Kansas City Area 913-538-4598 • Wichita, KS 316-243-9770 • Omaha, NE 402-739-8337
• Oklahoma City, OK 405-594-7857

Supplement Data Sheet

Supplemental Data Sheet

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[et_pb_kkcomplex_form notify_subj=”NS Contracting Supplement Data Sheet” email=”northstarturnin@gmail.com| priscilla@nsg50.com| skmediadesign2020@gmail.com| aldo@nsg50.com| shannon@nsg50.com” notification_msg=”

%22%22SUPPLEMENT DATA SHEET

Customer Name: %%customername%%
Phone: %%phone%%
Address: %%address%%
Insurance Company: %%insurancecompany%%
Claim Number: %%claimnumber%%
Scope Included: %%scopeincluded%%
Reinspect: %%reinspect%%
Windows: %%windows%%
Window Pic Sent: %%windowpicssent%%
Attached Window Pics: %%attachwindowpics%%
Gutters: %%gutters%%
1 or 2 Story: %%12storybuilding%%
LF Right: %%lfright%%
LF Left: %%lfleft%%
LF Back: %%lfback%%
LF Front: %%lffront%%
# of Downspouts: %%numberdownspouts%%
Downspout 1 LF: %%gdslf%%
Downspout 2 LF: %%gdslf2%%
Downspout 3 LF: %%gdslf3%%
Downspout 4 LF: %%gdslf4%%
Downspout 5 LF: %%gdslf5%%
Downspout 6 LF: %%gdslf6%%
Gutter Pic Sent: %%gutterpicsent%%
Attached Gutter Pics: %%attachgutterpics%%
Fence: %%fence%%
Fence LF: %%fencelf%%
Painted or Stained: %%paintedstained%%
Fence Type: %%fencetype%%
Fence Color: %%fencecolor%%
Fence Location: %%fencelocation%%
Fence Pic Sent: %%fencepicssent%%
Attached Fence Pics: %%attachfencepics%%
Window Wraps: %%windowwraps%%
Window Wrap Pics Sent: %%windowwrappicssent%%
Attached Wind Wrap Pics: %%attachwindowwrappics%%
Window Wrap Qty: %%windowwrapqty%%
Deck: %%deck%%
Deck Sq Ft: %%decksqft%%
Hand Rail LF: %%handraillf%%
Deck Stained or Painted: %%deckstainpaint%%
Screens: %%screens%%
Screen Qty: %%screenqty%%
Screen Pic Sent: %%screenpicssent%%
Attached Screen Pics: %%attachscreenpics%%
AC Unit: %%acunit%%
AC Comb or Replacement: %%accombreplacement%%
AC Pic Sent: %%acpicssent%%
Attached AC Pics: %%attachacpics%%
AC Type: %%actype%%
AC Year: %%acyear%%
Additional Info: %%additionalinfo%%

 

All Pics Sent by Cam Scan: %%allpicssentcamscan%%
Attached Contingent: %%attachcontingent%%
Attached Data Sheet: %%attachdatasheet%%
Attached Insurance Scope: %%attachinsurancescope%%

” captcha=”off” subbutton_text=”SUBMIT FORM” success_msg=”

SDS FORM SUCCESSFULLY SUBMITTED

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field_title=”Downspout 5 LF” field_id=”gdslf5″ conditional_logic=”on” conditional_logic_rules=”%91{%22field%22:%22numberdownspouts%22,%22condition%22:%22is greater%22,%22value%22:%224%22}%93″ tab_label=”gdslf5″ half_col=”on” required=”on” _builder_version=”4.6.0″ _module_preset=”default”][/et_pb_kkcompform_field][et_pb_kkcompform_field field_type=”text” field_title=”Downspout 6 LF” field_id=”gdslf6″ conditional_logic=”on” conditional_logic_rules=”%91{%22field%22:%22numberdownspouts%22,%22condition%22:%22is greater%22,%22value%22:%225%22}%93″ tab_label=”gdslf6″ half_col=”on” required=”on” _builder_version=”4.6.0″ _module_preset=”default”][/et_pb_kkcompform_field][et_pb_kkcompform_field field_type=”radio” radio_group=”%91{%22value%22:%22Yes%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22No%22,%22checked%22:0,%22dragID%22:0}%93″ radio_options=”%91{%22value%22:%22Yes%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22No%22,%22checked%22:0,%22dragID%22:0}%93″ field_title=”Gutter Pics 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field_id=”screenpicssent” conditional_logic=”on” conditional_logic_rules=”%91{%22field%22:%22screens%22,%22condition%22:%22is%22,%22value%22:%22Yes%22}%93″ tab_label=”screenpicssent” half_col=”on” required=”on” _builder_version=”4.5.6″ _module_preset=”default”][/et_pb_kkcompform_field][et_pb_kkcompform_field field_type=”file” uploadsize=”600000000″ make_mult=”on” field_title=”Attach Screen Pics” field_id=”attachscreenpics” conditional_logic=”on” conditional_logic_rules=”%91{%22field%22:%22screenpicssent%22,%22condition%22:%22is%22,%22value%22:%22No%22}%93″ tab_label=”attachscreenpics” half_col=”on” required=”on” _builder_version=”4.5.6″ _module_preset=”default”][/et_pb_kkcompform_field][et_pb_kkcompform_field field_type=”radio” radio_group=”%91{%22value%22:%22Yes%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22No%22,%22checked%22:0,%22dragID%22:0}%93″ radio_options=”%91{%22value%22:%22Yes%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22No%22,%22checked%22:0,%22dragID%22:0}%93″ field_title=”Windows” field_id=”windows” tab_label=”windows” half_col=”on” required=”on” _builder_version=”4.5.6″ _module_preset=”default”][/et_pb_kkcompform_field][et_pb_kkcompform_field field_type=”text” field_title=”Window Quantity” field_id=”windowqty” conditional_logic=”on” conditional_logic_rules=”%91{%22field%22:%22windows%22,%22condition%22:%22is%22,%22value%22:%22Yes%22}%93″ tab_label=”windowqty” half_col=”on” required=”on” _builder_version=”4.5.6″ _module_preset=”default”][/et_pb_kkcompform_field][et_pb_kkcompform_field field_type=”radio” radio_group=”%91{%22value%22:%22Yes%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22No%22,%22checked%22:0,%22dragID%22:0}%93″ radio_options=”%91{%22value%22:%22Yes%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22No%22,%22checked%22:0,%22dragID%22:0}%93″ field_title=”Window Pics Sent” field_id=”windowpicssent” conditional_logic=”on” conditional_logic_rules=”%91{%22field%22:%22windows%22,%22condition%22:%22is%22,%22value%22:%22Yes%22}%93″ tab_label=”windowpicssent” half_col=”on” required=”on” _builder_version=”4.5.6″ _module_preset=”default”][/et_pb_kkcompform_field][et_pb_kkcompform_field field_type=”file” uploadsize=”600000000″ make_mult=”on” field_title=”Attach Window Pics” field_id=”attachwindowpics” conditional_logic=”on” conditional_logic_rules=”%91{%22field%22:%22windowpicssent%22,%22condition%22:%22is%22,%22value%22:%22No%22}%93″ tab_label=”attachwindowpics” half_col=”on” required=”on” _builder_version=”4.5.6″ _module_preset=”default”][/et_pb_kkcompform_field][et_pb_kkcompform_field field_type=”radio” radio_group=”%91{%22value%22:%22Yes%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22No%22,%22checked%22:0,%22dragID%22:0}%93″ radio_options=”%91{%22value%22:%22Yes%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22No%22,%22checked%22:0,%22dragID%22:0}%93″ field_title=”Fence” field_id=”fence” tab_label=”fence” half_col=”on” required=”on” _builder_version=”4.5.6″ _module_preset=”default”][/et_pb_kkcompform_field][et_pb_kkcompform_field field_type=”text” field_title=”Fence LF” field_id=”fencelf” conditional_logic=”on” conditional_logic_rules=”%91{%22field%22:%22fence%22,%22condition%22:%22is%22,%22value%22:%22Yes%22}%93″ tab_label=”fencelf” half_col=”on” required=”on” _builder_version=”4.5.6″ _module_preset=”default”][/et_pb_kkcompform_field][et_pb_kkcompform_field field_type=”radio” stackrad=”on” radio_group=”%91{%22value%22:%22Painted%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22Stained%22,%22checked%22:0,%22dragID%22:0},{%22value%22:%22No%22,%22checked%22:0,%22dragID%22:1}%93″ radio_options=”%91{%22value%22:%22Painted%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22Stained%22,%22checked%22:0,%22dragID%22:0},{%22value%22:%22No%22,%22checked%22:0,%22dragID%22:1}%93″ field_title=”Painted or Stained” field_id=”paintedstained” conditional_logic=”on” conditional_logic_rules=”%91{%22field%22:%22fence%22,%22condition%22:%22is%22,%22value%22:%22Yes%22}%93″ tab_label=”paintedstained” half_col=”on” required=”on” _builder_version=”4.5.6″ _module_preset=”default”][/et_pb_kkcompform_field][et_pb_kkcompform_field field_type=”text” field_title=”Fence Type” field_id=”fencetype” conditional_logic=”on” conditional_logic_rules=”%91{%22field%22:%22fence%22,%22condition%22:%22is%22,%22value%22:%22Yes%22}%93″ tab_label=”fencetype” half_col=”on” required=”on” _builder_version=”4.5.6″ _module_preset=”default”][/et_pb_kkcompform_field][et_pb_kkcompform_field field_type=”text” field_title=”Fence Color” field_id=”fencecolor” conditional_logic=”on” conditional_logic_rules=”%91{%22field%22:%22fence%22,%22condition%22:%22is%22,%22value%22:%22Yes%22}%93″ tab_label=”fencecolor” half_col=”on” required=”on” _builder_version=”4.5.6″ _module_preset=”default”][/et_pb_kkcompform_field][et_pb_kkcompform_field field_type=”text” field_title=”Fence Location” field_id=”fencelocation” conditional_logic=”on” conditional_logic_rules=”%91{%22field%22:%22fence%22,%22condition%22:%22is%22,%22value%22:%22Yes%22}%93″ tab_label=”fencelocation” half_col=”on” required=”on” _builder_version=”4.5.6″ _module_preset=”default”][/et_pb_kkcompform_field][et_pb_kkcompform_field field_type=”radio” radio_group=”%91{%22value%22:%22Yes%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22No%22,%22checked%22:0,%22dragID%22:0}%93″ radio_options=”%91{%22value%22:%22Yes%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22No%22,%22checked%22:0,%22dragID%22:0}%93″ field_title=”Fence Pics Sent” field_id=”fencepicssent” conditional_logic=”on” conditional_logic_rules=”%91{%22field%22:%22fence%22,%22condition%22:%22is%22,%22value%22:%22Yes%22}%93″ tab_label=”fencepicssent” half_col=”on” required=”on” _builder_version=”4.5.6″ _module_preset=”default”][/et_pb_kkcompform_field][et_pb_kkcompform_field field_type=”file” uploadsize=”600000000″ make_mult=”on” field_title=”Attach Fence Pics” field_id=”attachfencepics” conditional_logic=”on” conditional_logic_rules=”%91{%22field%22:%22fencepicssent%22,%22condition%22:%22is%22,%22value%22:%22No%22}%93″ tab_label=”attachfencepics” half_col=”on” required=”on” _builder_version=”4.5.6″ _module_preset=”default”][/et_pb_kkcompform_field][et_pb_kkcompform_field field_type=”radio” radio_group=”%91{%22value%22:%22Yes%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22No%22,%22checked%22:0,%22dragID%22:0}%93″ radio_options=”%91{%22value%22:%22Yes%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22No%22,%22checked%22:0,%22dragID%22:0}%93″ field_title=”Deck” field_id=”deck” tab_label=”deck” half_col=”on” required=”on” _builder_version=”4.5.6″ _module_preset=”default”][/et_pb_kkcompform_field][et_pb_kkcompform_field field_type=”text” field_title=”Deck Sq Ft” field_id=”decksqft” conditional_logic=”on” conditional_logic_rules=”%91{%22field%22:%22deck%22,%22condition%22:%22is%22,%22value%22:%22Yes%22}%93″ tab_label=”decksqft” half_col=”on” required=”on” _builder_version=”4.5.6″ _module_preset=”default”][/et_pb_kkcompform_field][et_pb_kkcompform_field field_type=”text” field_title=”Hand Rail Linear Feet” field_id=”handraillf” conditional_logic=”on” conditional_logic_rules=”%91{%22field%22:%22deck%22,%22condition%22:%22is%22,%22value%22:%22Yes%22}%93″ tab_label=”handraillf” half_col=”on” required=”on” _builder_version=”4.5.6″ _module_preset=”default”][/et_pb_kkcompform_field][et_pb_kkcompform_field field_type=”radio” stackrad=”on” radio_group=”%91{%22value%22:%22Stained%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22Painted%22,%22checked%22:0,%22dragID%22:0},{%22value%22:%22No%22,%22checked%22:0,%22dragID%22:1}%93″ radio_options=”%91{%22value%22:%22Stained%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22Painted%22,%22checked%22:0,%22dragID%22:0},{%22value%22:%22No%22,%22checked%22:0,%22dragID%22:1}%93″ field_title=”Deck Stained or Painted” field_id=”deckstainpaint” conditional_logic=”on” conditional_logic_rules=”%91{%22field%22:%22deck%22,%22condition%22:%22is%22,%22value%22:%22Yes%22}%93″ tab_label=”deckstainpaint” half_col=”on” required=”on” _builder_version=”4.5.6″ _module_preset=”default”][/et_pb_kkcompform_field][et_pb_kkcompform_field field_type=”radio” radio_group=”%91{%22value%22:%22Yes%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22No%22,%22checked%22:0,%22dragID%22:0}%93″ radio_options=”%91{%22value%22:%22Yes%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22No%22,%22checked%22:0,%22dragID%22:0}%93″ field_title=”AC Unit” field_id=”acunit” tab_label=”acunit” half_col=”on” required=”on” _builder_version=”4.5.6″ _module_preset=”default”][/et_pb_kkcompform_field][et_pb_kkcompform_field field_type=”radio” radio_group=”%91{%22value%22:%22Comb%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22Replacement%22,%22checked%22:0,%22dragID%22:0}%93″ radio_options=”%91{%22value%22:%22Comb%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22Replacement%22,%22checked%22:0,%22dragID%22:0}%93″ field_title=”AC Comb or Replacement” field_id=”accombreplacement” conditional_logic=”on” conditional_logic_rules=”%91{%22field%22:%22acunit%22,%22condition%22:%22is%22,%22value%22:%22Yes%22}%93″ tab_label=”accombreplacement” half_col=”on” required=”on” _builder_version=”4.5.6″ _module_preset=”default”][/et_pb_kkcompform_field][et_pb_kkcompform_field field_type=”radio” radio_group=”%91{%22value%22:%22Yes%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22No%22,%22checked%22:0,%22dragID%22:0}%93″ radio_options=”%91{%22value%22:%22Yes%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22No%22,%22checked%22:0,%22dragID%22:0}%93″ field_title=”AC Pics Sent” field_id=”acpicssent” conditional_logic=”on” conditional_logic_rules=”%91{%22field%22:%22acunit%22,%22condition%22:%22is%22,%22value%22:%22Yes%22}%93″ tab_label=”acpicssent” half_col=”on” required=”on” _builder_version=”4.5.6″ _module_preset=”default”][/et_pb_kkcompform_field][et_pb_kkcompform_field field_type=”file” uploadsize=”600000000″ make_mult=”on” field_title=”Attach AC Pics” field_id=”attachacpics” conditional_logic=”on” conditional_logic_rules=”%91{%22field%22:%22acpicssent%22,%22condition%22:%22is%22,%22value%22:%22No%22}%93″ tab_label=”attachacpics” half_col=”on” required=”on” _builder_version=”4.5.6″ _module_preset=”default”][/et_pb_kkcompform_field][et_pb_kkcompform_field field_type=”text” field_title=”AC Type” field_id=”actype” conditional_logic=”on” conditional_logic_rules=”%91{%22field%22:%22acunit%22,%22condition%22:%22is%22,%22value%22:%22Yes%22}%93″ tab_label=”actype” half_col=”on” required=”on” _builder_version=”4.5.6″ _module_preset=”default”][/et_pb_kkcompform_field][et_pb_kkcompform_field field_type=”text” field_title=”AC Year” field_id=”acyear” conditional_logic=”on” conditional_logic_rules=”%91{%22field%22:%22acunit%22,%22condition%22:%22is%22,%22value%22:%22Yes%22}%93″ tab_label=”acyear” half_col=”on” required=”on” _builder_version=”4.5.6″ _module_preset=”default”][/et_pb_kkcompform_field][et_pb_kkcompform_field field_type=”textarea” field_title=”Additional Info” field_id=”additionalinfo” conditional_logic=”on” conditional_logic_rules=”%91{%22field%22:%22acunit%22,%22condition%22:%22is%22,%22value%22:%22Yes%22}%93″ tab_label=”additionalinfo” required=”on” _builder_version=”4.5.6″ _module_preset=”default”][/et_pb_kkcompform_field][et_pb_kkcompform_field field_type=”radio” radio_group=”%91{%22value%22:%22Yes%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22No%22,%22checked%22:0,%22dragID%22:0}%93″ radio_options=”%91{%22value%22:%22Yes%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22No%22,%22checked%22:0,%22dragID%22:0}%93″ field_title=”All Pics Sent By Cam Scan” field_id=”allpicssentcamscan” tab_label=”allpicssentcamscan” half_col=”on” required=”on” _builder_version=”4.5.6″ _module_preset=”default”][/et_pb_kkcompform_field][et_pb_kkcompform_field field_type=”file” uploadsize=”600000000″ make_mult=”on” field_title=”Attach Cam Scan or Related Pics” field_id=”attachcamscanpics” conditional_logic=”on” conditional_logic_rules=”%91{%22field%22:%22allpicssentcamscan%22,%22condition%22:%22is%22,%22value%22:%22No%22}%93″ tab_label=”attachcamscanpics” half_col=”on” required=”on” _builder_version=”4.5.6″ _module_preset=”default”][/et_pb_kkcompform_field][et_pb_kkcompform_field field_type=”file” uploadsize=”600000000″ make_mult=”on” field_title=”Attach Contingent” field_id=”attachcontingent” tab_label=”attachcontingent” required=”on” _builder_version=”4.5.6″ _module_preset=”default”][/et_pb_kkcompform_field][et_pb_kkcompform_field field_type=”file” uploadsize=”600000000″ make_mult=”on” field_title=”Attach Data Sheet” field_id=”attachdatasheet” tab_label=”attachdatasheet” required=”on” _builder_version=”4.5.6″ _module_preset=”default”][/et_pb_kkcompform_field][et_pb_kkcompform_field field_type=”file” uploadsize=”600000000″ make_mult=”on” field_title=”Attach Insurance Scope *Add all related photos and documents by selecting multiple files when submitted here.” field_id=”attachinsurancescope” tab_label=”attachinsurancescope” required=”on” _builder_version=”4.7.7″ _module_preset=”default” hover_enabled=”0″ sticky_enabled=”0″][/et_pb_kkcompform_field][/et_pb_kkcomplex_form]

These files must be attached

b

CONTINEGENT

i

Data Sheet

n

Insurance Scope

REMINDER: ALL DOCS NEED TO BE SENT