{"id":236,"date":"2023-09-23T12:11:47","date_gmt":"2023-09-23T12:11:47","guid":{"rendered":"http:\/\/xactilynx.com\/?page_id=236"},"modified":"2023-09-23T12:49:22","modified_gmt":"2023-09-23T12:49:22","slug":"service-agreement","status":"publish","type":"page","link":"http:\/\/xactilynx.com\/index.php\/service-agreement\/","title":{"rendered":"Service Agreement"},"content":{"rendered":"<style id=\"wpforms-css-vars-238\">\n\t\t\t\t#wpforms-238 {\n\t\t\t\t\n\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-238\"><form id=\"wpforms-form-238\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"238\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/236\" data-token=\"7c2e7c2131ed37fae906b050b75f3fac\" data-token-time=\"1782770767\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-238-field_2-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-238-field_2\">This Service Agreement (the \u201cAgreement\u201d) is entered into on  the date listed below: <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-238-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" placeholder=\"Date\" aria-errormessage=\"wpforms-238-field_2-error\" required><\/div><div id=\"wpforms-238-field_4-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"4\"><fieldset><legend class=\"wpforms-field-label\">(the \u201cEffective Date\u201d), by and between <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-238-field_4\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][4][first]\" aria-errormessage=\"wpforms-238-field_4-error\" required><label for=\"wpforms-238-field_4\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-238-field_4-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][4][last]\" aria-errormessage=\"wpforms-238-field_4-last-error\" required><label for=\"wpforms-238-field_4-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-238-field_5-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-238-field_5\">(the \u201cProperty Owner\u201d), whose address is located at: <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-238-field_5\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][5]\" placeholder=\"Address\" aria-errormessage=\"wpforms-238-field_5-error\" required><\/div><div id=\"wpforms-238-field_6-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"6\"><fieldset><legend class=\"wpforms-field-label\">and Alliance Specialty Contractor (\u201cAlliance\u201d), with an address of 4425 Holly Avenue, Columbus, GA 31904 (collectively, the \u201cParties\u201d). 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 \u201cServices\u201d). <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-238-field_6\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-238-field_6_1\" name=\"wpforms[fields][6]\" value=\"I Agree\" aria-errormessage=\"wpforms-238-field_6_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-238-field_6_1\">I Agree<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-238-field_6_2\" name=\"wpforms[fields][6]\" value=\"I Do Not Agree\" aria-errormessage=\"wpforms-238-field_6_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-238-field_6_2\">I Do Not Agree<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-238-field_7-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"7\"><fieldset><legend class=\"wpforms-field-label\">I.\tCOMPENSATION FOR SERVICES (By checking the box below Homeowner acknowledges being explained each section) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-238-field_7\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-238-field_7_1\" name=\"wpforms[fields][7][]\" value=\"1.1\tWaiver of Payment. Upon the execution of this Agreement, any and all payment for Services shall be waived for Service amounts outlined by the Insurance Settlement Letter.\" aria-errormessage=\"wpforms-238-field_7_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-238-field_7_1\">1.1\tWaiver of Payment. Upon the execution of this Agreement, any and all payment for Services shall be waived for Service amounts outlined by the Insurance Settlement Letter.<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-238-field_7_2\" name=\"wpforms[fields][7][]\" value=\"1.2\tDefault of the Agreement.  In the event Property Owner defaults on this Agreement by terminating and replacing Alliance before completion of the Services outlined by the Insurance Settlement Letter, Property Owner agrees to compensate Alliance 20% (twenty percent) of the Insurance Settlement. (the \u201cDefault Payment\u201d). Said Default Payment shall be paid to Alliance Specialty Contractor by cash, check, or money order to Alliance\u2019s addressed listed for notice purposes herein within ten (10) days of receipt of any funds received under the Insurance Settlement Letter. Any such funds received by Property Owner shall be deemed trust funds to be held in trust by Property Owner with Property Owner acting in a fiduciary capacity on behalf of Alliance until such time Alliance receives the Default Payment.\" aria-errormessage=\"wpforms-238-field_7_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-238-field_7_2\">1.2\tDefault of the Agreement.  In the event Property Owner defaults on this Agreement by terminating and replacing Alliance before completion of the Services outlined by the Insurance Settlement Letter, Property Owner agrees to compensate Alliance 20% (twenty percent) of the Insurance Settlement. (the \u201cDefault Payment\u201d). Said Default Payment shall be paid to Alliance Specialty Contractor by cash, check, or money order to Alliance\u2019s addressed listed for notice purposes herein within ten (10) days of receipt of any funds received under the Insurance Settlement Letter. Any such funds received by Property Owner shall be deemed trust funds to be held in trust by Property Owner with Property Owner acting in a fiduciary capacity on behalf of Alliance until such time Alliance receives the Default Payment.<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-238-field_7_4\" name=\"wpforms[fields][7][]\" value=\"1.3\tWaiver of Defenses.  Property Owner waives any and all defenses pertaining to the collection of any payments outlined herein, subject to Buyer\u2019s Right to Cancel under State Law and agrees to the implementation of any necessary liens to ensure the timely collecting of any payments owed to Alliance under this Agreement.\" aria-errormessage=\"wpforms-238-field_7_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-238-field_7_4\">1.3\tWaiver of Defenses.  Property Owner waives any and all defenses pertaining to the collection of any payments outlined herein, subject to Buyer\u2019s Right to Cancel under State Law and agrees to the implementation of any necessary liens to ensure the timely collecting of any payments owed to Alliance under this Agreement.<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-238-field_14-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"14\"><fieldset><legend class=\"wpforms-field-label\">Acknowledgement and Agreement to COMPENSATION FOR SERVICES <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-238-field_14\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-238-field_14_1\" name=\"wpforms[fields][14][]\" value=\"I Agree\" aria-errormessage=\"wpforms-238-field_14_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-238-field_14_1\">I Agree<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-238-field_14_2\" name=\"wpforms[fields][14][]\" value=\"I Do Not Agree\" aria-errormessage=\"wpforms-238-field_14_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-238-field_14_2\">I Do Not Agree<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-238-field_8-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"8\"><fieldset><legend class=\"wpforms-field-label\">II.\tINDEMNIFICATION (By checking the box below Homeowner acknowledges being explained each section) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-238-field_8\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-238-field_8_1\" name=\"wpforms[fields][8][]\" value=\"2.1\tIndemnity. Property Owner agrees to indemnify and hold harmless Alliance and its officers, employees, agents, successors and assigns from and against any and all losses, liabilities, deficiencies, costs, damages, and expenses (including, without limitation, reasonable attorneys&#039; fees, charges and disbursements) incurred by Alliance as result of any inaccuracy in or breach of representations, warranties or covenants made by Property Owner herein.  Property Owner agrees to indemnify and hold Alliance harmless for any lawn, shrubbery, or any real or personal property damage caused by moving equipment to and from the property except for that caused by negligent action of Alliance and\/or its agents and employees.\" aria-errormessage=\"wpforms-238-field_8_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-238-field_8_1\">2.1\tIndemnity. Property Owner agrees to indemnify and hold harmless Alliance and its officers, employees, agents, successors and assigns from and against any and all losses, liabilities, deficiencies, costs, damages, and expenses (including, without limitation, reasonable attorneys' fees, charges and disbursements) incurred by Alliance as result of any inaccuracy in or breach of representations, warranties or covenants made by Property Owner herein.  Property Owner agrees to indemnify and hold Alliance harmless for any lawn, shrubbery, or any real or personal property damage caused by moving equipment to and from the property except for that caused by negligent action of Alliance and\/or its agents and employees.<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-238-field_15-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"15\"><fieldset><legend class=\"wpforms-field-label\">Acknowledgement and Agreement to INDEMNIFICATION <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-238-field_15\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-238-field_15_1\" name=\"wpforms[fields][15][]\" value=\"I Agree\" aria-errormessage=\"wpforms-238-field_15_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-238-field_15_1\">I Agree<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-238-field_15_2\" name=\"wpforms[fields][15][]\" value=\"I Do Not Agree\" aria-errormessage=\"wpforms-238-field_15_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-238-field_15_2\">I Do Not Agree<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-238-field_9-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"9\"><fieldset><legend class=\"wpforms-field-label\">III.\tGENERAL PROVISIONS (By checking the box below Homeowner acknowledges being explained each section) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-238-field_9\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-238-field_9_1\" name=\"wpforms[fields][9][]\" value=\"3.1\tEntire Agreement.  The provisions of this Agreement constitute the entire agreement between Independent Contractor and the Company, and supersede all previous negotiations and documents related to the subject matter hereof. There are no representations, warranties, covenants, understandings, or agreements, oral or otherwise, relating to the subject matter hereof or thereof other than those included herein or therein.\" aria-errormessage=\"wpforms-238-field_9_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-238-field_9_1\">3.1\tEntire Agreement.  The provisions of this Agreement constitute the entire agreement between Independent Contractor and the Company, and supersede all previous negotiations and documents related to the subject matter hereof. There are no representations, warranties, covenants, understandings, or agreements, oral or otherwise, relating to the subject matter hereof or thereof other than those included herein or therein.<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-238-field_9_2\" name=\"wpforms[fields][9][]\" value=\"3.2\tAmendment or Modification.  No amendment, modification, or repeal of this Agreement shall be adopted unless in writing, with the signatures of both Alliance and Property Owner. No oral modification shall be binding upon any party.\" aria-errormessage=\"wpforms-238-field_9_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-238-field_9_2\">3.2\tAmendment or Modification.  No amendment, modification, or repeal of this Agreement shall be adopted unless in writing, with the signatures of both Alliance and Property Owner. No oral modification shall be binding upon any party.<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-238-field_9_3\" name=\"wpforms[fields][9][]\" value=\"3.3\tMediation and Arbitration.  Alliance and Property Owner agree that any dispute, controversy, breach, or claim arising under this Agreement shall be resolved through a mediation-arbitration approach and agree to waive their right to a jury trial. Alliance and Property Owner agree to select a mutually agreeable, neutral third party to mediate any dispute that arises related to the terms of this Agreement or the relationship created by this Agreement. In the event mediation fails, all aspects of any such dispute shall then be resolved by binding arbitration which shall be in accordance with the rules of the American Arbitration Association. All matters related to the mediation and arbitration shall be treated as confidential and neither the parties nor the arbitrator may disclose the existence, content, or results of the arbitration, except as necessary to comply with legal requirements. Each side shall bear their own attorney\u2019s fees and costs.\" aria-errormessage=\"wpforms-238-field_9_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-238-field_9_3\">3.3\tMediation and Arbitration.  Alliance and Property Owner agree that any dispute, controversy, breach, or claim arising under this Agreement shall be resolved through a mediation-arbitration approach and agree to waive their right to a jury trial. Alliance and Property Owner agree to select a mutually agreeable, neutral third party to mediate any dispute that arises related to the terms of this Agreement or the relationship created by this Agreement. In the event mediation fails, all aspects of any such dispute shall then be resolved by binding arbitration which shall be in accordance with the rules of the American Arbitration Association. All matters related to the mediation and arbitration shall be treated as confidential and neither the parties nor the arbitrator may disclose the existence, content, or results of the arbitration, except as necessary to comply with legal requirements. Each side shall bear their own attorney\u2019s fees and costs.<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-238-field_9_4\" name=\"wpforms[fields][9][]\" value=\"3.4\tCompliance.  Alliance and Property Owner agree to comply with all applicable regulations of the business operations and all other applicable laws, rules, and regulations.\" aria-errormessage=\"wpforms-238-field_9_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-238-field_9_4\">3.4\tCompliance.  Alliance and Property Owner agree to comply with all applicable regulations of the business operations and all other applicable laws, rules, and regulations.<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-238-field_9_5\" name=\"wpforms[fields][9][]\" value=\"3.5\tGoverning Law.  This Agreement shall be governed by and construed in accordance with the Laws of the State of Georgia, with venue for the resolution of any disputes in the County of Muscogee County, Georgia.\" aria-errormessage=\"wpforms-238-field_9_5-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-238-field_9_5\">3.5\tGoverning Law.  This Agreement shall be governed by and construed in accordance with the Laws of the State of Georgia, with venue for the resolution of any disputes in the County of Muscogee County, Georgia.<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-238-field_16-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"16\"><fieldset><legend class=\"wpforms-field-label\">Acknowledgement and Agreement to GENERAL PROVISIONS <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-238-field_16\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-238-field_16_1\" name=\"wpforms[fields][16][]\" value=\"I Agree\" aria-errormessage=\"wpforms-238-field_16_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-238-field_16_1\">I Agree<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-238-field_16_2\" name=\"wpforms[fields][16][]\" value=\"I Do Not Agree\" aria-errormessage=\"wpforms-238-field_16_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-238-field_16_2\">I Do Not Agree<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-238-field_10-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"10\"><fieldset><legend class=\"wpforms-field-label\">NOTICE OF BUYER\u2019S RIGHT TO CANCEL (By checking the box below Homeowner acknowledges being explained each section) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-238-field_10\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-238-field_10_1\" name=\"wpforms[fields][10][]\" value=\"THIS SALE WAS COMPLETED ON THE EFFECTIVE DATE LISTED ABOVE. IF THIS AGREEMENT WAS SOLICITED AT YOUR RESIDENCE AND YOU DO NOT WANT THE GOODS OR SERVICES, YOU MAY CANCEL THIS AGREEMENT BY DELIVERING OR MAILING A NOTICE TO THE SELLER. THE NOTICE MUST SAY THAT YOU ARE CANCELLING THE AGREEMENT AND MUST BE DELIVERED OR MAILED BEFORE MIDNIGHT OF THE THIRD BUSINESS DAY AFTER YOU SIGN THIS AGREEMENT. THIS NOTICE MUST BE MAILED OR DELIVERED TO:  ALLIANCE SPECIALTY CONTRACTORS, 4425 HOLLY AVENUE, COLUMBUS, GA 31904\" aria-errormessage=\"wpforms-238-field_10_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-238-field_10_1\">THIS SALE WAS COMPLETED ON THE EFFECTIVE DATE LISTED ABOVE. IF THIS AGREEMENT WAS SOLICITED AT YOUR RESIDENCE AND YOU DO NOT WANT THE GOODS OR SERVICES, YOU MAY CANCEL THIS AGREEMENT BY DELIVERING OR MAILING A NOTICE TO THE SELLER. THE NOTICE MUST SAY THAT YOU ARE CANCELLING THE AGREEMENT AND MUST BE DELIVERED OR MAILED BEFORE MIDNIGHT OF THE THIRD BUSINESS DAY AFTER YOU SIGN THIS AGREEMENT. THIS NOTICE MUST BE MAILED OR DELIVERED TO:  ALLIANCE SPECIALTY CONTRACTORS, 4425 HOLLY AVENUE, COLUMBUS, GA 31904<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-238-field_17-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"17\"><fieldset><legend class=\"wpforms-field-label\">Acknowledgement and Agreement to NOTICE OF BUYER\u2019S RIGHT TO CANCEL <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-238-field_17\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-238-field_17_1\" name=\"wpforms[fields][17][]\" value=\"I Agree\" aria-errormessage=\"wpforms-238-field_17_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-238-field_17_1\">I Agree<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-238-field_17_2\" name=\"wpforms[fields][17][]\" value=\"I Do Not Agree\" aria-errormessage=\"wpforms-238-field_17_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-238-field_17_2\">I Do Not Agree<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-238-field_11-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"11\"><fieldset><legend class=\"wpforms-field-label\">By signing this agreement, Property Owner confirms that Buyer\u2019s 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: <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-238-field_11\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-238-field_11_1\" name=\"wpforms[fields][11][]\" value=\"I Agree to Affix My Digital Signature Below\" aria-errormessage=\"wpforms-238-field_11_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-238-field_11_1\">I Agree to Affix My Digital Signature Below<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-238-field_11_2\" name=\"wpforms[fields][11][]\" value=\"I Do Not Agree to Affix My Digital Signature Below\" aria-errormessage=\"wpforms-238-field_11_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-238-field_11_2\">I Do Not Agree to Affix My Digital Signature Below<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-238-field_12-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"12\"><fieldset><legend class=\"wpforms-field-label\">Property Owner Digital Signature <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-238-field_12\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][12][first]\" aria-errormessage=\"wpforms-238-field_12-error\" required><label for=\"wpforms-238-field_12\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-238-field_12-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][12][last]\" aria-errormessage=\"wpforms-238-field_12-last-error\" required><label for=\"wpforms-238-field_12-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-238-field_13-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"13\"><fieldset><legend class=\"wpforms-field-label\">Alliance Specialty Contractor Digital Signature <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-238-field_13\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][13][first]\" aria-errormessage=\"wpforms-238-field_13-error\" required><label for=\"wpforms-238-field_13\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-238-field_13-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][13][last]\" aria-errormessage=\"wpforms-238-field_13-last-error\" required><label for=\"wpforms-238-field_13-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/fieldset><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"238\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"http:\/\/xactilynx.com\/index.php\/wp-json\/wp\/v2\/pages\/236\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-238\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img loading=\"lazy\" decoding=\"async\" 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