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Box/Kit Rental Inventory
10600 Virginia Avenue
65 Bleecker St., 13th Floor
Culver City, CA 90232
info@capspayroll.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/Loan-out agrees that the equipment listed herein is rented to Production Company for use
under Employee/Loan-out's direction and control. Employee/Loan-out is solely responsible for any
damage to or loss of such equipment and hereby waive any claims against CAPS for any loss or
damage of any kind and agrees to look solely to Production Company to resolve any such claims.
CAPS shall have no obligation to indemnify Employee/Loan-out against any losses or damage, or to
provide any insurance coverage for the benefit of Employee/Loan-out covering the equipment herein
described.
I attest that the above-described equipment represents a valid rental for this production.
I attest that this box/kit rental is a complete separate arrangement from my employment.
Employee Signature
Date
Approval Signature
Date