Building Insulation Usage Form

BUILDING INSULATION USAGE FORM

Recitals

WHEREAS, Client Name: and Contractor Name: (collectively, the Parties) desire to document the type, quantity, installation method, and certification of insulation materials used at the Project Location described below.

WHEREAS, Contractor represents that materials and installation will conform to the applicable building codes and manufacturer specifications, and Client requires a written record of materials, R-values, areas treated and inspection certifications for the Project.

WHEREAS, the Parties agree that this Form documents both the physical usage of insulation materials and the business agreement governing payment, confidentiality and other terms set forth below.

Project Identification

Materials and Usage (record each material type used)

Complete one row for each distinct insulation material or batch used. Attach additional sheets if necessary.

Scope of Work

Describe, with specificity, the tasks to be performed by Contractor with respect to insulation materials, locations, methods and acceptance criteria.

Payment Terms

Total Contract Amount:

Late Payment Charge: — Interest or fee will apply to any undisputed amount not paid within the period stated in the Payment Schedule.

Term and Termination

Commencement Date:

Completion / Expiration Date:

Termination on Notice: Either Party may terminate this Agreement for convenience upon written notice delivered not less than days prior to the intended termination date. Termination shall not relieve Client of payment obligations for work performed and materials supplied prior to the effective termination date.

Confidentiality

Each Party agrees that nonpublic business information, proprietary product data, pricing, trade secrets, and other confidential technical or commercial information disclosed in connection with this Agreement shall be maintained in confidence and shall not be disclosed to third parties without prior written consent from the disclosing Party, except as required by law or regulatory authority. Confidential information does not include information that is or becomes public through no breach by the receiving Party or that is independently developed by the receiving Party without use of the disclosing Party’s confidential information.

Compliance, Certification and Inspections

Contractor affirms that materials and installation comply with the applicable building code provisions identified by the Authority Having Jurisdiction and with manufacturers' installation instructions. Contractor shall retain certificates, test reports, invoices and batch records and, upon Client request, make them available for review. Contractor must note any deviations, remedial measures, or areas not accessible for inspection in the Remarks fields above.

Governing Law

This Agreement shall be governed by and construed in accordance with the laws of the State of , without regard to conflict of law provisions. Venue for any dispute arising under this Agreement shall be in the state or federal courts located in that jurisdiction unless otherwise agreed in writing.

Entire Agreement

This Form, together with any attachments, material schedules, and accepted change orders signed by both Parties, constitutes the entire agreement between the Parties with respect to the subject matter hereof and supersedes all prior negotiations, proposals, representations and agreements, whether written or oral. No amendment shall be effective unless made in writing and signed by both Parties.

Certifications and Acknowledgments

The undersigned certify under penalty of perjury that the information provided in this Form is true, accurate and complete to the best of their knowledge, that materials recorded herein were installed as described, and that applicable waste handling and disposal requirements have been observed.

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