Retinal Imaging Machine Rental/Service Agreement
This agreement, entered into between/among ________________________ County/Counties and
Borrowing/Renting
__________________ County, hereby agree to the following terms regarding the use of the
Owner
retinal imaging machine for market animal identification.
Yes/No
Initial
Owner
Borrower
 All counties agree that the machine is in current working order
as of (date)___________________ and has been tested by all counties.
______
______
 Owning county currently has insurance coverage.
______
______
 Borrower agrees to pay insurance deductible in the amount of $_________
for any damage or repairs incurred by the borrowing county(ies)
upon return or other agreed upon amount for repairs.
______
______
 Upon return, machine will be tested to insure it’s still in working order.
______
______
 Borrowing county(ies) agree(s) to pay $_______/head for retinal imaging fees
______
______
 Borrowing county(ies) agree(s) to pay $_______ for mileage costs
______
______
Renting Services (if applicable)
The signed individuals below agree to the above terms.
_________________________________
Printed Name (Owning County)
_________________________________
Signature (Owning County)
___________________________________
Printed Name (Borrowing County)
_______________
Date
___________________________________
Signature (Borrowing County)
_______________
Date