Honda Navi 110cc Motorcycle Rental Agreement
Date
*
-
Month
-
Day
Year
Date
Driver Name
*
Contact Number
*
E-mail
*
example@example.com
Villa/Hotel
*
Property Manager
Property Manger Contact
Rental Location
Tamarindo
Hacienda Pinilla
Playa Grande
Playa Negra
Avellanas
Drivers License Country
Drivers License State
Drivers License Number
Passport Country & Number
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I, the RENTER have checked the Vehicle and I understand that I will be held responsible for all damages and losses caused during the time of the rental.
I, the RENTER have reviewed and read the terms and conditions
I ACCEPT the ACCIDENTAL DAMAGE WAIVER (ADW) for $4.00 per moto per day - The ADW Damage Waiver is NOT insurance. It provides you limited protection against your liability to Paradise Moto Rentals for physical damage of the rental equipment while in you care. If a Damage Waiver is purchased and you damage the rental unit, you would ONLY be legally responsible for any and all damages up to the full amount of the damage deposit paid to repair the rental unit - instead of the entire out of pocket costs If you purchase ADW, we will waive our right to collect from you for damage to the Vehicle over the amount of the security deposit. ADW does not cover all instances of damage to the Vehicle (Including theft, tire damage,vandalism or loss)-see Paragraph 5 on the reverse side of this Agreement. ADW is optional and may be declined.
I DECLINE ACCIDENTAL DAMAGE WAIVER: If the ADW is NOT purchased, you will be legally responsible for the full amount of damage up to the full replacement of the equipment, plus any loss of rental income and can include additional recovery fees and loss of equipment.
I understand Paradise Moto Rentals provides NO MEDICAL INSURANCE coverage and NO LIABILTY INSURANCE. We provide no coverage for tire damage of any type.
I understand and agree that protective riding gear must be worn at all times, while using or operating the Vehicle. Protective riding gear is defined as the following: helmet, eye protection, sash or equivalent. Provided by Paradise Moto Rentals.
I agree to immediately notify Paradise Moto Rentals if I feel any aspect of the Moto to be unsafe. I will operate the Vehicle with reasonable precaution for the safety of myself, others, the equipment and the environment and will at all times comply with Costa Rican law.
Paradise Moto Rentals reserves the right to terminate any rental agreement at any time without notice or refund if Paradise Moto Rentals feels the motorcycle is operated against the terms of the agreement in a manner that is unsafe to renter, the Moto or others.
I understand that Moto's are considered adventurous and can pose a certain risk to my health/or safety. All such risks are hereby assumed by myself and I release Paradsie Moto Rentals from all claims and causes of action that may arise after damages or personal injuries or even death as a result of participating in these rentals. Carrying a passenger on the rear seat of rack can interfere with center of gravity, balance and operation, so it is not recommended.
I understand I will be charged for the amount of fuel used and if not returned full there will be a $2.00 refueling fee.
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Vehicle Type
*
Vehicle Model
*
Qty
Vehicle Number
*
NVB59
NVG05
NVO40
NVO94
NVR03
NVR35
NVR73
NVY49
NVY99
Plate Number
*
671794
671799
673335
673405
685103
685859
703640
703749
703973
Rental Date
*
Rental Time
*
9:00am
9:30am
10:00am
10:30am
11:00am
11:30am
12:00pm
12:30pm
1:00pm
1;30pm
1:30pm
2:00pm
2:30pm
3:00pm
3:30pm
4:00pm
4:30pm
5:00pm
5:30pm
6;00pm
6:30pm
7:00pm
Return Date
*
Rental Due Time
*
9:00am
9:30am
10:00am
10:30am
11:00am
11:30am
12:00pm
12:30pm
1:00pm
1;30pm
1:30pm
2:00pm
2:30pm
3:00pm
3:30pm
4:00pm
4:30pm
5:00pm
5:30pm
6;00pm
6:30pm
7:00pm
Fuel Out
*
Empty
1/4
1/2
3/4
Full
Days Rented
*
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
Rate Per Day
30.00
31.00
32.00
33.00
34.00
35.00
36.00
37.00
38.00
39.00
40.00
41.00
42.00
43.00
44.00
45.00
46.00
47.00
48.00
49.00
50.00
51.00
52.00
53.00
54.00
55.00
56.00
57.00
58.00
59.00
60.00
61.00
62.00
63.00
64.00
65.00
66.00
67.00
68.00
69.00
70.00
71.00
72.00
73.00
74.00
75.00
76.00
77.00
78.00
79.00
80.00
Total Daily Rental Charges
Weeks Rented
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Rate Per Week
165.00
166.00
167.00
168.00
169.00
170.00
171.00
172.00
173.00
174.00
175.00
176.00
177.00
178.00
179.00
180.00
181.00
182.00
183.00
184.00
185.00
186.00
187.00
188.00
189.00
190.00
191.00
192.00
193.00
194.00
195.00
196.00
197.00
198.00
199.00
200.00
201.00
202.00
203.00
204.00
205.00
206.00
207.00
208.00
209.00
210.00
211.00
212.00
213.00
214.00
215.00
216.00
217.00
218.00
219.00
220.00
221.00
222.00
223.00
224.00
225.00
226.00
227.00
228.00
229.00
230.00
231.00
232.00
233.00
234.00
235.00
236.00
237.00
238.00
239.00
240.00
241.00
242.00
243.00
244.00
245.00
246.00
247.00
248.00
249.00
250.00
251.00
252.00
253.00
254.00
255.00
256.00
257.00
258.00
259.00
260.00
261.00
262.00
263.00
264.00
265.00
266.00
267.00
268.00
269.00
270.00
271.00
272.00
273.00
274.00
275.00
276.00
277.00
278.00
279.00
280.00
281.00
282.00
283.00
284.00
285.00
286.00
287.00
288.00
289.00
290.00
291.00
292.00
293.00
294.00
295.00
296.00
297.00
298.00
299.00
300.00
Total Weekly Rental Charges
Months Rented
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Rate Per Month
500.00
501.00
502.00
503.00
504.00
505.00
506.00
507.00
508.00
509.00
510.00
511.00
512.00
513.00
514.00
515.00
516.00
517.00
518.00
519.00
520.00
521.00
522.00
523.00
524.00
525.00
526.00
527.00
528.00
529.00
530.00
531.00
532.00
533.00
534.00
535.00
536.00
537.00
538.00
539.00
540.00
541.00
542.00
543.00
544.00
545.00
546.00
547.00
548.00
549.00
550.00
551.00
552.00
553.00
554.00
555.00
556.00
557.00
558.00
559.00
560.00
561.00
562.00
563.00
564.00
565.00
566.00
567.00
568.00
569.00
570.00
571.00
572.00
573.00
574.00
575.00
576.00
577.00
578.00
579.00
580.00
581.00
582.00
583.00
584.00
585.00
586.00
587.00
588.00
589.00
590.00
591.00
592.00
593.00
594.00
595.00
596.00
597.00
598.00
599.00
600.00
Total Monthly Rental Charges
AccIdental Damage Waiver Days
*
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
AccIdental Damage Waiver Per Day
*
0.00
1.00
2.00
3.00
4.00
5.00
6.00
7.00
8.00
9.00
10.00
11.00
12.00
13.00
14.00
15.00
16.00
17.00
18.00
19.00
20.00
Total AccIdental Damage Waiver Fees
*
Extra Helmet Days
*
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Extra Helmet Fee Per Day
*
1.00
2.00
3.00
4.00
5.00
6.00
7.00
8.00
9.00
10.00
Extra Helmet Charges
*
Amount Due
*
Total Paid
*
Payment Process
*
Cash
Fareharbor
CC-BCR
PayPal
Partial Payment
Not Paid
Other
.Security Deposit Held
*
100.00
200.00
250.00
300.00
350.00
400.00
450.00
500.00
550.00
600.00
650.00
700.00
750.00
800.00
850.00
900.00
950.00
1000.00
1050.00
1100.00
1150.00
1200.00
1250.00
1300.00
1350.00
1400.00
1450.00
1500.00
1550.00
1600.00
1650.00
1700.00
1750.00
1800.00
1850.00
1900.00
1950.00
2000.00
2050.00
2100.00
2150.00
2200.00
2250.00
2300.00
2350.00
2400.00
2450.00
2500.00
Notes
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