Tire Service Document

Tire Service Document

Parties and Contact Information

WHEREAS

WHEREAS, Service Provider is engaged in the business of supplying, fitting and servicing passenger and light-truck tires and related services; and

WHEREAS, Client is the owner or authorized operator of the vehicle described below and desires that Service Provider perform tire services under the terms and conditions set forth in this Tire Service Document; and

NOW, THEREFORE, in consideration of the mutual covenants contained herein, the parties agree as follows.

Vehicle and Service Order

Vehicle Make:   Model:   Year:

VIN / Plate:   Service Order No.:

Scope of Work

Service Options and Inspection

Tire replacement    Tire repair/patch    Wheel balancing

Tire rotation    Alignment check/adjustment    TPMS service

Itemized Work and Parts

Item 1

Item 2

Item 3

Payment Terms

Total Due:    Deposit Required:

Cash    Card    Other

Late Payment: If any balance is not paid within days of completion, Client will incur a late fee of % per month on the outstanding balance, subject to the maximum permitted by law.

Term and Termination

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

Confidentiality

Each party agrees that information designated in writing as confidential, or that by its nature should reasonably be considered confidential, including pricing, trade terms and any diagnostic information, shall be held in confidence and shall not be disclosed without prior written consent of the other party except as required by law. This obligation shall survive termination of this document for a period of two (2) years.

Warranties, Liability and Indemnity

Service Provider warrants that labor provided will be performed in a workmanlike manner for a period of days from completion. Manufacturer warranties for tires are separate and limited by the tire manufacturer. Except for the express warranties set forth herein, all other warranties, express or implied, are disclaimed to the fullest extent permitted by law.

Client agrees to indemnify and hold Service Provider harmless from claims arising from Client's failure to disclose vehicle condition or prior damage, misuse of repaired items, or failure to follow recommended maintenance. Service Provider's liability for any claim shall not exceed the amount paid by Client for the specific service giving rise to the claim.

Authorization and Disposal

By signing below, Client authorizes Service Provider to perform the services described herein, to mount and balance tires, to perform necessary repairs, and to dispose of replaced tires in accordance with applicable environmental handling procedures. Client acknowledges that any used or damaged tires removed become the property of the Service Provider unless otherwise agreed in writing.

Client further acknowledges that Service Provider has inspected the vehicle to the extent reasonably practicable and that additional defects discovered during service may require further authorization and additional charges.

Governing Law; Entire Agreement

This Tire Service Document shall be governed by and construed in accordance with the laws of the State of , without regard to its conflicts of law principles.

This document constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements, representations and understandings. Any amendment must be in writing and signed by both parties.

Acknowledgement and Certifications

Client certifies that the information provided is accurate, that the Client is the owner or an authorized agent of the vehicle, and that Client authorizes the Service Provider to proceed in accordance with this document. Client understands that additional work discovered after initial inspection will require separate authorization unless otherwise noted above.

Sign Now