| Vehicle Rental Agreement

Step 1: About the hire

Full Name *

National Insurance *

Hirer's Email *

Date Hire Commences *

Company Information

REFINE SERVICES LIMITED 27 Old Gloucester Street London England WC1N 3AX Co. Reg No. 15089722 Email: fleet@refineservices.co.uk

Rental Charge Per Week *

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Site *

Date of Birth *

Driver's Age *

Drivers Licence Number *

Step 2: Vehicle Details

Vehicle Registration Number *

Current Mileage *

Is there a spare tyre? * Yes No

Are any tyres punctured or damaged? *

Yes No

Fuel Level *

50%

Is there tools available? * Yes No

Radio/CD player working? * Yes No

Is there a service due? * Yes No

Have you checked all 4 tyres and spare for damages? * Yes No

Step 3: Damages

Is the front of the vehicle damaged? * Yes No

Is the passenger side of the vehicle damaged? * Yes No

Is the driver side of the vehicle damaged? * Yes No

Is the rear side of the vehicle damaged? * Yes No

Step 4: Declarations

Insurance Declaration

I, the undersigned agree to pay the insurance excess cost of £2,500 maximum* in the event of any damage or theft claim on the vehicle, or any third party claim made against the Lessor's insurance policy. I declare that the information in this proposal is, to the best of my knowledge and belief, correct and complete in every detail and that no information has been withheld which might influence the acceptance of this proposal which, with this declaration, shall form part of the contract of insurance.

Liability Statement

I agree that while the rental agreement is in force I will be liable as keeper/hirer of the vehicle, or any replacement vehicle, for any fixed penalty offence, penalty charge notice, notice to owner, parking charge notice for that vehicle under s66 Road Traffic Offenders Act 1988, Schedule 6 Road Traffic Act 1991, Traffic Management Act 2004, Protection of Freedoms Act 2012 and any other relevant legislation.

Unauthorised Driver Declaration

Any vehicle hired under this agreement may only be driven by authorised drivers, who have been approved by the lessor. I understand that should I breach these terms an additional rental charge will be levied. (This extra charge will not offer any insurance cover, and the hirer & driver will remain responsible for any losses incurred by the lessor or any third party). It is important that you read and understand the terms and conditions that apply to this contract before you sign. By entering into this rental agreement, you agree that we can process and store your personal information in connection with this agreement, including data collected from the vehicle. We may use your information to analyse statistics, for market research, credit control and to protect our assets. You agree that if you break the terms of this agreement, we can pass your personal information to credit reference agencies, debt collectors, the police or any other relevant organisation. Only sign this agreement if you agree to the terms and conditions attached. By signing, you also confirm that you give us permission to deduct the rental payments from monies due to you at source, in instalments on a weekly basis.

Vehicle Deposit

A £500 vehicle deposit is requested and will be taken weekly in 10 installments of £50. This deposit is fully refundable on the condition that the vehicle is returned without any damages and there is no outstanding parking charge notices charges to pay. If there is vehicle damage then we will deduct the costs from the deposit and refund any deposit that is left to refund. If the vehicle repairs cost is above £501 then we will look to deduct the rest from your weekly invoices.

I agree to all the above Terms and conditions

PART 2 - RENTAL AGREEMENT

1. CONDITION OF VEHICLE: The Company states that, to the best of their knowledge and belief, the rental vehicle is in a safe and roadworthy condition and there are no known defects or faults which would affect its roadworthiness and/or safe operation under normal use. 2. QUALIFICATIONS: The Hirer states that he/she is medically, physically and legally qualified to operate the rental vehicle. The Hirer agrees to provide a copy of his/her driving licence for validation purposes. 3. RENTAL PERIOD: The rental period will commence immediately upon signing this Rental Agreement and is renewable on an annual basis, if required. 4. RENTAL RATE: The rental rate will include all insurances needed to complete the services provided to the Company. The weekly rental rate is charged from Sunday to Saturday. The rental rate may vary from time to time and the Company shall notify the Hirer accordingly and, if necessary, enter into a new Rental Agreement to reflect the position. 5. EXCLUSIONS: The rental vehicle shall not be used to carry passengers or property for hire. The rental vehicle shall not be used to carry passengers other than in the cab of the vehicle. Any passengers carried will travel at their own and/or the driver's risk. The rental vehicle shall not be used to push, propel or tow another vehicle, trailer or any other thing without the express permission of the Company. The rental vehicle shall not be used for any race or in any competition. The rental vehicle shall not be used for any illegal purpose. The Hirer shall not operate the vehicle in a negligent manner. 6. INSURANCE: The insurance excess is set out on the first page of this Rental Agreement. The insurance provided is solely for the rental vehicle and does not extend to any other vehicles owned and/or driven by the Hirer. The insurance cover does not extend to the driver or any passengers in the vehicle where personal injuries are sustained. The insurance cover does not extend to any personal belongings of the driver or any passengers or any other persons. 7. VEHICLE MAINTENANCE/DRIVING: The Hirer agrees, upon taking delivery of the vehicle, to be responsible for it and ensuring that it is fit for use, it is roadworthy and complies with all of the relevant road traffic and any other applicable legal requirements. The Hirer agrees to complete the required vehicle checklist prior to undertaking any journey, such checklist to confirm that a safety inspection of the vehicle has been carried out and that all tyres, lights and any other mechanical parts of the vehicle are in a safe and good working condition. The Hirer agrees to be responsible for ensuring that all washer fluid, brake fluid, oil and Adblue levels are satisfactory. The list of checks is not exhaustive, and it is the responsibility of the Hirer to ensure that the vehicle is maintained at all times. Any problems should be brought to the attention of the Company at the earliest opportunity. Failure to do so will result in the Hirer being responsible for any costs incurred in rectifying any damage caused by a failure to comply with the requirements set out in this section. The Company will be responsible for the cost of replacement tyres as a result of normal wear and tear. The Hirer agrees to be responsible for the cost of replacement tyres should this be necessary as a result of abnormal wear and tear. 8. VEHICLE DAMAGE/INSURANCE CLAIMS: If there is any damage to the vehicle when it is returned following the termination of the rental, the Hirer agrees to be liable for the costs of rectifying the same. The Company will provide an estimate/quote for any necessary repairs to be carried out. The Hirer agrees that the costs of the same will be deducted at source from monies due for services rendered, until such time as the costs have been met in full. The Hirer agrees to be liable for the balance of any costs due if there are insufficient funds held on retainer from monies due for services rendered, to be made within 14 days of demand. In the event of an accident or incident, the Hirer undertakes to notify the Company immediately so that the relevant insurance company can be notified. The Hirer undertakes to co-operate with all requests made by the Company and/or their insurers for information, statements, attendance at court and any other assistance needed. The Hirer should not admit liability to any third party and/or their insurers and should limit their involvement at the scene of any accident or incident to the provision of personal information, company information, vehicle and insurance details. If the vehicle is returned dirty and unclean a charge of £30 will be issued to yourself so that we can arrange for the vehicle to be cleaned. 9. DAMAGE TO PROPERTY: The Hirer will be solely responsible/liable for any damage caused to any property owned and/or occupied by any third party, including the Company and any customers. This includes (but is not limited to) buildings, driveways, walls, fencing, paving, gardens/lawns, garden ornmanets, plants, garden furniture, trellising or lighting. This list is not exhaustive. The cost of rectifying such damage (or restitution where appropriate) will be the sole responsibility of the Hirer. 10. THEFT FROM THE VEHICLE: In the event of theft of an item from the vehicle belonging to the Company and/or its clients/customers and where the Hirer has acted in a negligent manner (thus facilitating such theft), the Hirer will be liable for a sum equivalent to the value of the contents of the item/s stolen. 11.THEFT OF THE VEHICLE: The Hirer must ensure that he/she complies with all requirements and provisions of the insurance policy including (but not limited to) ensuring that the vehicle is not left unattended whilst unlocked, that the vehicle remains locked and secure whilst being driven in the course of providing services to the Company and that the keys are removed from the ignition and kept safe on the Hirer's person whilst loading and unloading the vehicle and when stopping and exiting the vehicle for any reason. The Hirer will be liable for the theft of the vehicle if it is stolen as a result of his/her failure to adhere to the insurance requirements. In such circumstances, if the insurance policy becomes void due to such a breach, the Hirer will be responsible for the replacement cost of the vehicle, vehicle recovery charges, key replacements and any items contained within the vehicle at the material time. In the event of vehicle theft, where the Hirer has proved compliance with all insurance requirements and provisions, where the Hirer is deemed not to be at fault and where the keys remain in the Hirer's possession, the subsequent insurance claim will carry an excess. This insurance excess will be payable by the Hirer in accordance with the provisions set out on the front page of this agreement. 12. RETURN OF THE VEHICLE: The Hirer shall return the vehicle to the Company immediately upon request or, in the alternative, if the Hirer wishes to terminate the Rental Agreement. 13.GENERAL: The Contracts (Rights of Third Parties) Act 1999 does not apply to this Rental Agreement and no third party has any right to enforce or rely on any provisions of the Agreement. 14. GOVERNING LAW AND JURISDICTION: This Agreement shall be governed by and interpreted according to the laws of England & Wales and all disputes arising under the Agreement (including non-contractual disputes or claims) shall be subject to the exclusive jurisdiction of the English & Welsh courts.

Refine Services Limited Deduction & Repayment Consent Form

I, the above named, confirm that I give my consent for Dtt Deliveries Limited to put in place the appropriate arrangements with the companies detailed below in order to deduct the agreed vehicle rental payments, in connection with the ‘Rental Agreement No’ stated above, direct from payments due for the driving/delivery services I provide. - Refine Services Limited In making such arrangements, I also give my consent to Dtt Deliveries Ltd sharing my personal details in order to facilitate the aforementioned arrangements and understand that I may withdraw that consent at any time. In relation to any charges incurred by me, I hereby authorise Securitax to deduct any charges due and owing to Refine Services Limited under the terms of my rental agreement, as a deduction from any payment due to me from invoices raised on my behalf. I agree to making payment to Refine Services Limited for any monies owed to them from any Net payment that is due to me and paying me the balance once all hire deductions due under this agreement have been settled. Additionally, I agree to Securitax having the ability to make deductions from monies owed to me and paid to Refine Services Limited in accordance with any Payment Plan that has been agreed. I agree that any such deductions may include, but are not restricted to, any agreed repair costs for any damage caused or attributed to me during the rental period and the repayment of any fixed Penalty Charge Notices (PCNs) that are recorded against my vehicle during the rental period. I understand that the withdrawal/termination of my services does not invalidate this agreement which remains extant even after I cease providing services and there are monies still owed and I accept that the liability to repay this amount remains with me. I agree and authorise that in the event of me ceasing to provide services, any outstanding monies can be recovered from my final invoice and I will still be liable for any outstanding monies owed by me to Refine Services Limited in compliance with the law.

I agree to the 'PART 2 - RENTAL AGREEMENT'

Full Name *

Signature *

• Clear

Signed by Lessor *

For and on behalf of REFINE SERVICES LIMITED

Date *

Lessor Signature *

• Clear