COUNTERTOP INSTALLATION CHECKLIST INSTALLATION CUSTOMER APPROVAL To be completed prior to installation JA578 Converted From Related Info. Field Name was: Standard Job # JN3 Customer Name JN3 Job Site Address A. Did installer arrive within scheduled time frame? B. Is material the correct color, quantity and style? I accept the materials and installation described in Installation Proposal #_______________ as complete and satisfactory C. Is material free of visual defects? Customer Signature_____________________________ Date Completed________________ D. Has installer explained seam care and maintenance? Installer's Waiver and Release of Lien Upon receipt by the undersigned of a check from The Home Depot on behalf of the customer named above, To be completed after installation, yet prior to installer leaving: when the check has been properly endorsed and has been paid by the bank upon which it is drawn, this document shall become effective to waive, relinquish, and forever release any right of the undersigned or A. Was installation performed satisfactory? any laborer, mechanic, or materialman claiming through or under the undersigned, to a mechanic's lien, stop notice, or any right against a labor or material bond on the job performed for the customer and the location B. Was installation area left clean? listed above. The undersigned represents that all laborers, mechanics, and materialmen furmishing services or materials on the job have been fully paid for their services or materials. The undersigned agrees to cause the prompt release of any liens which may be filed against the said premises by any laborer, mechanic, or Customer Comments: materialman claiming the right to file such lien through or under the undersigned. The undersigned further agrees to hold harmless and indemnity The Home Depot, the named above, and the owner of title to said ______________________________________________________ premises, from and against all costs and expenses arising from or by reason of such lien of the release or discharge thereof. This waiver and release covers the final payment to the undersigned for all labor, services, ______________________________________________________ equipment, or material furmished on the job, except for disputed claims for extra work. Before any reciepent of this document relies on it, the parties should verify evidence of payment to the undersigned. ______________________________________________________ ______________________________________________________ The undersigned acknowledges and agrees to the above terms and conditions. CUSTOMER'S SIGNATURE REQUIRED FOR INSTALLER INVOICING Installer's Company Name Installer's Signature Date [date] OUR GOAL IS YOUR COMPLETE SATISFACTION WE LOOK FORWARD TO SERVING YOU IN THE FUTURE THANK YOU Print Name