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GUARDIAN S ORATION Fire, Water,Storm Damage Repair and Reconsiruction 24 Hour Emergency Services 10051 5`"Street Norih,Suite 104 St.Petersburg,FL 33702 Phone:(727)527-3282 Fax:(727J 576-1946 WORK AUTHORIZATION We hereby hire and authorize Guardian Restoration Services,Inc.,herein-after referred to as"Contractor",to make re airs to our property at the address below,damaged by �1 r¢r on/or about � 20 /�the"Terms and Conditions"on the back of this page are part of this authorization. We agree that the work and total cost of the work will be in accordance with the original estimate plus any supplemental estimates prepared by Contractor and approved by the adjuster for our insurance company,plus any change orders approved by Owners and Contractor. This work authorization,along with all approved estimates,supplemental estimates and change orders shall constitute the entire contractual obligations of the Owners and Contractor and supersedes all prior communications,agreements and understandings whether oral or written. This agreement may be modified only by agreement in writing signed by both Owner and Contractor We understand the Contractor has no connection with our insurance company or its adjuster and that we alone have the authority to authorize Contractor to make said repairs. We agree that any portion of work,such as deductibles,betterment,depreciation,or additional work requested by us,not covered by insurance,must be paid by us on/or before completion. Our mortgage payments are made to__��0 Sp and we hereby assign to Contactor any and all our rights to insurance proceeds for monies due contractor and request that Lender recognize this assignment and protect the interest of the Contractor in handling and paying out hereunder the insurance loss draft or check and make any endorsement or check payable solely to contractor We hereby appoint Contractor as our attorney-in-fact to act in our capacity to negotiate,discuss and communicate with our Lender and insurer to the same extent as we could do and further authorize Contractor to demand and receive any and all insurance and/or mortgagee checks and to endorse our names on said checks and to deposit such checks in Contractors account. We hereby ratify and confirm each and every act or thing done by our attorney-in-fact by virtue of this power. Our insurance company is I /�h�Rc�� and we direct them to pay all proceeds due Contractor payable under our polic directly to Contractor and any mortgage company,if named,as the payee on all such insurance checks. If our names are inciuded on the payment,we agree to promptly endorse said payment to mortgage company,if named,or into an account acceptable to Contractor. Payments shall be made as follows: � � � r �� l . �8 We agree that any payments not made in accordance with this schedule shall be considered delinquent after 10 days and agree to pay interest thereon at 1.5%per month until paid. We agree that no payment or any part thereof shall be withheld from Contractor due to warranty and/or punch list work. Due to the nature of the work,no completion date is specified. No verbal agreements are binding on Contractor therefore Contractor shall not be liable for any losses or damages of any nature based on the time to complete the work. Signed at: ��/p �t}lL this �� day of ��M 1�A��/ 20 /3. Owner's Name:�V�1'1 r-Q ,,7 �J Owner Signature: �pZy�� Loss Address:��) Owner Signature Telephone•��3 $�� S� Contractor• ��