PA Contract and LOR

  • Public Adjusters Contract

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  • Twin City Public Adjusting, LLC (TCPA), or their representative is hereby retained to advise and assist in the adjustment of the
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  • The insured agrees to pay Twin City Public Adjusting, LLC for public adjusting services a contingent fee of 10% (Ten percent) of the total Replacement Cost Value amount paid by the insurance company in settlement of this loss, including insured's deductible amount hereby assingning to the public adjuster a 10% fee of all monies due or, to become due, from the insurance companies. We charge our 10% (Ten Percent ) fee based on the full RCV amount. The fee shall be due after Actual Cash Value proceeds are issued by the insurance company for this loss. *We charge our 10%(Ten Percent) fee based on the Replacement cost Value after an Actual cash value payment is received from the insurer.

    Twin City Public Adjusting, LLC will be listed as an additional payee on all drafts or checks pertaining to this loss. These drafts will be logged in your Twin city Public Adjusting file and dispersed accordingly.

    The insured acknowledges receipt of a copy of this, Twin City Public Adjusting, LLC, contract.

    DISCLAIMER OF GUARANTEE AND ESTIMATES. Nothing in this Agreement and nothing in Twin City Public Adjusting, LLC statements to client will be construed as a promise or guarantee about the outcome of this claim.

    Twin City Public Adjusting, LLC, comments about the outcome of this matter are expressions of opinion only. This agreement contains the whole contract between the parties hereto and shall not be changed, altered, or amended. By signing, the undersigned is stating that they have read and understood this contract in it's entirety, page 1 & 2 and LOR.

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  • Notice of Cancellation of Public Adjusters Contract

  • 2014 Minnesota Statutes 72B.135 Public Adjusters.

    Subdivision 1. lnsured's right to cancel. An insured who has entered into a contract with a public adjuster involving the business for which the person was licensed, has the right to cancel the contract within 72 hours after the contract has been signed. Cancellation is evidenced by the insured giving written notice of cancellation to the public adjuster at the address stated in the contract. Notice of cancellation, if given by mail, is effective upon deposit in the mailbox, properly addressed to the public adjuster and postage prepaid. Notice of cancellation need not take a particular form and is sufficient if it indicates, by any form of written expression, the intention of the insured not to be bound by the contract.

    Subdivision 2. writing required: notice of right to cancel; notice of cancellation. Before entering a contract referred to in subdivision 1, the public adjuster must;

    (1) furnish the insured with a statement in boldface type of a minimum size of ten points, in substantially the following form:

    "You, the insured, may cancel this contract at any time within 72 hours after the contract has been signed between the insured and the public adjuster. See attached notice of cancellation form for explanation of this right."; and

    (2) furnish each insured, a fully completed form in duplicate, captioned, "NOTICE OF CANCELLATION," which shall be attached to the contract and easily detachable, and which shall contain in boldface type of a minimum size of ten points the following information and statements:


    lf you do not want to go forward with the contract with the public adjuster, you may cancel the contract by mailing or delivering a signed and dated copy of this cancellation notice or any other written notice to (Twin city public Adjusting, LLC), at (Po Box 123, clearwater, MN 55320),

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    Subdivision 1
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  • If you cancel, any payments made by you under the contract will be returned within ten business days following receipt by the public adjuster or your cancellation notice.

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  • Subd' 3. Return of payments; compensation. Within ten days after a contract referred to in subdivision t has been cancelled, the public adjuster must tender to the insured any payments made by the insured and any note or other evidence of indebtedness.
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  • Letter of Representation

  • The undersigned has retained the services of Twin city Public Adjusting, LLC to aid in the settlement of this claim with undersigned's insurer.

    Please attach a copy of all correspondence to Twin city Public Adjusting, LLC at the address listed above. All parties are to recognize that the insured is in contract with Twin City public Adjusting, LLC for a fee related to the Replacement cost Value settlement of the undersigned claim.

    *Please include Twin City Public Adjusting as additional payee on alt insurance payments from this date forward.

    *Please note the insured is hereby giving notice of restoring their property and recovering depreciation.

    * The insured(s) fully intends to collect Pre-Appraisal Interest (10% per year) on all appraisal awarded damages.

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  • Thank you for your time in this matter,

    David Linder
    Phone: 970-420-2303
    MN License #40244467

    Kevin Baker
    Phone: 320-980-4400
    MN License #40242393

    Andy Merkle
    Phone: 952-693-3995
    MN License #40330523

    Twin City Public Adjusting, LLC
    EIN #27-2412809

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