CONTINGENCY CONTRACT

CONTINGENCY CONTRACT
Customer Information
Date

MonthDayYear
Date
Name

First NameLast Name
Address

Street Address

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CityState / Province

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Email
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Phone Number
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CONTINGENCY CONTRACT

Terms & Conditions
1. Owner has the right to rescind contract within 48 hours.

2. Owner agrees Impressive Roofing Solutions will perform work for the amount allowed by insurance company.

3. Owner will be responsible for depreciation on Actual Cash Value Policies Type A.

4. Owner agrees to pay ALL depreciation, supplements, and O&P as approved by insurance.

5. Owner agrees Impressive Roofing Solutions is not responsible for any damage caused to pipes, wires, or tubing which is
within 4 inches of the roof or walls, as defined in the Uniform Building Code as a Building Code Violation.

ALL STORM RELATED DAMAGE – WIND, WATER, HAIL & BUSINESS
INTERUPTION. NOTE – 180 DAY POLICY LIMIT
Signature

Insurance Information
Insurance Company
Policy Number
Claim Number
Adjuster Information
Adjuster Name
Adjuster Phone Number
Adjuster Email
NOTES

WE AGREE hereby to furnish materials and labor completed in accordance with the specification

AMOUNT APPROVED BY INSURANCE

Payments are made to as follows :

INSURANCE PROCEEDS ONLY. ( Supplements Included )

All material is guaranteed to be as specified. All work will be completed in good workmanship like manner according to standard practices. Any alteration or deviation from above specifications involving extra cost will be executed only upon written orders and will become extra charge over and above the estimate. All agreements are contingent upon strikes, accidents, or delays beyond our control.

Texas Law requires a person insured under a property insurance policy to pay any deductible applicable to a claim made under the policy. It is a violation of Texas Law for a seller of good or service who reasonably expects to be paid wholly or partly from the proceeds of a property insurance claim to knowingly allow the insured person to fail to pay, or assist the insured person’s failure to pay, the applicable insurance deductible.

This is a legally binding contract. The above process, specifications and conditions are satisfactory and are hereby accepted. The property owner agrees that if property owner’s insurance company approves the items herein, Impressive Roofing Solutions is hereby granted the exclusive right to perform said work. A fifteen percent liquidated damage fee will be charged for cancellation of this contract after an agreement has been made between Impressive Roofing Solutions and Insurance company. If, however, property owner’s insurance company does not authorize the repairs, or the amounts offered by the insurance company are not agreeable by Impressive Roofing Solutions, this agreement
is null and void. In addition, Impressive Roofing Solutions will also be allotted fifteen percent of all paid out claims in reference to BUSINESS INTERUPTION - any revenue loss, material loss, production loss, transportation loss and any
other miscellaneous costs related to said claims.

Impressive Roofing Solutions LLC

1510 NW 28th st

Suite B

Fort Worth Texas 76164

OFFICE PHONE : 682-583-6593
IMPRESSIVEROOFINGSOLUTIONS.COM
*Contingent upon insurance approval*
Name

First NameLast Name
Signature*
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CONTINGENCY CONTRACT

Customer Information

CONTINGENCY CONTRACT

Insurance Information

Adjuster Information

*Contingent upon insurance approval*

Contingent upon insurance approval