Made under the provisions of the program for Water Pumping Equipment Rental – Commercial/Industrial.Water Pumping Equipment Rental Agreement • April 23rd, 2010
Contract Type FiledApril 23rd, 2010Send this form to the Pumping Coordinator, Box 609, Outlook SK S0L 2N0 Payment Enclosed: $ for equipment rental, and $ damage deposit. A separate cheque is to be submitted for the damage deposit.I have read and fully understand and agree to the rental terms and conditions, as described on the reverse side, and further agree to transport, operate, maintain and store any equipment assigned tome in accordance with the applicable legislation passed by federal, provincial and local authorities governing transportation and the safe operation of the equipment. I confirm that the vehicle and vehicle operator being utilized are each validly registered and insured in accordance with the law. Applicant’s signature: Date: , 20 Equipment and Rates Basic Rate($) Additional Days ($) No. of Units No. of Days Cost ($) Total Cost ($) BasicRate Add.Days Pump, one mile pipe/trailer, or portionPump, ½ mile pipe/trailer, or portionAdditional one mile pipe/trailer, or portionAdditional pump 706 475 4758