Endoscope Repair Inc.5757 Blue Lagoon Drive, Ste. 235
Miami, Florida 33126 USA, ( Endoscope Repair Inc ) Purchase
Waiver Release Disclaimer
WHEREAS, it is the purpose of this HOLD HARMLESS AND INDEMNITY AGREEMENT for the purchase from Endoscope Repair Inc.5757 Blue Lagoon Drive, Ste. 235 Miami, Florida 33126 USA Video Training Tape series, Insertion Tubes or Parts, or any other commodity or tangible property.
Your Company name or Individual name herein: ____________________________
HOLD HARMLESS AND INDEMNITY AGREEMENT
THIS AGREEMENT (the "Agreement") is made
and entered into this _____ day of ______________, 2006, by and between
Endoscope Repair Inc. 5757 Blue Lagoon Drive, Ste. 235
Miami, Florida 33126 USA ("Endoscope Repair Inc.5757 Blue Lagoon Drive, Ste. 235
Miami, Florida 33126 USA") and
__________________________ which reference to the following recitals of
fact:
RECITALS
A. Endoscope Repair Inc.5757 Blue Lagoon Drive, Ste. 235
Miami, Florida 33126 USA is in the
business of repairing, selling parts and training videos flexible
endoscope equipment on behalf of _______________
B. ______________________________
utilizes the endoscope parts, video training tapes and equipment for
endoscopic procedures on patients.
C. ______________________________
desires to engage Endoscope Repair Inc.5757 Blue Lagoon Drive, Ste. 235
Miami, Florida 33126 USA as an independent contractor to
provide repair services to its endoscopic equipment, or providing parts
and training videos and is willing to accept such engagement upon the
terms and conditions set forth in this Agreement.
NOW, THEREFORE, for an in consideration of the mutual
covenants and conditions set forth in this Agreement,
Endoscope Repair Inc.5757 Blue Lagoon Drive, Ste. 235
Miami, Florida 33126 USA and _____________________________ agree as follows:
1. RECITALS: The recitals set
forth above are true and correct and shall form a part of this
Agreement.
2. ENGAGEMENT OF
Endoscope Repair Inc.5757 Blue Lagoon Drive, Ste. 235
Miami, Florida 33126 USA: _____________________________ engages
Endoscope Repair Inc.5757 Blue Lagoon Drive, Ste. 235
Miami, Florida 33126 USA to provide repair services to its flexible endoscope
equipment. Endoscope Repair Inc.5757 Blue Lagoon Drive, Ste. 235
Miami, Florida 33126 USA agrees to provide such repair
services, sell parts and training videos on a job by job request basis.
3. INDEMNIFICATION AND HOLD
HARMLESS: _____________________________ agrees to indemnify and
hold Endoscope Repair Inc.5757 Blue Lagoon Drive, Ste. 235
Miami, Florida 33126 USA harmless from and against any and all losses,
injuries, damages, and liabilities to persons including, but not limited
to, any special or consequential damages or personal injuries, resulting
from or occasioned by repairs, sales of parts and training videos
performed by Endoscope Repair Inc.5757 Blue Lagoon Drive, Ste. 235
Miami, Florida 33126 USA to the flexible endoscope equipment.
In addition, _____________________________ shall defend any claim made
against Endoscope Repair Inc.5757 Blue Lagoon Drive, Ste. 235
Miami, Florida 33126 USA for negligence, product liability or any
other cause of action whatsoever relevant to endoscopic equipment
sold to, repaired by or any other commodity or tangible property related
to the endoscopy business by
Endoscope Repair Inc.5757 Blue Lagoon Drive, Ste. 235
Miami, Florida 33126 USA.,
BUYER :
SELLER:
( Company Name ) __________________________________
Endoscope Repair Inc.5757 Blue Lagoon Drive, Ste. 235
Miami, Florida 33126 USA
Address: _________________________________________
_________________________________________________
(Purchaser Full Name) ______________________________
Signature______________________________ Date:______
WITNESS:
Title: _______________________________ Date:_______
FAX THIS FORM TO ++305 260 0944
Endoscope Repair Inc.5757 Blue Lagoon Drive, Ste. 235
Miami, Florida 33126 USA
www.EndoscopeRepair.com
1-888-ENDO-PARTS !
ph: Repairs +786.623.8965 ph: Parts +786.623.8957