HVAC Service Proof Form

HVAC SERVICE PROOF FORM

Client Name:     Service Provider:

WHEREAS

WHEREAS, Client Name: desires professional heating, ventilation and air conditioning inspection, maintenance and repair services for the equipment listed below;

WHEREAS, Service Provider: represents that it is qualified, licensed and insured to perform HVAC services and will perform such services in accordance with accepted industry standards and applicable manufacturer requirements;

NOW, THEREFORE, in consideration of the mutual covenants and payments set forth below, the parties agree as follows:

Scope of Work

Service Details

Service Date:     Start Time:     End Time:

Materials, Labor and Measurements

Labor Hours:     Measured Static (Suction/Discharge):

System Temperatures (Supply/Return):     Refrigerant Charge / Reading:

Follow-up Required:     If yes, recommended timeframe:

Payment Terms

Total Amount Due: $     Payment Schedule:

Late Payment Fee: . Client agrees that overdue balances shall accrue the stated late fee and that Service Provider may suspend further services until accounts are current.

Term and Termination

Agreement Start Date:     Agreement End Date (if any):

Either party may terminate this Agreement for material breach by the other party if the breaching party fails to cure such breach within the notice period specified above. Termination does not relieve Client of payment for services performed through the effective termination date.

Confidentiality

Each party shall keep confidential any technical, commercial or business information disclosed by the other party in connection with services under this form. Confidential information shall not include information that is or becomes publicly available through no breach by the receiving party, or that is independently developed without reference to confidential disclosures. This obligation survives termination for a period of two years.

Warranty and Limitation of Liability

Service Provider warrants that labor performed will be free from defects for a period of from the service date. Manufacturer warranties on parts remain in effect according to manufacturer terms. EXCEPT FOR THE LIMITED WARRANTY STATED HEREIN, SERVICE PROVIDER DISCLAIMS ALL OTHER WARRANTIES, EXPRESS OR IMPLIED. SERVICE PROVIDER’S AGGREGATE LIABILITY SHALL NOT EXCEED THE AMOUNTS PAID BY CLIENT TO SERVICE PROVIDER FOR THE SPECIFIC WORK GIVING RISE TO THE CLAIM.

Governing Law; Entire Agreement

This Agreement shall be governed by and construed in accordance with the laws of the state specified by Client jurisdiction: . Any dispute arising under this Agreement shall be resolved as provided herein or as agreed in writing by the parties.

This document, including all attachments and statements of work incorporated herein, constitutes the entire agreement between the parties with respect to the subject matter and supersedes all prior and contemporaneous agreements, representations and understandings of the parties.

Certification

Technician certifies that the services described above were performed at the location and on the date indicated, that equipment serial numbers and measurements recorded are true and accurate to the best of the technician’s knowledge, and that services were performed in a workmanlike manner consistent with industry standards and applicable manufacturer instructions.

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