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: _______________________ Customer Signature: ____________________________________

The above information was reviewed and approved by ___________________, District representative, on ______________.

Dates equipment actually picked up and used: _________ to ________. Acres actually covered: ______________.