HomeMy WebLinkAboutTermite Treatment From fax5616880909 1.161.688.0909 Thu Dec 16 14:24:22 2021 MST Page 1 of 6
12/16121,8:13 AM County PCL Form
St Lucie County Inspections
tl�` 2300 Virginia Avenue
: , 1 r
Ft Pierce, FL 34982
C aR1Dk,t, (722) 462-2172
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT# 20 1 0-0239 JOB ADDRESS 5609 Myrtle Dr, Fort Pierce, FL 34982-3890
BUILDER GHO Homes
PEST CONTROL CONTRACTOR HomeTeam Pest Defense, Inc.
PEST CONTROL LICENSE# JF0001886
We,the undersigned,hereby certify that we have pretreated the above-described construction for
subterranean termites in accordance with the standards of the National Pest Control Association.
Square feet of area treated: 240 Chemicals used: Sentricon Always Active HD
bait
Percentage of solution: .50% Total gallons used: 0.00
Date of treatment: 12/15/21 Time of treatment: AM
FBC104.2.6 Certificate of Protective Treatment for prevention of tennites.
A weather resistant jobsite posting board shall be Provided to receive
® Footing duplicate Treatment Certificates as each required protective treatment is
® 1 st Treatment completed,providing a copy,for the person the poermit is iisued to and
another copy for the building permit,ftles. The Treatment Certftcate shall
❑Re-treat provide the product used, identity vf'the applicator, time and date of the
❑ Slab treatment,site location, area treated, chemical used,percent concentration
and number ofgallons used, to establish a verifiable record of protective
❑ 1st Treatment treatment. If the soil chemical barrier method,for termite prevention is used,
❑Re-treat final exterior treatment shall be completed prior to.ftnal building approval.
❑Driveway St Lucie County requires for the final inspection for CO,a Permanent
❑ 1st Treatment Sticker to be placed on the electrical panel box cover,listing all the
❑Re-treat treatments and dates of applications.
❑ Pools
❑ 1 st Treatment
❑Re-treat %nature of exterminator
❑Other
❑ 1 st Treatment
❑Re-treat
® Perimeter for Final Inspection
NOTE:There must be a completed farm for each required treatment or re-treatment and this form must be on
https:/Iht-xb.pestpac.comiforms/countypcl_print_plain.asp?FormlD=1923439&preprint=O&pdf= 1/2
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From fax5616880909 1.161.688.0909 Thu Dec 16 14:24:22 2021 MST Page 2 of 6
12/16121,8.13 AM County PCL Form
the job site to be picked up by the inspector at time of each inspection or the scheduled inspection will
fail and a re-inspection fee charged.
I
I
https://ht-xb.pestpac.com/forms/countypcl_print_plain.asp?FormlD=1923439&preprint=0&pdf= 2/2
From fax5616880909 1.161.688.0909 Thu Dec 16 14:24:22 2021 MST Page 3 of 6
THIS AGREEMENT PROVIDES FOR
RETREATMENT OF A STRUCTURE
HomeTeam AND THE REPAIR OF DAMAGES
'P E s'f Q t f E N S E' CAUSED BY WOOD DESTROYING
ORGANISMS RTTHIN THE LiMiTS
STATED IN THiS AGREEMENT.
AccormtNo.:, 3345302T-
AGREEMENT FOR THE INSTALLATION AND MONITORING
OF THE SENTRICONO COLONY ELIMINATION SYSTEM
Section 1. GENERAL INFORMATION.
Name: GHO Homes Billing Address: 590 Nw Mercantile PI
Service Address: 5609 Myrtle Dr City: Port Saint Lucie
City: Fort Pierce State: FL Zip Code: 34986-2252
State: FL Zip Code: 34982-3890 Home Phone: 561-688-2020
Location orTreaaucnt Sticker. Panel Work Phone:
Lincar Footage of Structures):...240-------.._................_.__....--................ Treatment Type: Q Corrective M Preventive
Section 11, SERVICE COMMITMENT.
Home?cam Past Defense,inc.(Ike"Company')will,in complianec uitb applicable federal,state and local laws.rules anti regulations:
A. install the Sentricon termite bait stations(the"Stations")in the soil around the paritnctcr of the struciure(s)(sec attached graph)locatud at die Service Address
above(the"Structure(s)")for the installation fee of S 0.00
B. Monitor the Stations in accordance with the label directions fora period of twelve(12)months immediately fallowing installation of the Stations for an annual
reeofS 0.00 -
C, Total cost tar the first yearof Installation and Muuitain•S 0.00
D. The Annual Renewal Pce aacr the fits!year S.300,0 Can be paid in twelve(12)equal monthly payments if E_Z•Pay option is selected S-O_GO_
E. During the monhoring period,add and remove Recruits'temtite bait from the Stations as appropriate;
F. During the monitoring period,maintain all Stations in serviceable condition;
G. The Company will provide re-inspections to the structure when deemed necessary by the Company or annually if requested by the Customer.
Section IiI. CUSTOMER UNDERSTANDING OF PERFORMANCE OF SENTRI'C.ON SYSTEM.
Customer undeotaods that:
A. The Sentricon System involves installation mid monitoring,colony elimination with Recruit tumito bait,and subsequent monitoring for continuous protection
from new termite colonies;
H. Intervals of from a few weeks 10 more than a year should be expected between;
i. lustaflation of the Sentricon stations and sufficient termite acniityto allow the addition ofRecnit termite bait;
ii. Addition ofRecruil terinite bait;and
iii. Sentricun Always Active,the Recruit tc•mmite bait is included at the lima or installation.
C. During the Interval(s)between installation of the Stations mid complete elimination of existing termite colonies,termite feeding within the Structures,possibly
involving additional strucaiml damage,may occur.Additional services such as spot applications of conventional ienniricidcs arc available to combat termite
activity on a localised•dion-tent basis if desired,but are not needed far and will,not contribute to termite colony elimination.
D. 71c active ingredient in die Sentricon System is an insect growth rogulatur(Recruit)that prevents worker termites from molting.(Molting is critical to colony
survival.)
F. In tests that it conducted on Recruit,Dow AgroSciences TIC,the manufacturer of Rccruit.observed evidence of very low levels of mmnmalian toxicity only at
bury high levels of exposure.
F. Treatment is provided against the attack of subterranean termites(Reiculitomtes spp.,Hctcrolermes slip,and Coptotcrmcs spp.(Formosan).-Ibis Agreement
does not provide for die lrealnumt of may other pests,plant.animal or organism other than such termites.The Company has not inspected or treated the
srructure(s)for health-related molds or fungi.By law,the Company is not qualified-authorized or licensed to inspect for health-rotated molds or fungL
G. Me Company makes no representationsregardingtw:axaolocationornumberofanyexistingtermitecolonies.
Section IV. DOW AGROSCIENCES LLC OWNERSHIP OF SENTRICON SYSTEM COMPONENTS.
Customer also understands that:
A. The Sentricon Systcm and all of the components of the Sentricon System("Components")have been designed by Dow AgroSciences LI.C.The Components
are and will remain the property of Dow ApoScicnccs LLC.Custamerbas no rights with respect to may of tlic Components,other than the right to their use as
installed by the Company on the Customer's premises under this Agreement.
B. On expiration or tennination of this Agreement,the Company and Dow Agi•eSci¢uces 1.LC or their respective representatives are authorized by Customer to
retrieve from Cusiutnei's premises the Stations and other Components for appropriate disposition.In addition,if the Company.for whatever reason,ceases to
represent or to be authorized to represent the Sentricon System,
i. The Company MIL-
a. So notify Customer,
b. ORYY Customer the alternatives of either using a ditTcrent form of iennite protection or terminating this Agreement;
C. Credit the Customer rbr services paid tin but not yet received.ifappropriate;
d. Refund to the Customer an amount equal to the fee paid for services not yet received if Customer elects to discontinue the relationship,or if the
Company cannot offer an effective alternative form of terinite protection;and
e. Retrieve.or allow Dow AgroSciences LIX or its representatives reasonable access to the premises for the renievatof the Components:and
ii. Cus'wmcrwill:
IL Grant the Company and Dow AgroSciences I.I.C.or their respective representatives reasonable access to tho premises for the retrieval of the
Components;and
b. Either agree vvith die Company on the use of an alternative form oftermite control or terminate this Agreement.
PAYMENT METHOD. U Cash U Check U Credit Card U EZ•Pay
Mpaying by credit card or recurring debit from your bank account•please complete the attached Authorization for Pic-Ar ungod Payments to include the EL-Pay option
if desired.
This Agreement contains certain limitations,conditions and exclusions on the Company's obligations.Please read the entire Agreement before signing.
In consideration for the Company performing the services specified ahoce and subject to the terms and conditions of this Agreement,Customer agrees to make the
payments indicated above.Customer acknowledges receipt of a signed copy of this Agreement.This Agreement is not binding an the Company until signed by an
authorized manager or executive officer of the Company.
CUSTOMER: HOMETEAM PEST DEFENSE,INC.
Signature: Signature: ,� A.1-02i
PrimcdNanic: Printed Nam�I Jose Rosa
Grail: Erf.f,:Date: 12/1612021
RIGHT TO CLVChL:YOU:THE COsr0,VER,M.4YCANCEL THIS TRANS 4CTIONAT ANY?•IAIEPRIOR TO AHRI IGIIT OF TILE TIIIRD RUSIAESS
PAV AFTER THE DATE OF THIS TRANSACTION.SEE THEAITACIIED NOTICE OF CANCELLATION FOR AN EXPLAA(4TION OF THIS RIGHT.
THE REMOVAL OF THE BAIT OR BAITING SYSTEM MAY RESULT IN A LACK OFTEkwTE PROTECTION
Sentricon,Recruit and tailube arc regisvred trademarks of Dux•AgroSciarices LLC.
Dl 11—T—ri pest Dcfauc.Inc.2017 a J'17-(S1086 SYR)
From fax5616880909 1.161.688.0909 Thu Dec 16 14:24:22 2021 MST Page 4 of 6
Section V.CUSTOMER COMMITMENT AS TO CONDITIONS CONDUCIVE TO INFEEI'AT'IONS.The Customer agrees to be solely responsible for
maintaining the Treated Premises free from any condition conducive to termite infestation("Conditions Conducive,"sec below for explanation).The Customer agrees
to be solely responsible for identifying and correcting Conditions Conducive.The responsibility rests=elusively with die Customer,not with the Company.failure of
the Company to alert Customer to any of the above conditions does not alter Customer's responsibility under this Section.In addition,the existence of any Conditions
Conducive that was not timely corrected,including any Conditions Conducive existing but not visible at the time of the execution of this Agreement,will permit the
Company,at its sole discretion,to terminate the Agreement or to require Customer to purchase any additional treatment required as a result of the Conditions
Conducive.Customer agrees to fully cooperate with the Company during the tern or this Agreement,and ah=s to maintain the area(s)baited free from such
Conditions Conductive.Other specific items may be noted below in"Additional Coimnents"(Section XV).
CONDITIONS CONDUCIVE:Conditions Conducive include,but are not limited to,roof leaks,improper ventilation,faulty plumbing,and water leaks or intrusion in
or around die structure;inherent structural problems,including,but not limited to,wand to ground contact,masonry failures,and settlement ofthe foundation,foam
insulation,smeco construction,expanded polystyrene of styrofcam molded foundation systems,siding(including vinyl,%vood and metal)if within 6 inches of the
ground;and firewood,trash,lumber,wood,mulch,shrubs,vines,and other protective ground covering that restricts visual inspection or treatment ofthe structure,
Customer agrees to maintain the area(s)bailed free from any factors contributing to infestation,such as wood,trash,lumber,direr wuod-soil contact,standing writer
under pier-foundafion structures,or us noted below in"Additional Comments"(SectionXV).Customer also agrees to notify the Company of,and to eliminate,faulty
plumbing,lealcs,dampness from drains,condensation or leaks from the roof or otherwise into,onto or under the area(s)baited.Failure of the Company to alert
Customer to any of the above conditions does not alter Customer's responsibility under this Section.
Section VL.ADDITIONS,ALTERATIONS,AND OTHER CHANGES.This Agreement covers the Stmctare(s)identified in Section I us ofthe date of the initial
installation.Custoincrwifl immediately notify the Company in writing(1)prior to the Stmcture(s)being amtctnmlly modified,altered atrotherwise changed,(2)prior to
any tcrmiticide being applied on or close to the location of any Station,(3)if soil is removed or added around the foundation ofthe Structure(s)or(4)any tampering of
baiting equipment or supplies occurs.Failure to notify the Company in writing of arty event listed above may void die Agreement.Additional services required by any
addition,alteration or other such event may be provided by the Company at Customer's exprnm and may require an adjustment in the renewal fee.
Section Vil.DAMAGE,RELATED TO SERVICES.The Company will exercise due care while performing services hereunder to attempt to avoid damaging any part
of Customer's property,plants or animals.Under no circumstances will the Company be responsible for damage caused by the Company at the time the work is
performed,except those damages resulting from gross negligence of the Company.Customer is responsible,at Customer's sole expense,for refurbishing Customer's
property(including lawn and landscape)after installation ofthe Stations.
Section ViiL.REPAIR AND RETRF,ATMF,NT OBLIGATION,Customer initials .Subject to the general terms and conditions of this Agreement,ifan
infestation of subterranean termites occurs in the treated structure(s)during the term of this Agreement,the Company will retreat the area of infestation at no additional
charge.In addition,subject to the general tens and conditions of this Agreement,the Company will repair,at its cost,new termite damage to the treated stmemre(s).
The Company's total liability will not exceed in any one calendar year the lesser or(i)S200,000 or(ii)the lair market value of The treated stmcttue(sl nor exceed
$1,000,000 in the aggregate over the term ofthe Agreement,including extensions and renewuU.
1.Customer expressly waives any claim for economic,compensatory,or consequential damages relating to the existence of Subterranean termites or Subterranean
termite damage,or for increased costs,loss of use,business interruption,diminution ol'value,or any"stigma"damage due to the presence of Subterranean termites or
Subterranean termite damage.'fie Customer acknowledges that the Company is performing a service and except for termite damage repairs set forth above and any
damage to the structure caused by the Company in the performance of its services,Customer waives any claim for property damage,and agrees that under no
circumstances shall Company be held liable for any amount greater than the amount paid by the Customer to Company for the termite service to be performed.
2.Due to subterranean termite habits,termite activity may continue to be present in a structure for a period of time following treatment.The Company is not
responsible for repairs of subterranean termite damage that occurs before the repair portion of the warranty becomes effective.
3.The Company's obligation.to repair termite damage will become effective upon the earlier of(i)elimination of the colony or colonies located on or about the Service
Address or(ii)the first anniversary ofthe,installation of the Stations.Colony elimination shall be deemed to occur when,following two consecutive months of termites
feeding on Recruit termite bait in one or more termite bait stations located at the Service Address,the Company's technician is unable to locate,for a period ofthree
consecutive service visits to the Service Address,any live termites in any of flee termite bait stations located at the Service Address If new damage,as evidenced by the
presence of live tennites,occurs while the Company's obligation to repair termite damage is in force,follnwing written notification Flom Customer and an inspection by
the Company,the Company agrees to reimburse Customer for the reasonable cost of the repairs,but only to the extent that the total reasonable cost of such mpairs is
less than$200,000 in any one calendar year.
4.Subject to the remaining provisions of this Section VIIIA,Customer will be entitled to select the contractor who will perform the needed repairs to the treated
structure(s).Prior to entering into a contract with a contractor,Customer agrees to provide the Company a copy ofthe proposed contract or written bid.If the Company
determines the bid to be excessive,Customer agrees to giant access to the treated structure(b)to a contractor designated by the Company fur the purpose of ubtarning a
second bid for the work,in cases where there are multiple bids for repair work,Customer acknowledges that the Company reserves the right to select the contractor to
perfunn the repairs.
5.The Company is not responsible for the repair of either visible damage(noted on the attached inspection graph)or hidden damage existing as of the date of this
Agreement.The Company does not guarantee that the damage disclosed on the attached inspection graph represents all of the existing damage as of die date of this
Agreement.The Company will not be responsible for(1)any damage caused by termites to the treated structure(s)or the contents thereof arising prior to or
following the term of this Agreement or(2)any costs or expenses incurred by Customer as a result of any such damage.Customer waives all claims far
damage to the property or people that may result directly or indirectly from services provided by the Company,with the sole exception of claims for damages
due to the gross negligence ofthe Company and/or its employees.
Section T.X.PAYMENT.The Company's obligation to perform under this Agreement is conditioned upon Customer's paynnent in full ofthe price set forth in Section 11
above.Customer's failure to pay such price in full will cause this Agreement to automatically and immediately icrninate in its entirety and the Company will be
discharged ufall liability.All amounts paid,if any,will become the property ofthe Company as liquidated damages hereunder.The installation fee is due and payable
at the time of the initial service.'rho renewal fee is due and payable upon rcccipr of invoice,if applicable.Invoices that am not paid within thirty(30)days of rho
invoice date will accrue interest on the unpaid balance at a rate equal to the lesser of 1,5!c per month(18%per year)or the maximum rate allowed by law.ldowever,if
the Customer elects the EL-Pay option,tine Customer's account will be debited in twelve(12)equal monthly installments.hn the event that legal action is necessary to
wllect any amount due the Company,the Company will be entitled to recover From Customer all casts of correction,including reasonable attorneys'fees,in addition to
all outsmndingamounts due the Company.
Section X.TERM.Unless otherwise specifically provided herein,the parties agree that the initial term ul'this Agreement will be for twelve(12)months and will be
automatically renewed on an annual basis,for an additional twelve(12)month period,for a maximum or four(4)additional twelve(12)month periods,following the
initial term upon payment by Customer of the fee indicated in Section 11_B.of this Agreement(subject to Austmcm as provided in this subsection),unless either party
cancels by giving the other party written notice at least thirty(30)days prior to die end of the then current term.This Agreement may be terminated by the Company or
by Customer,at any time following ilia initial term,upon written notice to the other party at last thirty(30)days prior to such termination At the end of that five(5)
year period,the service may be renewed annually with die mutual consent of both parties,and,thereafter,eider patty maytermineto the service with written notice at
least thirty(30)days prior to the end of the then current term,'rho Company reserves the right to increase the price of service.This Agreement may be terminated by
Customer by providing written notice to the Company within thirty(30)days following Customer's receipt ofthe notice ofincrease.
Section XI. ARBITRATION.ANY CONTROVERSY OR CLAIM ARISING OUT OF OR RELATING TO THIS AGREEMENT OR ANY OTHER
AGREEMENT BETWEEN THE PARTIES,INCLUDING BUT NOT LIMITED TO ANY TORT AND STATUTORY CLAIMS,AND ANY CLAIMS FOR
PERSONAL INJURY OR PROPEWIY DAMAGE, SHALL BE SETTLED BY BINDING ARBITRATION. UNLESS THE PARTIES AGREE
OTHERWISE,THE,ARBITRATION SHALL. BE ADMINISTERED UNDER THE COMMERCIAL,RULES OF THE.AME,RICAN ARBITRATION
ASSOCIATION("AAA")Olt,IF APPLICABLE,it SHALL BE DETERMINED UNDER THE AAA PROCEDURES FOR CONSUMER-RELATED
DISPUTES.THE PARTIES EXPRESSLY AGREE THAI'THE ARBITRATOR SHALL FOLLOW THE SOBsTANI'IVE LAW,INCLUDING THE
TERMS AND CONDITIONS OF THIS AGREEMENT,AND THAT ANY ARBITRATION PROCEEDING UNDER TIILS AGREEMENT WILL NOT BE
CONSOLIDATED ORJOINED WITH ANY ACTION OR LEGAL PROCEEDING UNDER ANY OTHER AGREEMENT OR INVOLVING ANY OTHER
PREMISES,AND WHJ,NOT PROCEED AS A CLASS ACTION,PRIVATE ATTORNEY GENERAL ACTION OR SIMILAR REPRESENTATIVE
ACTION.EITHER PARTY HAS THE RIGHT TO REQUIRE A PANEL.OF THREE(3)ARBITRATORS,AN'D THE REQUESTING PARTY SHALL BE
RESPONSIBLE FOR THE COST OF THE ADDi.TIONAL ARBITRATORS.EITHER PARTY MAY REQUEST AT ANY TIME PRIOR TO THE
HEARING THAT THE AWARD BF.ACCOMPANIED BY A REASONED OPINION,THE AWARD RENDERED RY THE.ARBITRATOR(S)SHALL BE
FINAL AND BINDING ON ALL PARTIES,EXCEPT THAT EITHER PARTY MAY WITHIN 30 OAYS OF THE ORIGINAL.AWARD REQUEST AN
ARBITRAL APPEAL TO A THREE MEMBER APPEAL TRIBUNAL.THE APPEALING PARTY SHALL BE RESPONSIBLE FOR ALL APPELLATE
ARBITRATOR(S)FEES AND COSTS.THE.APPEAL.TRIBUNAL SHALL REVIEW ALL QUESTIONS OF LAW AND FACT UNDER A CLEARLY
ERRONEOUS STANDARD.THE AWARD OF THE APPEAL TRIBGNAI,SHALL BE FINAL AND BINDING.JUDGMENT`HAY BE ENTERED ON
THE AWARD IN ANY COURT HAVING JURISDICTION THEREOF.CUSTOMER AND COMPANY ACKNOWLEDGE AND AGREE THAT THIS
ARBITRATION PROVISION IS MADE PURSUANT TO A TRANSACTION INVOLVING INTERSTATE COMMERCE AND SHALL BE GOVERNED
BY THE FEDERAL ARBITRATION ACT.
Section XII.CHEMICAL SENSITIVITY OR SPECIAL HEALTH CONDITIONS.If Customer believes that Customer or otheroccupants ofthe created structure
arc or may(A)be sensitive to pesticidesitcratiticides or their odors or(B)have other health conditions that may be affected by pesticides/tenniticides or their odors,
Company recommends that you not have an initial or a subsequent service performed at your premises until you have consulted with your family physician.At your
request,Company will provide information about the chemicals to be used in treating the premises.By permitting the treatment,Customer assumes the risk and waives
any and ail claims against the Company in connection with such sensitivity or condition.At your request,the Company will provide information about the chemicals to
be used in treating the premises.
Section XIII.ASSIGNABILITY.This Agreement is transferable m a new owner of the property located at the Service Address provided that the new owner of the
property enters into an installation and monitoring agreement with the Company.The Company reserves the right to charge a transfer fee,adjust the annual renewal
rate,and change the terns ofthe Company's obligations tinder this Agreement upon any such transfer.Upon the closing ofthe sale ofthe property located at die Service
Address,this Agreement will terminate.
Section XIV.ENTIRE AGREEMENT AND SEVERABILITY.This Agreement and One attached graph constitute the entire agmemmu between the parties.
Customer expressly warrants and represents that,in entering this Agrccman,Customer is not relying on any promise,agreement or statement,whether oral or written,
that is not expressly and fully set forth in this Agreement.If any part of this Agreemenf is held to be invalid or unenforceable for any reason,the remaining terms and
conditions of this Agreement will remain in full force and spinet.The terms of the Agreement stated herein may not be amended or altered unless a written change is
approved and signed by a Corporate Officer of Company.No other employees or agents of Company have authority to amend or after any pan of this Agreement.
Provided,however,thhat as to the paragraph on ARBI'TRA•I'ION,if the sentence precluding the arbitrator from conducting an arbitration proceeding as a class,
representative or private attorney general action is found to be invalid or unenforceable then the entirely of the ARBITRATION paragraph shall be deemed to be
deleted from this Agreanent.
Section XV.ADDITIONAL COMMENTS.
Sentricon,Recruit and Beilube arc registered trademarks of Dow AgroSetences LLC.
1,I Io—Tsam Nit Dcfcmac,lac.2017 09119-(52996 SYR)
From fax5616880909 1.161.688.0909 Thu Dec 16 14:24:22 2021 MST Page 5 of 6
New Construction Subterranean Termite OMB Approval No.2502-0525
Service Record (exp.09130/2022)
This form is completed by the licensed Pest Control Company
Public reporting burden for this collection of information is estimated to average 15 minutes per response,including the time for reviewing instructions,
searching existing data sources,gathering and maintaining the data needed,and completing and reviewing the collection of information.This information
its required to obtain benefits.HUD may not collect this information,and you are not required to complete this form,unless it displays a currently valid OMB
control number.
Section 24 CFR 200.926d(b)(3)requires that the sites for HUD insured structures must be free of termite hazards.This information collection requires the
builder to certify that an authorized Pest Control company performed all required treatment for termites,and that the builder guarantees the treated area
against infestation for one year.Builders,pest control companies,mortgage lenders,homebuyers,and HUD as a record of treatment for specific homes will
use the information collected.The information is not considered confidential,therefore,no assurance of confidentiality is provided.
This report is submitted for informational purposes to the builder on proposed(new)construction cases when treatment for prevention of subterranean termite
infestation is specified by the builder,architect,or required by the lender,architect,FHA,or VA.
All contracts for services are between the Pest Control company and builder,unless stated otherwise,
Section 1:General Information(Pest Control Company Information)
Company Name: HomeTeam Pest Defense Inc.
Company Address 4341 Fortune Place City_West__Melbourne._,_______,_____,State FLZip 32984-1532_.,__
Company Business License No. OB165929 Company Phone No. 321-409-8499
FHA/VA Case No.(if any)
Section 2:Builder Information
Company Name. GHO Phone No.
Section 3:Property Information
5609 Myrtle Dr,
Location of Structure(s)Treated(Street Address or Legal Description,City,State and Zip) Fort Pierce, FL, 34982-3890
Section 4:Service Information
Date(s)of Service(s) 12/is/2021
Type of Construction(More than one box may be checked) ❑X Slab ❑ Basement ❑ Crawl ❑ Other
Check all that apply:
❑ A.Soil Applied Liquid Termiticide
Brand Name of Termiticide: EPA Registration No.
Approx.Dilution(%): Approx.Total Gallons Mix Applied: Treatment completed on exterior: ❑x Yes ❑ No
❑ B.Wood Applied Liquid Termiticide
Brand Name of Termiticide: EPA Registration No.
Approx.Dilution(%): Approx.Total Gallons Mix Applied:
❑x C.Bait system Installed
Name of System sENTRICONAA EPA Registration No. 62719-608 Number of Stations installed 24
❑ D.Physical Barrier System Installed
Name of System _,__-„_,__„„_,� Attach installation information(required)
Service Agreement Available? x❑ Yes ❑ No
Note:Some state laws require service agreements to be issued.This form does not preempt state law.
Attachments(List)
Comments
Name of Applicator(s) .Alex Sherry _, „ �_ ww,_,_,__._w_ __,_„ Certification No.(if required by State law) 7E133994
The applicator has used a product in accordance with the product label and state requirements.All materials and methods used comply with state and federal
regulations.
Authorized Signature.._ Caaz A4"-' Date 12/16/21
Warning:HUD will prosecute false claims and statements.Conviction may result in criminal and/or civil penalties.(18 U.S.C.1001,1010.1012;31 U.S.C.3729,3802)
form HUD-NPMA-99-8(08/2008)
From fax5616880909 1.161.688.0909 Thu Dec 16 14:24:22 2021 MST Page 6 of 6
Subterranean Termite Protection Builder's Guarantee OMB Approval No.2502-0525
(exp.09130/2022)
This form is completed by the builder.
Public reporting burden for this collection of information is estimated to average 5 minutes per response,including the time for reviewing instructions,searching existing data sources,gathering
and maintaining the data needed,and completing and reviewing the collection of information.This information is required to obtain benefits. HUD may not collect this information,and you are
not required to complete this form,unless it displays a currently valid OMB control number. Section 24 CFR 200.926d(b)(3)requires that the sites for HUD insured structures must be free of
termite hazards,This information collection requires a licensed Pest Control company to provide the builder a record of specific treatment information in those cases when if any method
other than use of pressure treated lumber is used for prevention of subterranean termite infestation. When applicable,form HUD-NPMA-99-B must accompany the form HUD-NPMA-99-A.
Builders,pest control companies,mortgage lenders,homebuyers,and HUD as a record of treatment for specific homes will use the information collected. The information is not considered
confidential,therefore no assurance of confidentiality is provided. HUD is committed to protecting the privacy of individuals'information stored efectronically or in paper form,in accordance
with federal privacy taws,guidance,and best practices. HUD expects its third-party business partners,who collect,use,maintain,or disseminate HUD information to protect the privacy of
that information in accordance with applicable law".
This form is submitted for proposed(new)construction cases when prevention of subterranean termite infestation is specified by the builder or required by the lender,the
architect,FHA or VA.
This form Is to be completed by the builder.This guarantee is issued by the builder to the buyer.This guarantee is not to be considered as a waiver of,or in place of,any legal rights
or remedies that the buyer may have against the builder.
FHANA Case No.:
Location of Structure(s)(Street Address,or Legal Description,City State and Zip): 5609 Syr- e Dr, Fort Pierce FAT., 34982-3890
Buyer's Name:
Builder is to check and complete either box 1 or box 2.
1.❑x Pest Control Company Applied Treatment(See HUD-NPMA 99B for treatment information)
The undersigned builder hereby certifies that a State licensed or otherwise authorized pest control company(where required by State law)was contracted to treat the
property at the location referenced above to prevent subterranean termites.The builder further certifies that the contract with the pest control company required the
treatment materials and methods used to be in conformance with all applicable State and Federal requirements.All work required by the contract has been completed
unless noted on HUD-NPMA998.Where not prohibited by applicable State requirements,the buyer,for an additional fee payable to the pest control company,may
extend the protection against subterranean termites.Contact the pest control company listed on the attachment for further information.
The builder hereby guarantees that,if subterranean termite infestation should occur within one year from the date of closing,the builder will ensure that a licensed or
otherwise State authorized pest control company will treat as necessary to control infestations in the structure.This further treatment will be without cost to the buyer.
If permitted by State law,the buyer may contract directly,at the buyer's expense,with a pest control company to inspect the property on a periodic basis and use
EPA registered products to control any infestation.The builder will not be responsible for guaranteeing such contracted work.The builder further agrees to repair all
damage by subterranean termites within the one-year builder's warranty period.This guarantee does not apply to additions or alterations that are made by the buyer,
which affects the original structure or treatment Examples include,but are not limited to,landscape and mulch alterations,which disturb the treated area and create
new subterranean termite hazards,or interfere with the control measures.If within the guarantee period the builder questions the validity of a claim by the buyer,the
claim will be investigated by an unbiased expert mutually agreeable to the buyer and builder.The report of the expert will be accepted as the basis for disposition of
the case.The non-prevailing party will pay the cost of any inspections made to Investigate the claim.For further information,contact your State structural pest control
regulatory agency.All service must be in compliance with the international Residential Code_
Type of Service:: ❑x Termite Bait System ❑ Field Applied Wood Treatment ❑ Soil Treatment ❑ Installed Physical Barrier System
2.❑Builder installed Subterranean Termite Prevention using Pressure Treated Lumber
The builder certifies that subterranean termite prevention was installed using pressure treated lumber only and certifies that use of the pressure treated lumber is in
compliance with applicable building codes and HUD requirements specified in FHA Single Family Housing Policy Handbook 4000.1 (4000.1). Note: Using
pressure treated sills as a sole method of termite prevention is NOT acceptable and violates the requirements of the 4000.1.
initial of Builder Date
Attachments:
Builders Company Name:GHo Homes Phone No: 561-688-2020
Builders Signature: Date:
Consumer Maintenance Advisory regarding integrated Pest Management for Prevention of Wood Destroying insects.Information regarding prevention of wood destroying
insect infestation is helpful to any property owner interested in protecting the structure from infestation.Any structure can be attacked by wood destroying insects.Pedodic mainte
nance should include measures to minimize possibilities of infestation in and around a structure.Factors which may lead to infestation from wood destroying insects include foam
insulation at foundation,earth-wood contact,faulty grade,firewood against structure,insufficient ventilation,moisture,wood debris in crawl space,wood mulch,tree branches
touching structures,landscape timbers,and wood rot.Should these or other such conditions exist,corrective measure should be taken by the owner in order to reduce the
chances of infestations by wood destroying insects,and the need for treatment.
An original and one copy of this guarantee are to be prepared by the builder and sent to the tender.The lender provides one copy to the buyer at closing and includes a copy in the
VA loan package or HUD Insurance case binder.The builder sends one copy to the licensed pest control company which performed the treatment
Attached is a copy of the state authorized pest control company's New Construction Subterranean Termite Service Record,HUD-NPMA-99-B.
Warning:HUD will prosecute false claims and statements.Conviction may result in criminal and/or civil penalties.(18 U.S.C.1001.1010,1012:31 U.S.C.3729.3802)
form HUD-NPMA-99-A(8/2008)