CUSTOMER SUMMARY

This Authorization Agreement between the Customer and Car World Paint & Body Shop, Inc. covers:

• Authorization to perform collision repair services on your vehicle
• Care, Custody & Protection (CCP) storage fees if applicable
• Parts ordering and cancellation policies
• Payment obligations and insurance responsibilities
• Mechanic’s lien rights under Florida Statutes Section 713.585
• Direction to Pay / Assignment of Benefits (separate signature required)

1. AUTHORIZATION TO REPAIR

I, the undersigned vehicle owner or authorized representative, hereby authorize Car World Paint & Body Shop, Inc. (“the Shop”) to perform the repair services described in the estimate/repair order for my vehicle.

• I authorize the Shop to perform the repairs as outlined in the written estimate. Any additional repairs discovered during the repair process that were not included in the original estimate will require my approval before proceeding, unless such approval is waived in writing.
• The Shop may use new, used, aftermarket, or reconditioned parts as deemed appropriate unless I specify otherwise in writing prior to the start of repairs.
• I grant the Shop permission to operate my vehicle on streets, highways, or other locations for the purpose of testing, inspection, or delivery.
• The Shop is not responsible for loss or damage to my vehicle caused by fire, theft, natural disaster, or any other cause beyond its reasonable control, nor for personal belongings left in the vehicle.

2. CARE, CUSTODY & PROTECTION (CCP) / STORAGE FEES

A Care, Custody, and Protection (CCP) fee will be charged as follows:

• Inside Storage: $300.00 per day
• Outside Storage: $200.00 per day

Storage charges begin on the date the vehicle is dropped off at the Shop. If the vehicle is deemed a total loss, storage fees apply from the date of drop-off until the date of vehicle removal by the customer or insurance provider. The Shop reserves the right to move the vehicle between inside and outside storage as needed.

3. PARTS ORDERING AND CANCELLATION

• I authorize the Shop to order all parts necessary for repairs.
• If I cancel repairs after parts have been ordered, a 30% restocking fee will apply to all returnable parts.
• For parts that are non-returnable (electronic components, special orders, custom parts), I agree to pay for such parts in full, and those parts will be provided to me.

4. DELAYS AND COMPLETION TIME

The Shop makes no guarantee regarding specific repair completion dates. Delays may occur due to insurance approval processes, parts availability, supply chain disruptions, supplemental damage discovery, or other factors beyond the Shop’s control. Rental or alternative transportation costs are the customer’s responsibility unless otherwise agreed in writing.

5. PAYMENT OBLIGATIONS

• All repair costs, including deductibles, betterment charges, and any customer-pay amounts, must be paid in full before the vehicle is released.
• If my insurance company issues payment directly to me rather than to the Shop, I am solely responsible for paying any outstanding balance to the Shop.
• Accepted forms of payment include cash, certified check, and major credit cards. Personal checks may be accepted at the Shop’s discretion.

6. TEARDOWN AND PARTIAL REPAIRS

If repairs are canceled or partially completed after work has begun, the Shop may charge for:

• All labor performed, including teardown and reassembly
• Parts ordered (subject to restocking/non-returnable terms above)
• Storage fees accrued
• Any diagnostic or scanning fees incurred

7. MECHANIC’S LIEN NOTICE

An express mechanic’s lien is hereby acknowledged on the above-described vehicle to secure the amount of all repairs performed, pursuant to Florida Statutes Section 713.585. The Shop has the right to retain possession of the vehicle until all charges are paid in full.

8. CONSENT TO ELECTRONIC COMMUNICATIONS & ELECTRONIC SIGNATURES

I authorize Car World Paint & Body Shop, Inc. to contact me about my repair via phone, email, or text message at the contact information provided. Standard message and data rates may apply. I may opt out of communications at any time by notifying the Shop in writing.

Both parties agree that this Authorization Form may be executed and delivered by electronic signature, in accordance with the Electronic Signatures in Global and National Commerce Act (ESIGN Act) and the Uniform Electronic Transactions Act (UETA). Electronic signatures shall have the same legal force and effect as manual signatures.

ASSIGNMENT OF BENEFITS, AUTHORIZATION TO SETTLE CLAIM, AND DIRECTION TO PAY PROVIDER DIRECTLY

(Separate Signature Required)

By my signature below, for good and valuable consideration (including but not limited to the extension of credit to me), I hereby assign, transfer, and convey to Car World Paint & Body Shop, Inc. (“the Provider”) all of my rights, title, and interest in and to auto repair reimbursement in any form, including but not limited to insurance coverage under property damage, comprehensive, collision, windshield, and/or any coverage otherwise payable to me through auto insurance.

• Payment Obligation: This payment shall not exceed my indebtedness to the Provider, and I acknowledge that I will timely pay any remaining balance owed by me to the Provider that is not otherwise satisfied by the assigned proceeds. I further acknowledge that any expenses not covered under my insurance policy will be my responsibility.
• Authorization to Act on My Behalf: I further authorize the Provider to negotiate, collect, and settle any claim with any insurance carrier or third-party payor regarding these services. This authorization includes, but is not limited to:
  1. Requesting and receiving from any insurer or third party any and all documentation and records I am empowered to request regarding this claim, including, without limitation, a statement of coverage, policy declarations page, and insurance policy.
  2. Endorsing in my name any check issued for payment where benefits were assigned.
• Protest of Partial Payments: The Provider hereby objects to any reductions or partial payments. Any partial or reduced payment, regardless of the accompanying language, issued by the insurer and deposited by the Provider shall be done so under protest, at the risk of the insurer, and shall not be deemed a waiver, accord, satisfaction, discharge, settlement, or agreement by the Provider to accept a reduced amount as payment in full.

I further direct my insurer to direct all payments for services rendered by the Provider directly to the Provider at the billing address contained on Provider’s repair bills.

THIS IS A DIRECT AND IRREVOCABLE ASSIGNMENT OF MY RIGHTS AND BENEFITS UNDER MY POLICY OF INSURANCE. A photocopy or digital version of this form shall be considered as effective and valid as the original.