Automobile Exchange Agreement



Download 22.72 Kb.
Date31.01.2017
Size22.72 Kb.
#13060
Automobile Exchange Agreement - sample
I, ______________, of ________________________________________________________, Canada, hereby loan to

of , my

vehicle registered in my name, stated below, for the period of ____ weeks from _____________ to ________________

inclusive, and grant the above named person(s) permission to be a guest driver of my vehicle within this area: _________ _______________________________. It is understood that the driver must be in possession of a valid Driver’s Licence.
In the event of an accident in which the above named persons are blameworthy, they hereby agree to reimburse the vehicle owner, _________________, for the deductible portion of the insurance claim in the amount of $ for collision. They also agree to reimburse the vehicle owner the full amount of any sum in excess of the owner’s liability coverage should a legal suit for bodily injury and/or property damage result in an award in excess of the owner’s insurance

coverage. Furthermore, they hereby agree to reimburse the vehicle owner for the loss of his safe driving discount each

year for a period of ________ years, or, at the choice of , pay outright the total cost of

any repairs required as a result of the accident.


Additional conditions: (e.g., emergency repair expenses)

_____________________________________________________________________________________________

Make of Vehicle: Model/Year: Licence No.:

Serial Number: Registration Number


__________________________________________

Owner's signature Owner's name


Current HomeLink International member number ___________________________ Date ______________

___________________________________________ ____________________________________________

Exchange partner's signature Exchange partner's name
Current HomeLink International member number ____________________________ Date ______________

N.B. It is understood that both parties hold valid current HomeLink memberships.

For your personal reassurance, please exchange only with currently registered members.

This form is provided only as a template to be adapted by the members to suit their circumstances. While the form and its

contents are recommended, HomeLink Canada shall not be held in any way responsible or liable for any of

the arrangements members make or for any of the monetary claims that may arise from vehicle accidents


or damages involving the individuals utilizing this form.

© 1999-2008 HomeLink International Canada, 1707 Platt Crescent, North Vancouver, BC V7J 1X9

Auto Exchange Agreement - sample

Name of registered owner of vehicle:


Name of registered owner of vehicle:

Address:


Address:

HomeLink membership number:

HomeLink membership number:

Proposed dates for the car exchange:

Make, model, year and registration number of vehicle:

The car is currently insured with the following company:

My car will remain fully registered and insured for the duration of the exchange

Insurance and registration documents are kept in the following place:

Any age restrictions for the driver on your car insurance policy?

Mileage limit or territory exclusion requested (if applicable)

Date of car's last full service prior to the exchange will be:

In case of mechanical difficulties please call:



I, ,

Hereby give the following person(s) permission to be a guest driver of my vehicle.


It is understood that the driver(s) must be in possession of a current drivers license.

In the event of an accident in which the above named guest driver is blameworthy, he/she hereby agrees to reimburse the

Vehicle owner for the non-claimable portion of the insurance claim. This amount would be:

$CAD ______________________

Furthermore, the guest driver also agrees to reimburse the vehicle owner for the loss of his/her safe-driving discount each year for a period of ___ years, or pay outright the total cost of any repairs resulting from the accident.

Signed Date Signed Date

N.B. It is understood that both parties hold valid current HomeLink memberships.

For your personal reassurance, please exchange only with currently registered members.
This form is provided only as a template to be adapted by the members to suit their circumstances. While the form and its

contents are recommended, HomeLink Canada shall not be held in any way responsible or liable for any



of the arrangements members make or for any of the monetary claims that may arise from vehicle accidents
or damages involving the individuals utilizing this form.
©1999-2008 HomeLink Canada, 1707 Platt Cres., North Vancouver BC V7J 1X9

Download 22.72 Kb.

Share with your friends:




The database is protected by copyright ©ininet.org 2024
send message

    Main page