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Page 2 of 2 <br /> 0 <br /> SRUEIN !.T®RENTALS PC#: 0348 SUNBELT RENTALS, INC. <br /> PUMP&POWER 2257 LINCOLN AVE <br /> SERVICES Salesman: 034809 MAIN, DAVE (348) <br /> TACOMA, WA 98421-3409 <br /> 253-922-6995 Typed By: MHUGHES <br /> Job Site: RENTAL OUT <br /> EVERETT REHAB MEDICAL CENTER <br /> 111 <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br /> 1919 112TH ST SW <br /> EVERETT, WA 98201 <br /> Contract #.. 81444889 <br /> C#: 425-888-2882 J#: 425-888-2882 Contract dt. 8/10/18 <br /> Date out.... 8/10/18 1:36 PM <br /> Customer: 317373 Est return.. 8/15/18 12:00 PM <br /> D-SQUARE ENERGY SYSTEMS INC Job Loc 1919 112TH ST SW, EVERETT <br /> 201 W NORTH BEND WAY Job No 1 - EVERETT REHAB ME <br /> P.O. # N/R <br /> NORTH BEND, WA 98045 Ordered By.. Jones, Keith <br /> NET DUE UPON RECEIPT <br /> QTY EQUIPMENT # Min Day Week 4 Week Amount <br /> SALES ITEMS: <br /> Qty Item number Unit Price <br /> PICKUP CHARGE 295.00 <br /> Currently, Pay on Return per gallon prices are: <br /> GAS: $7.850, DIESEL: $8.250, KEROSENE: $6.100, PROPANE: $6.500 <br /> However, Customer agrees to pay Sunbelt' s Pay on Return per gallon price in <br /> place at time of return of the Equipment. <br /> All amounts are in USD <br /> Certain equipment above requires scheduled Preventive Maintenance.Sunbelt Rentals will monitor the operation time and perform PM service as required in accordance with <br /> manufacturers specifications.Customer shall be charged for each PM service performed during rental period. <br /> k*************************************************************************if*.*iF k ******************************* <br /> * Rate our rental ex.erience www.sunbeltrentals.com/surve * <br /> IF THE EQUIPMENT DOES NOT WORK MULTIPLE SHIFTS OR CUSTOMER IS RESPONSIBLE FOR <br /> PROPERLY,NOTIFY THE OFFICE AT ONCE OVERTIME RATES MAY APPLY REFUELING,DAMAGES AND REPAIRS <br /> 1. The total charges are an estimate based on the estimated rental period and other information provided by Customer. <br /> 2. Customer assumes all risks associated with the Equipment during the Rental Period,including injury and damage to persons,property and the Equipment. <br /> 3. Customer is responsible for and shall only permit properly trained,Authorized Individuals to use the Equipment. <br /> 4. If the Equipment does not operate properly,is not suitable for Customer's intended use,does not have operating and safety instructions or Customer has any questions regarding use of the Equipment,Customer shall not use the Equipment and <br /> shall contact Sunbelt immediately. <br /> 5. Equipment misuse or using damaged or malfunctioning Equipment may result in serious bodily injury or death and Customer agrees that Customer(i)assumes all risk associated thereunder,and(ii)indemnifies Sunbelt Entities for all claims or <br /> damages as a result of misuse or use of damaged or malfunctioning Equipment. <br /> 6. Customer has received,read,understands and agrees to the estimated charges and all the terms on this page,plus all sections on the reverse side of this Contract("Sections"),including Release and Indemnification in Section 8 and Environmental <br /> Fee in Section 16,which can also he found at www.sunbeltrentals.comlrentalcontract.'DeliverylPickup Surcharge fee explanation is available at www.sunbeltrentals.comisurcharge. <br /> 7. Customer must contact Sunbelt to request pickup of Equipment,retain the Pick-Up Number given by Sunbelt and will be responsible for Equipment until actually retrieved by Sunbelt. <br /> 8. Customer waives its right to a jury trial in any dispute as set forth in Section 19. <br /> 9. At the election of Sunbelt or Customer,Customer agrees to submit every dispute to arbitration and waives any right to bring a class action as set forth in Section 20. Q.--3/161/ <br /> Customer is declining Rental Protection Plan(see reverse side for details) (Customer Initials) <br /> Customer Signature Date Name Printed Delivered By Date <br /> **www.sunbeltrentals.com** RNTOUTP2Pa(Rev 03/23/11(1 <br />