This authorization is made this day of , 20 by and between Craftech here in after referred to as Craftech and presently residing at here in after referred to as the CUSTOMER.
The CUSTOMER authorizes Craftech to proceed with its recommended procedures to preserve, protect and secure from further damage the property located at the ADDRESS OF LOSS (SAME AS ABOVE IF
APPLICABLE) and, providing the CUSTOMER has valid effective insurance coverage for all or part of the
services to be performed by Craftech, the CUSTOMER further authorizes and directs their insurance carrier to
pay Craftech direct, and to name Craftech on any and all insurance drafts applicable to this loss. Craftech shall bill all charges and/or costs directly to the CUSTOMER (insured), and, as a courtesy only, a copy of these invoices will be mailed to the insurance carrier. It is fully understood and agreed to by the CUSTOMER that any and all charges and costs are due upon completion of work. It is fully understood that the CUSTOMER is personally
responsible for any and all deductible, depreciation or any charges or costs not covered by insurance. Any and all
charges for services not reimbursed by an insurance carrier are the sole responsibility of the CUSTOMER and are to
be paid upon completion of work. Any exceptions must be approved by Craftech General Manager, and a finance
charge of 1.5% per month (minimum of $1.00), will be applied to any unpaid balance after thirty (30) days. The
liability of Craftech shall not be responsible for mysterious disappearance of any personal property or contents. In
the event any legal proceedings must be instituted to recover the amount due, Craftech shall be entitled to recover
the cost of collection including reasonable attorney's fees.
EXECUTED AT WORCESTER COUNTY, MA, on the day and year first above written