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SAMPLE CONTRACT
Not Available in all States
Insurance Claims Assistance Contract
THERE IS NO CHARGE FOR THIS SERVICE
The Homeowner and Strong Home Services will not be obligated unless the Insurance Company approves the claim.
Strong Home Services (SHS) will invest its time and expertise in assisting the homeowner with the insurance claim for their home. The homeowner authorizes SHS to assist them in negotiations with the insurance company. When the insurance company finalizes the claim, the homeowner agrees to let SHS or its assignee, which is State Licensed and Insured, perform the work for the claim that we are qualified to perform.
The Insurance Company will determine the Replacement Cost and the scope of work required. The Replacement Cost including Contractors Overhead and Profit, before the deductible is applied, will be the Contract Amount between the two parties.
THE HOMEOWNER WILL ONLY PAY THE DEDUCTIBLE
Homeowner: _______________________________ Date: ___________
Address: _________________________City:__________State: ___
Telephone: __________________ Email or other number: ______________
Insurance Policy# ________________________
Insurance Company: ______________________
Homeowner’s Signature: _________________________________
NOTICE OF CANCELLATION
UNDER STATE LAW, THE HOMEOWNER HAS THE RIGHT TO CANCEL THIS AGREEMENT FOR ANY REASON WITHIN THREE (3) BUSINESS DAYS FROM THIS DATE BY CALLING, OR SIGNING AND SENDING THIS LETTER BACK TO STRONG HOME SERVICES AT:
2701 Pine Avenue
Gulfport, MS. 39501
Phone: 228-313-3997
Fax: 801-934-7566
DATE OF CANCELLATION: __________________________
HOMEOWNER’S SIGNATURE: _______________________
HOMEOWNER’S ADDRESS: __________________________
PLEASE KEEP A COPY OF THIS FOR YOUR RECORDS.
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