Name of Renter: (please print) Address: Postal Code:Water Pumping Equipment Rental Agreement • October 6th, 2014
Dugout/Reservoir Location: ¼ Section Twp. Rge. West of Meridian Rural Municipality: Water Supply Source: Distance from Source to Site: (miles) Lift: (feet) Tractor (minimum 85 horsepower tractor required with 540 PTO speed): Date Equipment Wanted: (approx.) Location equipment will be stored after use:
Telephone: Home: Work:Water Pumping Equipment Rental Agreement • April 23rd, 2010
Send 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 475 475 2375
Made under the provisions of the program for Water Pumping Equipment Rental - Commercial/Industrial.Water Pumping Equipment Rental Agreement • April 3rd, 2007
Name: (please print) Address: Postal Code: Telephone: Home: Work: Alternate: Pumping Purpose (check category): Water Supply Drainage Effluent/Wastewater Dugout/Reservoir Location: ¼ Section Twp. Rge. West of Meridian Rural Municipality: Water Supply Source: Distance from Source to Site: (miles) Lift: (feet) Tractor: Minimum 85 horsepower tractor required with 540 PTO speed
Made under the provisions of the program for Water Pumping Equipment Rental – Commercial/Industrial.Water Pumping Equipment Rental Agreement • April 23rd, 2010
Send 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
