DOJ-OGR-00032956.pdf

Car To Be Returned To Above Unless Stated Below Customer Information DA - NOTICE TO RENTERS s insurance primary: The valid and collective liability insurance and personal injury protection insurance of any authorized rental driver is primary for the limits of liability and personal injury coverage required by ss.324.021 (7) and 627.736, Florida Statute: to return rental Vehicle: Failure to return rental property or equipment upon expiration of the rental period and failure to pay is due (including costs for damage to the property or equipment) are prima facie evidence of intent to defraud, punishable in acco with section 812.155, Florida Statutes. terms supersede any conflicting terms stated elsewhere. do Accept Agreement is between the undersigned and the company identified above (the "Company"). By signature below, the undersigned acknowledges and represents that they are legally authorized to operate the rental vehi ver's license, and that they have read and agree to the terms, conditions and notices, both printed and written, including the Loss Damage Waiver information, that appear on this Rental Statement and on the separa t (the "Agreement"), which is incorporated herein. THE UNDERSIGNED AUTHORIZE THE COMPANY TO PROCESS A CHARGE TO THEIR CREDIT, DEBIT OR CHARGE CARD IN THE AMOUNT SPECIFIED ABO RENTAL UPON SIGNATURE BELOW AND FOR ALL ADDITIONAL CHARGES DUE UPON RETURN OF THE VEHICLE. ALL CHARGES SUBJECT TO AUDIT. No additional drivers are permitted without is approval. RENTER X ADDITIONAL DRIVE 07/26/17 Page 2643 Public Records Request No.: 17895 DOJ-OGR-00032956