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TAX $0.00 TOTAL DUE ON -or PAYMENT BALANCE DUE $0.00 WE DO WATER RESTORATION (Fix it, Clean it, Dry it) Conditions & Exclusions apply. Please see below for details COVID-19 ACKNOWLEDGMENT /WAIVER; Effective as of 3/20/2020: In an effort to reduce the spread of COVID-19, Roto -Rooter will be limiting the interaction between our customers and technicians through a mandated Touch -Free policy until further notice. During this time, our technicians will take verbal authorization for work to be performed, as well as payment for work completed all over a recorded phone call or without touching of devices or payment methods to help maintain the health and safety of all. Technicians will write "VERBAL" in place of a customer signature for work authorization, completion, and payment purposes and document call details for verification and tracking purposes. By accepting work verbally over a recorded line, you are acknowledging an audible signing of the invoice/contract agreement. CUSTOMER AUTHORIZATION WORK ORDER AUTHORIZATION / WAIVER: I authorize Roto -Rooter to perform the described services and I agree to pay the amounts indicated. I understand that Roto - Rooter is not responsible for broken, settled, rusted, deteriorated, or lead pipes, fixtures, or clean outs and any damage resulting from cleaning or repairing such lines. I have asked Roto -Rooter to provide services, Under Section 1689.13 of the California Civil Code, in order to induce Roto - Rooter to provide these services; 1) Initiated negotiation and contract; 2) executed this contract in connection with the making of emergency or immediate necessary repairs or services necessary for the immediate protection of persons or personal property detailed on this invoice; and 3) 1 expressly acknowledge and waive the right to cancel this contract within three or seven business days, whichever applies. ACH PAYMENT AUTHORIZATION / WAIVER: In the event that payment is required and bank account information or a check is provided as a form of payment, I hereby authorize RotoCo, Inc., herein called Roto -Rooter, to (i) initiate a debit entry to my account, and to debit the same to such account, (ii) use information from my check to make a one-time electronic fund transfer from my account or (iii) process the payment as a check transaction, as determined by Roto -Rooter and as applicable. I acknowledge that the origination of ACH transactions to my account must comply with the provision of U.S. law and that I may only revoke this authorization by notifying Roto -Rooter as provided below. This authorization is to remain in full force and effect for the payment on this invoice, until Roto -Rooter has received written notification from me of its termination in such time and in such manner as to afford Roto -Rooter a reasonable opportunity to act on it. If you believe any of the above information to be in error or to contact Roto -Rooter for information on revoking this authorization, please contact us at (844) 490-7686. 04� Sign here Date 3/3/2022 *A..40K THREE DAY RIGHT TO CANCEL 'Only applies if the contract is greater than $750. Invoice #674189663 Page 2 of 3