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Dealer Info:
Dealer Number
Company Name
Technician Name
Customer Info:
Name
Address
Street Address
City
State / Province / Region
ZIP / Postal Code
Phone
Email
Used for contract confirmation
System Info:
Installation Date
Month
Day
Year
Brand/Manufacturer
Trane
American Standard
Carrier
Bryant
Payne
Lennox
Rheem
Ruud
York
Coleman
Luxaire
Goodman
Amana
Daikin
Bosch
LG
Mitsubishi Electric
Fujitsu
Gree
Haier
Heil
Tempstar
Comfortmaker
Day & Nigh
Arcoaire
Keeprite
MrCool
Pioneer
Senville
Other
Model
Serial
Photo Upload
Max. file size: 50 MB.
Helper Line:
Coverage ends when unit is 10 years old. System age will be calculated from Installation Date.
Coverage Level
Labor
Labor + Materials (includes refrigerant & consumables)
Parts + Labor + Materials
Labor Rate selector
Standard Labor (≤ $185/hr)
Premium Labor (> $185/hr, up to $300/hr)
Expiration: :
Default/primary = 10 Years (auto-calculate end date from Installation Date)
12 Years (Eligible Systems Only) with disclaimer below: “12-year plans are available only for systems with an OEM 12-year parts warranty (rare; select models). Most systems qualify for 10-year.”
Surcharges
Seacoast Add-On — “Required if the property is within 1 mile of sea/salt water.” (Labor-only coverage in coastal zones; parts/materials not eligible.)
Non-Primary Residence (Rental/Airbnb/Office) — “Coverage for non-primary use settings.”
Smart Thermostat — If Premium Labor selected its included, auto-check & disable or hide.
No deductibles. A service/diagnostic fee may apply.
