AdirondackRentalCars.

com 844-4RENT-VT

844-(473-6888)
Open 24/7/365

Customer Information Vehicle Information

Last Name Unit#: Status
May 33 Active

First Name Middle Initial Plate Vin

Kevin (33) VRC033 5XXG14J29NG145403

Phone Number Date of Birth

Vehicle Brand: Brand Model:
5185248957
Kia K5
Home Address: 19
Vehicle Class:
Lake Placid New York 12946 United States Economy AWD (AdirondackRentalCars.com)

Email Address Vehicle Color Vehicle year

kev85218@yahoo.com Silver 2022

DRIVERS LIC # STATE EXP DATE

Odom Out: Odom In:
New York 05/25/2025

Vehicle Fuel type:

CELL PHONE DATE OF BIRTH
Fuel Out: Fuel In:
5185248957
/8 /8
Additional Driver Information RENTAL INFORMATION

Last Name Date Out 11/20/2023 8:00 AM

Date Due 12/04/2023 8:00 AM
First Name Middle Initial

Phone Number Date of Birth Pickup Location Adirondack Regional Airport (SLK)
Return Location Adirondack Regional Airport (SLK)
Home Address Vehicle must not be driven outside a 500 mile CHARGE INFORMATION
radius.
DRIVER LIC # EXP DATE
Customer is allowed ${} miles free per day.

Excess miles will be charged an additional rate Time Charges

CUSTOMER'S INSURANCE COMPANY of $_______ per mile 2x Weeks: $350.00 $700.00

Carrier and Policy Number Expiration Date ALL CHARGES SUBJECT TO FINAL AUDIT $700.00
Insurance Requirements
Required
I understand that I am responsible for any and all damage to Vermont Rental Cars property and First-Day $15.00 $15.00
third parties except where exempted by law. I have either provided Vermont Rental Cars with You acknowledge that the Vehicle has no Surcharge
my own insurance which provides both collision and comprehensive coverage or I have damage except:
purchased an equivalent policy either through Vermont Rental Cars or a third party. In the event
of an incident not covered by insurance, I understand that I will be solely responsible for all costs
and damages resulting. Miscellaneous
By signing below, you agree to all of terms and NY Use Tax 6.00% $42.90
Customer Signature: conditions of this rental agreement. Your
signature below authorizes us to process a
credit card voucher in your name for all rental
charges due. You further understand that your Total Charges $757.90
reservation is non-refundable.

Amount Outstanding: $0.00

I accept the terms of this rental agreement and agree to be responsible for the rented vehicle
until it is returned to Vermont
Rental Cars.

CUSTOMER SIGNATURE
EXTENDED RENTAL PERIOD

NOTES 2ND DRIVER SIGNATURE

PAYMENT INFORMATION
8525 MasterCard - 000000003155 $757.90 AGENT SIGNATURE
Security Deposit - Security Deposit Payable at Pickup Time $250.00

INCASE OF ACCIDENT CALL POLICE, CALL YOUR INSURANCE COMPANY, THEN CALL RENTAL OFFICE
Terms and Conditions

1. Definitions. “Agreement” means all terms and conditions found on both sides of this form “You" or “your” means the person identified as the customer elsewhere in this Agreement, any
person signing this Agreement, any Authorized Driver and any person or organization to whom charges are billed by us at its or the customer’s direction. All persons referred to as “you” or
"your” are jointly and severally bound by this Agreement. “we” "our” or "us" means the business named of the reverse side of this Agreement. “Authorized Driver” means the renter and any
additional driver listed by us on this Agreement, provided that person has a valid driver’s license and at least 21. Only Authorized Drivers may operate the Vehicle “Vehicle” means the
automobile or truck identified in this agreement and any vehicle we substitute for it, and all its tires, tools, accessories. equipment, keys and vehicle documents. “Physical Damage”
means damage to, or loss of the Vehicle caused by collision or upset, it does not include comprehensive damage or loss, such as loss of the Vehicle due to theft: vandalism: act of nature,
riot or civil disturbance, hail, flood, or, fire Physical Damage excludes interior burn holes, window stars or cracks not caused by collision on or upset. "Loss of use" means the loss of our
ability to use the vehicle for any purpose caused by damage or loss during this rental. Loss of use is calculated by multiplying the number of days from the date the Vehicle is damaged or
lost until it is repaired or replaced, times the daily rental rate.
2. Rental Indemnity and Warranties. This is a contract for the rental of the Vehicle. We may repossess the Vehicle at your expense without notice to you, if the vehicle is abandoned or
used in violation of law or this Agreement. You agree to indemnify us, defend us end hold us harmless from all claims, Liability, costs and attorney fees we incur resulting from, or arising
out of, this rental and your use of the Vehicle. We make no warranties, express, implied or apparent, regarding the vehicle, no warranty of merchantability and no warranty that the vehicle
is fit for a particular porpoise.
3. Condition and Return of Vehicle. You must return the Vehicle to our rental office on the date and time specified in this Agreement, and in the same condition that you received it, except
for ordinary wear. If the Vehicle is returned after closing hours, you remain responsible for the safely of, and any damage to, or loss of, the Vehicle until we inspect it upon our next opening
for business day. Service to the Vehicle or replacement of parts or accessories during the rental must have our prior approval. You must check and maintain all fluid levels.
4. Responsibility for Damage or Loss Reporting to Police. You are responsible all loss or theft of, or damage to. the Vehicle, which includes the cost of repair, or the actual cash
retail value of the Vehicle on the date of the loss if the Vehicle is not repairable or if we elect not to repair the vehicle, plus loss of use, diminished value of the Vehicle caused
by damage to it or repair of it, and our administrative expenses incurred processing the claim. You must report all accidents or incidents of theft and vandalism to us and the
police as soon as you discover them.
5. Breach of Agreement. The acts listed here are prohibited uses of the rental vehicle Any loss or damage that (a) is caused by anyone who is not an Authorized Driver, or by anyone whose
driving license is suspended in any jurisdiction: (b) is caused by anyone under the influence of prescription or nonprescription drugs or alcohol: (c) is caused by anyone who obtained the
Vehicle or extended the rental period by giving us false. fraudulent or misleading Information, (d) occurs while the Vehicle used in furtherance of any illegal purpose or under any
circumstance that would constitute a violation of law, other than a minor traffic violation; (e) occurs while carrying persons or property for hire or while pushing or towing anything, or in any
race, speed test or contest. (f) occurs while teaching anyone to drive, (g) occurs while carrying dangerous or hazardous Items or legal material in or on the Vehicle: (h) occurs outside the
geographic limitations indicated on the reverse: (I) occurs when it is loaded beyond its capacity. (j) occurs as a result of driving the Vehicle on unpaved roads; (k) occurs while
transporting more persons than the Vehicle has seat belts, or while carrying persons outside the passenger compartment; (l) occurs while transporting children without approved child
safety seats as required by law, (m) occurs and the odometer has been tampered with or disconnected; (n) occurs when the vehicle’s fluid levels are low, or It is otherwise reasonable
to expect you to know that further operation would damage the vehicle; (o) results from inadequately secured Cargo; (p) where applicable, Is caused by anyone who lacks experience
operating a manual transmission; (q) is a result of your willful, wanton or reckless act or misconduct; (r) occurs and You fail to summon the police to any accident involving personal injury
or property damage; or, (s) is caused by an animal transported in the Vehicle; breach this agreement. You waive all recourse against us for any criminal reports or prosecutions that we
take against you that arise out of your breach of this agreement
6. Insurance. You are responsible for all damage or loss you cause to others. You agree to provide auto liability, collision and comprehensive insurance covering you, us and the Vehicle.
Where state law requires us to provide auto liability insurance, or if you have no auto Liability Insurance, we provide auto Liability Insurance (The "Policy") that is secondary to any other
valid and collectible insurance whether primary, secondary, excess or contingent. The Policy provides bodily injury and property damage Liability coverage with limits no higher than
minimum levels prescribed by the vehicular financial responsibility laws of the state whose laws apply to the loss. You and we reject PIP, medical payments, no-fault and uninsured and
under-insured motorist coverage. where permitted by law. The Policy is void if you violate the terms of this Agreement, or if you fail to cooperate in any loss investigation conducted by us
or our insurer.
7. Charges. You will pay us, of the appropriate government Authorities, on demand all charges due us under this Agreement, including, but not limited to: (a) time and mileage for the period
you keep the Vehicle, or a mileage charged based on our experience if the odometer is tampered with or disconnected. (b) charges for additional drivers, (c) optional products and
services you purchased; (d) fuel, if you return the Vehicle with loss fuel than when rented, (e) applicable taxes. (f) all parking traffic and toll violations, fines, penalties, forfeitures, court
costs, towing, impound and storage charges and other expenses involving the Vehicle assessed against us or the vehicle, unless these expenses are our fault plus a fee of fifty
cents per toll as an administrative processing charge; (g) $50, plus $5/mile for every mile between the renting location and the place where the Vehicle is returned, repossessed
or abandoned, plus all other expenses we incur in locating and recovering the Vehicle, if you fail to return it or if we elect to repossess the Vehicle under the terms of this
Agreement, (h) all costs including pre- and post-judgment attorney fees, we incur collecting payment from you or otherwise enforcing our rights under this Agreement; (i) a 2% per
month late payment fee, or use maximum amount allowed by law (if less than 2%) on all amounts past due; (J) $75 or the maximum amount permitted by law, whichever is
greater, if your payment is returned unpaid for any reason; and (k) a reasonable fee not to exceed $750 to clean the Vehicle if returned substantially less clean than when rented.

8. Deposit. We may use your deposit to pay any amounts owed to us under this Agreement.
9. Refund Policy. Your reservation must be paid in full 72 hours before scheduled pickup or it will not be honored. Reservations are non-refundable, however, at Vermont Rental Cars
discretion a partial refund may be issued under certain circumstances (such as a weather-related cancelation outside of your control).
10. Your property. You release us, our gents and employees from all claims for loss of, or damages to, your personal property (including a vehicle) or that of any other person, that we
received, handled or stored, or that was left or carried in or on the Vehicle or in any service vehicle or in our offices, whether or not the loss or damage was caused by our negligence or
was otherwise our responsibility.

10. Modifications. No term of this Agreement can be waived or modified except by a writing that we have signed. If you wish to extend the rental period, you must return the Vehicle to our
rental office for Inspection and written amendment by us of the due-in date. This Agreement constitutes the entire agreement between you and us. All prior representation and agreements
between you and us regarding this rental are void.
11. Miscellaneous. A waiver by us of any breach of this Agreement is not a waiver of any additional breach or waiver of who performance of your obligations under this Agreement. Our
acceptance of payment from you or our failure, refusal or neglect to exercise any of our rights under this Agreement does not constitute a waiver of any other provision of this Agreement.
Unless prohibited by law, you release us from any liability for consequential, special or punitive damages in connection with this rental or the reservation of a vehicle. If any provision of this
Agreement is deemed void or unenforceable, the remaining provisions are valid and enforceable.
12. NO SMOKING. All of our vehicles are non-smoking. We do not allow any type of smoking, including vaping and e-cigarettes, in our vehicles. If the vehicle that you rent returns to us with
noticeable ash or smoke smell, you will be assessed a cleaning fee of at least $250.00, depending on the extent of the damage. We encourage you to refrain from smoking immediately
prior to driving the rental vehicle, to avoid transferring the smoke smell into the rental vehicle. Smoking cannabis products in our vehicles will incur a $1,000.00 cleaning charge. You may
not smoke or utilize cannabis products in our vehicles.
13. 13 V.S.A. § 2592 PURSUANT TO VERMONT STATE LAW, THE FAILURE TO RETURN A RENTED OR LEASED MOTOR VEHICLE WITHIN 72 HOURS AFTER THE DATE AND
TIME SPECIFIED IN THE WRITTEN AGREEMENT WITHOUT EXTENDING THE DATE AND TIME IS A CRIME UNDER VERMONT LAW (13 V.S.A. § 2592) AND MAY RESULT IN A
CRIMINAL PENALTY OF UP TO FIVE YEARS IMPRISONMENT OR A $5,000.00 FINE, OR BOTH.
14. Grace Period. Vermont Rental Cars allow a sixty (60) minute grace period for the return of vehicles rented to customers. This means that the vehicle is due within sixty (60)
minutes of the time listed on this agreement as the "Time Due In". In the event the vehicle is late, you agree to pay to us 1 / 4th of the daily rate, per hour, until the vehicle is
returned unless otherwise authorized by Vermont Rental Cars
15. Failure to Return Consequences: In the event that you fail to return our vehicle, whether on demand or at the expiry of this rental agreement, we may use publicly available
information to attempt to locate you and/or our asset. You agree to hold us harmless and release us from liability in the event you fail to return your rented motor vehicle and
we are thus forced to take action to encourage the vehicle's return. Examples of such actions may include, but are not limited to, contacting relatives, friends or
acquaintances of yours to ascertain the vehicle's location, or publishing details of your failure to return our vehicle to a social media, news, or press release platform. You
agree to pay the actual cost of staff time to engage in this research and/or outreach, which may be taken out of your deposit or charged to any payment method on file.
16. FAILURE TO RETURN RENTED PROPERTY UNDER THE TERMS OF THIS AGREEMENT MAY SUBJECT THE UNDERSIGNED PARTY/PARTIES TO CRIMINAL
PROSECUTION.
17. Warranty of Payment: You warrant to us that you have sufficient monies available to pay, in full, the entire amount of your rental agreement plus the greater of 150% of the
rental agreement amount and/or $1,000.00 USD upon return of the rented motor vehicle to provide sufficient coverage in the event damage, additional fees or fines, or any
other miscellaneous charge is added on upon return. We are allowing you to rent our vehicle because of this representation. You will immediately pay on demand these
charges and acknowledge that a failure to do so is considered Theft of Service(s).
18. Failure to Return Key Fob(s): You acknowledge and explicitly agree that in the event you fail to return the vehicle key(s), fob(s), token(s) or other means to start the vehicle,
we may decline to close your rental agreement with us until these key(s), fob(s) or token(s) are returned. You will be financially responsible for the additional rental day(s)
until these key(s), fob(s) or token(s) are returned to us.