Formal Repair Agreement

Repair Agreement
Date_____________
One Machine Per Form
Customer/Contact Name __________________________________________________________________
Account #______________________________ Terms ______________________________________
Phone, Fax or Email _____________________________________________________________________
Security Deposit/Credit Card (if not a billable account) _________________________________________
Name on Card _____________________________ Expiration/SEC# _________________________
Manufacturer ______________________________ Model Name/# __________________________________
Serial Number _____________________________ Hour Meter Reading______________________________
Brief Explanation of Problem/Defect:_____________________________________________________________
__________________________________________________________________________________________________
Parts Needed/Used:
Qty Part # Description Price Total
Customer pays for all parts including shipping fees unless the suggested repair has been approved for Warranty fy the Manufacturer.
Please check your machine manual or the manufacturer if you have warranty coverage questions.
Standard Charges:
LABOR40 IN HOUSE LABOR PER HOUR $40.00
LABOR50 OTHER LABOR CHARGE PER HOUR $50.00

SERVICE80 80.00 Flat Fee for repair within 25 miles of shop plus ½ $80.00
hour diagnostics. Rate of $50.00 per hour labor will be
added for additional time on site
SERVICE90 90.00 Flat Fee for repair over 25 miles of shop plus ½ $90.00
hour diagnostics. Rate of $50.00 per hour labor will be
added for additional time on site
Estimate Total $ ____________
Please Email or Fax Estimate to: _______________________________________________________________
See Reverse Side for Repair Policy and Agreement Acceptance
Terms and Conditions:Customer agrees to pay for charges on repairs to equipment listed above. If any additional charges apply due to an unforeseen issue
with the repair the Customer will be notified immediately before work is completed. At that time, a new estimate will be given to the Customer with all
charges listed for the Customer's approval or denial. The Customer agrees to pay in full for the repairs at time of pick up unless Customer has an account in
good standing with Colker Company. Customer is advised to request a photocopy of this signed agreement.
Disclaimer: Any equipment, repaired or not, that is left on the property of L.M. Colker Company, Inc. will be deemed abandoned after 90 days of
completed work or denial of work. Colker Company will assume possession of the equipment and resell it to satisfy the debt.
------------------------------------------------------------------------------------------------------------------------------ --------
Quote # ________ Initials ____________ Warranty: Yes or No ___ Approved or Denied __________
L.M. Colker Company, Inc. * Pittsburgh* Indiana * Johnsontown
412-391-1955 * 888-4-COLKER* www.colkerjanitorial.com
updated Feb 2020
REPAIR POLICY
Please Initial:
• No Guarantee of Warranty Coverage will be made until Machine has been inspected
and approved by the manufacturer. _________
• Until the Manufacturer has approved Warranty, the Customer is responsible for all
repairs which may include an on-site service call and diagnostic. _________
• All repairs will be treated as a pickup and repaired at our location unless arrangements
are made with the Repair Department directly. The Department will set the date and time
to make the service call. Repair Department phone 412-391-1955 x131. _________
• If under warranty, labor rate is dictated by the Manufacturer. If not covered under
warranty a flat diagnostic fee of $80.00 plus Colker's hourly labor rate will be charged.
Customer is responsible for all charges not covered under the Manufacturer’s Warranty. _________
• After a Warranty Claim is Approved or Denied by the Manufacturer the Customer will
receive a Revised Invoice or Credit or Phone Call or Mailed a copy of the Denial Letter. _________
• All parts will be charged at current prices. Freight and/or small order fees will be
added to the Customer's Invoice, unless arrangements have been previously made with an
Employee of Colker Company and outlined in the signed Repair Agreement. _________
• All Quotes, Estimates, Repair Agreements must be signed by the Customer before any
parts are ordered and any work is preformed. _________
• If any additional charges apply due to an unforeseen issue with the repair the Customer
will be notified immediately before work is completed. At that time, a new estimate will
be given to the Customer with all charges listed for the Customer's approval or denial. _________
• All equipment must be paid for with a credit card unless the customer has an account
in good standing. _________
• Customer has 90 days after repairs are completed to pick up their equipment. If the machine
is not picked up within this time frame the machine becomes property of
L.M. Colker Company, Inc. _________
• The Customer is advised to request a photocopy of the Signed Repair Agreement.
I, ________________________ , approve this estimate and agree to the terms and policies on behalf of the
Customer list on front page. By signing the agreement, the Customer understands and accepts all terms,
conditions and policies outlined on this agreement between L.M. Colker Company, Inc. and the Customer.
--------------------------------------------------------------------------------------------------------------------------------------
Quote # ________ Initials ____________ Warranty: Yes or No ___ Approved or Denied __________
L.M. Colker Company, Inc. * Pittsburgh* Indiana * Johnsontown

412-391-1955 * 888-4-COLKER* www.colkerjanitorial.com
updated Feb 2020

Formal Repair Agreement

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Formal Repair Agreement

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Repair Agreement

LABOR50 OTHER LABOR CHARGE PER HOUR $50.00

L.M. Colker Company, Inc. * Pittsburgh* Indiana * Johnsontown

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