New Customer Agreement New Customer Agreement Form Completion of this form is required for PNW Green Plumbing Customers and acknowledges terms and conditions of service. Please keep a copy for your records. Step 1 of 3 33% Terms & Conditions All work shall be performed in accordance with local and national ordinance and building code. No work not expressly listed in this plumbing contract shall be performed without written consent from the Client. The Client is responsible for providing the Contractor with access to the working area as well as a working electrical outlet within 150′ of the working area. The Client agrees to make full payment for the amount listed in the plumbing contract within 30 days of the project’s completion by the Contractor. The Contractor shall perform all plumbing work in a professional and quality manner. However, the Contractor offers no warranty for any fixtures or other materials installed during the project. If a defect in workmanship is discovered, the Contractor will remedy such defect at their sole expense. The Contractor shall not be held liable for loss or damage beyond their reasonable control, and shall not be liable for damages beyond the total price paid by the Customer for the plumbing work listed in the contract’s scope of work. The Client agrees to remove or otherwise protect any personal belongings inside and near the working area. The Client acknowledges that work delays are possible should required materials or fixtures not be immediately available. The Client hereby grants the Contractor consent to file a lien against the Client’s property for the amount listed in the payment terms section of this plumbing contract should the Client fail to pay the full amount due within 30 days of project completion. I Read, Understand and Agree to these Terms & Conditions* I agree to these terms and conditionsSignature Customer InformationCustomer Name*Name of Individual requesting to work with PNW Green Plumbing First Last Business or DBA Name (Optional)Project Location Address* Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Ownership TypeOwnRentProperty Manager or RepresentativeCustomer Phone*Customer Email* Confirmation of Accuracy*By Checking This box, you are confirming all information is honest and accurate, and intend to hire PNW Green Plumbing for Services. I Confirm the Above to be True PNW Green Plumbing is registered with the state of Washington, registration no. PNWGRGP813BS has posted with the state a bond or deposit of $12,000 for the purpose of satisfying claims against the contractor for breach of contract including negligent or improper work in the conduct of the contractor’s business. The expiration date of this contractor’s registration is 01/10/2021. THIS BOND OR DEPOSIT MIGHT NOT BE SUFFICIENT TO COVER A CLAIM THAT MIGHT ARISE FROM THE WORK DONE UNDER YOUR CONTRACT. This bond or deposit is not for your exclusive use because it covers all work performed by this contractor. The bond or deposit is intended to pay valid claims up to $12,000 that you and other customers, suppliers, subcontractors, or taxing authorities may have. FOR GREATER PROTECTION YOU MAY WITHHOLD A PERCENTAGE OF YOUR CONTRACT. You may withhold a contractually defined percentage of your construction contract as retainage for a stated period of time to provide protection to you and help insure that your project will be completed as required by your contract. YOUR PROPERTY MAY BE LIENED. If a supplier of materials used in your construction project or an employee or subcontractor of your contractor or subcontractors is not paid, your property may be liened to payment and you could pay twice for the same work. FOR ADDITIONAL PROTECTION, YOU MAY REQUEST THE CONTRACTOR TO PROVIDE YOU WITH ORIGINAL “LIEN RELEASE” DOCUMENTS FROM EACH SUPPLIER OR SUBCONTRACTOR ON YOUR PROJECT. The contractor is required to provide you with further information about lien release documents if you request it. Click Here for Lean Release Documents LnI Publication General information is also available from the state Department of Labor and Industries.I Read and Understand this Notice to Customers* I agree to these terms and conditionsProject Approver Signature*PhoneThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.