CUSTOMER SUMMARY (PLEASE READ)

This document authorizes the Shop to tear down, diagnose, calibrate, and repair your vehicle, and it explains how payment works.

• You are responsible for the bill. Insurance is not a guarantee of payment.
• You must pay your deductible and any amounts insurance does not pay (denials, caps, betterment, depreciation, unrelated damage).
• If insurance pays you directly, you must immediately deliver those funds to the Shop.
• Storage/CCP fees may apply while the vehicle is at the Shop, including total loss situations, until the vehicle is removed and balances are paid.
• The Shop may legally hold the vehicle (mechanic’s lien) until paid in full.

SECTION 1: AUTHORIZATION TO REPAIR, OPERATIONS & DOCUMENTATION

I, the undersigned owner or authorized representative, authorize PSG Paint & Body Shop (“Shop”) to receive, store, operate, move, and repair the vehicle identified in this form.

1.1 Scope of Authorization

This authorization includes, but is not limited to:

• Disassembly, teardown, measuring, and inspection to identify visible and hidden damage
• Pre-repair and post-repair diagnostic scanning; resets; calibrations (including ADAS/safety systems) as required by the vehicle and/or manufacturer procedures
• Body, structural, mechanical, and refinishing operations; welding; corrosion protection; OEM-required procedures
• Subletting specialized operations (alignment, glass, mechanical, calibration, etc.) to qualified vendors when necessary
• Preparation and submission of estimates, supplements, photographs, documentation, and invoices to insurers and other payors

1.2 Test Drives / Vehicle Operation

I grant permission for Shop employees and vendors to operate the vehicle on streets, highways, or elsewhere as needed for testing, quality control, calibration validation, and completion of repairs.

1.3 Estimates Are Preliminary / Supplements

I understand the initial estimate is based on visible damage only and may change after teardown or during repairs. Additional hidden damage is common and may require supplements.

I authorize the Shop to prepare and submit supplements to the insurer (or responsible party). This authorization remains valid regardless of insurance approval timelines, coverage disputes, or claim outcome.

1.4 Personal Property

I understand the Shop is not responsible for loss or damage to personal items left in the vehicle. I agree to remove valuables and personal property.

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

2.1 Storage Rates

• Outside Storage: $105 per day
• Inside/Secured Storage: $150 per day

2.2 Diagnostic/Teardown Fee

A diagnostic and teardown fee of $300 applies for vehicle inspection, disassembly, measuring, scanning, and damage documentation.

2.3 When Storage/CCP Fees Begin

Storage/CCP fees may begin under any of the following conditions:

• The vehicle remains at the Shop without repair authorization or claim direction beyond 48 hours after drop-off
• Repairs are delayed or placed on hold due to insurance inspections/approvals, parts availability/backorders, customer indecision, coverage disputes, or any reason not caused solely by the Shop
• Repairs are complete and customer is notified, but the vehicle is not picked up within 3 business days
• Repairs are stopped, denied, or canceled and the vehicle remains at the facility

2.4 Total Loss Situations

If the vehicle is deemed a total loss, storage/CCP fees continue to accrue daily from the date of drop-off until: (1) all keys are delivered, (2) all balances owed to the Shop are paid in full (including teardown, admin, and storage/CCP), and (3) the vehicle is physically removed from the Shop’s premises.

The Shop is not responsible for insurer delays, inspections, decisions, pickup timing, or salvage arrangements.

2.5 Limited Liability / Reasonable Care

The Shop will use reasonable care while the vehicle is in its custody. The Shop is not an insurer of the vehicle and is not responsible for loss or damage caused by fire, theft, vandalism, weather, or other causes beyond its control, except to the extent caused by the Shop’s gross negligence or willful misconduct.

SECTION 3: PARTS ORDERING, NON-RETURNABLE PARTS, CANCELLATIONS & RESTOCKING

3.1 Authorization to Order Parts

To reduce delays, I authorize the Shop to order necessary parts promptly after repair authorization.

3.2 Non-Returnable / Special Order Parts

I understand many parts may be non-returnable and non-refundable once ordered, including (but not limited to):

• Electronic parts, modules, sensors, airbag components, ADAS parts
• OEM special-order or VIN-specific parts
• Painted, cut, installed, or modified parts
• Glass, mirrors, lighting assemblies (as applicable)

3.3 Restocking Fees / Cancellation Costs

If I cancel repairs or remove/transfer the vehicle after parts have been ordered, I agree to pay:

• A restocking fee of 30% on returnable parts (plus any vendor restocking/shipping)
• The full cost of any non-returnable parts
• All labor performed to date (including teardown/diagnostics/scanning/documentation)
• All storage/CCP and administrative fees accrued

SECTION 4: DELAYS & NO GUARANTEE OF COMPLETION TIME / RENTAL RESPONSIBILITY

The Shop does not guarantee a completion date. Delays may occur due to:

• Insurance inspections, approvals, supplement review timelines, disputes, appraisals
• Parts backorders, shipping delays, incorrect/damaged parts
• Hidden damage discovery and required procedures
• Sublet scheduling (alignment, glass, calibration, mechanical, etc.)
• Force majeure events (weather, supply chain disruption, strikes, etc.)

Rental/alternate transportation is the customer’s responsibility through the insurer or at-fault party. The Shop is not responsible for rental costs, extensions, or coverage limits.

SECTION 5: PAYMENT OBLIGATIONS (CRITICAL)

5.1 Customer Is The Primary Financial Obligor

I understand and agree I am personally responsible for all charges for repairs, labor, parts, sublet, storage/CCP, teardown, administrative fees, and any other amounts due, regardless of insurance coverage, participation, or payment timing.

5.2 Amounts Due Before Release

All balances must be paid in full before the vehicle is released, including:

• Deductibles
• Customer-pay items and upgrades
• Betterment, depreciation, condition-related items, unrelated damage
• Denied items, caps, or shortfalls not paid by any insurer
• Storage/CCP, teardown, admin, and documentation fees
• Any remaining balance after insurance payments

5.3 Insurance Payments Sent to Customer

If any payment is issued or delivered directly to me (the customer), I agree to immediately endorse and deliver those funds to the Shop. Failure to remit insurance proceeds within five (5) business days of receipt is a material breach of this Agreement. Any insurance proceeds received by me for these repairs are held in trust for payment to the Shop.

5.4 Right to Withhold Vehicle / Lien Rights

The Shop has the right to retain possession of the vehicle until all amounts owed are paid in full.

SECTION 6: TEARDOWN, PARTIAL REPAIRS, STOP-REPAIR DECISIONS & REASSEMBLY

If the vehicle is torn down, inspected, measured, scanned, or worked on and repairs are later stopped, denied, canceled, or redirected for any reason (including total loss), I agree to pay for:

• Teardown/inspection labor, diagnostics, scanning, measuring, documentation
• Parts ordered (returnable or non-returnable as described above)
• Reassembly labor if requested (at posted labor rates), if feasible
• Storage/CCP and administrative fees accrued

I understand that incomplete repairs or partial reassembly may result in an unsafe or non-drivable vehicle, and the Shop makes no warranty or guarantee on a vehicle removed without completing proper repairs.

The Shop may invoice and collect for all services rendered regardless of claim outcome.

SECTION 7: LIMITED CONDITIONAL WARRANTY

PSG Paint & Body Shop stands behind the quality of our workmanship. Warranty coverage is subject to the following terms:

7.1 Warranty Period

• 12 months from date of repair completion, OR
• 6,000 miles from odometer reading at pickup, whichever occurs first

7.2 Warranty Conditions

• This is a limited conditional warranty that applies only to defects in workmanship or materials related to the repair procedures performed by the Shop
• Warranty claims will be reviewed and honored only if the Shop determines the issue was a failure relating to the job procedure and not due to customer negligence, misuse, accidents, improper maintenance, or subsequent damage
• Warranty does not cover damage resulting from collisions, road hazards, environmental factors, or any cause unrelated to the original repair
• To make a warranty claim, the customer must return the vehicle to PSG Paint & Body Shop for inspection
• The Shop reserves the right to make the final determination on all warranty claims

SECTION 8: MECHANIC’S LIEN & ABANDONED VEHICLE PROTECTION

I acknowledge the Shop’s right to assert and enforce a mechanic’s lien under Florida Statutes Section 713.585 for unpaid labor, parts, storage/CCP, and related charges, including the right to detain the vehicle until paid.

If the vehicle is not paid for and removed within the time permitted by law after notification that repairs are complete or will not proceed, the vehicle may be processed as abandoned and/or subject to lien enforcement and sale/disposal as permitted by Florida law. Storage/CCP continues to accrue until removal or lawful disposition.

SECTION 9: ELECTRONIC COMMUNICATIONS, CONSENTS & ELECTRONIC SIGNATURES

9.1 Communications Consent

I authorize PSG Paint & Body Shop to contact me regarding repairs, supplements, claim status, invoices, and pickup via phone call, voicemail, text message (SMS), and email at the contact information provided. Message/data rates may apply. To opt out of texts, reply STOP (or notify the Shop in writing). Opting out may delay repairs.

9.2 Electronic Signatures (ESIGN / UETA)

I agree this Agreement may be executed by electronic signature and is legally binding. Scanned, photographed, emailed, or electronic copies are enforceable as originals under the Electronic Signatures in Global and National Commerce Act (ESIGN Act) and the Uniform Electronic Transactions Act (UETA).

DIRECTION TO PAY

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 PSG Paint & Body Shop (“the Provider”), located at 2099 NE 160th St, North Miami Beach, FL 33162, 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.

A. 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.

• I understand that insurance payments do not guarantee full coverage of repair costs
• I am responsible for all deductibles, betterment, depreciation, and denied charges
• I agree to pay any balance not covered by insurance within five (5) business days of notification

B. 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:

• 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
• The Provider may also request and receive any documents that have been provided to me
• Communicating directly with my insurance company, adjusters, and appraisers regarding the claim
• Submitting estimates, supplements, photographs, and documentation necessary to support the claim
• Endorsing in my name any check issued for payment where benefits were assigned
• Negotiating supplement requests and additional repair costs with the insurer

C. 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.

• Acceptance of partial payment does not release the customer from responsibility for the remaining balance
• The Provider reserves the right to pursue the full amount owed from the customer and/or insurer
• Any shortage between insurance payment and actual repair cost remains the customer’s responsibility

D. Direction to Insurer

I further direct my insurer to direct all payments for services rendered by the Provider directly to:

PSG Paint & Body Shop
2099 NE 160th St
North Miami Beach, FL 33162
Phone: (786) 901-9704

If payment is issued directly to me (the customer), I agree to immediately endorse and deliver those funds to the Provider within five (5) business days of receipt. Failure to remit insurance proceeds is a material breach of this Agreement.

E. Insurance Proceeds Held in Trust

I acknowledge and agree that any insurance proceeds received by me for repairs performed or to be performed by PSG Paint & Body Shop are held in trust for the benefit of the Provider. I agree not to:

• Use insurance proceeds for any purpose other than payment to the Provider
• Negotiate or cash insurance checks without immediately remitting funds to the Provider
• Direct my insurer to stop payment or reissue checks to exclude the Provider

F. Total Loss Situations

In the event my vehicle is declared a total loss:

• I authorize the Provider to negotiate directly with the insurer regarding teardown fees, storage/CCP fees, and administrative charges
• I direct my insurer to pay all amounts owed to the Provider from the total loss settlement before any proceeds are released to me or the lienholder
• I remain personally responsible for any amounts not paid by the insurer

G. Legal Effect & Enforcement

THIS IS A DIRECT AND IRREVOCABLE ASSIGNMENT OF MY RIGHTS AND BENEFITS UNDER MY POLICY OF INSURANCE.

• A photocopy, scanned copy, or digital version of this form shall be considered as effective and valid as the original
• This assignment is binding upon my heirs, assigns, and any successor in interest to the vehicle
• This assignment shall remain in effect until all amounts owed to the Provider are paid in full
• In the event of any legal action to enforce this Agreement, the prevailing party shall be entitled to recover reasonable attorney’s fees and costs

H. Florida Law

This Direction to Pay and Assignment of Benefits is made in accordance with Florida law. I acknowledge that the Provider has the right to assert a mechanic’s lien under Florida Statutes Section 713.585 and may retain possession of the vehicle until all charges are paid in full.