Homeowner Information Sheet

HOMEOWNER INFORMATION SHEET

Recitals

WHEREAS, Homeowner Name: is the owner of the real property described below (the "Property"); and

WHEREAS, Service Provider Name: is engaged to provide services, repairs, assessments or project management in connection with the Property; and

WHEREAS, the parties intend this Homeowner Information Sheet to record property details, contact and access information and to form the operative scope and administrative terms for any work performed as further set forth below.

Homeowner Contact Information

Primary Phone:    Secondary Phone:

Property Details

Year Built:    Square Footage:    Lot Size:

Bedrooms:    Bathrooms:    Garage:

Pool on Property:    Spa:    HVAC Type:

Occupancy & Safety

Occupied by Owner:    Rented / Tenant Occupied:

Insurance, Mortgage & HOA

Recent Work, Permits & Planned Projects

Environmental & Hazard Disclosures

Known Lead Paint:    Known Asbestos:    Known Mold Issues:

Scope of Work

The Service Provider shall perform the work described below at the Property. The scope set forth controls the parties' obligations; any material changes shall be documented in a written change order signed by both parties.

Payment Terms

Contract Amount: $    Payment Schedule:

Invoices shall be rendered in accordance with the payment schedule. Late payments shall incur interest at a rate of or the maximum lawful rate, whichever is less. The Homeowner shall reimburse reasonable collection costs, including attorneys' fees, for overdue accounts.

Term and Termination

Commencement Date:    Estimated Completion Date:

Either party may terminate this agreement for material breach if the breach remains uncured for days after written notice. Termination shall not relieve the Homeowner of obligations to pay for work performed in accordance with the agreement prior to termination.

Confidentiality

Each party shall keep confidential all non-public information obtained in connection with the performance of services and shall not disclose such information to third parties except as required by law or to perform under this agreement. Confidential information does not include information that is publicly available through no fault of the receiving party or is independently developed without use of the disclosing party's confidential information.

Indemnification and Insurance (Summary)

The Service Provider shall maintain general liability insurance covering its operations at the Property and shall defend, indemnify and hold harmless the Homeowner from claims arising out of Provider's negligent acts or omissions, except where such claims result from Homeowner's breach or misconduct. The Homeowner shall maintain property insurance as required under any mortgage or HOA rules.

Governing Law

This agreement and any dispute arising out of the parties' relationship shall be governed by and construed in accordance with the laws of the State of without regard to its conflicts of law rules.

Entire Agreement

This Homeowner Information Sheet, together with any written change orders signed by both parties, constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior oral or written agreements. No amendment shall be effective unless in writing and signed by both parties.

I certify that the information provided above is true and accurate to the best of my knowledge and that I am authorized to provide access to the Property and to authorize the work described above.

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