HomeMy WebLinkAboutHOME IMPROVEMENT AGREEMENTHome Improvement Agreement: Page 1
Home Depot License Ws - For the most current listing visit
FL: EC0001440, CGC1514813,.CRC046858, CAC1813767, CFC1426021, CFC1427642,_22640, CAC 1818831, CCC1331113,
CCC1331130
Kevin Walsh
Salesperson Name Registration # (Req. in CA,CT,ME,MD,MI,NJ,DC)
Home Depot U.S.A.,Inc.("Home Depot") or Authorized Service Provider named below will furnish, install and/or
service the equipment listed below at the price, terms and conditions as outlined on this form.
Mice Provider Contact Information
;The Home Depot
Service Provider Contact Name
(754) 224-2090
Phone # Service Provider Email Address
2. Customer Information
The Home Depot
Service Provider Company Name
Service Provider License #(s)
Engle Douglas Ft Pierce 1-1VAHYW7Q
Customer Last Name Customer First Name Store # / Branch Name Customer Lead/ PO#
7003 Sebastian Road Fort Pierce FL 34951
Customer Address City State Zip
(973) 462-4270 I don nabradford03@gmaii.com
Home Phone# Work Phone# Cell Phone# Customer Email Address
3: NOTICE OF RIGHT TO CANCEL
YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR OBLIGATION BY
CONTACTING THE SERVICE PROVIDER OR STORE DIRECTLY; EMAILING SERVICE
PROVIDER AT:
�customercancellationsouth@homedepot.com
OR DELIVERING WRITTEN NOTICE TO HOME DEPOT AT:
1250 Linton Blvd Delray FL 33444
:Address City State Zip
BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING, UNLESS THE STATE
;SUPPLEMENT PROVIDES A DIFFERENT CANCELLATION PERIOD. THE STATE SUPPLEMENT
CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN YOUR STATE.
YOUR PAYMENT(S) WILL BE RETURNED WITHIN TEN (10) BUSINESS DAYS AFTER HOME
DEPOT'S RECEIPT OF YOUR NOTICE. YOU MUST MAKE AVAILABLE FOR PICKUP BY HOME
DEPOT OR SERVICE PROVIDER, AT YOUR SERVICE ADDRESS, AND IN SUBSTANTIALLY THE
FSAME CONDITION AS WHEN DELIVERED, ANY MERCHANDISE OR MATERIALS DELIVERED
TO YOU. OR YOU MAY CONTACT HOME DEPOT FOR INSTRUCTIONS REGARDING RETURN
SHIPMENT AT HOME DEFT
T'S EXPENSE.
THE LAW REQU T THE HOME DEPOT GIVE YOU A NOTICE EXPLAINING YOUR
RIGHT TO CANCEL. PL ASE SIGN BELOW TO ACKNOWLEDGE THAT YOU HAVE BEEN GIVEN
`ORAL AND WRITTE OTICE OF YOUR RIGHT TO CANCEL.
Acknowledged by: 03/15/2021
ustomer's Signature Date
....
_._ .__.... _.
460 Standard Form HIA (02 Oct. 20)(E) Generated Date ��1 F/.2L1.21 Lead/PO4 1-1 \/A N Y W7 Q
Home Improvement Agreement: Page 2
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s•A •detailed description of the work to be performed is included in the paragraph entitled Scope of Work,
Specification, Customer Summary Sheet, Quote Form, Estimate, Invoice or Measure which is included in this
Agreement.
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5: tics aced Dehve Date a Ins tallat�on =Schedule
;Approximate Start Date: 05/10/2021 Approximate Finish Date: 06/07J2021 All dates are approximate
and subject to change based on unforeseen events including inclement weather, permitting delays, and delays in
u confirming insurance coverage of Your claim for any repair, if applicable.
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6: Electron c_:Records Authorization .. ::. .
You are entitled to a paper copy of this Agreement if you choose. If you consent to an e-mailed copy, your consent
applies to this Agreement and all subsequent documents and written communications related to this Agreement.
:"By contacting your Service Provider, you may update your email address, withdraw your consent, or obtain a
paper copy of the Agreement or related documents at no charge. By providing your consent and verifying your
email address above, you confirm that you have access to a computer that can receive and open emails and PDF
documents.
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7 : Contract Price and Payment .Schedule
Payment of the Contract Price is due upon signing unless a different payment schedule is required by law,
specified below or in a payment addendum.
Contract Price: $ 18000.45 Includes all applicable taxes. Excludes finance charges.*
Sales Tax: $ 0.00 (If applicable, total amount of taxes included in Contract Price)
*Maximum deposit ONLY applicable in MD, MA, -VE (33 Vo), AU, Kl (99%)
Deposit % 25.0 Deposit Amount $ 4500.12 RemainingBalance.. . .. . .... . ................13500.33
8 Fnan•ce Charges
',Any interest payments or other finance charges will be determined by Customer's separate cardholder or loan
agreement, to which Home Depot is NOT a party, and will be in addition to Customers payment under this
Agreement. Customer is subject to the terms and conditions of the cardholder or loan agreement, as applicable. No
funds should be made payable to Service Provider; however, Service Provider may collect Customer's payments
,made payable to Home Depot.
Insurance.......
pro...... . ........ceeds wi........... !ll w...... .ill not be used to pay som...... ..e o....... . ...r all o... ........... ...f the total.... ..... am...... . .......ount of sale.
,.
9 - tance and Auth6rization
P.. _
By signing ning below, you authorize Home Depot to: (a) arrange for Service Provider to perform any Services or
(b) order and arrange for the delivery of special order merchandise, including special order merchandise that
,.may betdeP
, as specified in this Agreement. Do not sign if blank or incomplete. (Se-V
y custom made Provider's
;:or permuting information may need to be provided to You later.)By signing, you acknowledge that: (i) You
have read, understand
, and accept this Agreement in its entirety, including the General Conditions and State
Supple
A reement are solely vested in the person listed as Customer above, and (iv) Electronic signatures le ' ent, if any; (ii) You are receiving a complete copy of this Agreement; (iii) all rights and interests under
natures will be
g
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Customer's Signature
X I /s/ Tie Home Depot I
The Home Depot Digital Signature
03/15/2021
Date
03/15/2021
Date
For questions related to your installation, contact Service Provider at (754)
For any other concerns, contact The Home Depot at 1-800-466-333 7
460 Standard Form HIA (02 Oct. 20)(E) Generated Date n 3 11517 0 91 Lea&?04 a -1� Y W7 Q v 0.1.9