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Dba: “Dvorak Shuttle Service” Agreement and Assumption of Risk
One Signed Agreement per Vehicle

I (Owner) hereby agrees to pay Bill Dvorak Kayak & Rafting Expeditions Inc, dba(s) SUP DVK, Dvorak Expeditions Inc., Between the Lines Hardware Inc, Bill Dvorak Kayak & Rafting Expeditions Inc. BDKRE, BTLH; (Contractor) to drive the vehicle listed below from designated (location) to the second (location). The date of said shuttle will be listed below.  Payment shall be made at the time the vehicle is booked unless other arrangements are made in advance.  (Owner) grants (Contractor) permission to drive or otherwise transport the described vehicle.

Owner's Assumption of Risk

Knowing that the vehicles may be unattended before pick up or after delivery by Contractor, and knowing that there are risks involved in completing the job as instructed, which risks include but are not limited to theft, vandalism, auto accidents, cracked, chipped and/or broken windows, damage from fire or elements, and the possibility of hitting animals on roads, illness due to transmissible pathogen or disease, Owner  (Vehicle Owner) hereby assumes all risks of damage, loss or injury to any and all persons or property, including but not limited to the vehicle and their contents, resulting from Contractor’s performance under this Agreement which are caused by negligence or inherent risks with this type of activity.

Owner's Covenants and Responsibilities

Owner covenants that the vehicle will be in safe driving condition at the time of pickup, and agrees to be responsible for all damages, loss, injury and liability resulting from a breach of this covenant.  Owner ALSO COVENANTS THAT THE VEHICLE WILL HAVE SUFFICIENT FUEL TO REACH THE DESTINATION, or else to make arrangements for fueling the vehicle before it is picked up.  If upon arrival for pickup, the Contractor determines, as it may in its sole and absolute desecration, that the vehicle is not in safe driving condition, the Contractor may elect not to transport the unsafe vehicle and will reimburse the owner for one half of the previous paid shuttle fee, and be free of all further liability, duty or obligation.  We advise following COVID19 safety guidelines in all circumstances as advised by all heath departments in the USA. 

Insurance and Indemnification

Recognizing there is an element of risk involved in completing work described herein as “Job Instructions,” Owner agrees to hold harmless, Contractor, it’s employees and/or agents and all persons or entities referring Contractor, including, but not limited to the Colorado State Parks & Wildlife, Bureau of land Management, Arkansas Headwaters Recreation Area, and any other referring agency for loss, damage, injury or liability which may result in Contractor’s performance under this agreement in good faith.  All disputes will be heard by a court located in Chaffee County, Colorado applying Colorado law.  All parties consent to the personal jurisdiction of such a court. Filling out vehicle information and submitting this form to Contractor constitutes acceptance of all terms, even without signature.

Owner is solely responsible for insurance on the described vehicle and warrants that insurance will always be in force relevant to this agreement.  Owner warrants the legality of all tasks which the Contractor is to perform under this agreement.

Today's Date: July 25, 2021

Call our main office to set up your shuttle @ 719 539-6851.  You can arrange shuttles at our main office @ 17921 US Hwy 285, Nathrop, CO 81236 | Dvorak Shuttle Services.   Email:  Info@DvorakExpeditions.com

 

First Owner Name

First Name*

Last Name*

Phone*
First Owner Date of Birth*
I certify that I am 18 years of age or older
First Owner Signature*
Second Owner Name

First Name*

Last Name*
Second Owner Date of Birth*
Third Owner Name

First Name*

Last Name*
Third Owner Date of Birth*
Fourth Owner Name

First Name*

Last Name*
Fourth Owner Date of Birth*
Fifth Owner Name

First Name*

Last Name*
Fifth Owner Date of Birth*
Sixth Owner Name

First Name*

Last Name*
Sixth Owner Date of Birth*
Seventh Owner Name

First Name*

Last Name*
Seventh Owner Date of Birth*
Eighth Owner Name

First Name*

Last Name*
Eighth Owner Date of Birth*
Ninth Owner Name

First Name*

Last Name*
Ninth Owner Date of Birth*
Tenth Owner Name

First Name*

Last Name*
Tenth Owner Date of Birth*
Owner Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
River Shuttle Information

DATE OF PUT IN

TIME OF PUT IN:

PLACE OF PUT IN:

DATE OF TAKE OUT

TIME OF TAKE OUT:

PLACE OF TAKE OUT

Comments or Special Instructions:

VEHICLE OWNER or (CODE):

MAKE/Model:

COLOR:

LICENSE #:

KEY LOCAL:

*** MUST PURCHASE VEHICLE TAG-PARKING PASS FOR STATE PARKS / AHRA LAUNCH SITES FOR DAY USE PER DAY! Available at river sites or AHRA office in Salida, CO (Sackett & G Street)


PLACE WHERE SHUTTLE DRIVER SHOULD RETURN KEYS:
Is there a Trailer attached?*
No
Yes
In the event that the vehicle and/or trailer becomes in-operable, would you prefer that Dvorak Expeditions Shuttle Service: Flat tires can be changed at owners' cost for time.*

In the event Dvorak Expeditions Shuttle Service is unable to deliver vehicle to take out, contact this person.


Name:

Cell phone number:
Will the contact person accept texts:*
No
Yes
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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