www.onetreedocs.com ___________________________________________________________________________________________________________ Homeowner Information Reason for call: Is this an emergency: Areas of concern: How long have you owned the home: How old is the current roofing system: Have you had any leaks in the past: Have you had any ice dams on the roof: Do you have any gutter issues: How old is the current exterior paint: Where is the attic access: Insurance Company: How did you hear about us: Date: _______________ Name: _______________________________________________ Street:_______________________________________________ City:__________________________State______Zip___________ Email: _____________________________________________ Home/Cell Phone: ___________________________________ Work Phone: ________________________________________
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· Solar Powered Electric Powered Solar Powered Electric Powered Insulation Attic Insulation Type Existing Required for EnergyStar Inches R- Value Inches R- Value Attic ...
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Exhaust Turtle Alum. Ridge Shingle Over Turtle Alum. Ridge Shingle Over
Solar Powered Electric Powered Solar Powered Electric Powered
Insulation Attic Insulation Type Existing Required for EnergyStar
Inches R- Value Inches R- Value
Attic Accessories Air Sealing and Prep Raft-R-Mate Smart Cap – for recessed lighting Attic Access - Barrier Wall Whole House Fan Barrier Attic Stair Insulator
10 Year Energy Savings Estimate *Reflects a 5% CPI Increase per year. Estimated Monthly Heating and Cooling Cost Current 10 Year Cost* 10 Year Cost with added AttiCat
10. Any Hidden conditions or building code related issues which result in additional labor and/or material costs will require a signed change order to
proceed. Customer understand that company may issue a stop work order if changed order is not accepted.
For Example.(rotten decking, fascia, gas vents, etc.) Yes ( ) No ( )
11. The company will take all reasonable precautions to protect the driveway and/or pavers during the roofing project. Customer understands that the
company cannot be held responsible for damages to driveway and/or pavers caused by 3rd part dump and/or waste disposal services Yes ( ) No ( )
12. Customer understands that existing framing issues such as uneven rafters and bowed sheeting are not the responsibility of Cochran Exteriors to fix
and will only be repaired if needed and on a time and material basis. Yes ( ) No ( )
13. Customer understands that company is not responsible for any mold or any damages as the result of previous or future water penetrations that were
not disclosed within 48 hours of first notice of water penetration. Yes ( ) No ( )
14. Customer has been advised that if new decking is required, the work will be done at an additional cost of $65 per sheet. Yes ( ) No( )
15. Customer understands our pay per trade policy. Company reserves the right to collect payment in full per trade prior to beginning any work on the next
trade. Yes ( ) No ( )
16. CUSTOMER UNDERSTANDS THAT CHECKS MUST BE MADE PAYABLE ONLY TO COMPANY- - Yes ( ) No ( )
17. Payments are to be made: Half down payment AND Customer agrees to our percentage of completion billing policy. Company reserves the right to bill
proportionately based on percentage of work complete. Customer understands that company may issue a stop work order if requested progress
payment is not received. Yes ( ) No ( )
18. Customer agrees to pay in full at the time of completion of each contract. The maximum allowable retainage for any punch-out will be 5% of original
contracted price. Yes ( ) No ( )
Customer has read or been read all items on the PRESTART CHECKLIST and has answered all items to the best of their ability. Customer Signature: _______________________________________________ Date _________________________
Work Phone: ________________________________________
ROOF SPECIFICATIONS __ Grade of Shingle______________________________________ __ Style of Shingle_______________________________________ __ Color of Shingle ______________________________________ __ Ridge Material________________________________________ __ Valley _______________________________________________ __ Vents_______________________________QTY ____________ __ Plumbing Stacks_____________________QTY ___________ __ Metal Edging Color___________________________________ __ Gutter Color ______________________ Size ______________ __ Gutter Guards _______________________________________ __ Tear Off __ Yes __ No _________ Layers __ Felt _________________________________________________ __ Pitch _______________________________2-Story __________ __ Remove Trash from Roof, Gutters, and Yard __ Protect Landscaping Where Applicable __ Roll Yard with Magnetic Roller __ Furnish Permit
SPECIAL ATTENTION AREAS Cover Pool __ Yes __ No Existing Gutter Damage __ Yes __ No Existing Driveway Damage __ Yes __ No Ice & Water Shield __ Yes __ No Emergency Repair __ Yes __ No
Check 1. Identify all PAYEES on the check 2. Have all homeowner/policy holders listed as PAYEES endorse the backside of the check 3. Make sure that we have Mortgage Affidavits for any and all mortgage companies listed as PAYEES
I (We), _______________________________________________________, hereby authorize One Tree Docs, to work directly with my mortgage company in order to obtain funds necessary to complete repairs for the property located at: ________________________________________________________________________
I (We) hereby authorize One Tree Docs to be listed as an additional payee on any payments. I (We) hereby authorize payments to be mailed directly to One Tree Docs. I (We) hereby authorize One Tree Docs to order property inspections. I (We) hereby authorize One Tree Docs to receive status updates from the Property Damage or Loss Draft departments. Mortgage Loan Number________________________________________________________
Name of Mortgage Company: ___________________________________________________