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<br />PAUL",~~Y!c~~~S Ir: ~,
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<br />201 N, Armenia Ave,
<br />Tampa, FL 33609
<br />(813) 253-2468 D FAX: (813) 254-8583
<br />License # CB C026232
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<br />WORK AUTHORIZATION
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<br />We authorize Paul Davis Systems, Inc. of Tampa West, h(tr~..;aft~o as Co.actor~ to make
<br />i.W.ai~ t2ur propertY..a!-1)1e address below, damaged by Ve~,;;z. on or about
<br />/ _ J-' , 19~ the "Terms and Conditions" on the back of this page are a part of this authorization.
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<br />We agtee that the total cost of the work will be in accordance with the ~:lrg.inal ~timafe and any supplemental
<br />estimates prepared by Contr;'lctor and approved by the adjuster for our insurance company, plus any change
<br />orders approved by Owners ,and Contractor.
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<br />This work authorization, along-with all approved estimates, supplemental estimates and thang~l'lrders shall
<br />constitute the contractual obligations of the Owners and Contractor.
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<br />We understand that Contractor has 'no connection with our insurance company or its adjuster and that we
<br />alone have the authority to authorize Contractor to make said repairs.
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<br />We agree that any portion of work, such as deductibles, betterment, depreciation, or additional work requested
<br />by us, not covered by insurance, must be paid by us on or before completion.
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<br />Ouc mon"""e payments ace made to ~p and we cequest them to pcoleet
<br />the interest of the Contractor in handli g the loss draft or check.
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<br />Our insurance company is k ~ ~~ and we authorize them to pay all proceeds
<br />due Contractor payable under our policy directly to Contractor and any mortgage company named. If our
<br />names are included on the payment, we agree to promptly endorse said payment to mortgage company or into
<br />an escrow account in a bank acceptable to Contractor, for disbursement by a series of draws as follows:
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<br />We agree that any payments not made in accordance with this schedule shall be considered delinquent after ten
<br />days and agree to pay interest thereon at lWJ1, per month until paid,
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<br />Due to the nature of the work no completion date is specified, No verbal agreements are binding on Contractor.
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<br />Signed atZ6.-kh~ H- this {P day of ~~
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<br />Owner's Name: L'/tJiI" C~ ~( Owner: ,Y
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<br />Loss Address:k 1/ J.' tJ At.. LJL.- vi).
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<br />Phone:/ ~ 1'- J b 7 - J 17/
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<br />Contractor:
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