PFP equipment loan form .pdf

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Original filename: PFP_equipment_loan_form.pdf
Title: Places for People Equipment Loan Form
Author: Aaron Berning

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Haliburton  County  Non-­Profit  Places  for  People  Corporation  
Box  544  Minden  ON  K0M  2K0                  
CRA  #  846245959RR0001    

 
 
EQUIPMENT  LOAN  AGREEMENT  
between  
Haliburton  County  Non-­‐Profit  Places  for  People  Corporation  (Places  for  People)  
                               and  
 ______________________________________________  (Borrower)  
   
I.   Places  for  People  Equipment  Representative  Name:      
 
 
 
 
 Address:    
 Phone:    

 
 

 
 

 
 

 
 

 
 
 Email:      

 
 

 
 

 
 

 
 

 
 

 

 

 

 
 

 
 

 
 

   

II.  Borrower  and  Equipment  Information      
1.   Borrower  Organization:    
 
 
 
 
 
 
 
 
 (“Borrower”)    
   
Address:    
 
 
 
 
 
 
 
 
 
 
 
 
 
Phone:      
 
 
 
 Email:      
 
 
 
 
 
 
 
 
                                                                                                     
2.   Borrower  Representative  Name:    
 
 
 
 
 
 
 
 
 
               
   
Address:    
 
 
 
 
 
 
 
 
 
 
 
 
 
Phone:      
 
 
 
 Email:      
 
 
 
 
 
 
 
 
   
3.   Loan  Period:    From  ____________________________,  20____    to    ____________________________,  20____        
   
4.   Equipment  Description:      
 
 
 
 
 
Number  of  28”  Traffic  Cones:       _______      
 
 
 
 
 
Pyle  Pro  Megaphone  (of  1):  
_______  
 
 
 
 
 
Number  of  Uniden  GMR5089-­‐2CKHS  FRS/GMRS  Radios  (Sets  of  2):  _______    
   
5.   Used  for  (event):      
 
 
 
 
 
 
 
 
 
 
   

   
III.  Borrower  Responsibilities      
   

A.  INSURANCE      
The  Borrower  is  responsible  for  the  full  cost  of  repair  or  replacement  of  any  or  all  of  the  Equipment  that  is  damaged,  lost,  
confiscated,  or  stolen  from  the  time  Borrower  assumes  custody  until  it  has  been  returned  to  the  Places  for  People  
representative.    
   

B.  USE/DISCLAIMER      
The  Borrower  shall  be  responsible  for  the  proper  use  and  deployment  of  the  Equipment.  The  Borrower  shall  be  responsible  for  
training  anyone  using  the  Equipment  on  the  proper  use  of  the  Equipment  in  accordance  with  any  Equipment  use  procedures.  
The  Borrower  accepts  responsibility  for  operating  the  Equipment  at  its  sole  risk.    Borrower  agrees  to  use  the  Equipment  for  
non-­‐profit  use  only,  and  not  for  any  commercial  use  or  application.      
   
   

   

Haliburton  County  Non-­Profit  Places  for  People  Corporation  
Box  544  Minden  ON  K0M  2K0                   CRA  #  846245959RR0001    
   
 

C.   DELIVERY  AND  RETURN  OF  EQUIPMENT      
The  Borrower  shall  be  responsible  for  delivery  and  return  transportation  costs.  The  Equipment  shall  be  returned  to  the  
Equipment  Representative  noted  in  Part  I  above.    
   

D.  MAINTENANCE  AND  REPAIR      
Equipment  shall  be  returned  to  Places  for  People  in  as  good  a  condition  as  when  received  by  the  Borrower.  During  the  Loan  
Period  and  prior  to  return,  the  Borrower  agrees  to  assume  all  responsibility  for  maintenance  and  repair.  All  maintenance  and  
repair  of  Equipment  shall  be  performed  by  approved  personnel.  Any  unauthorized  maintenance  voids  all  original  Equipment  
warranties.      
 
In  order  to  confirm  that  the  Equipment  is  in  good  working  order  upon  its  return,  at  Places  for  People’s  discretion,  the  
Equipment  may  be  inspected  by  an  approved  service  operation.  The  cost  of  inspection  and  any  necessary  parts,  repairs  or  
adjustments  are  solely  the  responsibility  of  the  Borrower.      
   
F.  INDEMNIFICATION      
A  security  deposit  paid  in  cash  or  cheque  is  to  be  included  with  this  agreement  and  is  calculated  as:    

 
 
 
 
 

 
 
 
 

 
 
 
 

Traffic  Cones:      
#  
 
Megaphone:    
#  
 
Radio  (set  of  two):    
#  
 
TOTAL  Security  Deposit  Amount:    

x      $5.00  =    
x  $50.00  =    
x  $50.00  =    
 
 

 
 
 
 

 
 
 
 

   
The  security  deposit  shall  be  refunded  upon  return  of  equipment  less  any  costs  incurred  to  repair,  replace  or  retrieve  the  
equipment  which  will  be  documented  by  invoice.  Any  charges  incurred  for  repair,  replacement  or    
retrieval  of  the  equipment  over  and  above  the  amount  of  the  security  deposit  shall  be  payable  by  the  Borrower  to  the  Lender  
on  presentation  of  invoice.      
   
In  consideration  for  the  Equipment  loan,  the  Borrower  agrees  to  indemnify,  defend  and  hold  Places  for  People    harmless  from  
any  and  all  damages,  losses,  claims,  causes  of  actions,  expenses  and  liability  of  any  nature  whatsoever  associated  with  its  use  
of  the  Equipment.    
     
IN  WITNESS  WHEREOF,  the  parties  have  executed  this  Agreement  as  of  the  date  set  forth  below.      

   

HALIBURTON  COUNTY  NON-­‐PROFIT        
   
BORROWER  ORGANIZATION    
PLACES  FOR  PEOPLE  CORPORATION    
 
 
 
 
 
 
 
                                                         
   
SIGNED      
 
 
 
 
 
 
SIGNED    
 
 
 
 
   
NAME      
 
 
 
 
 
 
NAME      
 
 
 
 
   
TITLE      
 
 
 
 
 
 
TITLE      
 
 
 
 
     
DATE      
 
 
 
 
 
 
DATE      
 
 
 
 
   
   
Cheque  #  _____________    Cheque  Amount  _________________  /  OR  Cash  received  amount  ________________    
 
Date  equipment  returned:    
 
 
 
 
 
 
Equipment  returned  to  and  received  by  PFP  (signature):      

 

 

 

 

 

 

 

Deposit  returned  to  and  received  by  borrower  (signature):    

 

 

 

 

 

 

 

 
 


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