NETWORK PROGRAM CONTRACTOR AGREEMENT

Exhibit

Interior Reconstruction Services 


(“Contractor”), and is governed by the terms and conditions of that certain Network Program Contractor Agreement (the “Agreement”), entered into by the Parties.  

Definitions

“Interior Reconstruction Services” shall mean and include any necessary replacement or repair of real property damaged by water, fire, wind, or other causes. Capitalized terms used but not defined herein shall have the meaning ascribed to such terms in the Agreement.

Contractor’s Obligations

1.01 Contractor will work with Company and the Claimant to set up an appointment to begin Interior Reconstruction Services. If Contractor is unable to arrive at the agreed upon time, Contractor shall immediately notify Company, in which case Company may refer another Contractor to the Work Site.

1.02 Contractor shall submit an estimate to Company in Xactimate ESX or Symbility estimate format within 24 hours of Contractor’s initial arrival at a Work Site. Contractor agrees to submit any necessary supplements or change orders for Interior Reconstruction Services to Company for approval on a timely basis. There are no guarantees that jobs referred to Contractor will be losses covered by an Insurer. Contractor agrees to have the Emergency Services Exhibit/Work Authorization form signed by the Claimant before any Interior Reconstruction Services are provided. Contractor shall submit this document to Company within 12 hours of the start of Interior Reconstruction Services.

Invoices, Referral Fee, and Payment

2.01 As a Contractor in Company’s network, Contractor agrees that the terms of this Exhibit shall apply to all Interior Reconstruction Services provided to Claimants by Contractor or any company or business that is owned by Contractor or that is owned by an entity, individual, or group of individuals that also owns Contractor, regardless of whether the work is assigned by Company or contracted for directly by or on behalf of a Claimant. All Interior Reconstruction Services provided to a Claimant shall be provided in accordance with this Exhibit. Contractor agrees that it will NOT charge a Claimant any trip charges to respond to a claim.

2.02 All invoices for work covered by an Insurer shall be submitted only to Company. Contractor agrees not to invoice an Insurer or any Adjuster directly. Contractor understands that failure to submit timely estimates, or changes to estimates, will affect Contractor’s ranking in the Company system and Contractor’s ability to receive any future referrals. Contractor waives all rights to payment if Contractor fails to provide Company with an invoice within fourteen (14) days of completion of Interior Reconstruction Services

2.03 Subject to the deduction by Company of its applicable referral fee, Company will only reimburse Contractor for Interior Reconstruction Services covered by an Insurer. Contractor agrees that any amount not covered by the Insurer for Interior Reconstruction Services must be collected from the Claimant or other responsible party. Contractor agrees to immediately report any evidence of non-covered losses to Company, including, but not limited to, flood damage, pre-existing damage, or damage that is long-term in nature.

2.04 Contractor is responsible for collecting the full amount of any deductible, and/or prior payments made to the Claimant from the Insurer, from the Claimant as directed by Company. The deductible will be deducted from payments made to Contractor. If the price of any job is lower than the applicable deductible, Contractor shall collect payment from the Claimant. Contractor shall not waive, forgive, or pay all or any part of an applicable insurance deductible amount to be paid by a Claimant for Interior Reconstruction Services.

2.05 For the Reconstruction Services performed by Contractor for Claimants which are covered by an Insurer, Company shall be entitled to a referral fee in the amount of 6.5% of the total invoiced amount covered by an Insurer for the Covered Services performed by Contractor. Each referral fee will be deducted by Company in section 2.06 below.

2.06 The following payment schedule will be followed for all reconstruction losses:

  • 1st payment - If the loss is not over $5,000, an amount equal to the actual cash value (“ACV”) will be paid to Contractor once a signed Work Authorization is on file and funds have been received from the carrier. For losses over $5,000, 50% of the ACV will be paid to Contractor once a signed Work Authorization is on file and funds have been received from the carrier.
  • 2nd payment – Not applicable if the loss is not over $5,000. For losses over $5,000, the remaining 50% of the ACV will be paid to Contractor once repairs are 50% completed, and trades have been updated with completion photos uploaded to Accuserve, and the funds have been received from the carrier.
  • Final payment – For all losses, any remaining insurance funds received from the carrier that are owed to Contractor will be paid to Contractor, subject to receipt of a signed Certificate of Satisfaction and all necessary photos being on file.

NOTE- If there is a mortgage lien on the property, payments may be made by two-party checks payable to the Claimant(s) and the Contractor, at Company’s option.

2.07 In the event of a termination of the Agreement, Company shall be entitled to receive the referral fee provided for herein with respect to any and all jobs referred to Contractor on or before the effective date of the termination.

NETWORK PROGRAM CONTRACTOR AGREEMENT

Exhibit

Interior Restoration Services USAA Assignment Processes


(“Contractor”), and is governed by the terms and conditions of that certain Network Program Contractor Agreement (the “Agreement”), entered into by the Parties.

For Interior Restoration Services Assignments for USAA Claimants, Contractor acknowledges and agrees to comply with and perform the following processes and procedures:

  1. Company shall contact Claimant within one (1) hour of receipt of an Assignment from USAA. A threeway conference call can be coordinated by the Company to provide a “warm” hand-off of the Claimant to the Contractor. Conference calls may be eliminated during a CAT or surge in Assignments based upon Company’s reasonable notification to USAA to maximize resource efficiency.
    1. If contact cannot be made within this time frame, Contractor shall insert a detailed explanation in the notes of the USAA’s designated estimating platform.
    2. If Company’s attempt to contact the Claimant is unsuccessful, Contractor shall contact the Claimant within one (1) hour of the initial Assignment and shall insert notes in USAA’s designated estimating platform.
    3. If confirmation from the Contractor is not received, a follow-up call to the Contractor from the Company shall be made to ascertain why the Claimant contact did not occur. The Assignment may then be cancelled and reassigned to another Contractor.
  2. Contractor shall obtain and upload a Claimant signed Work Authorization form prior to commencing Services.
  3. Contractor shall promptly notify the Adjuster of changes to scheduled deliverables via notes in USAA’s designated estimating platform.
  4. Contractor and Company shall use USAA’s designated estimating platform, and shall assign Company personnel to use such platform which have been properly trained on the use of USAA’s designated estimating platform. USAA may update, change, modify, or delete any functionality of the platform at any time. Contractor shall be acquainted to technology of USAA’s choice which assists with the completion of the estimate. Reference the ECG’s for the most recent solutions. Examples of technology solutions include but are not limited to: ITEL, Next Gear, etc.
  5. Contractor shall commence the inspection within two (2) business days of receiving the Assignment from Company, unless otherwise requested by a Claimant.
  6. Contractor shall upload the completed estimate and supporting images to USAA’s designated estimating platform within forty-eight (48) hours of completing the initial inspection. All photos shall be:
    1. Date and time stamped when uploaded within USAA’s designated estimating platform;
    2. Fully labeled to include location of damage, and damage description, in the same order as in the estimate;
    3. Of sufficient quantity to support the position given in the estimate;
    4. High quality and minimum resolution of 1024x768 in .jpeg (using lowercase letters) format, unless otherwise communicated by USAA; and
    5. Provided as digital photographs, in a photo sheet within USAA’s designated estimating platform, for each Assignment and labeled appropriately.
  7. Contractor shall notify Adjuster within twenty-four (24) hours if the Contractor suspects fraud or potential subrogation opportunities.
  8. Contractor shall not make decisions as to coverages afforded or excluded under the contract or policy of insurance, nor shall Contractor discuss such issues with the Claimants.
  9. Contractor shall submit a final report, to include but not limited to: audit summary report, estimate audit report, photo report, variation report, ITEL if applicable, and received by USAA within two (2) business days of completing the inspection.
  10. Contractors may provide supplemental captioned report(s) to USAA within three (3) business days of the initial report if requested. Only affected captions need to be addressed in supplemental report(s).
  11. Company shall complete a technical and quality review on one hundred percent (100%) of the estimates and final reports within two (2) business days of the upload of the estimates or final report provided by a Contractor. Any revisions to the estimates or final report that are sent back to Contractor shall be completed and returned within one (1) business day.
  12. Adjuster shall review and approve estimate within two (2) Business days of receipt. Any revisions will be sent back to Company and/or Contractor, completed and returned within one (1) business day.
  13. Contractor shall capture a Claimant signed, paper or electronic, Certificate of Satisfaction (“COS”) and upload it to the USAA’s designated estimating platform.
  14. Contractor shall meet the following SLOs to be reported and measured on a monthly basis:

Service Level Objective

Description – Contract Language

Measurement

Timeliness

 

 

Site Inspection: Repair

Contractor shall commence the inspection within two (2) business days of receiving the Assignment from Company, unless otherwise requested by a Claimant.

Contractor shall commence the inspection within two (2) business days of receiving the Assignment from Company.

Estimate & Photo

Uploads: Mitigation,

Repair

Contractor shall upload the completed estimate and supporting images via USAA’s designated estimating platform within forty-

Contractor shall upload completed estimate and photos within forty-eight (48) hours of completing the initial inspection.

 

 

eight (48) hours of completing the initial inspection.

 

Final Report Documents:

Mitigation, Repair

Contractor shall submit a final report to USAA, to include but not limited to: drying logs, audit summary report, estimate audit report, photo report, variation report, ITEL, water mitigation management report (MICA), within two (2) business days of completing the Services.

Contractor shall submit a final report to USAA within two (2) business days of completing the Services.

Supplemental

Report: Mitigation,

Repair & Additional

Services

Contractors may provide supplemental captioned report(s) to USAA within three (3) business days of the initial report if requested. 

Contractors shall provide supplemental captioned report(s) to USAA within three (3) business days of the initial report if requested by

USAA. 

Quality

Technical/Quality

Review: Mitigation,

Repair

Company shall complete a technical and quality review on one hundred percent (100%) of the estimates and final reports within two (2) business days of the upload of the estimate or report.

Company shall complete the technical and quality review within two (2) business days of Contractors uploading the report or estimate.

Technical/Quality Revision Turnaround:

Mitigation, Repair

Any estimate revisions that are sent back to Contractor shall be completed and returned to Company within one (1) business day of receipt of the estimate revisions request.

Company shall return estimate revisions to USAA within one (1) business day of receipt of requested revisions

Communication

Status Updates in USAA’s designated estimating platform: Mitigation, Repair &

Additional Services

(Pack Out, Textiles)

Contractor shall provide an Assignment status, as required in the ECGs, via USAA’s designated estimating platform within twenty-four (24) hours after receipt of the Assignment from Company.

Contractor to provide Assignment status via USAA’s designated estimating platform within twentyfour (24) hours after receipt from Company:

Assignment FollowUp

Company shall follow-up on the next business day with those Contractors that have not provided an Assignment status via USAA’s designated estimating platform within the twenty-four (24) hour requirement.

Company to contact Contractor within one (1) business day for those who’ve not updated USAA’s designated estimating platform within the twenty-four (24) hour requirement.

Appointment Delays

Contractors shall be on-time for all appointments. Should Contractor be delayed, they shall make contact with the person with whom the appointment is scheduled, via phone, at least fifteen (15) minutes prior to the appointment to explain the delay and provide an estimated time of arrival then submit a note in the estimating platform with the updated information.

Contractor to contact the person with whom the appointment is scheduled with at least fifteen (15) minutes prior to the scheduled time if they’re delayed.

 

Fraud Notification

Contractor must notify Adjuster within twenty-four (24) hours if they suspected fraud or potential subrogation opportunities.

Contractor to notify Adjuster within twenty-four (24) hours if they suspect fraud or potential subrogation opportunities.

Inspection Only Services

Company shall provide reporting to USAA which outlines the usage of these services.

Company shall provide reporting to USAA which outlines the usage of these services.

Contractor
 Accuserve Solutions, Inc