en-USMediation:en-US If you would like the AAA to contact the other parties and attempt to arrange a mediation, please check this box en-US. en-USThere is no additional administrative fee for this service.en-USName of Respondent: en-USAddress: en-USCity: en-USState: en-USZip Code: en-USPhone No.: en-USFax No.: en-USEmail Address: en-USName of Representative (if known): en-USName of Firm (if applicable): en-USRepresentative222s Address: en-USCity: en-USState: en-USZip Code: en-USPhone No.: en-USFax No.: en-USEmail Address: en-USThe named claimant, a party to an arbitration agreement dated en-US, which provides for en-US en-USarbitration under the en-USConstruction Industry Rules of the American Arbitration Association, hereby demands arbitration.en-USArbitration Clause:en-US Please indicate whether the contract containing the dispute resolution clause governing this dispute is a en-US en-USstandard industry form contract (such as AIA, ConsensusDOCS or AGC) or a customized contract for the speci037c project.en-USContract Form: en-USThe Nature of the Dispute:en-USDollar Amount of Claim: $ en-USOther Relief Sought: en-US Attorneys Fees en-US Interest en-US Arbitration Costs en-US Punitive/Exemplary en en-US Other: en-US en-USAmount Enclosed: $ en-US en-USIn accordance with Fee Schedule: en-US Flexible Fee Schedule en-US Standard Fee Scheduleen-USPlease describe appropriate quali037cations for arbitrator(s) to be appointed to hear this dispute:en-USHearing Locale Requested: en-USProject Site: American LegalNet, Inc. www.FormsWorkFlow.com en-USEstimated Time Needed for Hearings Overall: en-US hours or en-US daysen-USSpecify Type of Business: en-USClaimant: en-US Respondent: en-USYou are hereby noti037ed that a copy of our arbitration agreement and this demand are being 037led with the American Arbitration en-USAssociation with a request that it commence administration of the arbitration. The AAA will provide notice of your opportunity to 037le en-USan answering statement. en-USSignature (may be signed by a representative): en-USDate: en-USName of Claimant: en-USAddress (to be used in connection with this case): en-USCity: en-USState: en-USZip Code: en-USPhone No.: en-USFax No.: en-USEmail Address: en-USName of Representative: en-USName of Firm (if applicable): en-USRepresentative222s Address: en-USCity: en-USState: en-USZip Code: en-USPhone No.: en-USFax No.: en-USEmail Address: en-USTo begin proceedings, please send a copy of this Demand and the Arbitration Agreement, along with the 037ling fee as provided for en-USin the Rules, to: American Arbitration Association, Case Filing Services, 1101 Laurel Oak Road, Suite 100, Voorhees, NJ 08043. en-US en-USSend the original Demand to the Respondent. American LegalNet, Inc. www.FormsWorkFlow.com