Leased Vehicle Model Agreement Template Page 2

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Template – Leased Vehicle Model Agreement – Template – Leased Vehicle Model Agreement
2. Obtain prior written approval from
Name of Organization Owning the Vehicle
for
any trip that would require the vehicle(s) to go outside
[name the geographic
area within which the vehicle is allowed to operate; may be a city, county,
or other defined
area].
3. Pay all fuel costs during the term of the agreement.
4. Complete a vehicle mileage and trip log for each vehicle used.
5. In the event of an accident involving the vehicle(s) described herein while this
agreement is in effect, LESSEE agrees to reimburse
Name of Organization Owning
the Vehicle
for any and all costs not covered by liability and collision insurance,
including, but not limited to the insurance deductible of
amount of insurance
deductible.
6. Pay
Name of Organization Owning the Vehicle
a lease rate in the amount of
dollar amount
per
how rate will be calculated
[may be a flat rate per week or
month, an amount per trip or per mile, or other
term].
7.
[List other responsibilities of LESSEE as applicable.]
Responsibilities of
Name of Organization Owning the Vehicle
are as follows:
1. Provide vehicle insurance coverage.

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