Utah Insured Residential Storm Repair Contract

UTAH INSURED RESIDENTIAL STORM REPAIR CONTRACT

Before use: This form covers siding, gutters, roofing or windows damaged by wind or hail at a building of up to four dwelling units. It is for signing at the contractor's established place of business. Complete the contractor's physical notice address, the statutory cancellation form and the separate signed deductible notice. Print the deductible notice in capital letters at no less than 14-point type; Markdown does not control print size.

1. Parties and property

Agreement date: [__/__/____]

Owner / named insured: [FULL NAME]

Owner address: [STREET, CITY, STATE, ZIP]

Contractor: [LEGAL NAME]

Contractor's established business and physical address for cancellation notices: [STREET, CITY, STATE, ZIP]

Contractor license number: [NUMBER]

Repair property: [STREET, CITY, STATE, ZIP]

Dwelling units: [NUMBER, UP TO FOUR]

Insurer and claim number: [INSURER; CLAIM NUMBER]

Insurance proceeds expected to pay all or part of the work? ☐ Yes ☐ No

2. Work and price

The contractor will perform the following work for wind or hail damage, subject to signed changes. The insurer alone decides coverage; the contractor makes no assurance that insurance will pay the full contract price.

Total contract price: $[AMOUNT]

Deposit: $[AMOUNT] due [DATE OR EVENT]. Progress payments: [AMOUNTS AND MILESTONES]. Final balance: $[AMOUNT OR CALCULATION] due [EVENT]. Payments from insurance proceeds remain subject to Section 4's signed notice and insurer-delivery condition.

Estimated start: [__/__/____]. Estimated completion: [__/__/____], subject to [SPECIFIED WEATHER, PERMIT OR MATERIAL DELAY PROCEDURE].

Permits, inspection and responsible party: [DETAILS].

The contractor will protect the premises reasonably, perform the agreed work in a workmanlike manner and remove its work debris. Any change in work, price or schedule requires a written change order signed by both parties before the changed work begins.

Warranty, if any, and manufacturer documents to be delivered at completion: [DETAILS OR NONE].

No assignment of the owner's insurance policy rights or benefits is made by this contract. Any proposed assignment is a separate document for review before signature.

3. Insurance denial cancellation

The owner may cancel under Utah Code § 13-50-202 if, when this contract was signed, the contractor knew or should have known insurance proceeds were intended to pay all or part of the work and the insurer denies any part of the claim relating to this work. The owner must mail or otherwise provide written cancellation to the physical address in Section 1 within five business days after receiving the insurer's written denial. The detachable notice below may be used.

Within ten business days after cancellation, the contractor returns payments, deposits and evidence of indebtedness, subject to the statutory exception for the reasonable value of repair work actually performed when the owner expressly instructed the contractor to proceed without waiting for the insurer's coverage decision.

Statutory contract notice — Utah Code § 13-50-203(1):

Utah Code Section 13-50-202 provides that if, when you signed this contract, the residential contractor knew or should have known that you intended that all or part of the contract would be paid with proceeds of a property and casualty insurance policy, you may cancel this contract within five business days after the day on which you receive written notification from your property and casualty insurer that your claim, or a portion of your claim, has been denied

4. Deductible and payment notice

The owner is responsible for the policy deductible. The contractor will not offer or give a deductible rebate, allowance or discount to induce acceptance of this repair proposal. Before any payment to the contractor under an agreement paid from property and casualty insurance proceeds, the named insured must sign the statutory notice below and the contractor must deliver the signed notice to the named insured's insurer.

Expected deductible: $[AMOUNT OR UNKNOWN]. Owner payment source for any uncovered work: [DETAILS].

Statutory notice — print the following in capitalized 14-point type or larger:

IT IS A VIOLATION OF UTAH LAW FOR A RESIDENTIAL CONTRACTOR TO REBATE ANY PORTION OF AN INSURANCE DEDUCTIBLE AS AN INDUCEMENT TO THE INSURED TO ACCEPT A RESIDENTIAL CONTRACTOR'S PROPOSAL TO REPAIR DAMAGED PROPERTY. REBATE OF A DEDUCTIBLE INCLUDES GRANTING ANY ALLOWANCE OR OFFERING ANY DISCOUNT AGAINST THE FEES TO BE CHARGED FOR WORK TO BE PERFORMED OR PAYING THE INSURED POLICYHOLDER THE DEDUCTIBLE AMOUNT SET FORTH IN THE INSURANCE POLICY. THE INSURED POLICY HOLDER IS PERSONALLY RESPONSIBLE FOR PAYMENT OF THE DEDUCTIBLE.

Named insured signature for statutory notice: ______________________________ Date: [__/__/____]

Signed notice delivered to insurer: [DATE; METHOD; RECIPIENT]

5. Signatures

The parties agree to the work and payment terms above. The owner receives a completed signed copy, including the detachable cancellation notice below.

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

Contractor authorized signature: ______________________________ Date: [__/__/____]

Contractor signer and title: [NAME; TITLE]

DETACHABLE NOTICE OF CANCELLATION

NOTICE OF CANCELLATION

If your property and casualty insurer denies your claim, or a portion of your claim, to pay for the repair work to be provided under this contract, you may cancel the contract by mailing or delivering a signed and dated copy of this cancellation notice or any other written cancellation notice to ______ (name of residential contractor) at ______ (address where residential contractor receives notices) any time within five business days after the day on which you receive written notice from your property and casualty insurer that your claim, or a portion of your claim, for coverage of the repair services described in this contract has been denied. If you cancel, any payments made by you under the contract will be returned within 10 business days after the day on which the residential contractor receives your written cancellation notice, except that the residential contractor may retain or collect the reasonable value of any repair work actually performed, if you expressly instructed the residential contractor to perform the repair work without waiting for notice of coverage from your property and casualty insurer.

I HEREBY CANCEL THIS TRANSACTION.

Dated_______

Signature___

Sources and References: Utah Code Title 13, Chapter 50, official current chapter read November 1, 2026.