Roof Repair Request Form

ROOF REPAIR REQUEST FORM

Request and Parties

Client Name:

Authorization Recitals

WHEREAS, the Client desires that certain roof repair services be performed at the Property identified above; and

WHEREAS, the Contractor represents that it is authorized and qualified to perform roof repair services and will provide labor, materials, equipment and supervision in accordance with the Scope of Work set forth below; and

WHEREAS, by signing this Roof Repair Request Form and Authorization, Client authorizes Contractor to commence the repair work consistent with the terms, payment provisions and limits set forth in this document.

Roof Damage Description

Scope of Work

Contractor shall perform roof repair services described below. The Scope of Work shall include labor, materials, cleanup, disposal of debris and removal of damaged materials unless otherwise noted. All work will conform to customary industry standards.

Payment Terms

The Client agrees to pay Contractor for the work described in the Scope of Work in accordance with the following payment terms. Contractor will provide an invoice that itemizes labor and materials.

Insurance and Permits

Insurance Claim? Yes No

Access and Site Conditions

Client grants Contractor and Contractor's agents permission to access the Property for the purposes of inspection, repair and follow-up work. Client acknowledges that concealed damage discovered during repair may require additional work and costs.

Permission to Enter Property: Yes No

Term and Termination

This authorization becomes effective on Start Date: and is intended to remain in effect until Completion Date: unless earlier terminated in accordance with this section.

Either party may terminate this authorization for material breach if the breaching party fails to cure within days after receiving written notice. Upon termination, Client shall pay Contractor for all work performed and materials purchased up to the termination date.

Confidentiality

Contractor and Client agree that proprietary information exchanged in connection with the performance of this repair work, including pricing, repair methods and trade secrets, shall be held in confidence and not disclosed to third parties except as required by law or to perform the services. Confidential information does not include information that becomes public through no fault of the receiving party.

Warranties and Limitations

Contractor warrants that materials installed will be of good quality and that labor will be performed in a professional manner for a period specified in the invoice. Except as expressly provided, Contractor disclaims all other warranties, express or implied. Contractor's liability for direct damages arising from Contractor's negligence shall be limited to the amount paid by Client for the specific services giving rise to the claim.

Governing Law and Entire Agreement

This Agreement shall be governed by and construed in accordance with the laws of the state where the Property is located. This Roof Repair Request Form, including the Scope of Work and payment terms, constitutes the entire agreement between the parties related to the subject matter and supersedes all prior negotiations, proposals and agreements, whether written or oral.

Acknowledgment and Client Certifications

By signing below, Client certifies that they are the property owner or authorized agent with authority to request and approve the described repairs. Client authorizes Contractor to proceed with work in accordance with this form and acknowledges receipt of a copy of this authorization.

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