I do hereby attest that I am the owner of the above identified vehicle and/or authorized to make decisions regarding the vehicle including, but not limited to, the execution of this contract and/or the authorization to repair my vehicle.

I do hereby authorize Conestoga Collision, its agents, servants, employees, affiliates and/or contractors to perform all necessary diagnostic work as they deem appropriate and necessary to properly repair my vehicle. I understand that such diagnostic efforts may include partial disassembly of my vehicle and both pre and post repair diagnostic scanning. I further authorize Conestoga Collision to allow my insurance company and their adjusters to examine my vehicle and review any pre or post-repair diagnostic scan results. I hereby release, hold harmless and indemnify Conestoga Collision from any and all damages and causes of actions which may occur from the performance of pre and post-repair diagnostic scans and/or the dissemination of those results to my insurance company.

I further authorize Conestoga Collision to complete all repair work associated with the above-listed claim. I authorize Conestoga Collision to operate my vehicle for purposing of testing, inspection and pickup or delivery of the vehicle by myself, as well as, any and all third-party vendors or subcontractors which Conestoga Collision elects to utilize in the completion of the said repairs.

Conestoga Collision promises to fully cooperate with the responsible insurance company and provide them with timely information necessary to process your claim, but ultimately the responsibility for payment of the services rendered by Conestoga Collision lies with you, the vehicle's owner. I understand that Conestoga Collision in no way warrants or guarantees that any and all the repair costs for my vehicle will be covered by the responsible insurance company. In the event that your insurance company refuses or fails to pay for some, or all of the repair services performed by Conestoga Collision, you, the vehicle's owner, agree and understand that you are responsible for any remaining balance.

It is further understood that Conestoga Collision will not release vehicles to its owners until all outstanding invoices are paid in full.

I understand that my vehicle must be picked up from Conestoga Collision within a reasonable amount of time after completion of the completion of repairs or Conestoga Collision reserves the right to charge a daily storage fee.

I authorize {insuranceCompany} to pay any remaining payments directly to Conestoga Collison, LLC (Federal Tax I.D. 27-0822500), for the above-listed claim. In a case where my name is listed as payee on an insurance check, I give Conestoga Collision, LLC officer permission to sign my name/endorse such checks for the above- listed claim only.