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Oct.25.2013 08:09 PM xOLMES/WATSON 8138311098 PAGE_ 2/ 13
<br /> HOMF.TN,iPROVEMEN'Y'CON'1'KAC7'
<br /> PI.I;ASN:RFAD TffiS
<br /> �v 1y �3 Sold,Furnished und inslalkd by:
<br /> Branch NAme:Tampa pate: �/_J THn At-IIome Servicas,Tnc.
<br /> d/b/a Th�Home Depot At-Hane Servias
<br /> 207 ICe].sey C,EUU�e SuiW K.Tampn,FL.33619
<br /> Rr�nch Number:49 T<�ll Frc:e R77-9p3-3768
<br /> II.Lic#CCC058327, CC;C15A71�3,C:RCx�C�1t58
<br /> Pederal lll#75-2�1l34GQ
<br /> In,�tu�lutaoa Address: �y�y� �' �� �, Z�h y r����-r. T/ �5��
<br /> City —�Stste^ ZiP
<br /> Pm�chacer(s): Work Phune: T�Tnme Phone: Cell Phone;
<br /> ..,(�'+•� � l �/ �� - _ [s ---
<br /> L 1 [ ] [ ]
<br /> Hume Addresn:------ _'7 Ig7vt�� ....__ �.,
<br /> (if diffet�ent from inst�llation nddress) City State Zip
<br /> Eat�il AUAre�(to rec:eive projcxt commimications and Home Depot updates):
<br /> ❑1 IX)NUT wish t�receive any mrukctin�;emaiis fron7 The IlomZ Lh:pot
<br /> Proieet Informatiun: UA�dzrsigned("CusG�mer"),the owners of the propcxty Icwateci at the above instullruinn uddress,agrn.e�
<br /> to buy, dnd TI-lU At-Homc Services, )na ("The Home UepoC') egrees to furnish,delivcr zmd urrange for the installnuon
<br /> ("Instauatiod')v��all materials dc�eribud on the below and on tht refercn�d Spec Sl�eet(s),nll uf wl�ich arc incxnpaated into
<br /> this Contx'act by this refcrcncc,a1��ng with any flpplicnblc State Supplemant onil Pnymcnl Summary,�ttached here[o antl any
<br /> C9iruige f)rders(collectively,"Contract"):
<br /> Job�: pwe�nMwc.��.) Prud� s: S Shcet�N: Pro'cet Arnonnt
<br /> Rooting Siding inJows lnsulation --
<br /> ❑Guttene/Covcrs ❑entry Doors ❑ �. $ �jC� .
<br /> Roofing Siding Q Window� Insulstion �-�- - --
<br /> OGutters/Covers ❑Entry Dix�x [� �
<br /> Roofin� �Siding WinJows ]nsulation '-- -
<br /> ❑Guticr,�I Coveix ❑Lntry fkicrcs� _ �
<br /> RouCiag Siding indows tncult�tiun �
<br /> ❑Guttcr.r 1 Cover4 �]Nnity pcwry ❑„__ $
<br /> 10%ot Contract Amount
<br /> Tota1 cun�ta•aot a,nounr s �/2
<br /> due upon execution o[this coutraet
<br /> Customer agrees that, immedialcly upon compleuon of the work for each Product, Cu�tumer will exeeute a Ccmipletipn
<br /> Certifiasta(one Rm c:ach Product as defsnai by an individual Spec ShCCt) and pay any balance due. As applicable, eaeh
<br /> Custc>mer under tlus Contract agrees to be jointly and se:vcrxlly ohligated and Jiable hereunder.
<br /> The Home Deppt reserves dt�righl to issue a C7iange Order oz tcrminate this Contract�W any individual Product(s)included
<br /> herein,at its discretion,if The Home Depot ar rtx au►hqrizad service pmvider determines that it cennot pe�E'orm ita obligations
<br /> due to a suvetwnl protr)em with th�home,environmeutul hazards.ruch as mold,Asbestos or]ead paint,other safety concerns,
<br /> pricing errors or because wurk royuired to complete the job was not 9ncluded in the Caleract_
<br /> Parment Summarv: 77,e Payment Summary N ������,�cluded ns ptut of this Contract,sets fr�rth the
<br /> total Contract amnunt and pnyments required for the de�its end finrl paymeuts by Product(as applicuble).
<br /> NOTAC�TO CUSTOMER
<br /> YoN are entitled to a canpletely filled-ln copy �Rhe Contract at the time yau sign. Du not �ign a Compledpn
<br /> Certi[lcate (,�ote: thcre is one Completioo Certltfcate[or each listed Product aa d�ned by indivldual Spec S6ecfs)
<br /> before work un that Prod�t i.r enmplete.
<br /> In t6e event M ter�ination ot thls Cuntract,Customer agruex to pay The Home I�pot thc costs of materiuls,IAbor,
<br /> expenses and serrnCes provided Dy The Tiume Depot or Authprized Scrvicc Provider thrw��h the date pf termination,
<br /> pluv any other aroom►Lv xet fqrth in this Agreement or ullowed under applicabk law. TFY� HOME DEPOT MAY
<br /> WITHHOLD AMUUNTS OW�,D Tp THE HOME U�PpT FROM TTfE DF�pSIT PA'YMH 1VT UR OTHER
<br /> PAYMENTS MAVE, WITHOUT LIM177NG'�'HE HOME DEPOT'S OTHER 1ZBMI:DIF.S FOR RECOVERX�F
<br /> SUCH AMOTJNTS.
<br /> Acce tance and Authu ' tia�: Customer agrxs amd un�crylands th�t [hik Agrcement is tl�e Wttire abReement between
<br /> uah>mar an� he Ilome Depot with regard tu th�I'rcxluctn and Instnllation,yervices nnd superwa3ex aU prior diseussions and
<br /> agreemencs,eicher oral a written,nlatin6 to s�tid Products and Installation.7't�iy AbTC�ment cann�t bc axvignzd or amendal
<br /> exc:ept by�writing �igned by Customer and The Home Depot. Cutia�mer acknowlzd�cs w,d agi�ees thx�Customer has read,
<br /> understnndti,voluntxrily accepts l�ie lcama of and has reecivcd a copy oF ti�is Agrec:ment.
<br /> Aucept hy: Submit by:
<br /> � ° X _ ��C�,�- i�o�y��
<br /> Cuvtomer'S Sl ati c pa�c Sales Ccrosuhan Signa c Date
<br /> X __. 7'elephcmc No��� ,j-'
<br /> �'ustotner's Sign.ilm-c Uate -��"
<br /> SZles Coi�sulLanl I.icen�ie No.
<br /> CAN(:EI.i,ATTON: CUS1L)MF.K MAY CAN(:Ef. 77iL5 (as app�fu,n�n>
<br /> AGlt$EMEIVi'WI'1710U'f YENAf TX OR OBLIGATIpN
<br /> RY�3II.IVI'.RING W�IIITFN N(YI'1(:F.TO'If� lyqMN:
<br /> D�l'[7I'l3Y MII�IYIGI�I'Y'ON THF.7�1)BUtiINN'.SS uAY
<br /> AFI'ER SICIVING TEIIS AG1tN.EMF.�IT. '1'FI� Sl'AI'F.
<br /> SUI'I'i•RMFNf A!'1'A(:HEn H�R�7i) (x)N7'A1NS A
<br /> FORM'lb USE IF ONF.IS SPl:CIFIC.'Ai,i.Y PRTSC'RIBIi`,ll
<br /> IfY LAW 1N CUSTOMT!:!Z'S tiTATF
<br /> NU1'ICE:ADrir'lY[.)NAL TI:RMS ANU pUN�iTIC�NS ARF.STATLll ON 7'H1�RF.VIiRS�:S1llF.
<br /> ANn ARE PAT�'1'<)F THiS C'ON'i'HA(:'1'
<br /> Page I or?
<br /> OFi-'0-13 W hRe—Branch �ilr Yellow—Gustomc�r
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