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Central: Owner4ent

The document is an Assignment of Insurance Benefits and Direction to Pay from a client to Central Homes LLC for roofing services. It includes authorization for the insurance company to release information and direct payment to Central Homes LLC for services rendered. The document also outlines the scope of work, associated costs, and legal implications regarding insurance proceeds and potential legal action if claims are not settled within 30 days.

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Ricardo
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0% found this document useful (0 votes)
38 views4 pages

Central: Owner4ent

The document is an Assignment of Insurance Benefits and Direction to Pay from a client to Central Homes LLC for roofing services. It includes authorization for the insurance company to release information and direct payment to Central Homes LLC for services rendered. The document also outlines the scope of work, associated costs, and legal implications regarding insurance proceeds and potential legal action if claims are not settled within 30 days.

Uploaded by

Ricardo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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-

CentralHomesOffice@gmail.com
Central
1182 N. RonaldReagan Blvd. l Longwood, FL 32750

kal Homes ASSIGNMENT OF


INSURANCE BENEFITS
State License #CCC-1330609
AND DIRECTION TO PAY

Client/Insured: k),A/L g)a,


Policy Number:
Claim Number: irk /9 —
D IP‘ 7 3
Insurer: VIII/ ve,r- r &I-at Li1,5 ‘--vvv
Date of Loss:
1-72.,e/qi., viY-7
I. 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 CENTRAL HOMES LLC for services rendered or to be rendered by CENTRAL
HOMES LLC. By executing this document, I intend for all rights, benefits, and proceeds for services rendered
by CENTRAL HOMES LLC to be irrevocably assigned solely and exclusively to CENTRAL HOMES LLC. In
this regard, I waive my privacy rights. I make this assignment in consideration for CENTRAL HOMES LLC'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 CENTRAL HOMES LLC, 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.

II. DIRECT PAYMENT AUTHORIZATION

Ihereby authorize and unequivocally instruct direct payment of any benefits or proceeds for services
rendered by CENTRAL HOMES ROOFING to be made payable solely to CENTRAL HOMES LLC and shall be
delivered directly and exclusively to CENTRAL HOMES LLC. 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.

DATED THIS 2-4 .44p' 441, 2019,


DAY OF

in
A)/.. /114,11.1 Petir414,, Florida
/700 7,21
Address City

(Print Name) Owner/Agent

453.4fe
Owner4ent
(Signa ure) Phone
Ixo f- —?/
.L. .**'' Central Central Homes LLC
Homes
1182 N. Ronald Reagan Blvd.
Longwood, FL 32750
office: 407.732.7262
centralhomesoffice@grnail.com
centralhomesbilling@gmail.com
Client: Ward Walker
Property: 1900 Whitehall Dr.
Winter Park, FL 32792

Operator: CENTRALH

Estimator: Francisco Dalmau


Company: Central Homes LLC
Business: 1182 N. Ronald Reagan Blvd.
Longwood, FL 32750

Type of Estimate: Other


Date Entered: 4/5/2019 Date Assigned:

Price List: FLOR8X_APR19


Labor Efficiency: Restoration/Service/Remodel
Estimate: WARD_WALKER

DIRECTION OF PAYMENT LETTER: TO AVOID LEGAL ACTION


If the Mortgage Company's name is listed on any insurance
proceeds check, we will return the check and immediately file suit
for breach of contract as we have an Assignment of Benefits signed, with a "DIRECTION OF PAYMENTclause in the
Assignment of Benefits.
All insurance proceed checks should be made out to the HOMEOWNER and Central Homes LLC
ONLY, and sent to the
HOMEOWNER'S ADDRESS!

For overhead and profit please refer to: Amado TRINIDAD, Petitioner, v. FLORIDA PENINSULA INSURANCE COMPANY,
Respondent. NO. SC11-1643.
PLEASE NOTE THE INSURED'S FILE AS THIS WILL BE OUR LAST REMINDER OVER THIS MATTER.
Central Central Homes LLC
Homes
1182 N. Ronald Reagan Blvd.
Longwood, FL 32750
office: 407.732.7262
centralhomesoffice@gmail.com
centralhomesbilling@gmail.com

WARD_WALICER
WARD_WALKER

DESCRlPTION QUANTITY UNIT PRICE TAX RCV DEPREC. ACV


1..Dumpster load Approx. 20 yards, 4 tons of debris
- 1.00 EA 404.00 0.00 404.00 (0.00) 404.00
2. R&R Ridge cap composition shingles
- 152.90 LF 7.35 10.04 1,133.85 (0.00) 1,133.85
Includes: Labor to remove ridge cap shingles and to discard in a job-site waste receptacle. ''The roofing line items for composition shingles (RFG 2•
/ RFG 3* / RFG 4 / RFG S*) as they are created within Xactimate price lists and remain unchanged in the field do not include assumptions for

starter strip or hip/ridge shingles in their line item assemblies. Line items for things like ridge caps (RFG R1DGC*), starter strips (RFG ASTR*) are
available in the price list."

Includes: Shingles, roofing nails, and installation labor


3. Apply mastic around vent pipes to repair leakage 5.00 EA 28.53 0.18 142.83 (0.00) 142.83
FBC Code requires all pipes and vents have mastic installed around them to prevent leakage
4. R&R Drip edge 310.20 LF 3.46 14.72 1,088.02 (0.00) 1,088.02
Includes: Labor cost to remove drip edge and to discard in a job-site waste receptacle. As required by 2017 FBC.
5. R&R Valley metal 116.60 LF 7.44 13.57 881.08 (0.00) 881.08
6. R&R Flashing pipe jack lead
- -

5.00 EA 98.74 12.22 505.92 (0.00) 505.92


7. Asphalt starter universal starter course
-

145.00 LF 2.29 5.66 337.71 (0.00) 337.71


Includes: Starter shingles, roofmg nails, roofing cement, and installation labor
8. Water barrier joint taping Mod. bitumen 4" seam 3,190.00 SF 0.31 14.51 1,003.41
-
-

(0.00) 1,003.41
tape
Florida building code 1507.2.9.3 states that if drip edge is installed over the underlayment, it roust have at least 4 inches of roofing cement
around the perimeter of the roof (Drip edge). this Line item reflects such cost to do the work and materials.
9. R&R Continuous ridge vent aluminum 90.00 LF 11.34 17.32 1,037.92
-

(0.00)
1,037.92
10. R&R Exhaust cap through roof 6" to 8" 1.00 EA 115.95 2.15 118.10 (0.00)
-
-

118.10
11. Re-nailing of roof sheathing complete re-nail 3,190.00 SF 0.27 4.15 865.45
-

(0.00) 865.45
Includes: Additional nails and labor to re-nail existing roof sheathing. Florida Building Code requires
supplemental deck fasteners when reroofing,
FBC Existing Building Section 708.7.1 establishes the various re-nailing requirements.
-

12. Taxes, insurance, permits & fees (Bid Item) 1.00 EA 450.00 0.00 450.00 (0.00) 450.00
This item includes Eagleview and/or SkyMeasure, the preperation of Xactimate, the Notice of
Commencement, the Permit Fee and the
Runner Fee associated with all scopes of work.
13. Fall protection harness and lanyard per day -

12.00 DA 8.00 0.00 96.00 (0.00) 96.00


Fall protection Codes
Under Title 29 CFR Subpart M, Fall Protection, 1926.500-503 Once the
employer has determined a surface is safe for workers, the employer must
select one of the fall protection options listed for the work operation if a fall hazard is
present. Federal construction rules set a uniform threshold
height of 6 feet and greater for worker exposures that demand fall-protection. This means employers must protect their workers from fall hazards
whenever an affected worker is 6 feet or more above the ground or a lower level. Protection also must be
provided for construction workers who are
exposed to the hazard of falling into dangerous equipment or through roof holes or openings such as skylights.
14. Rernove Laminated comp. shingle rfg. w/ felt 31.90 SQ 161.99 0.00 5,167.48
-

(0.00) 5,167.48
-

This item does NOT include anything other than the removal of the shingles and felt. It does not include the removal of ridge caps, starter
valley metal, drip edge, vents, pipe jacks, or anything else. All other items must be accounted for separately. This line item is higher than the
strips,
average removal charge. The reason for this is because normally Xactimate prices the labor code as if they were
in roofing with a lower worker's
solely demolition laborers unskilled
compensation code. In Florida if someone is involved in roofing they are automatically classified as the roofing
worker's compensation code. This item does NOT include
anything other than the removal of the shingles and felt. It does not include the removal
of ridge caps, starter strips, valley metal,
drip edge, vents, pipe jacks, or anything else. All other items must be accounted for separately
15. Laminated comp. shingle rfg. w/ felt
-

37.00 SQ 273.80 236.87 10,367.47


-

(0.00) 10,367.47
16. Step flashing 10.00 LF 10.34 0.88 104.28 (0.00) 104.28
17. R&R Chimney flashing average (32" x 36")
-

1.00 EA 474.60 4.99 479.59 (0.00) 479.59


WARD WALKER
7/19/2019 Page: 2
.'
C
GP'
Central Central Homes LLC
Homes
1182 N. Ronald Reagan Blvd.
Longwood, FL 32750
office: 407.732.7262
centralhomesoffice@gmail.com
centralhomesbilling@gmail.com

CONTINUED - WARD_WALKER

DESCRIPTION QUANTITY UNTT PRICE TAX RCV DEPREC. ACV

18. R&R Skylight - flat fixed, 6.1 - 9 sf 1.00 EA 699.34 23.12 722.46 (0.00) 722.46
19. General clean -

up 4.00 HR 37.59 0.00 150.36 (0.00) 150.36


20. R&R AC plywood 1/2" - 64.00 SF 2.93 6.16 193.68 (0.00) 193.68
21. Fuel surcharge 1.00 EA 65.00 0.00 65.00 (0.00) 65.00
Central Homes provides gas for all employees/workers to ensure all parties have no problems getting to and from the work site as the job is
going on. Especially roof jobs where time is of the essence due to unfavorable weather conditions.
22. Delivery charge (Bid Item) 1.00 EA 65.00 0.00 65.00 (0.00) 65.00
The roofmg distributor charges a delivery fee for delivering and loading the roof materials on the roof.
23. R&R Tarp all-purpose poly per sq ft (labor and
-
- 400.00 SF 1.07 5.46 433.46 (0.00) 433.46
material)

Total: WARD WALKER 372.00 25,813.07 0.00 25,813.07

Rotted Wood

DESCRIPTION QUANTITY UMT PRICE TAX RCV DEPREC. ACV


24. R&R 1" x 6" lumber (.5 BF per LF) 120.00 LF 7.90 6.63 954.63 (0.00) 954.63
25. R&R 1" x 12 lumber
'
(l BF per LF) 100.00 LF 10.13 11.57 1,024.57 (0.00) 1,024.57

Totals: Rotted Wood 18.20 1,979.20 0.00 1,979.20

Labor Minimums Applied


DESCRIPTION QUANTITY UNIT PRICE TAX RCV DEPREC. ACV
26. Temporary repair services labor minimum 1.00 EA 180.10 0.00 180.10 (0.00) 180.10

Totals: Labor Minimums Applied 0.00 180.10 0.00 180.10

Line Item Totals: WARD_WALKER 390.20 27,972.37 0.00 27,972.37

PLEASE NOTE THAT CENTRAL HOMES LLC WILL ATTEMPT TO SETILE THIS CLAIM WITHIN
30 DAYS OF AN
ASSIGNED DESK ADJUSTER. IF A SETTLMENT CANNOT BE REACHED WITHIN THE AFOREMENTIONED
TIME,
WE WILL SEEK LEGAL ACTION TO SETTLE THIS CLAIM.

WE WILL ATTEMPT TO SETTLE THIS CLAIM AMICABLY WITHIN THE TIME PERIOD.

WARD WALKER
7/19/2019 Page: 3

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