<img src="http://www.hendraassoc.com/images/Hendra_color_bug190x47%205yr.jpg" border="0" alt="Hendra_color_bug190x47%205yr.jpg" /><br /><font style="font-family:tahoma, sans-serif;color:#003370;">www.hendraassoc.com</font><br /><hr size="10" />
Survey Request Form

Requesting:

Choose one *
 Fee Proposal Request 
 Proceed with Work under prior Fee Agreement and General Conditions below: 
GENERAL CONDITIONS
1. COMPENSATION: Direct personnel expense is defined as the cost of salaries and fringe benefits including vacation, holiday and sick leave pay, contributions for Social Security, Workmen’s Compensation Insurance, retirement benefits, and medical and insurance benefits; unemployment and payroll taxes; and other allowed benefits of those employees directly engaged in the performance of the requested service. In the event the requested service requires the use of non-standard electronic measuring equipment, computers, plotters, and other special equipment such as boats, specialized vehicles, etc., an additional direct charge shall be made for the use of this equipment.
2. INVOICE PROCEDURES AND PAYMENT: Hendra & Associates, Inc. shall submit invoices to CLIENT for work accomplished provided on a Lump Sum basis. Invoices shall include, separately listed, any charges for services for which time charges and unit costs shall apply. Invoices shall also include, separately listed, any charges for Professional Associates and reimbursable costs.
3. CLIENT, as owner or authorized agent for the owner, or as an authorized representative of a governmental entity, hereby agrees that payment will be made upon receipt of the invoice and, in default of such payment, hereby agrees to pay all costs of collection, including reasonable attorney’s fees, whether action be brought or not. CLIENT hereby acknowledges that unpaid invoices shall accrue interest at 1.5% per month after they have been outstanding for over 30 days. Hendra & Associates, Inc. reserves the right to suspend services on CLIENT’S project if an invoice remains unpaid 45 days after date of invoice. Suspension may remain in effect until all unpaid invoices are paid in full. Upon cancellation, abandonment or suspension of the project by CLIENT prior to completion of services to be performed, Hendra & Associates, Inc. shall be paid for all work accomplished through the date of cancellation, abandonment, or suspension, a reasonable fee, but in no event less than the sums then due in accordance with the provisions for compensation, contained herein. Compensation for Professional Services to complete the project on resumption after suspension shall be subject to a new Agreement between CLIENT and Hendra & Associates, Inc.
4. LIMIT OF LIABILITY: The liability of Hendra & Associates, Inc. under this Agreement or for Hendra & Associates, Inc. negligence to CLIENT for any cause or combination of causes shall be limited to only reimbursement to the CLIENT of the fees paid under this Agreement. CLIENT waives any and all claims against employees, agents, officers and directors of Hendra & Associates, Inc.

Request for:

Requestor's Name *
Prefix
First *
Last *
Suffix
Email *
Phone Number *

###
-
###
-
####
Price Quotation for:
(check all that apply)
 Mortgage/Title Survey 
 ALTA Survey 
 Site Design Survey 
 Boundary 
 Topographic 
 Tree Survey 
 Construction Staking 
 Elevation Certificate 
Please indicate the type of survey needed. See www.alta.org for survey standards of ALTA Surveys.
Additional Comments/Notes:
Certification Names/Notes:
Upload a File
Should you have electronic information that can be useful, please provide above.

Property Owner:

Property Owner/Certificate Holder
Prefix
First
Last
Suffix
Email
Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Phone Number

###
-
###
-
####
Contact address *
 Same address as Certifcate 
 Different address 

Property Information

This information is needed for both the quote and the Certificate.
Property ID/Folio#/STRAP
Check all that apply:
 1 Story 
 2 Story 
 Fenced Yard 
 Gated Community 
 Vacant 
 Security Guard 
 Guard Dog 
 Detached Garage 

Title Company

Title Agent/Contact:
Prefix
First
Last
Suffix
Company
Email
Phone Number

###
-
###
-
####
Fax Number

###
-
###
-
####
Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country

Image Verification
captcha
Please enter the text from the image:
[Refresh Image] [What's This?]
Powered byEMF Online Form Builder
Report Abuse
Trouble with this form? Contact info@hendraassoc.com.