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CustomerPrintName
CustomerSignature
Date:
Date:
Y-BET, Inc InstallerSignature
Y-BET, IncManagerSignature
Date:
Date:
HAWK SECURITY SYSTEMS
P.O.BOX 4078
TORRANCE,CA 90510
TEL: (310) 618-9440
ST.CONT. LIC#401979
ST. LIC. LA 002781
ACCT.NO:
PURCHASE
LEASE
PURCHASE/LEASE/MONITORING/SERVICEAGREEMENT
THISAGREEMENT ismade on ________________________________________________, by and betweenHAWKSECURITYSYSTEMS, hereinafter known as “Contractor”, and
____________________________________________________________________________________________________________________,hereinafterknownas “Subscriber.”
1. INSTALLATION:HAWKSECURITYSYSTEMS agrees to install and service,without liability andnot as an insurerduring the termof thisAgreement, thedevices referred to as the
AlarmSystemor “System”. Listed below is a schedule of devices on thepremises of theSubscriber known as:
NAME:___________________________________________________________________________________________TEL:___________________________________________
ADDRESS:_______________________________________________________________________________________________________________________________________
BILLINGADDRESS:________________________________________________________________________________________________________________________________
SCHEDULEOFDEVICES
Control Panel/Digital Communicator ___________________________________________________________________________________________________________________
Siren/Bell(s)______________________________________________________________________________________________________________________________________
RemoteControlStation/Keypad(s)_____________________________________________________________________________________________________________________
MotionDetector(s)_________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________________
EmergencySwitch(s)_______________________________________________________________________________________________________________________________
Access Door(s) ___________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________________
AccessWindow(s)_________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________________
OverheadDoor(s)__________________________________________________________________________________________________________________________________
SecurityScreen(s)_________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________________
Auxiliary Power SupplyUnit(s) _______________________________________________________________________________________________________________________
Other ___________________________________________________________________________________________________________________________________________
Other ___________________________________________________________________________________________________________________________________________
2.TERM,PAYMENTANDRENEWAL...Subscriber agrees to payContractor:
PURCHASE:
For Installation: the sum of $ ________________ shall bepaid for the installation and componentsof theSystem asherein agreed.Said sum shall bepaid as follows:
Depositof$ ________________prior to installation, and
Balanceof $________________ upon completion of installation.
MONlTOR AGREEMENT: It is agreed that the sum of $ ________________ permonth for 24months for 24 hour central station service is payable in advance on the first day of each
month.The initialmonthlymonitoring charges shall starton____________________________________________________.A late chargeof1½%permonthwillbe assessedon all
past due accounts. The term of this contract shall be two (2) years from the date that installation is complete.Upon expiration of the initial term, thisAgreement shall be automatically
renewable for periods of two (2) years each, at the then prevailingmonthly rate, the first of such renewal periods to commence upon date of the expiration of this Agreement, unless
either party shallnotify the other, inwriting,not less than thirty (30)days prior to the expiration of theoriginal agreement or the expiration of any renewalperiods, of the desire to
terminate thisAgreement.
3. LEASE: For a leased system: it is agreed that the charges are as follows:
Installation Charge of $ ________________ plus the firstmonthly charge of $ ________________, for a total of $ ________________ payable upon signing the Agreement. The
Monthly Charge of $ ________________ for the lease, service and 24-hour Central StationMonitoring of the system is payable in advance on the first day of eachmonth. The initial
monthly payment shall start on ___________________________.A late charge of 1½% permonthwill be assessed on all accounts 10 days overdue.Upon completion of the system
and receiptof fullpayment, systemwillbe tested andputon line to the central station.The termof this contract shallbe three (3) years from thedate that installation is complete.Upon
expirationof the initial term, thisAgreement shallbe automatically renewable forperiodsof three (3) years each, at the thenprevailingmonthly rate, thefirstof such renewalperiods to
commenceupondateof theexpirationof thisAgreement,unlesseitherpartyshallnotify theother, inwriting,not less than thirty (30)daysprior to theexpirationof theoriginalagreement
or the expiration of any renewal periods,of the desire to terminate thisAgreement.
4.RECEIPTOFCOPY:Subscriber acknowledges receipt of copy of thisAgreement.
5.LIABILITY:HAWKSECURITYSYSTEMSdoesnot representorwarrant that the alarm systemmaynotbe compromisedor circumvented; that the systemwillprevent any lossby
burglary, hold-up, fire orotherwise; or that the systemwill in all cases provide thedetection forwhich it is installed or intended.Subscriber acknowledgesContractor isnot an insurer;
thatSubscriber assumes all risk for loss ordamage toSubscriber’s premises or to its contents; thatContractor hasmadeno representation orwarranties; nor hasSubscriber relied on
any representations or warranties, express or implied, except as set forh herein; and Subscriber acknowledges that he has rad and understands this Agreement which sets forth
Contractor’s obligation andmaximum liability in the eventof any loss or damage toSubscriber.
6. INCREASES INUTILITYCHARGES, TAXESORMONTHLYSERVICE.All charges set forth herein are based on existing federal, state and local taxes and utility charges, including,
but not limited to telephone company line charges. Contractor shall have the right at any time to increase themonthly charges provided herein, to reflect any additional taxes, fees or
chargeswhichmayhereafterbe imposedby anyutilityorgovernmental agency relating to the installationor serviceprovidedunder the termsof thisAgreement andSubscriber agrees
topay the same.
7. INSTALLATlON OF SYSTEM. Subscriber authorizes Contractor to install or cause to be installed the System as specified in the schedule of devices including all connections
necessary to transmit the signals from thepremisesofSubscriber.All signals are transmittedover telephone company leased lineswhich arewhollybeyond the control and jurisdiction
ofContractor andwhich aremaintained and servicedby the applicable telephone companyorutility.Contractor assumesno liability fordelay in installationof the system,or interruption
of service due to strikes, riots, floods, fires, acts ofGod or any cause beyond the control of Contractor including Interruption in telephone service. Contractorwill not be required to
supply service to theSubscriberwhile interruption of service due to any such cause shall continue.
HAWKSECURITYSYSTEMS
BY________________________________________________________ _________________________________________________
AGENT SUBSCRIBER
APPROVED_________________________________________________ _________________________________________________
AUTHORIZEDOFFICER SUBSCRIBER
ThisAgreement shall notbe binding uponContractor unless approved inwriting by an officer ofHAWKSECURITYSYSTEMS. In the event ofnon-approval, the sole liabilityof
Contractor shallbe to refund toSubscriber the amount that has been paid toContractor bySubscriber upon signing of theAgreement.
WHITECOPY:Office PINKCOPY:Customer
DigitalCommunicator
Radio
LineSecurity
DirectConnect
Keypad
Keypadw/ZoneAnnun.
Keyfab
MagneticContacts
RollupUpDoorContacts
GlassBreakage
Shock/Vibration
PIR
Per Immune
DualTech.
Ultrasonic
Microwave
PhotoelectricBeams
SmokeDetectors
PullStations
HeatSensors
CO2Detectors
Horns
Sirens
Strobe Light
OutsideBell
Panic/Hold-up
Supervisory
CCTV
AccessControl
TROUBLESHOOT
INSPECT
REPAIR,CLEAN
ADJUST
REPLACE
INSTALL
CON.PANEL
REPORTING
REMOTESTAT.
PERIMETERDETECTION
INTERIORDETECTION
FIRE
AUDIBLE
OTHER
QTY.
MATERIAL
UNITPRICE
AMOUNT
AMOUNT
TOTAL
MATERIALS
TOTAL LABOR
TAX
TOTAL
TOTAL LABOR
I hereby acknowledge the satisfactory completion of the above described
work,with the following exceptions:
TECHNICIAN
Signature (Title)
Date
LABOR
MILEAGE
IN
OUT
HRS.
RATE
DESCRIPTIONOFWORK
CHECKMARKSDENOTE:
WORKTO
BEDONE
WORK
COMPLETED
BFM ALARM SYSTEMS INC.
950StreetRoad
SOUTHAMPTON,PENNSYLVANIA 18966
(215) 364-7160 • FAX (215) 364-5233
NJ (800) 293-3660
TO:
Time/Material
ServiceContract
Warranty
Other
DATEOFORDER
ORDERTAKENBY
WORKORDEREDBY
PHONE
JOBNAME/NO.
JOB LOCATION
INVOICEDATE
JOBPHONE
PROTECTION SYSTEM
WORKORDER/INVOICE
IN .
P.O.Box 316
T T ,PE SYLVA IA1896
TEL (215) 364-7160
y
FAX (215) 364-5233
iitl
i t
io
i
it
CellularBackup
padw/ZoneAnnun.
Keyfob
MagneticContacts
OverheadDoorContacts
GlassBreakage
/Vibration
PIR
l
.
PhotoelectricBeams
Smok Detectors
PullStations
HeatSensors
Horns
Sirens
Strobe Light
OutsideBell
i/ l-
ri r
CCTV
AccessControl
CODetectors
GasDetectos
.PANEL
REPORTING
REMOTESTAT.
PERIMETERDETECTION
INT.DETECTION
FIRE
AUDIBLE
E
CARDEXP.DATE
CHARGETO
CARDNUMBER
DATE CHECKNUMBER
AMOUNTENCLOSED
TO
EYE-ONALARM
SUBTOTAL
TAX
TOTALDUE
Service Invoice
ALL POINTS SECURITY
P.O. BOX806267, St. Clair Shores,MI48080
1-888-223-1230
To:
Date:
Ph:
Zip:
MAKE:
MODEL:
Quanity
Description
Amount
Thank you for your business. Please pay this amount>>>
Time In
TimeOut
Inspected&Accepted by
Service Invoice
ALL POINTS SECURITY
P.O. BOX806267, St. Clair Shores,MI48080
1-888-223-1230
To:
Date:
Ph:
Zip:
MAKE:
MODEL:
Quanity
Description
Amount
Thank you for your business. Please pay this amount>>>
Time In
TimeOut
Inspected&Accepted by
Service Invoice
ALL POINTS SECURITY
P.O. BOX806267, St. Clair Shores,MI48080
1-888-223-1230
To:
Date:
Ph:
Zip:
MAKE:
MODEL:
Quanity
Description
Amount
Thank you for your business. Please pay this amount>>>
Time In
TimeOut
Inspected&Accepted by
Our variety of manual forms come Edge
Clued or Snap-a-part with 2-5 parts. 1 or
2 sided printing is also available.
Standard 20# Carbonless
• Standard Color Sequence (2-4 Parts)
White, Canary, Pink & Gold
• Standard Color Sequence (5 Parts)
White, green, Canary, Pink & Gold
• Standard Ink Colors
Black, Reflex Blue, 347 Green,
208 Burgundy, 032 Red & 185 Red
(All other Pantone colors available at
additional cost)
• Additional Services Available
- Wrap Around Covers
- 1, 2, 3 & 4 spot color printing
- Padding, Drilling & Numbering
www.heimelectronics.com
SecurallMonitoring1-800-624-1180
q
REGULAR
q
WARRANTY
q
MAINTENANCE
q
ESTIMATE
q
CONTRACT JOB
q
RETURNCALL
LIMITEDWARRANTY:
Allmaterials, parts and equipment
are warranted by the manufactur-
ers’ or suppliers’ written warranty.
All labor performed by the above
named company is warranted for
30 days or as otherwise indicated
in writing. The above named com-
pany makes no other warranties,
express or implied, and its agents
or techniciansarenotauthorized to
make any such warranties on be-
half of above named company.
TECHNICIANCHECKLIST
q
CLEANUP
q
TESTTOSM
q
YARDSIGN
q
COMPASSWORK
q
DECALS
q
MAC #
q
UPDATESM INFO.
JOB WORK ORDER
Signature
I hereby acknowledge the satisfactory completion
of the above described work.
No one home
Total amount due
for the above work: or
Total billing to
bemailed after
completion
of work
TOTALMATERIALS
TOTAL LABOR
TAX
TOTALAMOUNT $
CUSTOMER’SORDERNO. PHONE
MECHANICHELPER
DATE OF ORDER
STARTING DATE
ORDER TAKEN
BY
BILL TO
ADDRESS
CITY
JOB NAME AND LOCATION
DESCRIPTION OF WORK
JOB PHONE
DAYWORK
CONTRACT
EXTRA
DATE COMPLETED
WORK ORDERED BY
JWOCC-870-3
PRINTED IN U.S.A.
No.
003800
1-800-4-1-GUARD
PROTECTED
BY
SPECIALIZED SECURITY, INC.
P.O.Box 3646,Glendale,CA 91221-0646
1-800-4-1-GUARD or 818-625-5388
PLEASE SENDCOPYWITHCHECK - THANK YOU
DMJ SYSTEMS (800) 927-8013