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PSSA #

WO # ____________________

PREVENTITIVE SERVICE SAVINGS AGREEMENT Technician ________________

Inspect, clean, lubricate and make necessary minor adjustment to the equipment, as per manufacture recommendations, during normal
working hours using WNG employees or persons supervised by us. This agreement includes furnishing oils, grease, lubricants, filter
media and cleaning materials. WNG will provide priority repair services at no additional charge.

• This maintenance service will be performed ______________ times per calendar year for __________ years.

• The cost of preventative maintenance service is $_____________ for __________system inspections plus tax.

• All service calls related to equipment repairs or failures are subject to an $89.95 diagnostic fee for a written diagnosis.
Diagnostic fees may be applied upon a signed authorization to perform work from property owner or present operations
manager, based on our current flat rate pricing system. Value rates will apply to all performed repairs and services at the below
stated location and listed HVAC equipment.

BILLING INFORMATION:

Name _______________________________________________________ Contact Person ____________________________________

Address ____________________________________________________________________

City __________________________________________ Zip _________________________

Phone No________________________________ Phone No ____________________________ FAX ____________________________

JOB LOCATION:

Name _______________________________________________________ Contact Person ____________________________________

Address _____________________________________________________________________ Billing Address same: Yes No

City __________________________________________ Zip __________________________

Phone No________________________________ Phone No ____________________________ Email ___________________________

Furnace Service Air Conditioning Service Filter Service

Equipment Type Model # Serial # Location Filters

Invoice # Amount Prepaid


$

This Preventive Maintenance is hereby accepted and becomes effective ___________________ 20_____.
This service agreement is automatically renewable at the end of contract term. Either party may terminate this agreement upon receiving a 30-day written
notice. Maintenance agreement valid from authorized sales person’s proposal start date.
This offer is not valid with any other promotions or advertised discounts.

BY________________________________________________________________________________________________
Customer Title Date

Seattle♦ 206-464-1999 Eastside ♦ 425-355-3331 Toll Free ♦ 1-888-Heating


2615 W. Casino Road. Everett, WA. 98204

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