Flood Doctor

Customer Communication and Work Authorization Agreement


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Effect of Abnormal Water: Water indoors is an abnormal condition and can cause or contribute to a number of problems. The damage and health implications increase the longer materials remain wet. There are at least four progressive stages of indoor water damage.

 

  1. Water migrates into areas not originally affected. Water spreads laterally into adjoining rooms, penetrates materials below and wicks up into porous materials above. It is best to evaluate all affected areas, not just areas with visible saturation.
  2. Saturated materials begin swelling as they absorb moisture. In many situations, drying and restoration will restore them, and in others, the damage may be permanent. Rapid drying will help reduce the chance of permanent damage.
  3. As water evaporates it causes an abnormal humidity condition. High humidity can damage some porous materials if allowed to continue. Humidity damage is most common when the indoor humidity exceeds 60% over time. It is best to reduce the indoor humidity quickly to help prevent humidity damage.
  4. After water intrusion, mold and bacterial spores can germinate and multiply. Microorganisms can cause mold damage and degrade indoor air quality. Some microorganisms produce antigens and allergens, which cause allergies while others can cause infections and toxic diseases.

 

Reducing Mildew Growth & Damage: I understand that several things that can be done to help reduce mold growth and damage to affected materials: (1) Water can be removed; (2) Antimicrobial agents can be applied to help inhibit the growth of mold and other bio-contaminants; (3) Rapid air movement can be introduced into areas and cavities to increase the rate of evaporation; and (4) The relative humidity indoors can be reduced. I further understand, however, that Flood Doctor, INC: (1) Is not a mold remediation company; (2) Does not guarantee or warranty whatsoever that it can identify or remove mold; (3) That a company possessing expertise in mold remediation must be hired to help ensure proper identification and removal of mold and mildew; and (4) Flood Doctor Inc’s services may only help, not prevent or resolve, any issues related to mold and mildew.

 

Authorization: I the Owner/Agent for the job site listed below, authorize Flood Doctor Inc. to enter my property, furnish materials, supply all equipment and perform all labor necessary to preserve and protect my property from further damage, and to perform all restoration procedures necessary to repair and restore the carpet, furniture, structure and other furnishings.

 

Prices: I understand that water damage is a progressive condition and that drying time varies depending on the types of materials, quantity of water, degree of saturation, airflow volume and velocity, temperature and the indoor and outdoor humidity. Therefore, I understand it is impractical to give an accurate quote for services before completion. I agree to pay the full price for the work Flood Doctor Inc performs.

 

Stop Work-Hold Harmless: In the event that Flood Doctor Inc is not allowed to perform its recommended procedures and/or drying equipment is removed prematurely, I agree to release and hold Flood Doctor Inc harmless, and indemnify Flood Doctor Inc against any claims, actions, and liabilities that may result from such incomplete procedures.

 

Authorize Antimicrobials Agents: I understand that in the best judgment of Flood Doctor Inc all wet materials should be treated with a commercial antimicrobial agent to help inhibit the growth of microorganisms during the drying process. I agree that all wet materials should be treated with the antimicrobial agent as part of the restoration process. I understand that Flood Doctor Inc’s services do not include mold inspections or mold removal, and I, therefore, agree to release, agree to indemnify and hold Flood Doctor Inc harmless for any biological odors or growth, indoor air quality degradation and any mold-related personal injuries or other damages to health that may occur due to microbiological activity during and/or after the restoration process.

 

Drying Equipment: I understand that high-velocity air movers (fans) and dehumidifiers will be installed to increase the rate of drying. I will not allow children to play with this equipment and will not turn off the equipment without first calling Flood Doctor Inc. I will not leave windows open unless instructed by Flood Doctor Inc, as this may retard the drying process. I will minimize entering affected rooms, especially those where carpet is being dried.

 

Safety: If dehumidifiers or air movers must be moved, they must be shut off and unplugged, as it may be hazardous to move these units while they are operating. Exposed tackless strip is a danger even when covered; I will take care when walking near tackless strip. The floors may be slippery when wet; I will take extreme care if walking on or from wet flooring materials.

 

Equipment Responsibility: I understand that I am personally responsible for loss or theft of drying equipment while in my care and custody, and will take reasonable precautions to ensure that this drying equipment is not lost or stolen.

 

Insurance Payments: If the insurance company makes payment directly to the Owner/Agent, it shall be endorsed over to Flood Doctor Inc within three working days. I understand that I am personally responsible for any and all work performed by Flood Doctor Inc, regardless of whether my insurance company covers the loss or not. Any and all charges for services not reimbursed by an insurance company are due upon completion of the work.

Payment terms to Flood Doctor Inc are Net-30 days and late charges of 1.5% monthly are charged on any unpaid balance. If my insurance company is covering the loss for which I hired Flood Doctor Inc, I authorize my insurance company to pay Flood Doctor Inc directly.

 

Other Costs: As Owner/Agent of the property, it is understood that I have authorized the work and accept responsibility to Flood Doctor Inc for services rendered. It is fully understood and agreed that the Owner/Agent is personally responsible for the full costs and charges for the work, including but not limited to any deductible or depreciation not covered by insurance.

This authorization is made this by and between Flood Doctor Inc, hereinafter referred to as Flood Doctor and presently residing at   hereinafter referred to as the Client.

The Client authorizes Flood Doctor to proceed with its recommended procedures to preserve, protect and secure from further damage the property located at  and, providing the Client has valid effective insurance coverage for all or part of the services to be performed by Flood Doctor, the Client further authorizes and directs their insurance carrier to pay Flood Doctor directly, and to name Flood Doctor on any and all insurance drafts applicable to this loss.

Flood Doctor shall bill all charges and/or costs directly to the Client (insured), and, as a courtesy only, a copy of these documents will be mailed to the insurance carrier. It is fully understood and agreed to by the Client that Flood Doctor is hired directly by the client and is in no way required to deal with or negotiate with the Client’s Insurance company and that any and all charges and costs are due upon completion of work. It is fully understood that the Client is personally responsible for any and all deductible, depreciation or any charges or costs not covered by insurance. Any and all charges for services not reimbursed by an insurance carrier are the sole responsibility of the Client and are to be paid upon completion of work. Any exceptions must be approved by Flood Doctor General Manager, and a finance charge of 1.5% per month (minimum of $1.00), will be applied to any unpaid balance after thirty (30) days.

Flood Doctor shall provide all documents pertaining to the project (pictures, dry-logs, invoice) to the Client directly. If the insurance carrier requires any additional documentation it has 30 days from the date of completion to make such a request. At no time will Flood Doctor accept a Third Party Assesment of the loss post-mitigation. That includes any Insurance Company Third Party Vendor or Third Party Estimate, for work performed by Flood Doctor or Flood Doctor’s employees or contractors. 

Flood Doctor shall not be responsible for the mysterious disappearance of any personal property or contents. In the event any legal proceedings must be instituted to recover the amount due, Flood Doctor shall be entitled to recover the cost of collection including reasonable attorney’s fees. This agreement and the rights and obligations of the parties under it are governed by and interpreted in accordance with the laws of the Commonwealth of Virginia (without regard to principles of conflicts of law.) Client consents to the jurisdiction of the Commonwealth of Virginia and the Venue of Fairfax County, Virginia for any litigation regarding this agreement.

I have read and understand the information above, and have received a copy for my records.

 

Customer or Authorized Agent 

Name:

Email Address:  

Telephone:   

Date of Loss:

 

Insurance Co./Claim No.    

Deductible Amt:

Credit Card No.  

Exp. Date:   

CVV No.  

 

 

EXECUTED IN   , on 

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Signed by Frank Darakhshan
Signed On: November 14, 2017

Signature Certificate
Document name: Customer Communication and Work Authorization Agreement
Unique Document ID: 78816cd625912b08760a386221fd509c5a513654
Timestamp Audit
November 7, 2017 10:22 pm ESTCustomer Communication and Work Authorization Agreement Uploaded by Frank Darakhshan - info@flooddoctorva.com IP 173.73.144.189