HomeMy WebLinkAboutIowa Department of Transportation-9/23/2013 (4)A Iowa Department of Transportation
Form 532042wd (05-13)
PROPERTY LEASE AGREEMENT
For
UNDERBRIDGE ACCESS TRUCK
Lessee: City of Waterloo
Address: 715 Mulberry Street, Waterloo, IA 50703
Contact Person/Title: Ernest G. Clark, The Mayor of the City of Waterloo Phone No. 319-291-4301
Requested From Office of Bridges and Structures
Contact Person: Jerry S. McClain Phone No. 515-239-1435
List property, intended Use, assigned location, and equipment number(s): Underbridge Access Unit A-30506 truck,
B-35979 mounted unit, located in Ames. Equipment is being used to access two bridges owned by the City of Waterloo.
Condition: Good
DOT operator(s) are required.
Date requested from: October 1, 2013 to: October 2, 2013
Recommended:
Office Director or
Bridge Maintenance Engineer
Date: —3-13
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Estimated lease fee based on requested usage:
Units Unit Costs Subtotal
Property Truck Mounted Underbridge 20 hrs. x 125.00 = 2,500.00
Access Unit
Personnel Truck Operator 20 hrs. x( 25.47 x 1.7613 ) = 897.20
Personnel Unit Operator
Misc. Expense . Meals & Lodging
Hourly Rate Additive**
20 hrs. x( 32.23 x 1.7613
Hourly Rate Additive"
)
1,135.33
195.20
Misc. Expense Vehicle A-33204 230 mi. x 0.30 = 69.00
* Attach additional sheets as necessary
** Additive is published annually, usually August i, by Office of Finance Estimated Total $ 4,796.73
DISTRIBUTION: Original: Retained by Office Director or Bridge Maintenance Engineer during lease, sent to Finance upon return of property, or retain with
Property/Benefit Balance Sheet until settlement.
Copies: Lessee, Office that estimated fee, Office Director or Bodge Maintenance Engineer
Page 1 of 3
LEASE TERMS AND LESSEE LIABILITY STATEMENTS .
1. The lessee, if an agency of the State, agrees to indemnify, save, and hold harmless the lowa Department of
Transportation from liability for any personal injury, death, or property damage of any kind or.nature which may
arise out of use or lease of the property.
2. The Iessee,.if a political subdivision of the State, its agents and employees agree to defend all claims, demands, or
actions against the State, its agents and employees, and to indemnify, save, and hold harmless the State, its
agents and employees from liability for any personal injury, death, or property damage of any kind or nature which
may arise out of use or lease of the property.
•
3. The lessee, if a person or corporation completing a contract with the Department, agrees to defend all claims,
demands, or actions against the State, its agents and employees, and to indemnify, save, and hold harmless the
State, its agents and employees from liability for any personal injury, death, or. property damage of any kind or
nature which may arise out of use or lease of the property. A contractor shall be required to comply with the liability
and insurance requirements of sections 1107.02 and 1107.12 of the Standard Specifications for Highway and
Bridge Construction and supplements thereto. •
•
4. Should loaned Iowa Department of Transportation employees required under the terms of this agreement as
qualified operator become injured .while loaned to the lessee, the lessee shall defend, indemnify, and hold
harmless the Iowa Department of Transportation from any worker's compensation claims or sick leave that may
arise out of said injuries.
5. The lessee agrees to be the only party authorized to use the leased property. This lease cannot be assigned to .
another party.
6. The lessee agrees to pick up the property and return it to the Department in good condition, allowing for wear due
to normal usage during the lease period. The lessee also agrees to compensate the Department for any damage
to the property during the lease period..
7. The lessee shall return the leased property to the Department on or before the day specified in the agreement or
on demand by the Department.
.8. The .lessee promises, and shall certify, that only a qualified, licensed person shall be assigned to operate leased
Department property requiring a qualified operator.
9. THE LESSEE AGREES TO ACCEPT PROPERTY AS -IS WITH NO WARRANTIES OF ANY KIND, INCLUDING
WARRANTIES OF FITNESS FOR A PARTICULAR PURPOSE OR MERCHANTABILITY. LESSEE ALSO
WAIVES THE RIGHT TO ANY DAMAGES INCLUDING INCIDENTAL AND CONSEQUENTIAL DAMAGES
ARISING OUT OF THE RENTAL AND USE OF EQUIPMENT. ••
10. The lessee promises, and shall certify, that all individuals working with Iowa DOT bridge inspection equipment
have been trained and evaluated in accordance with applicable OSHA safety regulations. These regulations
include, but are not limited to, fall protection (29 C.F.R. 1926 Subpart M), vehicle -mounted elevating and rotating
work platforms (29 C.F.R. 1910.67) and operations near overhead electric power lines (29 C.F.R. 1910.333). The
lessee is solely responsible for implementing the applicable OSHA safety regulations during the terms of this .
property lease agreement. The lessee shall provide all necessary fall protection equipment.
As an authorized representative forpGCJCt, I agree to lease the property and operator from
theIowaDepartment of Transportation as stat on the reverse side and will return the property to the location where
it was obtained on or before the return date listed. I also agree to the Lease Terms and Lessee Liability Statements
above. I understand that final billing will be calculated on actual usage based on the stated unit costs and that the
estimated total fee is subject to change. Altematively, an equivalent exchange of benefits, for example, county
employee labor in exchange for use of Dep trent equipment, may be agreed upon and documented.
Lessee's Authorized Representative
Title Ma
Iowa Department of Transportation
Office Director or Bridge Maintenance Engineer
Page 2 of 3
Date
Date
.?5/67--
J
Date Retumed
October 2, 2013
Condition Good
'al Fee:
Property Truck Mounted Underbridge Access Unit
Personnel Truck Operator
Personnel Unit Operator
Units Unit Costs Subtotal
21.5 hrs.. x 125.00 = 2,687.50
21.5 hrs. x( 25.47 x 1.7137 ) = 938.43
Hourly Rate Additive*
21.5 hrs., x 32.23 x 1.7137 ) = 1,187.49
Hourly Rate Additive*
Misc.
Expense Meals & Lodging 175.52
Misc. _
Expense Vehicle A-33204 237 mi. x 0.30 71.10
* Additive is published annually, usually August 1, by Office of Finance
Prepared by Jerry S. McClain
Page 3 of 3
Total $ 5,060.04
Date October 9, 2013