Flat Roof Core Sampling Agreement
Authorize core sampling and temporary repairs for roof evaluation.
Agreement Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Property Owner / Authorized Representative Name
*
First Name
Last Name
Property Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Country
Please review the agreement terms below:
Scope of Work
The Contractor requests permission to obtain a small core sample(s) from the existing flat roofing system at the above-referenced property. The purpose of this sample is to evaluate the composition and condition of the roofing assembly, including membrane, insulation, and substrate layers, to assist in determining the appropriate repair or replacement strategy.
Core Sample Collection
The Contractor will remove a small section of the roof system using a professional roof core sampling method. The sampling will be performed with reasonable care to minimize disruption to the surrounding roofing materials.
Temporary Repair of Sample Area
Upon completion of the sampling process, the Contractor will properly seal and patch the sampled area using compatible roofing materials to maintain the roof’s watertight integrity until further repairs or work are performed, if necessary.
Sample Evaluation
The collected sample may be used for internal evaluation by the Contractor or submitted to a third-party laboratory or roofing consultant for analysis of roofing materials, insulation condition, moisture presence, or other relevant characteristics of the roofing system.
Liability
The Owner acknowledges that core sampling involves the controlled removal of a small section of roofing material. The Contractor will exercise reasonable care during the process; however, the Owner agrees that the Contractor shall not be held liable for unforeseen conditions discovered within the roof assembly during sampling or as a result of taking the sample itself.
Authorization
The Owner grants permission to the Contractor to perform the core sampling and temporary repair as outlined in this agreement.
Signature of Owner / Authorized Representative
*
Authorize and Sign
Authorize and Sign
Should be Empty: