Louisiana Disaster Repair Contract

Louisiana Disaster Repair Contract

Before signing: This form is for repair of a natural-disaster-affected residence in the declared emergency area, under a contract made within six months after the Governor's initial disaster or emergency declaration. Complete the declaration and property facts below. A different contract may be needed outside that setting.

1. Parties, declaration, and property

Agreement date: [__/__/____]

Owner: [FULL LEGAL NAME] Mailing address: [ADDRESS]

Owner phone and email: [PHONE; EMAIL]

Contractor legal name: [FULL NAME] Authorized signer: [NAME; TITLE]

Contractor's last known mailing address for cancellation: [STREET, CITY, STATE ZIP]

Contractor's agent for service of process, if known: [NAME; MAILING ADDRESS / UNKNOWN]

Contractor phone and email: [PHONE; EMAIL]

Contractor license or registration, if applicable: [AUTHORITY; CLASS; NUMBER / NOT APPLICABLE]

Repair site: [STREET ADDRESS, CITY, PARISH, LOUISIANA ZIP]

Natural disaster and resulting damage: [EVENT; DATE; AFFECTED AREAS]

Governor's initial declaration: [DECLARATION OR ORDER NUMBER; INITIAL DATE]

Declared emergency area covering this property: [DESCRIPTION OR ATTACHED ORDER]

2. Work, materials, and schedule

Contractor will repair the disaster damage described in Exhibit A. Contractor will furnish the stated labor, materials, supervision, and cleanup. Work outside Exhibit A requires a written change order signed by both parties, stating the revised work, price, and schedule.

Estimated start: [__/__/____] Estimated completion: [__/__/____]

Permits and inspections: [IDENTIFY EACH REQUIRED PERMIT, RESPONSIBLE PARTY, AND COST]

Work site access, utilities, storage, and debris disposal: [DETAILS]

Emergency work already authorized, if any: [DESCRIPTION; DATE; PRICE / NONE]

3. Price and payment

Contract price: $[AMOUNT] for the work and materials in Exhibit A.

Deposit: $[AMOUNT] due [DATE OR EVENT]. Payment method: [METHOD].

Contractor will provide an invoice identifying the work performed, materials ordered or delivered, and payments received. Insurance coverage and payment, if any, are separate from the parties' agreed price unless a signed change order says otherwise.

4. Owner's statutory cancellation right

Owner may cancel this qualifying disaster repair contract within ten days after entering it under La. R.S. 9:2784.1(B). Owner may hand-deliver written notice to Contractor or mail it by United States mail to Contractor's last known address or to its agent for service of process. The attached notice may be used, but the statute does not require that particular form.

Cancellation under this provision carries no penalty. Contractor will promptly refund all payments made before cancellation. Contractor remains entitled to payment for the cost of work performed and materials ordered or delivered before cancellation, plus reasonable overhead. Contractor will request that payment with an itemized accounting and supporting records. This clause does not limit any other applicable cancellation right.

5. Performance and ending the work

Contractor will perform the agreed work in a workmanlike manner and notify Owner of concealed damage before changing scope or price. Contractor will protect the site and remove its debris as described in Exhibit A.

Express workmanship warranty, if any: [SCOPE; PERIOD; CLAIM ADDRESS / NONE]

Manufacturer warranty documents, if any: [PRODUCT; DOCUMENT / NONE]

For a material breach other than Owner's statutory cancellation, the nonbreaching party may give written notice describing the breach and allowing [NUMBER] days to cure. If it remains uncured, that party may end the remaining work and seek lawful relief. The parties will account for completed work, supplied materials, and payments; this clause creates no cancellation penalty under Section 4.

Any proceeding involving a dispute over this Contract must be brought in a venue provided by law. No term of this Contract selects a different venue.

6. Signatures and copies

This Contract and signed Exhibit A state the parties' agreement. Each party receives a signed copy.

Owner signature: ______________________________ Date and time: [__/__/____; ____]

Contractor authorized signature: ______________________________ Date and time: [__/__/____; ____]

Printed name and title: [NAME; TITLE]

Exhibit A — disaster repair scope

Work excluded: [DETAILS / NONE]

Owner signature for Exhibit A: ____________________ Contractor signature: ____________________

Owner's optional cancellation notice

To: [CONTRACTOR NAME AND LAST KNOWN ADDRESS, OR AGENT FOR SERVICE OF PROCESS]

I cancel the Louisiana Disaster Repair Contract entered on [__/__/____] for the residence at [PROPERTY ADDRESS] under La. R.S. 9:2784.1(B). Please provide the statutory refund and an itemized accounting of any allowable pre-cancellation work, materials, and reasonable overhead.

Owner signature: ______________________________ Date: [__/__/____]

Delivery: ☐ Hand-delivered to Contractor on [__/__/____] ☐ Mailed by United States mail to Contractor's last known address on [__/__/____] ☐ Mailed by United States mail to Contractor's agent for service of process on [__/__/____].

Official source: La. R.S. 9:2784.1.