• Loaner Vehicle Liability Acknowledgment

    EAGLE OPS FOUNDATION

  • SECTION 1

    BORROWER INFORMATION
  • DATE OF BIRTH*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.

  • SECTION 2

    DRIVER LICENSE
  • DRIVER LICENSE EXPIRATION*
     - -
    2 digit month, 2 digit day, 4 digit year

  • SECTION 3

    VECHICLE INFORMATION

  • SECTION 4

    LOAN PERIOD
  • CHECK OUT DATE AND TIME*
     - -
    2 digit month, 2 digit day, 4 digit year
  • PLANNED RETURN DATE AND TIME*
     - -
    2 digit month, 2 digit day, 4 digit year

  • SECTION 5

    RULES ACKNOWLEDGMENT
  • YOU AGREE TO ALL RULES BELOW*
    • You have a valid driver license.
    • You are the only authorized driver. No other person may drive the vehicle for any reason.
    • No smoking or vaping in the vehicle at any time.
    • No alcohol use before or during driving.
    • No open containers in the vehicle.
    • No cell phone use while driving for any reason, even hands-free.- 
    • If you must use your phone, you will pull over, park, and turn the vehicle off first. 
    • You will not use the vehicle for rideshare, delivery, towing, off-road use, racing, or illegal activity.
    • You will follow all laws and drive safely.
    • You will pay all tickets, tolls, impound fees, and parking charges during your loan.
    • You will return the vehicle when asked by EAGLE OPS, and no later than the return date above.

  • SECTION 6

    INSURANCE, ACCIDENTS, AND RESPONSIBILITY

  • Insurance and responsibility

    • EAGLE OPS carries liability insurance on the vehicle.
    • Coverage depends on the policy terms and the facts of the incident.
    • Prohibited use, phone use while driving, alcohol use, or any non-authorized driver may void coverage.
    • You are responsible for losses not covered by insurance, including damage to the vehicle, deductibles, and costs caused by prohibited use or unsafe driving.

    Accidents and damage
    If any accident, damage, theft, breakdown, or police contact occurs, you will:

    • Call 911 when needed.
    • Notify EAGLE OPS as soon as possible, and no later than 2 hours.
    • Provide photos, witness info, and a police report number when available.
    • Not admit fault or make promises of payment at the scene.

    If you used a phone while driving, drive after drinking, or any other person drove the vehicle, you agree you are responsible for all costs not covered by insurance, including deductibles, damage, towing, and third-party claims.

  • SECTION 7

    RELEASE AND HOLD HARMLESS

  • Release and hold harmless

    • You accept the risks of operating the vehicle.
    • You release EAGLE OPS Foundation, its staff, and volunteers from claims related to your use of the vehicle, to the extent allowed by law.
    • You agree to reimburse EAGLE OPS for costs caused by your breach of these rules.

  • SECTION 8

    SIGNATURES
  • DATE SIGNED*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty: