Tomie Raines Home Warranty www.tomieraines.com

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Tomie Raines Home Warranty
www.tomieraines.com
GE
The Tomie Raines Home Warranty
A Superior Home Protection Plan With Unmatched Coverage and Features
• Basement Coverage Included*
• Guaranteed Claim Coverage with Inspection Report*
• Some Homes Qualify for a Free Second Year of
Coverage for Roof, Plumbing, Furnace and Electrical*
Tomie Raines Home Warranty, LLC offers a comprehensive home protection plan
better than any in the industry. No one offers basement coverage, guaranteed claim coverage with submittal of an inspection report, or a second year of free coverage for your
home’s major systems if your home qualifies. In addition you can upgrade coverage to
include above and below ground swimming pools and much more.
Home sellers can receive seller coverage ENTIRELY FREE and purchase buyer coverage only if the house sells. The fee will be deducted directly from the proceeds without
any inconvenience or up-front costs.
A Home WArrAnty mAkes sense For BotH Buyers And sellers
•
The National Home Warranty Association has reported that, on
average, warranted homes sell 50% faster than unwarranted homes.
•
Gallup Poll reports 8 of 10 buyers prefer a home with a warranty and
it will make a home stand out from the competition.
•
According to Business Week warranted homes are perceived as a
safer investment and on average sell for up to 3% more than
unwarranted homes.
•
Home Warranties reduce the likelihood that a buyer experiencing an
unforeseen but covered problem will resort to mediation or litigation.
•
A single call to 877-816-0807 will bring a skilled repair technician
to your door.
* Please read the Service Contract carefully because terms and conditions apply.
t
______ Standard Service Contract $389 / $95 deductible per service item
______ Gold Service Contract $475 / $75 deductible per service item. Plus one optional coverage
______ Clothes Washer & Dryer Coverage $75
item. (Must be selected in advance)
______ Water Softener Coverage $75
______ Swimming Pool Coverage $100
______ Platinum Service Contract $525 / $75 deductible per service item. Plus two optional
coverage items. (Must be selected in advance)
______ Deluxe Plumbing & Electrical Upgrade $75
______ Total Contract Cost Mail checks to Gold Shield Home Protection PO BOX 758 Washington, MI 48094-0758
Terms of Coverage
SERVICE CONTRACT TERMS
1. Service will be dispatched within 48 hours of request. In the event of a heating emergency
Company will pay up to $65 per night (maximum 3 nights) for hotel accommodations. A
receipt will be required for reimbursement.
2. This Service Contract is transferable for a $25 fee.
TomieShield
RainesHome
Home Warranty,
3. Gold
Protection,LLC
Inc. (“Company”) will not reimburse for services
performed without Company authorization or for claims called in after contract expiration.
4. This Service Contract will automatically terminate for non-payment of Service Contract
fees or deductibles; or for fraud and/or misrepresentation of facts material to the issuance of
this Service Contract.
5. Company shall have the sole discretion for repair type or replacement on service call item.
6. The seller and buyer will assign all unexpired warranties or guarantees received in
connection with the purchase of any covered items to the Company. The seller and buyer will
use their best efforts to enforce any unexpired, non-assignable warranties and guarantees at
Company’s request.
7. Company will NOT cover any items already covered in a homeowner’s insurance policy.
Documentation from your insurance company may be requested.
8. Each contract is limited to an aggregate liability of $30,000. Company’s Maximum
Aggregate Liability is $2000 per system.
9. This is a limited Service Contract and may not cover all systems and/or items found in the
home. If a system and/or items are not listed as covered then they are NOT COVERED.
10. The maximum Company liability on many items is NOT enough for replacement cost.
Replacements will only be done if specifically stated in this Service Contract or if the
maximum liability amount is enough to cover replacement of that item.
11. This Service Contract covers only those parts of mechanical systems which: Are located
in a single family residence and/or condominium unit; are in place, operative and located
within the main perimeter of the main foundation of the home on the effective date of this
contract; are not located in rooms or buildings used for commercial or business purposes.
12. Company is not responsible for repairs or replacements required as a result of missing
parts, fire, explosion or other casualty, whether or not insured by homeowner, war, terrorism,
flood, smoke, water damage, lightning, freeze, earthquake, theft, storms, accidents,
vandalism, code violations, improper installation, acts of God, accidental damage, negligence
and misuse. This Service Contract is intended for mechanical / component failures only.
13. This contract does not cover pre-existing conditions. Pre-existing conditions shall be defined as
any defect that is discovered within 14 days of occupying the home or failure on the first attempt.
Items rated Satisfactory on a Company inspection form are exempt for being defined as pre-existing.
14. Company will not upgrade equipment or improve due to lack of capacity or failure to
meet city, state, federal, or utility regulations or upgrades required by law including, but not
limited to, permits.
15. Company is not liable for consequential, incidental or secondary damage.
16. Services involving toxic material, lead-based paint, mold, or asbestos are not covered.
17. When it is necessary to open floors, walls or ceilings to make plumbing and or electrical
repairs, the Company will restore them to a primed finish.
18. All replacements will be made with comparable materials and with standard makes and
models. Appliance color is not guaranteed on replacements.
19. ARBITRATION CLAUSE: Any dispute arising under this agreement shall be submitted
for binding arbitration under the auspices of the American Arbitration Association’s local
office. Each party shall pay for its own representative and shall bear arbitration costs
equally. The arbitrator’s award shall be final and binding and may be enforced by any Court of Law.
20. Second year of coverage is limited to the following systems and must be inspected by
ASHI of AHIT certified inspector. Each systems must qualify (see below) for coverage. One
or all systems may be eliminated from coverage.
Central Heating System: Unit must be less than 10 years old (Inspector may have to make
an educated guess as to the age). Unit must be operable with no major problems.
Roof Covering: Roof must have no more than 2 layers, must be 10 or less years in age
(Inspector may have to make an educated guess as to the age). Ventilation and roof covering
must be in good working order.
Electrical System: System must be operable with no code violations, or major issues.
System must have circuit breakers.
Plumbing System: System can not contain any galvanized plumbing. System must be in
good working order with no leaks or evidence of leaks.
DISCLOSURE
delivered
in partnership
withYour
Goldreal
Shield
Home
Protection,
not an insurance
policy.
Your real estate
broker
may
paid an ad-of
DISCLOSURE This
This isisaaservice
Servicecontract
Contract
not an insurance
policy.
estate
broker
may be Inc.
paidand
an is
administrative
fee for
the processing
of this
order,
thebe
advertising
ministrative
forthe
theinspection
processingofofthe
thispremises.
order, the advertising
of this
and the inspection
of the premises.
a Home
Protection
Plan
is optional
there may
this product,fee
and
The purchase
of a product,
Home Protection
Plan is optional
and there The
maypurchase
be other of
Home
Protection
Plans
available
for and
purchase.
Yoube
other
Home
Protection
Plansany
available
purchase.
Youthat
aremay
free be
to shop
and select
any Home Protection
Plancontract
that mayisbeinterrupted
available. because
If performance
of the
servicestoppage
contractatis the
interrupted
are free
to shop
and select
Home for
Protection
Plan
available.
If performance
of the service
of a strike
or work
because
of a strike
stoppage
at the Company’s
of business,
theshall
effective
period offor
thethe
service
contract
shall be
for the period of the strike or work stoppage.
Company’s
place or
of work
business,
the effective
period of place
the service
contract
be extended
period
of the strike
orextended
work stoppage.
SELLER INFORMATION (Required for Seller Coverage Only)
Seller
and Buyer Coverage
NOT COVERED: Speaker and intercom systems, audio/video/computer cable and
wiring, telephone wiring, power surge or failure, inadequate wiring capacity, direct
current (D.C.) wiring or components and/or low voltage systems including relays and
COVERED: Hot water heat system (steam heat must have a low water cut-off valve
wiring, circuit overload. Seller NOT COVERED for fixtures, alarms, door bells, central
Seller represents that all the covered items are in good working condition. Items that are not in good working condition at the time of listing will NOT be covered. Please list any
and the boiler must have an automatic water feed). Also covered are baseboard convecvacuum systems, and garage door opener.
items that are not in good working condition and/or defective:_____________________________________________________________________________________________
tors
andagrees
ducted
systems
meteringto
devices
thermal
Seller
tocentral
and/or heating
authorizes
brokerwhich
and/orinclude:
home inspector
release(e.g.
a copy
of the Seller’s
Disclosure Statement,
Listing Agreement, and any Pre-Inspection Reports to
4. STOPPAGE
COVERAGE
expansion
valves); furnace;
transition;
evaporator
coils
and drain
lines; air
validate information.
Sellerfurnace
understands
that this
is a limited
service
agreement
and has readCOVERED:
the list of covered
items
(on the
backand
of this
form)
and the Terms of Coverage. Seller
Clearing
of vent,
drain,
sewer
lines.
understands
to the
following:
a) listing
coverage
is free
to the seller(s) b)
Seller(s)
are contractually
to damaged,
purchase this
Home Protection
Plan at
closing
handling
unit;and
airmutually
handling agrees
transition;
secondary
drain
pan and
lines; and
refrigerant
NOT
COVERED:
Stoppagesobligated
caused by
collapsed,
or broken vent,
drain,
or
if property
months
of sellerdetermines
coverage. that
Seller
coveragea for
the listing
period
starts
the date
themain
application
is received
and
accepteddue
by Gold
Shield
Homeor
sewer
lines
outside
of the
foundation
of home,
stoppages
to foreign
objects
lines.
Whencloses
Tomiewithin
Raines18Home
Warranty
upgrading
heating
systemand sale
Protection, Inc. and continues until the expiration of the initial listing period (up to 180 days)roots,
or until
close
of saleor
or broken
listing cancellation
(whichever
is first).by roots, even if within
lines
infiltrated
by roots, or otherwise
stopped
is required to maintain compatibility with equipment manufactured to be 13 SEER
main
foundation
of
home,
septic
tanks,
sewage
ejector
pumps,
leach beds, tile fields.
(Seasonal
Energy
Efficiency
Ratio)
and
7.7
HSPF
(Heating
Seasonal
Performance
______________________________________________________
_____________________________________________________
1. CENTRAL
HEATINGExpiration
SYSTEM (Electric,
Gas, or Oil) (Limit 2Name
units)(please print)____________________________________, ____________________________________
List
Date _____________
Date _____________Seller(s)
Seller Signature
Seller
Factor)
compliant, or compliant with higher SEER or HSPF requirements,
anySignature
of the
5. WATER HEATER (Up to 80 Gallons - Gas or Electric)
forgoing covered components as well as plenum, indoor electrical, and duct connectors
COVERED: All parts and components of gas or electric units only.
BUYER
INFORMATION (Required at Settlement)
are
also covered.
NOT COVERED: Oil hot water tanks, solar water heaters and components, noise,
NOT COVERED: All parts and components relating to geothermal, water source heat
ancillary holding________________________________Buyer
or storage tanks, flues and vents, Fuel storageagrees
tank and
energy conSettlement Date ______________ Buyer(s) Name (please print) __________________________________,
to and/or
pumps
including:
or underground
piping,
forSeller’s
geothermal
and/orStatement,
servation
unit,
thermal
expansion
tanks,
instant hot
watertodispensers.
Rusted out tanks
authorizes
broker outside
and/or home
inspector to
releasecomponents
a copy of the
Disclosure
Buy and
Sell
Agreement,
and any
Inspection
Reports
validate information.
water
heat pumps,
fuel
baseboard
casings,
portable
units,
solar
leaking
to rust.
Buyersource
understands
that this
is astorage
limitedtanks,
service
agreement
and has
read the
list of
covered items
(on due
the back
of this form) and the Terms of Coverage. Buyer represents that all the
coveredsystems,
items areradiators,
in good working
condition.
Items
that are
not in
goodthermostats,
working condition at6.time
of settlement
will NOT be covered. Buyer’s
coverage
begins on settlement date
heating
ductwork,
portable or
thru-wall
units,
digital
KITCHEN
RANGE/OVEN/COOKTOPS
(Gas or
Electric)
year. Please
listtimers,
any items
thatheat
are not
in good
condition and/or defective:
and continues
forand
thekey
termvalves,
of oneregisters,
filters,
fireplaces
grills,
clocks,
lamps,
fluesworking
and
COVERED: All parts and components except;
vents,
improperly sized heating systems, pellet stoves, chimneys, cable heat (in ceilNOT COVERED: Meat probe assemblies, clocks (unless they affect the function of
________________________________________________________________________________________________________________________________________________
ing), wood stoves (even if only source of heating), systems with improperly matched
oven), racks, knobs, handles, rotisseries, sensi-heat burners will be replaced only by
_____________________________________________________
_____________________________________________________
condensing
unit and evaporative coil per manufacturer’s specifications, improper
use of
standard burners
Buyer
Signature
Buyer
Signature
metering devices (I.e. thermal expansion valves).
COMPANY MAXIMUM AGGREGATE LIABILITY: $400 per unit. Any combination
COMPANY MAXIMUM AGGREGATE LIABILITY: Seller $500, Heat pump and
unit will be considered as one unit.
humidifier are Buyer only; Buyer $2,000 per system.
7. KITCHEN DISHWASHER (Built-In Only)
24
HOUR SERVICE REQUESTS www.goldshieldhomeprotection.com
or (877) 816-0010
2. PLUMBING SYSTEM
COVERED: All parts and components except;
GS-007
COVERED: Leaks and breaks to water lines, gas, drain, waste or vent lines, valves
to shower, tub, and diverter, risers, angle stops and gate valves, faucets, toilet tank
assemblies which include, the toilet tank, bowl, toilet wax ring seals, and other related
mechanisms, and sewer lines.
NOT COVERED: Damage or collapse to water, gas, drain, waste, or vent lines caused
by roots or freezing, bathtubs and showers, built-in bathtub whirlpool motor, jets
and pump accessories, shower enclosures and base pans, toilet lids and seats, sinks,
caulking or grouting, water softeners, septic tanks, pressure regulators, inadequate or
excessive water pressure, holding or storage tanks, flow restrictions in fresh water lines
caused by corrosion, rust, or chemical deposits, sewage ejector pumps, steam rooms or
saunas, hose bibs.
3. ELECTRICAL SYSTEM
COVERED: All components and parts which include wiring, breakers, panels, switches, fuses, conduit, junction boxes and receptacles, attic and exhaust fans.
NOT COVERED: Rollers, baskets, racks.
COMPANY MAXIMUM AGGREGATE LIABILITY: $400 per unit. Any combination
unit will be considered as one unit.
8. KITCHEN MICROWAVE (Built-In Only)
COVERED: All parts and components except;
NOT COVERED: Clocks, interior linings, shelves, door glass, portable or counter top
units, rotisseries, meat probe assemblies.
COMPANY MAXIMUM AGGREGATE LIABILITY: $400 per unit. Any combination
unit will be considered as one unit.
9. KITCHEN TRASH COMPACTOR (Built-In Only)
COVERED: All parts and components except;
NOT COVERED: Removable buckets, key and lock assemblies.
COMPANY MAXIMUM AGGREGATE LIABILITY: $400 per unit. Any combination
unit will be considered as one unit.
24 HOUR CLAIM SERVICE (877) 816-0807
GS-00T
Additional Coverage for the Home Buyer
1. CENTRAL AIR CONDITIONING SYSTEM (Limit 2 units)
COVERED: Ducted electric central air conditioning systems including: condenser; furnace transition; metering devices (e.g. thermal expansion valves); drain lines and evaporator coils; air handling
unit and transition; secondary drain lines and pans; and refrigerant lines are covered. When Tomie
Raines Home Warranty determines that upgrading a ducted electric central air conditioning system
is required to maintain compatibility with equipment manufactured to be 13 SEER (Seasonal Energy
Efficiency Ratio) and 7.7 HSPF (Heating Seasonal Performance Factor) compliant, or compliant with higher SEER or HSPF requirements, any of the forgoing covered components as well as
plenum, indoor electrical, and duct connectors are also covered.
NOT COVERED: Ducted electric wall air condition systems, gas air conditioning systems, water
evaporative cooler systems, digital thermostats, ducted and non-ducted wall units, registers and
grills, condenser casings, filters, electronic air cleaners, water towers, window units, roof jacks or
stands, evaporative cooler pads, vents, flues, improperly sized air conditioning unit, chillers and
chiller components, improper use of metering devices (e.g. thermal expansion valves, systems with
improperly matched condensing unit and evaporative coil per manufacturer’s specifications
COMPANY MAXIMUM AGGREGATE LIABILITY: $2,000 per system.
2. GARBAGE DISPOSAL
COVERED: All parts and components, including entire unit.
3. DOORBELLS
COVERED: All parts and components.
4. LIMITED ROOF REPAIR COVERAGE
COVERED: Rolled roofing, asphalt shingles, flashing, leaks only.
NOT COVERED: Entire roof replacement, rotted wood, flat and/or hot tar roofs
COMPANY MAXIMUM AGGREGATE LIABILITY: $500
5. BURGLAR ALARM SYSTEM
COVERED: Bell, switches, sending units, sensors and lights.
COMPANY MAXIMUM AGGREGATE LIABILITY: $400 per unit. Any combination
unit will be considered as one unit.
6. HUMIDIFIER
COVERED: Permanently mounted furnace humidifier including pans, housing, fans,
motors, humidistat, transformer, lines and valves.
NOT COVERED: Media elements, humidifier pads, brushes, atomizers or back flush
units.
7. ELECTRONIC AIR CLEANER
COVERED: Permanently mounted systems, including transformer, power pack
switches, lights, wires, and cleaning elements.
NOT COVERED: Self-cleaning units, mesh filters.
COMPANY MAXIMUM AGGREGATE LIABILITY: $400 per unit. Any combination
unit will be considered as one unit.
8. SUMP PUMP
COVERED: Primary sump pump only.
NOT COVERED: Auxiliary sump pumps, sewage ejector pumps.
9. CENTRAL VACUUM SYSTEM
COVERED: All parts and components except;
NOT COVERED: Hoses and accessories that are removable, cost of gaining access to
or closing access from the walls or floor either to locate the cause of malfunction or to
affect replacement or repair.
COMPANY MAXIMUM AGGREGATE LIABILITY: $400 per unit. Any combination
unit will be considered as one unit.
10. WELL PUMP
COVERED: Coverage begins 30 days from day of closing and covers all parts and components of
well pump utilized as the main source of water to the home except;
NOT COVERED: Above or underground piping, cable, or electrical lines leading to or from the
well pump which include those that are located within the well casing. Pressure switches not located
on pump, well casings, booster pumps, redrilling of wells, well pump, storage, holding, or pressure
tanks, above or underground cable, piping, or electrical lines for geothermal and/or water source
heat pumps, including those that are located within the well casing, well pump and well pump
components for geothermal and/or water source heat pumps.
COMPANY MAXIMUM AGGREGATE LIABILITY: $400
11. SEPTIC TANK MECHANICAL SYSTEM
COVERED: Coverage begins 30 days from day of closing and covers Septic Tank Mechanical System including the tank, baffles, sewage ejector pump and switches.
NOT COVERED: Tile field, drain field, leach beds on similar system. Septic coverage
is not available for New Construction homes and is not renewable.
COMPANY MAXIMUM AGGREGATE LIABILITY: $400
12. GARAGE DOOR OPENER
COVERED: Motor, switches, wiring, receiver unit, rail/trolley assembly
NOT COVERED: Hinges, springs, doors, remote transmitters, track assembly
13. BASEMENT WATERPROOFING
COVERED: Poured walls only. Up to ten rod holes and four vertical cracks up to 1/4 inch wide and
12 ft long. Passing inspection report conducted within 180 days of settlement date will be required.
NOT COVERED: Block walls, crawl spaces. Any structural damage including, but not limited to,
bowing or sagging walls, horizontal cracks and cracks over ¼” inch wide. Hydrostatic pressure or
leaks at the cove (where basement wall and floor meet). Backing up or plugging of sewers, floods,
condensation caused by high humidity, damp spots or discoloration of walls.
LIMITATIONS OF COVERAGE: The Company must have full and unobstructed accessibility to
walls and floors and will not be responsible for repairing any drywall, paneling, or flooring (i.e.
carpeting, linoleum, etc.) caused by water damage or services performed. The Company is not
responsible for any concealed wiring, gas, or water lines. All basement coverage is null and void if
there are any alterations or tampering to basement walls or floor.
COMPANY MAXIMUM AGGREGATE LIABILITY: $2,000
14. LIGHTING FIXTURES
COVERED: All parts and components, including entire unit.
COMPANY MAXIMUM AGGREGATE LIABILITY: $400 per unit. Any combination
unit will be considered as one unit.
15. HEAT PUMP
COVERED: Electric heat pump including: drain lines and evaporator coils, metering devices (e.g.
thermal expansion valves), air handling unit and transition, secondary lines and pans are covered.
When Company determines that upgrading a heat pump is required to maintain compatibility with
equipment manufactured to be 13 SEER (Seasonal Energy Efficiency Ratio) and 7.7 HSPF (Heating
Seasonal Performance Factor) compliant, or compliant with higher SEER or HSPF requirements,
any of the forgoing covered components as well as plenum, indoor electrical, and duct connectors
are also covered.
NOT COVERED: Gas systems, all parts and components relating to geothermal water source heat
pumps including: outside or underground piping, components for geothermal and/or water source
heat pumps, redrilling of wells, well pump and components for geothermal and/or water source
heat pumps. Recovery of freon, condenser fins and casings, cleaning, solar heating systems, filters,
grills, registers, clocks, portable units, flues and vents, humidifiers, timers, improperly sized heating systems, improper use of metering devices (e.g. thermal expansion valves.) and systems with
improperly matched condensing unit and evaporative coil per manufacturer’s specifications
COMPANY MAXIMUM AGGREGATE LIABILITY: $2,000
16. KITCHEN REFRIGERATOR (Must be in Primary Kitchen only)
COVERED: All parts and components except;
NOT COVERED: Racks, shelves, ice makers, ice crushers, water/beverage dispensers and their
equipment, food spoilage, interior thermal shells, freezers that are not part of the refrigerator, multimedia center.
COMPANY MAXIMUM AGGREGATE LIABILITY: $400
Optional Coverage for the Home Buyer
1. WASHER AND DRYER PACKAGE
1a. CLOTHES WASHER
COVERED: All parts and components except;
NOT COVERED: Drawers, knobs, dials, plastic mini-tubs, soap dispensers, filter screens, damage to clothing.
1b. CLOTHES DRYER
COVERED: All parts and components except;
NOT COVERED: Venting, lint screens, knobs, dials, damage to clothing, dryer cabinet fragrance /
humidity center, shelves, rods, hangers, hooks, and cabinet liner, rack, drawers
COMPANY MAXIMUM AGGREGATE LIABILITY: $400 per unit. Any combination unit will be
considered as one unit. (Including washer and dryer.)
2. WATER SOFTENER
COVERED: Domestic water softener.
NOT COVERED: Conditions of insufficient or excessive water pressure, color or purity of water, water
filters, salt replacement, rust or corrosion, normal maintenance responsibilities, rental units and water
purification systems.
COMPANY MAXIMUM AGGREGATE LIABILITY: $600 per unit. Any combination unit will be
considered as one unit.
3. SWIMMING POOL AND/OR SPA EQUIPMENT
COVERED: Both built-in spa equipment (exterior hot tub and whirlpool) and pool are covered if they
utilize common equipment. If they do not utilize common equipment, then only one or the other is
covered by this warranty unless an additional fee is paid. Coverage applies to above ground, accessible,
working parts and components of the pumping, heating, and filtration system as follows: Heater, pump,
filter, motor, filter timer, gaskets, timer, blower, valves, limited to back flush, actuator, check, 2-way and
3-way valves, above ground plumbing pipes and wiring, relays and switches
NOT COVERED: Liners, lights, structural defects, solar equipment, jets, pool sweep motor and pump,
ornamental fountains, waterfalls, and their pumping systems, fill line and valves, pool cover and related
equipment, detachable or built-in cleaning equipment such as, but not limited to, pool sweeps, turbo
valves, pop-up heads, skimmers, chlorinators and ionizes, fuel storage tanks, heat pump, disposable filtration mediums, portable or above ground spas, multi-media centers.
COMPANY MAXIMUM AGGREGATE LIABILITY: $600 for any and all claims for pool and/or spa
heater and $600 for pool and/or spa filtration system.
4. DELUXE PLUMBING & ELECTRICAL PACKAGE
Additional Coverage: All clogs and stoppages inside the foundation of the home, toilet tank and bowl,
$500 in coverage towards repair / replacement of sewer line to the street, lighting fixtures, and service
cables.
24 HOUR CLAIM SERVICE (877) 816-0807
GS-00T
Home Protection Plan
The Tomie Raines Home Warranty
This is for activation of:
Complete and fax to (877)816-0803
Seller Coverage
Buyer Coverage
Property Address _______________________________________________________________________________________
Street Address
City
State
Zip
Complete and fax to (877)816-0803
Property Address ___________________________________________________________________________________
Street
City
State
Zip
Real Estate Broker __________________________________ Agent’s Name________________________________________
Real Estate Broker ___________________________________ Agent’s Name ___________________________________
Please choose one
of1the
following:
Plan
Buyer
& Seller Coverage $50 deductible per service item.
Optional Coverage items (covers buyer only). Choose
those that apply:
______ Standard Service Contract $389 / $95 deductible per service item
Clothes Washers & Dryers Coverage $80
PlanContract
2 Buyer$475
& Seller
deductible
service
item coverage
______ Gold Service
/ $75 Coverage
deductible $95
per service
item.per
Plus
one optional
______ Clothes
Washer
& Dryer
Built-In Spa
Equipment
$85Coverage $75
item. (Must beSingle
selected
in Home
advance)
SoftenerCoverage
Coverage$40
$75
Family
$420
Condo/Town Home Coverage $380
New Construction Coverage $595 ______ Water
Water Softener
______ Swimming
SwimmingPool
PoolCoverage
Coverage$100
$100
______ Platinum Service
ContractCost
$525 / $75 deductible per service item. Plus two optional
Total Contract
coverage items. (Must be selected in advance)
______ Deluxe
Plumbing&&Electrical
ElectricalUpgrade
Upgrade
$75
Deluxe Plumbing
$75
______
Total Contract
Protection
PO BOX 758 Washington, MI 48094-0758
COVERED
ITEMS Cost Mail checks to Gold Shield Home
Buyer
Seller
Buyer
OPTIONAL COVERAGE
Single Family Home $450
Condo/Town Home Coverage $410
TermsBasement
of Coverage
Leaks (poured walls only)
4
New Construction Coverage $640
1. Service
will be dispatched within 48 hours of request. In the event of a heating
emergency
4
Sump Pump
Company will pay up to $65 per night (maximum 3 nights) for hotel accommodations. A
4
Heat
Pump
receipt will be required for reimbursement.
2. ThisCentral
ServiceAir
Contract
is transferable
forunits)
a $25 fee.
4
Conditioning
(excludes gas
3. Gold Shield Home Protection, Inc. (“Company”) will not reimburse for services
Garbage
Disposal
performed without Company authorization or for claims called in after contract 4
expiration.
4. ThisGarage
ServiceDoor
Contract
will automatically terminate for non-payment of Service
Contract
Opener
4
fees or deductibles;
or for fraud and/or misrepresentation of facts material to the issuance of
Kitchen Refrigerator
4
this Service Contract.
Burglarshall
Alarm
System
4 call item.
5. Company
have
the sole discretion for repair type or replacement on service
6. The Humidifier
seller and(must
buyer
will assign
all unexpired warranties or guarantees4 received in
be permanently
mounted)
connection with the purchase of any covered items to the Company. The seller and buyer will
Air Cleaner
use theirElectronic
best efforts
to enforce any unexpired, non-assignable warranties and 4
guarantees at
Company’s
request.
Doorbells
4
7. Company
will NOT cover any items already covered in a homeowner’s insurance policy.
Central Vacuum Systems
4
Documentation from your insurance company may be requested.
Repair
4
8. EachRoof
contract
is Coverage
limited to an aggregate liability of $30,000. Company’s Maximum
Aggregate
is $2000
perafter
system.
WellLiability
Pump (begins
30 days
closing date)
4
9. This is a limited Service Contract and may not cover all systems and/or items found in the
Septic
Tank and/or
Coverage
(begins 30 days after closing date)
4
home. If
a system
items
are not listed as covered then they are NOT COVERED.
10. TheLighting
maximum
Company liability on many items is NOT enough for replacement
cost.
Fixtures
4
Replacements
will only be done if specifically stated in this Service Contract or if the4
Heating System
4
maximum liability amount is enough to cover replacement of that item.
Water
Heater
4 Are located4
11. This
Service
Contract covers only those parts of mechanical systems which:
in a single
family
residence
and/or
condominium
unit;
are
in
place,
operative
Plumbing System
4 and located4
within the main perimeter of the main foundation of the home on the effective date of this
4
Electrical
System
4
contract; are not located in rooms or buildings used for commercial or business purposes.
12. Company
is not Fan
responsible for repairs or replacements required as a result
Attic/Exhaust
4 of missing4
parts, fire, explosion or other casualty, whether or not insured by homeowner, war, terrorism,4
Range/Oven/Cooktop
4
flood, smoke, water damage, lightning, freeze, earthquake, theft, storms, accidents,
Deluxe
& Electrical
$75
vandalism,
codePlumbing
violations,
improperUpgrade
installation, acts of God, accidental damage, negligence
and misuse. This Service Contract is intended for mechanical / component failures only.
Built-In Swimming Pool Equipment
in good
13. This contract does not cover pre-existing conditions. Covered items must be$100
workingBuilt-In
condition
the time this contract is executed.
SpaatEquipment
$85
14. Company will not upgrade equipment or improve due to lack of capacity or failure to
Swimming
Pool w/orBuilt-In
Equipment
meet city,
state, federal,
utilitySpa
regulations
or upgrades required by law including,$185
but not
limited to, permits.
Washer/Dryer
Package
$80
15. Company is not liable for consequential, incidental or secondary damage.
16. Services
involving toxic material, lead-based paint, mold, or asbestos are not covered.
Water Softener
$40
17. When it is necessary to open floors, walls or ceilings to make plumbing and or electrical
repairs, the Company will restore them to a primed finish.
2nd YEAR OPTIONAL COVERAGE
Buyer
18. All (Inspection
replacements
will
be made
with comparable
materials
and with standard makes
and
report
required.
Limitations
apply. See Terms
of Coverage.)
models. Appliance color is not guaranteed on replacements.
19. ARBITRATION
Furnace CLAUSE: Any dispute arising under this agreement shall be submitted
FREE
for binding arbitration under the auspices of the American Arbitration Association’s local
office. Each party shall pay for its own representative and shall bear arbitration costs
FREE
equally. Roof
The arbitrator’s award shall be final and binding and may be enforced by any Court
of Law.
20. Second year of coverage is limited to the following systems and must be inspected by
ASHI ofPlumbing
AHIT certified inspector. Each systems must qualify (see below) for coverage.
One
FREE
or all systems may be eliminated from coverage.
Central Heating System: Unit must be less than 10 years old (Inspector may have to make
Electrical
an educated
guess as to the age). Unit must be operable with no major problems. FREE
Roof Covering: Roof must have no more than 2 layers, must be 10 or less years in age
(Inspector may have to make an educated guess as to the age). Ventilation and roof covering
COVERAGE COST
Plan 1
Plan 2
must be in good working order.
Electrical System: System must be operable with no code violations, or major issues.
Single
Family
$450
$420
System must
have
circuit Home
breakers.
Plumbing System: System can not contain any galvanized plumbing. System must be in
good working order with no leaks or evidence of leaks.
$410
Condominium/Town Home
Built-In Dishwasher
4
4 estate broker
DISCLOSURE
This is a Service Contract not an insurance policy. Your real
may be paid an administrative fee for the processing of this order, the advertising of
$640 You
New
(Covers
years
2 - 5) Plans available for purchase.
Built-Inand
Microwave
Oven of the premises. The purchase of a Home 4
this product,
the inspection
Protection Plan
and Construction
there may be other
Home
Protection
4 is optional
$380
$595
are freeTrash
to shop
and select any Home Protection Plan that may be available.4 If performance
of the service contract is interrupted because of a strike or work stoppage at the
Compactor
4
$50
$95
Trade
Feestoppage.
Company’s place of business, the effective period of the service contract shall be extended for the period
ofService
the strikeCall
or work
Stoppages
4
4
SELLER INFORMATION (Required for Seller Coverage Only)
SELLER INFORMATION (Required for Seller Coverage Only)
List Date _____________ Expiration Date _____________Seller(s) Name (please print)____________________________________, ____________________________________
List Date ______________ Expiration Date _____________Seller(s) Name (please print) _______________________________________________________________________
working
condition
theof
time
of listing
willbeNOT
be covered.
list that
any are not
SellerSeller
represents
that that
all the
covered
items
areareiningood
Itemsthat
thatareare
in good
represents
all the
covered
items
goodworking
working condition.
condition. Items
notnot
in good
working
condition
at theattime
listing
will NOT
covered.
Please listPlease
any items
items in
that
areworking
not in good
working
condition
defective:_____________________________________________________________________________________________
good
condition
and/or
defective:and/or
__________________________________________________________________________________________________________________________
SellerSeller
agrees
to and/or
authorizes
broker
to release
releasea acopy
copy
Seller’s
Disclosure
Statement,
Agreement,
and any Pre-Inspection
Reportsinformation.
to
agrees
to and/or
authorizes
brokerand/or
and/ orhome
homeinspector
inspector to
ofof
thethe
Seller’s
Disclosure
Statement,
ListingListing
Agreement,
and any Pre-Inspection
Reports to validate
validate
information.
understands
that thisagreement
is a limited
and has
readand
thethe
listTerms
of covered
itemsSeller
(on the
back of this
andagrees
the Terms
of Coverage.
Seller
Seller
understandsSeller
that this
is a limited service
and service
has read agreement
the list of covered
items
of Coverage.
understands
and form)
mutually
to the following:
a) listing
coverage
understands
to the
following: a)obligated
listing coverage
freeHome
to theProtection
seller(s) Plan
b) Seller(s)
contractually
to purchase
this
Home Protection
Plan for
at closing
is free toand
themutually
seller(s) b)agrees
Seller(s)
are contractually
to purchaseisthis
at closingare
if property
closes obligated
within 18 months
of seller
coverage.
Seller coverage
the listing and
if property
closes
within
18 months
of seller
coverage
forRaines
the listing
sale period
starts
the date
thethe
application
accepted
by to
Gold
sale period
starts
the date
the application
is coverage.
received andSeller
accepted
by Tomie
Homeand
Warranty,
LLC and
continues
until
expiration is
of received
the initial and
listing
period (up
180 Shield
days) orHome
until close of
sale orInc.
listing
cancellation
is first). Tenant
homes
are not
for seller
coverage.
Protection,
and
continues(whichever
until the expiration
of theoccupied
initial listing
period
(upavailable
to 180 days)
or until
close of sale or listing cancellation (whichever is first).
______________________________________________________ _____________________________________________________
______________________________________________________
_____________________________________________________
Signature
SellerSeller
Signature
Seller SignatureSeller Signature
BUYER INFORMATION (Required at Settlement)
BUYER INFORMATION (Required at Settlement)
Settlement Date ______________ Buyer(s) Name (please print) __________________________________ , ________________________________ Buyer agrees to and/or authorizes broker and/ or
home Date
inspector
to release a copyBuyer(s)
of the Seller’s
Statement,
Buy and Sell Agreement, and any Inspection
Reports to validate information. Buyer(s) understands
this is a limited service
Settlement
______________
NameDisclosure
(please print)
__________________________________,
________________________________Buyer
agreesthat
to and/or
agreement
andand/or
has read
the list
of covered
items and
the Terms
Coverage.
Buyer represents
that Buy
all the
covered
items are in good
working
condition.
Itemsto
that
are not information.
in good working condition
authorizes
broker
home
inspector
to release
a copy
of theofSeller’s
Disclosure
Statement,
and
Sell Agreement,
and any
Inspection
Reports
validate
time of settlement
willisNOT
be covered.
coverage
on the
settlement
and continues
termofofthis
oneform)
year. Coverage
for New
beginsrepresents
one year after
Buyeratunderstands
that this
a limited
serviceBuyer’s
agreement
and begins
has read
list of date
covered
items (onfor
thethe
back
and the Terms
ofConstruction
Coverage. Buyer
thatsettlement
all the and
continues
for four
yearsworking
thereafter.
Claims will
not be
accepted
the end
of the term.
Pleaseatlist
anyofitems
that are will
not inNOT
goodbe
working
condition
and/coverage
or defective:
_________________________
covered
items are
in good
condition.
Items
that
are notafter
in good
working
condition
time
settlement
covered.
Buyer’s
begins
on settlement date
_______________________________________________________________________________________________________________________________________________________________
and continues
for the term of one year. Please list any items that are not in good working condition and/or defective:
_____________________________________________________
_____________________________________________________
________________________________________________________________________________________________________________________________________________
Buyer Signature
Buyer Signature
_____________________________________________________
WAIVER (Required if a Home Warranty Service Contract plan is_____________________________________________________
not purchased)
BuyerAfter
Signature
Signature
being informed of the benefits of a Home Warranty ServiceBuyer
Contract
I/we elect to waive the purchase of any such plan.
____________________________________________________________________________________________ ____________________
Seller Signature
Seller Signature
Date
24 HOUR SERVICE REQUESTS www.goldshieldhomeprotection.com or (877) 816-0010
____________________________________________________________________________________________ ____________________
GS-007
Buyer Signature
Buyer Signature
24 HOUR CLAIM SERVICE (877) 816-0807
Date