HomeMy WebLinkAboutAUTH - AGREEMENT - ASSIGNMENT OF BENEFITSAdvanced Metal Roofing, Inc
4149 S.E. Salerno Rd. Stuart, FI.34997
Ph. (772) 713-0595 E : info@metalroofnow.com
SCANNED
BY
St. Lucie County
Authorization Agreement / Assignment of Benefits
from homeowner to contractor
1, —,J�A-V k' D 5 NZ � i- H as property owner(s) and policy
holder authorize Advanced Metal Roofing, Inc. (Contractor) to correspond directly with insurance carrier for all roofing insurance
covered damages that occurred, at
q3i( SCAY),_3o1zcU41l Ci PofL% SNN,3T IUC;E! �I
owners contact numbers (C) 314-9L?, ?Fit (Emaiq_ADSyNAi—T p 1{0r,l-ert- QsjWN
I understand that Advanced Metal Roofing, Inc. will act as our roofing representative and retain necessary experts as necessary
at contractors expense to assist in obtaining appropriate recoverable costs regarding the damage to our root
upon price acceptance from our insurance company, Advanced Metal Roofing, Inc. is authorized to proceed with repairs claimed
by,our insurance company. We authorize ;ou(insurance company to make Advanced Metal Roofing, Inc.'beneficiaries;of this
assignment concerning my roofing claim and to discuss matters directly with Advanced Metal Roofing, Inc., Inc. as our
representative, but not as my legal representative.
Advanced Metal Roofing, Inc. agrees to act in the best interest of the property owner(s) in obtaining insurance recovery
concerning my roof and exterior damages, but is in no way liable for such damages. In any event of policy holder cancellation
after Advanced Metal Roofing, Inc. corresponds with Insurance representatives regarding roofing claim.
As the policy holder I agree to allow Advanced Metal Roofing, Inc. to perform all repairs prescribed by the insurance company at
prices approved by the insurance company with no additional costs to the property owner other than deductibles deducted by
insurance company upon payment of claim and/or material upgrades sought by assignee.
In the event that the above claim Is denied after all expert efforts have been exhausted, This agreement is null and void with no
obligations by assignor, in any event of assignor cancellation following assignment of experts and negotiations with carder,
assignorshall pay contractor expenses for services rendered up to time of cancellation.
If in the event the Insurance tamer pays assignor direct for roof repairs, the.assignor agrees to forward all proceeds to contractor
immediately upon receipt
Materials and Labor specifications will follow upon insurance company price acceptance. All additional work or upgrades will be
invoiced separately.
INSURANCE COMPANY FM +,'T- fJ 2 =r3 Sy IZAa) c. e-
POLICY NO., CLAIM NO. 01 " k5C0 a S
ADJUSTERS NAME Ph. #
Dale of LossA 10 — , R-
bate of Inspection
AOOIMI^0 rc%