GOOD FAITH CLAIMS LLC — PUBLIC ADJUSTER CONTINGENCY FEE CONTRACT
Dr. Farhan Murtuza Merchant · TX Lic #3256937 · OK Lic #3004340354 · Agency Lic #3490161
4150 Belt Line Rd #11062, Addison, TX 75001 · 310-614-3058 · office@goodfaithclaims.com
Good Faith Claims LLC ("GFCL") and its representatives are hereby retained to advise and assist in the adjustment of the insurance claim identified above.
In consideration of the services to be provided, the Insured agrees to pay GFCL a contingency fee not to exceed ten percent (10%) of the claim, or otherwise obtained by GFCL and/or issued by the Insured's insurance carrier in settlement or resolution of the claim (including, but not limited to, adjustment, appraisal, mediation, or litigation). In no event will the fee total more than 10% of the total adjusted amount offered by the Insured's carrier. GFCL will have earned its fee in full upon the carrier's payment of any sum on the claim, and it shall be due and payable in full upon receipt of said payment.
The Insured authorizes and directs the insurer to include Good Faith Claims LLC, in addition to the Insured's name, on all drafts or checks pertaining to this claim.
Texas law requires a person insured under a property insurance policy to pay any deductible applicable to a claim. It is a violation of Texas law for a person or business paid wholly or partly from proceeds of a property insurance claim to knowingly allow the policyholder to fail to pay, or assist the policyholder's failure to pay, the applicable deductible.
Services provided. Review scope of damage; property inspection; review and analysis of the Insured's policy and related documents; meet and consult with the insurance carrier's adjusters, engineers, and representatives; draft proposed estimates of damages; and provide analysis of the carrier's coverage decisions and reports.
Media content & release. Insured consents to GFCL photographing, videotaping, and/or audio-recording the property, and to those recordings being used or disseminated by GFCL for marketing, sales, training, publication, broadcast, or online distribution. Use the checkbox below to opt out.
Entire agreement. This Agreement is the only agreement between the parties and supersedes all prior negotiations, representations, or other agreements, whether written or oral.
Arbitration. Any dispute arising out of this Agreement shall be resolved exclusively by binding arbitration under the rules of the American Arbitration Association, held in Tarrant County, Texas, before a neutral arbitrator experienced in insurance claims. The arbitrator's decision is final. Each party bears its own fees unless otherwise directed.
72-hour policy-limit payment. If the carrier pays or commits in writing to pay the policy limit under Insurance Code Article 6.13 or 862.053 within 72 hours of the loss being reported, GFCL is not entitled to a percentage fee but is entitled to reasonable compensation for time and expenses provided before payment.
No conflicts of interest. A public insurance adjuster may not participate directly or indirectly in the reconstruction or repair of the damaged property, or receive remuneration from any salvage/repair firm connected to the claim.
Notice: The Insured may cancel this contract by written notice to the public insurance adjuster within 72 hours of signature for any reason. We represent the Insured only.
You are entering into a service contract. You are being charged a fee for this service. You do not have to enter into this contract to make a claim for loss or damage on a policy of insurance.
Important Notice: You may contact the Texas Department of Insurance for information about public insurance adjusters, your rights as a customer, or to file a complaint by calling 1-800-252-3439, writing PO BOX 149104, Austin, TX 78714-9104, or faxing 512-490-1007.
Send any cancellation notice to: 4150 Belt Line Rd #11062, Addison, TX 75001 · 310-614-3058 · office@goodfaithclaims.com
