EFTA01719835

,..~n..c-..~.~~nz.=:-t;:,~>;w,. -.ti.•arc.~.~~.. ,;w.:,...:._..,..Gv.+ra ..~.::~-..--..a~a.:n...,w .~ t s.:'..c.~.n~:~; :n~ EFTA01719835 Town of Pal int Beach Police Dep at -Meat EVIDE RsiCE CASE #_(:)..S3k_ ma r nay .a.-nal CONTE. t4TS Officer: KL- 231 EFTA01719836 We hope you don't but If You Have An Accident: Immediately report it to Thrifty and the Police. Failure to do so may void any protection afforded to you under the Rental Agreement. USE THIS FORM to record on-the-scene information. Telephone information to the Thrifty location where you rented the vehicle immediately. See Rental Agreement for phone number. Then give this form to Thrifty upon return of vehicle: or mail. Accident: Date Time Place Damage To Other Vehicle(s): Owner,Address & Phone__ Make & year Driver, Address & Phone Insurance Co. Occupants: Indicate vehicle: Yours-#1, other-#2. (Circle name if possible injury.) Name Address & Phone Vehicle # Witnesses: Name Address & Phone Your name Your address Police: Name Badge! Rene also refers to arty additional AbilToi.Jed Dna: All Autnow are font?, and severalty N30;2104 the oh-gatiols under the Agret nit 1. AUTHORIZED DRIVERS. The Vehicle may be driven only by an TAii•honivid Driver An Authorized Omer :s You and any addtonai •no time of renal and signs this Agreement. AT A • • - ihte satisfy our age requirements have a vat till cur iewo otneer qualifications No Other persons a'c 3i: on:idea to rue 2. THE VEHICLE. !ion with no appre ' • WARRANTIES OT V . FOR ANY PARTICu.Az • LIAEiLE TO YOU FOR :J.( DAMAGES RELATED DIRE:: - US OF THIS AGREEMENT 3 PROHIBITED USES OF THE VEHICLE. A. The VenicN ma, no: oe used (I) BY OTHER THAN AN AUTHO- RIZED DRIVER: (2) TO PUSH OR TOW ANYTHING. CARRY PERSONS OR PROPERTY FOR HIRE. IN A RACE, TEST. CONTEST. OR FOR TRAINING ACTIVITY, (3) FOR ANY ILLEGAL PURPOSES. OR IN THE COMMISSION OF A CRIME: (4) WHILE UNDER THE INFLUENCE OF ALCOHOL OR DRUGS: IS) TO INTENTIONALLY CAUSE DAMAGE. OR ENGAGE IN WILLFUL. WANTON OR RECKLESS MISCONDUCT. (71 OUTSIDE OF OUR GEOGRAPHIC DRIVING RESTRICTION OR IN MEXI- CO. (8) IF IT WAS OBTAINED BY FRAUD OR MISREPRESENTATION. B. FOR PURPOSES OF THIS AGREEMENT. WILLFUL, WANTON OR RECKLESS MISCONDUCT INCLUDES. BUT IS NOT LIMITED TO: (1) THE UNAUTHORIZED USE OF THE VEHICLE ON OTHER THAN REGU- LARLY MAINTAINED HARD SURFACE ROADWAYS. PRIVATE DRIVE- WAYS OR PARKING LOTS. WHICH UNAUTHORIZED USE DIRECTLY RESULTS IN DAMAGE OR LOSS TO THE VEHICLE: (2) USE OF UNAU- THORIZED EQUIPMENT ON OR IN THE VEHICLE: (3) AIDING IN THE THEFT Of THE VEHICLE OR FAILING TO SAFEGUARD THE KEYS AND THE VEHICLE AND IT IS STOLEN OR VANDALIZED: (dl CARRYING PAS- SENGERS IN THE BED OR CARGO AREA OF THE VEHICLE; (5) A CITA- TION FOR A SERIOUS TRAFFIC VIOLATION AS DEFINED UNDER STATE LAW. OR i6i FAILURE TO USE SEAT BELTS AND CHILD RESTRAINT SEATS WHERE REQUIRED OR CARRYING PASSENGERS IN EXCESS OF THE NUMBER OF SEAT BELTS IN THE VEHICLE. C ANY PROHIBITED USE OF THE VEHICLE IS A MATERIAL BREACH OF THIS AGREEMENT AND WILL VOID OR DEPRIVE YOU OF ALL BEN- EFITS. PROTECTION AND OPTIONAL COVERAGES. IF ANY. TO WHICH YOU WOULD HAVE OTHERWISE BEEN ENTITLED TO UNDER THIS AGREEMENT AND MAKES YOU RESPONSIBLE FOR ALL LOSS OF OR DAMAGE 10 THE VEHICLE. THIRD PARTY CLAIMS, FINES, PENAL- TIES. ATTORNEY FEES AND COSTS. YOUR RESPONSIBILITY FOR DAMAGE OR LOSS. YOU ARE ABSOLUTELY LIABLE FOR ANY LOSS OF OR DAMAGE TO THE VEHI- CLE, EVEN IF SOMEONE E CAUSED IT OR THE CAUSE IS UNKNOWN WHETHER DUE TO THEFT, FIRE. HAIL, FLOOD, COLLI- SION, VANDALISM OR ANY OTHER CAUSE, SUBJECT TO LIMITA- TIONS IMPOSED BY THE LAW OF THE JURISDICTION WHERE THE VEHICLE IS RENTED. YOU IABILITY WILL NOT EXCEED STORAGE VMUE OF THE VEHICLE PLUS ACTUAL TOWING AND CHARGES. LOSS OF OE AND DIMINUTION IN VALUE {WHICH IS THE DIFFERENCE BETWEEN THE VALUE OF THE VEHICLE BEFORE THE DAMAGE AND THE VALUE OF THE VEHICLE AFTER THE DAMAGE. REGARDLESS OF WHETHER THE VEHICLE IS REPMRED OR NOT). ALL RENTAL CHARGES THROUGH THE DATE YOU REPORT THE INCI. OENT IF NOT RETURNABLE r THE RETURN DATE WHICHEVER IS LATER, PLUS ANY OUT OF P CKE7 EXPENSES INCURRED BY US AS A RESULT OF THE L SS OF R DAMAGE TO THE VEHICLE. A REA- SONABLE ADMINIS RMIVE FEE AND PRO.RATA LICENSE PLATE FEES ALL AS ALLOWED BY LAW. YOUR PERSONAL INSURANCE MAY 'OR MAY NOT COVER ANY LOSS. YOU SHOULD CHECK WITH YOUR OWN INSURANCE CARRIER. IF YOU MAKE UNAUTHORIZED REPAIRS THE VEHICLE VEHICLE, CONDITION TO PAY ANY COST TO RESTORE THE VEHICLE TO THE OF THE VEHICLE AT THE TIME OF RENTAL. YOU AGREE TO PAY US ANY AMOUNT NOT COY - 4 PERMITTED BY lila. WE 00 NOT PROVIDE • UNINSURED- OR • UNDERINSURED MOTORIST PROTECTION, PHYSICAL DAMAGE PROTECTION FOR THE THE VEHICLE. "NO FAULT- OR OTHER OPTIONAL PROTECTION IN CONNECTION WITH THIS RENTAL AND YOU AND WE HEREBY REJECT. TO THE EXTENT PERMITTED BY LAW. INCLUSION OF ANY SUCH PROTECTION •••• • nonsTienl such protection Shallbe caromed in an amount equal TO the minanurn statutory hnancial reams/bitty liability limits of The slate in whth this Agreement is executed. We can von* such protection under a certificate 01 self-insurance an insurance policy. and'or an indemmlicabort as we choOSe 11. OPTIONAL SUPPLEMENTAL LIABILITY INSURANCE ("SU"). W y:r xcept availaNe ne ani)dnalforsiani ar the rth3bneaglinn dadingy cf,ialrenta rge. l. yYcv ou wi signit7el pfthaot vided with protection against Third-Party Claims as outlined below: I You will be protected against Third-Party Clams excluding WAN Family Members as defined in wechon to. other than to the vehicle. am acts tiongsalbsrninfy "the muse omo or mopere appindi cabisof fithneancVell ialnres le.pons in ern. be liability limits required fly laws in the jurisdiction in which the Vehicle rs rented. which Shall De Wetted to as 'Primary Protection" We can pronde Primary Protection under a certificate of self -insurafte, an insurance policy andior an indemnification as we choose; and. 2 SLI proves You with coverage under a separate insurance potcy providing 'ions insurance against Third-Party Cleans arising out ol the use or coerabon of the Vehicle for the drIference between the Primary Protection and a rrtaximum combined single limit of SI.030.000 IU S Der occurrence for too iniury. death and property damage to ocher than the Vehicle while rre Vet Ce is on rent TO You 3. THE EXCESS SLI POLICY EXCLUDES coverage for (a) use of die Vehicle in breach of This Agreement including but not limited to drin lag while ender the Influence of alcohol or drugs in violation of law: (b) me by anaidtiorited drivers: (b) claims by Family Members (as defined In SKIOn 10): and (c) the other specific exclusions summa- rized on The separate brochure available al the counter which is incorporated herein, receipt of which You hereby acknowledge The SU polity dots not provide coverage for physical damage to the weileht no faury. Tull-party benefits. uninsured or underinsured motorist benefits or any other optional protection unless required by taw. To the extent permitted by law, You and we relect the inclusion of any such coverage. If You Purchase SLI. You agree to defend, indemnity, and hold us harmless from and against any and all loss, liability or damage whatsoever not paid or covered by SLI or the Pnnury Protection. 12. HANDLING ACCIDENTS AND OTHER OCCURRENCES. A. You agree to immediate& file and report any aCcident theft or van. dalTsm involving the Vehicle to us and to the pcke and Complete an accident report. YOUR FAILURE TO COOPERATE WITH US IN MY INVESTIGATION OR TO FILE A TIMELY MO ACCURATE REPORT CRE- ATES A REBUTABLE PRESUMPTION THAT THE INCIDENT WAS CAUSED BY YOUR WILLFUL. WANTON OR RECKLESS MISCONDUCT AND. ASA RESULT. MAY %too THE OPTIONAL PRODUCTS AND MAKE YOU ABSOLUTELY LAE: c FOR ANY LOSS OR DAMAGE TO THE VEHI- CLE B. You will deliver to m a legit* COPY Of any service of prOCeSS. Plead' mg, or notice of any lend relating to a Claim or suit in connection with any acoderi r reason: 13. riot:mg the Vehicle. C. We riser,, riser,,the right to reline to Wwitar0010/01010 to arty lYceeirEnzNilERAL PROVISIONS. YNhan an break:lawn. "ate tee bee Sr for A Vehicle means the vehicle rented or its replacements and all of its Parts. equoment accessories. keys and documents B No term 01 this Agreement may be waived or changed except by a Written agreement signed by our authorized repicsentatne. If any term of Res Agreement is prohibited by law, it slut not affect the remaining C Paragraph heachigs have no independent meantg tOhs . You A0, uretc el that it is Your resper,,,,, r e YouSerney l benhotansduNe thase ild resthetraVineht Platte° , nor may You transfer or assign to comply with all atiPli- 0.0 F rwert ie reserve the right to deny future rental to You if You violate INS EFTA01719837 ADDENDUM TO TERMS NOTICE TO FLORIDA RENTERS Renter's insurance primary: The valid and col- lectible liability insurance and personal injury pro- tection insurance of any authorised rental or leasing driver is primary for the limits of liability and per- sonal injury coverage required by ss.324.021 7) and 627.736, Florida Statutes. Failure to return rental Vehicle: Failure to return rental property or equipment upon expiration of the rental period and failure to pay all amounts due (including costs for damage to the property or equip- ment) are prima facie evidence of intent to defraud, punishable in accordance with section 812.155. Florida Statutes. These terms supersede any conflicting, terms slated elsewhere. Just what you want. lust Thrifty. Discover why savvy travelers think Thrifty is a smarter way to go. Great cars - Chrysler names you know from cars like the sporty Intrepid to the roomy Caravan. Great locations - Over 1,200 locations worldwide, including over 80 on-air- port locations throughout North America. Great service -Thriftys committed to get- ting travelers on their way fast. Great rates - Our low rates mean you'll always get a great car at a great price. All year long. And Blue Chip Express Rental service, too! With Blue Chip, all your rental paper- work is taken care of beforehand. You just jump in our Blue Chip Express line, show your drivers license and credit card, sign your name and go. Returns work just as fast Available at U.S. and Canadian airport locations. To sign up for Blue Chip Express service. Call 1.888-400.8877 or visit www.thrifty.com igraiilir 1111111 AK:dr Rental Please Complete At Check-in: Mil0J?C In Gas Tura In Thank you for PEACE choosing Mint OF_MIND. ) And visit us at fl n riesayag r raw • 3 , c W!Live a feature in n Chrysler can we Nye r have to see. It's a driver's air bag and it can halm: r traction of a iecond to save your life. Thrifty. We take safety t seriously as savings. Call for mailability and ruten-ations today! For trocldwitle n-senrations contact your travel consultant or call 1.800:Thrifty' (I.800.8474389) or log onto www.thrifty.com Re Local Service & !nit finntiOn-, lust Call On Your Local Thrifty Center! Customer Service: Email thrifty.com/contacts/ or Call 800.334.1705 IN CASE OF ACCIDENT: See instructions Under Flap TTA05O).L 2X15 nerr-a-cat sworn are 0109,25] eav 13 0'.O5-351 A vsa M ty esCar Rental EFTA01719838 '!Bråris fin n ArCar Rental NEST PAIN ktACII MENIAL NLC0NI : l'0MPLt ILU BY. HENIEU: I A INItHNAii MENIAL: 09 25 05 1/513 NE i UNN : 09 70 OS 1052 MlitS IN: 014 b (Ni: 04;.; au 4 mitts DmlittN: PLAN IN/QUI: CLS: IDAR 393 SPC 1 DAYS 25.00 SUBT0T IAMBI E TOT SAILS TAX It/U.14*D C0NCFIENEC LAG AEC EL SUNCYIG FLATAX NET DUE PAYMENTS PAID BY: VI CREDII CARD A. ti u li (1 n .00 n..00 n.,10 :.n/ ..I/ ; . II .:13 EFTA01719839 • • • • • • aI • 1 a LEE • Failure to return rental Vehicle: Failure to return rental property or equipment upon expiration of the rental period and failure to pay all e• amounts due (including costs for damage to the property or equipment) aro prima facio evidence of intont to defraud, punishable in accor- dance with section 812.155, Florida Statutes. Rental Location VIG LitiV41 Jt,s, [NUT,- CAR httilla. TAMPA INT'l AIRPORT TOPA Ft egt40033607 977-283-0638 Car To Be Fetumed To Moe Unless Stated Below NEST PALM BEACH Pistons' Inlonnation PUN BCH 5RD FL 33410 0517 FL 01 7/ - ADDil DRIVER: Noee FL SLIME MUDS ' I .03 -"E RED DEPOSITS 2541.10041/09/c. VeliMeinfommion Ta I; I 0=-1 ii9SFUN STALL*: B58.3 05 CHRYSLER SEBRD64 Rate: WALK CI': IDAR 929001 FUEL LEVEL OUT: FULL MILEAGE OUT: 6482 CUSTOMER DECLINES LLM AV IS FEW' S1BLE FOR LOSS OR DAM* PEP TERN. CF TIE RENTAL AGREEMENT. VW DECLINED SLI DECLINED MNP DECLINED E9P a BY IDLW INITIALS YOU ACFNOWJECGE EGYE ACCEPTED DELL' ADP— PTIONAL ITEMS: Rental Expires On %tar ISee 08149754 TIRE CUT e5/28.5 l758 Dart RATES** EST DE 8.00/ els 25.0a; ;11; Ind its .99/p1 Fssiai R Iss5as 2.67 FEE .47Day 47 SI RCC 2.13//Day 2..03 7.900% 2.11 ARE RESPONSIBLE FOR YOURPARrirr **ESTIMATED CARGESsit r.YE. IF YOU FAIL TO PAY YOUR ANY UIPAID TID(ET(S) Di tic o C' .S FEE Kik a rlilitr e " T TIRE IN - te returns is charged right after tae start of new Rental Day. FLORIDA - NOTICE TO RENTERS Renter's insurance primary: The valid and collectible liabiity insurance and personal injury protection insurance of any authorized rental or Leasing driver is primary for the limits of liability and personal injury coverage required by ss.324.021 (7) and 627.736. Florida Statutes. • These terms supersede any conflicting terms stated elsewhere. • I • • *Pi • TheRenu, o'retveor vntalisoe ronTHG Compact,' X Tad tow rho c.oroato ey statue below. the unOtetagred le:knewiedges and COMMAS mat awe are *PRY eanzed ea operate inerarni cardinals and no tat bah parsed and semen studio the Loss Damp. Yaws, rilormaton. that Saar on this Rental Sistsment and c SIGNED AUTHORIZE THE COMPANY TO PROCESS A CHARGE TO THEIR CREW. cEsr OP CHARGE CARD IN THE AMOUNT SPE( ioNAL CHARGES DUE UPON RETUPN Of THE VEHICLE AU. CHARGES SUBJECT TO AUDIT. No sclegeleael drivers en pormelew. RENTER X AD liana& arat itaa a • a AM EFTA01719840 Cheek In DTG Operations, Inc. 115 U4 2b kiL . , i S. i 'Owning City RA. a 7 :e thsn. 1 I 1 t it /\ /Side MokeiModel A/C 8.4 2 Di 4 Dr S/W Van CcW Mileage Out Cos Our E I/8 I/4 1/8 I/2 I I I I A/8 W4 7/3 ,.6- .2 i I I/ ) Dose Out Car In space ND. letter cn drawings. - Missing C Side damcge. hrs. Mork damaged port wth the opp•opriate D . Dent S - Scratch 6 . Broken M Dnver's Side Recr Passenger's Vehicle sebiect to further inspection hr hidden All new carnage, must be reacted within 24 - Cracked front Customer Signature and Date Guard Initials C r Cote. I. 15 - is 1 or-sam EFTA01719841