INSTRUCTIONS FOR COMPLETING
BROIT LIFTING'S DRIVEWAY WAIVER
Please read the Driveway Waiver below. If you choose to allow Broit Lifting to perform forklift services on your property:
1. Print out this page or click on the "Broit Lifting Driveway Waiver" link below (they are identical);
2. Complete the information in the waiver;
3. Fax the page to 800-279-2715 -OR- scan and email the completed page to T@Broit.com and Q@Broit.com (type DRIVEWAY WAIVER in the subject line).
If you are unable to do the above,
1. Email Troy & Quenby A. Broitzman at T@Broit.com and Q@Broit.com;
2. In the subject line, write DRIVEWAY WAIVER;
3. In the body of the email, type “I agree to the Driveway Waiver”
4. Type in your name and address.
- If you choose this option, you will be required to sign the driveway waiver on site at the time of your appointment prior to forklift services being performed.
NOTE: Signed Driveway Waiver or email must be received by 5pm the day before your scheduled appointment or signed on site before lifting services are performed.
Thank you for choosing Broit Lifting!
Broit Lifting's Driveway Waiver, Media Release, and
Release of Liability for Damages
I, the undersigned, am over eighteen (18) years of age, and have full authority and ability to enter into this Contract for Payment and Release of Liability for Property Damage and Personal Injury.
I have been informed by Broit Lifting, and I understand that the trucks and forklift services, and related equipment used by Broit Lifting in the process of the use of their forklift services, may, while unintended and not intentionally caused, cause damage to yards, sidewalks, driveways, patios or other surfaces on which those trucks or related equipment travel. It is my understanding that Broit Lifting will make and use its best efforts to prevent any and all damage; however, I hereby agree not to make any claims for any such damage and thereby do release and hold Broit Lifting harmless for any damage to property, or injury to persons that may arise during the process of the use of their forklift services.
I agree to rely upon my own insurance coverage, either which I have or will obtain to cover any such occurrence, which shall be primary to cover any such damage and further waive any right of subrogation against Broit Lifting for their services provided.
I agree to indemnify and hold Broit Lifting harmless in the event that any claims of any nature whatsoever are raised against Broit Lifting that allege damage to property, or injury to persons arising during the process of the use of their forklift services.
I agree that the terms of this Release of Liability for Property Damage shall be governed by Florida Law and the venue for the resolution of issues regarding this release shall be governed by the State of Florida.
I agree that this Release of Liability for Property Damage shall be binding upon and inure to the benefit of the parties hereto and their respective successors and assigns. Neither party may assign this Agreement without the written consent of the other.
I agree that this Release of Liability for Property Damage sets forth the entire understanding of the parties, and it may not be changed except by a written document signed by both parties hereto.
I acknowledge and agree that any damage incurred during the process of the use of their forklift services is solely my responsibility by signing below and NOT the responsibility of Broit Lifting.
I hearby consent and agree that Broit Lifting has the right to take and use photographs of the property listed below and any persons on said property and these images may appear on social media, website, promotional materials, and any other media now known or to be invented. Since anyone can download an image from the internet or make copies from printed materials, I agree that Broit Lifting is not responsible for any unauthorized use of the images. I waive any rights, claims or interest I may have to control the use of said photographs and agree that any uses described herein may be made without compensation or additional consideration.
I have hereunto set my hand and seal, or caused the same to be signed and sealed, on this
Property Owner or Authorized Representative’s Signature:
Property Owner or Authorized Representative’s Printed Name:
Property Address: __________________________________________________________________________________________