Appliance Maintenance Form

APPLIANCE MAINTENANCE FORM

Parties and Identifiers

Client Name:

Service Order No:    Service Date:

Appliance Details

Serial Number:    Location on Premises:

WHEREAS

WHEREAS, Contractor is engaged in the business of maintenance, repair, and inspection of household and commercial appliances and represents that it possesses the skill, training, and insurance necessary to perform such services; and

WHEREAS, Client desires to retain Contractor to perform the maintenance and repair services described below for the appliance identified in this form, and Contractor agrees to perform such services in accordance with the terms set forth herein.

Scope of Work

Description of the work, inspections to be performed, and any agreed repairs. Contractor shall perform the tasks described below and shall provide parts and labor as agreed. The Scope of Work shall include routine inspection, cleaning, testing, and repair as necessary to restore normal operation.

Maintenance Checklist (select all performed)

Inspection & cleaning
Electrical connection and safety check
Thermostat or temperature calibration
Gasket or seal inspection/replacement
Leak detection and repair
Other  

Parts and Materials

List of parts installed and cost for each. Contractor warrants parts as set forth in the Warranty section below.

Payment Terms

Total Charge:    Deposit Required:

Payment Schedule: Client shall pay the Total Charge in accordance with the schedule below. Payments not received by the due date shall incur the Late Fee described below.

Late Fee Clause: Any payment not made within five (5) days after the due date shall accrue interest at the rate specified above, calculated monthly on the outstanding balance, plus reasonable collection costs, including attorneys' fees if collection is referred to counsel.

Term and Termination

Term Commencement:    Term Expiration:

Termination: Either party may terminate this Agreement for convenience upon providing written notice to the other party no fewer than days prior to termination. Termination for cause may occur immediately if a party materially breaches any obligation and fails to cure such breach within ten (10) days of written notice.

Warranty; Limitation of Liability

Warranty: Contractor warrants labor performed under this Agreement for a period of days from completion and warrants replaced parts for the manufacturer’s stated warranty period, if any. This warranty does not cover defects or damage resulting from misuse, neglect, unauthorized repair, or normal wear and tear.

Limitation of Liability: Except for gross negligence or willful misconduct, Contractor's total aggregate liability for any claim arising out of or related to this Agreement shall not exceed the Total Charge paid for the specific service giving rise to the claim. Contractor shall not be liable for incidental, consequential, or punitive damages.

Confidentiality

Each party shall keep confidential any proprietary, technical, or business information disclosed by the other party in performance of this Agreement that is designated as confidential or that reasonably should be understood to be confidential given the nature of the information and the circumstances of disclosure ("Confidential Information"). Confidential Information shall not include information that (i) is or becomes publicly known other than by breach of this Agreement, (ii) is received from a third party without restriction, or (iii) is independently developed without use of Confidential Information. The receiving party may disclose Confidential Information to its employees, contractors, and advisors on a need-to-know basis provided such persons are bound by confidentiality obligations at least as protective as those set forth herein.

Governing Law; Dispute Resolution

Governing Law: This Agreement shall be governed by and construed in accordance with the laws of the State of without regard to its conflicts of law principles.

Dispute Resolution: The parties shall attempt in good faith to resolve disputes arising under this Agreement by negotiation between executives. If unresolved within thirty (30) days, either party may seek relief in a court of competent jurisdiction in the governing state.

Acceptance of Work

Upon completion, the Client shall inspect the work. Unless the Client provides written notice that the work is not performed consistent with the Scope of Work within five (5) days of completion, the work shall be deemed accepted, and final payment shall be due in accordance with the Payment Terms.

Work completed and accepted
Work incomplete — items remaining  

Records & Technician Notes

Entire Agreement

This Agreement, including all attachments and the Scope of Work described herein, constitutes the entire agreement between the parties with respect to the subject matter and supersedes all prior and contemporaneous agreements, representations, and understandings, whether written or oral. Any amendment or modification must be in writing and signed by both parties.

Certifications and Authorizations

By signing below, Client authorizes Contractor to perform the described services and to incur reasonable costs for parts and labor necessary to complete the agreed Scope of Work. Client certifies that the information provided on this form is accurate and that Client has authority to authorize work at the premises identified herein.

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