Vehicle Maintenance Brake Fix Form

Vehicle Maintenance — Brake Fix Form

Parties and Recitals

Client Name:   Service Provider:

WHEREAS, Client has presented the vehicle described below for inspection, diagnosis, repair and replacement of brake system components; and

WHEREAS, Service Provider is a qualified automotive maintenance and repair business with experience in brake system diagnostics, parts replacement and related safety testing; and

NOW, THEREFORE, in consideration of the mutual covenants contained herein, the parties agree that Service Provider will perform brake-related maintenance and repairs upon the terms set forth in this form.

Vehicle & Owner Information

Odometer Reading:   Date Presented: Month Day Year

Reported Problem & Inspection

Scope of Work

The Service Provider shall perform the brake-related services described below. Client authorizes reasonable related work necessary to bring the brake system to safe operating condition as described in the Scope of Work.

Payment Terms

Client agrees to pay Service Provider for parts and labor as follows. All charges are due according to the schedule below and are payable in lawful funds at Service Provider's place of business unless otherwise agreed in writing.

Term and Termination

This Agreement commences on the Start Date and continues until completion of the Scope of Work unless earlier terminated in accordance with this section.

Start Date: Month Day Year

Anticipated Completion / End Date (if known): Month Day Year

Either party may terminate this Agreement for material breach if the breaching party fails to cure within the notice period specified above. Termination does not relieve Client of payment for work performed and parts ordered prior to termination.

Confidentiality

Each party shall maintain in confidence all non-public information disclosed by the other party in connection with the services, including pricing, proprietary repair procedures and diagnostic data. Confidential information excludes information already in the public domain or required to be disclosed by law.

Warranties and Disclaimers

Service Provider warrants that parts supplied and labor performed by Service Provider shall be free from defects for the warranty period set forth below, subject to normal wear, misuse, collision or neglect. This warranty is limited to repair or replacement of defective parts and re-performance of defective labor and does not cover consequential damages.

Liability & Indemnification

Service Provider shall perform services using reasonable care and qualified personnel. Client agrees to indemnify and hold Service Provider harmless from liabilities arising from pre-existing vehicle conditions, aftermarket modifications, and Client-provided parts unless caused by Provider's negligence.

Governing Law; Entire Agreement

This Agreement shall be governed by and construed in accordance with the laws of the state in which Service Provider's principal place of business is located, without regard to conflict 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, understandings and communications, whether written or oral. Any amendment must be in writing and signed by both parties.

Authorizations & Acknowledgements

Client hereby authorizes Service Provider to perform the Scope of Work described herein and to order parts as necessary. Client acknowledges that additional repairs beyond the Scope of Work will require prior authorization unless they present an immediate safety hazard.

Authorization to Proceed: I authorize Service Provider to proceed with repairs in accordance with this form.

By signing below, Client certifies that the information provided on this form is true and accurate to the best of Client's knowledge and gives Service Provider permission to perform the repair work described. Service Provider certifies that all work will be performed by qualified personnel in a commercially reasonable manner.

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