Hardwood and Laminate Installer Assessment Worksheet

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1 Contact customer to schedule assessment within two business days and return this form within one day of assessment completion. Assessment Date: Installers: Please fax all completed forms with barcode page on top to Lowe s at , or to Lowesdocs@Lowes.com Customer Information Name: Business Name: Address: City, State, ZIP: Primary Phone #: Secondary Phone #: Primary Contact Method: Installer Information Name: Project #: Job #: Store: Store Phone #: Sales Associate: Date Sold: Basic Installation Includes: Review jobsite with customer prior to starting and point out any existing damage to baseboards or walls Basic floor prep including minor scraping and sweeping to establish a clean, smooth working surface Installation of 6 ml poly moisture barrier (if applicable) and foam underlayment (if necessary) Installation of new laminate floor in customer s property in straight lay pattern Installation of installer supplied metal transitions (silver or gold) up to 16 linear feet Final clean up of job site - Remove all job related trash (vacuum or sweep one time) Final installer / customer walkthrough of project Basic Labor Price Includes: Metal transitions (silver or gold) up to 16 linear feet Sell to the Customer: Laminate flooring Underlayment foam and tape for free floating or edge-lock floor 6ml poly moisture barrier Adhesive for glue down or floating flooring Any transition material other than silver or gold metal (wood, marble, etc.) Subfloor panels (if required) Base / Quarter round / Shoe molding Wax ring, water supply line, new bolts for toilets Services Available At Additional Charge: Installation of moldings Moving normal or large household furniture Permit fee (if applicable) Floor leveling Cutdown interior door Reconnect ice maker Installation of patterns Remove and replace appliances Remove and replace toilet Removal and haul away of existing flooring Services Not Offered By Lowe s: Structural modifications Lowe s does not disconnect/reconnect gas appliances Move pianos, aquariums, waterbeds, antiques, pool tables, etc Move electronics (computers, stereos, home theaters, televisions, medical equipment, alarm systems, etc.) Lowe s does not remove vinyl flooring (may contain asbestos) Other Information: 1 Year Installation Warranty pg. 1 / 5

2 Service - Laminate & Cork SQ. FT. Labor Laminate & Cork - Tier I SQ. FT. Labor Laminate & Cork - Teir II SQ. FT. Labor Laminate & Cork - Tier III Service Options - Laminate & Cork EACH Move Furniture - Laminate & Cork by room EACH Cut Down Interior Door - Laminate & Cork LINEAR FT. Install Molding - Laminate & Cork LINEAR FT Install Transitions - Laminate & Cork SQ. FT. Pattern Upcharge - Laminate & Cork EACH Remove & Replace Toilet - Laminate & Cork EACH Reconnect Ice Maker - Laminate & Cork EACH Remove & Replace Appliance - Laminate & Cork EACH Local Acess Fee - Laminate & Cork EACH Permit Fee - Laminate & Cork EACH Mileage Fee - Laminate & Cork EACH Custom Work - Laminate & Cork Explanation of Custom Work: pg. 2 / 5

3 Service - Hardwood SQ. FT. Labor Hardwood - Nail Down SQ. FT. Labor Hardwood - Glue Down SQ. FT. Labor Hardwood - Locking Service Options - Hardwood SQ. FT. Install Plywood Underlayment - Hardwood SQ. FT. Install Moisture Barrier - Hardwood SQ. FT. Pattern Upcharge - Hardwood Herringbone SQ. FT. Pattern Upcharge - Hardwood Diagonal SQ. FT. Labor Border - Hardwood EACH Move Furniture - Hardwood by room EACH Cut Down Interior Door - Hardwood LINEAR FT. Install Molding - Hardwood LINEAR FT Install Transitions - Hardwood EACH Labor Feature Strip - Hardwood EACH Remove & Replace Toilet - Hardwood EACH Reconnect Ice Maker - Hardwood EACH Remove & Replace Appliance - Hardwood EACH Local Access Fee - Hardwood EACH Permit Fee - Hardwood EACH Mileage Fee - Hardwood EACH Custom Work - Hardwood Explanation of Custom Work: pg. 3 / 5

4 Service Options - Removal & Haul Away for Laminate, Cork, & Hardwood SQ. FT. Remove & Haul Away - Carpet and Pad no Glue SQ. FT. Remove & Haul Away - Glue Down Carpet SQ. FT. Remove & Haul Away - Laminate SQ. FT. Remove & Haul Away - Wood Floating SQ. FT. Remove & Haul Away - Wood Nail Down SQ. FT. Remove & Haul Away - Wood Glue Down SQ. FT. Remove & Haul Away - Tile or Stone Service Options - Lead Safe Practices for Laminate, Cork, & Hardwood EACH Lead Safe Practices - Laminate / Cork / Hardwood Comments/Notes: pg. 4 / 5

5 FLOORING ASSESSMENT DIAGRAM 1 square = 1 foot **Draw layout diagram, patterns, and indicate board direction on the grid** Room Size / Material sq. ft. example: living room A 12 x18 / carpet 216 sq. ft. B C D E F G H Total sq. ft. prod 1 Total sq. ft. prod 2 Customer Approval of Seam Placement (as shown on diagram) Overage: Additional flooring material will be ordered based on waste factors determined by industry standards. pg. 5/ 5

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