Versa Lift Forklift Rental Request

We have made renting a Versa Lift Forklift an easy process. Simply complete steps 1 - 3.

Note to existing customers:
Once your account has been established, the forms in steps 1 - 2 are required to be renewed on an annual basis. Step 3 will be required for each rental during that twelve month period.

Submit forms to either of the following:
Email: info@a1lift.net (preferred)
Fax: 423-622-5387

STEP 1
Approved Credit Application
Submit (via email or fax) your company's standard credit application. If your company does not have a standard credit application, we have provided one for your use: Download Credit Application

STEP 2
Certificate of Insurance
Submit (via email or fax) the following insurance certificates from your insurance company:
*Please pay attention to the exact wording in the description of operations/special provisions areas of the sample certificates that are available for download.
A. General Liability Policy (download sample)
B. Evidence of Commercial Property (download sample)
  Coverage amounts required are as follows:
   Hyster S155XL: $75,000
   Versa Lift 25/35: $175,000
   Versa Lift 40/60: $250,000

STEP 3
Rental Request Form
Complete this form only after steps 1 & 2 have been completed.

A) CUSTOMER INFORMATION
*Name:	Required
*Company:	Required
*Address:	Required
*City:	Required
*State:	Required
*Zip:	RequiredInvalid format.
*Phone (xxx-xxx-xxxx):	RequiredInvalid format.
Phone Ext:
Fax # (xxx-xxx-xxxx):
Cell # (xxx-xxx-xxxx):
*Email:	RequiredInvalid format.
B) BILLING INFORMATION
*Billing Contact Name:	Required
Address: (If different from above)
City:
State:
Zip:
*Phone (xxx-xxx-xxxx):	RequiredInvalid format.
Phone Ext:
*Email:	RequiredInvalid format.
Purchase Order #:
C) EQUIPMENT NEEDED
Hyster S155XL:
Versa-Lift 25/35: 25/35 Data Sheet
Versa-Lift 25/35 Options:	72" Forks 96" Forks Boom Attachment Additional Lifting Ring Wireless Remote Control Operator / A1 Employee
Versa-Lift 40/60: 40/60 Data Sheet
Versa-Lift 40/60 Options:	Boom Attachment Additional Lifting Ring Wireless Remote Control Operator / A1 Employee
Versa-Lift 40/60XT: 40/60XT Data Sheet
Versa-Lift 40/60XT Options:	Boom Attachment Additional Lifting Ring Wireless Remote Control Operator / A1 Employee
D) DELIVERY INFORMATION
*Delivery Date:	Required. Required Required
*Delivery Time:	Required Required Required
*Length of Rental:	Required
*Contact Name: (Person at job site or person picking up)	Required
Company:
Address:
City:
State:
Zip:
*Phone (xxx-xxx-xxxx):	RequiredInvalid format.
Phone Ext:
Email:
Directions to Delivery Location:
Delays/Special Instructions: Describe anything that will cause a delay in delivery, including delay time & special instructions.
Delivery Surface:
Delivery Type:
E) TERMS AND CONDITIONS
After reading the Terms and Conditions for Rental, check the following Agreement Box. This form will not submit until the Agreement Box has been checked. Download a printable version of the Terms and Conditions
Acknowledgments 1. Hereafter, the term “Company” refers to DAL Industries, Inc., d/b/a A1Hevi-Lift Rentals, Inc., and the term “Renter” refers to the business/entity renting the equipment. Conditions of Equipment Rental: 1. The hourly rate quoted for this equipment does not include operator, fuel, oil or maintenance. 2. The party renting or leasing this equipment agrees to indemnify and hold harmless DAL Industries, Inc., d/b/a A1Hevi-Lift Rentals, Inc., against any claims arising out of its use of this equipment while on the delivery location. 3. Rented equipment has to be returned in the same condition as received less normal wear and tear and rent must be paid until day of return. 4. Customer/renter must supply adequate surface for equipment to be unloaded upon delivery. A1Hevi-Lift Rentals is not responsible for any surface damage during pick up or delivery or during rental time. Customer/renter is responsible for any and all charges related to recovery of inoperable equipment due to surface failure. 5. Renter and operator agree to comply with the United States Department of Labor OSHA Regulations and safety guidelines. 6. Renter agrees that no one will operate the equipment until a competent operator has fully read and understands the operator’s manual for the specific equipment. Reservation Conditions of Equipment Rental: 1. In order for a rental agreement and reservation to be secure, the following guidelines are established: (a) If Renter has an established account with Company, Company will accept a purchase order (i.e.: P.O.) as a means of the initiation of a reservation at which they will still be required to fully execute a rental agreement; (b) If Renter does not have an established account with Company, Renter must execute a credit card authorization form in conjunction with the rental agreement. The full amount of the agreed rental rates, terms and/or additional charges (i.e.: transportation, freight, materials, etc) will be authorized on the credit card provided. The reservation will be completed only upon the Company’s receipt of the fully executed rental agreement, credit card authorization form and receipt of the credit card company’s approval of agreed amount to which rental reservation will be secure and binding. 2. The Renter hereby agrees to the following reservation conditions of equipment rental: (a) If the Renter cancels a fully executed rental agreement 30 days or more prior to the reserved reservation date(s), the Renter will not assessed a penalty; (b) If the Renter cancels a fully executed rental agreement between 7 days to 30 days prior to the reserved reservation date(s), the Renter will be assessed fifty percent (50%) of the agreed rental rate, and terms for the agreed length of the equipment rental, excluding estimated freight charges; (c) If the Renter cancels a fully executed rental agreement 7 days or less prior to the reserved reservation date(s), the Renter will be assessed the full amount of the agreed rental rate, excluding estimated freight charges. Terms and Conditions: 1. Hereafter, the term “Company” refers to DAL Industries, Inc., d/b/a A1Hevi-Lift Rentals, Inc., and the term “Renter” refers to the business/entity renting the equipment. 2. Equipment rental starts on delivery to Renter and stops on return to Company’s yard. Equipment returned in less than satisfactory condition will continue to require rent payment until Company is satisfied with condition. Company may repossess equipment at any time. Excessive use of equipment shall mean all hours in excess of 8 hours per day, 40 hour per week and 160 hours per month unless otherwise specified. 3. Rent is payable in advance. Rent is due regardless of Renter dispute or Renter’s loss of use of equipment and will be paid regardless of any set-off, counterclaim or recoupment. Renter is responsible for Company’s transportation charges. 4. Rent past due for 30 days or more will incur a 4% late fee. If Company uses an attorney to enforce any section of this Lease, Renter is responsible for Company’s reasonable fees and court costs. 5. Company expressly disclaims all representations and warranties expressed or implied including but not limited to warranties related to: (a) DESIGN, QUALITY OR CONDITION OF EQUIPMENT; (b) MATERIAL OR WORKMANSHIP OF THE EQUIPMENT; AND (c) MERCHANTABILITY OR FITNESS OF THE EQUIPMENT FOR ANY PARTICULAR PURPOSE. Company makes no warranty with respect to any manufacturer patent, copyright, trademark, trade name or proprietary laws or rights. 6. Renter acknowledges inspection of equipment and has found it to be in good working order. Renter accepts equipment delivery AS IS. Once accepted, Company shall have no liability to Renter. Renter assumes all responsibility for equipment use, possession and control. Renter waives all damages (including but not limited to incidental and consequential damages) and claims for property damage or personal injury, including those arising out of or relating to Company’s negligence, other than gross negligence. 7. Renter shall indemnify and hold Company harmless from and against all claims, demands, costs, attorney’s fees, liabilities and obligations arising out of or relating to Renter’s use, possession or control of the equipment, including without limitation of personal injury and property damage claims of any employee or agent of Renter or any other person, firm, corporation or entity. Renter shall give Company written notice of all damage to or destruction of the equipment and all personal injury and property damage claims arising out of or relating to Renter’s use, possession or control of the equipment within twenty-four (24) hours after Renter has notice of same. 8. Renter bears all risk of loss for damage to or destruction of equipment. This includes, without limitation, fire, flood, storm, theft, vandalism, act of God, act of war or other casualty. Renter assumes all responsibility for its use, possession or control of equipment. If equipment is damages or destroyed, Renter, at Company’s option, shall immediately: (a) repair the equipment, (b) replace equipment with like equipment in good condition with free and clear title, or (c) pay Company fair market value for the equipment. Rent requirement will continue until obligation is fulfilled. 9. Insurance Provisions: Renter shall at its own expense maintain the following insurance on the equipment at all times: (I) all-risk physical damage insurance, (II) commercial general liability insurance including contractual liability and products liability, (III) automobile liability insurance, (IV) workers’ compensation insurance, and (V) employer’s liability insurance. Such insurance shall be in amounts and form acceptable to Company and contain a waiver of subrogation clause in favor of Company. The amount of all-risk physical damage insurance shall be the greater of the full replacement value or the original cost of the equipment. Each physical damage policy will name Company as Loss Payee. The commercial general liability and automobile liability insurance policies will name Company as Additional Insured. Each policy will be endorsed to provide Company with thirty (30) days prior written notice of cancellation of such policy. On the date of this Lease and thereafter upon any material change in insurance coverage, Renter shall furnish to Company a certificate or other evidence satisfactory to Company that such insurance coverage is in effect, but Company shall be under no duty to ascertain the existence or adequacy of such insurance. The insurance maintained by the Renter shall be primary without any right of contribution from insurance which may be maintained by Company. Renter shall be liable for all deductible portions of all required insurance. The proceeds of physical damage insurance, at the option of Company, shall be applied (a) towards the replacement, restoration or repair of the equipment or (b) toward payment of the obligations of Renter hereunder Renter hereby appoints Company as Renter’s attorney-in-fact to make claim for, receive payment of, and execute and endorse all documents, checks or drafts for loss of damage under any insurance policy required hereunder. Renter shall notify Company within forty-eight (48) hours after any casualty, damage or other loss to the equipment. If at any time or times during the term of this Lease, Renter fails to obtain or maintain any of the policies of insurance required by this Paragraph 9, then at its sole option Company may obtain and maintain any or all of those policies without thereby waiving any default by Renter, and Renter shall reimburse Company immediately for all premiums paid and other costs incurred by the Company with respect to such policies. Company may, at its own expense, for its own benefit, purchase insurance in excess of that required under this Lease. 10. Renter shall provide all fuel, oil, and other consumables required to keep the equipment in proper working order. Renter shall be responsible for the maintenance or replacement of any tires on the equipment. Renter shall keep any engine hour meter or similar device on the equipment attached and operating and shall promptly inform Company of any malfunction of any such device. Renter is not to make any alterations, additions or improvements to the equipment. Any alterations, additions or improvements made become property of the Company. 11. Company will be allowed to inspect equipment at all reasonable time wherever equipment may be located. Renter shall reimburse Company for the cost of replacement of the operator’s manual and/or ignition key if either is discovered missing upon return of the equipment to the Company. 12. If Company is called to Renter’s premises to repair or service the equipment, the Renter will provide a suitable well lighted, heated and ventilated area where Company’s employees may service and repair the equipment. 13. Unless Company is advised by Renter within twenty-four (24) hours from start of Lease, the equipment shall be deemed to contain an operator’s manual and an ignition key. 14. Upon equipment return, Renter shall return all, and the same, LP tanks to Company as were provided to Renter by the Company. 15. Renter shall permit operation of the equipment only by the competent and properly trained employees of Renter who have been issued, and maintain, a valid operator license if required to operate the equipment rented hereunder. Renter and operator agree to comply with the United States Department of Labor OSHA Regulations and safety guidelines. Renter shall not permit overloading of the equipment beyond its capacity. Renter shall not allow equipment to be used to push or pull static loads. Renter shall not permit equipment to be used in any manner subjecting it to adverse environmental conditions, including but not limited to: fire, corrosion, radiation, water, excessive heat or unsuitable floor or ground conditions. Renter shall not permit the equipment to be lifted by a crane or be operated on a public street. 16. Renter is to make daily checks of equipment, as recommended in the operator’s manual, and report faults to Company and not allow equipment to be used until the faults have been corrected by Company or Renter. Daily checks are to include: oil, electrolyte, battery acid and coolant levels. Renter is to keep equipment clean. Renter is to recharge batteries in accordance with manufacturer’s recommendation. Renter is to ensure pneumatic tires have manufacturer’s recommended air pressure. Renter is to ensure that the operator’s manual is carried in the equipment and has been read by employees who operate the equipment. 17. Renter will keep the equipment at location designated in this Lease and ensure equipment is not operated elsewhere. 18. Title to equipment remains with Company. Renter may not transfer, pledge or assign this Lease, the equipment or any interest in either without prior written consent of Company. Company shall have the right to assign this Lease or any interest therein without the consent of and without notice to Renter. 19. Renter is responsible for all license fees, registration fees, and all taxes, assessments and charges relating to use, possession or control of the equipment except taxes on or measure by Company’s income. Any failure on the part of the Renter to pay sums due may result in Company making required payments and Renter shall immediately reimburse Company for all sums paid. 20. In the event of a default by Renter under this Lease, Company shall have all rights and remedies available at law or in equity, in addition to the rights and remedies specifically provided in this Lease. 21. This Lease shall be subject to, and governed by, the internal laws of the State of Tennessee. Renter consents to the jurisdiction of the courts of Tennessee and specifically consents to venue in Hamilton County, Tennessee. 22. This Lease constitutes the entire agreement of the parties with respect to the subject matter hereof and all prior written or oral agreements, are merged herein. This Lease may be amended only by a writing signed by the parties. 23. Any provision of this Lease which is void or unenforceable in any jurisdiction shall be severable and shall not invalidate the remaining provisions hereof. 24. Renter represents that the equipment leased hereunder shall be used for business purposes only and agrees that this Lease shall not be construed to be a consumer contract. 25. The parties agree that signatures transmitted and received via facsimile or email shall be treated for all purposes of this agreement as original signatures and shall be deemed valid, binding and enforceable by and against all parties. Arbitration Agreement to Rental Agreement: Dispute Resolution Except for an action by Company to recover the equipment and any money due, any controversy or dispute arising out of or relating to this agreement (including tort actions and actions for breach of this Agreement) or to any inducement to entering into this Agreement shall be resolved by binding arbitration before a single arbitrator conducted in Chattanooga, Tennessee, in accordance with the Rules of Procedure for Arbitration of Commercial Disputes of the American Arbitration Association to the extent such procedures are not inconsistent with this Agreement. The arbitrator will only have the authority to award actual direct damages, and will not have the authority to award punitive or any other damages. Any award rendered by the arbitrator shall be final and binding upon the parties, and judgment on any such award may be entered in any court having jurisdiction thereof. The fees and expenses of the arbitrator shall be borne equally by the parties. CUSTOMER / RENTER AUTHORIZATION AND SIGNATURE The undersigned warrants that he/she has authority to sign on behalf of the renter named herein. Renter agrees to immediately cease using said rented equipment if it is deemed unsafe and immediately notify DAL Industries, Inc., d/b/a A1Hevi-Lift Rentals, Inc., at the phone number at the top of this rental agreement. CUSTOMER/RENTER HEREBY AGREES THAT BY CHECKING THE FOLLOWING "I AGREE TO THE RENTAL TERMS AND CONDITIONS" BOX THAT THEY HAVE READ AND AGREE TO IN ITS ENTIRETY THE TERMS AND CONDITIONS SET FORTH THROUGHOUT THIS RENTAL AGREEMENT.
Required I have read and agree to the Terms and Conditions for Rental. Person agreeing to these terms and conditions must be an authorized employee of the renting company.

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