed,
<br /> on the Declarations Page of the relevant policy UNLESS replacemendiepair of deteriorated decking,or Betterment,is,required
<br /> by code and/or Owner requests optional upgrades.koofClaim.com,CANNOT pay,waive,rebate,or promise to pay,waive
<br /> or rebate any or all-of the insurance'deductible applicable to the insurance claim.for payment of work.In the,event of a
<br /> discrepancy,the deductible amount stated on the insurer's Declarations Page shall'overrule deductible amount disclosed.
<br /> Deductible;$1000.00 MUST BE PAID IN FULL(Initial).
<br /> I certify that policy number 150-1301.6434 d c3jbtVM1hibit an assignment-of benefits-and.1 am free to
<br /> assign my rights to the aforementioned claim number. initial
<br /> Direction to Pay:1,Owner,acknowledge and agree that my=ins -ei will pay-RoofClaim.com directly-for the Work
<br /> performed(or to be performed)on my behalf as authorized by my signature below,regardless-ofrescission or invalidation of
<br /> the Assignment of Benefits by the insurer or insured.This direction to pay shaffinclude any and all amounts stated on
<br /> RoofClaim.com's Estimate,plus any unknown costs(change ordersfiupplernents)which arose during the course-ofthe Work
<br /> which were not or could not have been known prior to the commencement of the Work,minusthc Owner's deductible and any
<br /> and-all betterment;Estimate;An"Estimate"or"Scope of Work"shall be created by RdofClaim.com'in lieu of Scope of Work
<br /> or Loss,Sheet issued by theiinsurdr.Permit f6r Work may be pulled by RoofCIdim.com.at any time p6st-Contractsigning.As a
<br /> courtesy to all parties,Robl'Claim.corn shall provide copies of all documents(e.g.Roof Replacement Contract,Estimate/Scope
<br /> of Work;and the like)to both the insurance company as well as the Owner within three(3)business days but-no later than the
<br /> date on which the Work begins,whichever is earlier.Payment Sichedu le:Owner agrees to pay-RoofClaim.com based on the
<br /> following'chedule:(i)Deposit in the amount of
<br /> S due upon signing this contract;(ii)the C6ntr-dct Price,less the Deposit and-ahy applicable depreciation
<br /> retained by Owner's insurer(s),plus upgrade costs,due and payable to RoofClaim.com upon commencement of work being
<br /> performed;and,(iii)the remaining Contract Price(eqiW to-arry,applicable depreciation and/or change orders/betterment)'
<br /> due and payable to RoofClaim.com upon completion ofworkperformed..In the event g
<br /> ofapendin inspection,nomore,than
<br /> 2%of Contract Price may be withheld until inspection has passed.
<br /> Optional:UPGRADE ITEM: RATE: UPGRADE ITEM: RATE:
<br /> Replacement Work and Price: Upon insurer's- approval •and subject to the Terms and Conditions, stated befeir,
<br /> RootClaim.com agrees to furnish all materialsand provide,the,labor necessary to perform the full roof replacement which shall
<br /> take place following Owner's-insurer's approval,approximately less than thirty(30)days,donditions,and materials permitting.
<br /> Owner's Declaration of.Intent: Owner acknowledges and agrees that, upon approval by,insurance company for a full roof
<br /> replacement,RdofClaim.com shall perform the roof replacement upon approval by the Owner's insurance company.
<br /> FLORIDA HOMEOWNERS'CONSTRUCTION RECOVERY FUND:PAYMENT,UP TO A LIMITED
<br /> AMOUNT,MAY BE AVAILABLE FROM THE FLORIDA HOMEOWNERS,-CONSTRUCTION.
<br /> RECOVERY'FUND IF YOU LOSE MONEY ON A PROJECT PERFORMED UNDER CONTRACT,
<br /> WHERE THE LOSS RESULTS FROM SPECIFIED VIOLATIONS OF FLORIDA LAW BY A LICENSED
<br /> CONTRACTOR.FOR INFORMATION ABOUT.hIE.REC0VERY* FUND AND FILING A-CLALM
<br /> CONTACT THE FLORIDA CONSTRUCTION INDUSTRY LTC-ENSINGBOARD'At THE FOLLOWING
<br /> TELEPHONE NUMBER AND ADDRESS:Construction Industry Licensing Board:2661.111airstone Road.,
<br /> Tallahassee,FL 32399-1039,(850).487-1395
<br /> 1,Owner,have read and understand all statements,Terms and`Conditions of the"Roof Replacement Contract'and
<br /> agree that all details are acceptable'and satisfactory.I further understand that this Contract constitutes.the entire
<br /> agreement between the parties and that any further changes or alterations to this Contract must be made in
<br /> writing and agreed upon by both parties With the exception of betterments which must be paid for by r the Owner
<br /> and replaced.as required by Florida Building Code.Each party.represents and warrants to the other that it has the
<br /> full power and authority to enter into the contract and that it is binding and enforceable in accordance with its
<br /> terms.
<br /> 0ocu51gned by Dmuftnod by:
<br /> 12/3/2019 1,12:00 PM.EST 1 W/2019 18:56 AM PSI
<br /> ArN8Rz"e7G6fCIairrLc&n Representative Date caner Date
<br />
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