Crystal reports - cb1.rpt

WOOD DESTROYING PESTS AND ORGANISMS INSPECTION REPORT
Capstone Extermination Services
Report # : 13028
277 Prairiewood Court
Registration # : PR-2470
San Jose CA 95127
Tel 408-923-2894 Fax 408-923-1556 Alt 408-781-5792
Split level single family dwelling with an attached garage, stucco and wood siding, composition shingle roof, concrete An inspection has been made of the structure(s) shown on the diagram in accordance with the Structural Pest Control Act. Detached porches, detached steps, detached decks and any other structures not on the diagram were not inspected.
Drywood Termites X
Further Inspection X
If any of the above boxes are checked, it indicates that there were visible problems in accessible areas. Read the report for details on checked
items.
Diagram Not To Scale
You are entitled to obtain copies of all reports and completion notices on this property reported to the Structural Pest Control Board during the preceding two years. To obtain copies contact: Structural Pest Control Board, 2005 Evergreen Street, Suite 1500, Sacramento, California, 95815-3831.
NOTE: Questions or problems concerning the above report should be directed to the manager of the company. Unresolved questions or problems with services performed may be directed to the Structural Pest Control Board at (916) 561-8708, (800) 737-8188 or PDF created with pdfFactory trial version Capstone Extermination Services
IMPORTANT CLIENT INFORMATION—SCOPE OF INSPECTION
An inspection was performed by a licensed representative of our firm to provide our client with a Wood-Destroying Pests & Organisms Report inaccordance with Section 8516 of the Rules & Regulations of the Structural Pest Control Act of the State of California. This inspection is limited tothe visible and accessible areas of the property only. This inspection addresses infestation and infection, as well as those conditions that havecaused damage to the wooden structural members of the property, or are deemed likely to cause such damage in the future if not corrected.
STATEMENT OF REGISTERED PEST CONTROL COMPANY: NEITHER THE INSPECTOR NOR THIS COMPANY HAVE HAD,
PRESENTLY HAVE, OR CONTEMPLATE HAVING ANY INTEREST IN THIS PROPERTY. IT IS FURTHER STATED THAT THE
INDIVIDUAL INSPECTOR AND THIS COMPANY ARE NOT ASSOCIATED IN ANY WAY WITH ANY OF THE INTERESTED
PARTIES.
NOTICE REGARDING REPORT: THE INSPECTION REPORT MUST BE READ AND UNDERSTOOD IN ITS ENTIRETY. REVIEWEACH AND EVERY SECTION OF THE REPORT THOROUGHLY AND CAREFULLY, INCLUDING THE SCOPE OF THE INSPECTION(AND ALL NOTICES AND SECTIONS THEREIN) AND ALL LIMITATIONS. IF THERE ARE ANY FINDINGS ORRECOMMENDATIONS THAT YOU DO NOT COMPLETELY UNDERSTAND, DO NOT USE THE REPORT FOR ANY PURPOSE. CALLUS IMMEDIATELY WITH ANY QUESTIONS.
NOTICE REGARDING PAYMENT OF FEES: THIS INSPECTION REPORT IS NOT TO BE USED TO SATISFY ESCROW
REQUIREMENTS UNLESS AND UNTIL ALL OUR INSPECTION FEES, REINSPECTION FEES AND REPAIR AND/OR
TREATMENT FEES ARE PAID IN FULL.
We did not perform a code compliance inspection. Codes differ in various cities and counties; therefore, if there are questions or concernsregarding compliance with local codes, contact the appropriate agency within this particular city or county for a code compliance inspection.
Our inspection did not include furnishings, appliances, electrical equipment, heaters, air conditioners, mechanical systems, or other items and
systems commonly addressed in property inspections. Contact a qualified professional property inspection firm for inspection of these items.
The exterior surface of the roof was not inspected. If you want the water tightness of the roof determined, you should contact a roofing
contractor who is licensed by the Contractor's State Licensing Board.
The following areas were not included in this inspection: areas below or behind furniture, equipment, appliances, or floor coverings; areas behind
wall paneling or wall paper; areas under rugs or carpets; storage areas; or the interior of finished walls and ceilings. Inspection of these areas is not
practical. This list does not exclude other areas or items that are deemed beyond the scope of our limited visual inspection. Inspection of
inaccessible areas will be performed as practical upon request of the client, for an additional fee, after access has been provided to the area(s) in
question. If areas must be opened, others must perform this work prior to our further inspection. Following said further inspection, a supplemental
inspection report with detailed findings and appropriate recommendations will be issued. Any further inspection will be for the presence of wood-
destroying pests and organisms only. We will not inspect the quality of work by others or offer any guarantee or warranty on such work.
NOTICE REGARDING REINSPECTIONS: THIS COMPANY WILL REINSPECT CORRECTIVE WORK PERFORMED BY
OTHERS FOR A REINSPECTION FEE OF $75.00 FOR EACH REINSPECTION. OPEN WALL AND OPEN FLOOR INSPECTIONS
ARE REQUIRED IF A CERTIFICATION THAT INCLUDES THESE AREAS IS DESIRED FROM OUR FIRM. REINSPECTIONS
MUST BE PERFORMED WITHIN FOUR (4) MONTHS OF THE DATE OF THE ORIGINAL INSPECTION. ANY REINSPECTION
WILL BE FOR THE PRESENCE OF WOOD-DESTROYING PESTS AND ORGANISMS ONLY. WE WILL NOT INSPECT THE
QUALITY OF WORK BY OTHERS OR OFFER ANY GUARANTEE OR WARRANTY ON SUCH WORK.
NOTICE REGARDING LACK OF WARRANTY FOR WORK BY OTHERS: WE DO NOT OFFER ANY GUARANTEE OR
WARRANTY REGARDING THE QUALITY OR EFFECTIVENESS OF CORRECTIVE WORK (REPAIRS AND TREATMENTS)
PERFORMED BY OTHERS. ANY AND ALL GUARANTEES AND WARRANTIES MUST BE OBTAINED DIRECTLY FROM THE
COMPANY THAT PERFORMED THE WORK IN QUESTION.
NOTICE OF SUPPLEMENTAL INSPECTION: IF DURING THE PERFORMANCE OF ANY REPAIR WORK OR REINSPECTIONS
BY THIS FIRM ANY INFESTATIONS OR INFECTIONS ARE REVEALED THAT WERE NOT VISIBLY EVIDENT AT THE TIME
OF THE ORIGINAL INSPECTION, WE WILL ISSUE A SUPPLEMENTAL REPORT WITH FINDINGS, RECOMMENDATIONS
AND ADDITIONAL COSTS FOR PROPER CORRECTION OF SUCH CONDITIONS.
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NOTICE REGARDING DIFFERING REPORTS: REPORTS ON THIS STRUCTURE PREPARED BY VARIOUS REGISTERED
COMPANIES SHOULD LIST THE SAME FINDINGS (TERMITE INFESTATIONS, TERMITE DAMAGE, FUNGUS DAMAGE,
ETC.); HOWEVER, RECOMMENDATIONS MAY DIFFER FROM COMPANY TO COMPANY. YOU HAVE THE RIGHT TO SEEK
A SECOND OPINION FROM ANOTHER COMPANY.
NOTICE REGARDING CHEMICALS: ONLY LICENSED STRUCTURAL PEST CONTROL OPERATORS ARE LICENSED AND
REGULATED BY THE STRUCTURAL PEST CONTROL BOARD; THEREFORE, THEY ARE THE ONLY COMPANIES THAT
ARE ALLOWED TO APPLY PESTICIDES.
NOTICE OF GUARANTEES: NO GUARANTEE IS GIVEN ON SECONDARY RECOMMENDATIONS, WHICH ARE CONSIDERED
SUBSTANDARD ACCORDING TO SECTION 1992 OF THE RULES AND REGULATIONS OF THE CALIFORNIA STRUCTURAL
PEST CONTROL ACT. WE GUARANTEE TREATMENTS AND FUMIGATIONS PERFORMED BY THIS COMPANY FOR ONE (1)
YEAR FROM THE DATE OF COMPLETION. WE GUARANTEE ALL WATER DAMAGE REPAIRS FOR THIRTY (30) DAYS
FROM THE DATE OF COMPLETION. WE OFFER NO GUARANTEE AGAINST FUTURE INFECTIONS OR ADVERSE
CONDITIONS, OR AGAINST ANY CONDITIONS THAT WERE PRESENT BUT NOT VISIBLY EVIDENT AT THE TIME OF THE
ORIGINAL INSPECTION.
NOTICE REGARDING SEPARATED REPORTS: THIS IS A SEPARATED REPORT, WHICH IS DEFINED AS SECTION
I/SECTION II CONDITIONS THAT WERE EVIDENT ON THE DATE OF THIS INSPECTION. SECTION I CONTAINS ITEMS
WHERE THERE IS EVIDENCE OF INFESTATION OR INFECTION, OR CONDITIONS THAT HAVE RESULTED IN OR FROM
INFESTATION OR INFECTION. SECTION II ITEMS ARE DEFINED AS CONDITIONS DEEMED LIKELY TO LEAD TO
INFESTATION OR INFECTION BUT WHERE NO VISIBLE EVIDENCE OF SUCH WAS FOUND AT THE TIME OF THE
INSPECTION. UNKNOWN—FURTHER INSPECTION RECOMMENDED ITEMS ARE DEFINED AS RECOMMENDATIONS TO
INSPECT AREAS WHICH DURING THE ORIGINAL INSPECTION DID NOT ALLOW THE INSPECTOR ACCESS TO
COMPLETE THE INSPECTION AND CANNOT BE DEFINED AS SECTION I OR SECTION II.
THIS WOOD DESTROYING PESTS AND ORGANISMS REPORT DOES NOT INCLUDE MOLD OR ANY MOLD LIKE
CONDITIONS. MOLD, SOMETIMES CALLED MILDEW, ARE NOT WOOD-DESTROYING ORGANISMS, AND ARE OUTSIDE
OF THE SCOPE OF THIS REPORT AS DEFINED BY THE STRUCTURAL PEST CONTRL ACT. INSPECTIONS FOR MOLD ARE
PERFORMED BY INDUSTRIAL HYGENISTS, USING AIR-SAMPLING TECHNOLOGY, NOT BY BRANCH III PEST CONTROL
INSPECTORS, WHO HAVE NEITHER THE QUALIFICATIONS NOR THE EQUIPMENT TO PERFORM SUCH INSPECTIONS. IF
YOU DESIRE THAT YOUR PROPERTY BE INSPECTED FOR MOLD, PLEASE CONTACT THE APPROPRIATE MOLD
PROFESSIONAL.
NOTICE REGARDING CERTIFICATION: A CERTIFICATION STATEMENT (COMMONLY CALLED A “CLEARANCE”) WILL
BE ISSUED BY THIS COMPANY ONLY AFTER ALL SECTION I ITEMS HAVE BEEN PROPERLY CORRECTED. THIS
CORRECTIVE WORK MUST BE COMPLETED WITHIN FOUR (4) MONTHS OF THE ORIGINAL INSPECTION IN ORDER FOR
CERTIFICATION TO BE ISSUED, AS REQUIRED BY THE STRUCTURAL PEST CONTROL BOARD. AFTER FOUR (4)
MONTHS, A NEW INSPECTION REPORT WILL BE REQUIRED.
NOTICE REGARDING FUMIGATION PREP WORK: NECESSARY PREPARATORY WORK (SUCH AS TRIMMING
VEGETATION, DETACHING FENCES, ETC.) IS NOT INCLUDED IN THE BID FOR FUMIGATION. THIS WORK MUST BE
CONTRACTED THROUGH ANOTHER FIRM IF IT IS NOT DONE BY THE OWNER. FAILURE TO PERFORM REQUIRED PREP
WORK WILL PREVENT THE FUMIGATION FROM BEING COMPLETED.
THIS COMPANY WILL REINSPECT REPAIRS DONE BY OTHERS WITHIN FOUR MONTHS OF THE ORIGINAL INSPECTION.
A CHARGE, IF ANY, CAN BE NO GREATER THAN THE ORIGINAL INSPECTION FEE FOR EACH REINSPECTION. THE
REINSPECTION MUST BE DONE WITHIN TEN (10) WORKING DAYS OF REQUEST. THE REINSPECTION IS A VISUAL
INSPECTION AND IF INSPECTION OF CONCEALED AREAS IS DESIRED, INSPECTION OF WORK IN PROGRESS WILL BE
NECESSARY. ANY GUARANTEES MUST BE RECEIVED FROM PARTIES PERFORMING REPAIRS.
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Page 4 of 6 of Standard Inspection Report Fences were not inspected. Contact a professional property inspection firm for an evaluation of these items.
We did not inspect the roof covering. Contact a licensed roofer for an evaluation.
There was carpeting in the home. We cannot comment on concealed areas below carpeting.
The attic space could not be entered due to a lack of clearance &/or the presence of insulation that covered the lower wood members. Stored personal articles restricted our inspection of the garage. No comment can be made regarding inaccessible portions of the area. We will perform a further inspection (for an additional fee) upon request, after the articles have been removed by others. A supplemental report will be issued following the further inspection.
There were enclosed and/or concealed and/or inaccessible areas on this property. We recommend a further inspection (for an additional fee) of all inaccessible areas after they have been opened, cleared or otherwise prepared by others. A supplemental report will be issued following the further inspection Upstairs water supply and/or drainage piping over finished ceilings was not tested for concealed leakage or damage. The eaves were not inspected due to their height. No comment can be made regarding their condition.
The area below the water heater pedestal was inaccessible for inspection. No comment can be made regarding this area.
The exterior of the home has been recently painted, which may conceal reportable infestations and or damage. No comments can be made regarding the concealed wood members, without probing, which would deface the wood.
1. SUBTERRANEAN TERMITES:
FINDING 1A: Evidence of subterranean termite infestation (earthen migratory tubes) was noted at several locations in the subarea. This infestation appears to extend into enclosed and inaccessible areas.
RECOMMENDATION: Chemically treat the entire foundation area, including both sides of the foundation, using Premise (imidacloprid), or Termidor (Fipronil). Follow all label directions. This treatment may require the drilling of concrete walkways, patios and slabs. Capstone is not responsible for any damage to concealed plumbing lines, gas lines or electrical conduits that may occur during treatment. All evidence of infestation must be removed or masked to prevent this infestation from being mistakenly identified as active in the future. Our firm is not responsible for damage concealed within enclosed and/or inaccessible areas. We recommend opening any area of interest for a further inspection prior to the close of escrow. SECTION 1 FINDING 1B: Subterranean-termite infested cellulose debris was noted under the home.
RECOMMENDATION: Remove all cellulose debris that is large enough to be raked. See 1A# regarding chemical treatment. SECTION 1 FINDING 1C: Subterranean termite damage was noted to one of the support posts as noted in the subarea beneath the family room.
RECOMMENDATION: Reinforce the damaged post. See 1A# regarding chemical treatment. SECTION 1 2. DRYWOOD TERMITES:
FINDING 2A: There is evidence of drywood termites (fecal pellets) as seen in the living room, and in the subarea. The infestation appears to extend into inaccessible areas.
RECOMMENDATION: Fumigate the entire structure with Vikane (Sulfuryl Fluoride), with tear gas (chloropicrin) as a warning agent. Necessary preparatory work (such as trimming vegetation, detaching fences, etc.) is not included in the bid for fumigation. This work must be contracted through another firm if it is not done by the owner. Failure to perform required prep work will prevent the fumigation from being completed. Our firm is not responsible for damage concealed within enclosed and/or inaccessible areas. We recommend opening any area of interest for a further inspection prior to the close of escrow. The charge for fumigation that is subcontracted may include the company's fee for arranging and administering this service in addition to the direct cost paid to the subcontractor. We intend to subcontract this work to Arden Fumigation, PO Box 612903. San Jose, CA 94161 (408-279-2040) Retain all inspection reports and treatment records for verification of repairs/treatments. SECTION 1 PDF created with pdfFactory trial version Capstone Extermination Services
Page 5 of 6 of Standard Inspection Report FINDING 2B: Drywood termite droppings were noted in the living room and in the subarea.
Remove all droppings or mask or mark the areas to prevent misidentification in the future. See 2A regarding fumigation. FINDING 2C: Drywood termite damage was observed to the subfloor framing members adjacent to the access hatch to the subarea in the family room closet. RECOMMENDATION: Reinforce all damaged wood as necessary. See 2A# regarding fumigation. SECTION 1 3. FUNGUS / DRYROT:
FINDING 3A: There is fungus infected cellulose debris in the subarea as noted beneath the half bathroom. This condition is conducive to infestation.
RECOMMENDATION: Remove all cellulose debris that is large enough to be raked. SECTION 1 4. OTHER FINDINGS:
FINDING 4A: The stucco siding of this home extended below the grade of the exterior soil as was common practice when it was built; however, it presents a pathway for subterranean termite infestation into the framing members. RECOMMENDATION: Consideration should be given to cutting the stucco to expose at least 3" of the foundation. We also recommend applying a chemical termiticide to this area. See #1A above. A further inspection (for an additional fee) would be performed after the stucco has been opened by others to allow a visual inspection of the framing members. If additional damage is revealed during repairs, a supplemental report with appropriate recommendations and additional repair costs will be released. Inaccessible areas should be cleared, opened or otherwise prepared by others prior to the further inspection. Our firm is not responsible for concealed damage within enclosed and/or inaccessible areas. SECTION 2 FINDING 4B: The half bath toilet floor flange connection was loose. This condition could result in leakage at the wax ring seal and future damage.
Remove the toilet and set it on a new wax ring seal. Ensure that the mounting bolts are tight to the floor to prevent leakage. FINDING 4C: The dryer vent piping is separated in the subarea, creating an excessive moisture condition that is conducive to infestation and infection.
Properly extend the piping so it terminates at the exterior. FINDING 4D: The soil in the subarea was damp at the time of this inspection; however, water marks on the foundation indicated that standing water has collected in the subarea in the past. Moisture in the subarea is conducive to infestation and infection. RECOMMENDATION: Identify and eliminate the cause of this condition. Contact a drainage specialist for an evaluation and any modifications that may be needed. SECTION 2 FINDING 4E: Repairs have been made to the subfloor framing members as seen beneath the family room. Review the seller's disclosure statement as well as existing repair records for complete information regarding the problem, its cause, and the repairs that were made. INFORMATIONAL NOTE 5. FURTHER INSPECTION:
FINDING 5A: There are personal articles being stored in the garage that restricted our inspection of the garage interior. We cannot comment on inaccessible areas.
We recommend that a further inspection (for an additional fee) be performed after the articles have been removed. A supplemental report would be issued following this further inspection. If damage is revealed, a supplemental report with appropriate recommendations and additional repair costs will be released. Inaccessible areas should be cleared, opened or otherwise prepared prior to the further inspection. Our firm is not responsible for concealed damage within enclosed and/or inaccessible areas. FURTHER INSPECTION IF REQUIRED FINDING 5B: The attic space could not be inspected due to restricted clearance past the shelving and stored items in the closet.
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Page 6 of 6 of Standard Inspection Report FINDING 5B: The attic space could not be inspected due to restricted clearance past the shelving and stored items in the closet.
RECOMMENDATION: We recommend that a further inspection (for an additional fee) be performed after the area has been made accessible. A supplemental report would be issued following this further inspection. If additional damage is revealed, a supplemental report with appropriate recommendations and additional repair costs will be released. Inaccessible areas should be cleared, opened or otherwise prepared prior to the further inspection. FURTHER INSPECTION IF REQUIRED The Business & Profession Code Section 8538 (a) (3) is included for your review: State law requires that you are given the following information: CAUTION-PESTICIDES ARE TOXIC CHEMICALS. Structural pest control companies are registered with and regulated by the Structural Pest Control Board of the State of California, and apply pesticides which are registered and approved for use by the California Dept. of Food & Agriculture and the United States Environmental Protection Agency. Registration is granted when the State finds that based on existing scientific evidence there are no appreciable risks if proper use conditions are followed, or that the risks are outweighed by the benefits. The degree of risk depends upon the degree of exposure, so exposure should be minimized. If within 24 hours of following application you experience headache, dizziness, nausea or vomiting, tearing and/or irritation of eyes, coughing, nose and/or throat irritation, shortness of breath, respiratory irritation, double vision, unusual drowsiness or fatigue, weakness, tremors (shaking), poor coordination, slurred speech, confusion or flu-like symptoms, contact your physician and/or the local poison control center immediately, then contact your pest control operator. This language is not a guideline, but a mandate to all licensed structural pest control professionals that the consumer must be alerted to the dangers of pest control chemicals and where to turn if any harm is caused.
Structural Pest Control Board, 1418 Howe Ave #18, Sacramento, CA 95825, 800-737-8188 or 916-263-2533 The following pesticides may be used on this property in the course of corrective work: Dragnet (permethrin), Impel Rods (anhydrous disodium octaborate), Premise (imidacloprid), Tim-Bor (disodium octaborate tetrahydrate), Borakare (disodium octaborate tetrahydrate), Copper Green (Copper Napthenate), Tribute (fenvalerate), Dursban TC (chlorpyrifos), Jecta (disodium octaborate), Vikane (Sulfuryl Fluoride) with tear gas (Chloropicrin) as a warning agent, Invader-HPX (metylcarbamate), Strikeforce-HPX(chlorpyrifos with Dursban), Termidor (Fipronil), Orange Oil.
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277 Prairiewood Court
San Jose CA 95127
Tel 408-923-2894 Fax 408-923-1556 Alt 408-781-5792
AGREEMENT
No work will be performed until a signed copy of this agreement has been received.
The inspection report of the company dated, is incorporated herein by reference as though fully set forth.
This is a contract between Capstone Extermination Services (C.E.S.) and (hereafter “Client”) and incorporates the C.E.S. wooddestroying pests and organisms report for the property. The inspection report must be read and understood in its entirety. Review each and every section of the report thoroughly and carefully,including the scope of the inspection (and all notices and sections therein) and all limitations. If there are any findings or recommendations that you do not completely understand, do not use thereport for any purpose. Call us immediately w ith any questions. The client should be aware that C.E.S. intends to subcontract the following services to others: fumigation (to Discount Fumigation), chemical treatment (to Sprayman Pest Control), or (Greater Bay Area Termite) and repairs (to Sebana Construction, Paulino Construction, or Sullivan Construction). The costs quoted for thesespecific services may include a C.E.S. fee for arranging and administering this service in addition to the direct cost paid to the subcontractor.
PLEASE RETURN THE SIGNED CONTRACT AS SOON AS POSSIBLE TO ALLOW AM PLE TIM E FOR THE COMPLETION OF ALL REPAIRS AND/OR TREATM ENTS.
1.
Time is of the essence in this contract. If the C.E.S. offer is not accepted within 30 days of the date of the inspection report, C.E.S. reserves the right to increase prices.
If further inspection is recommended, or additional work is required by any Governmental agency, C.E.S. reserves the right to increase prices.
NOTICE TO OW NER OR CLIENT OF M ECHANIC’S LIEN: Under the California Mechanic’s Lien Law, any structural pest control company which contracts to do work for you, anycontractor, subcontractor, laborer, supplier, or other persons who help you to improve your property but are not paid for their work or supplies, have the right to enforce a claim against yourproperty. This means that, after a court hearing, your property could be sold by a court officer and the proceeds of the sale may be used to satisfy the indebtedness. This can happen even ifyou have paid your structural pest control company in full, if the subcontractor, laborer, or supplier remain unpaid. To preserve their right to file a claim or lien against your property, certainclaimants, such as subcontractors or material suppliers, are required to provide you with a document entitled "Preliminary Notice". Prime contractors and laborers for wages, do not have toprovide this notice. A "Preliminary Notice" is not a lien against your property. Its purpose is to notify you of persons w ho may have a right to file a lien against your property if they are notpaid. Authority cited: Section 8525, Business and Professions Code. Reference: Section 8513, Business and Professions Code.
In the event that legal action is necessary to enforce the terms of this contract, attorney’s fees and costs of such suit may be awarded to the prevailing party along w ith a judgement.
C.E.S. will use caution and due diligence in their operations, but assumes no responsibility or liability for any damage to pipes, electrical wires or any other object that is
damaged while drilling through concrete slabs, walkways, porches, steps, tile, stone or brick.
TERM S OF PAYM ENT: I, the Client, agree to pay C.E.S. the sum due upon issuance of the Notice of W ork Completed & Not Completed. I accept and understand that all fees
m ust be paid in full within 30 days of completion of work, regardless of close of escrow, sale or lack thereof, or termination of purchase contract. I understand and accept that
interest and late fees at the maximum legal rate will be charged to all past due accounts. I understand and accept that all past due accounts are subject to collection procedures by
a professional collection agency and may adversely affect my credit rating.
ESCROW : I, the Client, instruct , holder of escrow # , to pay C.E.S. the sum of upon close of escrow; however, I
understand and accept that I am responsible for payment, and I agree that if escrow does not close within 30 days of completion of work I will pay C.E.S. in full or be subject to
interest and late fees at the maximum legal rate. I understand and accept that all past due accounts are subject to collection procedures by a professional collection agency and
may adversely affect my credit rating.
I, , authorize C.E.S. to perform items:______________________________________________________________________
For the contract price of $______________________ W ORK CAN ONLY BE AUTHORIZED BY THE PROPERTY OWNER OR HIS/HER AGENT.
Further Prefix Section 1 Section 2 Inspection Others ------------------------------------------------------ 1A 1,650.00 1B 150.00 1C BID ON REQUEST** 2A 1,800.00* 2B 150.00 2C BID ON REQUEST** 3A 150.00 4A OTHERS* 4B OTHERS* 4C OTHERS* 4D OTHERS* 5A 125.00 5B 150.00 *=ADDITIONAL COSTS MAY BE INCURRED OR WORK IS TO BE DONE BY OTHERS ------------------------------------------------------ Total: 3,900.00*/** * 275.00 Grand: 4,175.00*/** PDF created with pdfFactory trial version

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