AUTO BODY REPAIR AUTHORIZATION & CUSTOMER AGREEMENT

(SOUTH FLORIDA – MIAMI-DADE / BROWARD / PALM BEACH)
Form Version: February 2026

SECTION 2: AUTHORIZATION TO REPAIR, OPERATIONS & DOCUMENTATION

I, the undersigned owner or authorized representative, authorize Moby Auto Collision Repair Center (“Shop”) to receive, store, operate, move, and repair the vehicle identified above.

2.1 SCOPE OF AUTHORIZATION

This authorization includes, but is not limited to:

• Disassembly, teardown, measuring, and inspection to identify visible and hidden damage
• Pre-repair and post-repair diagnostic scanning; resets; calibrations (including ADAS/safety systems) as required by the vehicle and/or manufacturer procedures
• Body, structural, mechanical, and refinishing operations; welding; corrosion protection; OEM-required procedures
• Subletting specialized operations (alignment, glass, mechanical, calibration, etc.) to qualified vendors when necessary
• Preparation and submission of estimates, supplements, photographs, documentation, and invoices to insurers and other payors

2.2 TEST DRIVES / VEHICLE OPERATION

I grant permission for Shop employees and vendors to operate the vehicle on streets, highways, or elsewhere as needed for testing, quality control, calibration validation, and completion of repairs.

2.3 ESTIMATES ARE PRELIMINARY / SUPPLEMENTS

I understand the initial estimate is based on visible damage only and may change after teardown or during repairs. Additional hidden damage is common and may require supplements.

I authorize the Shop to prepare and submit supplements to the insurer (or responsible party). This authorization remains valid regardless of insurance approval timelines, coverage disputes, or claim outcome.

2.4 PERSONAL PROPERTY

I understand the Shop is not responsible for loss or damage to personal items left in the vehicle. I agree to remove valuables and personal property.

SECTION 3: CARE, CUSTODY & PROTECTION (CCP) / STORAGE FEES

3.1 STORAGE RATES

• Outside Storage: $100 per day
• Inside/Secured Storage: $100 per day

3.2 WHEN STORAGE/CCP FEES BEGIN

Storage/CCP fees may begin under any of the following conditions:

• The vehicle remains at the Shop without repair authorization or claim direction beyond 48 hours after drop-off
• Repairs are delayed or placed on hold due to insurance inspections/approvals, parts availability/backorders, customer indecision, coverage disputes, or any reason not caused solely by the Shop
• Repairs are complete and customer is notified, but the vehicle is not picked up within 3 business days
• Repairs are stopped, denied, or canceled and the vehicle remains at the facility

3.3 TOTAL LOSS SITUATIONS

If the vehicle is deemed a total loss, storage/CCP fees continue to accrue daily from the date of drop-off until: (1) all keys are delivered, (2) all balances owed to the Shop are paid in full (including teardown, admin, and storage/CCP), and (3) the vehicle is physically removed from the Shop’s premises.

The Shop is not responsible for insurer delays, inspections, decisions, pickup timing, or salvage arrangements.

3.4 LIMITED LIABILITY / REASONABLE CARE

The Shop will use reasonable care while the vehicle is in its custody. The Shop is not an insurer of the vehicle and is not responsible for loss or damage caused by fire, theft, vandalism, weather, or other causes beyond its control, except to the extent caused by the Shop’s gross negligence or willful misconduct.

SECTION 4: PARTS ORDERING, NON-RETURNABLE PARTS, CANCELLATIONS & RESTOCKING

4.1 AUTHORIZATION TO ORDER PARTS

To reduce delays, I authorize the Shop to order necessary parts promptly after repair authorization.

4.2 NON-RETURNABLE / SPECIAL ORDER PARTS

I understand many parts may be non-returnable and non-refundable once ordered, including (but not limited to):

• Electronic parts, modules, sensors, airbag components, ADAS parts
• OEM special-order or VIN-specific parts
• Painted, cut, installed, or modified parts
• Glass, mirrors, lighting assemblies (as applicable)

4.3 RESTOCKING FEES / CANCELLATION COSTS

If I cancel repairs or remove/transfer the vehicle after parts have been ordered, I agree to pay:

• A restocking fee of 30% on returnable parts (plus any vendor restocking/shipping)
• The full cost of any non-returnable parts
• All labor performed to date (including teardown/diagnostics/scanning/documentation)
• All storage/CCP and administrative fees accrued

SECTION 5: DELAYS & NO GUARANTEE OF COMPLETION TIME / RENTAL RESPONSIBILITY

The Shop does not guarantee a completion date. Delays may occur due to insurance inspections, approvals, supplement review timelines, disputes, appraisals, parts backorders, shipping delays, incorrect/damaged parts, hidden damage discovery, sublet scheduling, and force majeure events.

Rental/alternate transportation is the customer’s responsibility through the insurer or at-fault party. The Shop is not responsible for rental costs, extensions, or coverage limits.

SECTION 6: PAYMENT OBLIGATIONS (CRITICAL)

6.1 CUSTOMER IS THE PRIMARY FINANCIAL OBLIGOR

I understand and agree I am personally responsible for all charges for repairs, labor, parts, sublet, storage/CCP, teardown, administrative fees, and any other amounts due, regardless of insurance coverage, participation, or payment timing.

6.2 AMOUNTS DUE BEFORE RELEASE

All balances must be paid in full before the vehicle is released, including: deductibles, customer-pay items and upgrades, betterment, depreciation, condition-related items, unrelated damage, denied items, caps, or shortfalls not paid by any insurer, storage/CCP, teardown, admin, and documentation fees, and any remaining balance after insurance payments.

6.3 INSURANCE PAYMENTS SENT TO CUSTOMER

If any payment is issued or delivered directly to me (the customer), I agree to immediately endorse and deliver those funds to the Shop. Failure to remit insurance proceeds within five (5) business days of receipt is a material breach of this Agreement. Any insurance proceeds received by me for these repairs are held in trust for payment to the Shop.

6.4 RIGHT TO WITHHOLD VEHICLE / LIEN RIGHTS

The Shop has the right to retain possession of the vehicle until all amounts owed are paid in full.

SECTION 7: TEARDOWN, PARTIAL REPAIRS, STOP-REPAIR DECISIONS & REASSEMBLY

If the vehicle is torn down, inspected, measured, scanned, or worked on and repairs are later stopped, denied, canceled, or redirected for any reason (including total loss), I agree to pay for teardown/inspection labor, diagnostics, scanning, measuring, documentation, parts ordered, reassembly labor if requested, and all storage/CCP and administrative fees accrued.

I understand that incomplete repairs or partial reassembly may result in an unsafe or non-drivable vehicle, and the Shop makes no warranty or guarantee on a vehicle removed without completing proper repairs.

SECTION 8: MECHANIC’S LIEN & ABANDONED VEHICLE PROTECTION

I acknowledge the Shop’s right to assert and enforce a mechanic’s lien under Florida Statutes Section 713.585 for unpaid labor, parts, storage/CCP, and related charges, including the right to detain the vehicle until paid.

If the vehicle is not paid for and removed within the time permitted by law after notification that repairs are complete or will not proceed, the vehicle may be processed as abandoned and/or subject to lien enforcement and sale/disposal as permitted by Florida law. Storage/CCP continues to accrue until removal or lawful disposition.

SECTION 9: ELECTRONIC COMMUNICATIONS, CONSENTS & ELECTRONIC SIGNATURES

I authorize Moby Auto Collision Repair Center to contact me regarding repairs, supplements, claim status, invoices, and pickup via phone call, voicemail, text message (SMS), and email at the contact information provided. Message/data rates may apply. To opt out of texts, reply STOP. Opting out may delay repairs.

I agree this Agreement may be executed by electronic signature and is legally binding under the Electronic

ASSIGNMENT OF BENEFITS, AUTHORIZATION TO SETTLE & DIRECTION TO PAY

(Separate and Independent Authorization – Separate Signature Required)

This section is a material inducement for the Shop to perform repairs and/or extend credit pending insurance payment.

A. IRREVOCABLE ASSIGNMENT OF INSURANCE BENEFITS / PROCEEDS

For valuable consideration, I irrevocably assign, transfer, and convey to Moby Auto Collision Repair Center all rights, benefits, proceeds, and causes of action payable under any applicable policy (mine or a third party’s) arising from this loss, including but not limited to:

• Collision and comprehensive benefits
• Property damage liability payments
• All supplemental payments and re-inspection amounts
• Any payments resulting from appraisal, mediation, arbitration, or litigation relating to repair charges

This assignment remains in effect until all amounts owed to the Shop are paid in full and may not be revoked without the Shop’s written consent.

B. DIRECTION TO PAY

I direct and instruct all insurers and payors to issue all payments for repairs directly to Moby Auto Collision Repair Center by check, draft, ACH, EFT, or any other method. This direction applies to initial and supplemental payments and any other payments relating to repairs.

If any payment is issued jointly to me and the Shop, I agree to immediately endorse it and deliver it to the Shop. If payment is issued solely to me, I agree to immediately deliver the full payment to the Shop.

C. AUTHORIZATION TO ACT ON MY BEHALF / LIMITED POWER OF ATTORNEY

I authorize and appoint Moby Auto Collision Repair Center as my attorney-in-fact (limited to this claim and repair payment only) with authority to:

• Communicate with insurers and payors regarding this claim
• Request and receive policy documents, declarations, coverage explanations, and claim documentation
• Submit estimates, supplements, invoices, photographs, and documentation
• Negotiate repair-related payments and supplements
• Endorse and deposit checks or drafts issued in my name or jointly payable for repair charges

This authorization is coupled with an interest and is irrevocable until all amounts owed to the Shop are paid in full.

D. PARTIAL PAYMENT UNDER PROTEST – NO WAIVER / NO ACCORD & SATISFACTION

Any partial or reduced payment received and/or deposited by the Shop is accepted under protest and without prejudice. Acceptance, negotiation, or deposit of a partial payment: is not acceptance of insurer valuation, does not waive the right to full payment, does not constitute accord and satisfaction, and does not release the insurer or customer from liability for any remaining balance.

E. CUSTOMER RESPONSIBILITY FOR SHORTFALLS

I understand and agree I remain personally responsible for any unpaid balance for any reason, including deductibles, denials, exclusions, caps, depreciation, betterment, disputed procedures, labor rate disputes, delayed payments, or policy limits. The Shop is not required to pursue my insurer before pursuing payment from me.