ADVENTURE ATV & REC RENTALS S CORP RENT ADVENTURES LLC

Size: px
Start display at page:

Download "ADVENTURE ATV & REC RENTALS S CORP RENT ADVENTURES LLC"

Transcription

1 CUSTOMER INFORMATION ADVENTURE ATV & REC RENTALS S CORP RENT ADVENTURES LLC RIDE DATE VEHICLE DRIVEN NAME DATE OF BIRTH ADDRESS DRIVERS LICENSE # CITY STATE ZIP PHONE EMERGENCY CONTACT(name/phone) ARRIVAL TIME CHECK BELOW I authorize the release of any and all medical records for the following person(s) listed on this form, in the event of an injury while utilizing the services of Adventure ATV & Rec Rentals S Corp, Rent Adventures, LLC. I have read, understand and agree to all Riding Rules and Regulations. I have read, understand and agree to the Assumption of Risk, Release of Liability and Indemnity Agreement. I read, understand and agree to the Adventure ATV & Rec Rentals S Corp, Rent Adventures, LLC Insurance Application. Signature LIST ALL RIDERS AND NON-RIDERS IN YOUR FAMILY/GROUP AGE NAME (PRINT) SIGNATURE (OR GUARDIAN) OFFICE USE TOTAL$

2 ADVENTURE ATV & REC RENTALS S CORP RENT ADVENTURES LLC RIDING RULES & REGULATIONS AFTER THE MACHINE LEAVES ADVENTURE ATV AND REC. RENTAL, RENT ADVENTURES LLC, SAFETY IS THE SOLE RESPONSIBILITY OF THE RENTER. ATV, Side-by-Side & Dirt Bike 1. Never leave a machine unattended 2. Keep both hands on the steering apparatus at all times 3. Be aware of your surroundings and other riders at all times. 4. Always wear a DOT-compliant helmet, goggles, long sleeves, long pants, over-the-ankle boots, and gloves. 5. Never ride on paved roads except to cross when done safely and permitted by law - another vehicle could hit you. Machines are designed to be operated for off-highway use. 6. Never operate any machine under the influence of alcohol or drugs. 7. Never carry a passenger on a single-rider ATV, and no more than one passenger on an ATV specifically designed for two people. 8. Ride a machine that's right for your age, size, ability, and skill level. 9. Riders under the age of 18 must be supervised by their guardian at all times. 10. Ride only on designated marked\approved trails and at a safe speed. Riders will be responsible for all fines received for not following laws. 11. Always look well ahead and choose a speed that is proper for the terrain, visibility, operating conditions, and your experience Side-by-Sides 1. Seatbelts must be worn at all times. The throttle will be limited without the seatbelt in place. 2. Nets must be in place at all times. Signature Date

3 ADVENTURE ATV & REC RENTALS S CORP RENT ADVENTURES LLC ASSUMPTION OF RISK, RELEASE OF LIABILITY AND INDEMNITY AGREEMENT In consideration of Adventure ATV & Rec. Rentals, Rent Adventures, LLC permitting me and/or my minor child to participate in Recreational Activities, utilizing equipment owned by Adventure ATV & Rec Rentals S Corp, Rent Adventures, LLC, I, the under signed, for myself, and for my child if a participant, and our heirs, personal representatives, successors and assigns, agree to the following terms and conditions. Recreational Activities mean all recreational activities provided, offered or permitted by Adventure ATV & Rec. Rentals S Corp, Rent Adventures, LLC, including, but not limited to, the use or operation of motorcycles, all-terrain vehicles and other types of motorized vehicles for off-road driving, motor-cross or racing on all tracks, trails, improvements, buildings, facilities, equipment or goods. Recreational Activities also include your participation or involvement in activities as a driver, operator, passenger, sponsor, mechanic, or person otherwise assisting or supporting the use or operation of a vehicle owned by Adventure ATV & Rec Rentals S Corp, Rent Adventures, LLC. I choose to participate in the Recreational Activities voluntarily and of my free will. I know that (1) the Recreational Activities are dangerous and involve inherent risks to my health and safety including, but not limited to, bodily injury, paralysis, disability, dismemberment or death; (2) some of the risks include collisions, crashes, vehicle roll-overs, falls, fires, explosions, mechanical failure, acts or omissions of other persons, and forces of nature such as rain, wind, ice and lightning; (3) the Recreational Activities are physically demanding and could cause serious or life threatening medical conditions like heart attack or stroke; (4) equipment used in Recreational Activities may break, fail or malfunction, despite reasonable maintenance and use. Some of the equipment used may inflict injuries even when used as intended; (5) these are some, but not all, of the risks inherent in Recreational Activities; a complete listing of inherent and other risks is not possible. There are also risks which cannot be anticipated; (6) by participating in the Recreational Activities I am voluntary and of my free will exposing myself to these risks and dangers with full knowledge that they may result in my injury or death. With full knowledge and acceptance of these facts, I expressly ASSUME THE RISK of my participation in the Recreational Activities and agree that Adventure ATV & Rec Rentals S Corp, Rent Adventures, LLC and the Released Parties shall have no liability or legal duty to me for the risks that I am voluntarily and expressly assuming. I also know that I may be injured, damaged or die as a result of the acts or omissions of other persons including the negligence or gross negligence of Adventure ATV & Rec Rentals S Corp, Rent Adventures, LLC, its employees or representatives. Acknowledging that such risks exist, I hereby forever RELEASE AND DISCHARGE Adventure ATV & Rec Rentals S Corp, Rent Adventures, LLC and their respective officers, managers, members, employees, representatives, agents, successors and assigns (the Released Parties ), of and from any and all 1

4 liabilities, strict liability, claims, damages, punitive damages, property damage, actions or causes of action, that I, anyone on my behalf, my heirs, or personal representative have or may have for or relating to any injury or damage to my person or property suffered or claimed to have been suffered by me or death which arises out of, is related to, results from, or is caused in whole or in part by my participation in any of the Recreational Activities hosted or sponsored by Adventure ATV & Rec Rentals S Corp, Rent Adventures, LLC, including, but not limited to, any claim that an act or omission was caused in whole or in part by the NEGLIGENCE or GROSS NEGLIGENCE of one or more of the Released Parties or by hidden, latent or obvious defects at Adventure ATV & Rec Rentals S Corp, Rent Adventures, LLC, or equipment owned by Adventure ATV & Rec Rentals S Corp, Rent Adventures, LLC. I certify, covenant and warrant that: I have the skills and ability needed to carefully and competently participate in the Recreational Activities, which I will employ; I have no health condition that will put me or others at increased risk while participating in the Recreational Activities; I will follow all rules and safety standards applicable to the Recreational Activities; I am solely responsible for selecting the trail that best suits my experience and ability; and under no circumstances will I leave a marked trail. If the participant in Recreation Activities is a minor, both the minor participant and his or her parent or legal guardian further certify, covenant and warrant that: the parent or legal guardian signing below is the legal parent or legal guardian of the minor; has legal custody of the minor; has the legal right to act on behalf of the minor; has legal authority to enter into this Agreement and bind the minor to its terms; the parent or legal guardian is signing individually and on behalf of the minor; and the parent or legal guardian and the minor both agree to the terms hereof. The laws of the State of Colorado shall govern this Agreement. Any provision or term of this Agreement that is invalid, illegal or unenforceable in any respect shall be severed and ineffective to the extent of such invalidity, illegality or unenforceability without in any way affecting the validity, legality or enforceability of the remaining provisions and terms of the Agreement. I have read and fully understand this Assumption of Risk, Release of Liability and Indemnity Agreement and agree to be bound by its terms. I understand that by signing this Agreement I am waiving significant legal rights, including the right to assert claims against, sue or recover from Adventure ATV & Rec Rentals S Corp, Rent Adventures, LLC and the Released Parties. I sign this Agreement freely and willingly. Adult Information: Print Participant Name: Participant Age and D/B : Participant Signature: X Date: Parent/Legal Guardian of Minor Information: Print Minor Participant Name: Minor s Age and D/B: Print Parent/Legal Guardian Name: I affirm I am the legal Parent/Legal Guardian of Minor: X Date: 1

5 Colorado Motorcycle/ATV/Scooter Rental Agreement RENTER NAME VEHICLE NO. LICENSE NO. MAKE MODEL COLOR SUBSTITUTE CURRENT RESIDENCE SO. SECURITY NO. VEHICLE NO. LICENSE NO. MAKE MODEL COLOR CITY STATE ZIP PHONE NO. CELL NO. CHECK OUT DATE DATE AND TIME DUE IN: DRIVERS LICENSE NO. STATE EXP. DATE NO. PER FREE MILES THE RENTER HAS A VALID MOTORCYCLE LICENSE TIME OUT: HAIR EYES HEIGHT WEIGHT DOB AGE TIME IN: EMPLOYER DATE OF EXCHANGE EMPLOYER ADDRESS CITY STATE PHONE NO. TOTAL TIME RENTED DAYS RENTER'S LOCAL ADDRESS (IF DIFFERENT FROM ABOVE) LOCAL PHONE NO. RATES DO NOT INCLUDE GAS HOURS ADDITIONAL DRIVER MOTORCYCLE LICENSE NO. SIGNATURE R A $ PER DAY 1. T $ PER DAY 2. E $ PER WEEK THE VEHICLE MAY ONLY BE DRIVEN IN THE STATE(S) OF S $ PER SUB TOTAL CREDIT CARD INFORMATION SALES TAX % CREDIT CARD NUMBER: EXPIRATION DATE: VISA MC AMX DISCOVER DRIVER #2 FEE $ (where applicable) SUB TOTAL CREDIT CARD INFORMATION VISA MC AMX DISCOVER NET DUE TOTAL CHARGES LESS OIL, REPAIRS CREDIT CARD NUMBER: DEPOSIT CREDIT $ EXPIRATION DATE: DEPOSIT RECEIVED $ DATE ADDITIONAL DEPOSIT $ DATE Failure to return the Vehicle within 72 hours of the due-in date is a felony according to Colorado Revised Statutes CHECKED OUT BY CHECKED IN BY By signing below, you agree to the terms and conditions of this Agreement, and you X. acknowledge that you have been given an opportunity to read this Agreement before being asked to sign. Your signature below authorizes us to process a separate credit/debit card voucher in your name for the rental charges. RENTER Your Signature Additional Driver

6 Terms and Conditions (Motorcycle Rental Agreement) 1. Definitions. "Agreement" means all terms and conditions found in this form. "You" or "your" means the person identified as the renter on the reverse, any person signing this Agreement, any Authorized Driver and any person or organization to whom charges are billed by us at its or the renter's direction. All persons referred to as "you" or "your" are jointly and severally bound by this Agreement. "We", "our" or "us" means the independent business named on the reverse side of this Agreement. "Authorized Driver" means the renter and any additional driver listed by us on this Agreement, provided that each such person has a valid motorcycle driver's license and, is at least 25 years of age unless the age restriction is changed elsewhere in this Agreement. "Vehicle" means the motorcycle identified in this Agreement and any motorcycle we substitute for it, and all its tires, tools, accessories, equipment, keys and vehicle documents. "Physical Damage" means damage to, or loss of, the Vehicle caused by collision or upset; it does not include comprehensive damage, such as damage to, or loss of, the Vehicle due to theft, vandalism, act of nature, riot or civil disturbance, hail, flood or fire. "Loss of use" means the loss of our ability to use the Vehicle for any purpose due to damage to it during this rental. Loss of use is calculated by multiplying the number of days from the date the Vehicle is damaged until it is repaired, times the daily rental rate. 2. Rental, Indemnity and Warranties. This is a contract for rental of the Vehicle. We may repossess the Vehicle at your expense without notice to you, if the Vehicle is abandoned or used in violation of law or this Agreement. You agree to indemnify us, defend us and hold us harmless from all claims, liability, costs and attorney fees we incur resulting from, or arising out of, this rental and your use of the Vehicle. We make no warranties, express, implied or apparent, regarding the vehicle, no warranty of merchantability and no warranty that the Vehicle is fit for a particular purpose. 3. Condition and Return of Vehicle. You must return the Vehicle to our rental office or other location we specify, on the date and time specified in this Agreement, and in the same condition that you received it, except for ordinary wear. If the Vehicle is returned after closing hours, you remain responsible for the safety of, and any damage to, the Vehicle until we inspect it upon our next opening for business. Service to the Vehicle or replacement of parts or accessories during the rental must have our prior approval. You must check and maintain all fluid levels. 4. Responsibility for Vehicle Damage or Loss; Reporting to Police. You are responsible for all damage to the Vehicle, including the cost of repair, or the actual cash retail value of the Vehicle on the date of the loss if the Vehicle is not repairable or if we elect not to repair it, whether or not you are at fault. You are responsible for theft of the Vehicle, loss of use, diminished value of the Vehicle caused by damage to it or repair of it, and a reasonable charge to cover our administrative expenses connected with any damage claim, whether or not you are at fault. You must report accidents or incidents of theft and vandalism to us and the police as soon as you discover them. 5. Prohibited Uses. The following uses of the Vehicle are prohibited and constitute breaches of this Agreement. The Vehicle shall not be used by anyone other than you. You will not operate the Vehicle: (a) while under the influence of any drug or alcohol; (b) if you obtained the Vehicle by giving us false, fraudulent or misleading information; (c) in furtherance of any illegal purpose or under any circumstance that would constitute a violation of law other than a minor traffic violation; (d) to carry a person other than you; (e) in any race, speed test or contest; (f) to carry dangerous or hazardous items or illegal materiel; (g) outside the United States, Canada or the geographic area indicated elsewhere in this Agreement; (h) on unpaved surfaces; (i) when the Vehicle's fluid levels are low, or it is otherwise reasonable to expect you to know that further operation would damage the Vehicle; or, (j) after an accident with the Vehicle unless and until you summon the police to the accident scene. 6. Insurance. You are responsible for all damage or loss you cause to others. You agree to provide liability, collision and comprehensive insurance covering you, us, and the Vehicle. Your insurance is primary to any insurance that we may provide. If we are required by law to provide liability insurance, we will provide a liability insurance policy (the Policy ) that is excess to any other available and collectible insurance whether primary, excess or contingent. The Policy will provide liability coverage with limits no higher than the minimum financial amounts required the law of the state whose laws apply to the loss. You and we reject PIP, medical payments, no-fault and uninsured and under-insured motorist coverage, where permitted by law. 7. Charges. You will pay us, or the appropriate government authorities, on demand all charges due us under this Agreement, including: (a) time and mileage for the period during that you keep the Vehicle, or a mileage charged based on our experience if the odometer is tampered with or disconnected; (b) charges for additional drivers; (c) optional products and services you purchased; (d) fuel, if you return the Vehicle with less fuel than when rented; (e) applicable taxes; (f) all parking, traffic and toll fines, penalties, forfeitures, court costs, towing, storage and impound charges and other expenses involving the Vehicle assessed against us or the Vehicle, unless these expenses are our fault; (g) all expenses we incur in locating and recovering the Vehicle if you fail to return it or if we elect to repossess the Vehicle under the terms of this Agreement; (h) all costs, including pre- and post-judgment attorney fees, we incur collecting payment from you or otherwise enforcing our rights under this Agreement; (i) a 2% per month late payment fee, or the maximum amount allowed by law (if less than 2%), on all amounts past due; (j) $50, plus $5/mile for every mile between the renting location and the place where the Vehicle is returned or abandoned, plus any additional recovery expenses we incur; (k) $25 or the maximum amount permitted by law, whichever is greater, if you pay us with a check returned unpaid for any reason; and (l) a reasonable fee not to exceed $150 to clean the Vehicle if returned substantially less clean than when rented. 8. Deposit. We may use your deposit to pay any amounts owed to us under this Agreement. 9. Your Property. You release us, our agents and employees from all claims for loss of, or damage to, your personal property or that of any other person, that we received, handled or stored, or that was left or carried in or on the Vehicle or in any service vehicle or in our offices, whether or not the loss or damage was caused by our negligence or was otherwise our responsibility. 10. Breach of Agreement. The acts listed in paragraph 5, above, are prohibited uses of the Vehicle and breaches of this Agreement. You waive all recourse against us for any criminal reports or prosecutions that we take against you that arise out of your breach of this Agreement. 11. Modifications. No term of this Agreement can be waived or modified except by a writing that we have signed. If you wish to extend the rental period, you must return the Vehicle to our rental office for inspection and written amendment by us of the due-in date. This Agreement constitutes the entire agreement between you and us. All prior representations and agreements between you and us regarding this rental are void. 12. Miscellaneous. A waiver by us of any breach of this Agreement is not a waiver of any additional breach or waiver of the performance of your obligations under this Agreement. Our acceptance of payment from you or our failure, refusal or neglect to exercise any of our rights under this Agreement does not constitute a waiver of any other provision of this Agreement. Unless prohibited by law, you release us from any liability for consequential, special or punitive damages in connection with this rental or the reservation of a vehicle. If any provision of this Agreement is deemed void or unenforceable, the remaining provisions are valid and enforceable. MBA Motorcycle Colorado

Sixt rent a car - Rental Agreement, Terms & Conditions

Sixt rent a car - Rental Agreement, Terms & Conditions 1. Definitions. Agreement means the Terms and Conditions on this page and the provisions found on the Face Page, and the General Rental Terms that you agree to on our website. You or your means the person

More information

GCAC Terms and Agreements

GCAC Terms and Agreements Rental Instructions: Initial all areas then print Name where indicated Sign and Date where indicated Submit this form back to Gold Country Adventure Cycles by fax: Gold Country Adventure Cycles: 578 W.

More information

2015 Atlanta-RV-Rental Terms and Conditions Travel Trailer and Pop-up

2015 Atlanta-RV-Rental Terms and Conditions Travel Trailer and Pop-up 2015 Atlanta-RV-Rental Terms and Conditions 1. PAYMENT: All fees are payable by MAJOR CREDIT CARD ONLY. (MASTERCARD, VISA, AMERICAN EXPRESS). WE DO NOT ACCEPT PERSONAL CHECKS. Customer responsible for

More information

Sixt rent a car - Rental Agreement, Terms & Conditions

Sixt rent a car - Rental Agreement, Terms & Conditions 1. Definitions. Agreement means the Terms and Conditions on this page and the provisions found on the Face Page. You or your means the person identified as the renter in this Agreement, any person signing

More information

Ready to rent? Terms and Conditions. Michigan

Ready to rent? Terms and Conditions. Michigan Ready to rent? Terms and Conditions. Michigan Sixt rent a car - Rental Agreement, Terms & Conditions 1. Definitions. Agreement means the Terms and Conditions on this page and the provisions found on the

More information

Sixt rent a car - Rental Agreement, Terms & Conditions

Sixt rent a car - Rental Agreement, Terms & Conditions Sixt rent a car - Rental Agreement, Terms & Conditions 1. Definitions. Agreement means the Terms and Conditions on this page and the provisions found on the Face Page, and the General Rental Terms that

More information

TERMS AND CONDITIONS, RIDERS RELEASE OF LIABILITY & ASSUMPTION OF RISK INDEMNITY AND HOLD HARMLESS

TERMS AND CONDITIONS, RIDERS RELEASE OF LIABILITY & ASSUMPTION OF RISK INDEMNITY AND HOLD HARMLESS Deco Bike, LLC. 3301 NE 1 st Avenue, LPH-6 Miami, Florida TERMS AND CONDITIONS, RIDERS RELEASE OF LIABILITY & ASSUMPTION OF RISK INDEMNITY AND HOLD HARMLESS THIS IS A LEGAL AND BINDING AGREEMENT. RIDERS

More information

Sixt rent a car - Rental Agreement, Terms & Conditions

Sixt rent a car - Rental Agreement, Terms & Conditions Sixt rent a car - Rental Agreement, Terms & Conditions 1. Definitions. Agreement means the Terms and Conditions on this page and the provisions found on the Face Page, and the General Rental Terms that

More information

28. Time is of the essence in this Lease and in each and all of its provisions.

28. Time is of the essence in this Lease and in each and all of its provisions. COMMERCIAL VEHICLE/EQUIPMENT LEASE AGREEMENT Please print and fax to: 281-842-9345 Stutes Enterprise Systems, Inc. ("Lessor"), located at 1426 Sens Rd #5, LaPorte, Texas 77571, leases to, ("Lessee"), located

More information

APPENDIX B. Adult Check here if the intern is an adult. Minor Check here if the intern is a minor.

APPENDIX B. Adult Check here if the intern is an adult. Minor Check here if the intern is a minor. APPENDIX B Adult Check here if the intern is an adult. Minor Check here if the intern is a minor. IMPORTANT: ALL ADULT INTERNS AGREE: [Insert Name] ( Intern ), by my own request, desire to participate

More information

Indianapolis Motor Speedway 4790 West 16 th Street Indianapolis IN 46222 Ticket Office 317.484.6700 www.brickyard400.com

Indianapolis Motor Speedway 4790 West 16 th Street Indianapolis IN 46222 Ticket Office 317.484.6700 www.brickyard400.com Indianapolis Motor Speedway 4790 West 16 th Street Indianapolis IN 46222 Ticket Office 317.484.6700 www.brickyard400.com From the Airport: Take I-465 north to exit 16A. Turn right at the top of the exit

More information

PEACE DALE SHOOTING PRESERVE RELEASE, WAIVER OF LIABILITY & INDEMNITY AGREEMENT

PEACE DALE SHOOTING PRESERVE RELEASE, WAIVER OF LIABILITY & INDEMNITY AGREEMENT PEACE DALE SHOOTING PRESERVE RELEASE, WAIVER OF LIABILITY & INDEMNITY AGREEMENT CAUTION: READ THIS AGREEMENT CAREFULLY BEFORE SIGNING In consideration of Peace Dale Shooting Preserve, ("PDSP") furnishing

More information

MOTORCYCLE RENTAL CONDITIONS ARTICLE 1) GENERAL CONDITIONS AND REQUIREMENTS.

MOTORCYCLE RENTAL CONDITIONS ARTICLE 1) GENERAL CONDITIONS AND REQUIREMENTS. MOTORCYCLE RENTAL CONDITIONS ARTICLE 1) GENERAL CONDITIONS AND REQUIREMENTS. By taking charge of the vehicle, the Renter is nominated its keeper, and declares specifically to know and accept in totality

More information

CHICAGO RUNNING TOURS & MORE, LLC WAIVER AND RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT PLEASE REVIEW THOROUGHLY BEFORE SIGNING

CHICAGO RUNNING TOURS & MORE, LLC WAIVER AND RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT PLEASE REVIEW THOROUGHLY BEFORE SIGNING CHICAGO RUNNING TOURS & MORE, LLC WAIVER AND RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT PLEASE REVIEW THOROUGHLY BEFORE SIGNING The undersigned, in consideration of being permitted to participate

More information

King s Derby Registration Form

King s Derby Registration Form Thank you for choosing to enter OBIC s where over $4000 in Cash and prizes will be given away!! It is our heart to be able to offer our services to children and special needs individuals at no cost. Currently

More information

TERMS AND CONDITIONS

TERMS AND CONDITIONS TERMS AND CONDITIONS THIS AGREEMENT IS FOR THE RENTAL OF ALL ITEMS, EQUIPMENT AND/OR VEHICLES SHOWN ON THE OTHER SIDE THIS PAGE, INCLUDING ALL PARTS OF AND ACCESSORIES TO SUCH ( EQUIPMENT ). 1. RENTAL

More information

Kansas Speedway 400 Speedway Blvd Kansas City KS 66111 Ticket Office 913.328.3300 www.kansasspeedwaycorp.com COMING 70E

Kansas Speedway 400 Speedway Blvd Kansas City KS 66111 Ticket Office 913.328.3300 www.kansasspeedwaycorp.com COMING 70E Kansas Speedway 400 Speedway Blvd Kansas City KS 66111 Ticket Office 913.328.3300 www.kansasspeedwaycorp.com COMING 70E TAKE 435N EXIT 411B TO STATE AVE WEST EXIT 13B COMING 70W TAKE 435N EXIT 411B TO

More information

RELEASE OF LIABILITY, INDEMNITY, AND BACKGROUND CHECK AUTHORIZATION AGREEMENT

RELEASE OF LIABILITY, INDEMNITY, AND BACKGROUND CHECK AUTHORIZATION AGREEMENT RELEASE OF LIABILITY, INDEMNITY, AND BACKGROUND CHECK AUTHORIZATION AGREEMENT In consideration, the receipt and sufficiency of which is hereby acknowledged, for being allowed entry into and participation

More information

SAINT LOUIS UNIVERSITY STUDY ABROAD PARTICIPATION AGREEMENT AND ASSUMPTION OF RISK AND RELEASE OF CLAIMS

SAINT LOUIS UNIVERSITY STUDY ABROAD PARTICIPATION AGREEMENT AND ASSUMPTION OF RISK AND RELEASE OF CLAIMS SAINT LOUIS UNIVERSITY STUDY ABROAD PARTICIPATION AGREEMENT AND ASSUMPTION OF RISK AND RELEASE OF CLAIMS I, ( ) the undersigned student wish to participate in a study abroad Program offered by Saint Louis

More information

New Customer Information (Please Print)

New Customer Information (Please Print) Training Only Rental & Training Basic Info New Customer Information (Please Print) Name Address Today's Date Date of Birth City State ZIP Cell Phone ( ) Email Work Phone ( ) Home Phone ( ) How did you

More information

Boarder s Contact Information: Name: E-mail: Phone Number(s): Sex: Social Security Number:

Boarder s Contact Information: Name: E-mail: Phone Number(s): Sex: Social Security Number: Killingsworth Arena LLC P.O. Box 1903 Alpine, Texas. 79830 phone(432)294-2335 Equine Boarding Agreement & Release of Liability This Equine Boarding Agreement is being entered into by and between the Boarder

More information

LENS Program Checklist LENS Check performed by: (FOR OFFICE USE ONLY) Signature. LENS Check Results: (Please check one) ACCEPTABLE (5 or few points)

LENS Program Checklist LENS Check performed by: (FOR OFFICE USE ONLY) Signature. LENS Check Results: (Please check one) ACCEPTABLE (5 or few points) Off Campus Trip LENS Check Packet The LENS check packet is required when a student is driving their personal car or driving a rental car to a University approved activity. Return the completed packet to

More information

MEDICAL LIEN CONTRACT. Date Patient Name Patient Date of Birth Date of Loss

MEDICAL LIEN CONTRACT. Date Patient Name Patient Date of Birth Date of Loss MEDICAL LIEN CONTRACT Date Patient Name Patient Date of Birth Date of Loss Payment to Provider: I, ( Patient ), hereby authorize and direct you ( Attorney ), to pay directly to ( Provider ) AND/OR TO ANY

More information

AIRCRAFT RENTAL AGREEMENT

AIRCRAFT RENTAL AGREEMENT AIRCRAFT RENTAL AGREEMENT First Name: Last Name: Street Address: City: State: Zip: Home Phone: ( ) Cell Phone: ( ) Email: Date of Birth: / / Under Age 18 IN CASE OF EMERGENCY NOTIFY: Name: Telephone: Relationship:

More information

Please Initial Here: 1

Please Initial Here: 1 The rental procedure In order to rent a snow machine Payments for Rentals need to be paid in full including rental of the machines, shipping and damage security deposits, please send a separate checks

More information

Motorcycle RiderCourse WAIVERS

Motorcycle RiderCourse WAIVERS Motorcycle RiderCourse WAIVERS General Instructions All pages must be completed and signed. If you have any questions, call (231) 591-5819. Mail completed forms to: Motorcycle Rider Courses, Ferris State

More information

CLIENT CONTRACT STATE OF TEXAS }

CLIENT CONTRACT STATE OF TEXAS } STATE OF TEXAS } CLIENT CONTRACT COUNTY OF COLLIN } This is an agreement ( Agreement ) between THE NANNY AGENCY, INC., (referred to hereinafter as the Agency, 12202 Pagewynne Drive, Frisco, Texas 75035,

More information

Name: Address: City, State, Zip: Fax Number: Home Phone: Email Address: Flight Arrival and Departure Information

Name: Address: City, State, Zip: Fax Number: Home Phone: Email Address: Flight Arrival and Departure Information FLORIDA VAN RENTALS DBA DISCOUNT MOBILITY USA, INC. 6307 Hansel Avenue * Orlando, Florida 32809 (800) 308-2503 * (407) 438-8010 * Fax (407) 447-5312 Rental Information Form Name: Address: City, State,

More information

WHEREAS, Participants desire to participate in ALL the recreational activities available at the Trampoline Park; and

WHEREAS, Participants desire to participate in ALL the recreational activities available at the Trampoline Park; and THIS PARTICIPATION AGREEMENT is made and effective as of the last date executed (hereinafter the "Effective Date") by and between Get Air Savannah (hereinafter "Get Air") and the adult or guardian identified

More information

Earn money from you racing, from your pictures, Youtube videos and more! Only by posting on DRR Riders Group on Facebook.

Earn money from you racing, from your pictures, Youtube videos and more! Only by posting on DRR Riders Group on Facebook. Earn money from you racing, from your pictures, Youtube videos and more! Only by posting on DRR Riders Group on Facebook. Eligibility: All payouts are based on model year Current model year vs non current

More information

Rental Car Coverage and the MAP - So Much Exposure & So Little Coverage!

Rental Car Coverage and the MAP - So Much Exposure & So Little Coverage! Rental Car Coverage and the MAP - So Much Exposure & So Little Coverage! RENTAL CAR COVERAGE & THE MAP- SO MUCH EXPOSURE & SO LITTLE COVERAGE Robin Federici, CPCU, AAI, ARM, AINS, AIS, CPIW PO BOX 781

More information

Equipment & Materials Lease Policy Adopted: August 2013 Reviewed: Revised:

Equipment & Materials Lease Policy Adopted: August 2013 Reviewed: Revised: Equipment & Materials Lease Policy Adopted: August 2013 Reviewed: Revised: The Wisconsin Off-Road Vehicle Park, Incorporated (WORVPI) will adhere to all federal, state, tribal, and local laws concerning

More information

Release of Liability. Printed Name of Participant:

Release of Liability. Printed Name of Participant: Release of Liability IN CONSIDERATION of being given the opportunity to participate in any USRowing activity, including scheduled, supervised club activities, and registered regattas, during the policy

More information

COMMERCIAL AUTOMOBILE EXPANSION ENDORSEMENT

COMMERCIAL AUTOMOBILE EXPANSION ENDORSEMENT THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL AUTOMOBILE EXPANSION ENDORSEMENT This endorsement modifies insurance provided under the BUSINESS AUTO COVERAGE FORM The following

More information

MARTIN SELF-STORAGE RENTAL AGREEMENT (Please print legibly)

MARTIN SELF-STORAGE RENTAL AGREEMENT (Please print legibly) MARTIN SELF-STORAGE RENTAL AGREEMENT (Please print legibly) Mailing Address PO Box 1749 PMB6 Big Bear Lake, CA 92315 Facility Address 42000 Big Bear Blvd. Big Bear Lake, CA 92315 Occupant Information Name

More information

University Fleet Services

University Fleet Services University Fleet Services Policies and Procedures May 2008 Contents Assignment and use of vehicles................. 2 Definition of personal use...................... 2 Driver requirements...........................

More information

ROUSH PERFORMANCE - Limited Warranty

ROUSH PERFORMANCE - Limited Warranty ROUSH PERFORMANCE - Limited Warranty ROUSH PARTS AND ACCESSORIES* WHO IS COVERED ROUSH's warranty obligations for ROUSH Parts and Accessories (individually and collectively Part(s) ) is limited to defects

More information

SELF-STORAGE SPACE RENTAL AGREEMENT

SELF-STORAGE SPACE RENTAL AGREEMENT SELF-STORAGE SPACE RENTAL AGREEMENT 1. Tenant Information: (b) Alternate Contact Information: Name: Zip: Home Phone: ( ) Cell Phone: ( ) Email: SS#: Driver s License #: State: 2. (a) Occupant Other Than

More information

California Polytechnic State University, Pomona Vietnamese Student Association. Family. Honor. Tradition.

California Polytechnic State University, Pomona Vietnamese Student Association. Family. Honor. Tradition. California Polytechnic State University, Pomona Vietnamese Student Association Family. Honor. Tradition. ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM Name of Activity or Event: CAL POLY POMONA VSA WINTER

More information

TERMS AND CONDITIONS. United States and Canada

TERMS AND CONDITIONS. United States and Canada TERMS AND CONDITIONS United States and Canada 2 Avis Preferred Terms and Conditions United States / Canada UNITED STATES / CANADA TERMS AND CONDITIONS United States / Canada Updated June 2015 1. General

More information

A. The vessel owner has appointed Solstice Sailing, Inc. as agent to manage and charter the yacht identified in the below as:

A. The vessel owner has appointed Solstice Sailing, Inc. as agent to manage and charter the yacht identified in the below as: THIS AGREEMENT is made between Solstice Sailing, Inc., DBA, a Michigan Company of Traverse City, Michigan (,Solstice Sailing") and, Charterer" (Print Charterer Name here) RECITALS A. The vessel owner has

More information

MASS. SELF STORAGE RENTAL AGREEMENT Longwood Storage, Inc 5 Station street Brookline, MA 02445

MASS. SELF STORAGE RENTAL AGREEMENT Longwood Storage, Inc 5 Station street Brookline, MA 02445 Occupant: Unit # : Address: MASS. SELF STORAGE RENTAL AGREEMENT Longwood Storage, Inc 5 Station street Brookline, MA 02445 City State Zip Phone (Home/cell) (E-Mail) (Business) Social Security # Driver's

More information

Pickup & Drop off Location: 3152 Lebanon Rd, Manheim, PA 17545 Phone: (888) 206-9748

Pickup & Drop off Location: 3152 Lebanon Rd, Manheim, PA 17545 Phone: (888) 206-9748 Pickup & Drop off Location: 3152 Lebanon Rd, Manheim, PA 17545 Phone: (888) 206-9748 First Name: Last Name Phone: Address: City: State: Zip: Email D.O.B / / Driver s License Information Number Expiration

More information

Storage Space Occupancy Agreement

Storage Space Occupancy Agreement Storage Space Occupancy Agreement NOTICE - THE MONTHLY OCCUPANCY CHARGES AND OTHER CHARGES STATED IN THIS AGREEMENT ARE THE ACTUAL CHARGES YOU MUST PAY. INSURANCE IS OCCUPANT'S RESPONSIBILITY. OCCUPANTS

More information

SAINT LOUIS UNIVERSITY STUDY ABROAD PARTICIPATION AGREEMENT AND ASSUMPTION OF RISK AND RELEASE OF CLAIMS

SAINT LOUIS UNIVERSITY STUDY ABROAD PARTICIPATION AGREEMENT AND ASSUMPTION OF RISK AND RELEASE OF CLAIMS SAINT LOUIS UNIVERSITY STUDY ABROAD PARTICIPATION AGREEMENT AND ASSUMPTION OF RISK AND RELEASE OF CLAIMS I, ( ), the undersigned student, wish to participate in a study abroad Program offered by Saint

More information

Important Legal Document

Important Legal Document Important Legal Document READ CAREFULLY TO BE SIGNED BY ALL PILOTS, PASSENGERS AND COMPANIONS BEFORE USING MERRITT FIELD OWNED BY MERRITT CAPITAL CORPORATION, A PENNSYLVANIA CORPORATION ACKNOWLEDGEMENT

More information

PARTICIPANT AGREEMENT RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT

PARTICIPANT AGREEMENT RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT PARTICIPANT AGREEMENT RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT I, the undersigned, on behalf of my minor child: ( Participant ), hereby acknowledge that Participant has

More information

BROKER AND CARRIER AGREEMENT

BROKER AND CARRIER AGREEMENT P.O. Box 889 394 NE Hemlock Redmond, OR 97756 BROKER AND CARRIER AGREEMENT All loads tendered by Central Oregon Truck Company ("Broker") and accepted for transportation by third party carriers ("Carrier")

More information

Credit Card Authorization and Security Form

Credit Card Authorization and Security Form Credit Card Authorization and Security Form Customer Name: Production Company: Address: City: State: Zip: Phone Number: Rental Period: Job Description: Amount of Invoice (If known): Card Type: AMEX VISA

More information

~LOTUS GUNWORKS OF SOUTH FLORIDA, LLC~ RELEASE, WAIVER, INDEMNIFICATION, HOLD HARMLESS, AND ASSUMPTION OF THE RISK AGREEMENT

~LOTUS GUNWORKS OF SOUTH FLORIDA, LLC~ RELEASE, WAIVER, INDEMNIFICATION, HOLD HARMLESS, AND ASSUMPTION OF THE RISK AGREEMENT ~LOTUS GUNWORKS OF SOUTH FLORIDA, LLC~ RELEASE, WAIVER, INDEMNIFICATION, HOLD HARMLESS, AND ASSUMPTION OF THE RISK AGREEMENT WHEREAS, in return for being allowed to enter Lotus Gunworks, Lotus Gun Range

More information

THE GYM, LLC MEMBERSHIP AGREEMENT

THE GYM, LLC MEMBERSHIP AGREEMENT Member s Name: THE GYM, LLC MEMBERSHIP AGREEMENT For good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the undersigned ( Member ) and THE GYM, LLC, a Colorado

More information

TEXAS A&M UNIVERSITY-COMMERCE WAIVER PACKET

TEXAS A&M UNIVERSITY-COMMERCE WAIVER PACKET TEXAS A&M UNIVERSITY-COMMERCE WAIVER PACKET 1. TAMU-COMMERCE GENERAL WAIVER All camp participants must complete the TAMU-C General Waiver. 2. CAMPUS RECREATION (MRC & ABE) WAIVER If your camp is utilizing

More information

Terms and Conditions

Terms and Conditions Terms and Conditions United States & Canada 1 UNITED STATES/CANADA 1. General A. These Terms and Conditions form a part of the Rental Agreement (described hereinafter at times as the/this "Agreement"),

More information

ADAPT LASER SYSTEMS LLC GENERAL TERMS AND CONDITIONS OF RENTAL AGREEMENT

ADAPT LASER SYSTEMS LLC GENERAL TERMS AND CONDITIONS OF RENTAL AGREEMENT ADAPT LASER SYSTEMS LLC GENERAL TERMS AND CONDITIONS OF RENTAL AGREEMENT 1. General. Capitalized terms are defined below. Unless other terms are specified in the Rental Agreement (attached hereto and incorporated

More information

What is a definition of insurance?

What is a definition of insurance? What is a definition of insurance? A system of protection against loss in which a number of individuals agree to pay certain sums for a guarantee that they will be compensated for a specific loss. Every

More information

Frequently Asked Questions

Frequently Asked Questions Frequently Asked Questions We have endeavored to answer the most frequently asked insurance questions. These are guidelines, generalizations not to be construed as coverage and/or guarantees. When you

More information

IMPORTANT: THIS IS A LEGAL DOCUMENT, PLEASE READ AND UNDERSTAND THIS DOCUMENT BEFORE SIGNING

IMPORTANT: THIS IS A LEGAL DOCUMENT, PLEASE READ AND UNDERSTAND THIS DOCUMENT BEFORE SIGNING IMPORTANT: THIS IS A LEGAL DOCUMENT, PLEASE READ AND UNDERSTAND THIS DOCUMENT BEFORE SIGNING. ASSUMPTION OF RISK, WAIVER OF LIABILITY AND INDEMNIFICATION AGREEMENT This agreement (the Agreement ) must

More information

Indemnity to ERC, and to Minor Release

Indemnity to ERC, and to Minor Release Universal Release of Liability This is a release of claims, a waiver of liability, an assumption of risk, and an indemnity agreement. By signing this document, you will irrevocably waive and release certain

More information

POLICY INVOLVING VEHICLE USE ON OFFICIAL COLLEGE BUSINESS AUTOMOBILES & OTHER MOTORIZED VEHICLES Last update: August 9, 2011

POLICY INVOLVING VEHICLE USE ON OFFICIAL COLLEGE BUSINESS AUTOMOBILES & OTHER MOTORIZED VEHICLES Last update: August 9, 2011 POLICY INVOLVING VEHICLE USE ON OFFICIAL COLLEGE BUSINESS AUTOMOBILES & OTHER MOTORIZED VEHICLES Last update: August 9, 2011 INTRODUCTION: Rollins College has many faculty, staff and students whose responsibilities

More information

WASTE SERVICES & DISPOSAL AGREEMENT. By: By: Name: Name: Title: Title:

WASTE SERVICES & DISPOSAL AGREEMENT. By: By: Name: Name: Title: Title: WASTE SERVICES & DISPOSAL AGREEMENT COMPANY: CUSTOMER: By: By: Name: Name: Date Date Title: Title: Effective Date of Agreement: Initial Term: Contract No. This Waste & Disposal Services Agreement, consisting

More information

I UNDERSTAND THAT THESE RISKS MAY RESULT IN INJURY OR EVEN DEATH.

I UNDERSTAND THAT THESE RISKS MAY RESULT IN INJURY OR EVEN DEATH. CORNELL COLLEGE S RELEASE, WAIVER AND INDEMNIFICATION AGREEMENT FOR NON-EMPLOYEES ATTENDING FOR CREDIT ACTIVITIES OFFERED BY NON- EIIA MEMBER INSTITUTIONS OR OTHER THIRD PARTIES OR INDEPENDENT STUDY OR

More information

ENDORSEMENT THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. SPECIMEN. This endorsement, effective at 12:01 A.M.

ENDORSEMENT THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. SPECIMEN. This endorsement, effective at 12:01 A.M. ENDORSEMENT THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement, effective at 12:01 A.M. Policy No. By: Issued to: forms a part of BUSINESS AUTO BROAD FORM ENDORSEMENT FORM

More information

car MEMBERSHIP MANUAL If applying for membership you must read and understand all of this Manual before signing the Membership Application.

car MEMBERSHIP MANUAL If applying for membership you must read and understand all of this Manual before signing the Membership Application. MEMBERSHIP MANUAL 1. Introduction Welcome to the Nanaimo CarShare Cooperative. The terms and conditions in this Manual are for the benefit of our members, and the general well-being of the Nanaimo CarShare

More information

AUTO INSURANCE OUR MISSION IS YOU. AUTOMOBILE INSURANCE. www.afi.org

AUTO INSURANCE OUR MISSION IS YOU. AUTOMOBILE INSURANCE. www.afi.org AUTO INSURANCE OUR MISSION IS YOU. AUTOMOBILE INSURANCE www.afi.org Our Mission Like those who serve our nation, AFI is dedicated to delivering protection and peace of mind. Our unwavering commitment to

More information

E-MAIL LIST RENTAL PROCESSING ACKNOWLEDGEMENT FORM

E-MAIL LIST RENTAL PROCESSING ACKNOWLEDGEMENT FORM E-MAIL LIST RENTAL PROCESSING ACKNOWLEDGEMENT FORM Anchor Computer, Inc. requires that each customer sign an E-Mail List Rental Processing Acknowledgement Form prior to the commencement of any E-MAIL LIST

More information

Summary of Motorcycle insurance cover

Summary of Motorcycle insurance cover Summary of Motorcycle insurance cover This is for general information only. You can find the precise terms and conditions of this plan in the policy contract. Plan & Coverage Comprehensive Third party,

More information

Equipment Lease Agreement

Equipment Lease Agreement Equipment Lease Agreement This Equipment Lease Agreement (the Agreement ) is made and entered on,, by and between ( Lessor ) and ( Lessee ) (collectively referred to as the Parties ). The Parties agree

More information

Delaware, Dubuque and Jackson County Regional Transit Authority. 7600 Commerce Park Dubuque, IA 52002 1 800 839 5005 www.rta8.org

Delaware, Dubuque and Jackson County Regional Transit Authority. 7600 Commerce Park Dubuque, IA 52002 1 800 839 5005 www.rta8.org Delaware, Dubuque and Jackson County Regional Transit Authority 7600 Commerce Park Dubuque, IA 52002 1 800 839 5005 www.rta8.org How it works: Pick up a volunteer drivers handbook (see page 3 for where

More information

Company Vehicle Policies and Procedures

Company Vehicle Policies and Procedures Company Vehicle Policies and Procedures Eligibility to Drive a Company Vehicle Employees eligible for assignment of a company vehicle are selected at the discretion of the company s Chief Executive Officer

More information

2015 ADF School Medical/Insurance Information & Liability Waivers INSURANCE INFORMATION

2015 ADF School Medical/Insurance Information & Liability Waivers INSURANCE INFORMATION These forms must be completed and signed in all appropriate places by the participant, the participant s physician, and if under age 18, by the participant s legal guardian. The medical information we

More information

NIAGARA COLLEGE OF APPLIED ARTS & TECHNOLOGY 300 Woodlawn Road Welland, ON L3C 7L3 LAPTOP COMPUTER AGREEMENT & SUPPLEMENTARY GUIDELINES

NIAGARA COLLEGE OF APPLIED ARTS & TECHNOLOGY 300 Woodlawn Road Welland, ON L3C 7L3 LAPTOP COMPUTER AGREEMENT & SUPPLEMENTARY GUIDELINES NIAGARA COLLEGE OF APPLIED ARTS & TECHNOLOGY 300 Woodlawn Road Welland, ON L3C 7L3 LAPTOP COMPUTER AGREEMENT & SUPPLEMENTARY GUIDELINES This COMPUTER AGREEMENT (this Agreement ) is made effective as of,

More information

THESE FORMS ARE NOT A SUBSTITUTE FOR LEGAL ADVICE.

THESE FORMS ARE NOT A SUBSTITUTE FOR LEGAL ADVICE. DISCLAIMER The forms provided on our site were drafted by lawyers with knowledge of equine and contractual matters. However, the forms are not State specific. THESE FORMS ARE NOT A SUBSTITUTE FOR LEGAL

More information

ARCADIA YOUTH RODEO ASSOCIATION, INC. 124 Heard Street, Arcadia, Florida 34266 863-494-2014 2015-2016 SEASON MEMBERSHIP APPLICATION

ARCADIA YOUTH RODEO ASSOCIATION, INC. 124 Heard Street, Arcadia, Florida 34266 863-494-2014 2015-2016 SEASON MEMBERSHIP APPLICATION 2015-2016 SEASON MEMBERSHIP APPLICATION MEMBER INFORMATION: BACK TAG # ISSUED: MEMBER NAME: ADDRESS: CITY: STATE: ZIP: HOME PHONE: CEL #: E-MAIL ADDRESS: (Please send newsletter via: Mail E-Mail ) DATE

More information

Motor Insurance. Product disclosure statement and policy booklet

Motor Insurance. Product disclosure statement and policy booklet Motor Insurance Product disclosure statement and policy booklet The information in this booklet is current at the date of preparation. More up-to-date information may be available by calling 132 132 or

More information

Automobile Service Operations Application

Automobile Service Operations Application Automobile Service Operations Application NATIONAL INDEMNITY COMPANY OF THE SOUTH NATIONAL LIABILITY & FIRE INSURANCE COMPANY Administrative Office Omaha, Nebraska Desired Policy Term From: To: 1. Named

More information

COVERAGES & ENDORSEMENTS

COVERAGES & ENDORSEMENTS ACCIDENTAL DEATH OR DISMEMBERMENT Endorsement PPT100 applies to Personal Autos. This optional endorsement provides coverage for your death, dismemberment or loss of sight. If within ninety (90) days from

More information

AUTOMOBILE LIABILITY & PHYSICAL DAMAGE COVERAGE AGREEMENT PART A GENERAL

AUTOMOBILE LIABILITY & PHYSICAL DAMAGE COVERAGE AGREEMENT PART A GENERAL AUTOMOBILE LIABILITY & PHYSICAL DAMAGE COVERAGE AGREEMENT PART A GENERAL I. The TASB Risk Management Fund (Fund) provides coverage as outlined in this Automobile Liability & Physical Damage Coverage Agreement.

More information

House Substitute for SENATE BILL No. 117

House Substitute for SENATE BILL No. 117 House Substitute for SENATE BILL No. 117 AN ACT regulating traffic; relating to transportation network companies, transportation network company services, regulation. Be it enacted by the Legislature of

More information

Credit Application and Master Rental Agreement

Credit Application and Master Rental Agreement Golden Empire Equipment, Inc. PO Box 81612 Bakersfield, CA 93380-1612 Credit Application and Master Rental Agreement Approved By: Date Approved: Phone (661) 588-8210 Fax (661) 588-2157 Credit Limit Customer

More information

How To Get A Car Insurance Policy From Nevada General Insurance Company

How To Get A Car Insurance Policy From Nevada General Insurance Company ARIZONA AUTO INSURANCE APPLICATION Nevada General Insurance Company Transmittal Date/Time: Policy Number: Program: Valu APPLICATION INFORMATION Named Insured and Mailing Address PRODUCER Producer Code

More information

EUROPCAR STANDARD TERMS & CONDITIONS 1. RENTAL REQUIREMENTS AND PAYMENT

EUROPCAR STANDARD TERMS & CONDITIONS 1. RENTAL REQUIREMENTS AND PAYMENT EUROPCAR STANDARD TERMS & CONDITIONS 1. RENTAL REQUIREMENTS AND PAYMENT At the time of rental the following must be provided: 1.1 Europcar approved method of payment/or credit card. 1.2 Full names; residential,

More information

COMMERCIAL AUTOMOBILE PLUS EXTENSION ENDORSEMENT

COMMERCIAL AUTOMOBILE PLUS EXTENSION ENDORSEMENT ATTACHED TO AND FORMING PART OF POLICY NUMBER: COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL AUTOMOBILE PLUS EXTENSION ENDORSEMENT This endorsement modifies

More information

COLOCATION AGREEMENT. 1. Term and Payment for Services

COLOCATION AGREEMENT. 1. Term and Payment for Services COLOCATION AGREEMENT This Colocation Agreement ( Agreement ) governs your purchase and use of all colocation and related services (the Services ), as described in the Order Form, that you order and Oracast,

More information

Car Rental Collision Coverage

Car Rental Collision Coverage State Notice: This document is not applicable to residents of all states. Residents of Florida, Georgia, Indiana, New York, Oregon, Pennsylvania, Utah, and Washington can obtain their state specific documents

More information

Below is an overview of the Molex lease process as it applies to Molex Application Tooling equipment.

Below is an overview of the Molex lease process as it applies to Molex Application Tooling equipment. Dear Valued Customer, Below is an overview of the Molex lease process as it applies to Molex Application Tooling equipment. Lease process: Molex does not offer leases for all of the equipment that we promote.

More information

Bannock County Vehicle Use Policy

Bannock County Vehicle Use Policy NOTE: This policy applies to all Bannock County employees, volunteers, etc. who operate vehicles for Bannock County business (including those who submit mileage reimbursement request forms or are authorized

More information

FACILITIES USE AGREEMENT

FACILITIES USE AGREEMENT FACILITIES USE AGREEMENT Effective Date: Sponsor: Sponsor Address: Facility: THIS FACILITIES USE AGREEMENT ( Agreement ) is effective as of the Effective Date set forth above, by and between Temple University

More information

Policy Number (If Not New Business) PENNSYLVANIA NOTICE IMPORTANT NOTICE

Policy Number (If Not New Business) PENNSYLVANIA NOTICE IMPORTANT NOTICE SUPPLEMENTARY AUTOMOBILE APPLICATION - PENNSYLVANIA (To be completed by the Named Insured or Applicant) Name abc Policy Number (If Not New Business) Address PENNSYLVANIA NOTICE IMPORTANT NOTICE Insurance

More information

The Texas A&M University System Auto Liability Plan

The Texas A&M University System Auto Liability Plan The Texas A&M University System Auto Liability Plan Page 1 Tuesday, September 28, 2010 Table of Contents I. Automobile Liability...3 II. III. IV. Rental Vehicles.4 Personal Autos..4 Plan Exclusions.4 V.

More information

Title 10: COMMERCE AND TRADE

Title 10: COMMERCE AND TRADE Title 10: COMMERCE AND TRADE Chapter 217: USED CAR INFORMATION Table of Contents Part 3. REGULATION OF TRADE... Section 1471. DEFINITIONS... 3 Section 1472. EXCLUSIONS... 5 Section 1473. CONSTRUCTION...

More information

STEADICAM ProVid & Film Masters Sled. Light Weight Sled with 7" LCD or 8" LCD Panasonic HD monitor. Panasonic Wired FIZ Controler for HVX/DVX.

STEADICAM ProVid & Film Masters Sled. Light Weight Sled with 7 LCD or 8 LCD Panasonic HD monitor. Panasonic Wired FIZ Controler for HVX/DVX. STEADICAM ERQUIPMENT: STEADICAM ProVid & Film Masters Sled. Light Weight Sled with 7" LCD or 8" LCD Panasonic HD monitor. 4"Monochrome Daylight Monitor. Dual Iso-Elastic, Tool Free ARM. BARTECH Remote

More information

Please type or print. Name: Last First Middle. Program: For Participants in State University of New York Administered Overseas Academic Activities

Please type or print. Name: Last First Middle. Program: For Participants in State University of New York Administered Overseas Academic Activities AGREEMENT AND RELEASE FOR STUDY ABROAD STATE UNIVERSITY OF NEW YORK Overseas Academic Programs Please type or print. Name: Last First Middle Program: Location Abroad Term Abroad For Participants in State

More information

Motor Vehicle Operations Program

Motor Vehicle Operations Program Motor Vehicle Operations Program July 31, 2008 Introduction The Texas Transportation Institute (TTI) is committed to providing a safe and healthful environment for its employees and visitors. All activities

More information

DATE OF BIRTH: STREET ADDRESS: CITY/STATE/ZIP:

DATE OF BIRTH: STREET ADDRESS: CITY/STATE/ZIP: Get Noticed Beach Volleyball Waiver WAIVER AND RELEASE, EXPRESS ASSUMPTION OF RISK, INDEMNITY AND HOLD HARMLESS AGREEMENT, AND GRANT OF RIGHTS NAME OF PLAYER: PLAYER AGE DATE OF BIRTH: PLAYER GRADE as

More information

ECKERD COLLEGE RELEASE AND WAIVER: CAMP PROGRAMS PARTICIPANTS

ECKERD COLLEGE RELEASE AND WAIVER: CAMP PROGRAMS PARTICIPANTS ECKERD COLLEGE RELEASE AND WAIVER: CAMP PROGRAMS PARTICIPANTS Summer Watersports Camp All-Sports Camp Baseball Camp Basketball Camp Golf Camp Sailing Camp Soccer Camp Softball Camp Tennis Camp Volleyball

More information

Rental Application Packet

Rental Application Packet Rental Application Packet In order to rent any equipment with The Camera House please fill out and return the following forms: 1. Rental Application (Page 2) a. It takes 48 hours to process from the time

More information

Automobile Service Operations Application

Automobile Service Operations Application Automobile Service Operations Application COLUMBIA INSURANCE COMPANY NATIONAL FIRE & MARINE INSURANCE COMPANY NATIONAL INDEMNITY COMPANY NATIONAL INDEMNITY COMPANY OF MID-AMERICA NATIONAL INDEMNITY COMPANY

More information

Agreement for Net Metering and Interconnection Services (Level 1, 2 and 3 Interconnection)

Agreement for Net Metering and Interconnection Services (Level 1, 2 and 3 Interconnection) Agreement for Net Metering and Interconnection Services (Level 1, 2 and 3 Interconnection) This Agreement for Net Metering and Interconnection Services ( Agreement ) is made and entered into this day of

More information

Debit MasterCard BusinessCard Application

Debit MasterCard BusinessCard Application Debit MasterCard BusinessCard Application Company Name: COMPANY INFORMATION: (Please Print) Date: Street Address: City: State: Zip: Mailing Address: City: State: Zip: Contact Person: Phone Number: Tax

More information

STATUTES OF LIMITATIONS IN COLORADO

STATUTES OF LIMITATIONS IN COLORADO STATUTES OF LIMITATIONS IN COLORADO CRIMINAL Murder Kidnapping Treason Sex offense against a child Applies to offenses committed on or after July 1, 1996 Forgery solicitation to commit murder solicitation

More information