Damage Protection Coverage

For optional coverage, complete and submit this form

Protect your rental!

The damage waiver is designed to protect our clients from incurring charges for damage and/or theft of our temporary restroom equipment while it is in your custody. By agreeing to sign and return this document, you agree to the terms and conditions listed below as a modification of our standard rental agreement.  Otherwise, you are responsible for damage made to the toilet rental.  Replacement costs of your rental unit range from $800 to $1800+.  Repair and loss of revenue are costly too.

You can protect your rental and your wallet.

Damage Protection
Cost

Per 28 Days, per unit (plus tax): $10.70

I authorize this Damage Waiver to apply to all future orders

BILLING ADDRESS

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Name on Card
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Last
Billing Address *Must Match Billing Address for Card Holder
Street Address
Building/Suite/Apartment #
City
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EQUIPMENT

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TOTAL

Total

Credit Card

Terms & Conditions

Damage Waiver Terms and Conditions

Damage Waiver Terms and Conditions

If a damage waiver is accepted, the lessor, Johnny Blue Inc., agrees to modify the standard rental agreement as follows in consideration of $10.00 (plus tax) per unit, per month for monthly rentals.

  1. Lessee is relieved of responsibility for theft or major structure damage to rental equipment owned by lessor in the event of total or irreparable loss.
  2. The lessee agrees to provide the lessor with a copy of a police report of theft or damage within fourteen days of occurrence.
  3. Standard service charges apply for the delivery and installation of replacement equipment.
  4. ITEMS NOT COVERED:
    1. Graffiti
    2. Acts of God (floods, hurricane, etc.)
    3. Does not apply to restroom trailers.
Agreement
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