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LIABILITY AND INSURANCE COVERAGE

FOR DAMAGED OR NON-OPERATIONAL VEHICLES

Vehicle (year, make and model): VIN#:

LIABILITY:

Pasha Hawaii Holding, LLC (“Pasha Hawaii) has no liability coverage in damaged on non-operational
vehicle.

VEHICLES ARE DESIGNED FOR ROAD USE AND MAY ACQUIRE SCRATCHES, SCUFFS,
DENTS, ABRAISIONS OR SIMILAR MARKS DURING TRANSIT. ADDITIONALLY, FORKLIFTS
MAY BE REQUIRED TO ASSIST WITH LOADING AND DISCHARGE OF THE VEHICLE WHICH
CAN CAUSE SCRATCHES, SCUFFS, DENTS ABRAISIONS OR SIMILAR MARKS.
PASHA HAWAII / ADP TOWING DOES NOT ACCEPT LIABILITY FOR ANY
DAMAGE INCLUDING MISSING OR BROKEN PARTS OR MISSING KEYS.

Check with your insurance agent to see if they offer “PORT TO PORT” insurance to cover your
vehicle.

I confirm that I have read, understand and accept the terms stated above.

Signature:

Customer Name:

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