Common Contracts

1 similar Emergency Use Agreement Between Requestor contracts

Contract
Emergency Use Agreement Between Requestor • August 21st, 2013

EMERGENCY USE AGREEMENTBetween REQUESTOR (Emergency Services District #6 (“ESD#6”) OR the City ofDripping Springs, Texas (“City”) OR other City/ESD#6 approved requestor) AND VENDOR. REQUEST DATE: REQUEST #: REQUESTOR’S Contact Info - name/title/phone/fax/email: City / ESD #6 (please circle) VENDOR: VENDOR’S Contact Info - name/address/phone/fax/email: Description of Emergency Situation: • Emergency Resource Requested: (please circle) equipment, supplies, facilities, services , manpower, animal• Description of Resource: If Equipment: include Type, VIN, Make, Model, Year, Serial No., Accessories or Other Identifying Features: If Animal: include Breed, Sex, Age, & Physical Description: • For a list of equipment rates, see: http://www.fema.gov/pdf/government/grant/pa/eqrates_2010.pdf• See Liability section at end of Agreement.• RATE for above listed resource: $ per hour / day (please circle).• Was an equipment Operator provided by Vendor? (Y/N)• RATE for Vendor’s Operator: $ per h

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