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HomeMy WebLinkAboutCONTRACTOR LICENSENo%.._22 2017 21:48 PAUL j_`HL 772000PPa"9 p.2 Home Depot. Contractor License Numbers: Florida # CCC058327, # CGC1507093, # CRC046858 Salesperson Name and Registration Number. Home Improvement Agreement THD AT- HOME SERVICES, INC ("Horne Depot") or Service Provider named below will famish, install and/or service the equipment listed below -at the price, terms and conditions as outlined .on .this form. customer intorrnation: Miami Ftst Nome Last Name Branch Name Lead v Customer Address .. �� Horde PhoneW olKPhone# Cell Phone# Customer E-MaliA GM$ NOTICE OF RIGHT TO CANCEL: YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR OBLIGATION BY DELIVERING WRITTEN NOTICE TO HOME DEPOT AT: 674 S. Military Trail Deerfield Beach FL 33442 Address City state ZIP or Email CustomerCan cellatio nSouth @homedepot. Dom 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 PROFESSIONAL, AT YOUR SERVICE ADDRESS, AI4D IN SUBSTANTIALLY THE SAME CONDITION AS WHEN DELIVERED, ANY MERCHANDISE OR MATERIALS DELIVERED TO YOU. OR YOU MAY CONTACT HOME DEPOT FOR INSTRUCTIONS REGARDING RETURN SHIPMENT AT HOME DEPOT'S EXPENSE. THE LAW REQUIRES THAT THE CONTRACTOR GIVE YOU A NOTICE EXPLAINING YOUR RIGHT TO CANCEL. PLEASE SIGN BELOW TO ACKNOWLEDGE THAT YOU HAVE BEEN GIVEN ORAL AND WRITTEN NOTICE OF YOUR RIGHT TO CANCEL. Acknowledged by: x Cuatomer's Bi®nature Date Distribution: White _ Home Depot Yellow - Customer Copy Nov 22 2017 21 : 48 PRUL ,�`�;iHL 772600P",9 p.3 Contract Price and. Payment Schedule:. Payment of thwContract-Price is -due upon completion unless a different payment schedule is specified in the State Supplement. Includes all applicable discounts, rebates; and , taxes. Contract Price $ Excludes finance charges.* Minimum Ja %deposit$ V,6-0 Due Immediately Remaining balance $ 'W, sq(i{ .o Due upon completion Finance Charges *Any interest payments or other finance charges will be determined. by Customer's separate cardholder or loan agreement, to which The Home Depot is NOT a party, and will be in addition to Customer's 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 payment(s) made payable to The Home Depot. Insurance proceeds will ❑ will not © be used to pay some or all of the total amount of sale. Description of Work to be Performed: Installation of Amore detailed description of the work to be performed is included in the section entitled Scope of Work which appears on page _ of this Agreement. Anticipated DeliveryDate l Installation Schedule Approximate Start Date: Approximate Finish Date: All dates are approximate and subject to change based on unforeseen events including inclement weather, permitting delays, and delays in confirming insurance coverage of Your claim for any repair, if applicable. Electronic Records Authorization: You are entitled to a paper copy o,f 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 o=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 emaiis and PDF documents. By initialing this paragraph, I consent to receive only electronic records related to this transaction. Initial Acceptance and Authorization: By signing below, you authorize Home Depot to (a) arrange for Service Provider to perform Installation and/or (b) order and arrange for the delivery of special order merchandise, including special order merchandise that may be custom made, as specified in this Agreement. Do not sign If blank or incomplete. (Service Provider's/permitting information may need to be provided to You later.) By signing, you acknowledge that you have read, understand, and accept this Agreement in its entirety, including the General Terms and Conditions and State Supplement, if any. You further acknowledge rPr.Pivina a cornolete CODV of this Agreement. Keep it to protect you, legal rights. Da )rhea Data 2 Distribution: White - Home Depot Yellow - Customer Copy Nov 22 2017 21:48 PAUL ,1HL License number(s) held by or on behalf of the Home Depot: Florida # CCC058327, # GGC9507093,,# CRC046858 772600P,^019 p•4 License- numbers are subjectto change in accordance with local.or state government processes... For -the most... current listing of -license numbers held. by or on behalf of the .Home Depot, please:vlsit www.homedepot.com/ licensenumbers. Scope of Work c...,.. Ckmflal A. Pmiaat. Amount 4000 Roofing Siding Windows Insulation y ® ❑ Gutters 1 Covers ❑ Entry Doors ❑ p p . Lj Roofing. Siding Lj Windows Insulation $ ❑ Gutters / Covers ❑ Entry Doors ❑ Roofing. Siding Windows Insulation $ ❑ Gutters / Covers ❑ Entry Doors ❑ 0 tD Roofing. Siding Windows Insulation $ ❑ Gutters / Covers • ❑ Entry Doors ❑�=! SubTotal. $ Sales Tax $ Total Contract $ Amount ,2 &,Pr The -warranty on the work -identified above is listed in the General Terms and Conditions, or -if applicable, specified in the following documents: Warranty i Name(s): Distribution: White - Home Depot. 3 Yellow - Customer CoG