Johnson Horse Hauling
Aimee Johnson (208) 201-4391
e-mail: aimee.johnson@my.eitc.edu
johnsonhorsehauling.20fr.com
Authorization Form and Contract
Pick-Up Information
Name:_____________________ Phone:__________________ Cell:__________________
Address:_______________________ City:_______________ State:________________ Zip:________________
Delivery Information
Name:_______________________Phone:_____________________ Cell:___________________
Address:____________________City:________________ State:____________________ Zip:__________
Horse Information
Name:____________ Age:__________ Sex:__________ Breed:___________ Color:___________
Name:____________ Age:__________ Sex:__________ Breed:___________ Color:___________
Date For Pick-Up:___________________
Date For Delivery:_______________
PAYMENT:
Transportation Cost:__________
Tack: ___________
Total: __________
Depoait: ___________
Balance Due at Delivery:_______
Authority:
I authorize the transportation of my horse(s) for the cost indicated. I understand that all professional care will be taken to provide for the safety of my horse(s) and authorize vet care at my expense if needed.
Signature(Owner, Agent):__________________________
Date:_____________________
2. The owner agrees:
A. Owner will maintain (and provide proof of if requested) current horse mortality insurance,
_______________(Owner’s initials)
B. Owner elects not to carry horse mortality insurance and assumes ALL risks therein (to include, but limited to injury, death, illness or disease, physical damage or harm).
_______________(Owner’s initials)
Value of Horse(s)
C. Owner will: (1) pay the Transporter the sum of U.S. Dollars for the transport of the aforementioned horses (s) from/to the locations indicated above; and (2) for all veterinary services, drugs and other medical supplies in the event of an emergency or as the Transporter deems necessary for the well-being of the aforementioned horse (s)
D. Transporter shall be entitled to a lien against the transported horse (s) for the value of the services rendered and shall be entitled to enforce said lien in accordance with appropriate state laws.
E. Payment is due when services are rendered.Cash only.Other Charges:
The rate you are quoted is for door to door delivery and care of your horse (s). However, surcharges may apply for any of the following:
A change of pick-up or delivery location from that quoted may be subject to a surcharge after review.
Waiting time at a barn for the pick-up or delivery person will be charged at a rate of per hour after the first 30 min. of waiting.
A "hard loader fee" of per hour will be applied after the first 60 min. of attempted loading or unloading.
Any damage to the trailer or equipment caused by your horse. We will (fairly) estimate the cost of repairing the damage at delivery and this amount must be paid PRIOR to unloading your horse(s). If the actual cost is more or less than that, we will supply you with the written estimate or bill from the repair facility and make adjustments with you.
Cancellations
Within 24 hours of the scheduled departure - 25% of the total shipping fee.
3. The Transporter agrees:A. Transporter will use due diligence to safely transport and care for the aforementioned horses (s) , but makes no guarantees as to the health or physical condition of the horse(s) upon departure or arrival.
4. In the event the horse(s) require the services of a veterinarian, the Transporter will immediately notify the Owner. In the event the owner cannot be reached, the Transporter is hereby authorized, as agent for the Owner to call the first available licensed Veterinarian of his/her choice. All fees charged by said Veterinarian shall be the sole and exclusive responsibility of the Owner, with no liability whatsoever on the transporter for such fees.
RELEASE:
Owner hereby voluntary releases and forever discharges the Transporter and it’s agent from any all all liabilities, claims, demands, actions or rights of actions, which are related to, rise out of, or are in any way connected with the transport of the aforementioned horse(s), including, but not limited to the negligent acts or omissions of the Transporter, it’s agents or employees, and all other persons or entities, for any and all injury, death, illness or disease, and damage to the aforementioned horse(s) including all third party claims. Owner further agrees, promises and covenants not to sue, assert or otherwise maintain or assert any claims against the Transporter or it’s agents or employees, for any injury, death, disease, or damage to the aforementioned horse(s) arising from or in connection with the transport, care or feeding of said horse(s) or from any claims asserted by other third parties.
Owner understands and acknowledges that insurance is not provided to the Owner by the Transporter. If the Owner elects not to secure insurance, then he/she agrees that he/she assumes all expenses or liabilities associated with the transport or care of the aforementioned horse(s).
Owner hereby holds harmless Aimee Johnson for any liability that would incur for property damage or bodily injury to any horse(s) and/or owners/passengers while loading, transporting, unloading or hauling the aforementioned horse(s).
ENTIRE AGREEMENT:
Owner understands that this is the entire agreement between the Owner and the Transporter, its agents, or employees, and it supersedes and cannot be modified or changed in any way the representations or statements of any employee or agent of the Transporter or Owner.
My signature below indicates that I have read this entire document, understand it completely, and agree to be bonded by its terms in its entirety.
_______________________________ Owner _______________________________ Transporter
______________________________ Date
