Work Acknowledgment & Work Authorization

Order Acknowledgment & Work Authorization

Step 1 of 4

  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • by and between MasterDry, LLC, hereinafter referred to as MasterDry, LLC and (Customer listed above), for the property located above.

  • Customer acknowledges that when emergency conditions exist at the Work Site and that Customer has accordingly requested that work be commenced on an expedited basis without the delay involved in preparation of an estimate. MasterDry, LLC shall charge, and Customer agrees to pay, MasterDry, LLC’s standard prices for the services and materials actually provided.

    The CUSTOMER authorizes MasterDry, LLC to proceed with its recommended procedures to preserve, protect and secure from further damage, the property(s) located above, and providing the CUSTOMER has valid effective insurance coverage for all or part of the services to be performed by MasterDry, LLC, the CUSTOMER further authorizes and directs their insurance carrier to pay MasterDry, LLC direct and to name MasterDry, LLC on any and all insurance drafts applicable to this loss. MasterDry, LLC shall bill all charges and / or costs directly to the CUSTOMER, and as a courtesy only, a copy of these invoices shall be mailed to the insurance carrier. It is fully understood and agreed to by the CUSTOMER that any and all charges and costs are due upon completion of work. It is fully understood that the CUSTOMER 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 CUSTOMER and are to be paid upon completion of work. Any exceptions must be approved by MasterDry, LLC. General Manager and finance charge 1.5% per month (minimum of $1.00) will be applied to any unpaid balance after thirty (30) days. The liability of MasterDry, LLC shall not be responsible for mysterious disappearances of any personal property or contents. In the event any legal proceedings must be instituted to recover the amount due, MasterDry, LLC shall be entitled to recover the cost of collection including reasonable attorney’s fees.

    Customer shall purchase from MasterDry, LLC, the services and materials set forth in the Scope of Work, and MasterDry, LLC will provide the same to Customer, subject to the terms and conditions set forth in this agreement, including without limitation those contained in MasterDry, LLC's Standard Terms of Sale, a copy of which is attached as Part 2 of this form. Customer represents and warrants that Customer either is the owner of the Work Site or has been duly authorized and empowered by the owner of the Work Site to enter into this agreement; and Customer has read and understands this agreement and the attached Standard Terms of Sale.


    CUSTOMER

  • Filling out this field represents your electronic signature.
  • MM slash DD slash YYYY