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EL-13-329 —ti Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 nspection Number: INSP-196799 Permit Number: EL-2-13-329 Inspection Date: August 07,2013 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: LAURENT,SYLVIA Work Classification: Alarm Job Address:790 NE 97 Street Miami Shores, FL 33138- Phone Number Parcel Number 1132060142190 Project: <NONE> Contractor: ADT LLC Building Department Comments burglar alarm installation Infractlo Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed � _ Correction Needed r � �4 i Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. I For Inspections please call: (305)762-4949 August 06,2013 Page 1 of 1 7`,3 ,'9'®Sog Miami Shores Village t �1j 6 ' Building Department f0050 N.E 2nd Avenue,h1iami Shores.Florida 33138 Tel: (305)795.2204 Fax: (305)756.8972 BUILDING Permit No. a1 77 521,—c7 1, PERMIT APPLICATION Master Permit No. FBC 2004 Permit Type: Electrical I ? _ �r Owner's Name(Fee Simple Titleholder) �� / C / Phone# `J�'� �?� �✓��-3 Owner's Address ph/ City /Cj/!)/c3//�/+ State '�/ _ ZAP Tenant/Lessee Name Phone# E-MAIL: _ ___-- Job Address(where the work is being done)_7?10_ `� City Miami Shores Village County Miami-Dade Zip FOLIO/PARCEL# —mi —O/ Is Building Historically Designated YES NO Contractor's Company Name Phone# Contractor's Address Q/ City �/Y �/ State zip__ Qualifier Name�/ tT � .��� --- Phone# State Certificate or Registration No. //•r' Certificate of Competency No. E-MAIL: Architect/Engineer's Name(if applicable) Phone#. Value of Work For this Permit$ �, *4 Square/Linear Footage`Of Work: Type f Work: �e Addition Alteration QNew -[] Repair/Replace El Demolition Describe Work: 00 a4xaY&a'xxxx9c a4xx ux xaF*xix ixu ix iex xx xife ix ix 4xxxxicuxxFees*xxxx4x ix is ieu�e ix iex ka'ex iexaruxxxisxxxxxxxirx xxxk4exx xxx Submittal Fee$ Permit Fee$ CCF$ CO/CC Notary$ Training/Education Fee$ Technology Fee$ Scanning$ Radon$ DPBR$ Zoning$ Bond$ Code Enforcement$ Double Fee$ Structural Review.$ Total Fee Now Due$ See Reverse side—� , t Bonding Company's Name(if applicable) ` Bonding Company's Address_ — -- ----- I City State Zip------ ---- --- 1 Mortgage Lender's Name(if applicable)_ Mortgage Lender's Address --- City State Zip - Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and AIR CONDITIONERS,ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good.faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the,first inspection which occurs seven (7) days of er the building permit is issued. In the absence of such posted notice, the inspection will not he approved and a reinspection fee will be charged Signature Signature Owner or Agent Contractor The foreg 'ng instrument was acknowledged be e me this The foregoing instrument was acknowledged before me this day off' X 20 a,by 5 Rr�/ �' day of 1P ,204./ by who is personally known to me or who has prod ffi who is personally known to me or who has produced�`® as identification and who As identification and who i t ath. °� , S3 ° fib,^G HMV ,6O'.0 ®o NOTARY PUBLIC: Y NOTARY PUBLIC: 7-Q W °� MP:� Lod: '1-O® 4a, r. Z Y Sign: eW C rei o�� Sign: Print: A, Zen °t Print: My Commission Expires: My Commission Expires: ! O - o FFFFieFFFFirF FFieFFFFirFFF FzFFF,eFFieFFirxFFir irF FirFFirF FFF xFFFiaFirFFFieFFFxirz>cuiraiFFFFFFFxFie ieFFF xFFFirFieF ieFFFa�i�x F�+�F&9c°Fie APPLICATION APPROVED BY: ��� Plans Examiner Engineer Zoning (Revised 02/08106) K v Miam. i-Dade My Home Page 1 of 2 t My Home iUl -D E IAMI Show Me: Property Information :R` M Legend _...... _.__.._. ��' J tea• Search By: � :- _ Property Boundary Select Item� � - Selected Property s; a' Text only € Property Appraiser Tax Estimator � :F street N r�r • Property Appraiser Tax Highway Comparison Miami-Dade County Portability S.O.H.Calculator m Water Summary Details: iv Folio No.: 11-3206- 14- 190 Property: 790 NE 97 ST ffi , i a �i W to Mailing SYLVIALAURENT Address: $ 790 NE 97 ST MIAMI �r HORES FL 4 33138-2526 ' Property Information: Primary Zone: 1000 SGL FAMILY- . 2101-2300 SQ 0001 RESIDENTIAL- °? CLUC: SINGLE FAMILY a edstBaths: /1 Floors: 1 d Units: 1 Ai S Footage: 2,263 Aerial Photography-2012 0 112 ft d Lot Size: 11,500 SQ FT Year Built: 1950 MIAMI SHORES SEC 3 PB 10-37 LOTS 1&2 My Home I Property Information I Property Taxes Legal BLK69 LOT SIZE SITE I My Neighborhood I Property Appraiser Description: VALUE OR 21132-2517 V3 20031 OR 21132- Home I Using Our Site I Phone Directory I Privacy I Disclaimer 517 0303 00 Assessment Information: ear• 2012 2011 Land Value: $124,759 138,621 If you experience technical difficulties with the Property Information application, Buildin Value: $172,516 $172,531 or wish to send us your comments,questions or suggestions Market Value: $297,275 311,152 please email us at Webmaster. ssessed Value: $297,275 311,152 Exemption Information: Web Site Near: 1 2012 2011 ©2002 Miami-Dade County. Womastead, 1 $25,000 $25,000 All rights reserved. 2nd Homeogjg7 I YES YES Taxable Value Information: Year- 2012 2011 Applied Applied Taxing Authority: Exemption/ Exemption/ Taxable Taxable Value: Value: Regional- $50,000/ $50,000/ c247275 `2rl,152 County: $50,000; $50.000 $247,275 1 $261,152 City: $50,000! 1 $50,0001 $247,275 1 $261,152 School Board: $25,0001 $25,000/ $272,275 1 $286,152 Sale Information: ale Date: /2003 http://gisims2.miamidade.gov/myhome/propmap.asp 2/18/2013 ' RESIDENTIAL SERVICES CONTRACT ®r�'�LO ���� _ Il�lp���lll�,llllll�lllllll�l�lllll� 5401 UE03 CONTRACT CUSTOMER JOB LEAD DATE ,� A / ACCOUNT NO Z NO m SOURCE Section • • ADT LLC Customer Name d0a ADT Security Services("ADT") ("Customer"or°I°or°me°or°my°) Office Address 1.0T t f el Premises' r ® L` Address ?U f City ° a State E ZIP m� , Tax Exempt No. �1 ''' Tax Expire Date www.MyADT.com 800.ADT.ASAP® Protected Premises' f' ® O Traditional Phone O Other(Qualified) O Other(Non-Qualified) (800.238.2727) Telephone Alternate O Home Cell O Work Alternate O Home O Cell O Work Telephone 1 Telephone 2 11 111 (Fill in if billing address is the same i Billing FM Address City State m ZIP U i IF FAMILIARIZATION PERIOD IS REJECTED INITIAL HERE (see Paragraph 14 of the Terms and Conditions for explanation)'' EMAIL Communications Authorization:I authorize ADT to provide me with information and updates about the security system and new ADT and third=party' products and services to the contact information provided by me.I may unsubscribe or opt out by emailing donotcontact@adt.com or by calling 888.DNC4ADT(888.362.4238).Initial here If I-have provided ADT with a phone number;including but not limited to a cell phone number or a number that I later converko-a cell'phone number,I agree that ADT may contact me at this number.I also agree to receive calls and messages such as pre-recorded messages,calls and messages from automated dialing systems at the,number(s)provided. -FQWPMENT TO REMAIN THE ERTY 4DF ADT All equipment installed.by ADT pursuant to this Contract shall be owned by ADT unless ADT has =agreed to give me ownership the equipment in a separate written agreement:!,ADT has.the.right upon termination of this Contract to remove or any' or all of the equipritent owned by ADT;in which case l wlN not be able do use the equgimek for any purpose.See Paragraph 7 of the Terms and Conditions for more information. 1 admowledge and agree to each of the.following:(IA)This Contract consists of six(6)pages.Before signing this Contract,l have read,understand and � agree to each and every term of this ContiaM including but not limited to Paragraphs 5 and i8 of the Terms and Conditions.(0)The initial term of this Contract is three(3)years.(C)ADT Is not a security.consuttant and cannot address all of my potential security needs.ADT has explained to me the full range of equipment and services that ADT can provide me.Additional equipment and services over those identified in this Contract are available and may be purchased from ADT at an additional costto me.I have selected and purchased only the equipment and services identified in.this Contract.(D) No alarm system can provide complete protection or guarantee prevention of loss or injury.Fires,floods,burglaries,robberies,medical problems and other incidents are unpredictable and cannot always be detected or prevented by an alarm system.Human error is always possible,and the response time of police,fire and medical emergency personnel is outside the control of ADT.ADT may not receive alarm signals if communications or power Is interrupted for any reason.(E)ADT recommends that I manually test the alarm system monthly and any time I change telephone service,by calling 800.ADT.ASAP or by logging in to www.MyADT.com.(F)this Contract requires final approval by an ADT authorized manager before ADT may provide any equipment or services,and if approval is denied,then this Contract will be terminated;and ADT's only obligation will be to notify me of such. termination and refund any amounts I paid in advance: ADT Representative Rep.License � ,Rep ® �L � (If Required)ed) ID No. VIal Customer's Approval:Original Signature Required(Must match Customer Name in$ectionil above) NOTICE OF CANCELLATION I,THE CUSTOMER, MAY(CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEETHE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. I ACKNOWLEDGE BEING VERBALLY INFORMED OF MY RIGHT TO CANCEL.AT THE TIME OF EXECUTION. OF THIS CONTRACT AND RECEIPT OF THIS NOTICE. Section • be Provided FINANCIAL DISCLOSURE STATEMENT THERE IS NO FINANCE CHARGE OR COST OF CREDIT(0%APR)ASSOCIATED WITH THIS CONTRACT. A.NUMBER OF PAYMENTS FOR THE f,s TOTAL OF PAYMENTS FOR THE INITIAL TERM IS $ (T AMOUNT OF EACH PAYMENT IS TIMES B.)(EXCLUSIVE OF ANY APPLICABLE TAXES,FEES,FINES i INITIAL TERM IS 36. (TOTAL.MONTHLY.SERVICE CHARGE FROM BELOW) ('A' AND RATE INCREASES) LATE CHARGE-PAYMENT IS DUE PURSUANT TO MY SELECTED BILLING PREPAYMENT IF I PREPAY THE SEE PARAGRAPHS 2,7,15 AND FREQUENCY,PRIOR TO THE START OF SERVICE.MY FIRST BILUCHARGE WILL TOTAL M PAYMENTS PRIOR HE ' SE OF THIS CONTRACT FOR BE SENT/MADE SHORTLY.AFTER MY SERVICE.BEGINS:ADT MAY IMPOSE A THE END P THE INITIAL TERM. ADDITIONAL INFORMATION ONE-TIME LATE CHARGE ON EACH PAYMENT THAT IS MORE THAN TEN(10) OF EN CONTRALTI THERE R 15 . ABOUT NONPAYMENT,DEFAULT DAYS PAST DUE,UP TO THE MAXIMUM AMOUNT PERMITTED BY LAW,BUT IN NO EVENT WILL THIS AMOUNT EXCEED$5.00. PENALTY OR REFUND. AND ACCELERATION. 1 Of 6 020.12 ADT LLC dba ADT Security Services. Adrpinistrative Copy All rights reserved.(10/12) Important Terms and Conditions (continued) I PHONE OR OTHEfd':INT_ERNETINTERFACE-TYPE SERVICE OR RADIO SERVICE, INCLUDING-CELLULAR OR PRIVATE.al I��I�III�fIiIl�lNn�N( IN� , RADIO,ETC.(7NONTRADMONAL TELEPHONE SERVICE`))INCLUDE THE LOSS OF NORMAL ELECTRICAL POWER TO 5401 UE031' MY PREMISES(THE BATTERY BACK-UP FOR ADT'S ALARM PANEL DOES NOT POWER MY TELEPHONE SERVICE)AND ELECTRONICS FAILURES SUCH AS A MODEM MALFUNCTION.ADT WILL ONLY REVIEW THE INITIAL COMPATIBILITY OF THE ALARM,SYSTEM WITH MY NON-TRADITIONAL TELEPHONE SERVICE AT THE TIME OF INITIAL INSTALLATION.CHANGES IN MY TELEPHONE SERVICE'S DATA FORMAT AFTER ADT°S INITIAL REVIEW Of COMPATIBILITY COULD_WOKE MY TELEPHONE.SERVICE UNABLE TO TRANSMIT ALARM SIGNALS TO ADf S CMC.IF ADT DETERMINES IN ITS SOLE DISCRETION THAT IT IS COMPATIBLE,ADT WILL PERMIT ME TO USE MY NON-TRADITIONAL TELEPHONE SERVICE AS THE SOLE METHOD OF.TRANSMITTING ALARM-;SIGNALS,ALTHOUGH I UNDERSTAND THAT ADT RECOMMENDS.THAT I.ALSO USE AN=ADDITIQPIAL BACK-UP METHOD OF COMMUNICATION:IF'ADY DETERMINES IN ITS SOLE DISCRETION THAT MY NON'-TRADrri TELEPHONE SERVICE IS OR LAM BECOMES NON-COMPATIBLE,OR IF I CHANGE TO ANOTHER NON-TRADITIONAL TELEPHONE SERVICE,THAT IS NOT COMPATIBLE,THEN"ADT REQUIRES THAT I USE AN ALTERNATE METHOD OF COMMUNICATION ACCEPTABLE TO ADT AS THE PRIMARY METHOD TO CONNECT THE ALARM SYSTEM:TO;ADT'S CW, TRANSMISSION[OF FIRE ALARM SIGNALS BY MEANS OTHER THAN A TRADITIONAL TELEPHONE LINE MAY NOT BE IN COMPLIANCE WITH APPLICABLE FIRE ALARM Olt OTHER STANDARDS OR CODES,,AND IT IS SOLELY,MY OBLIGATION TO COMPLY WITH SUCH STANDARDS AND CODES.IF THE ALARM SYSTEM HAS ALINE-CUT FEATURE,IT MAY NOT BE ABLE TO DETECT IF MY NON-TRADITIONAL TELEPHONE SERVICE LINE"IS CUT OR INTERRUPTED.ADT,MAY NOT BE ABLE'TO DOWNLOAD SYSTEM CHANGES OR PROVIDE CERTAIN AUXILIARY MONITORING SERVICES-THROUGH A NbN-TRADITIONAL TELEPHONE LINE OR SERVICE.THE ALARM PANEL MAY BE UNABLE TO SEIZE MY TELEPHONE LINE TO TRANSMIT AN ALARM SIGNAL IF ANOTHER CONNECTION IS OFF THE }TOOK DUE TO IMPROPER CONNECTION OR OTHERWISE.ADT RECOMMENDS THAT 1 TEST THE ALARM SYSTEM MONTHLY,EVEN THOUGH A SUCCESSFUL TEST OF THE ALARM SYSTEM DOES NOT GUARANTEE THAT ADT WILL RECEIVE ALARM SIGNALS FROM THE ALARM SYSTEM IN THE FUTURE: 19.CANCELLATION. A. ADT ma y,at'any timecancel this Contract at.its option if (1)ADTs CMC is destro y ed or damaged so that it is impractical for ADT to continue service;:, (2)ADT cannot acquire or retain the transmission connections or authorization to transmit signals between my premises and its CMC or the applicable fire or police department or other agency,or between ADT's CMC and the applicable fire or police department or other agency,(3)1 fail to follow ADT's recommendations'to repair or replace any defective parts of the system not covered Under the Limited,Warranty or, if purchased,QSP;(4)1 fail to follow ADT's operating instructions for the alarm system;or 5 ADT determines that it is impractical to continue service due to the modification or alteration of pe 9 s� ( ) p m remises after installation.If ADT cancels for n of the-reasons stated immediately above ADT will refund an advance payments made#or services to YP any Y Y P Y be supplled after the date of such termination,less any amounts still due for the installation of the equipment,for services already-rendered and for any other charges due.Additionally,ADT will not assess contract termination charges,if any,as described in Paragraph 2 above. B. ADT may cancel this Contract upon written notice to'me if: (1) 1 fail to pay any monies when due under this Cortract, (2)1 change to a telephone/ communications service not suitable-for alarm signal transmission or(3)I fail to comply with any other term or condition of this Contract.Upon receipt of written notice from ADT,I will have ten(10)days to correct the deficiency.If I do not correct the deficiency in a timely manner,and ADT does cancel this Contract,ADT may assess contract termination charges,if any,as described in Paragraph 2 above. _ 20.ASSIGNMENT.[,may not assign this Contract without prior written consent from ADT.ADT does have the right to assign this Contract or to subcontract any.of its obligations under this Contract without my approval and,without notice tome. 21.DELAYS.ADT HAS NO RESPONSIBILITY OR LIABILITY TO ME OR ANY OTHER PERSON FOR DELAYS IN THE INSTALLATION OR REPAIR OF THE SYSTEM, REGARDLESS OF THE REASON.ADT HAS NORESPONSIBILITY OR LIABILITY FOR INTERRUPTIONS OF SERVICE OR ANY RESULTING CONSEQUENCES,WHETHER DUE TO STRIKE, RIOT, FLOOD„;FIRE, TERRORISM,ACT OF GOD OR ANY OTHER CAUSE WITHIN;,OR BEYOND ADT'S,CONTROL._IF THERE ARE SERVICE INTERRUPTIONS,ADT HAS NO OBLIGATION TO SUPPLY ME WITH SUBSTITUTE SERVICES. 22.ELECTRONIC MEDIA;PERSONAL INFORMATION.ADT may scan, image or otherwise convert this Contract into an electronic format of any nature A copy of this Contract produced from such electronic format is legally equivalent to the original for any and all purposes,including litigation.ADT's receipt by fax of the Contract signed by me legally binds me and such fax copy is legally equivalent to the original for any•and all purposes,including litigation: The personal information about me and third parties that I provided to ADT is true.and complete..I will notify ADT_without delay-of any.changeto this, information.1 consent to ADT's use of my personal information and that of third parties provided by me for the purpose of monitoring,setting up and administering my security services(including credit approval,-invoiting,,collecting and providing information on new equipment or services):I have obtained the consent of the third parties,whose personal information l providecito ADT,to use such personal information for the administration of myiiccount with ADT and as:provided in this Contract.ADT may collect(including my consent to record my telephone conversations'with ADT's representatives);use,=disclose and transfer my:persclnai information,and that of third parties provided by me,to;ADT's parents,affiliptes,sutlsidlaries and successor corporations,any subcontractor,pr assignee of this Contract or arty, applicable authority having jurisdiction that requests s ch:informatign to administer alarm monitoring services or alarm system license,permit or similar programs 23.PRIVACY POLICY.ADT maintains an online privacy policy at www.ADT.condprivacy that is applicable to the terms conditions and obligations.of the parties to this Contract'_ _ 24 ENTIR AGREEMENT: THIS 6NTRACT CONSTITUTES THE ENTIRE AGREEMENT 13ETWEEW-6iE`PA166. 1 AkVI 4t�� "RELYING ON ADT'S:ADVICE;OR ADVERTISEMENTS. ADT IS NOT BOUND BY ANY REPRESENTATION,PROMISE, CONDITION,°INDUCBME'NT OR WAR TNTY, EXPRESS OR IMPLIED,THAT IS NOT INCLUDED IN WRITING IN THIS CONTRACT. THE TERMS AND CONDITIONS OF THIS CONTRACT APPLY As PRINTED WITHOUT ALTERATION OR QUALIFICATION, UNLESS A CHANGE NS•APPRO,VED IN WRITING BY AN ADT AUTHORIZED REPRESENTATIVES THE TERMS AND CONDITIONS OF THIS' CONTRACT SHALL CONTROL AND,;,GjOVE�tN EVEN iF THERE ARE OTHER DOCUMENTS Wfl ti INCOM515TENT.OR,AI)DITItt��NAL TERMS AND COISIDITIONS;IF 4 COURT DETERMINES THAT ANY PROV69N.6F:THIS CONTRACT IS-INVALID OR UNENFORCEABLE,THAT PROVISION 5 ALL BE DEEMED AMENDED;ANV ', ENFORCED TO THE MAXIMUM EXTENT-PERMITTED BY LAW. EACH AND EVERY OTHER,pROVISION&THIS CONTRA , SHALL CONTINUE TO BE VAL10 AND ENFORCEABLE. i5.:1.1cense hdDrmatiori:AL Alabama Electronic'Security.Board of Ucensure,7956 Vaughn Rd:,Montgomery 36116,•(334)2649388;AK 37950,6520 Lake Otis Pkiwy. Anchorage,AK 99507;AR E2Oi20041;Rbgutated by Arkansas BcL of Private Investigators&Private Security F.lgencies,#T state Polite Plaza Drj Little Rock-72209,:(501)618-8600;Aa ROC 279591;ACA AC07165,974443;PP017232;alarm company operators are licensed and regulated by the:Bureau of Security&#nvestigstive Services,Dept.of Consumer.Affairs,Sacramento,CA 95814;DC ECS902743,FL EF0001121;!GA LVA205265,-205326,1205572; -205679,-205878,LVU405673,-004349;HI CT32297;IL 124001792;LA F1639,F1407,f1640;MA.172C;MI 3601206258,5103208—.4182 Pier North Dr.Ste.D, Flint,MI 48504;MNTS650251;KC 7535P2,7561 P2,7562P10,7563P7,7565P1,75WP9-Alarm Systems Licensing Bd,1631•Midtown PL,Ste 104,Raletghd 27609(919)876-3611; NM 374838;NV 0077105;NY 12000305615, Licensed by NYS Dept.of State;OH 50-18-0018;50 25-0023;50-29-0003t,5031-0014; 60-48-0008,50-50-0005;50-76-0006;50-89-0016,53-89-1726,OK 1995;OR 196560;PA Pennsylvania Home Improvement Contractor Registration Number. PA090797;FJ 35683;TN ACC-1688,-1689,-1690,-1691,-1692,-1693,-1694,1695,1696;TX 617944-140 Helmer Rd.Ste. 100,San Antonio,TX 78232 Texas Private Security Bureau,5805 N. Lamar Blvd.,Austin 78752;UT 8289653;VA 11-7348, 11-7345; 11-7354;WA ADTLLL881DO, 11824 N Creek Pkwy< #105,Bothell,WA 98011;WV 049758. , S 15019511 _ 02012 ADT LLC dba ADT Security Services.All rights reserved. I. . i 6 Of 6 (10/12) i RESIDENTIAL SERVICES CONTRACT IIUIIIIIIIUIII���IIIIIII�IIIIIII�lllllll� 5401 UE03 .: o CONTRACT CUSTOMER Z Z 7 JOB , LEAD .. DATE i R� 1�f ACCOUNT NO NO SOURCE Section 2. Services to be Provided (continued) m s 4 Monthly.Service Charge O Initial/Annual Recurring Municipal billed separately Initial/Annual Fee , . 9 P �'„ Pa Y . (Subject to change based on local lew)-�';, ila Standard Monthly Service, Burglary Service includes:C O Customer to obtain and a for initial/annual municipal Customer Monitoring Center Signal 9 9 PY P Receiving and Notification Service for Burglary, � alarm use permit Failure to obtain and provide ADT whh I Manual Fire and Manual Police Emergency the municipal alarm use permit registration number could } result in no municipal fire/police response to an alarm from the premises and/or.a fine. O Standard Motttit IY Service Fire/Smoke Detection Service includes:Customer Monitoring enter Signal. Municipal Electrical Permit Fee 9 g � Receiving and Notification Service for Fire,Manual Fire " O Customer to obtain electrical permit $ `and Manual Police Emergency i O Carbon Monoxide O Flood O Low Temp Installation Price vv O Medical Alert Taxable Amount � u 1 $ $ 9 Safewatch Cellguard® $ Non"r6xable Amount O SecurityLink® $ Connection Fee $ j I F 60 Extended Limited Warranty/Quab twice Plan(QSP) $ Admin Fee $ O Guard Response Service Sales Tax on Installation* ' O Monthly Recurring Municipal Fee ee(Subject than a based on local law �� ( j 9 ) Total Installation Charge O Customer to obtain and pay for $ .municipal alarm use permit l O Other Deposit Received I _ y, $ ec $ Total Monthly Service Charge �)` Balance Due upon Installation* *If applicable sales tax not shown,it will be added to the first invoice,if not collected at the time of installation. 7 Section • • • be -• L Control Panel> �5� . a°�' ;;;o� �a ,�5� o�` ���• �' 4�a�` � �.a�' .�4a =f Comments I .v Padcage Name: Includes: y 1 Foyer er 11 .Living Room J Famil y Room Office Dining Room 1 Kitchen Laund ry Room I Hallway i � ti lrc Master Bedroom { Master Bath d Bedroom 2. 1 Bedroom 3 Bath 2 5 l ,1 Basement :" jr fd� Garage. rw 9 I� Price Per Piece I Totals E Existing Equipment Estimated Installation Start.Date IJJ� L1J� LLJ NOTES 02012 ADT LLC dba ADT Security Services. a 2 Of 6 !` All rights reserved.(10/12) 9 Important Terms and Conditions(continued) IIIIII I�I for ADT's`installation of floor mats or wiring;(F)ADT may not be able to conceal any or all equipment or wiring; IWW�WIIWIIWIIIBII �� � (G)ADT will not be liable for property damage,personal injury,illness or other loss due to water intrusion,mold, 5401 UE03 fungi,wet or dry rot or bacteria that may result from the installation services;and(H)my premises complies with all applicable codes, regulations and laws and will continue to comply with all applicable codes, regulations and laws during the Initial term and any renewal terms of this Contract, 9. LIMITED WARRANTY Duririg the first90 days after installation,ADT will repair or,at its option,replace any defective part of the alarm system,including wiring,and will make required mechanical adjustments,all at no charge to me.ADT will use new or functionally operative parts for�rdolacements"Phis limited warranty for my benefit only and may not be enforced by any other person.This limited warranty gives me specific.legal rights.The laws of the state where this Contract was signed may also give me additional rights.To order service,call 800.ADT.ASAP(800.238.2727). 10.EXTENDED LIMITED WARRANTY/QUALITY SERVICE PLAN(QSP).If 1 purchase ADT's Extended Limited Warranty,which is.called the Quality Service Xan. or QSP,ADT will repair"or,at its option,replace any part of the alarm system;installed by ADT that requires repair.or replacement due to ordinary'wear and tear or malfunction,excluding batteries.ADT will use new or functionally operative parts for replacements.if l require'services excluded from the QSP(see Paragraph 11.below for exclusions),then ADT will provide the services at its current labor rate for each.service call.The QSP and the billing for it will commence on the date the alarm system is installed,operational and communicating with ADT's CMC and will continue forthe,term of this Contract.; The QSP;wvill automatically renew for successive thirty(30)-day terms at ADT's then-current QSP rate unless terminated by either parry's written notice at least thirty(30)days before the end of the then-current term.,lf I purchase the QSP after the initial system installation,the alarm system must be in good working condition at the time i purchase the QSP.To purchase the QSP,call 800.238.7085. 11.WARRANTY EXCLUSIONS.ADT performs warranty services only during normal working hours. IF I REQUEST ADT TO PERFORM WARRANTY SERVICES OUTSIDE NORMAL WORKING HOURS, I WILL PAY FOR THE SERVICES AT ADT'S THEN-CURRENT RATES FOR LABOR AND PARTS.THE LIMITED WARRANTY PROVIDED UNDER THIS CONTRACT AND,IF PURCHASED,THE QSP DO NOT APPLY IF ADT DETERMINES UPON"INSPECTION THAT ANY OF THE FOLLOWING, CONDITIONS CAUSED THE NEED FOR SERVICE:(A)damage resulting from accidents,theft,Acts of God,natural disasters,labor disputes,war;terrorism,civil strife,electrical surge,alterations or misuse;(B)'I fail to properly close or,secure a door,window or other point protected by an alarm device;(C)I fail to properly follow the operating instructions;(D)trouble in a telephone line,use of non-traditional telephone line or service(including but not limited to"DSL, ADSL,VaiP,etc.)or due to interruption of power,(E)repairs needed to window foil,security screens,exterior mounted devices(except for outdoor cameras installed by ADT)or PROM(Programmable Read Only Memory};(F)ordinary maintenance or wear and tear(not excluded from QSP);(G)alterations to my premises or failure`of my premises to comply with any applicable codes,regulations or laws;or(H)alterations or damage to the alarm system caused by me or by a cause beyond ADrs control.ADT will not perform warranty services on any device not installed by ADT.Battery replacement is excluded from all warranties. 12.NO OTHER WARRANTIES.OTHER THAN THE LIMITED WARRANTY PROVIDED UNDER THIS CONTRACT AND, IF PURCHASED,THE QSP,1 AGREE THAT ADT MAKES NO GUARANTEE.OR WARRANTY OF ANY KIND,INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR , PURPOSE,WITH RESPECT TO THE SERVICES ADT PERFORMS OR THE EQUIPMENT IT PROVIDES. MY EXCLUSIVE WARRANTY REMEDY IS SET FORTH IN PARAGRAPHS 9 AND 10 ABOVE.SOME STATES MAY NOT ALLOW THE PARTIES TO A CONTRACT TO LIMR THE LENGTH OF AN IMPLIED WARRANTY.THE LAWS OF THE STATE WHERE THIS CONTRACT WAS SIGNED WILL DETERMINE WHETHER THESE LIMITATIONS AND EXCLUSIONS APPLY. 13.ALARM MONITORING AND NOTIFICATION SERVICE.If l purchase service that includes response by police,fire department;guard,medical emergency notification or two-way voice mnitoring services and such an alarm is received at ADT's CMC,ADT may,at its sole discretion,attempt to contact me and/ or anyone on my-Emergency Contact List to confirm that the alarm is not false.if ADT does not contact me and/or someone on my Emergency Contact.List,, or if ADT questions the response it receives upon such contact,then(A)ADT will attempt to notify the appropriate police department or fire department or,(B)if guard response service is provided and an alarm requires police response,ADT will attempt to dispatch a representative to make an investigation of the exterior of the premises from his or her vehicle and, upon:evidence of a crime,ADT will attempt to notify the appropriate police department It ADT provides supervisory'alarm or trouble alarm monitoring services(or if such services are actively programmed into the alarm system)and ADT's"CMC" receives an alarm,then ADT may attempt to notify my premises and/or the representative I designate.ADT may use an automated calling device to deliver such notification.If medical emergency notification services are provided,1 agree that the very nature of such services, regardless of any delay, involves uncertainty,risk and possible serious injury,disabiky or death,foe which 1 will not attempt to hold ADT responsible or liable,that the equipment furnished for medical emergency notification-services is not foolproof and may experience signal transmission failures or;delays for any number of reasons;and that the actual time required for medical emergency providersto arrive at my premises and/or to transport any person requiring medical attention is unpredictat lewith many ton#ributing factors,including telephone-network operation,distance,weather,road;sand triffic conditions, alarm equipment I'I function and human factors both ° ' within'and outside of ADTs control: ADTs.performance of,-delay in perforrna'ce of or failure to perform medical emergency notification services under the Contract are subject to and controlled by Paragraph 5 of this Contract.The person(s)identified on my Emergency Contact List are authorized to act on my behalf.I understand that the equipment ADT provides may not-operate with other companies'alarm monitoring equipment and may prevent me from using such equipment in the event I terminate my services.(understand that.locai laws,ordinances or policies may restrict ADT$ability o provide the alarm.rffonitorin and:notification services described in this,;Contract and/or necessitate modified or additional services with additional charges o me.I understand`thatADT employs a;number of industry-recognized measures to help reduce'bccurrences of false alarms.These measures include,but are not limited-t6;A mplerrientation ofi default settings on alarm.paneli-and<various procedures at ADrs-CMC to-determine=when and how to respond, if at all,to certain alarm.events.I consent to ADT s use of these measures and agree that the alarm system has not been designed,' programmed or installed pursuant to any law, code or rule that may be applicable to my particular premises, including, but not limited to, any code provisions of the National Fire Protection Association or the International Residential Code.I understand that,upon receiving notification that an alarm signal has been received by ADT,the police department,fire department or other responding authority may_forcibly enter my premises.l understand that ADT will never arrest or detain any person for any reason. 14.FAMILIARIZATION PERIOD.UNLESS I HAVE REJECTED THE FAMILIARIZATION PERIOD BY INITIALING THE APPROPRIATE,LINE ON THE FIRST PAGE OF THIS CONTRACT(EXCEPT WHERE FAMILIARIZATION IS REQUIRED BY LAW), 1 AGREE THAT, DURING A SEVEN (7)-DAY,FAMILIARIZATION PERIOD,,OR LONGER` PERIOD If REQUIRED BY LAW,THAT FOLLOWS COMPLETION OF THE INSTALLATION AND THE COMMUNICATIONS CONNECTION TO ADT'S CMC(AND DURING ANY APPLICABLE EXTENSIONS),'ADT HAS NO OBLIGATION TO,AND WILL NOT,"RESPOND TO ANY ALARM SIGNAL FROM MY PREMISES.I ALSO AGREE THAT DURING SUCH PERIOD ADT HAS NO OBLIGATION TO,AND WILL NOT, NOTIFY ANY AUTHORITIES,ME OR MY DESIGNATED REPRESENTATIVE OR TAKE ANY OTHER ACTION WITH REGARD TO ANY ALARM SIGNAL ADT RECEIVES,EVEN IF DUE TO AN ACTUAL EMERGENCY. 15.FAILURE TO PAY CHARGES OR HONOR CONTRACT.if 1 fail to make any payment when due or to honor any other term or condition of this Contract, ADT may stop providing the alarm monitoring and notification services and repossess or disable the equipment without notice.I will grant ADT-access to my premises and allow it to repossessor disable the equipment.ADT has no liability if it stops providing the alarm monitoring and notification services and repossesses or disables the equipment.ADT is not required to redecorate or repair my premises as a result of repossessing or disabling the equipment.In addition to these remedies,ADT does not waive,and retains the right to exercise,any other legal remedy,including the right to charge me a late fee for each month that a payment"is not received and/or interest on the unpaid amount and the right to report me to one or more consumer reporting agencies if 1 become delinquent on my account(more than 90 days without a payment). 16.SMOKE AND"CARSON MONOXIDE DETECTORS.IF THE ALARM SYSTEM INCLUDES SMOKE AND/OR CARBON MONOXIDE DETECTORS,I AGREE THAT.(A) THE NUMBER AND PLACEMENT OF SUCH DETECTORS MAY NOT FULFILL THE REQUIREMENTS OR RECOMMENDATIONS IN CODES,LAWS OR STANDARDS THAT APPLY IN MY JURISDICTION, INCLUDING THE CODE PROVISIONS OF THE NATIONAL FIRE PROTECTION ASSOCIATION AND THE INTERNATIONAL RESIDENTIAL CODE;(B)i HAVE SOLE RESPONSIBILITY FOR COMPLYING WITH ANY AND ALL CODES, LAWS AND STANDARDS THAT MAY APPLY TO THE INSTALLATION,PLACEMENT AND MAINTENANCE OF THE ALARM SYSTEM;AND(C)ANY SMOKE AND/OR CARBON MONOXIDE DETECTORS DESCRIBED IN THIS CONTRACT ARE SUPPLEMENTAL DEVICES ONLY AND ARE NOT INTENDED TO BE PART OF A PRIMARY FiRE ALARM OR CARBON MONOXIDE DETECTION SYSTEM.I understand that ADT's electricalsmoke and carbon monoxide detectors,if installed in my premises,are designed to be connected to an electrical power source.THESE DETECTORS WILL NOT OPERATE,THE ALARM WILL NOT SOUND AND THE ALARM SIGNAL WILL NOT BE TRANSMITTED WHEN:THE ELECTRICITY IS CUT OFF;THE BACK-UP BATTERY,IF INCLUDED AS PART OF THE SYSTEM,IS LOW OR DEAD,OR FIRE CUTS OFF THE ELECTRICITY BEFORE THE ALARM IS ACTIVATED,SOUNDS AND IS TRANSMITTED.Connecting these detectors to a separate dedicated electrical circuit may increase their reliability, but even dedicated circuits can.fail.l understand that these.detectors all have limited"useful lives, after which timethey will not function.it is my sole responsibility to monitor and replace all detectors before or at the end of their useful lives. 17.BATTERY-POWERED DEVICES.I understand that all battery-powered motion detectors,smoke detectors,door and window contact transmhiers and other detection sensors installed under this Contract are not connected to the electrical system of my premises and require batteries to operate.THESE BATTERY-POWERED DETECTION SENSORS WILL NOT OPERATE,AND THE ALARM WILL NOT SOUND,iF THE BATTERIES ARE LOW OR DEAD. It is my sole responsibility to-maintain and replace these batteries.ADT recommends that I regularly inspect the sensors for dirt and dust buildup and test the sensors weekly to help maintain continued operation.ADT also recommends that I carefully read and follow the owner's manual, instructions and warnings for all equipment. 18:COMMUNICATION FACILITIES.(A)AUTHORIZATION.I authorize ADT to request services,orders or equipment from a telephone company,wireless carver � company providing g facilities, 9 transmission fact(referred as"Telephone Company"). DIGITAL COMMUNICATOR.A dig ital communicator,if installed under this Contract,usestraditio al telephone lines for serdli ng signals,which elminates-the !need for dedicated telephone line and the costs associated with such dedicated lines.(C)DERIVED LOCAL CHANNEL.The Telephone Company's services provided to men connection with ADT s services may include Derived Local Channel service.Such service may be provided under the Telephone Company's service marks or service names.These services include providing lines,signal paths,scanning and transmission.The Telephone Company's liability is limited to the same extent as ADTs liability in Paragraph 5 of this Contract.(D)ADT WILL NOT RECEIVE ALARM SIGNALS WHEN THE TELEPHONE LINE OR OTHER TRANSMISSION MODE IS NOT OPERATING OR HAS BEEN CUT,INTERFERED WITH OR IS OTHERWISE DAMAGED,OR IF THE ALARM SYSTEM IS UNABLE TO ACQUIRE,TRANSMIT OR MAINTAIN AN ALARM SIGNAL OVER MY TELEPHONE SERVICE FOR ANY REASON.OTHER POTENTIAL CAUSES OF SUCH A FAILURE OVER CERTAIN TELEPHONE SERVICES(INCLUDING BUT NOT LIMITED TO SOME TYPES OF DSL,ADSL.VoIP,DIGITAL PHONE,INTERNET-PROTOCOL-BASE16 _Terms and Conditions continue on accompanying sheets. 5 of 6 (10/12)