Legal Transport Permission Form

LEGAL TRANSPORT PERMISSION FORM

This Legal Transport Permission Form is entered into by and between Client Name: with primary address: and Carrier Name: , a person or entity authorized to provide transportation services.

RECITALS

WHEREAS, the Client requires transportation services for the individual(s) or property described below; and

WHEREAS, the Carrier represents that it is duly qualified, licensed and insured to perform the requested transportation services and agrees to comply with all applicable laws and regulations governing such services; and

WHEREAS, the parties wish to set forth the terms and conditions under which the Carrier may transport the subject person(s) or property.

NOW THEREFORE, in consideration of the mutual promises contained herein, the parties agree as follows:

1. GRANT OF PERMISSION

The Client hereby grants to the Carrier permission to transport the following subject(s) (select as applicable and describe):

Person Minor Property/Asset

2. SCOPE, ROUTE, AND SCHEDULE

The Carrier is authorized to transport the subject(s) from Origin: to Destination: .

Scheduled pickup date:   Scheduled delivery date:

3. DUTIES, RESTRICTIONS AND SAFETY

The Carrier shall perform the transportation services with the degree of care, skill and diligence ordinarily exercised by carriers performing similar services. The Carrier shall:

1. Comply with all applicable laws, ordinances and regulations governing the operation of the vehicle and the carriage of passengers or property.
2. Not permit any person other than the designated driver(s) to operate the vehicle during the transport without the Client's prior written consent.
3. Maintain safe custody of property and exercise reasonable care for the safety of any transported person, including securement of items and proper restraint of minors as required by law.

4. EMERGENCY MEDICAL AUTHORIZATION

In the event of an emergency rendering the subject incapable of providing consent, the Client authorizes the Carrier to obtain emergency medical treatment for the person transported if necessary. The Client affirms that the information below is true and complete to the best of Client's knowledge.

5. INSURANCE AND INDEMNIFICATION

The Carrier shall maintain liability insurance covering bodily injury and property damage in amounts not less than those required by applicable law and shall provide proof of such insurance to the Client upon request. The Carrier agrees to defend, indemnify and hold harmless the Client, its officers, agents and employees from and against any and all claims, liabilities, losses, damages, costs and expenses (including reasonable attorney fees) arising out of the Carrier's performance of the transportation services, except to the extent caused by the Client's gross negligence or willful misconduct.

6. COMPENSATION, EXPENSES, AND CANCELLATION

The Client shall pay the Carrier fees in the amount and on the schedule set forth below. Cancellation, delay, or additional services may give rise to additional charges as agreed by the parties.

7. TERM, TERMINATION AND SUSPENSION

This authorization is effective as of the date of the last signature below and shall continue in effect until the completion of the authorized transport or until terminated by either party upon written notice to the other. The Client may immediately terminate this authorization if the Carrier breaches any material obligation under this form, including but not limited to safety, insurance or legal compliance requirements.

8. NOTICES

All notices under this authorization shall be in writing and delivered to the addresses set forth below or to such other address as a party may designate by notice in accordance with this section.

9. REPRESENTATIONS AND WARRANTIES

Each party represents and warrants that it has the full power, authority, and legal right to enter into this authorization and to perform its obligations hereunder. If the subject is a minor, the undersigned Client certifies that they are the parent or legal guardian and have full authority to grant this permission.

10. MISCELLANEOUS

Governing Law. This authorization shall be governed by and construed in accordance with the laws of the state indicated by the Client below without regard to its conflict of laws principles.

Entire Agreement. This authorization contains the entire understanding of the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements and understandings, oral or written.

Severability. If any provision of this authorization is held invalid or unenforceable, the remaining provisions shall remain in full force and effect.

Amendments; Waiver. No amendment, modification or waiver of any provision shall be effective unless in writing and signed by both parties. The failure to exercise any right shall not constitute a waiver of that right.

Counterparts. This authorization may be executed in counterparts, each of which shall be deemed an original and all of which together shall constitute one and the same instrument. Signatures transmitted by electronic image shall be treated as original signatures for all purposes.

CERTIFICATION AND AUTHORIZATION

By signing below, the undersigned Client certifies under penalty of law that the information provided in this form is true and correct and that the undersigned has the legal authority to grant the permissions set forth herein. The Carrier acknowledges receipt of this authorization and agrees to comply with its terms.

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