Resolution 098-1990
RESOLUTION NO 098 1990
A RESOLUTION OF THE BOARD OF COUNTY
COMMISSIONERS OF MONROE COUNTY,
FLORIDA, AUTHORIZING THE MAYOR/
CHAIRMAN OF THE BOARD TO EXECUTE A
CONTRACT AGREEMENT BETWEEN MONROE
COUNTY, KEY WEST, FLORIDA AND BOB
CHANGO, INC. (Model Buick century -
36 month lease FOR A CAR) FOR THE
GROWTH MANAGEMENT DIVISION.
BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF
MONROE COUNTY, FLORIDA, that the Mayor/Chairman of the Board
is hereby authorized to execute a contract agreement between
Monroe County, Key west, Florida, and Bob chango, Inc.
(Model Buick century - 36 month lease for a car) for the
Growth Management Division.
PASSED AND ADOPTED by the Board of County Commissioners
of Monroe County, Florida, at a regular meeting of said
Board held on the 24th day of January A.D. 1990
BO~RD OF COUNTY COMMISSIONERS
OF M~NRO COUNTY, FLORIDA
.~~ /""' /!t-.
By _~~~~~
Mayor /Chaiill1Cin
(Seal)
Attest: DANNY: 4 KOLMGE, Clerk
~t;.~AJ4
Cler
\
dNOW
APPROVED AS TO FORM
AND LEGAL (jf! CIENCY.
!\u '
, \\ \\
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EE: ll\-! (Z ~d\l 06.
BY
,.....1 ~.; '__F ,_J
,.:]'lIJ
~
~~
Tq~~J-
L! :;>~t I ldml CO II ~;:-;! I II illlyl
Ndm.' ,11ll! ^\1d:\':-~; lllh"IUdt' C')1I11l)' .lIHl !q' C,ldl'l
LEt.SE AGREEMENT
ll:: :...:;~,OR (Oeah~1 Narnl~ dnd Address)
COUNTY OF NON ROE (I'LANN (Nt; OEPT.J
5825 JR. COLLEGE RD.. W1Nt; (l(
KEY WEST, F~. 33040 NONROE CO.
BOB CHANGO, INC.
3500 N. ROOSEVELT BLVD.
KEY WEST, FL. 33040
Less..)J 1fI1('l)d; In d~;:,H.,1l till:. l,'.hl' Aqll"'ilH'lil (HH,Julhnq lilt' P,.,t!H'ilL JUt' Illldt'l d) [0 GVr\tH.ll M<.lIOI$ A("-:l.~)tdnce Corporatu.m (GMAC) Thu WOld
L.'ss(lf 1,'ll'!~; lu ltw lll:.';.lI l1.LIlIt'.! .11.,\\ I' .Ind, .tllt'! ,1';SI~/fll1l+'llt ,.MAC tit ,111'1' i.lk! ,h:;I~nl'll Ttll.! WOld Lt'.\lit~' telers to thiS lU'St~ AOh.(,m('nt
By 5IqI1l:1>1 III I" (P,I';I' 'JdU (lIll' Il'~~'",l' .Hld ,Ply CIlI',,;'>I',,) ,md I .':;'.(1' ,1I1ft'l' 10 'idUl !,''''il' of ttw n'lllch~ tll!S.Cflbt~ belo..... You aqwo tu dlllhn tflfms and
COIllJl!lOIl:; on lilt, IHII1I .lIhll'.\('1o. 1l1111i'; l \',i'.o'
DOOR
VI'I'It'II' t"t'111di~.,II,;T\ NLimb,'r
Puma Use tor Whrch L~6!WJ>d
Ptlr'!i()n.1. FamilY or Ho~hokj
X tJU$lnf'SS or A ucultUfl1
1I,'.!v lvI'"
~l!I'1 t
T ,lIlt'
lG4AH54N6L6454637
\'lllI:;I'
( ~lIllhJI
t'd,,,,-'r
Sh't'llny
POWtH
WfflJO......S
TIU
\Vheel
'\11
C.HI,1
OTHLn
INSURANCE
A. VEHICLE INSUHANCE. IhHlll<J 1111'> I t',hn \It'll lIlusl I.H\)vllk ,lilt!
pay lor H1U lolh)Wlr1\lllhul.I!),:~, CI1'o'I'IlIlq t10lftl ).ou illll1lps:ilU
(1) Public li.lhllllv \1l:>lll.Hl~:I' IIl.,t 1'lnl,'1 (.11 ,.,IVI'IS up to SSO.OOO tor
propmty d,lIn,1i1l' S 100,000 1\'1 l1"dllv 1I11UlIt'S Ii) ,Illy onc' Pt'r~(ln.
"mil $300,000 tllr [l"lId.' Illlll!U'" hI! ,1llV ,lrlt' al:udt'nl or It)) lus.\
C,}f1\t111lt'd smql,'llIlld 01 $300,000 j.,! Illhjj!V Illlurlt~S dllll Pltlp.'rt".
d.\I1U\lc' k'l ,Ill', ,1J1~' .1,:, Idl'111 And
(2) ! '11, ~I,~,ll D,llll,hll' 111::\lr ,nll_" c, lV, '1111, 1 I, ",'; .11 d.lll1,I'l1! III fill' VI'llll:k
.....1\11 ,h'\hlcllidt':. ,,1 11" Ilhllt' th.1l1 S500 I,H "lIIISIUfl dllJ up';!'! I,',;.;
.111\..1 $250 1", \ ,H1\(lI,'hl'll',IVI' Ill" dlh! [1\0'11 1,,<,
TIll' l'(\il(:.... ,II \'l:ll11\' L I.!luhl',' 1r1';Ut,~lll:l' '11,hl :,thIW li~,'^C ,I'. ,Ill ,t<I,lllhtt),L1
lflSlJI t~d 1 lit. 1'(111\ " III f'II~"oI".Ll /l,lIl'.IQ,' !r1-;,II.ln'I' musl sllow GMAL: ,I:;
Ius,; P,I,t't' YtlU 111.lv ;:11,1(1:;" III q.'ll1u' j"\llllt,'tl "I\-';'rdlll"; \I~llH:,elt \JI
OllUllql1 ,1I1~ p.'I:;,m 111<' p,'lh:ll'~; flllt"! lli' \\II!"'II t,).. ,1l1 Ilblll,IIl,'t' ,,:')flll"HlY
ilCl-I'll!.lhll' hlll";,,,l! .l:ht (',f.,.I;\C '''HI .\'11".' I.' l'I(\\l\lt' Plllll! p! Ilh~H<lnCI'
Id \ 1,,;:,,11 .111(1 \ .,MAl: \li',\'11 ,,'.:Ii" ,I No nlllur lypos of 11l5\1fllrlCO a,o
rCQuuuc! by Los~;Of
IN$UHANC[ NOller.
THE VALID AND COll.l:ClIBl[ llAfHlITY INSURANCE OR PER.
SONALINJUAY PROTECTION IN~U!1ANC[ pnOVIDING COVERAGE
FOR THE lESSOR OF A MOlOR Vl.HIClE FOU RENT OR lEASE
SHALL BE PRIMARY lJNLUiS OTH[ nWlsr SlATED IN UOlO TYPE
ON lHl fACi: OF THl HtNTAL UH l.I.\S[ AGREEMENT. SUCH
INSURANCE SHALL or PHIMAIH FOH IIlE LIMITS OF L1AUlllTY
AND rfASONAllNJUBY I'HOld:lluN CuVlHAGE AS fH.UUIR[U
BY ~~ J24 O;,J l[lj AND ll"U lJti
YOU ACHLl 1 HA I VOUH l)WN t:^Blll1 Y ANn 1'1: HSONAllNJURY
PROT[ C1ION IN$tJHANCl" Will rnovrm PHIMARY IN~,unANCE
COV[HAG[ UP TO lIS rUll. !'OlICY LIMITS UNDEH THE
AGFH.! MrNl
(NAME OF l [551 (s tNSV;if\NC! COMPANY)
8 OPTIONAL LIFE ANU OlSAUllITV lNSlJHANCE. lossor d01J~ not
rCQulru lile illl(l, or "I::>.lhIIIIV II1::>lIriIllCt: CO\it.'llIllj you, loasu p.Jvm~1I1
obligllllons. II V,l(j ;.1,111 [.'.1,'.... 1\ '.:;,'r '.vlll II).' 1(1 \jl'f lilt'
,-;rl~',_~,,'d 1')1 lIh' 11'110 ,,'I 111.. l "d,," Ill,' i 'I, "111l111l ,.,hl I:; '~ll)WIl
.lll,' f,: '1.'III:)II'II\.\.t;
:l'1 lit 't'd III !~ I,' fl"lri,,'
"1:111,.\, t,.,'
111'111.': 1'1 {tu' !l.I." "I ii', I ,. I'.,' /'l! ,\d,l<t ,1,1"),11"'0'; .Il1t!111'.,IlrIU
TI\lf1 .11'.ll,ll1w. Hl','H.lIh'l'
111:0111,'1 N,\llh'
Atjdll'''~, __
~: llle' lns-u,ant-j' (1\"
edl":;';I"
nillll i)
1'11'1\1;(1111 s N1A
(', '\l'r .1;il' ll~,d, " 1111 l'
N/A
! 1111 i! . ',I ~ ' '
D,S.lhlllly A(:u\h'l1f ,111.1 flt'.lIlh Ill',ur.!!ll" d ,':.-,"1' Onh'
i'I"!111\l1ll 1, MIA
CovtH,lue undo' U1I5 polu;y I$lIm.ted 10 It 1lIf1l(lmum monthly anlO\Jnl 01
$--------
Lp:;SI'l' ~ SI~IIl,llul"
^qt>
Co,ll,~,,;,:t'~; ~~Iljll,lllrr\'
^""
Power
SCJ:ts
.:SiiJn
Rool
1. PAYMENT DUe AT lEASE SIGNING, Youaqref' ro pay the follOWln-<;l
.1n1~nmls when you 5-19" Ihls lease
(d) C"PI1RI1Zed Cosl Reduction (caSh)
Ill) Net Trade-In Allowanco
leI Fllst Monthty Paym~nl m Ad....anc~
(J) Hl~fulld;lble SL'CtHity Ot.'POS.I1 ,
ti..) ljlleh.~
tll H,'qlstrallon fUel
l q I ll':I'IlSt1 Ft.~t.~
'(0) 'It/4
lib) Kl4
l(e) S 2~.8Q
Hdl ,-------BlA..-
1(') ,_-.lilA._._
l(n ,_____1I1A__._
1(g) ,_$..1, 1.1.5__
Ilhl s__ .'f11A_..___
l(i) '_JVA_____
1(j) L_lllA.___
, (k) $ _ _._t!L~. _ .__
1(1) 1__tLQQ____
_eIlG'("'1 $ _.___ 21. SO _
1I., L _4Q4..15_
i)l) S.Ik'S T,I'
(1) r).,:I~;t! T.n
lr) HI'lll..l1 US~ lax
(k.) f'l'r';nn.ll Pft)I)t">rty Td'l.
(l) llt!h.'1 (dV$Crll1d__~~
\11\1, Hll.'r (cJt!~...:;rlb\,~IIlE. ,~_Mn
("I 10TAL PAYMENT DUE
AT LEASE SIGNING
2 MONTHLY PAYMENT.
1.1l 11.:,;,' M...Jnthl~ r,l~fT1l'(H
lid H"11!.l1 USt' T.l,(
2{.1 L _ 298_.110
2lbl $. NIl.
21e) L 'ilIA
2\.01 $ __NIA
2i,t''; I 'ilIA
2(1) $ 296.,60
II ~ I',.! ~,tln,li PI' '1" '11, 1.1'
i,1) UU11.': ((h<:;CIIC,~~
i,,1 \ 11I1"! l(h"C','lil)"l
It) TOTAL MONTHLY PAYMENT
3 rERM lb. !\'1111 ,-'I 11' ,L',',l~," Lei _ ~_36
4 PAYMENT SCHEDULE 'l','\) ,1'Fl'" fl, ;', t.I;'I'~!l!')
,_',1 5.__298. au. Y,'.;f Lr:,! ~l,)Il:hl> P,I')'n:l':lt I:;; dUI WI1C"
35
Vd" '.I,jllln',> Le,l"" ... "IJr rl'r"n,\10!!Hl
Mel'thly P,l~'m('nh
,U l~ th",' "n Ihp __ _
(1dy 01 edch monTh l)t'q:nnmg I'.:ltl tnt'
:d:,,"
I ~ '
:; fOl Al OF MONTHL Y PA't'MENlS
.lQ7SQ_,80
6 T\,lrAl OF OTl-iER CHARGES PAYABLE TO lESSOR (dl'~Ct'bl')
l,l! 0,.1.) _"n,N/A...
"" . _~__._____6{bil ___ ._..J81-^--__
(el 10TAL OF OTHER CHARGES 6(<1 $___tiJA_
7_ TOTAL ESTIMATEO FEES AND TUES PAYABtE DURING LEASE
TERM
l;J) Tlllt! Fees
[hi H"\}lstrnllC)n Fees
tel l ICt'I1"I~ F"f':'>
T.)..'"
7(.) $ ____tU^--_.____
7(b) L..__JV/l.__
7(d $ i~__
't{dJ t. _, NtA ..,."n
lllOl'~
.,.,~.
7(g) $ __ _ "6./1. . ,,-
1(h) L_,.1LS.Q__
7(1) S_lli..oL__
Ivi t .,.,;-0) I""tt!lro
if) RtN'Ibd/U" T..II:" .
\\1] Personal Ptupo-rty Tal(es
(Il) ()ther {duscrlbcL-_,u__~_..
(i) TOTAL ESTIMATED FEES
AND TAXES
a_LATE CHARGE. II ,I M\lllttlly !',1).'1l11'1l1 h 1\\11 1',11.1 In lull wrthm 10 d,w:; ,lltur IllS ..1U8. you WIll P-l\I a latc chafge of 5% 01 !f'u porilon 01 the
p.I).'t1h'1l1 Ihal l~ Lilt'
9. EXCESS MILEAGE CHARGE
(.1\ II '\ol.HI do nnt lan' 1110 \l1'IH..:;1e .11 lIfl~ .';dll!dull'tl t'lld 01 thl~ Lt',\:.v (I!l~m '0) Yl1ll agree 10 pay ar) excess milellge chary!;! TtH~ Charge -w1l1 be
lQ If ~),'r 111111' 1111 I'.lell rllll" dllVt'!l OVt!1 45..000 rnilt)s You dnd lt~SSOf expect thli mileage W1U b-e thtl-lTl.!,li.unUm mlllllage fhe
VI'lllclt' wlll hi' \111\'1'11 ,lV,'1 1111' ~,,'tll"!\lI,,\! I\'.l';\' h'lm
(b\ I( Ow I l~d~;I' !l'tnllll.llt':; ,',1I1v (1I1'1l1 III "cHI ,lk;() tl\I'I!P In P,IY ,In t~"'C"% Illlle.llJc Ch.HgO Tht.' charge will be at the same rate as sha~n In Item
~.l\,l,' "11 t'd,ll '''II~' dlIV,'1\ 1'.....t'l Ill" u"'Pt',U:d 111(lnIl11\1 rnlll'il\j" ,>1 1.250._ Illlltls ttlnes Ihe nurnber 01 months t:!.,p~i'd In tht! lease !t'rm
ll'~'~;"I' (,mil c:,l.L 1'~,:,~'\"111111,lis_._ t'l\w .__
10, OPTION TO PURCHASE'1',l\l wrllll,IV,' Ill!' l'plliHllo pUl\:h.lSI' tlil' VPhll'h' Dilly al the schedult,d ll"t1 or Itlt~ LI'i1sC 10 do 50 VOll musl noMy l.t~s~()r
;11 h'.hl 15,:.),."; IW(\'I " 111\' .,Il.'dlll, ,,1 ,'!ld, It 1/1,. 1 ('.l;,~' Till' PlIldl,ISI' PO':l} wdllJt' S . 6.4,90.00._._, Y\.JlIlllusllllso p~y any t)ll1clalll..->es and ta.kt"S
h'Llt..'d I,) lilt' pUIl:ll.1:,,'
11, EARLY TERMINATION Y\llll\ld'y' 1~'fIlIIlLl[',' lIlI'" l \'d~;1.' .It .lilY !Hll\' lh'I(l!I' Ih sdwduled end (ITem 31 il yOiJ 110111y lessor at 10<:\$115 days In ddvance
II Yd.1 .Ht. III dl'l,lull (Ih'm :'~'l. l t";';,ll 111.1) 1"111"11.111' lIw; LU,l~L'
111111:; LI'.I~,(' 1"llllill.llt.:., t',uly. ).,111 Will t','" , 1 t':.';"1
[11 TIll' B.15t' Mnnl!liy l'.l\Il11'llt (111'111 :".:Iill:nH':; till' IHlHlbt'1 ,)1 M\)(I!hly F'.lynh'nls nl\t yet due, pillS
l.'1 ^11V f',I;;I,hll' M\llllnly l'.IVlllt'lll:, plus
l3) All\' otlll'l olll)(JlIllls you \'Wt' lIlIdl'l 011'; ll'd~;l' (IIKludt~s- ,Ullotml~: owtld ullde, lIam 22(c)) minus
t-l1 Ally WH'.lIl1c'd 1\',lSI' c.:h.lI(jt';;, \ ll\t' fllLli \If til,' lldSI' fl.-hlnl111y Pdynhynts (:>l'l' Hem 2(01)) ltlcludl..'s depreCIation charges. <.Ind, loto1llease charges
ell $ 3044,36 1 111' \lIll',Lffl\',! 11'.1';,' l-I\,lJlJt'~; Will be II\lul\'d by the Aclu,lfl,J1 McttlOd,J. minus
(~) I tll' Surplus \In It't' :;.11\' (11111,' Vt'hld,' II ,IllY (II tilt' Surplll:; lS-lllUll' l!lolll !Ill' IU!.I! 01 Steps 1 through 4, lt~ssorwill keep thE! excess. and you will
llWI! Lt,!:;:.,11 n01l111Hll
The Surplul .....111 be ,my U)\\_:('~;:; ut tilt! s.lll' 1'110', 1l1100lS lt1t~ ft'<lSI)Il,ltllt~ costs of prppilnrlg the vehlcle IOf sale and selling it. above $_ 5900.~,
......111(;11 IS LessOl S Of I~JI!I,II e~;llmd I{~ III till' V l'llICI!) S \.r,II\lt~ ilf ff1t~ sdwduled end ollhe Ll~dse For (IllS purpose. Lessor will sell the vehicle at wholesale
In a commCfCl.ll1y 11',I~;(Hlahle rll,HHh'I
You nM)i tlbLlllllrom clllllldt'pclldt'nl IIl1ld p;uly ,I pHlh'sslOl1dl dppr,ll::>al of Iht~ vehIcle's wholes-ille \lalue Iha1 could be realized a1 sale. You must pay
101 lla~ dppr.ll:;,11 You dnd (I'~;~;u' musl .Iqll'!' on the a~)pr.lI:>er lIlt! ,IPPfillsnd valuH Will be Ilnal and blndtng and Wlij bo used as the sale price when
hgurlnq Wlll'!lWf t'f n(llllH'lI~ IS a SUlplu~,
NOTiCe, SEE OTHER SIDE FOR OTHER IMPORTANT AGREEMENTS_
ti71 OlP-rL 'Hit!
,
Pluast;l Hunl()v(.' All Cdlbon" B!'toH.l ~IQntr)g 0'1 Rl..'ve-r,!>o
OIIIGINAL-LISIOIl
-;".":."7::;=-.-;.',,,: ',~~i~~._..
'.".~,~.l'~; .i' {~'i*:~~~'
~~~!~~i.!lll.
~~';{ifi(i.a_..
,,' ,,f(' \.' ,,,:, - ",o;_~' .:~ .,~,~ ,,' \-. ' . """: )R~,;';....;.
. - , . "~-.
. .
~W'*~~~~J.f.}...~'f~~"~,,,,",~\II.
~
i~
~:'\, ij(.<?)< 1;~i((lil~r~:'
,"'...., . .'.';..
~~,~tlt;_."W~..
ADDITIONAL TERMS
_"i~~
12. OWNERSHIP Ilus I~; iI It',ISO only .ind 1\\)1 OJ purchflsu agrocrlwnl
Lessor owns Iht' vl~flldt' YUll d~H~C thilt 1111:; le,ISt.. I:; ..I hue ICdst' "JI tall.
and OtlWI purPOSt.'S ilnd thillles!wr wIll't-'cOl\1e the bCflChb 01 oymelshlp
13. ASSIGNMENT. 'Yl)U will nol ",Ill~;lt'l. StlbJI',ISli', rUllt. 01 a~;'''~lll nll~ LC.1St~
the vehlClt.', or your rl9hl 10 lISI! tlw vt..'lHdtJ .....ltlllJut l CSSOl S wllth~n COI1-
sent When YOll "'Hl ll'~S'lI SI,)" tillS l t~aSI' It':;sol will .IS~lqn II and wIll
selllhtl vehlcl~ 10 Gt!rltHitl MuhHS A~cttplillln' COlpmaholl (GMAC) You
musl lht:ln melk.., ;111 polyll1tHlb Ullt.lOf thIs lHtlSt! 10 GMAC You il\IWt' thell
GMAC wl11nof h;IVt' lu 11l,I~t' ,II1Y It'P,lHS It' Ihl' vdw:lt', rn,lIllfilH1lhcl,'f,.tu-
cleo ~It'l ,In" ll1$lll.llh t' III 1'1'1 l<ll III ,lily ,1Ih,'1 '.I'I\'ICI' lilt! [)1';\lt'f tt,IS ;HJrtJcd
to ~)t'dl)flH undt" ltllS l.t'.P;I' YlHI WIIlI,IIl\.. lHI1V I~) Ihl' Ot'dll!! I,ll ItleSd
14, USE. Vou a~tt't' Ihdl VIlU will nol
'(;11 "11,)\.... UI\II,:t'II';l',lt!lIl,'I'IS h1 dllVt! tilt' \lt'IIICItI
(ll) USt' UI .\11,1.... 1111' ,dj.t:lt'lu tll~ 1I:;c'd 1I1,'q,li1V Illllll\IPl~lly 1\11 hilt! UI d~; ,I
pU!11w C('HIVI'V.IIl\"1'
\.-) U~.l' Ill,' VI'llIl'll' h'pliI) !!,lol"I~; th.lt ,." ,,'d 1I1"Il_lr1Iil.L,fllr"I" tl,ldc'l
!lJWIIHIII'(OllHlll'llcl,Ltll'll'>
\d) :~'/:;;.'\r1~'\1:::;.~,'.;1,;',1\' tr,\lll1111'Ul\d"1 :,I.It. "~I l-,I'I.I,J.I >\dll_>lI:! I'
I") all,'~ I~:.q ~_ ,>! 'II-,!. ::1 .., 11111 'Ill. '111 II I tll<' \, '11'\ 1" ,', d'" 'ul ( , ..... 'I .; ",1 d~I'1l
l','I1','-l\l
15. MAINT[NANCl_ Hll'AInS f1.NU OPUIATlNG l XPENS[S hill'"
to mUlIlI,1Il1 ,lIltl 'l'p,111 :rl,' \.'1,., I.. 1,1 1-,""1' II ill \I""'! ".\lllo..llhl \lldl'f ,tnd
condllil)n Yuu aYIt'L' Itl '-hi)' Il" \)f Cll\l'l ,Ill tl1.11l1h'I1.UI,-l'. It'p.W, .H\d o~~r.
,.::ng C.';X:l.;":" YOll nl!'.o !'If)r('(~ tn <trrvlca tho vohicte .s 1he ,".nul.:.
tunH rt'comnH'fH1'; III IlIn OWIH'I~, M,IIUI.11 .11"j f\1,IIllh'I\,ICIl.C S<;lllldulu
toldt" Ihal COI1lU~ Wllh Ihe ~l'IlIclc ,lIltt .I~ Uhl lIloln\i1,lchHl~r IUlllHJ~t'io III
any recull campdl9t\
16 WAHnANTHS: \1. '
~ut'll" I I '11\ I' 1 ' 1",,'1
t,1 .Ii1.,\'. ""I 1.1 f,'. ,'1\,' III,' 1"'1,,-1,1 ,d
1,lllly nul (','Ill'''; V.lItl Ill,' \"'1\" It, '1'\(1 ~\lil ,II 1\'.,11
foil II, ,01 ,..'1\'1,,' (,'II!I.I, 111 \,lil ..11.III,j,'d L'I
In.1 l!1~,;'llh' ,Il>lll.! IIII' !lIIHi! l.hllt'I:. v, 111,1111\ !,J """~, f1:'I~.
IfhJ ~h"i!tl!,. ~'.I'oIT1t'ld. 1" 1,",',,>1 'I"l! 11l,ll' 11"! p.ll'II."ll/'. h(lI11
L 1.':.:.,1f liI1~I':-'S l'l'r:l1i!I,'d I'l I.IW
You understand Itwllcssor i:-; nol otlorinq ,my tn. pruss or impliod war-
wnlles and Ihl'll lC$sor ollulS no cmpll('d W,lfr,llltll)~ 01 mcrch,llllabllily.
suiIBblllt)', or titnoss lor II pafliculnr pWpOStl cov~lfIClg tho vuhiclo
17_ OFFICIAL FEES AND lAXLS 'I"l! .1'11",. I" I'.L'. ,1111"1.., ,In,] liulql'"
kl 111:11\'1 It',jl';I,1 ,; I II, :,".ll'hl ,li:.1 1111'1 tho 1,'\.11','1(' Ill.it
;lily \.1l)v,'rnrlH'III dullllHlty 1I"JljHI~S dUlllhl 1111' 10'1111 ,'I 1111, I ",I:,.~ '1"11
;l\]lt,'t' II) 1',1,. iLlIll"'~' 1.,1.111'.1101 Ult' I t".1~;" Ilf tll<' vl.ll,,'ll' 1I1.11.Llt' h'\'II'(f 'HI
\"11 111,' \,'111\'1..'_ 1'1 I, h,( Ll"", .\11 I I".';.,\f', 1\.'\ IIIU1,11,' !Ill!
l.I,t'~; \,'IllnIJ~.II'.I\ ,',Il! (Jl' HI, 1111111' 1',1'.11"'111[111\' .11 LI',]'.,' ~;!,llllfl'l
'"~ \,lllt M"llllil" l"I\"l1lt'nl .1C ',,'p,poIl.'''' hdl".1 t'.1 \'>11 bv I,.,;..,,, ('.....111
111.1\' ':~',lIh:" ....UIII "",Hllh,\ l"IVllu'nl Ipl 111<1,' I';,'; ,'I <11',:1".1';1"; tll Ll'~"';
16_ FIN[S. LIENS. AND (NCUMfHlANCrS ',,'\1 ,H:I.'t' III i.t'.'l' 01,' vt'/\I
!il'l' nl ,Ill 1"111 . 111.l ,'n, 111:11'i.lll. ,. 11 \,>t! .1'111('1 plt'lllpt!}'
1111]"; l'f 11-11',1',',' ,II'" 1"'1)'; \l!." Illll>!.!!!,'.".; I Ih.~.OI 111.11,' II,) :;ll
P,\t' I I'.;' ,11 .11". ,11111'l;l\I'; (l" ';,11 1'_1',". t.. d" ..P
19 RETURN Of VrHICl[, l! d,' ILlt I'L, I!I.' ,-,'llI,'h' ,It till' ';,'!l",j
u!Hd 1'11.1 "I 111\' I , ,I'.. - \ I I, 'ill y, '1I ,1'11 \',' I" I'-~t illl 1110' "'t.llId,' ,II lilt, tU It!
ul Hit' lC'.I~." 1" :1". Dc'oIl"f~, .111.11.,;,'. "II,'~\ill "11 111;" ll',I:;I' PI [" dll'Jo 11',1
,:,,'II.lU',' ,hh!II~:':' Il'.,',,'1 q;\!'~. 'rIlU Ih.. Vd11, i., I1JLJ~,1 L>l! HI \lllud ~","~lIhJ
,1[(!t'1 dllll ,'.\11<1.1,.'11 YOll <luroo 10 puy tho cost 01 ." rop<1lrs neodod
bCCcHiSC 01 llICt':.sivo we,lf llfHt ust) 10 put t111l vchll:le in good working
order ,lnd condItion
20 [XCESSIV[ WrAR AND use 1,,'(' ...,,,,, I\".H .Intl lJ';l' Int'Iud.',,;
,1,,11\>11,11'1110'1 II\lf"; (,\1.)1 I','; IIl,1! I': (l.0ll,I'I"" P' 1,."f.,t'll.ll trl.r! l"\! ",1\"
II~llpd Ill; d.lm,H,'d l',-,:,. 1"lld"I.. 111,'1.1] ,,1\._ hqhh trlP1 <'I p.1I11t (..1
nW;~;lrhl ,'qLllpllll'III tll.:l \,,,j'. II' 1I1l,,,...tlllli' wlll'fl d.'ll\11'rl'0I ,Ind 11.1';' nol
[II'\'ll 1.'pldl"l'J ~\Iltl 1-'1\111\111"111 pI 1'1111,11 qlullly .lfld d\";hlll i,0'1II';:;lIh'
.....lu't'l ",I'.t'rs. 1,1<:1-, III ,'.11...'1 ....11./1(,h ~l'f 1l11'.',1'1l1 \\1;..",:;. (If l!ft'" (Ifldud
Ill,; ~,p,lIt'l '" llll";,llt' wllt'l'I': ,I, !II.". (>inl'>'.' Ill.,,; .lIt' 1lt'1 ,1Cl"t'l't.lhl.'l. (1\
.IllY till' WII!1 ll'~~. Itl.LI1 1/8 l/lell .111I",1,j ,,'111,111111111.111111' ';ll;11l\)WI'~11l1.1lnf.
\ql !.)lll d,lIll,lq,'.j ,ll ~.1.L",,'d dd~,h H,',,, U'\'I'I', :;1'.11:;, Ih',1l1l1l1,~.S upilol.
o.!t'l \ 1111.'1 tlll W." l-, ,H tllll :i.llllt'f',_ ,11\ tl.UI1,ltl" III "till 'I llllldllh If I lt~.1!1l1,If.,c'"
!IiI' \dIWI"lHl~dl<' \'1 11I11,,,\\ull<l "l't'I.lI1', lrJ ,Illy IIH.tll,lllll:'.i' d..Hlld~JI' loll
..1011'1 ~ ,'lhl,tl'1I1 tll.l!' .HI....... lIlI' ~I'I\I'I,. 1" ,'p.'I.ll.' lIl.! IhJl~.y Hlllqh \11
,mpI,li"'f 1I\.ltll\t., .!lld (JI ,lll\ "t!\O'1 d,IIIL\lI" ",1H'1I1"1 (H 11<11 nl\'t'I\'d ll\'
IIl';,H.1f1,.l'
2\ SCHEDULED TERMINATION II \,PLI Il'!liill!111' vdllc11' ,]t !th' sdH'd
ull'(ll'lhf of lIlI' 1",1'''' '''!c'm I'll, .!trot of \"''.1 I,,~,,' f\l~l bf;l~l'l\ ,1l'Y ,11 \'('IU
.hlll..'ll','lll'; III IIll' 1".1'1' th' ,'fit, .1I1\,\llli:~; \,'11 \\111 OWt' I i.".~;l)l Will ;11'
.lI1Y f.\{"t':,~; IllII,' I.ll' ell,I1\II' (1l"HI:l1 ,lIld 1111' ,\1..1 "I ,HI\-' II'p,lIr:; 11".'dni
l',.'l.,;,lllo,I' "I 1'\,', ....1\ I' WI'.lf .111<1 tI~.,' (1:.'f'1 ~ '\ 1\
22. DEFAULT
'''hi I~ll: Ih' .,1 d,-I,H:11 II .\Ily \.\ lilt. !"II,\,'.,;I'1 P\,
1] '1.JlI .1,111,'1 1!I,d,,' I I'd',llll'lll WIH'II II<J"
/\ 1'ILl,:,',',1111'1 :;ll'.:I'~I"l'k\' I,., ,'1\"1'.11,1' ,'1 Ill~.dl\"'I\o.'.,.. I'~ ';1.llh'd
1'\ l'lIl1H .1'1,1111:.1 'l-"1I ,11 )11'111 lilll!'I'lIy
(:.n Yuu make an assignmen1 for the benefd of CfedilDr$
(4) You do not keep In fofce the 10000anotl ~f'age the L_ f'IlQUtres.
(5) You do nollepau or maintain the vehK:le as the LNM requit....
(6\ The vehkf. is lost. stota-n. destroyed. or diltermlftlld by Lenor 10
be unsul~e for usu
(1) You have made 8 metell.1 miStep1'e~ntilhon on yOUr l....
$1.Jtemant.
(8) Yuu transfer, sublease. rent. or assign thIS lease, the Y8h<<:hi, or
your nght to use the vehICle Without the Lessor $ written consent
(9) You dIe dutfrl\l the Lease term
(10J You break any of your other 8Qfee-ments to thiS Lease and such
broach signlhcanUy ImPftU'S the PfOSP<<'t of payment. performance,
or r~ah..zallon 01 LdSs.ors InterGst in me vElhN:le
(b) II yuu are In delllull. Lessor mtlI)' to<<mnatolhls Lea:se al any bmebtlfore
tts sdwdulod end, Tht1 Jmwnt you owe upon h.'(mtnahon tHK:avse of
YOLIf default Will be d~tt.'rmlOed under Item "
(cl If \,,},J ;ue In (1daul! l~~sor wdl ill~o t;,l\'t' tnt' oghts and re-mo.aiili!S
P~"\-,l(lt>d by j,lw Lt'SSOI!'o f.\ihl,> m,l',- Ill( iI.~l~' !IW 'I~ht to sue you tor
ti,ilIU~~'S and 10 It~COVN till' ....t'h~ch.. ane thtf r""hl to......, the vehICle
II,> 'l \"lll wlth.,Jt;! ,h'rn.lnd AlI,)f ll.'SSt..'fS r'!lht~ .tn.d ntrnedMMi 1'11,11 be
""'f(',"'it'd w.th.lt:t t'''',1Ch 01 Hw I~~'"t. at ~1Jbf(< fltT'll!!''S and t:ri.c'~,
III ,,1 r.'.I'lll,tlll" P',j'!l1t'( ,\n.11f\ .K;':o'd.It"K.~e 'lrrth iI;'(l1rC.4l:ble ~ "\'O'..J
,If" ,'1 ,!d,luil..tfW d !fIt' I.""" ~'t;'m,ts ',~)U it),lW't"ft',.'1t l-t!'S~ 01' it~ i'f~t~
lit." ~'OlJl PI',lI't'rt)' or m(. prooorh wht"ft! tt'\.t.l' ~1C" t"l !.l\.~!o
t,.,. Hlt~ \"C!lIl'lt;! II tt>uy do r"<~1 bn!4C~ n'..... ~.ICt! \')1' b<<tM. me ,_ If
!l1\'ft.' 1~. ..10., Pt. ~'~(."".ll Prolwft)> In tile \'tlhiC~ 'flIrfW,n t.-n. ~..,.". ~..
1.1ke the ~r1y and iIOre It tor )IOU. AIW ~~(J ~., '.. '
~dllclH will std\' 'Alllh Ihe \-r"Hcle VotJ aor~ to NfV . m3~-'~ . ',,'ci.i:."""-''J'' .... _.:;. '''''.., ",\.'\0'1", ';: '. . "'. ',",
,"" ,,-,' "'.., ,.. ,>"",;., ..-. ~.ij._': ..11!:. ....."."..~."."~.h.,t.i,
.-, , .' "t, ,,' ". ._.!l1 ,'_,.,. d. 1i~-.;r":<J::i!,.. .... . -I.",t,1' ''"y '''~~_
r ','I',I"l.'!, '::".n.... ',""" '\,,'.""~'.-dl. .~"" ,-:v.....'......<'""..: 'Y~'.,e""..".or ,.tt'a-".""i~.j;.-"
r~"~~~,..~~l~.~r'
;>3 lO::>$ OR OrSTAUCTION OF THE VEHICLE II ;!,,[? VtH)I;';!t' 11}';l
. :~(".",j .~f '~"!I'rrl1;11"" by l\''';'-\H tn t~, ti"",ul.ltlh' k)rr ,l&'i! or'd
.t1 ~. .1:, '\-"~9 ....j' fl.l; 'i'.'1)
i (I lti:"i ll',l~;.~ ~"'I!I (""'I"l.d.' ,. uh, Y"ll \",it ih\,' l:.:o,,;' 1'.,<:, 111'1',,)..1': !.,J-
1111") 1,lld~r 11...111 11 ttl(> .LI;I\)\J[\I (:,1 an... .1lSu'.I'1':\' J\f.!!tto'nrnl .,1\ bH
!I't' ,; ,1(.' pncf' (11 th' v,'hfell' or
It'~ Ii )..~1I .lnd It.'~sl.)' .14f\'~' ,/1 '...Il!Hlq nul' c~~nl'l1ut:' :11'5 It';IS(~ V\.:r,
,I ,:'ll'illtultl Vdlli~I.. Any IllSlJr.Hk'~~ :o,\'t1il!rn\~I1! ~\,,! Qt" app-ht!<~ h\ IDO'
1'lllt.'I'.IStJol ttw ,>l:tl::litule \\!ll';'::t'
24, LIFE ANO DtSABILlTY INSURANCE. Jt Ihe Idv H):;uhmce dcs...;rlof.d
1!1 Ill'rn ill:; m fOI(:,! ,1Ill.1 P.I'l',ltle ,lnd Ihe In5:..;r~,~ PL'T$ull d.t..s l.h..IU11J th:~
l t',I'.I' t''''I1\. lIu::; lp,l:-,I' ....111 lellllln.lh' l',lllv TIlt' 1I1:.u((~ds estate v,,1l owe
l Pli' .un0unt Illj\ii\'Ll un,l<_'r Ih.:om li The Ill$url.'ds c'st,lte rnU::i! also
I'll:, h.l'" tll0 v('hl\'I\' Th<.' t'St.llt'~i pU!l"h,ISP prlel' WIll be ~lJtlstllll!t',j h~r
tll' ';.II"l"I~~t~ "..tH.:t1II\llHIl;i.. :tll_' ,lrlhlt;~'o1 "I'.I',! u:h:, r l:eCl It Tla'l':-;l.llc:,>
~'l:I,'h.I"" price wllIlJt' tile ,I\lt'r,h;.' ,--'f ll'l~ fe!.:ul ,Hld wtlvles...l.ie v.1itJ('~ ot a
J;l>.,.' ,'h';Hl' Vf'hH-:I,' wllflll1f' $,lml' cnTlon" .lnd ....1!t1t)Ut cxct'!s" Ir\llf'ag!~
I WIllIHlt1 t111:"5e ,-,..Iuus 111 :llflt'lJ (:Wff!nl gUIJ\"buok It.'s$or :~elt.'(;ls
1111' H.II,k'hl1l' kn t'XCt'S:'> m,II'.\\llJ ""llIllt' tt1t~ t"TI', led monlhly rlldt'.I',le
ll,lm 11,'111 ~l{b) tlnlt'S thl' nurnt't'r III tntllllll:; t'I,1r'-';hl in ttw lea~t' h.'un TIle
I'~,!.II,' ;11,1\ IlulJlIllr.lt11 .1:1 InJI';'L'Il.h)nlltliftj p..lrt')' .J PI(\ft'~,s.lon<lt Jppl .1, ,;,11
,l! 111,' \, '~l'de s wt" -Il'~:.l!t' ,In.! I l'!.l< v,tlt;. '5 Ih.t! \.~l)u!d t11' rt:;lh:e,! ,II ~,.ll('
11\<' ,l\I'r.l\Jt! of tilt; It'l,j,1 ,lIl,l ',\lh);(":,ll,> ,.~lut'S 11~~m lll~ ~tpprals,d \'1',(1 bn
Illl.ll.md r'lllding ;im1 \\111 bi' lht. ('~l:~It's rUf,h.b\' pnet' The estill!" n'(j.,,!
(\,tV 1.)1 Ihl' appm,<;al I he l'St.IIl.' ,lnd It'~sol must ,ltJlt't' on the ap;'H.llt"t.'1
II I t''':;,l/ em not loWI lilt' "flU \k.;,lbibty CO\i(",'~ltJ l()r \'OU or II the CQVPI.
.1'1" J:; ,,1l1,:I'lIed lWr"II.' ttw I'nd tlll11ft ll'.1:_t\_ lC!:is\" will crod;l any rl'!unds
u! Ullt'.lIned ptl.'lIlIUll\~; p,\Ii.lln tt,~>~,';)f to ~OUf .lCC"llfll If your a<,:o-Ul)!lS
(l\',j,!I'd Lessor wlil h,JtJ;;I' \','dr Munttlly PaVfTlt'.H
2S SECURITY DEPOSIT. ;\ :l't:md.il)'l! secullty d~'poSll i5 P/Ilrt of the
II.l'l-IllH1! yO\! makll when you ~I\l/lllli~ l.tnse l I'SS,)I ",,11 jJI'llllct hum !tl0
St'l'llfllv l1f'DO~,t Il/ly ,inlOunt'!l ~'DlI 0\\,,-' 11tldt~r thIS 1('':'5('~nd do f'lnt pay II
.In) p,llIl" IhQ !>t"CHlltV deposll,'; 11.'11 tt'ssor wl!1 !llflJnd that p.< to yOll
,111.'1 Ihl' tmd 01 HI(' l.f'i\:,e
~''''*<t,-.l:~.f';'~;":'.-';,~",,,,", ,,"4<:~">c>.
.;,,'(
26. INSPECTION. YOtl <agree 1<1 allow lO$sor fo Insr(J(:t lIle vehicle all'my
h'.t'i,Hl.lMI,' IlIllt.! .ll1d pl.\Ct.l If tuss;.)! ,\S~S to If'lSpl'c! Ihe vehick1, '/OIl Wlll
"'II \ I.'~;s.lr tile l()(~J.ht1l111f Hw \I'!II(:!l, II Ow \/ehtclt' IS damaged ()f thf'fO
I:; t.n"t~SSI\'tl ~d.r .irl\f usl'. L"~,~.Uf Will deCKle If !tIe v("hlck! shouhj bt~
Il'j.l.H(('t! Uf.-,on rl~q\J\!~1 b~: ll'S:;l'l )'OU aYfe-c t() h,t\le v'O'hicle tep..111tt~i
PIf'fT\'llt~
27, INOEMNm. You w,~1 protect Lt:!s.sor and ~ to,) whom leaoor ~
Ihls L.t',\:;",\. horn all 10SM>S, (ldm<lQ('s. lnlurles. cl.1tl'nS. dmnartds, and
l'J>-IWIl::~'S anSlng out of Ihl} condition. "ld.lntenanC:t~. llS(". or ~raho-n of
Ih,J Vdl,.,;ltl You agft..'o:l to mdt~mn(fy and nold tlJrml-ess lessor MKt its
d~:;l~)n:, !r,)m all such losse::i, ditnldQes. lOJunes, ctauns. demands, and
l,'qWrl'.,'~: You ngn't! to P,I" It's.~,"":r 11\1 Jny loss or d.1tntige to ttte ...p-hll.~le
,hHIIl\! Om l.,a~ tt'nn
,,;,,-t
28 OfUVERY RECEIPT. 0., ~'\lnll'~J thIS Le,l;;t,~, y,)O agree that (1) you
n.CI'I\<'d ,lIld tJl(dnUOl'd Ihe vt'hlclc (lc!.cl1bttd lt1 tillS l~,1geA2} the ...ehl~
tIt' IS .l~, dt'!.C/Ill(~d In Illls lCdSI" .100 iJ) We "'t'h!cll' 1':1 In good OP~f,-lllf\g
,1! dw ,IJlt~ condlllon
29, G[NEAAL. 1 IllS LC,lc;c cunlol;lls llw cntJft: autl)ernent bOtw(1;!/'l yOU an-d
I "';:;,11 I flt'ft! .1ft' Iln ,'fllt,'1 41\p"I'ln.'nh bt.I......l>lll,JU ,Hld lessol "\Ct'pt
lil""c.' wlllh'n lllltll~; 1.\',l:a' Nu dl.Hlgt' ~,dllJ-e \,j:,,11101t's.s In WI ,llny OI'1d
:;;')111',1 tJy YL1U ,Ind l.l'O';';llr
NOTICE TO lESSEE 'DO NOl SIGN THIS AGREEMENT BEFORE YOU READ IT_ 2 YOU ARE ENTITLED TO A COPY OF THIS AGREEMENT.
'rUU::-iltiNf-l} IHISAt,HI tMt Nl AI KEY WEST FL AND RFCE:IVED A Copy ON 19.
COUNTY OF MONROR PLANNING OEPT.) rSEAL)SI.''''l Attest: Di'-'\'.'Y L. KOLll~GE. CLERK
IL:"S~~.,,~,I,.,f"::-';.""'-;'I~. 'I~""~'..-' r'.'~......",. ."',1.'.....;,.",... "II ~'t.'CCa:.'Ol~ T'lPnurv- rler1-
'-' .>~ ~ . .~ _ till.' ,IIILllllluCt,'~,11ll tlli:> Lctl:.>L! ,Ill.! III!' Vl.;!lU,;lU doscllbed t:crCIIl to"CiJn'!'I:t4 Mlrrhrc> !.(~ctJptance Corpora-
11\)r1 (GMAC) und"1 llh' 1"II1l~; ullht' l,MAl' ,I~;l' 1'1.\11111'.11.'1 ^lJIl't!llll't1t
BOB CHANGO. INC.
Ln~;sor
NOTICE: SEE OTHER SIDE FOR OTHER IMPORTANT AGREEMENTS.
lJy
Tille
Pl8ilSO Remove AU (,lrboJ)t; Bulow SI\ill'.l\l
APAAOVED AS TO FOR.'.:
"'NDLEGM f::i'.".-"NCY. ~
0~
RY ~"'.J:~~ \In''l~,
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DIRECT LEASING PLAN
LESSEE STATEMENT
I BUSINESS I
GMAC
DIRECT
-LEASING
PLAN
GMAC
DIRECT
LEASING
PLAN
BUSINESS
CHECKING
ACCOUNT:
PREVIOUS BANK
IF ABOVE LESS
THAN 2 YEARS:
COMPANY FROM WHICH
LAST VEHICLE LEASED ~
OR FINANCED 0: y
~OR TRADE REFERENCE:
NAME ADDRESS
c.C - YY\\(\-n1 t - eo6
NAME ADDRESS CITY
CITY
lifra.,{v -
STATE
I,
I)~e
YEARS ASSOCIATED
\ t'Y\l; L"Il-!
~\
H(a55-1 '1 d-4t"f.;11to
NUMBER AND STREET
COUNTY
CITY
STATE
ZIP CODE
TYPE 0 PROPRIETORSHIP
OF 0 PARTNERSHIP IN ADDITION., 1':f.wN~ OR PROPRIETORSHIP, PLEASE COMI'I.ETE REVERSE OF FORM,
ORGANIZATION 0 CORPORATION mU~ \C\ I /)\..,lLL
I certify thIt tIIelbon inform.tion is complete .nd ICClIme. GeMrIl MClbn AccepUnct CGrpcntioII or GIIAC lusia& Corpcntion Is IItIloriad to illlllliptt Gal' credit .., to
....... information about its mdit experience with lIS.
)(II!1,"~~f;.f'~r". ''''''T~' J ;d,? ~~
LESSEE ..' "'h . ..'~ " ..... .
( SEAL)
Attest:
DATE ~/~
KOLHAGE, CLERK
Deputy Clerk
DANNY L.
IfilL
BY
John Stormont
Title:
Mayor/Chairman
TTTLE
YEAR MAKE
gO eol
PROPOSED LEASE DATA
VEHICLE
MOOEL IDE"lTlFlCATlON NO,
~rrLJCf i~~6~4:L~~4lcQ
CAPITAL
,3k~.~
ESTIMATED
ANNj.IAL MILEAGE
, ~
INDICATE IF M.&.JOR OPTIONS NOT INClUDED ON VEHICLE:
o AIR CONOlTlONtNG
o AUTO, TRAN8UJSSION 0 cmER(tlESCAIU)
&,CS ~f.HU8P I \.uC
~ rL1lf0{....
3 1~/c.D
DEALERSHIP'AGENT
BY
FOR OFFICE USE
c;( t[bJOA
'7:::>/~ l\:l~
'f~8"(P
tJcEj) iXcu~
S\",^ll~ lD l(eSc
-
GMAC 670 OlP
~ (. ~ ( l ( ( <:. ( ( ( (; ( . ( (
~
---- -
.
,
INSURANCE INFORMATION
~k.JIUC.
State
ress ~~e.CbI~ ~ U,)IN(;III:
ip~: 3"'"'3()4()
Business ( '::o'\::) ) ~~\..!.- 1
Telephone No.
State _ Zip Code
City
Lessee Telephone No: Home (
Policyholder Name, if other than Lessee
Policyholder Address
City
Agent:-E.RANK MCPHERSON
Agency:-I,HE PORTER ALLEN COMPANY
Address: 513 SOUTHARV STREET
KEY WEST. FLORIDA 33040
Policy No. HO 1 077922
Insurance Company INSURANCE CO. OF N. AMERICA
Effective Date: 03/1 5/90
Expiration Date: 0 3 / 1 5 / 91
Continuous? yes no X
'f..
~
Telephone No. ( ~ n ;
) ?q4-?54?
FOLD
TO INSURANCE AGENT LISTED ABOVE
FOU
I have agreed to the lease conditions as follows:
Limit:
Public Liabili1Y~ $100,000/300,000 Bodily Injury, $50,000 Property Damage (Minimum) or $300,000 Combined Single Limit
Comprehensive: ~Deductjble(Maxjmum) $1,000. DEDUCTIBLE
Collision: ~ Deductible (Maximum) $1,000. DEDUCTIBLE
..'Ii'
NOTE: AS OWNER AND LESSOR OF SAID VEHICLE, GMAC MUST BE NAMED AS AN '"ADDITIONAL NAMED INSURED'" AND '"LOSS
~. ON ANY AND ALL INSURANCE COVERAGES APPLICABLE TO SAID VEHICLE INCLUDING LIABILITY COVERAGES.
Such inclusion of lessor as ':Additional Named Insured" and '"Loss PayOO" shall not operate to increase the limits of company liability.
Lessor shall receive notice by certified mail of any expiration. cancellation. or reduction of the insurance applicable to said vehicle. Such notice shall be
sent thirty (30) or the statutory minimum number of days prior to the effective date of such change to: GMAC, C/O pop SERVICES, 7TH FLOOR,
. EXECUTIVE PLAZA IV, HUNT VALLEY, MARYLAND 21031, PHONE: 8CJO.638.05OO.
The vehicle described in Section NO.2 is replacing the following vehicle presently covered under the policy mentioned above:
Year: Make:
Thank ~ for your cooperation.
Serial No.
':X ~"T~""''''
, '.' .......,;(,..J~..~-!If':~"'~.::,'~~~~ ~<t.
LesseeSignature'~ .".:,';;.'~~~;:l',. .
(SEAL )
Attest:
By:
SerialNo~b~tQLlD~~
Date 1-24-90
DANNY L. KOLHAGE, CLERK
2. DEALER: &b ~
=~~: YearJl~~1$lc.J( ~IU~
~ Telephone 'krification of Insurance Coverage:
Name of Person Contacted at Insurance Agency:
Verified by (Dealer Employe):
.!2Y
Dale:
3.~
GMAC Branch
Branch No.
Dealer No.
Lease Contract No.
4. INSURANCE AGENT OR COMPANY REPRESENTATIVE (PLEASE SIGN AND MAIL IN ATTACHED POSTAGE PAID ENVELOPE):
As an authorized representative of the insurance company shown above. I agree to endorse the above policy as directed by lessee and certify COII8I'8ge
:.=~~M:U~ _ 1;/5/10
Agent's Stamp or Address Label: ~ "--
THE
PORTER-ALLEN COMPANY
INSURANCE
SINCE 1891
P. E:^C:E: DD."'T nD TYPE: Tn DDn\ftl"\l: E:.VI: 11:"'01 I: I"'/"U)II:O