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.