Equipment Checkout Form

EQUIPMENT CHECKOUT AGREEMENT

Parties and Recitals

Lender/Owner:

Lender Contact Information:

Borrower/Recipient:

Borrower Contact Information:

WHEREAS, Lender is the lawful owner of the equipment described below and is willing to allow temporary use to Borrower under the terms set forth in this Agreement; and

WHEREAS, Borrower desires to take temporary custody of such equipment for the purposes described in the Scope of Work and agrees to comply with all conditions, payment obligations, and return requirements herein.

Effective Date of Checkout:

Equipment Description (Itemized)

Item 1 — Description

Serial Number:    Quantity:

Condition at Checkout:

Included Accessories/Parts:

Item 2 — Description

Serial Number:    Quantity:

Condition at Checkout:

Scope of Work / Permitted Use

The equipment shall be used only for the purposes described below and in accordance with the manufacturer's instructions and all applicable laws. Borrower shall not lend, assign, or otherwise transfer custody of the equipment to any third party without prior written consent from Lender.

Payment Terms

Rental/Checkout Fee (if applicable): $

Security Deposit: $    Refundable Subject To Inspection:

Payment Schedule / Due Dates:

Late Fee:

Term and Termination

Checkout Start Date:    Expected Return Date:

Notice Period for Early Termination:

Lender may terminate this Agreement and demand immediate return of equipment upon Borrower's breach of material obligations, failure to pay fees, or misuse of equipment. Borrower must return equipment in the same condition as received, ordinary wear and tear excepted.

Condition, Inspection, and Return

Pre-Checkout Inspection Completed By Borrower:

Pre-Checkout Inspection Notes:

Borrower shall return the equipment on the Expected Return Date in the same condition as received. Lender shall inspect the equipment within a reasonable period following return. Damages beyond ordinary wear and tear will be charged to Borrower.

Liability and Indemnification

Borrower accepts full responsibility for loss, theft, or damage to the equipment from the Effective Date of Checkout until return and completion of Lender's inspection. Borrower shall indemnify, defend, and hold harmless Lender from any claims, liabilities, losses, or expenses arising from Borrower's use, possession, or operation of the equipment, except to the extent caused by Lender's gross negligence or willful misconduct.

Confidentiality

The parties acknowledge that certain information exchanged in connection with the equipment checkout may be confidential. Borrower agrees not to disclose Lender's confidential information obtained through the use of the equipment and shall use such information only for the permitted purposes described in this Agreement. This obligation survives termination of this Agreement.

Borrower acknowledges and agrees to the confidentiality obligation:

Governing Law; Entire Agreement

Governing Law: This Agreement will be governed by and construed in accordance with the laws of the State of , without regard to conflict of laws principles.

Entire Agreement: This Agreement, together with any schedules or attachments expressly incorporated herein, constitutes the entire agreement between the parties with respect to the subject matter and supersedes all prior agreements, proposals, or representations, whether written or oral. Any amendment must be in writing and signed by both parties.

Default Remedies and Fees

If Borrower fails to return the equipment by the Expected Return Date, Borrower will be responsible for continued rental fees, reasonable costs of recovery, and any damage or loss. Lender may recover attorneys' fees and costs incurred in enforcing this Agreement where permitted by law.

Acknowledgments

By signing below, each party certifies that they are authorized to enter into this Agreement, have read and understand its terms, and agree to be bound by all provisions herein.

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