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Stivers Ford of Birmingham Collison Repair Authorization Statement

I, the undersigned, hereby authorize Stivers Ford of Birmingham and its staff of employees to restore and repair my vehicle, and to drive my vehicle as part of any necessary testing and/or inspection process.

I recognize and accept that an express mechanic's lien is acknowledged on my vehicle. This lien secures the amount of repairs thereto.

I recognize and accept that Stivers Ford of Birmingham is not to be held responsible for any items left in the vehicle (including clothing, golf clubs, CDs, credit cards, money, sunglasses, and personal devices such as iPods, iPads, and digital cameras) or the theft of the vehicle in question. To avert this situation entirely, please remove all personal items from your vehicle before dropping it off for repairs and service at Stivers Ford of Birmingham.

I recognize and accept that Stivers Ford of Birmingham is not responsible for suppling or funding any auto rental service while my vehicle is in the shop and as it undergoes the repair process.

I recognize and accept that Stivers Ford of Birmingham will enact a daily storage fee if my vehicle remains on their premises for more than 72 hours after the completion and notification of my vehicle's repair or restoration.

I recognize and accept that Stivers Ford of Birmingham is not able to release any vehicle serviced and restored at their collision repair center without the delivery of full and complete payment for the services rendered.

Either in advance or upon completion, I understand that I am responsible for payment in full for the work and services required to repair my vehicle. It is my responsibility to confirm and receive payment from my insurance company or from whichever party intends to supply the funds necessary to pay for my vehicle's repairs and restoration.

I authorize my insurance company to pay Stivers Ford of Birmingham directly for all original repairs and any supplemental charges. I also authorize Stivers Ford of Birmingham to endorse my name on any checks received from my insurance company related to payment for the repair and restoration of my vehicle.

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