CONTRACT FOR SERVICES, ASSIGNMENT OF BENEFITS
I, the Owner/Agent for the job site listed below, authorize National Tree Service, Inc. (hereinafter referred to as “Company”) to enter my property, furnish materials, supply all equipment and perform all labor necessary to preserve and protect my property from further damage.
ASSIGNMENT OF INSURANCE BENEFITS
I hereby assign any and all insurance rights, benefits, proceeds, and any causes of action under any applicable insurance policies to National Tree Service, Inc, for services rendered or to be rendered by National Tree Service, Inc. By executing this document, I intend for all rights, benefits, and proceeds for services rendered by National Tree Service, Inc to be assigned solely and exclusively to National Tree Service, Inc. In this regard, I waive my privacy rights. I make this assignment in consideration for National Tree Service, Inc’s agreement to perform labor, services, supply materials, and perform its obligations under this contract, including not requiring full payment at the time of service. I hereby unequivocally direct my insurance carrier(s) to release any and all information requested by National Tree Service, Inc, its representative, and/or its attorney for the purpose of obtaining actual benefits to be paid by my insurance carrier(s) for services rendered or to be rendered.
DIRECT PAYMENT AUTHORIZATION
I hereby authorize and unequivocally instruct direct payment of any benefits or proceeds for services rendered by National Tree Service, Inc to be made payable solely to National Tree Service, Inc and sent exclusively to National Tree Service, Inc. I agree that any portion of work, deductible(s), betterment, depreciation, or additional work requested by me, or otherwise not covered by insurance, is ultimately my responsibility.
PAYMENT TERMS
Payment terms to Company are net-30 days. Late charges of 1.5% monthly are charged to any and all unpaid balances. Company shall be entitled to reimbursement for costs of collection (including reasonable attorney’s fees and costs) of unpaid amounts by Owner/Agent and for reasonable attorney’s fees and costs for the breach, or enforcement, of any terms of this entire service agreement.
STOP WORK-HOLD HARMLESS
In the event Company is not allowed to perform its recommended procedures and equipment is removed prematurely, I agree to release and hold Company harmless, and indemnify Company against all claims or actions that may result from such procedures.
