Vehicle Shuttles Waiver

Wilkins Shuttles
195 E. 400 S. Vernal, UT 84078



I__________________________________________________ (PLEASE PRINT NAME), (EMPLOYER) Authorize and grant permission to Green River Transportation, Inc./Wilkins Shuttles (Contractor) of 195 E 400 S, Vernal, UT to drive or otherwise transport the described vehicle,

Make: _____________________ Model: ____________________ Color: _______________ Plate Number_____________,

From_________________________________ to_____________________________ between the dates of_____________.

I, the vehicle owner or authorized user acknowledge the element of risk involved in all aspects of participation in a vehicle transfer, including the parking of my vehicle in an unattended parking are before and after the trip and in knowing there are risks in the transportation of my vehicle on highways, state roads, rough dirt roads, poorly maintained roads or precipitous desert or mountain roads. I acknowledge that these dangers are inherent to the job and are not driver error.

I expressly agree and promise to accept and assume all risks associated with participation in this agreement and accept full responsibility for any loss of property damage, and all other damages that may be sustained by the vehicle or contents. I hold harmless Green River Transportation, Inc./Wilkins Shuttles and their agents and its employees for loss, damage, injury or liability which may result from Contractor’s undertaking this agreement in good faith.

In the event that I file a lawsuit against Green River Transportation, Inc./Wilkins Shuttles, I agree to solely in the county of Uintah in the state of Utah, and I further agree that the substantive law of that state shall apply in that action without regard to conflict laws of that state. I agree that if any portion of this agreement is found to be void or unenforceable, the remaining portion shall remain in full force and effect. Should Green River Transportation, Inc./Wilkins Shuttles, or anyone acting on their behalf, be required to incur attorney’s fees and costs to enforce this agreement, I agree to indemnify and hold them harmless for all such fees and costs.

I understand I am solely responsible for insurance on the described vehicle and warrant that the insurance will be in force at all times relevant to this agreement. I will also make sure the registration is current and the vehicles is in road worthy condition.

SIGNATURE________________________________________________________ DATE_________________________

SPECIAL INSTRUCTIONS and VEHICLE IMPERFECTIONS. (Examples: “please use extra $20 for fuel”, “extra $$ is for tip” (thank you), “fuel gage doesn’t work”,  “passenger window is broken”, check engine light always on” etc.)

If my vehicle or trailer becomes inoperable, please:
. Tow to the nearest town and I will reimburse all towing costs: _____________
2.  Leave in a safe as possible location and I will recover vehicle: _____________

CHECKLIST: (please initial)
1. KEY, LEAD vehicle key in key pole or other agreed upon location, other keys in party locked inside Lead vehicle under floor mat.
Instructions for trailers key if needed. ______________________.
2. Fuel, tank FULL (you may leave additional money in vehicle if you would like us to put more in, but you must LEAVE FULL AT PUT-IN. If this is the case, please make note of it above). ______________________
3.  ASSUMPTION OF RISK/WAIVER FORM and PAYMENT in lead vehicle. ________________________