Contact 1 — Phoenix Restoration

Third-Party Authorization

First Name

Please enter the full name of the homeowner's insurance policy holder.

First Name

Last Name

Please provide your email address so that we can send you copies of all documents.

Home Address

A complete address is necessary so we can do initial roof measurements by Google Maps, and then with your permission, make an appointment with you to inspect your roof in person.

Contact Number

Please provide your phone number, preferably your mobile number to allow us to communicate with you quickly by text. By entering your number here, you are giving us permission to text you. We will never spam you and never sell your info.

Insurance Company Name

What is the name of your Homeowner's Insurance Company?

Homeowner's Policy Number

Please enter your Homeowner's Insurance policy number here to expedite assistance negotiating with your insurance company.

Insurance Company Phone

What is the phone number of your insurance company?

Insurance Agent Name

If you work with a particular agent at your Insurance Company, please enter his or her name here.

Terms and Conditions

By signing this Agreement, the property owner(s) authorize Silva Renovation LLC to represent the Property Owner’s best interest for a project replacement or repair at a price agreeable to the insurance company and Silva Renovation LLC. When the price agreeable is determined, it shall become the final contract price of Insurance Proceeds with no additional cost to the Property Owner(s) except the deductible. Upon the work being approved the insurance company, the Property Owner and Silva Renovation LLC shall enter into a building contract for the work described below. Should Silva Renovation LLC succeed in obtaining an approval for my repairs or replacement and I fail to execute a contract within 14 days of funding, I will pay Silva Renovation LLC documentation and consulting fees not to exceed 10% of the full amount of the settlement. ● The property owner agrees that all monies paid by the insurance company for the approved Scope of Work will be paid to Silva Renovation LLC for completing the work. ● The Property Owner authorizes the Insurance Company to make any payments jointly or directly to Silva Renovation LLC for completing the work. ● The property owner may cancel this transaction at any time prior to the midnight of the 5th business day after the date of this transaction.

I accept the Terms and Conditions.