Aaron Roofing & Restoration
8116 South Tryon St. Suite #177
Charlotte, NC 28273
Office: (704) 891-5817
Email: Aaronroofing2010@gmail.com
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Contract Information
I/We hereby retain Aaron Roofing & Restoration, as my agent, for the purpose of assisting, documenting and processing my insurance claim in order that my insurance carrier can asses the fair value of my loss. My insurance company is authorized and directed to discuss my claim with my agent. I/ We have hired Aaron Roofing & Restoration to assist in filing our claim for avoidance and inconvenience, and scheduling delay associated with the claims process. My insurance company may work directly with my agent in arriving at the value of my loss. I/We hereby assign to Aaron Roofing & Restoration, any and all proceeds associated with the roof to secure payment of its services provided to me under this contract. Furthermore, I/We authorize my insurance carrier/adjuster to forward any estimates or scopes of work directly to my contractor.
I/We authorize Aaron Roofing & Restoration to proceed with all repairs in accordance with all scopes and parameters authorized by the insurance company, as per insurance adjustment, as soon as the insurance company approves the claim. I/We agree that Aaron Roofing & Restoration complete such repairs or use additional or better materials that authorized by our insurance company and we agree to pay this additional amount as reflected in our written approval of upgrades to the material or labor, if any.
The cost of the repairs shall be equal to the amount of the replacement cost value authorized and paid by the insurance company, plus the insurance deductible paid by the Homeowner (this includes all overhead and profit paid). First payment is due upon delivery of material and receipt of insurance funds, balance is due upon completion.
I/We agree that any information that is received from the insurance company will be delivered immediately to Aaron Roofing & Restoration and that any payments received from the insurance company shall be endorsed and delivered to Aaron Roofing & Restoration.
If this contract is cancelled more than three days from the date of this Agreement, then I/we agree to pay Aaron Roofing & Restoration for its services in initiating the claim an amount equal to 15% of the proceeds received from insurance in payment of the claim or of the loss approved by the insurance company. You, the buyer may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction.

Home Owners/Property Owners authorized representative: *
Property Address: *
Home Owner's Telephone Number: *
Work Number:
Approx. Date of Loss: *
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Email Address: *
Damages Result of Wind and/or Hail or Other (specify if other): *
Required
Insurance Company: *
Policy No: *
Claim No: *
Agent's Name: *
Agent's Number: *
I/WE UNDERSTAND THAT AARON ROOFING & RESTORATION SERVICE FEES ARE BASED ON THE ESTIMATE PROVIDED BY YOUR INSURANCE COMPANY. I/WE UNDERSTAND THAT THE TOTAL COST OF THE REPLACEMENT OF YOUR ROOF WILL BE EQUAL TO THE ESTIMATE. (Initial) *
Signature: *
Date: *
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