COASTAL RECONSTRUCTION INC COASTAL RESIDENTIAL CORP
Lic. #CGCO57545 Lic. #CGC1511631
WORK AUTHORIZATION and CONTRACT
For repairs and/or service at the following property location:
SCOPE OF WORK: Contractor shall furnish labor and ASSIGNMENT: Owner, by execution of this contract
Materials to complete the below designated services hereby assigns to Contractor such amount that is due
and/or repairs for the building or other property required Owner under any policy of insurance which covers the
as a result of casualty damage. Repairs may begin immediately Work hereunder. Owner hereby directs such insurance
provided the contractor and adjuster have verbal agreement to company to include “Coastal Residential Corp.” as
a scope of work. However, a written scope of work must co-payee on any draft or check issued for this work.
follow within 20 days for work to continue.
Emergency Services EXCLUSIONS: Contractor shall not be responsible for
Architectural / Engineering Service the repair of termite or other hidden damage; or for the
Building Permit correction of building, fire, or housing code violations,
Order Trusses should they exist (unless otherwise included in the
Reconstruction Repairs written ( “Scope of Work”). This work may be done by
PAYMENT: Owner has an insurance policy to provide payment MISCELLANEOUS PROVISIONS: Contractor carries
for the work completed under this agreement. Owner agrees general liability and worker’s compensation insurance.
to pay Contractor, for all insured work an amount agreed A certificate of Insurance will be furnished upon request.
upon between Contractor and Owner’s insurance company Unless otherwise stated, the Contractor is not responsible
per the Scope of Work. Owner agrees, if required by for utilities used during the course of construction. The
Contractor, to cooperate with Contractor and Mortgagee person executing this Agreement represents and warrants
in order to provide monthly progress payments, based on the that he/she has authority to contract for the Work and
amount of work completed, or in accordance with a Draw bind the legal entity that owns the property.
Schedule, to be furnished at a later date. Any work not covered
by insurance shall be paid by the Owner. (See EXCLUSIONS) GUARANTEE:
Contractor guarantees all work performed under this
TERMS: Owner agrees (subject to receipt of insurance contract for a period of one year from completion,
proceeds, if applicable) to make all progress payments provided Contractor has been paid in full under this
within 10 days after invoicing and final payment with 30 contract.
days after completion. Interest at the rate of 1% per
month shall accrue on any unpaid balance. Owner
shall be responsible for reasonable attorney’s fees
and court costs in the event that legal action is necessary
to collect any unpaid balance.
In order to proceed with the scheduling of the work, please sign below.
Owner: ___________________________________________ Contractor: _______________________________________
Print Name Print Name
Accepted: ________________________________________ Accepted: ________________________________________
Date: ______/______/______ Date: _____/______/_______
Melbourne Office Corporate Office Orlando Office 1
1024 S Harbor City Blvd #5 5570 Florida Mining Blvd. S., #304 1073 Willa Springs Dr. #2005
Melbourne, Florida 32901 Jacksonville, FL 32257 Winter Springs, Florida 32708
321.952.9902 Fax 321.952.9904 904.880.1919 Fax 904.880.2727 407.644.1800 Fax 407.644.0155
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