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I I PAUL DAVIS RESTORATION 7944 Rutilio Court New Port Richey, FL 34653 (727) 841-8559 . (888) PDR-FIRE. Fax: (727) 841-8663 State Certified Building Contractor License # CB C051266 WORK AUllIORIZATION We ~uthorize Paul Davis Systems, Inc. of pas~n-after referred to as Contractor, to maklpl:irs to our prop~p:y at the address below, damaged by on or about V, 20--=ll-; the "Terms and Conditions" on the back of this page are part of this authorization. we~ree that the total cost of the work will be in accordance with the original estimate and any supplemental esti ates prepared by Contractor and approved by the adjuster for our insurance company, plus any change orde s approved by Owners and Contractor. This Iwork authorization, along with all approved estimates, supplemental estimates and change orders shall cons~tute the contractual obligations of the Owners and Contractor. We upderstand the Contractor has no connection with our insurance company or its adjuster and that we alone have Ithe authority to authorize Contractor to make said repairs. We atree that any portion of work, such as deductibles, betterment, depreciation, or additional work requested by usl, not covered by insurance, must be paid by us on or before completion. Our ~ortgage payments are made to and we request them to protect the inter~st of the Contractor in handling the loss draft or check. Our it! surance company is ~'t~ ~rl.. and we authorize them to pay all proce ds due Contractor payable under our policy directly to Contractor and any mortgage company named. If our n mes are included on the payment, we agree to promptly endorse said payment to mortgage company or into ~n escrow account in a bank acceptable to Contractor, for disbursement by a series of draws as follows: We a&ree that any payments not made in accordance with this schedule shall be considered delinquent after ten days ,nd agree to pay interest thereon at 1 ]12% per month until paid. Due tf the nature ofthe work no completion date is specified. No verbal agreements are binding on Contractor. Signel at 16(( 71711;;;"" '?:ltrtlf this 2>day of ~L/ , 20 if' 1 Owne 's Name: J{tlL- Wtb'l owner:X /d~ C$.JI" Loss ddress: J~t~ (1itrer~Y'~tJL) Owner: Contractor: ~ ~ r- ?~~