1684 Atlantic Beach Dr termite treatment/F�1 'Furs Au.iTEMENT PROVIDES FOR
RETREATMENT OF A STRUCTURE
HomeTeam
AND TRE, REPAIR OF DAMAGES
P[ s r o 1: f 5 6 s r CAUSED BY WOOD DESTROYING
ORGANISMS WITHIN THE LIbI1TS
STATED IN THIS AGREEMENT.
Accouotble, 2773263
SUBTERRANEAN TERMITE REPAIR AGREEMENT
Section 1, GENERAL INFORMATION.
Name: Toll Brothers/Lot 84 ABCC Billing Address: 1684 Atlantic Beach or
Service Address: 1684 Atlantic Beach Dr City: Atlantic Beach
City: Atlantic Beach Slate: FL Zip Code: 32233-4353
State: FL Zip Code: 32233-4353 Honic Pll0Re: 904-000-0000
Wolk Pilone:
Section IL INSPECTION FINDINGS.
'rhe rondition of lite readily accessible areas of the slmcture(s) locate at the Service Address on lite date of the inspection only is llated below
a. 21 No Visible evidence ofprevious or cunxnt subtnencan termite infestation was observe.
b. ❑Visilih evidence ofa subterraneantannin infestation was observed as follows:
Q I bw subterranean termites (description and location indicated on the.sashed graph)
Q 'fomite pads, exit holes cr shelter tubes (description and location Indlcat ei on the attached gmph)
Q Damage from subterranean termites was noted in the following arearal
Any damage noted above should be considered only as evidence ofcn.t or Previous infestation of subterranean torous. /fang oftlre boos in subsection
I. b,me are r/..Aral, sane ✓ogre, f damage, iarfndbW hidden damage, nray be present. The inspector's training and experience do not qualify the
inspcetor in dantsge maluation .,..y ether building construction technology andbr repair. Any visible evidence observed abase appears:
Q AcBxG ❑Inactive; Q Acridly cannot be delenminedwilhont further iaresllgalion. Reason:
In neoty rases, based upmr risible signs ofluo stallarr by sublerraneon taudtes, it is riot possible to asrerlain n-helher an Infestation Is aclfre or inarehe
raiser benejil ofm,bsegnenNnsperlian and a oliestlona over a period e'Brae.
Q happeats that the stmelur{s)ora portion ofthestmcturx(s)nvy bm'z bezn previously treatN. Eddrnez of previous treatmanl:
Section BE OBSTRUCTIONS AND INACCESSIBLE AREAS.
The following awes oflhe sruchauds) inspected] mere obstructed or inaccessible (see Section 191.1 ander Geneml Terms and Conditions):
Q Basement Q Exterior Q Cloud Spaxe Q Porch Q blain Level Q Million Q Arlie Q Garage Q Other
Comments:
Section IV. ADDITIONAL COMMENTS.
Section V. 'TYPE OF TREATMENT.
Cl Post Construction Cormtive Treatment (See reverse side for e description of the Company's obligation to relreal
and to repalr✓enrage ransedbl• sublaranemt lenrdles.)
Q Post Construction Preremative Treahnrnt
Location of Treatment Sicker.
0 Pre Cmnsructien Treatment
Q Other
Treatment is provided against the attack of subtena avan inutile, (Reliculitemts all, Heterotannes app, and Coptotcmrs spp. (Formosan)), but does not protect
against any other pats, plant, onlnwl or organism other Bran subterranean terrains, During the temr of this Agreemcnq IlomeTeam Pall Defense, Inc. (the "Company")
will to inspect the treatei stmcmre(s) annually or at more frequent intervals as the Company dexms necvssmy upon Customer's ragout subjva im the General Terra
and Comlitions on the rause side. Customer agrees to make the treated sruchow(d available force. inspection. The Company will retreat the treated stmctans's) only
upon n
(a) visual evidxoex ofa live uite unification or (b) di,tobance of the soil suroutufing the treated stmotoulha). The Compe
pany has not inspected estimated the
sw,lon,P) for health -!eland molds or fmtgi. By Ian, the Company is net quatibed, authorize or license to inc,act for health relater molds or fungi.
Actual Treatment Date: 01/15/2018 PAYMENT MFTHOU:
Initial TestmeN Date: 01/15/2018 LJ Cash QCheck QCredit Card
Down Pa)metd: S 0.00
Balance No: S 0.00
Annual Renewal: S 300.00 If paying by crv-dit card or recurring debit from your bank account, pleas,
con,lcta the attached Authorization for Pre-Amrnged Pa)anews.
This Agreement contains certain limitations, conditions and exclusions on the Cmnpany's obligations. Please read the entire Agreement before signing.
rn consideration for the Company perfomring the sclas specific above and subject to the hats and conditions citrus Agreement, Customer agrees to make the
payrncna indicated above. Customer acknosxlcdga.,gh ofa signed copy .1 this Agnccment. This Agreement is not binding on the Company umil signs by an
authorize nnnagmor esevutive ORicer of the Company.
CUSTOMER:
110MF.TF.AM PEST DEFENSE, INC. �I
Signature: 3a, ' 1t) (?, ' AX-
Effective
RIGIIT TOCANCEL: YOU, TIHF C U.VTO.IIFR, bid I' C IA'CEL THIS TTIN.NACTIOVdTANYTTILE PRIOR TOIHDA'IGHTOFTHE THIRD BUSINESS
Dd Ed FTER THE DATE OF THIS TRANSACTION. SEE TIIFATT.IC'IIED NOTICE OF CIA'CELI ATIO.%' FORAYFSPI INATIO,V OFTHIIS RIGIIT.
O llanelbm Pel Nf,.,, IM. 2012 2/12 -(53314 5YR)
PDF processed with CutePDF evaluation edition www.CutePDF.com
Section 171. OBLIGATIONS.
A. The Customer agrees to be solely responsible for maintaining tine Treated Premises fore from any comlitton ranJacive to termite infestation ("Caditims
Conducive,' see, below for explanation). The Customer agrees to be solely responsible for identifying and cwmning Conditions Conducive. The tzeponsibrity, rests
exclusively with the Customer, not with lora Company. Folme of the Company to area Customer to any of the above conditions Joel not alme Customers responsibility
under this Section. In addition, the e.vistence fany Conditions Conducive that was not timely connected, including any Conditions Conducive existing but not risible at
the time of the e,wutim of this Agreement, will permit the Company, at its sole discretion, to terminate tM Agreement or to require Customer to purchase any
ddalilmosl treaunent required as a result of the Conditions Conducive. Cualome, agrees Io fully enopemle with the Company during the term of this Agreement, unit
agrees to maintain the areas) baited Gnot free from such Conditions Conducive. Other specific items may nobelow in "Additional Comments" (Section XV).
CONDITIONS COND UCAM Conditions Conducive include, but are not It mild to, roof leaks, improper ventilation, faulty plumbing, and water leaks w intro stun in
or around the structure; inherent mrmorml problems, including but not limits to wood to found contact, masonry failures, and settlement of the foundation, form
insulation, sono construction, expanded polystyrene or sry'mfewm molded foundation a,venss, siding (including vinyl, wood and metal) if within 6 inches of the
ground; mulch or other protective grouml covering; and firewood, trash, lumber, wool, model, shmbs, vines, and other pmtmti, c ground covering if within 6 inches of
contact with sh r,mm.
B. ADD] TIONS, ,M.TERATIONS, AND OTHER CHANGES. This Agreement coven the Saucrambir identi r.1 in Section I as of the date of Ute initial installation.
Customer will immediately notify the Comyy in writing (1) pre to the Stmerne(s) being structurally monitored, altered or otherwise changed, (2) prior to any
termiticide being applied car or close to the ,m
of any Smtioq (3) ifsuil is remm�d or addeal around the fuurrdation of the Swewrc(s) or (J) any tamprnng of
baiting aryipmxnt or supplies occur. Failure N notify the Company in writing of any event listed above noo, void the Agreement. Additional senium regotred by any
nAditims aneratino mother such event may be omvided by the Commove at Ct stumers exmense, and nvay Not. an adjustment in Ne renewal fee.
Nhe general terms and conditions of this Agreement, the Company will repair, at its cost, new manito damage to the treated imactonds). The Company's total liability
not exceed to toy one calendar ya., heI.,,,of(B $200,000 and(ii) the fair market value of the treated dontrods).norexmd 51,000,000 in the aggregate over
the term of the Agreement, including eatensions red renewals. Customere.,pm.1, waives any claim for eco eniiq compensatory, or consequential damages relating to
the existence of Sublemaneaa termites or Sith eanean termite damage, or for increased casts, loss of roue, business mtermption, diamond m of value, or any "stigma"
danwge due Io the presence of Subaanean Irnnites or Subtertanzan termite Damage. lite Custonw acknowledges that the Company is performing a soma and
exapl for temgite Aamage wpairs set fowl above arui any damage to IM1e vmnnrx coned by the Company in the perRnnana of its seniaes, Customer wales any
claim for proprny damage, and agrees That unAer no circwnstancrs shall Company be held liable for nny amount Krracr Ilan the amount paiA ly Ile Customer To
Company for the fermie service to bepertormN.
1. The Company is na responsible fonhe cast ofrepain ofsubcanean lennite damage caused by or related to stmnuml conAitions or Comiitisns Conducive.
2, Due to sulterrauevn lermlfe M1abID, lennlTe activity may continue to he present In a struelure for o pertad of lime folloming frealmenl.'I'he Company Is list
responsible for (U repairs of subterranean Iennlle dvmage fo the Treated structures) or the conlenls thereof Thal oaurreA prior to u Irealmenl dale or Thal
serums wllhlh sIs months follmrtng a freatmenf dale or (11) any osis or expenses incurred by Customer es a result of vny such Aamage.
3. If miter dsmage,aeriJmcN by IM1e presence of lira tennitrs, occurs while This AKreement is in tone, following still<n notification from Customer andle inspection
of the
by the Company, The Company agrees, at iu discretion, N either (i) repair The damage at lite Companys eoat or (ii) reimburse Customer for The reasonable cast of the
repairs,but only to the exrem that, neither caw,the Nal aasonable cost of snch relmirs is lea than 52ro,W0in any one calendar year.
4. Subjzm to the rematninK Provisions of this Section VLAA, if the Company chwses nm m repair the dangagc itself, Customer will be emilleJ to seleet the copy
the
who will perform thewooed repairs to the treated srmrnue(s). Prior to entering intoe cam act swill acommdoq Customer agrers to provide the Comppaany a Inoofthe
proposed conact ter svnuen bid. the Company aktermines the bid to be excessive, Customer agras Io gram access to the heated swewre(s) to a mntmctor
the Compa by the Cempvny for thop. rpose of lordso to asecond bid for the wok. In cases where(here arc nmlliple bids far repair work,Cromer acknowledges that
the Company orris the right bselect the mmmmortoer visa uhII repairs.
5. The ant. I e is rot ry IT ai not for the repair ti either visible dosed o (noted on the attached inspection resent or hidden damage existing as of the rate of this
Agreement. the Company Jars colmsfor da that the damage disclosed le the attachedmay
inspecttly graph rcpnscros all of]he ..ruling damage as of the Dale of This
Agreement. Customer waives all claims for Janmga to the pmp,ny or purple that may result directly or inJircclly from services provided by the Conhpvny, with the sole
exception of,
f claims fgr Janugrs due To IM1e gross negligence oflhe Company anJbr its enhployees.
D. Pretreatment Limited Warmnry Renewal. The following applies tribe Company previously provided a prTmat, end for subter arim Iernim protection on the treated
smaviure(s). The pretreatment intended am obligation for the Company to retreat the stru<mre(s), at its cwt, iflive termites aro found at the stmeNre(s) during the one
(I) year following the pretreatment. The Company hereby ernsten the reczahnent obligmiun to you, subject to the remaining terms and conditions of This Section VI.D.
You have the option to renew this obligation annually after the expiration of the find term additional
for four (4) one year per ale provided that at the lime of exh
renewal the annual renewal fee shown on the front Palo of this A,memenI (subject to adornment as provided in Seetion VIL2 below) is paid and a pre,rive, one year
1. INSPECTIDN.'I he m8*ctma roomed conn this Arcianno real mnuuaea m me any arm
visible evidence of the infestation by semi anean comites is rcponN, some degrse of Damage, incited
the readily accessible are. Idthe toomma(s) barreled, including allies and ennvlsprees that Peoria
Thal mere obstmded or inaccessible at the time of this inspection. All swcture(s) that were impzcto
were obstmctd and/or inaccessible for Plpsieal access, nor did the Company inspmt areas that real
object including, but not limitral to: molding, Roo, rsomm,s, scall coverings, siding ceilings, i musts
2, TERM. Unless otherwise specifically provided herein, the parties ugmo that the initial tea c
automatically renewed on an annual basis, for a m vtmum of four (4) additional one (1) year peva
normal moral fee shown on the front page of this Agreement (subject to adjustment as provided in
party mritcn notice a1 least thirty (30) dap prior to the end of the thea eimerr lea. The Company is
by the Company, including, but not limited to any and all conditions that are commchve b
trahixnts, inspections or the effockenea of ]he ImaonenR. If the condition is not cone,le,
discretion, Terminate this Agreement with no liability. Customer Maher agoras to maintain the
as wood, haeb, Tougher, direct wool -soil contact or standing water under pier -foundation stmct
4. NOTICE OF CLAIMS, ACCESS TO TREATED STRUCTURE. Any claim under this
'the Company is obligated to perform under This Agreement only if Craft allows The Cat
this Agreement. Including, bur not limits To re-impeclice, whether the m pectin has been or,
5. ASSIGNABILITY. This Agreement is transferable To a new owner of the stracturi s) low
Transfer fm, adjust the annual renewal rate, and change The terns of the repair and retreatrn
emainuecl car emote within Thin, (30) says of the closing of The sale of the slmcmre(s) or tlw
obligations under This Agreement witI h unedialely and automatically. Terminate effective as of
6, PAYTIDNT. Unless Customer prepays annually, the Company will invoice Custom,, on a h
The invoice Is doe and payable upon receipt. Inv oles That are net paid within thirty (30) days o
to the lesser of L5%per month (18% per year) or The maxtnurm rate allowed by law. If tire Co.
Company will N carried To rimer from Customer all costs of colleetion, including rc.onabl
9. NIODI FICATION OF STRUCI'URE(S). This Agreement covers The treated slmcturc s) a
slmchimlly modified, altered or otherwise changed, or before any soil is removed or articles
stmemre(sh Customer mill immediately notify the Company for pope, Instructions mill., an
Costa., fails Io do so, this Agreement will immediately and automatically terminate. In The
ible areas of the gracture(s) located at the Service Address, If
Ig hidden damage, may be Prrsent. The inspection raveled only
3 entry during inspection. This inspection did not include areas
.or specifically noted. The Company did not inspect aren, that
lid the breaking apart or into, dismantling, or removal of any
Doors, furniture, appliances aadbr personal possessions.
this Agreement will be for twelve (12) months and mill be
following the initial tear, upon payment by Customer ofihe
his a bawli.nr unless either party cancels by giving the other
en's the right to increase the prim of service. This Agreement
wing Common's receipt of the notice of incre.e.
shmb Customer has been notified ormhemble placed on notice
s of srbte acro m temhttes or that prevent or negate proper
iany (60) days following ratification, the Company may, in its
mctere(s) free from any factors comminuting to infestation, such
It mustbe made immediately in writing to the Company office.
ass to the healed stmcture(s) for any purpose contemplated by
Custom', or is considered necnsary by the Company.
Service Address. The Company reserves the right to charge a
tion upon any such transfer. If the new owner fails to request
e to pay the normal renewal Re or transfer fee, the Company's
file closing of the sale of the stmeNr,(s).
Isis for services rsndereal in the prior month. The full smount of
re dale rill sams interest on the unpaid balance at a rate equal
tet take legal action to collar any mount due the Company, the
feet, in addilien to all outstanding amounts due the Compan,
as of the data of Doe initial treatment If any treated structure is
he mandator, or before any .it is removed from under the
J treatment, at Customers expense, required by the changes. If
machine additions, the Contrary reserves the right to adjust the
g. CIIEMICAI, SENSITIVITY OR SPECIAL HEALTH CONDITIONS. If Cuttomer believes that COalwmer or other occupants of the treated structure are or may
(A) be sensitive to pcsticides/temiticides or their odors or (B) have other health conditions that nay be affected by pesticides/termntadrs or their odors, Company
ruomnxnds that you not have an initial or a subsequent service performed at }rout premises until you have consulted with your family physician. At }nut merest,
Company will provide infomgation about the chemicals to be used in treating the premises. By permuting the treatment, Customer assumes the risk and readers any and
all claims against the Company in correction with such sensitivity or condition. At your loftiest, the Company will provide information about the chemicals to be used
in treating lite premises.
9. A[TIM RATION. ANY CONTROVE RSI' OR CLAI III ARISING OUT OF OR RELATING TO To AGREEMENT OR ANY OTHER AGRE ENI ENT
BETWEEN ITT E PART'I ES, INCLUDING BUT NOT LIMITED TO ANY IOilI AND STATUTORY CLA I NIS, AND ANY CLAI NIS FOR PERSONAL
INJURY OR PROPERTY DAMAGE, SHALL BE SETTLED BY BINDING ARBITRATION. UNLESS THE PARTIES AGREE OTHERNTSE, THE
ARBITRATION SHALL BE ADMINISTERED UNDER 1HE COMMERCIAL RULES OFTHE AMERICAN ARBITRATION ASSOCIATION ("AA.A")
Olt, IF APPLICABLE, IT SHALL BE DETERMINED UNDER THE AAA PROCEDURES FOR CONSUMER -RELATED DISPUTES. TRE PARTIES
EXPRESSLY AGREE THAT THE ARBITRATOR SHALL FOLLOW THE SUBSTANTIVE LAW, INCLUDING THE TERMS AND CONDITIONS OF
THIS AGREEMENT, AND THAT ANY ARBITRATION PROCEEDING UNDER THIS AGREEMENT NTLI. NOT HE CONSOLIDATED OR JOINED
WITH ANY ACTION OR LEGAL PROCEEDING UNDER ANY O'TIIER AGREENIENT Olt INVOLVING ANY OTHER PREMISES, AND WILL Nor
PROCEED AS A CLASS ACTION, PRIVATE ATTORNEY GENERAL ACTION OR SIMILAR REPRESENTATIVE ACTION. EITHER PARTY HAS
THE RIGII'I TO REQUIRE A PANEL OF TI TREE (3) AR RITRATORS, AND THE REQUESTING PAICI Y SIIALL. BE RESPONSIBLE FORTHE COST
OF TRE ADDITIONAL. ARBITRATORS. EITHER PARTY MAY REQUEST AT ANY TIME PRIOR TO THE HEARING 'THAT THE AWARD HE
ACCOMPANIED BY A REASONED OPINION, THEAWARD RF.N'DFRED BY THE ARBITRATOR(S) SHALL BE FINAL AND BINDING ON ALL
PARTIES, EXCEPT THAT EITHER PART'MAY NTTIIIN30 DAYS OF" HE OIIIGIHALAWARD REQUEST ANARBITRAL APPEAL TO A THREE
MEMBER APPEAL TRIBUNAL. THE APPEALING ARTY SHALL BE RESPONSIBLE FOR ALL APPELLATE, ARBITRATORS) FEES AND COSTS.
THE APPEAL TRIBUNAL SHALL REVIEW ALL QUESTIONS OF LA W AND PACT UNDER,\ CLEARLY ERRONEOUS STANDARD. TIIE AWARD
OF THE APPEAL TRIBUNAL SHALL BE FINAL AND BINDING. JUDGMENT MAY BE ENTERED ON TIIE AWARD IN ANY COURT HAVING
JURISDICTION T'lIEREOF. CUSTOMER AND ORKIN ACKNOWLEDGE AND AGREE, THAT THIS ARBITRATION PROVISION IS MADE
PURSUANT' TO A TRANSACTION INVOLVING INTERSTATE COMMERCE .AND SHALL BE CONTAINED BY THF. FEDERAL ARBITRATION
ACT.
10, ENTIRE AGREF.NIEN'o AND SEVERABILITY. This Agreement and the attached graph conahimte the entire agreement Ixharrn the Palms. Customer
expressly waams and represents that, in enmang this Agreement, Customer is not relying on any pmoke, ii,memenl or statement, bothere.1 onvriuen, that knot
expressly and fully sel forth to this Agreement. If any part of this Agreement is held m h invalid w unenforceable for any reason, the remaining (amts and conditions
of this Agreement will remain in Poll forceand effect. The terms ofthe Agmement staled herein may not be amended or ahercd unlss a w -riven clange is npprorod and
signed by a Corporate Officer of Company. No other employees or agznu of Company have xuthonly to amend or germy pan crisis Agreement. Provided, however,
that as to be paragraph on ARDIT RATION, if the sentence preluding the arbitrator from conducting an arbitration proceeding as a class, representative or private
attorney general action is found to be trevolid w unenforceable then the entirety of the ARBITRATION paragraph shall be relined N be death from this Agreement.
0 HameTam No Deferam, Inc. 2012 LIE -(53314 SYR)
525
Subterranean Termite Protet don Builder's Guarantee OMB Approval p. 0513 1018)
(exp. 05/30Y2018)
This form is completed by the builder.
Public reporting burden for this collection of information is estimated to average 5 minutes per response, including the time for reviewing instructions,
searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. This
information is required to obtain benefits. HUD may not collect this information, and you are not required to complete this form, unless it displays a
currently valid OMB control number. Section 24 CFR 200.926d(b)(3) requires that the sites for HUD insured structures must be free of termite
hazards. This information collection requires a licensed Pest Control company to provide the builder a record of specific treatment information in those
cases when if any method other than use of pressure treated lumber is used for prevention of subterranean termite infestation. When applicable, form
HUD-NPMA-99-B must accompany the form HUD-NPMA-99-A. Builders, pest control companies, mortgage lenders, homebuyers, and HUD as a
record of treatment for specific homes will use the information collected. The information is not considered confidential, therefore no assurance of
confidentiality is provided.
This form is submitted for proposed (new) construction cases when prevention of subterranean termite infestation is specified by the builder or required by the
lender, the architect, FHA or VA.
This form is to be completed by the builder. This guarantee is issued by the builder to the buyer. This guarantee is not to be considered as a waiver of, or in place of,
any legal rights or remedies that the buyer may have against the builder.
FHANA Case No.:
Location of Structure(s) (Street Address, or Legal Description, City, State and Zip):
1684 Atlantic Beach Dr, Atlantic Beach, FL, 32233-4353
Buyer's Name:
is to cnecx ono complete comer cox i or oox z
Pest Control Company Applied Treatment (See HUD-NPMA 99B for treatment information)
The undersigned builder hereby certifies that a State licensed or otherwise authorized pest control company (where required by State law) was contracted to
treat the property at the location referenced above to prevent subterranean termites. The builder further certifies that the contract with the pest control
company required the treatment materials and methods used to be in conformance with all applicable State and Federal requirements. All work required by
the contract has been completed unless noted on HUD-NPMA 99B. Where not prohibited by applicable State requirements, the buyer, for an additional fee
payable to the pest control company, may extend the protection against subterranean termites. Contact the pest control company listed on the attachment
forfurther information.
The builder hereby guarantees that, if subterranean termite infestation should occur within one year from the date of closing, the builder will ensure that a
licensed or otherwise State authorized pest control company will treat as necessary to control infestations in the structure. This further treatment will be
without cost to the buyer. If permitted by State law, the buyer may contract directly, at the buyer's expense, with a pest control company to inspect the
property on a periodic basis and use EPA registered products to control any infestation. The builderwill not be responsible for guaranteeing such contracted
work. The builder further agrees to repair all damage by subterranean termites within the one-year builder's warranty period. This guarantee does not apply
to additions or alterations that are made by the buyer, which affects the original structure or treatment. Examples include, but are not limited to, landscape
and mulch alterations, which disturb the treated area and create new subterranean termite hazards, or interfere with the control measures. If within the
guarantee period the builder questions the validity of a claim by the buyer, the claim will be investigated by an unbiased expert mutually agreeable to the
buyer and builder. The report of the expert will be accepted as the basis for disposition of the case. The non -prevailing party will pay the cost of any
inspections made to investigate the claim. For further information, contact your State structural pest control regulatory agency. All service must be In
compliance with the International Residential Code.
of Service: fA Termite Bait System d Field Applied Wood Treatment iy.I Soil Treatment l Installed Physical Barrier System
2. _) Builder Installed Subterranean Termite Prevention using Pressure Treated Lumber
The builder certifies that subterranean termite prevention was installed using pressure treated lumber only and certifes that use of the pressure treated
lumber is in compliance with applicable building codes and HUD requirements including Mortgagee Letter 2001-04. Note: Using pressure treated sills as
a sole method of termite prevention is NOT acceptable and violates the requirements of Mortgagee Letter 2001-04.
Initial of Builder Date
Attachments:
Builder's Company Name: TOLL BROTHERS Phone No.:
Builder's Signature:
Date:
Consumer Maintenance Advisory regarding Integrated Pest Management for Prevention of Wood Destroying Insects. Information regarding prevention of
wood destroying insect infestation is helpful to any property owner interested in protecting the structure from infestation. Any structure can be attacked by wood
destroying insects.Periodic mainte nance should include measures to minimize possibilities of infestation in and around a structure. Factors which may lead to
infestation from wood destroying insects include foam insulation at foundation, earth -wood contact, faulty grade, firewood against structure, insufficient ventilation,
moisture. wood debris in crawl space, wood mulch, tree branches touching structures, landscape timbers, and wood rot. Should these or other such conditions
exist, corrective measure should be taken by the owner in order to reduce the chances of infestations by wood destroying insects, and the need for treatment.
An original and one copy of this guarantee are to be prepared by the builder and sent to the lender. The lender provides one copy to the buyer at closing and
includes a copy in the VA loan package or HUD insurance case binder. The builder sends one copy to the licensed pest control company which performed the
treatment.
Attached is a copy of the state authorized pest control company's New Construction Subterranean Termite Service Record, HUD-NPMA-99-B.
Warning: HUD will prosecute false claims and statements. Conviction may result in criminal and/or civil penalties. (18 U.S.C. 1001. 1010, 1012:31 U.S.C. 3729.3802)
form HUD-NPMA-99-A (812008)
525
New Construction Subterranean Termite OMB Approval p. 05/3 /018)
(exp. 05/30/2018)
Service Record
This form is completed by the licensed Pest Control Cotnpan
Public reporting burden for this collection of information is estimated to average 15 minutes per response, including the time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.
This information is required to obtain benefits. HUD may not collect this information, and you are not required to complete this form, unless it displays
a currently valid OMB control number.
Section 24 CFR 200.926d(b)(3) requires that the sites for HUD insured structures must be free of termite hazards. This information collection requires
the builder to certify that an authorized Pest Control company performed all required treatment for termites, and that the builder guarantees the
treated area against infestation for one year. Builders, pest control companies, mortgage lenders, homebuyers, and HUD as a record of treatment for
specific homes will use the information collected The information is not considered confidential therefore no assurance of confidentiality is provided.
This report is submitted for informational purposes to the builder on proposed (new) construction cases when treatment for prevention of subterranean
termite infestation is specified by the builder, architect, or required by the lender, architect, FHA, or VA.
All contracts for services are between the Pest Control company and builder, unless stated otherwise
Section 1: General Information (Pest Control Company Information)
Company Name HomeTeam Pest Defense Inc
Company Address 6694 Columbia Park Drive City Jacksonville Slate FL Zip 32258-2409
Company Business License No. 1640370000 Company Phone No, 904-730-2522
FHANA Case No. (if any)
Section 2: Builder Information
Company Name Toll Brothers Inc Phone No. 904-217-0739
Section 3: Property Information
Location of Structure(s) Treated (Street Address or Legal Description, City, State and Zip) 1684 Atlantic Beach Of, Atlantic Beach,
FL, 32233-4353
Section 4: Treatment Information
Date(s) of Service(s)
Type of Construction (More than one box may be checked) ® Slab n Basement F Crawl n Other
Check all that apply:
A. Soil Applied Liquid Termiticide
Brand Name of
Termiticide:
Approx. Dilution (%):
® B. Wood Applied Liquid Termiticide
EPA Registration No.
Approx. Total Gallons Mix Applied:
Brand Name of Bora-Care EPA Registration
Termiticide: No.
Approx. Dilution (%): 23
F_ C. Bait system Installed
Name of System:
Treatment completed on exterior: ® Yes i.. ii No
64405 -1 -AA
Approx. Total Gallons Mix Applied: 5
EPA Registration Number of Stations
No. installed
r; D. Physical Barrier System Installed
Name of System: Attach installation information (required)
Service Agreement Available? ®Yes FA No
Note: Some state laws require service agreements to be issued. This form does not preempt stale law.
Attachments (List)
Comments
Name of Applicator(s) HARRY CRUZ Certification No. (if required by Stale law) JE252234
The applicator has used a product in accordance with the product label and state requirements. All materials and methods used comply with state
and federal regulations.
Authorized Signature K-"J'`rr'• Date 01/15/18
Warning: HUD vnll prosecute false claims and statements. Conviction may result In criminal andfor civil penalties. (18 U.S.C. 1001, 1010, 1012; 31 U.S.C. 3729, 3802)
form HUD-NPMA-99-B (08/2008)
e• }
HomeTeam
e rsr aee ea se
New Construction Subterranean Termite Treatment
This report is submitted for information purposes to the builder on (new) construction cases where treatment for prevention of
subterranean termite infestation is required by the Florida Building Code, Section 104.2.6.
Section 1: Hometeam Pest Defense
Company Address: 6694 Columbia Park Drive City: Jacksonville State: FL
Zip: 32258- Company Phone No.: 904.730-2522 Business License No.: 1640370000
2409
Section 2: Builder Information
Company Name: Toll Brothers Inc
Phone No.:
Section 3: Property Information
Building Permit No.:
Location of Structures) Treated: 1664 Atlantic Beach or, Atlantic
Type of Construction: ® Slab ❑ Basement ❑ Crawl ❑ Other
Approximate Depth of Footing: Outside: Inside: Type Fill:
Section 4: Treatment Information
Dates) of Treatment(s): 1/15/18 EPA Registration No.: 64465 -1 -AA
Brand Name of Product(s) Used: Bora-Care
Final Mix Solution: 23 Treatment Area Sq. FL: 2400
Linear Ft. 227 _ Linear Ft. of Masonry Voids:_
Total Gallons of Termiticide Applied: 5
Service Agreement Available?
®Yes No
This building has received a complete treatment for the
Liquid treatment:
El yes Ell NO
prevention of subterranean termites. Treatment is in
Liquid Final exterior treatment:
❑ Yes EJ No
accordance with the rules and laws established by the
Borate treatment:
❑ Yes ❑ No
Florida Department of Agricultural and Cpnsumer
Bait in lieu of Pretreat:
❑Yes ❑No
Services. Initial
Note: Some State laws require service agreements to be issued. This form does not preempt State law
Attachments (List)
Name of Applicator(s): HARRY CRUZ Certification No.: JE252234
Authorized Signature I Alt Date
RH NT"5