Name*Phone*Email* Address*City*State*Zip*Vehicle Year*Vehicle Color*Vehicle Make*Vehicle Model*Vehicle VIN#Vehicle MileageVehicle License PlateInsurance / Warranty CompanyClaim NumberCustomer Agreement* I have fully read the following agreement and understand and agree to the terms and conditions as outlined.AUTHORIZATION TO REPAIR: I authorize Abushi Inc. to repair my vehicle as per the manner of repair and/or price agreed-upon by Abushi Inc. and myself utilizing necessary labor, parts and materials. This is an authorization to repair both Body and Mechanical. If I decide, or after estimate, not to repair my vehicle or to repair it elsewhere, I agree to pay Abushi Inc. a fee of 25% of the total insurance/warranty claim proceeds and the cost of any nonrefundable/nonreturnable parts related to the repair. The standard shop facility labor rate is $225/hour (Body & Mechanical). AUTHORIZATION TO DISMANTLE: In order to prepare a thorough and proper estimate and to effectively negotiate the repair amount with the above-named insurance/warranty company, it may be necessary-to remove certain parts to examine and/or expose underlying damage. If necessary for insurance adjuster, I authorize Abushi Inc. to dismantle my vehicle, at the standard shop labor rate of $225/hour. Diagnostic & Estimate fee: I authorize Abushi Inc. to access the vehicles data and inspect vehicle as part of the diagnostic and repair process. The cost of the Diagnostic fee and estimate preparation will be at a minimum cost of $225.00. Re-inspections: If hidden damage is discovered, we must stop work, notify the insurance/warranty company and await their re-inspection and approval of the additional damages found before repair work can resume. Their supplemental paperwork must also be received to proceed as this confirms the agreed upon revised repair procedures. Parts: If hidden damage requires additional parts of the factory cannot get us a part for several days, the repairs will be delayed. I authorize Abushi Inc. to order parts on my behalf for the repairs of my vehicle. Previous Repairs: If your vehicle was previously repaired in the same area currently under repair, it is often necessary to do additional repairs to the old ones so our work can be guaranteed. Old/Replaced parts removed from cars will be junked unless otherwise instructed by customer. MECHANICS LIEN & PERSONAL PROPERTY: I expressly acknowledge and authorize a mechanics lien on my vehicle to secure the amount of the repairs. I agree to pay reasonable attorneys fees and court costs in the event legal action is necessary to enforce this contract. I understand that it is my responsibility to remove personal belongings from my vehicle prior to repairs, and I will not hold the repair shop or its employees responsible for loss or damage to the vehicle or articles of personal property left in the vehicle, regardless of value, in case of fire, theft, accident or any other cause. STORAGE FEES: I agree to the posted storage charges of $300 per day beginning 72 hours after completion of the repairs until vehicle is picked up. If the repairs are not completed, declined or vehicle is deemed a total loss, there will be a $300 per day storage charge from the day the vehicle was dropped off until the day the vehicle was removed from the Abushi Inc. facility. Storage charges on total losses start to accrue from the time the vehicle arrives at the shop until the insurance/warranty company picks it up. SPECIFICALLY EXCLUDED: Incidental costs, such as towing fees, car rental charges, travel expenses, or assemblies and components which are not specifically covered by this LIMITED WARRANTY, nor are consequential damages such as damages to other assemblies and components resulting from a defective part or installation such as damage to other assemblies and components resulting from a defective part or installation of such part installed or repaired during the repair. Rust through, and /or damage caused by rusting or interior or exterior non-replaced panels is not covered. THIS STATES ALL THE LIMITED WARRANTIES made by the Shop and contains the only promises for whit it will be responsible. ALL WARRANTIES implied by law, including the warranties of merchantability and fitness for a particular purpose, are hereby limited to the warranty period herein and shall expire at the end of such period. This written warranty shall be null and void if the repair is altered, adjusted, or tampered with by any person not authorized by Abushi Inc. This warranty is not transferable. ADDITIONAL TERMS AND CONDITIONS: (i) Abushi Inc. has permission and is granted an irrevocable license to use the pictures of my restoration along with my city, state and country in their catalogs, website, social media, advertisements, on their page at Facebook.com and promotional materials. (ii) At the sole option of Abushi Inc., any and all claims, including those in law or in equity, arising from this agreement or the relationship between the parties, shall be resolved by way of binding Arbitration, pursuant to the Rules of the American Arbitration Association, with Abushi Inc. selecting the Arbitrator. Any and all liability for Abushi Inc. is limited to any amounts paid to Abushi Inc. (iii) this agreement binds you, the customer, owners of the vehicle, and any principals. By signing this document, you confirm that you have authority to execute this agreement and bind the terms and conditions herein, including but not limited to, any other owners, agents, principles, and interested parties. This is a binding agreement between the parties and due consideration has been exchanged and acknowledged. (iv) Abushi Inc. does not warrant for use or repair any parts used, and any claim regarding parts must be addressed to the manufacture. (v) Vehicle Owner and customer assume all liability and responsibility for any modifications, including ensuring that the modifications are legal, appropriately completed, safe, and comply with all safety standards and other regulations. The Customer, owners, agents, and principles assume all responsibility and risk associated with any modifications, builds, or any work done by Abushi Inc. (VI) No changes to this agreement may be made unless the change is explicit and in writing. If any portion of this agreement is found to be unenforceable or invalid, the remaining portion of the agreement shall remain binding and enforceable. (vii) Abushi Inc. reserves the right to unilaterally cancel or void any warranty.Signature*Vehicle Photos Drop files here or Select filesMax. file size: 100 MB.