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HTML Preview Blank Rental Inventory page number 1.
1
Box/Kit Rental Inventory
10600 Virginia Av
enue
65 Bleecker St., 13
th Floor
Culver City, CA 90232
info@capspayrol
l.com
New York, NY
10012
Phone: 310-
280
-
0755
www.capspayroll
.com
Phone: 212-
925
-
1415
Fax: 310-
280
-
0889
Fax: 212-
925
-
1502
Production Company:
Employee:
SSN:
Loan-Out Company:
Federal ID#:
Rental Rate:
Per Week
Per Day
Rental Commences On:
Detailed inventory required (attach additional pages if
necessary).
Item Description:
Employee/Loa
n-out agrees tha
t the equipm
ent listed herein is rent
ed to Producti
on Company fo
r use
under Employ
ee/Loan-out's directio
n and control. Em
ployee/Loan-out
is solely respons
ible for any
damage to
or loss of such equi
pment and hereby
waive any claims against
CAPS for any loss
or
damage of any
kind and agrees t
o look solely
to Productio
n Company to
resolve any such claims.
CAPS shall have no
obligatio
n to indemni
fy Employee/Loan-out aga
inst any losses o
r damage, or to
provide any insu
rance coverage for the benefit
of Empl
oyee/Loan-out covering t
he equipment
herein
described.
I attest that t
he above-described
equipment repre
sents a
valid rental for this
production.
I attest that t
his box/kit
rental is a complet
e separate arrangemen
t from my employment.
Employee Signature
Date
Approval Signature
Date
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