House Of Automation-Access Control & Automation for Security Gates, Gate Remote Controls Openers, Tele-Entry, CCTV

Estimate / Bid Request Form

Estimate / Bid Request Form
(WE DO NOT ESTIMATE REPAIRS LESS THAN $1000)

Name: E-mail:
Date: Time: AM PM
Phone: Pager: Cell:
Site Name:
Street Address:
City: State:
Contact Person:

Please describe the problem:

Do you have a HOA Maintenance Agreement? Yes No

Billing Name: Route To:
Billing Address: Visa MC
City: State: Zip:
Contact Person: Phone:

TERMS:
All material is guaranteed to be as specified. All work to be completed in a professional manner according to standard practices. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado, and other necessary insurance. Our workers are fully covered by Worker's Compensation insurance. NOTE: Due to the large amount of industrial and military assets in the area radio controlled equipment may or may not perform according to manufacturers specifications.