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430 Se Gasparilla Ave
THIS AGREEMENT PROVIDES FOR RETREATMENT OF A STRUCTURE H /�mdeam AND THE REPAIR OF DAMAGES 1! a t a e P E h s 6� CAUSED BY WOOD DESTROYING ORGANISMS WITHIN THE LIMITS STATED IN THIS AGREEMENT. Account No.: 3412519 AGREEMENT FOR THE INSTALLATION AND MONITORING OF THE SENTRICONO COLONY ELIMINATION SYSTEM Section I. GENERAL INFORMATION. Name: Synergy Homes Billing Address: 581 NW Mercantile PI Service Address: 430 Se Gasparilla Ave City: Port Saint Lucie City: Port Saint Lucie State: FL Zip Code: 34986-2256 State: FL Zip Code: 34983-2214 Home Phone: 000-000-0000 Location of Treatment Sticker: Panel Work Phone: Linear Footage of Structure(s): 170 Treatment Type: ❑ Corrective M Preventive Section IL SERVICE COMMITMENT. HomeTeam Pest Defense, Inc. (the "Company") will, in compliance with applicable federal, state and local laws, rules and regulations: A. Install the Sentricon termite bait stations (the "Stations") in the soil around the perimeter of the structure(s) (see attached graph) located at the Service Address above (the "Structure(s)") for the installation fee of $ 0.00 B. Monitor the Stations in accordance with the label directions for a period of twelve (12) months immediately following installation of the Stations for an annual fee of $ 0.00 C. Total cost for the first year of Installation and Monitoring $ 0.00 ; D. The Annual Renewal Fee after the first year $ 300.00 . Can be paid in twelve (12) equal monthly payments if EZ-Pay option is selected $ 0.00 , E. During the monitoring period, add and remove Recruit® termite 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 SENTRICON SYSTEM. Customer understands that: A. The Sentricon System involves installation and monitoring, colony elimination with Recruit termite bait, and subsequent monitoring for continuous protection from new termite colonies; B. Intervals of from a few weeks to more than a year should be expected between: i. Installation of the Sentricon stations and sufficient termite activity to allow the addition of Recruit termite bait, ii. Addition of Recruit termite bait; and iii. Sentricon Always Active, the Recruit termite bait is included at the time of installation. C. During the interval(s) between installation of the Stations and complete elimination of existing termite colonies, termite feeding within the Structures, possibly involving additional structural damage, may occur. Additional services such as spot applications of conventional termiticides are available to combat termite activity on a localized, short-term basis if desired, but are not needed for and will not contribute to termite colony elimination. D. The active ingredient in the Sentricon System is an insect growth regulator (Recruit) that prevents worker termites from molting. (Molting is critical to colony survival.) E. In tests that it conducted on Recruit, Dow AgroSciences LLC, the manufacturer of Recruit, observed evidence of very low levels of mammalian toxicity only at very high levels of exposure. F. Treatment is provided against the attack of subterranean termites (Reticulitermes spp., Heterotermes spp. and Coptotermes spp. (Formosan). This Agreement does not provide for the treatment of any other pests, plant, animal or organism other than such termites. The Company has not inspected or treated the structure(s) for health -related molds or fungi. By law, the Company is not qualified, authorized or licensed to inspect for health -related molds or fungi. G. The Company makes no representations regarding the exact location or number of any existing termite colonies. Section IV. DOW AGROSCIENCES LLC OWNERSHIP OF SENTRICON SYSTEM COMPONENTS. Customer also understands that: A. The Sentricon System and all of the components of the Sentricon System ("Components") have been designed by Dow AgroSciences LLC. The Components are and will remain the property of Dow AgroSciences LLC. Customer has no rights with respect to any of the 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 termination of this Agreement, the Company and Dow AgroSciences LLC or their respective representatives are authorized by Customer to retrieve from Customer'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 will: a. So notify Customer; b. Offer Customer the alternatives of either using a different form of termite protection or terminating this Agreement; C. Credit the Customer for services paid for but not yet received, if appropriate; 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 termite protection; and e. Retrieve, or allow Dow AgroSciences LLC or its representatives reasonable access to the premises for the retrieval of the Components; and ii. Customer will: a. Grant the Company and Dow AgroSciences LLC or their respective representatives reasonable access to the premises for the retrieval of the Components; and b. Either agree with the Company on the use of an alternative form of termite control or terminate this Agreement. PAYMENT METHOD. ❑ Cash ❑ Check ❑ Credit Card ❑ EZ-Pay If paying by credit card or recurring debit from your bank account, please complete the attached Authorization for Pre -Arranged Payments to include the EZ-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 above 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 on the Company until signed by an authorized manager or executive officer of the Company. CUSTOMER: HOMETEAM PEST DEFENSE, INC. Signature: Signature: Printed Name: Printed Na Jose Rosa Email: Effective Date: 03/10/2022 RIGHT TO CANCEL: YOU, THE CUSTOMER, MA Y CANCEL THIS TRANSA CTIONA T ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAYAFTER THE DATE OF THIS TRANSACTION. SEE THE ATTACHED NOTICE OF CANCELLATION FOR AN EXPLANATION OF THIS RIGHT. THE REMOVAL OF THE BAIT OR BAITING SYSTEM MAY RESULT IN A LACK OF TERMITE PROTECTION Sentricon, Recruit and Baitube are registered trademarks of Dow AgroSciences LLC. © HomeTeam Pest Defense, Inc. 2017 09/17 - (52986 5YR) Section V. CUSTOMER COMMITMENT AS TO CONDITIONS CONDUCIVE TO INFESTATIONS. The Customer agrees to be solely responsible for maintaining the Treated Premises free from any condition conducive to termite infestation ("Conditions Conducive," see below for explanation). The Customer agrees to be solely responsible for identifying and correcting Conditions Conducive. The responsibility rests exclusively with the 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 term of this Agreement, and agrees to maintain the area(s) baited free from such Conditions Conducive. Other specific items maybe noted below in "Additional Comments" (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 the structure; inherent structural problems, including, but not limited to, wood to ground contact, masonry failures, and settlement of the foundation, foam insulation, stucco construction, expanded polystyrene or styrofoam molded foundation systems, siding (including vinyl, wood 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 of the structure. Customer agrees to maintain the area(s) baited free from any factors contributing to infestation, such as wood, trash, lumber, direct wood -soil contact, standing water under pier -foundation structures, or as noted below in "Additional Comments" (SectionXV). Customer also agrees to notify the Company of, and to eliminate, faulty plumbing, leaks, 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 VI. ADDITIONS, ALTERATIONS, AND OTHER CHANGES. This Agreement covers the Structure(s) identified in Section I as of the date of the initial installation. Customer will immediately notify the Company in writing (1) prior to the Structure(s) being structurally modified, altered or otherwise changed, (2) prior to any termiticide being applied on or close to the location of any Station, (3) if soil is removed or added around the foundation of the Structure(s) or (4) any tampering of baiting equipment or supplies occurs. Failure to notify the Company in writing of any event listed above may void the Agreement. Additional services required by any addition, alteration or other such event may be provided by the Company at Customer's expense, and may require an adjustment in the renewal fee. Section VH. 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 of the Stations. Section VIII. REPAIR AND RETREATMENT OBLIGATION. Customer initials . Subject to the general terms and conditions of this Agreement, if an 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 terms and conditions of this Agreement, the Company will repair, at its cost, new termite damage to the treated structure(s). The Company's total liability will not exceed in any one calendar year the lesser of (i) $200,000 or (ii) the fair market value of the treated structure(s), nor exceed $1,000,000 in the aggregate over the term of the Agreement, including extensions and renewals. 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 of value, or any "stigma" damage due to the presence of Subterranean termites or Subterranean termite damage. The 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 of the 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 of three consecutive service visits to the Service Address, any live termites in any of the termite bait stations located at the Service Address. If new damage, as evidenced by the presence of live termites, occurs while the Company's obligation to repair termite damage is in force, following written notification from 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 repairs 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 of the proposed contract or written bid. If the Company determines the bid to be excessive, Customer agrees to grant access to the treated structure(s) to a contractor designated by the Company for the purpose of obtaining 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 perform 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 the 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 for 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 of the Company and/or its employees. Section IX. PAYMENT. The Company's obligation to perform under this Agreement is conditioned upon Customer's payment in full of the price set forth in Section II above. Customer's failure to pay such price in full will cause this Agreement to automatically and immediately terminate in its entirety and the Company will be discharged of all liability. All amounts paid, if any, will become the property of the Company as liquidated damages hereunder. The installation fee is due and payable at the time of the initial service. The renewal fee is due and payable upon receipt of invoice, if applicable. Invoices that are not paid within thirty (30) days of the invoice date will accrue interest on the unpaid balance at a rate equal to the lesser of 1.5% per month (18% per year) or the maximum rate allowed by law. However, if the Customer elects the EZ-Pay option, the Customer's account will be debited in twelve (12) equal monthly installments. In the event that legal action is necessary to collect any amount due the Company, the Company will be entitled to recover from Customer all costs of collection, including reasonable attorneys' fees, in addition to all outstanding amounts due the Company. Section X. TERM. Unless otherwise specifically provided herein, the parties agree that the initial term of 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 of four (4) additional twelve (12) month periods, following the initial term upon payment by Customer of the fee indicated in Section II.B. of this Agreement (subject to adjustment as provided in this subsection), unless either party cancels by giving the other party written notice at least thirty (30) days prior to the end of the then current term. This Agreement may be terminated by the Company or by Customer, at any time following the initial term, upon written notice to the other party at least thirty (30) days prior to such termination. At the end of that five (5) year period, the service may be renewed annually with the mutual consent of both parties, and, thereafter, either party may terminate the service with written notice at least thirty (30) days prior to the end of the then current term. The 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 of the notice of increase. 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 PROPERTY DAMAGE, SHALL BE SETTLED BY BINDING ARBITRATION. UNLESS THE PARTIES AGREE OTHERWISE, THE ARBITRATION SHALL BE ADMINISTERED UNDER THE COMMERCIAL RULES OF THE AMERICAN ARBITRATION ASSOCIATION ("AAA") OR, IF APPLICABLE, IT SHALL BE DETERMINED UNDER THE AAA PROCEDURES FOR CONSUMER -RELATED DISPUTES. THE PARTIES EXPRESSLY AGREE THAT THE ARBITRATOR SHALL FOLLOW THE SUBSTANTIVE LAW, INCLUDING THE TERMS AND CONDITIONS OF THIS AGREEMENT, AND THAT ANY ARBITRATION PROCEEDING UNDER THIS AGREEMENT WILL NOT BE CONSOLIDATED OR JOINED WITH ANY ACTION OR LEGAL PROCEEDING UNDER ANY OTHER AGREEMENT OR INVOLVING ANY OTHER PREMISES, AND WILL 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, AND THE REQUESTING PARTY SHALL BE RESPONSIBLE FOR THE COST OF THE ADDITIONAL ARBITRATORS. EITHER PARTY MAY REQUEST AT ANY TIME PRIOR TO THE HEARING THAT THE AWARD BE ACCOMPANIED BY A REASONED OPINION. THE AWARD RENDERED BY THE ARBITRATOR(S) SHALL BE FINAL AND BINDING ON ALL PARTIES, EXCEPT THAT EITHER PARTY MAY WITHIN 30 DAYS 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 TRIBUNAL SHALL BE FINAL AND BINDING. JUDGMENT MAY 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 other occupants of the treated structure are or may (A) be sensitive to pesticides/termiticides or their odors or (B) have other health conditions that may be affected by pesticides/termiticides 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 all 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. ASSIGNABH.ITY. This Agreement is transferable to 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 of the Company's obligations under this Agreement upon any such transfer. Upon the closing of the sale of the property located at the Service Address, this Agreement will terminate. Section XIV. ENTIRE AGREEMENT AND SEVERABILITY. This Agreement and the attached graph constitute the entire agreement between the parties. Customer expressly warrants and represents that, in entering this Agreement, 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 Agreement is held to be invalid or unenforceable for any reason, the remaining terms and conditions of this Agreement will remain in full force and effect. 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 alter any part of this Agreement. Provided, however, that as to the paragraph on ARBITRATION, 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 entirety of the ARBITRATION paragraph shall be deemed to be deleted from this Agreement. Section XV. ADDITIONAL COMMENTS. Sentricon, Recruit and Baitube are registered trademarks of Dow AgroSciences LLC. © H—Team Pest Defense, Inc. 2017 09/17 - (52986 5YR) Subterranean Termite Protection Builder's Guarantee This form is completed by the builder. OMB Approval No. 2502-0525 (exp. 09/30/2022) 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 electronically or in paper form, in accordance with federal privacy laws, guidance, and best practices. HUD expects its third -parry 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. FHA/VA Case No.: Location of Structure(s) (Street Address, or Legal Description, City, State and Zip): 430 Se Gasparilla Ave, Port Saint Lucie, FL, 34983-2214 Buyer's Name: Synergy Homes 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-NPMA 99B. 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:: Q 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: Builder's Company Name: Synergy Homes Phone No: Builder's Signature: Date: 0 3/ 10 / 2 0 2 2 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. Periodic 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 lender. 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) New Construction Subterranean Termite OMB Approval No. 2502-0525 Service Record (exp.09/30/2022) 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 FL Zip 32904-1532 Company Business License No. 76165929 Company Phone No. 321-409-8489 FHA/VA Case No. (if any) Section 2: Builder Information Company Name Synergy Homes Phone No. 000-000-0000 Section 3: Property Information 430 Se Gasparilla Ave, Location of Structure (s) Treated (Street Address or Legal Description, City, State and Zip) Port Saint Lucie, FL, 34983-2214 Section 4: Service Information Date(s) of Service(s) 03/10/2022 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 20 ❑ 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 ofApplicator(s) Matt Lindsay Certification No. (if required by State law) JE133994 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 Date 03/10/22 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-B (08/2008) 3/15/22, 11:16 AM County PCL Form PERMIT # St Lucie County Inspections 2300 Virginia Avenue Ft Pierce, FL 34982 (722) 462-2172 CERTIFICATE OF TERMITE TREATMENT CONSTRUCTION SOIL TREATMENT BUILDER Synergy Homes JOB ADDRESS 430 Se Gasparilla Ave, Port Saint Lucie, FL 34983-2214 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: 170 Percentage of solution: .50% Date of treatment: 03/10/22 ® Footing ® 1 st Treatment F_ Re -treat F1 Slab F_ 1 st Treatment C Re -treat I-1 Driveway F_ 1 st Treatment F_ Re -treat I-1 Pools F_ 1 st Treatment F_ Re -treat F 1 Other F_ 1 st Treatment C Re -treat Chemicals used: Sentricon Always Active HD bait Total gallons used: FBC104.2.6 Certidllti�b�I#ti�'eat�tt for prevention of termites. A weather resistant jobsite posting board shall be provided to receive duplicate Treatment Certificates as each required protective treatment is completed, providing a copy for the person the poermit is iisued to and another copy for the building permit files. The Treatment Certficate shall provide the product used, identity of the applicator, time and date of the treatment, site location, area treated, chemical used, percent concentration and number ofgallons used, to establish a verifiable record ofprotective treatment. If the soil chemical barrier method for termite prevention is used, final exterior treatment shall be completed prior to final building approval. St Lucie County requires for the final inspection for CO, a Permanent Sticker to be placed on the electrical panel box cover, listing all the treatments and dates of applications. ® Perimeter for Final Inspection nature of exterminator https://ht-xb.pestpac.com/forms/countypcl_print_plain.asp?FormID=1971345&preprint=0&pdf= 1/2 3/15/22, 11:16 AM County PCL Form NOTE: There must be a completed form for each required treatment or re -treatment and this form must be on 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 https://ht-xb.pestpac.com/forms/countypcl_print_plain.asp?FormID=1971345&preprint=0&pdf= 2/2