REPAIR REQUEST, AUTHORIZATION AND RELEASE

Owner / Customer

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I am over the age of 18 and am the legal owner of the above-described items (“Equipment”) and hereby request and authorize Flaunt Electric Vehicles, Inc. (“Flaunt”) to perform the following repairs (along with any diagnostics, parts, and materials associated therewith) to the Equipment: (“Repairs”).

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I authorize and grant Flaunt and its employees/agents permission to operate the Equipment. I agree that Flaunt is not responsible for any loss or damage to the Equipment while in the possession of Flaunt. I am responsible for payment in full for the repair either upon completion of the work, and prior to release of the Equipment and agree to inspect the Equipment prior to acceptance following repair and prior to payment. Acceptance and payment shall be conclusive evidence that the Repairs are complete and satisfactory. I assume the potential risks and liabilities associated the requested Repairs, regardless of whether the resulting damage is to property (real or personal), person, or otherwise. I hereby expressly waive any claim against FLAUNT for any damage resulting from the aforementioned Repairs, including damages caused by FLAUNT’s own negligence. I acknowledge that Flaunt does not warrant or guarantee any Repairs. I understand that Repairs may take longer than expected, that Flaunt does not make any representation or promise regarding the time within which the Repairs will be completed, and that FLAUNT is not responsible for any damages associated with delays. I agree to defend, indemnify and hold FLAUNT, its officers, employees and agents harmless from any and all claims, liability, damages, losses, expenses, fees, including attorney’s fees, costs and judgments made against FLAUNT (including claims by me) related to the Repairs.


Date: 10/6/2020

Time: 3:34 PM

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Submission Sequence: 2020-10-12T17:09:51.510Z2
DUUID Sequence: JEPV27UZC6A_0c2800b6-5961-4075-9327-20898b50786c
IP(s): 184.88.169.196, 70.132.58.157
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