Service Agreement

Please enable JavaScript in your browser to complete this form.
(the “Effective Date”), by and between
and Alliance Specialty Contractor (“Alliance”), with an address of 4425 Holly Avenue, Columbus, GA 31904 (collectively, the “Parties”). During the term of this Agreement, it shall be the responsibility of Alliance to, in the presence of Property Owner, contact his or her insurance carrier, and facilitate the insurance claim process with each insurance company. Alliance will further handle all meetings with any adjusters at the time and date scheduled by the adjuster, and Alliance will provide any and all professional services related to the identification and recording of storm damage to the property and report the same to the insurance carrier without the Property Owner present (hereinafter referred to as the “Services”).
I. COMPENSATION FOR SERVICES (By checking the box below Homeowner acknowledges being explained each section)
Acknowledgement and Agreement to COMPENSATION FOR SERVICES
II. INDEMNIFICATION (By checking the box below Homeowner acknowledges being explained each section)
Acknowledgement and Agreement to INDEMNIFICATION
III. GENERAL PROVISIONS (By checking the box below Homeowner acknowledges being explained each section)
Acknowledgement and Agreement to GENERAL PROVISIONS
NOTICE OF BUYER’S RIGHT TO CANCEL (By checking the box below Homeowner acknowledges being explained each section)
Acknowledgement and Agreement to NOTICE OF BUYER’S RIGHT TO CANCEL
By signing this agreement, Property Owner confirms that Buyer’s Right to Cancel was verbally explained by Alliance, and Property Owner acknowledges his or her understanding of this right. The Parties hereby agree to the terms and conditions set forth in this Agreement and such is demonstrated throughout by their signatures below:
Property Owner Digital Signature
Alliance Specialty Contractor Digital Signature