Fillable Form Fm-7-301 - Equipment Loan Application Form (Page 2 of 3) in pdf

PO Box 3130, Bundaberg QLD 4670

190 Bourbong Street, Bundaberg QLD 4670

1300 883 699

4150 5410

ceo@bundaberg.qld.gov.au

ABN 72 427 835 198

Promotional Signage – Banner

Bundaberg

Other

Portable Grandstands 4m

x4 tiers

**BBQ Trailer

Bundaberg Parks Depot

(only)

Waste Bin – General

This item will be

delivered

Waste Bin – Recycle

This item will be

delivered

*** Mobile Stage

This item will be

7mx3.5m

delivered

Other (

by arrangement)

__________________________________

Other (

by arrangement)

__________________________________

Equipment Loan

Terms & Conditions

Hire



All equipment must be collected and returned by the hirer. Delivery of equipment is not available unless specified;



Assistance from Bundaberg Regional Council staff is not provided to load or unload equipment;



Equipment must be collected and returned during the; specified times by the hirer on the specified dates to the same location as

advised in your confirmation letter;



At Council’s discretion the hirer may be required to display promotional signage in recognition of Council support. This signage is

required to be collected and returned by the hirer (Refer Collection Locations).

All Equipment



This equipment can only be borrowed by not for profit/community based or charitable organisations etc located within the Bundaberg

Regional Council area;



All USERS will be responsible for the careful use and preservation equipment while in their care;



It is the obligation of the hirer to safely store all equipment whilst in their care to prevent loss or theft;



Should hired equipment be lost/stolen/damaged etc Bundaberg Regional Council may at its’ discretion charge the hirer for all or part of

the repair or replacement costs.

Mobile Stage



This item will be delivered by Council Officers to the location nominated on the Application Form. The person nominated on this form

will be required to meet with Council Officers on delivery day. Staff will call and advise exact time on the day (usually between 10am-

11am).

BBQ Trailer



Hirer is not required to re-fill gas bottles but it would be appreciated;



Hirer is required to clean plates and eskies after use

Waste Bins



These items will be delivered by Council Officers to the location nominated on the Application Form.

Bookings



Equipment Loan Application MUST be completed at least six weeks prior to event/activity. Failure to provide sufficient notice may

result in application not being successful;



ALL bookings are to be made with the Bundaberg Regional Councils Community Events Section only;



Authorised person cannot transfer responsibilities to another person without prior notification to Community Events Staff and the

contact information provided of the new contact person;

Safety



All USERS must take all precautions for their own health and safety and the health and safety of others while loading and unloading

the equipment;



Bundaberg Regional Council accepts no responsibility for any injury or damage caused by the equipment during the loan period. It is

the responsibility of the USER to make sure all equipment is secure especially in windy conditions, during the loan period;



This equipment must not be misused or abused;

Obligations

I acknowledge that I have received, read and understood the Equipment Loans Terms and Conditions and fully agree to

the terms and conditions thereof (refer to third page) and agree that;



I being the authorised contact person representing the hirer as set out above; hereby accept the responsibilities

and conditions whilst any equipment is in my possession;



I will inform Community Events if any damage occurs to the equipment during the period of loan;



I will collect and return the equipment on the specified date/s; and



That any bond monies paid will be refunded by cheque within 15 working days from return date of hired goods

Guy McNicol

Print Name: _________________________________

Digitally signed by Guy McNicol

Guy McNicol

DN: cn=Guy McNicol, o=Bargara Triathlon Club,

05/04/2013

Signature: __________________________________

Date: ________________________

ou=President, .au, c=AU

Date: 2013.04.05 13:21:48 +10'00'

Bundaberg Regional Council is collecting this information in order to comply with its responsibilities and obligations as a Local Government. The information

will only be used by Council Officers or Agencies which may have a legitimate need for the information to process applications or the like. Your information

will not be given to any other person or Agency until you have given us permission or we are required to by law.

FM-7-301 Rev.2 09/05/12 P2 of 3