NO-TILL GRASS DRILL LEASE/RENTAL LIABILITY WAIVER FORM
Prior to taking District owned equipment into your possession, this form must be completed and returned to the District for approval.
I, _______________________________, anticipate leasing the District’s No-till Grass Drill on __________ acres. I anticipate picking up the equipment on the following date _________________ and expect to return it by _________________.
I understand that I am responsible for this equipment while it is in my care, custody, and control. I confirm that insurance is current on the vehicle towing the equipment.
I also understand that I am responsible for the following:
To perform an inspection of the equipment for damage prior to taking it into my possession and to report any damage to the District office immediately;
To clean any mud or dirt off the drill
To immediately contact the district when I pick up and return the equipment;
To report the number of acres actually covered to the District when I return the equipment;
To assume responsibility for any repairs due to my negligence or use, excluding ordinary wear and tear, while the equipment is in my possession; and
To be responsible for the transport of the equipment from a previous job, or to and from the District parking lot
The following customer information is requested:
Name: _________________________________________ Telephone: _____________________________
Address: ______________________________ City, State, Zip Code: _____________________, _____, ______
Date Requested: _______________________ CustomerSignature:____________________________________
The above information was reviewed and approved by ___________________, District representative, on ______________.
Dates equipment actually picked up and used: _________ to ________. Acres actually covered: ______________.
RENTER_________________________________________ DATE_________________________
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