xxxxxXxxxxx.xxx(TM)
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The Digital Automotive Maintenance Organization (AMO)
COLLISION REPAIR FACILITY AGREEMENT AND PROCEDURES
xXxxxxxxxxx.xxx(TM) will refer vehicles to your facility for the purpose of
preparing a repair estimate and/or a repair job.
Prepare a written estimate and photograph all damaged areas. Unrelated or
unreported damages should be noted and estimated separately. When appropriate,
always use LKQ, CAPA certified aftermarket or reconditioned parts. All estimates
must include VIN# and mileage.
Forward estimates and photographs to xXxxxxxxxxx.xxx(TM)CAN AUTHORIZE REPAIRS.
DO NOT START REPAIRS WITHOUT AN xXxxxxxxxxx.xxx(TM)PURCHASE ORDER NUMBER. ONLY
REPAIRS AUTHORIZED BY xXxxxxxxxxx.xxx(TM)WILL BE PAID. xXxxxxxxxxx.xxx(TM)
Your company agrees not to charge storage for a period of 14 days.
xXxxxxxxxxx.xxx(TM) WILL NOT APPROVE NOR PAY FOR STORAGE CHARGES.
Owner or his/her authorized agent must sign Direction To Pay Statement prior to
start of repairs. You will be advised of any betterment or deductible, which you
may have to collect. Order all parts upon approval of repair and receipt of
purchase order number. Schedule repairs only when parts have arrived. Forward
final xxxx less any deductible along with signed Direction To Pay with release
date to xXxxxxxxxxx.xxx(TM) via fax. All repairs performed under this agreement,
including parts, shall be guaranteed by your facility for a minimum of 3 years.
A check for the amount of your final invoice less any collected deductible and
our 15% discount shall be drawn within 14 business days of the receipt of your
final xxxx and signed Direction To Pay. Do not deduct our rebate from your final
invoice as our computer does it automatically.
Your company shall indemnify xXxxxxxxxxx.xxx(TM), its agents, clients, and
employees from and against all claims by any parties arising from directly or
indirectly, wholly or in part due to any actions by you or your
employer/employees or agents, this includes, but is not limited to any claims as
a result of your workmanship.
xXxxxxxxxxx.xxx(TM) may perform an unannounced inspection of your facility.
It is imperative that you observe and operate in accordance with all federal and
local laws, rules and regulations for repair shops in your state and community.
All repair estimates containing any parts that are not original equipment
manufactured (OEM), must be disclosed to the consumer on your repair estimate.
Your company assumes all liability for failure to comply with this provision.
Your company agrees to keep in-force all state and locally required insurance
coverages.
This agreement may be assigned to new owner(s) of either party. The surviving
party reserves the right to void this agreement by notifying the new entity and
or owner(s) in writing with 10 days notice.
I HAVE READ AND AGREE TO THE TERMS OF THIS AGREEMENT AND PROCEDURES AND ALL
INFORMATION SUPPLIED ON THE ATTACHED QUESTIONNAIRE IS ACCURATE:
SHOP NAME:
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BY
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(SIGNATURE OF OWNER OR MANAGER) (PRINT YOUR NAME HERE)
DATE:
0000 XXX 00 XXXXX, XXXXX 000
XXXX XXXXXX, XX 00000
PHONE 000-000-0000 FAX 000-000-0000
xxxxxXxxxxx.xxx(TM)
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The Digital Automotive Maintenance Organization (AMO)
COLLISION REPAIR FACILITY QUESTIONNAIRE
PLEASE PROVIDE US WITH THE FOLLOWING INFORMATION AND FAX IT BACK TO 000-000-0000
BUSINESS NAME
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XXXXXX XXXXXXX
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XXXX, XXXXX, ZIP
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PHONE NUMBER FAX
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BUSINESS OWNER
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MANAGER/CONTACT
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HOURS OF OPERATION
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SHOP REFERENCES: 1.
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2.
DIRECTIONS TO SHOP
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POSTED-LABOR RATES:
BODY REFINISH MECHANICAL
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FRAME MATERIALS PARTS/LABOR SALES TAX
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OTHER (SPECIFY)
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TYPE OF FRAME EQUIPMENT
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TYPE OF PAINT EQUIPMENT
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LIABILITY INSURANCE WITH POLICY#
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IF YOU DO NOT HAVE ANY OF THE FOLLOWING REQUIRED DIGITAL EQUIPMENT, PLEASE
CONTACT US AT EXTENSION 211, SO WE CAN ASSIST YOUR FACILITY INTO JOINING THE
DIGITAL E-COMMERCE REVOLUTION.
TYPE OF DIGITAL CAMERA
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TYPE OF ESTIMATING SYSTEM
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TYPE OF IMAGING SOFTWARE
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EMAIL ADDRESS WEB ADDRESS
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0000 XXX 00 XXXXX, XXXXX 000
XXXX XXXXXX, XX 00000
PHONE 000-000-0000 FAX 000-000-0000