Storage Facility Survey Form

STORAGE FACILITY SURVEY FORM

Administrative Information

Survey Date:

Agreement Recitals

WHEREAS, Client Name: (the "Client") is the owner or operator of the facility identified above; and

WHEREAS, Surveyor Name: (the "Surveyor") is engaged to perform an on-site survey and condition assessment of the Facility and to deliver a written report; and

WHEREAS, the parties wish to define the scope, payment terms and limitations applicable to the survey engagement and to document observations regarding the Facility.

Scope of Work

Facility Inventory and Unit Types

Total number of storage units on site:

Observations and Condition Assessment

Security - Perimeter fencing, gates, locks operative? Yes No

Access Control - Keypad/card access, hours of operation:

Roof condition: Good Fair Poor

Fire protection present (sprinklers, extinguishers, alarms)? Yes No

Utilities - Water, power, HVAC condition summary:

Evidence of pests or vermin? Yes No

Number of photographs taken:

Recommendations and Remedial Actions

Payment Terms (Survey Engagement)

Total Fee:

Deposit required? Yes No   If yes, Deposit Amount:

Final payment due within days of invoice. Late payments incur a late fee of

Term and Termination

Engagement Start Date:

Engagement End Date:

Either party may terminate this engagement upon written notice to the other party delivered at least days prior to the effective date of termination. Termination does not relieve the Client of payment for services performed and reasonable costs incurred through the effective date of termination.

Confidentiality

All non-public information obtained by the Surveyor from the Client in connection with this engagement shall be treated as confidential and shall not be disclosed to third parties except (i) with the Client's prior written consent, (ii) as required by law, or (iii) to professional advisors who are bound by similar confidentiality obligations. The Surveyor's report is intended solely for the Client's use and may not be relied upon by third parties without the Surveyor's prior written consent.

Acknowledgment of Confidentiality: Client acknowledges and agrees

Limitation of Liability and Certification

The Surveyor shall perform services using customary industry standards, but the Surveyor makes no guaranty or warranty, express or implied, regarding the condition, suitability, or future performance of the Facility. Except to the extent prohibited by law, the Surveyor's total liability to the Client for any claim arising out of or relating to this engagement shall be limited to the fees paid to the Surveyor for the services giving rise to the claim. The Surveyor's observations are based on visible conditions at the time of the inspection and are not a comprehensive code compliance or engineering analysis unless explicitly stated in the Scope of Work.

Certification by Surveyor: I certify that the information contained in this survey is accurate to the best of my knowledge and represents my professional observations on the date of inspection.

Governing Law and Entire Agreement

Governing Law: This engagement and any dispute arising out of or related to it shall be governed by the laws of the state of without regard to choice of law principles.

Entire Agreement: This form, together with the Scope of Work and any attachments executed by the parties, constitutes the entire agreement between the Client and the Surveyor with respect to the services described herein and supersedes all prior proposals, negotiations, and understandings, whether written or oral.

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