(Required) Project Address
Where Damage Occurred
Homeowner's Insurance Company Name and Address (Required)
The property owner named above, hereinafter referred to as "Insured", hereby appoints, directs, and authorizes Langley Contracting LLC, hereinafter referred to as "Contractor", to act for and on behalf of Insured in matters relative to the technical aspects of the restoration and renovation of damages sustained to lnsured's real property whose location is described above. Insured represents that a claim has been filed with the Homeowners Insurance Carrier named above and that the lnsured's Homeowners Insurance Policy provider will respond to loses through the policy number and/or claim number shown above. If Insured has not presently filed a claim, then Insured will file a claim with their Homeowners Insurance Carrier as soon as possible and will provide Contractor with all necessary claim information. It is understood and agreed that Contractor is empowered to contact the Insurance Carrier named above and meet with their representative in order to assist Insured in determining the scope and the fair replacement cost value of the losses included in this claim. All negotiations and servicing responsibilities relating to the technical aspects of restoring your property will be handled by Contractor. Insured agrees that Contractor will be paid the replacement cost value that Insured and lnsured's Insurance Carrier agree upon for the work necessitated by the abovementioned claim. Insured expressly agrees that he/she/they will not have another person or entity perform any of the work included in this claim and that all work will be the responsibility of Contractor and will be completed by same. Contractor agrees to perform all construction work and to furnish all labor and materials, at least equal to and based upon the damage estimate, which the Insured and the Insurance Carrier have previously agreed upon. Contractor agrees that all work will be completed in a professional manner according to industry standard practices. Contractor agrees that Insured has the final choice of which actual type of material and labor is used in each stage of the work. Alterations, deviations, or upgrades from the Insurance Carrier's settlement, including any work required by the local building department to bring items "up to code", will be an extra cost and will be done only upon execution of a written change order signed by Insured and by Contractor and will be an extra charge over and above the Insurance settlement and will be lnsured's responsibility to pay. All checks issued by the Insurance Carrier and/or Mortgage Company in payment for the services provided by Contractor shall be done as a "joint check" listing Contractor and Insured as co-payees. Insured agrees to release all monies allotted by the Insurance carrier for each stage of the work completed. Insured agrees to provide all necessary documentation needed to facilitate payment from the Insurance Carrier and/or Mortgage Company.
CONTRACTOR AGREES THAT THE TOTAL OUT-OF-POCKET EXPENSES OF INSURED WILL NOT EXCEED THEIR INSURANCE POLICY DEDUCTIBLE FOR THE SCOPE OF WORK AGREED UPON BY INSURED'S HOMEOWNERS INSURANCE POLICY CARRIER AND INSURED, UNLESS INSURED CHOOSES TO ALTER, DEVIATE OR UPGRADE FROM THE INSURANCE CARRIER'S SETTLEMENT, OR UNLESS WORK IS REQUIRED BY THE LOCAL BUILDING DEPARTMENT TO BRING ITEMS "UP TO CODE". THIS AGREEMENT IS NULL AND VOID AND DOES NOT OBLIGATE ANY PARTY TO IT SHOULD THE INSURANCE COMPANY REFUSE COVERAGE UNDER THIS CLAIM OR SHOULD THE COVERAGE OFFERED BE INSUFFICIENT FOR CONTRACTOR TO PROPERLY DO THE WORK. INSURED ACKNOWLEDGES CONTRACTOR IS A GENERAL CONTRACTOR AND AS SUCH IS ENTITLED TO 10% OVERHEAD AND 10% PROFIT AS ALLOWED BY INSURANCE INDUSTRY STANDARDS. Signature of Insured (Required)