Emergency Rental Contract - Service One Access, Inc. - Lift Truck Rental for MPAC

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s Aerial Life Rental, Sales & Service i Denka, R.eachMaster & Crawler Lifts • Scaffold Rental & Rigging Experts r Sidewalk canopies or Overhead Protection INC Permanent & TemporarAccess Solutions ONE ACCESS, 0 CERTIFICATE OF INSURANCE: The customer agrees to provide a certificate of Insurance to the Company naming Service One Access, Inc, as toss payee In regards for the Denke Lift. Certificate shall also show evidence of workman'& compensation coverage for any person(s) who shall be operating the lift, DAMAGE WAIVER: Service one Access„ Inc.„ Its agents and affiliates, hereby referred to as 'The Company", agrees to waive certain damage claims against the Customer In consideration of the Customer's payment of 18% of gross rental charge or $180.00 per day. By accepting the Damage Waiver, the Company and the Customer agree that the Company waives any claim against the customer for physical damage to the equipment, however caused, except as follows: a) Breach of the Rental Contract; b) Damage as a result of Theft, Vandalism, Malicious Mischief, or Intentional Abuse; c) Damage from overloading or exceeding the rated capacity of the equipment or damage resulting from striking overhead objects; d) Damage to tires and tubes caused by blow, out, bruises, cuts or other normal services of the equipment; e) Damage to motors or other electrical appliances or devices caused by artificial electrical current; f ) Damage caused by infidelity of the Customer, Its employees or persons to whom the equipment is entrusted; g) Damage resulting from lack of lubrication or other normal servicing of the equipment; and h) Damage due to a violation of the instruction manual provided to the Customer. This provision notwithstanding, the Customer shall nevertheless be liable for the first One Thousand dollars ($1,000.00) of damage to the equipment. I Agree to Accept YDecline Damage Waiver Per OSHA 11926.502(d)(20): 'The employer/lessor shall provide for prompt rescue of employees in the event of a fall or assure that employees are able to rescue themselves. FALL PROTECTION: OSHA requires the use of a full body harness to be worn at all times for operators of boom lifts, and this equipment must be provided by the Customer at the time of delivery. An approved full body harness and shock absorbing lanyard may be purchased from Service one Access for$150.00. I Agree to Accept purchase of fall protection system Decline (Customer shall provide) qr u Torko Customer's SignatiX ,. 2850 W. Fulton Street:, Chicago, IL 60612 Toll Free 800.298.7990 Phone 77.5331.5100 Fax 773.533.3088 www.serviceaneaccess.com UnAnA.e r anrh.m:9 ctar^ t'nm