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BLD2021-1068_Site_Plan_8.2.2021_9.36.36_AM_2333338DocuSign Envelope ID: 63AA1C36-6104-4096-AE6C-CE3D3ED230AA SALES ORDER COVER SHEET v 3.7 MM Comfort Svstems P • • • • SALES INFORMATION • • •. , • Sales Person: Todd Duskin Date: 8/1/2021 Install Date: 8/16/2021 Lead Source: Costco am CUSTOMEREk& • ' • LEAD# 4766402 Job Name: Diana Browne Phone (c): - Phone (h): 206-334-8951 Address: 8609 244th St SW City: Edmonds Zip: 98026 Email: dianapbrowne@hotmail.com BILLING :. Bill to Name: INFORMATIONENTER Phone (h): Phone I Address: City: Zip: •: INFORMATION Gas Piping: No Presite Insp: No Plumbing: No StatWire: No Manuf. Home: No Attic/Crawl: No Ladder Work: No 80 to 90: No Panel: No Oil Kit: No Line Set Adj: No Adjustment Used Other Adj 1: No Adjustment Used Other Adj 4: No Adjustment Used Electrical Adj: Elec 76'-100' Other Adj 2: No Adjustment Used Other Adj 5: No Adjustment Used Other Items: Other Adj 3: No Adjustment Used Furnace: Outdoor: AC Ductless: PMA PMA: $183 PMA: Payment: Credit Card Other Payment Desc: Rebate 1: $ Discount 1: one Day install $ -$481 Rebate 2: $ Discount 2: $ PROJECT NOTES SCOPE OF WORK INSTALL NOTES 0 To install Lennox 2.5 Ton 16 SEER AC system and Mery Install coil below downflow gas furnace in 16 Carbon Clean media filter. To retain existing upstairs closet. Install Merv-16 filter above thermostat. furnace. Tie into existing cond line. Already has drip pan. Set OD unit on right (East) side of house, in front of fence. Run lineset through attic, then down side of house in line hide. Run electrical from panel, all way around back of house (no crawl, house is on a slab), follow hot tub circuit that was just installed. 50' lineset, 20' line hide, 100' electrical. • • •ADDITIONAL Customer Payment 10094.98 MIMICS Payment 0.00 Total Ring Up 10094.98 PROCESSING• MATE RIAL/EQU I PM ENT LIST • Model Number Type Hours AJLH AJ Labor SSLD SS i EL16XC1-030-230 AC Equip. AMIEQ AMI 2 HCC14-23 MERV 16 Cabinet/Filter Material GMMA GM 3 LC19/36S9BG OF/DF 20.5 Coil Other coil options if Electrical QDEL QD 4 Existing Thermostat Thermostat needed: PMA AJPM AJ 5 LD19/36Z9B Misc. IKOH IK 6 LC19/36U9BG Total AUGTC AUG 7 LC18/36T9BG GP% EISMP EIS 8 LD19/36Z9B Fees BBMFE BBM 9 Revenue $7,726.68 10 Comm. Adj+ 11 Comm. Adj.- 12 DocuSign Envelope ID: 63AA1C36-6104-4096-AE6C-CE3D3ED230AA MM Comfort Systems Heating and Air Conditioning - Lic# MMCOMCS85564 9680 153rd Ave NE Redmond, WA 98052 (425) 881-7920 Comfort Consultant Phone Number Email WORK ORDER Customer Name: Diana Browne Cell Phone: Address: 8609 244th St SW Email: City, State, Zip: Edmonds WA 98026 Email 2: Todd Duskin 206-561-7501 tduskin@mmcomfortsystems.com 206-334-8951 Date: 7/29/2021 dianapbrowne@hotmail.com Other: - Lead# 476-6402 We are pleased to offer the following products and services including all applicable permits and processing: To install Lennox 2.5 Ton 16 SEER AC system and Merv-16 Carbon Clean media filter. To retain existing thermostat. Make Lennox Model & Description Make Thermostat Model & Description Make Lennox Model & Description Make Lennox/ADP Model & Description Make Model & Description Make Model & Description Make Model & Description X Install new electrical for AC/HP Use existing electrical for AC/HP install X Electrical conduit to outdoor unit visible X Install pad for outdoor compressor unit X Install new refrigerant lines Use existing refrigerant lines Evacuate refrigerant system per EPA X Use R-410A refrigerant per EPA New condensate drain and/or pump EQUIPMENT SPECIFICATIONS INCLUDED EL16XCl-030-230 Elite Series 16XCl 2.5 Ton Air Conditioner Existing Thermostat Use Existing Thermostat HCC14-23 MERV 16 5' Carbon Clean Merv-16 Filter LC19/36S9BG OF/DF 20.5 Evaporator Coil SYSTEM ENHANCEMENTS INCLUDED Remove/dispose of replaced equipment New thermostat wire X Airtight plenum transitions Sound ordinance enforced in your city Provide for external combustion air Asbestos detected - removal not included X Clean work area after installation X Install new easy -access filter cabinet X Permits & inspection as required System will use existing PVC Exposed & visible PVC flue required Meet all code requirements Install customer provided thermostat First year preventative maint. Three Year Comfort Shield Labor Warranty Lennox 10 Year Parts Warranty IML in BASE PRICE: Option-INEL- Price Brinmar Sound Reducer $2.92 $128.00 No Project Notes: $9,625.00 One Day Install-$481.00 SUBTOTAL: 00 Taxl 10.4 % $950.98 = • $10,094.98 • • $10,094.98 Costco Shop Card* 15% NET INVESTMENT AFTER COSTCO CARD $8,722 98 Payment Options Through Costco Member Credit** 4.5% - 48 months $230.17 This proposal shall expire if not accepted within 30 days. *See Costco. com for Costco Member Benefits. Costco Card is processed post installation & only once completion form is signed. Costco Card is typically received within 4-6 weeks from processing date. **Costco Member Credit Financing Options are OAC, and payments are only estimates. PAYMENT TO BE MADE AS FOLLOWS: X Credit Card (Visa only) tco Member Credit ( Y) ,-Docu Signed by: �� lA-iIGIIA, DocuSigned by: nmcomfortsystems.com " M1 F .1 Date of Acceptance: Date of Acceptance: 7/29/2021 7/29/2021 I agree to the pricing and proposal above and 1 F351 BBE14137439... ditions on the next page of this Proposal and Agreement. All products, services and/or representations of performance and/or DocuSign Envelope ID: 63AA1C36-6104-4096-AE6C-CE3D3ED230AA COSTCO SPECIAL ORDER HOME IMPROVEMENT SALES CONTRACT — PAGE 3 Credit Card/Financed Transactions: If you use a credit card or obtain financing to pay some or all of the Contract Price, you acknowledge that the terms of your cardholder agreement or financing documents may increase the total amount you must pay to the credit card provider or lender, including any interest charges and fees. You further acknowledge that Costco is not a party to any such cardholder or financing agreements. Credit, Rebates and Other Incentives: Government agencies, utilities and others may offer a variety of credits, rebates and other incentives. Neither Costco nor Dealer is a party to such offers. Credits, rebates and other incentive offers are subject to change or termination by the offeror. You agree that you are solely responsible for completing any forms or applications associated with receiving such offers although Dealer may offer assistance in completing such forms. You agree that Costco and Dealer shall bear no responsibility in the event such offers (1) are not paid to you, (2) are paid in an amount that is less than or different from the amount expected, or (3) are not paid in a timely manner. Product Warranties: Terms and conditions of manufacturer warranties are the responsibility of the manufacturer, not Costco. Please note that some manufacturer warranties may cover parts, but not labor costs for repairs. Labor Warranties and Service: Dealer will offer a labor warranty of not less than one year from the date of installation. All repair or replacement costs are your responsibility after the expiration of the warranty period. If you choose to have alterations, maintenance, service, adjustments or repairs made to the product or component by a third party at any time after installation, neither Costco nor Dealer is responsible for costs, defects or damages resulting from such action. Costco will not replace or refund any product or component that has been modified by a third party at any time after installation. Neither Costco nor Dealer will be responsible for damages resulting from your failure to provide reasonable maintenance, improper handling and operation, misuse or abuse or other occurrences beyond the control of Costco or Dealer. Opportunity to Cure: You agree to notify Costco of any work you allege to be defective within 30 days of discovery and within the applicable warranty period by calling Costco's toll -free telephone number at 1-844-765-0251 . You further agree to provide Costco and Dealer the opportunity to inspect the alleged defect within a reasonable period of time after Costco receives notice. If Costco and Dealer determine that a valid claim exists after inspection, you agree to allow Costco and Dealer to repair, reinstall, re -perform or refund the purchase price, at Costco's option. Photographs and Videos: You grant permission for Costco and/or Dealer to take photographs and videos of the project site before, during and after completion of the work to document the progress. Such photographs and videos will not be used for any marketing or promotional purposes. Purchase Order Summary: Item Number Description Price 646965 Lennox HVAC 9144.00 Membership #: 111846840676 sub Total: 9144.0 Applicable taxes will be charged when payment is processed. Tax: 950.98 Member agrees and authorizes Costco to charge the credit or debit card provided. Total: 10,094. Your Project is eligible for a Costco Shop Card incentive in the amount of $ 1372 Your Shop Card will be processed AFTER you sign project completion paperwork. It can take up to 4-6 weeks to receive your Shop Card. DocuSigned by: [WA HVAC 1/25/211 Copy to Member; Copy to Costco Member's Initials: I—w !� F351 BBE 14137439... DocuSign Envelope ID: 63AA1C36-6104-4096-AE6C-CE3D3ED23OAA AM MM Comfort Systems v 3.7 Cust. Full Name C., Email l Cast Email Cust. Phone 1 Cust. Phone 2 Costco Lead q Diana Browne dianapbrowne@hotmail.com 0 206-334-8951 0 4766402 Inc. 90%Furnace 80% Furnace ADJ: 80.90 Upgrade AC HP ADJ: IDU+ODU ADJ: LineSet Adj ADJ: Electric Single DHP IDU/ODU Multi DHP ODU Multi DHP IDU 1 Multi DHP IDU 2 Multi DHP IOU 3 Multi DHP IOU 4 Multi DHP IOU 5 ADJ: Multi Head Thermostat ADJ: Tstat Accessory ADJ: Stat Wire Pull CabineUFilter Filter/Media Only VRF AHU Coil ADJ: Configuration Fan Coil PICK: Heat Strip HWT ADJ: Attic ADJ: Gas Piping Adjustment 1 Adjustment 2 Adjustment 3 Adjustment 4 Adjustment 5 IAO1 IAO2 FF Accessory 1 Accessory 2 Accessory 3 other 1 Other 2 Other 3 Other 4 others Value Add 1 Value Add 2 Value Add 3 Value Add 4 Value Add 5 Value Add 6 Value Add 7 Value Add 8 Value Add 9 Value Add 10 Value Add 11L A Comfort Shield Extended Zone Surcharge Permit& Processing Rep Addition Other Addition Model Retail($) $8,761 $360 $265 $0 so $239 EL16XC1-030-230 Elec 76'-100' Keep Existing Thermostat HCC14-23 MERV 16 LC19/36S9BG OF/DF 20.5 Remove and Replace Existing Equipment Install New Equipment with Sheet Metal Modifications Install New Hi Efficiency Media Filter Cabinet w/ Easy-Acces Reuse Existing Venting Install New Condensate Piping Install New Outdoor Pad Install New Refrigerant Lineset Install New Electrical Circuit Provide Homeowner Familiarization Lennox10Year Parts/S Year Labor Warranty First Year Free Maintenance Program Edmonds MECH+ELECT OD BASE PRICE Discount 1 Rep Discount (title) Rep Disc. Amt ($,%) $9,625.00 -$481.25 One Day Install SUBTOTAL TAX Rate Rebate 1 (List) Amount 1 Rebate 2 (Other) Amount 2 $9,144.00 $950.98 0 0 110.4% GRAND TOTAL Financing Cash Card Rate $10,094.98 $1,372.00 Salesperson Todd Duskin Cust. Address 8609 244th St SW Cust. City Edmonds Cust. State WA Cust. Zip 98026 Contract SystemAdditional Work (from Other tab) ... Other coil options if needed: LD19/36Z9B LC19/36U9BG LC18/36T9BG LD19/36Z9B I coil below downflow gas furnace in upstairs closet. Install Merv-16 filter above furnace. Set OD unit on side of house, in front of fence. Run lineset through attic, then downside of house in line hide. Run elegy panel, all way around back of house (no crawl, house is on a slab), follow hot tub circuit that was just led. 50' lineset, 20' line hide, 300' electrical. install Lennox 2.5 Ton 16 SEER AC system and Merv-16 Carbon Clean media filter. To retain existing thermostat. DocuSign Envelope ID: 63AA1C36-6104-4096-AE6C-CE3D3ED230AA 13zoWN EA Moa 5. `lSD -Jc. L F 0001X A lC_ t Av,1 et -k 6 t ck • 0 3 O lot 1c DocuSign Envelope ID: 63AA1C36-6104-4096-AE6C-CE3D3ED230AA ffVVV% Ivew Installation Type MM Comfort Systems Client Name: Browne Existing Indoor Equipment LP ELEC OIL Equipment Access Dimensions x Equip Located Upstairs Closet Equip Access X Indoor Outdoor Floor to Ceiling Height: 8411 Equipment Access " x " IDU BrandRheem 90 Model# R95TC0601317 BTUs 60K # of Stat Wires 9 Existing Coil N(A Existing Outdoor Equipment AC HP >4/A Brand Model# BTUs Circuit amps ❑ 80 > 80 ❑ 80 > 90 ❑ 90 > 90 ❑ AH > AH 0 AC Add ❑ HP Add ❑ AC/HP Change ❑ Oil > Oil ❑ Oil > Gas ❑ Oil > Elec ❑ Other Electrical Needs: ❑ Existing 0 New Cir ❑ Svc Light 0 GFCI N Other Items Needed-.ElCondPump ❑ LP Kit El Stat Wire El cuit El Panel Upgrade eeded ❑ El Whole Home CFM goo = 400 = 2 3 Tons SIZE # CFM 5" Duct 60cfm 0 6" Duct 100cfm 12 1200 7" Duct 150cfm 0 8" Duct 215cfm 0 0 Total Electrical 100 ft Total Line Set 50 ft Total Line Hide 20 ft Total Gas Pipe o ft I f 15td I I/ Ue51 Q f l IN Ote5. Supply Air CFM 1200 = 400 = 3.0 Tons Return Air CFM 1000 = 400 = 2.5 Tons Level Avg Ht Sq Feet Main 8 1800 HEIGHT X WIDTH OR DIAMTER MEASUREMENT R/A Duct: ROUND 16 If If R/A Duct: RECTANGLE " x " X DocuSign Envelope ID: 63AA1C36-6104-4096-AE6C-CE3D3ED230AA /IFIFWn\ MM Comfort Systems Equipment Notes: Floor to Ceiling MM Comfort Systems AAM MM Comfort Systems Interior Venting (Existing or New Path) MM Comfort Systems Extra Furnace Pic 1 Extra Furnace Pic 2 / Furnace Terminals DocuSign Envelope ID: 63AA1C36-6104-4096-AE6C-CE3D3ED230AA C B re R W', gh -e Electrical Panel - Breakers Size: 200 Amps SIM MM Comfort Systems Crawl Space (if work to be done) Notes: Take a picture of the Electrical Panel Map - Use High Resolution Setting for this Picture AAM MM Comfort Systems Electrical Panel Labels Panel Brand: Homeline AAM MM Comfort Systems Attic Space (if work to be done) ■ ■ �I t� �►w �� ." a 4\ i 0-0 Aw All Envelope ID: 63AA1C36-6104-4096-AE6C-CE3D3ED230AA Honeywell Home ProSeries Thermostat AAM MM Comfort Systems t� < 44 i Current Wiring JUM MM Comfort Systems Extra 7 Extra 8 DocuSign Envelope ID: 63AA1C36-6104-4096-AE6C-CE3D3ED230AA r i to me (verbally or in writing) are listed in the Work Order. `_.... �v. (Please see Terms and Conditions) v 3.7 TERMS AND CONDITIONS ACCEPTANCE OF PROPOSAL: We will furnish, install & service the equipment listed above at the price, terms & conditions outlined in this proposal. We will warranty equipment breakdowns for 12 months from the date of installation of the first piece of equipment unless a longer term is stipulated. This job is subject to the Construction Lien "Construction Lien Law, what you should know about contracts" and the "Notice to Customer" pursuant to RCW 18.27. The above prices, specifications, and conditions are hereby accepted. This Proposal and Agreement will not be deemed accepted until a signed copy is received in the offices of MM Comfort Systems. FINANCING AND ESTIMATED MONTHLY PAYMENTS: Est. (Estimated) monthly payment listed on the proposal is only an estimate. Actual payments will be calculated through the financing option selected by the customer. Financing Option must be approved by the financing company and actual monthly payments will be provided from financing company. WARRANTIES/LIMITATIONS: All material and equipment supplied shall be in accordance with the specifications contained in this proposal. All work will be completed in a workmanlike manner according to standard industry practices and shall comply with local building code requirements. The Comfort Shield Warranty shall be for 36 months from the date of installation. Manufacturer warranties may extend beyond this time frame. Unless an extended labor warranty is purchased, labor costs to replace/repair defective parts will be charged to the customer. Annual maintenance is required by manufacturers to preserve equipment warranties. First year preventative maintenance must be scheduled by customer within 12 months from time of installation (only applicable if selected in proposal above). Purchaser's remedies are limited to repair or replacement, at MM Comfort Systems' option, of defective material or equipment. Under no circumstances shall MM Comfort Systems be responsible for any consequential or incidental damages to purchaser's property. Installation does not include duct scaling/repairs unless specified. No warranty or improvement expressed or implied with regard to performance of system due to preexisting ductwork, piping or electrical components. Any action to enforce any rights of purchaser must be instituted within twelve (12) months of the date MM Comfort Systems begins installation. NOTICE TO CUSTOMER: This contactor in registered with the State of Washington, registration number MMCOMMCS85564 as a general/specialty contractor and has posted with the state a bond or cash deposit of $12,000 for the purpose of satisfying clams against the contractor for negligent or improper work or breach of contract in the conduct of the contractor's business. This bond or cash deposit may not be sufficient to cover a claim that might arise for the work under your contract. If any supplier or materials used in your construction project or any employee of the contractor or subcontractor is not paid by the contractor or subcontractor, your property may be liened to force payment. If you wish additional protection you may request the contractor provide you with further information about lien release documents. General information is also available from the Department of Labor and Industries. DUCTLESS MINI -SPLIT DISCLAIMER: Ductless Heat Pumps are not a ducted system and will not operate like one. It is designed to heat and/or cool areas that the indoor units are located in only and may require back up or additional heating and/or cooling and/or ceiling fans running concurrently to assist. DELAYS/DAMAGES: MM Comfort Systems shall not be liable for any loss, damage or delays occasioned by fire, strikes, material stolen after delivery upon premises, lock -outs, acts of God or public enemy, accidents, boycotts, material shortages, disturbed labor conditions, delayed delivery of materials from MM Comfort Systems' suppliers, inclement weather, floods, freight embargos, cause incident to national emergencies, war, acts of the Purchaser or his agents, or other causes beyond the reasonable control of MM Comfort Systems. In the event of such delays or damages, the time for performance by MM Comfort Systems shall be extended for a reasonable time. If such delay results in additional cost or expenses to MM Comfort Systems then purchaser shall reimburse MM Comfort Systems for such additional cost and/or expense in addition to amounts otherwise due under this contract. CHANGES IN THE WORK: The purchaser may order changes in the work within the general scope of the contract consisting of additions, deletions, or other revisions. MM Comfort Systems shall not be required to make any such changes unless it first receives from the purchaser a written change order and agrees to the charge by signing the change order. Any addition, deletion or other revision, which increases the costs or expenses of MM Comfort Systems, shall be due to MM Comfort Systems in addition to any amounts otherwise due under this contract. PROPERTY INSURANCE: Unless otherwise agreed, the owner shall purchase and maintain property insurance upon all equipment and material delivered by MM Comfort Systems to the job site. Purchaser shall assume all risk of loss for such materials and equipment once delivered to the job site. PERMITS: Unless otherwise designated the purchaser shall secure and pay for all permits, governmental fees and licenses necessary for the proper execution and completion of the work. Scheduling inspections of permits is the responsibility of the homeowner (customer). TERMINATION OF CONTRACT/SUSPENSION OF PERFORMANCE: Purchaser has 3 days to cancel contract, after which this agreement can not be cancelled. Rescheudling the installation date without 48 hours notice is subject to an additional $150 change fee. MM Comfort Systems may suspend or cancel its performance in the event of any of the following: Any act of Purchaser or his/her agents, which prevents or inhibits MM Comfort Systems from timely performing its obligation under this Agreement. For the reasons specified above under Delays/Damages. If alterations to job scope cannot be accommodated within regular install schedule or staffing Installation does not begin within 90 days of proposal date. SUIT/ARBITRATION/ATTORNEY'S FEES: In the event of any dispute under this contract, either party may elect that this matter be submitted to binding arbitration in Seattle, Washington, pursuant to the then -effective rules of the American Arbitration Association. In the event this matter is referred for collection or if either party retains an attorney for the purpose of arbitration or suit, the prevailing party shall be entitled its actual cost and attorney's fees, all cost of collection, including licenses, collection agency fees and court costs, in addition to the amounts otherwise due. Venue and jurisdiction shall be laid in King County, Washington. ADDENDUMS: 1) See Cottco Special Order Purchase Order. Costco Specific Terms and Conditions add to, or supercede terms and conditions listed above. 2) 3) 4) ENTIRE AGREEMENT: This represents the entire Agreement between the parties. There are no other Agreements or promises (verbal or otherwise) that are not contained in this Agreement. DocuSign Envelope ID: 63AA1C36-6104-4096-AE6C-CE3D3ED230AA 4766402 Costco Wholesale Corporation/999 Lake Drive, Issaquah, WA 98027/Phone: 1-877-483-6226 Washington General Construction Contractor's Registration No. COSTCWCI 1 OJJ Print Member(s) Name: Diana Browne Address of Property: 8609 244th St SW Phone: Home 206-334-8951 HOME IMPROVEMENT SALES CONTRACT (Washington) Work or Cell 1. Description of the Project. Materials and Equipment: Costco proposes to furnish you with the materials, labor, equipment and supplies as detailed in the plans and specifications for your project (referred to herein as "Work Order"). 2. Installation: Under this Contract, Costco does not perform the installation work. Costco will subcontract the work to an authorized independent third party subcontractor ("Dealer"). 3. Contract Price: $ 9144 including applicable taxes payable to Costco. The Contract Price is to be made 4. Approximate Start Date: 08/16/2021 Work is considered to have begun when materials for your Contract have been ordered. Installation shall commence on the approximate date above, subject to permissible delays set forth in this Contract. 5. Approximate Completion Date: 08/16/2021 Work shall be substantially completed by the approximate date above, subject to permissible delays set forth in this Contract. 6. Permissible Delays: Costco and Dealer may need to extend fbhowp :obdciaAiperetbting ndl/irispeotigAadaiaysdaWaydueautmdtby pre-existing conditions or hazardous conditions; inclement weather; acts of god; accidents; shortage of labor or materials; delay in receipt of product from the manufacturer; damage to product during shipping; production errors by the manufacturer; additional time required for change orders or additional work; your failure to provide Dealer with uninterrupted access to the job Date: 7/29/2021 Year Home Built: 2020 Email: dianapbrowne@hotmail.com site; delays caused by you; scheduling conflicts; and other delays unavoidable or beyond the control of Costco or Dealer. 7. Note about Extra Work and Change Orders: Extra work and change orders become part of this Contract once the order is prepared in writing and signed by you and Costco or Dealer prior to the commencement of work covered by the new change order. The order must describe the scope of the extra work or change, the cost to be added or subtracted from the contract, and the effect the order will have on the approximate completion date. If the parties fail to execute the extra work or change order in writing, you will still be responsible for the cost of the work performed based upon legal and equitable remedies designed to prevent unjust enrichment. 8. List of Documents to be Incorporated into the Contract: This Contract consists of the terms herein, any change orders, and the following documents: (1) Work Order, (2) additional Costco terms and conditions if any provided to you, (3) Notice to Consumers, and (4) two Notice of Cancellation forms. In the case of inconsistency among any of the documents listed above and the terms of this Contract, the terms of this Contract will control. These documents constitute the entire understanding between the parties, and there are no verbal or written understandings changing or modifying any of the terms of these documents. 9. Limitation of Liability: TO THE FULLEST EXTENT PERMITTED BY LAW, NEITHER COSTCO NOR DEALER WILL BE LIABLE TO YOU FOR ANY INCIDENTAL, INDIRECT, CONSEQUENTIAL OR SPECIAL DAMAGES AND UNDER NO CIRCUMSTANCE WILL COSTCO'S OR DEALER'S LIABILITY TO YOU EXCEED THE AMOUNT YOU HAVE PAID UNDER THIS CONTRACT. YOU, THE CONSUMER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. By signing below, you hereby acknowledge that you have read and understand these documents, including all terms and conditions of this Contract. You also acknowledge that you were verbally informed of your right to cancel this Contract. Once this Contract is sig DocuSignedby: opy of the completed, signed and dated Contract. Signature of Member I °'"--°'� any: Date: 7/29/2021 F351 BBE14137439... 7/29/2021 Signature of Dealer's Kepreseniative�vp.0 d (AS ivu Date: 7c6Dao4TgJddDDUskln Print Name of Dealer's Representative: Dealer Company Name: MM Comfort Dealer Company Address and Phone Number: 9680 153rd Ave NE, Redmond, WA 98052 (425) 881-7920 Dealer Company License/Registration (Type and Number): MMCOMMCS85564 [WA HVAC 1/25/211 Copy to Member; Copy to Costco DocuSign Envelope ID: 63AA1C36-6104-4096-AE6C-CE3D3ED230AA COSTCO SPECIAL ORDER HOME IMPROVEMENT SALES CONTRACT - PAGE 2 Costco Return Policy Exception: Special order merchandise, custom merchandise and installed merchandise cannot be returned or refunded after the expiration of your right to cancel period. This is an exception to Costco's standz---' 05`------ --Dlicy. Member's Initials: Pre -Existing Conditions: Costco and Dealer are not responsible for pre-existing conditions, including any non - code compliant work performed by others. In the event it is determined by Costco or Dealer that this Contract cannot be performed as intended by the parties due to, for example, unforeseen structural defects or undiscovered pre-existing conditions to your property, Costco or Dealer may submit a change order to address the additional work, costs and schedule changes that would be incurred to remedy such conditions, if possible. If you decline the change order or otherwise fail to remedy the pre-existing condition, Costco shall not continue with the work, and shall cancel the contract. If the Contract is canceled, you agree to pay Costco the costs of materials, labor and services provided through the date of cancellation. Hazardous Conditions: You agree to inform Dealer in writing of the presence and location of any potentially hazardous conditions at the project location prior to the start of work. In the event that Costco or Dealer suspects existing or developing spore or mold growth, asbestos -containing materials or other potentially hazardous conditions at the project location, Costco and the Dealer will stop work and will not attempt to test, repair or remediate such conditions. At your sole expense, you must arrange to have the hazardous condition tested, repaired and remediated by a third party in compliance with applicable laws within a reasonable period of time, or Costco may cancel this Contract. If the Contract is canceled, you agree to pay Costco the costs of materials, labor and services provided through the date of cancellation. Interference with Performance: Costco reserves the right to cancel the Contract to the extent that either Dealer or Costco reasonably determines that the project cannot be performed as intended by the parties due to site changes or recommended site upgrades, the project cannot satisfy your expressed needs or preferences, you unreasonably interfere with the project, or Dealer encounters an unsafe, intimidating or offensive environment at the property. If the Contract is canceled, you agree to pay Costco the costs of material, labor and services provided through the date of cancellation. Lead Paint: The U.S. EPA requires that all contractors use special lead -safe work practices to perform remodeling work on houses built before 1978 where lead paint is present. If the remodeling work does not qualify for an exemption, the area where the work will be performed must be tested for lead paint. You agree to pay Dealer or a third party certified renovator a surcharge fee to perform the test, the cost to be agreed -upon prior to the test. If the test reveals lead paint, a certified renovator is required to use special lead -safe work practices to remove the lead (the "Renovation"). If you wish to proceed with the Renovation, you agree to pay Dealer or a third party certified renovator a lead paint surcharge fee, which will be calculated based on the size and scope of the Renovation. If you do not proceed with the Renovation, Costco will cancel this Contract. If the Contract is canceled, you agree to pay Costco the costs of materials, labor and services provided through the date of cancellation. Ownership/Consent: You promise that either (1) you hold legal title to the property or (2) you have written consent from each owner of the property for installation work to take place on the property. Building Permits: Dealer will notify you of all necessary permits required by state or local codes and ordinances Unpaid Amount: To the extent permitted by law, any unpaid amount due in connection with this Contract will accrue interest in the amount of 1% per month. In the event any obligation arising under this Contract is referred to or assigned to a collection agency for collection purposes, whether or not a lawsuit has been commenced, you agree to pay all costs of collection, including, but not limited to, reasonable attorneys' fees. Lien Notice: Costco and Dealer may have a claim against you which may be enforced against your property under applicable lien laws should you fail to pay all amounts due in connection with this Contract. [WA HVAC 1/25/211 Copy to Member; Copy to Costco Member's Initials: [Vap�02_ _ DocuSign Envelope ID: 63AA1C36-6104-4096-AE6C-CE3D3ED230AA WASHINGTON NOTICE TO CONSUMERS This contractor is registered with the state of Washington, Registration No. COSTCWC110JJ, and has posted with the state a bond or deposit of $12,000.00 for the purpose of satisfying claims against the contractor for breach of contract including negligent or improper work in the conduct of the contractor's business. The expiration date of this contractor's registration is December 17, 2022. THIS BOND OR DEPOSIT MIGHT NOT BE SUFFICIENT TO COVER A CLAIM THAT MIGHT ARISE FROM THE WORK DONE UNDER YOUR CONTRACT. This bond or deposit is not for your exclusive use because it covers all work performed by this contractor. The bond or deposit is intended to pay valid claims up to $12,000.00 that you and other customers, suppliers, subcontractors, or taxing authorities may have. FOR GREATER PROTECTION YOU MAY WITHHOLD A PERCENTAGE OF YOUR CONTRACT. You may withhold a contractually defined percentage of your construction contract as retainage for a stated period of time to provide protection to you and help insure that your project will be completed as required by your contract. YOUR PROPERTYMAYBE LIENED. If a supplier of materials used in your construction project or an employee or subcontractor of your contractor or subcontractors is not paid, your property may be liened to force payment and you could pay twice for the same work. FOR ADDITIONAL PROTECTION, YOU MA Y REQUEST THE CONTRACTOR TO PROVIDE YOU WITH ORIGINAL 'LIEN RELEASE" DOCUMENTS FROM EACH SUPPLIER OR SUBCONTRACTOR ON YOUR PROJECT. The contractor is required to provide you with further information about lien release documents if you request it. General information is also available from the state Department of Labor and Industries. I have received a copy of this disclosure statement. Dated this 29 day of July of the year 2021 DocuSigned by: F351BBE14137439... The contractor must retain a signed copy of this disclosure statement in his or her files for a minimum of three years and produce a signed or electronic signature copy of the disclosure statement to the department upon request. For more information, please refer to RCW 18.27.114. DS [WA HVAC 1125121 ] Copy to Member; Copy to Costco Member's Initials: pp�5 DocuSign Envelope ID: 63AA1C36-6104-4096-AE6C-CE3D3ED230AA • • �. NOTICE OF CANCELLATION 7/29/2021 Date of Transaction You may CANCEL this transaction, without any Penalty or Obligation, within THREE BUSINESS DAYS from the above date. If you cancel, any property traded in, any payments made by you under the contract or sale, and any negotiable instrument executed by you will be returned within TEN BUSINESS DAYS following receipt by the seller of your cancellation notice, and any security interest arising out of the transaction will be cancelled. If you cancel, you must make available to the seller at your residence, in substantially as good condition as when received, any goods delivered to you under this contract or sale, or you may, if you wish, comply with the instructions of the seller regarding the return shipment of the goods at the seller's expense and risk. If you do make the goods available to the seller and the seller does not pick them up within 20 days of the date of your Notice of Cancellation, you may retain or dispose of the goods without any further obligation. If you fail to make the goods available to the seller, or if you agree to return the goods to the seller and fail to do so, then you remain liable for performance of all obligations under the contract. To cancel this transaction, mail or deliver a signed and dated copy of this Cancellation Notice or any other written notice, or send a telegram, to COSTCO WHOLESALE at 999 Lake Drive, Issaquah, WA 98027, Attn.: Special Order, NOT LATER THAN MIDNIGHT OF 08/03/2021 (Insert Date). You may also cancel no later than the date above by faxing a signed and dated copy of this Cancellation Notice to Costco at 425-427-7269 or emailing a copy to Costco at installcancel@costco.com. TO BE COMPLETED BY DEALER TO BE COMPLETED BY MEMBER AT TIME CONTRACT IS SIGNED AT TIME OF CANCELLATION Lennox HVAC Type of Program MM Comfort Systems Dealer Company Name 4766402 Lead Number DO NOT SIGN BELOW UNLESS YOUINTEND TO CANCEL THE TRANSACTION. I HEREBY CANCEL THIS TRANSACTION. Name of Member Membership Number Telephone Number Date Member's Signature 1/25/21 Two Copies to Member; Copy to Costco DocuSign Envelope ID: 63AA1C36-6104-4096-AE6C-CE3D3ED230AA COSTCO SMCM ORDER Project Disclosures HVAC Unless specified in the Work Order the following items are not included in the contract price: a. Replacement of existing refrigeration lines b. Replacement of existing condensate drain components c. Replacement of existing electrical (high or low voltage), gas and/or venting components d. Painting, patching, stucco repair or other finish work e. Roofing, drywall or framing modifications Any additional work requested or required to existing items will be quoted separately and are at the Member's sole expense. If changes to the Work Order are necessary, they will be discussed and agreed upon in writing prior to the commencement of work covered by the new change order. 2. Work to new or existing ductwork is limited to reasonably accessible areas of the home. Reasonably accessible areas refers to areas which Dealer has access to without the necessity of removing fixed objects such as drywall, pipes or other building materials. Inaccessible portions of ductwork will remain in place and as is. 3. Airflow to each conditioned room may change once the new or existing equipment and/or duct work has been changed or reconnected. Unless specified in the Work Order, zoning and/or airflow dampers (mechanical airflow controllers) are not included in the contract price. Certified air balancing is not included in the Work Order. 4. After the installation is complete, it may be necessary (based on local requirements) to schedule airflow and/or system validation testing as well as any required permit inspection. All inspections are performed by third parties. Once the airflow and/or system validation testing is completed and the findings are received by the Dealer, the local permit inspection can be scheduled. Access to the home will be needed for all inspections. Scheduling of third party inspections are the responsibility of the member. Airflow testing failures due to existing ductwork are not the responsibility of Costco or the Dealer. 5. Unrelated local permit corrections or requirements beyond the Work Order are not the responsibility of Costco or the Dealer. 6. Any required approvals from a Homeowners Association (or similar entity) are the member's responsibility. Any required approvals are to be obtained by the member prior to work beginning. Any fines, work stoppage, etc. resulting from the failure to obtain the proper approvals are not the responsibility of Costco or the Dealer. 7. Any applicable rebates or incentives (other than Costco membership offers) are based on the availability of the third party provider(s) offering them. Rebate or incentive funds may not be available by the time your installation takes place. The member is responsible for the submission and confirmation of any third party rebates or incentives prior to installation. Additional disclosures: Print Member name: Diana Browne DocuSigned by, Member Signature: C�1 —7c,- F351 BBE 14137439... Date: 7/29/2021 Updated 1/25/2021 Copy to Member - Copy to Costco DocuSign Envelope ID: 63AA1C36-6104-4096-AE6C-CE3D3ED230AA R Installation Authorization HVAC Member Name Diana Browne Installer Initials Project Address 8609 244th St SW Costco Lead # 4766402 To be completed before installation begins By signing below, I agree to the following: • The installer has reviewed the equipment with me, which matches the model(s) that I purchased. • The installer has reviewed the Work Order with me and has explained the general installation methods that will be used. • I understand that the project may take more time than originally discussed, due to unforeseen delays or issues. • Any changes to the Work Order will be discussed with me and agreed upon before work continues. • I will be available for questions during the installation, and will make the installation areas available to the installer(s) during reasonable daylight hours or as dictated by local ordinances. • I authorize the installation work to begin. Member Signature Date: Time: Completion Verification To be completed once the installation has been finished By signing below, I agree to the following: • This project has been completed to my satisfaction. • I have been provided with copies of the applicable warranties, as well as use and care information. This information is also available at www.lennox.com for future reference. • Air filters and condensation drains should be checked periodically by the homeowner or a qualified person to ensure proper operation, and to avoid damage to the equipment or home. • I understand that failure to provide maintenance per manufacturer's instructions will void the warranty. For an additional cost, an annual maintenance program can be purchased from a qualified dealer. • The following items or services are included in the Contract price and will be provided at a later date: ❑ None or • If my order is eligible for a Costco Shop Card, the card will be processed once this verification is signed. I understand it may take 4 to 6 weeks to receive the Costco Shop Card. Member Signature Date: Time: Updated 1 /25/2021 Copy to Member - Copy to Costco DocuSign Envelope ID: 63AA1C36-6104-4096-AE6C-CE3D3ED230AA G0=0 VWM ORDER EXEMPTION FORM ENVIRONMENTAL PROTECTION AGENCY RENOVATION, REPAIR AND PAINTING RULE Print Customer Name(s): Diana Browne Job Address: 8609 244th St SW Today's Date: 7/29/2021 Year Home Built: 2020 Purchase Order No.: Contractor's Representative MUST check ONE of the following boxes for everyjob. If the minor repair exemption is different in the state where the work is being performed, please comply with the state's requirements (e.g. Iowa). If none of the exemptions apply, please check the "No Exemption Applies" box at the bottom of the page. 1978 or Later Housing Exemption. BOTH of the following must be true: • Contractor has verified that the house was built in 1978 or later and has proof of this in Contractor's internal records. ❑ Check here if new construction. • To the best of Cust71ai • (Customer Initials the house was built in 1978 or later. ❑ Paint -Free Surface Exemption. BOTH of the following must be true: • The Contractor's Representative has personally examined the specific areas upon which the remodeling work will be performed, as well as any adjacent or adjoining areas (interior and exterior) that are expected to be impacted by the remodeling work and determined that no painted surface will be disturbed, damaged, or otherwise affected or impacted by the planned remodeling project. • To the best of Customer's knowledge, the areas upon which the planned remodeling project will be performed do not appear to contain any painted surfaces that will be disturbed, damaged, or otherwise affected or impacted by the planned remodeling project. (Customer Initials ) ❑ Minor Repair and Maintenance Exemption. ALL of the following must be true: Less than 6 sq. ft. interior per room / 20 sq. ft. exterior of Painted Surfaces Will Be Disturbed. If the planned remodeling project is taking place on the interior of the property, it will not disturb more than six (6) square feet of painted surface per room. If the planned remodeling project is taking place on the exterior of the property, it will not disturb more than twenty (20) square feet of painted surface • No Demolition of Painted Surfaces. The planned remodeling project does not involve (a) the destruction of painted surfaces or (b) any activity that removes or otherwise disrupts the painted component in a way that destroys or ruins the component. No Prohibited Work Practices. The planned remodeling project is not going to involve open flame burning or torching of paint. No machines will be used that remove paint through high-speed operation such as sanding, grinding, power planing, needle gun, abrasive blasting, or sandblasting, unless such machines are used with HEPA exhaust controls. No heat guns will be operated above 1100 degrees Fahrenheit. ❑ No Exemption Applies. Contractor must comply with the lead safe work practices. Contractor's Representative: I certify under penalty of law that the above information is true and correct to the best of my knowledge as of the date first written above. DocuSigned by: �� Signature: IA.S�clbt, Print Name: Todd Duskin 7C6D804600F34D2_. DocuSign Envelope ID: 63AA1C36-6104-4096-AE6C-CE3D3ED230AA f~ MM Comfort Systems DS Homeowner Permit Inspection Process Fpjp)�bO2 Permits were purchased for your installation. The issuing authority is required to inspect the work performed at your home. You will receive your permits at the time of installation, along with other documents. Please see the highlighted section on each permit to schedule the required inspection. Please note that there are no costs for the initial inspection, but failure to schedule your inspection could result in fines from the issuing authority. -At install, please review the sections below that relate to YOUR permits - ELECTRICAL PERMIT / INSPECTION: ❑ Electrical Permit — Labor and Industries (L&I): The Department of Labor and Industries will contact you directly to schedule an electrical inspection. They will make three (3) attempts to contact you within seven (7) business days after completion of your installation. When L&I contacts you, schedule a time for the inspection. The L&I electrical inspection MUST be completed before you can schedule any other required inspection (indicated by a check mark.) If you miss your scheduled inspection, L&I will issue a missed -appointment trip fee that will be your financial responsibility. It is essential that this inspection be done to avoid complications with Washington State. ❑ Class B Electrical Sticker — Labor and Industries (L&I): No inspection is required unless L&I contacts you for a random inspection. ❑ Electrical Permits — All other jurisdictions: The Homeowner must schedule the electrical inspection upon completion of installation. You should schedule it for the same day as the mechanical inspection. Please call the highlighted telephone number on your permit to schedule. (Municipalities include Bellevue, Burien, Des Moines, Everett, Federal Way, Kirkland, Lacey, Lynnwood, Marysville, Mercer Island, Mountlake Terrace, Normandy Park, Olympia, Redmond, Renton, Sammamish, Sea Tac, Seattle, Tukwila.) REFRIGERATION PERMIT / INSPECTION: ❑ Some jurisdictions require the refrigeration piping inspection be "signed off" or passed prior to your system start- up. This is only for Air Conditioning and/or Heat Pump installations. This excludes all Ductless systems. (Municipalities include Brier, Duvall, Kirkland, Lake Forest Park, Medina, Seattle, and University Place.) If this applies to you: ➢ Please schedule your inspection promptly. Call the highlighted number on your refrigeration permit. ➢ After refrigeration inspection is complete, Please call us to arrange for system start-up. GAS PIPING PERMIT / INSPECTION: ❑ Gas Piping Inspection: The gas piping inspection MUST be "signed off" or passed prior to your system start up. Please call us as soon as the system has been inspected to arrange for system start-up. MECHANICAL PERMIT / INSPECTION: ❑ Mechanical Inspection: The Homeowner must schedule the Mechanical inspection upon completion of the install but AFTER the electrical inspection is completed and approved. If you do not have an electrical permit, proceed with scheduling your mechanical inspection. Your mechanical permit is enclosed. Please call the highlighted number on your permit to schedule your inspection. IF INSPECTORS REQUIRE CORRECTIONS: If any inspections result in corrections, please contact our office immediately: permits@mmcomfortsystems.com or call 425-629-1025