AFC Application Agreement



Similar documents
Provided and Administered by CornerStone United, Inc. Eastway Plaza 1899 Tate Boulevard SE, Suite 2110 Hickory, NC FAX

CENTRAL AIR CONDITIONER REBATE

ELECTRONIC INDEPENDENT CONTRACTOR AGREEMENT INTRODUCTION

Revised January You must submit with the application the following documentation:

Request for Proposal PLUMBING INSPECTOR SERVICES

LOCAL LAW NO LOCAL ALARM LAW

Electrical Contractor Registration

REQUEST FOR QUOTES FOR. On-Call Plumbing Contractor

Request For Price. Work Schedule The project shall commence within a reasonable time of the request.

Home Performance with Energy Star and FSL Home Improvements 1201 E. Thomas Phoenix, AZ Phone Fax

The Gas Advantage Trade Ally Program Agreement, Financing Agreement and Contractor Sales Agreement for Equipment Leasing

NOTICE TO ALL CHW VENDORS

Agent Agreement WITNESSETH

Ceres Unified School District INDEPENDENT CONTRACTOR AGREEMENT

Berkeley Unified School District ROUTING FORM Contract, MOU and Amendment Approval

RECRUITMENT LETTER. To be included on our current bidders list, please fill in the Contractor Qualification Registration, which includes:

Split System Air Conditioning System Replacement at Area 3 Maintenance Facility

Broker Packet. Dash Point Financial Services, Inc. Tacoma, WA. Tel (866) Fax (253)

Anesthesia Providers, Inc. CRNA GENERAL INFORMATION FORM. Name First Name M.I. Last Name. Address Street Address Apt. # City State Zip Code

WEST USA REALTY, PROPERTY MANAGEMENT N ARROWHEAD FOUNTAIN CENTER DR # 100 PEORIA, ARIZONA BROKER S OBLIGATIONS

Terms & Conditions. Continued on next page BUSINESS NAME AVISTA ACCOUNT # BUSINESS PHONE CONTACT NAME INSTALLATION DATE

Sealed bids will be received by the City of Dearborn, at the Office of the Purchasing

INSURANCE AGENCY AGREEMENT

City of Portsmouth, Portsmouth, NH School Department Plumbing Repair Services INVITATION TO BID

Certified Florida Community Service Provider (CFCSP)

REQUEST FOR PROPOSAL FOR DORCHESTER COUNTY COUNCIL HVAC SERVICES DCG Due Date December 6, 2011

REQUEST FOR QUOTES (RFQ) FOR PLUMBING SERVICES. RFQ Release Date: August 3, Quote Due Date: August 21, 2015 at 5:00 p.m.

Online Account Management Broker s User Guide

AGREEMENT BETWEEN THE CITY OF CRESTWOOD, MO AND BIEG PLUMBING COMPANY FOR ON-CALL PLUMBING SERVICE FOR THE PERIOD

Warner Robins Housing Authority

Rhode Island Residential Heating Program from National Grid

INDEPENDENT CONTRACTOR AGREEMENT (ICA)

Request for Proposals for Residential HVAC Services May 12 st, 2015

AGREEMENT FOR FARM LABOR CONTRACTING SERVICES. (Company) and

Insurance Market Solutions Group, LLC Sub-Producer Agreement

Film Policy Cedar Hill, Texas

RHODE ISLAND TURNPIKE AND BRIDGE AUTHORITY INVITATION TO BID

Property Management Agreement

REQUEST FOR QUOTE NUMBER: 10RD75957YB WILL BE RECEIVED UNTIL 11/5/2010 at 2:00 p.m.

STATE OF GEORGIA DEPARTMENT OF TRANSPORTATION OPEN AGENCY SERVICE CONTRACT

CITY OF PORTSMOUTH PORTSMOUTH, NH Purchasing Department. Annual Fuel Bid - #01-14 INVITATION TO BID

1. INTERPRETATIONS AND DEFINITIONS Whenever used in this Agreement, the following terms shall have the meaning set out below:

RevShield Service Level Agreement

Town of Concord Drain Layer s Requirements/Info

Referral Agency and Packaging Agency Agreement

Green Energy Program Participating Contractor Application Form

INSTRUCTIONS TO BIDDERS

Request For Proposal. Furnish Schneider Business Park Signs Design Build Services. For the Cibolo Economic Development Corporation Cibolo, Texas

LICENSE APPLICATION FOR CONTRACTORS

1 Customer and Contact Information

HEATING VENTING AND AIR CONDITIONING (HVAC) SUBCONTRACTING SERVICES FOR THE MACON COUNTY HOUSING DEPARTMENT

BUILDING PERMIT RESIDENTIAL BASEMENT FINISH

How To Write A Contract Between College And Independent Contractor

Property Management Agreement

APPLICANT PROPOSAL For Non-Emergency Medical Transportation (NEMT) Coordination Services

PENNSYLVANIA BUILDERS ASSOCIATION INSTRUCTIONS TO HOME IMPROVEMENT MODEL CONTRACT STANDARD FORM Introduction

REQUEST FOR QUOTE NUMBER: 09RD65575YB WILL BE RECEIVED UNTIL 1/21/2009

MUNICIPALITY OF CENTRE HASTINGS REQUEST FOR QUOTE

Chambers Bank Business Internet Banking Agreement

MISSOURI HIGHWAYS AND TRANSPORTATION COMMISSION ELECTRONIC SIGNATURE AGREEMENT

Summary of Emergency Adoption of Regulation Underground Utility License

PAY-ME-NOW PAYMENT GATEWAY AND VIRTUAL TERMINAL SOFTWARE RESELLER AGREEMENT. PayMeNow.com Toll Free (800)

GENERAL AGENT AGREEMENT

CITY OF CARROLLTON. Business Name:

NON-MANAGEMENT AGREEMENT (LEASE ONLY) AND EXCLUSIVE RIGHT TO LEASE

KINGSTON LUMBER SUPPLY COMPANY P.O. Box 169 Kingston, Washington, (360) or (206) Administration FAX: (360)

Merchant Account Services

To receive consideration, bids must be submitted in accordance to the following instructions:

NOTE: SERVICE AGREEMENTS WILL BE DRAFTED BY RISK SERVICES SERVICE AGREEMENT

INDEPENDENT CONTRACTOR CONSULTING AGREEMENT INSTRUCTIONS, ROUTING AND APPROVAL COVER SHEET

Request for Quotations on Termite and Pest Control Service to Include Repair & Maintenance RFQ

Advanced AMC, Inc. Appraiser Services Agreement (Independent Contractor Agreement)

General Contractor Registration Application Please read and follow these instructions.

COMPUTER AND INFORMATION TECHNOLOGY MANAGED SERVICES AGREEMENT

Warner Robins Housing Authority

REQUEST FOR QUOTES (RFQ)

TEXAS FAIR PLAN PRODUCER REQUIREMENTS AND PERFORMANCE STANDARDS

TRANSPORT WORLDWIDE, LLC

REQUEST FOR QUOTES (RFQ) FOR HVAC MAINTENANCE AND REPAIR SERVICES. RFQ Release Date: August 3, Quote Due Date: August 21, 2015 at 5:00 p.m.

Application for Primary Employer s Indemnity Policy

IMPORTANT: PLEASE READ THE INFORMATION BELOW

CITY OF KYLE, TEXAS REQUESTS FOR PROPOSAL (RFP) PLUMBING SERVICES: RFP PARD

AUTHORIZED DEALER AGREEMENT

Contractor Completion Form

Transcription:

AFC Application Agreement Welcome, We at AFC Home Warranty would like to welcome you in advance to our newest network of service providers. At AFC Home Warranty take pride in our network and take serious the relationship that is formed with our techs in the field. We realize that you are our eyes and ears out in the field. Companies like yours make us successful. AFC Home Warranty is a full service home warranty company who has been in the warranty industry for a collective of 30 years. Some of you have worked with us on other projects, since we have provided services for consumes all across America. Our industry is always changing, so we are constantly evolving to stay up with industry standards, guidelines and news. We pride ourselves at being efficient and easy to work with. Below are some highlights of being a contractor at AFC Home Warranty. We process and pay claims within 30 days We can pay by check or credit card Our denied or no problem found service calls AFC will still pay trip/diagnosis fee You become a preferred vendor in your area by zip code We filter additional business towards you. Any person whether they are an existing customer or not, is channeled to you as a vendor Reliable, experienced customer service agents on the other side who keep your best interest in mind In a tough economic time people are keeping their homes longer than ever, meaning more repairs are needed daily and we turn each customer in your area to you. Please send the completed application by fax: 770-973-3338, Mail: 2625 Sandy Plains Rd Suite 203 Marietta, GA 30066 or email to kristinc@afchomewarranty.com. Best Regards, Service Dispatch Team 1-866-242-0629

Service Center Application Agreement AFC Home Warranty 2625 Sandy Plains Rd, Suite 203 Marietta, GA 30066 Corporate or Legal Name of Dealer D/B/A Correspondence Mailing Address City, State, Zip Federal Employment ID Number SS Number if FEIN Office Email Address Main Office Telephone (Business hours) Emergency After Hours Fax Number Owner Contact Name Service Manager Contact Name Accounting Manager Contact Name Owner Contact Number Service Manager Contact Number Accounting Manager Contact Number AFC Home Warranty is an administrator and contract provider for service warranty contracts and extended service programs wishes to engage the (Dealer) listed above as an authorized service provider, to perform work which is authorized on properties where said contracts and programs are acquired by residential end users (Customers). AFC agrees to pay Dealer for work that is properly authorized by AFC for said service warranty and extended service programs, according to the terms, and only if the following requirements are met and procedures are followed: 1 DEALER S RATES AND PRICING OPTIONS Dealer shall provide AFC with pricing for scopes of work and equipment it is licensed and/or factory authorized to repair in recorded table within this Agreement. 2 INVOICING, PAYMENT AND DEALER GURANTEE. a. To ensure prompt payments, Dealers shall: i) Complete and mail/fax or email their invoices to AFC for all authorization work within 30 days of repair completion ii) Include with original invoice the original fax authorization iii) Write the authorization number provided by AFC on invoices as well as related paperwork iv) Submit invoices to AFC by fax, email or mail to : AFC Home Warranty 2625 Sandy Plains Rd Suite 203 Marietta, GA 30066 b. AFC agrees to pay Dealer within (30) days from AFC receipt of properly submitted invoices c. Dealer shall guarantee all work preformed for at least (90) days labor and parts warranty will be determined by parts manufacturer.

3 MARK-UP RATES, PARTS GUIDELINES. AFC will allow the following: i) AFC has the right to order parts and have them delivered to the service provider if they deem necessary. In the event the Service Center provides parts, they will follow the following guidelines ii) For parts and materials less than $25 in retail value, dealer may use their normal retail pricing iii) For parts, materials, or equipment exceeding $25 in retail value Dealer may apply 40% mark-up for parts, materials and equipment. iv) In order to be paid a 40% mark-up on a item by AFC, Dealer may be required to submit with their invoice a legible copy of their bill or invoice a. In no case shall used or re-conditions parts ever be used. b. USE AND ODIFICATION OF AFC PROCEDURES. Dealer agrees to abide by, and to familiarize its management, technicians, administrative, and all other affect personnel with the claims procedure and guidelines specified in this Agreement. AFC maintains the rights to add, delete and/or modify the procedures and guidelines outlined in this Agreement from time to time to ensure efficiency and Customer satisfaction. AFC agrees to notify dealer promptly in writing of such changes. 4 CUSTOMER SERVICE REQUESTD AND CLAIMS PROCESS Dealer agrees to abide by, and to refer and abide by the following guidelines as related to the Customer claims and service requests: a. Only the Customer shall contact AFC directly for service calls b. AFC is responsible for determining if the customer contract s in effect c. AFC will attempt to identify, to the best of its ability, if the claims request is covered under Customer s service contract. d. When Customer calls AFC for a claims request, and AFC believes the Customers claim may be covered, AFC will tell the Customer: i) That AFC is authorizing a diagnostic service call, and: ii) That AFC will contact and assign a service dealer, and: iii) That said dealer with contact them with two to three hours maximum iv) That said dealer will be contacting them to schedule the diagnostic service call. e. Following the initial conversation with the customer, AFC will contact the Dealer both by fax/email and/or telephone to verify the Dealer s availability to run the call. Availability to take is defined in the agreement as follows: f. Dealer must obtain an authorization from AFC before scheduling or performing a diagnostic service call g. Dealer understands that being dispatched by AFC to perform a diagnostic service call is not an authorization to proceed with repairs, and AFC assumes no liability for unauthorized repairs made by Dealer h. Dealer understands the AFC alone is authorized to make the determination if a problem is a covered item under the policy, and Dealer and its representatives agree to represent the fact accurately to Customers. i. Dealer agrees and understands that Dealer s primary role during a diagnostic service call is to assist AFC in determining if the reported problem is covered under the Customer s service contract. j. During a diagnostic service call, the Dealer agrees to adhere to the following protocol and procedures: i) Dealer or its representatives are expected to refrain from expressing to the Customer any opinion or judgment regarding whether the reported problem is or is not covered under the Customer s service contract ii) As soon as the problem has been visually inspected, Dealer or Dealer s technician shall contact AFC be telephone immediately (via AFC s Dealer Claims Line 1-866-242-0629) iii) Dealer agrees to provide accurate and objective responses to all AFC inquiries regarding the situation in order to assist AFC in determining whether or not the item is covered.

iv) If AFC determines that the item is not covered, AFC will provide the Dealer, during that phone call, and authorization number only for that trip charge. When a claim has been denied, any further repair or other expenses incurred by Dealer on that call will not be the responsibility of AFC. v) AFC will provide the Dealer with further instructions on how to proceed. vi) Any repair or replacement work authorized to proceed by AFC will be assigned an authorization number at that time, which must accompany all subsequent Dealer invoices. vii) If the actual cost of the repair appears as if it will exceed the initially approved estimate, Dealer must immediately contact AFC for further instructions. viii) If more work is authorized, that further work will be assigned an additional authorization number. ix) AFC agrees to respect to the Dealer s productive time during call by providing, in the simplest of cases, immediate determination and, in more complex cases (typically involving replacements), no more than (15) minutes. x) Once a claim is submitted to AFC, the claim shall be reviewed against Dealer s claim exceed these values, AFC shall adjudicate the claim accordingly. 5 DEALER INSURANCE AND LISCENSE REQUIREMENTS Dealer shall, at all times, maintain with AFC current proof of: a. Liability insurance with: I) Minimum amount of $500,000.00; II) Workmen s compensation insurance coverage; and III) Automatic notification of cancellation in writing by insurer to AFC b. Proper city, county and state licensures, registration and certifications, as required by law; 6 DEALER INFORMATON TABLE 1.Check all scopes of work your firm provides 2. Please quote your firm s hourly labor rates for each scope of work in each of the three labor categories below Non-Technical Certified/ Two /Apprentice Journeyman Person Crew Appliance Repair $ $ $ 3. Please include rates for any additional scopes of work that you are authorized to perform Retail Appliances $ $ $ HVAC $ $ $ Gas and Oil Furnace $ $ $ Plumbing $ $ $ Electrical $ $ $ Gas piping and venting $ $ $ Pool and Spa equipment Standard Tip/Pull charge $ $ $ $ $ $

Other: $ $ $ LIST BELOW ALL MANUFACTURES WHICH YOUR ARE FACTORY AUTHORIZED 7 IDEMINFICATION AFC assumes no obligation for bodily injury, or property damage caused directly or indirectly by failure or malfunction, or any other cause, by any equipment; or for any other action not expressly provided in the service contract. Dealer hereby agrees to indemnify and hold AFC harmless for any claims for payment or charges not expressly authorized in advance and from any claim, damage, expense, or matter otherwise arising out of any repairs that Dealer may perform. 8 GENERAL CONDITIONS This agreement shall be governed under the laws of the state of Georgia and any other legal proceedings pertaining to it shall be carried out in this venue. This agreement supersedes all previous agreements between the parties, either written or oral. This agreement may only be amended in writing, and signed by both parties. In the event not all of the above requirements are met, or in the event of bankruptcy by or against Dealer, or in the event of fraud; this Agreement may be terminated by either party with written notice. For Dealer For America s 1 st Choice Warranty Print Name Title Print Name Title Signature Date Signature Date

List below the ZIP code areas your firm provides full services. Accuracy is important in order to ensure efficient dispatching. ZIP Codes can be changed by Service Contract Anytime.