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Home My WebLink AboutIDOT Property Lease Agreement - 11.4.2024OrA Iowa Department of Transportation N_ Form 532042wd (05-13) PROPERTY LEASE AGREEMENT For UNDERBRIDGE ACCESS TRUCK Lessee: City of Waterloo Address: 705 Mulberry St., Waterloo, IA, 50703 Contact Person/Title: Jamie Knutson, PE, City Engineer Phone No. 319-291-4312 Requested From Office of Bridges and Structures Contact Person: David Bare Phone No. 515-509-3981 List property, intended use, assigned location, and equipment number(s): Under -Bridge Inspection Vehicle A-31395 truck, B-37872 mounted unit, located in Ames. Equipment is being used to access bridges owned by the City of Waterloo. Condition: Good DOT operator(s) are required. Date requested from: November 11, 2024 to: future date Recommended: Scott Neubauer Date: October 10, 2024 Office Director or Bridge Maintenance Engineer *************************************************************************************************************************************** Estimated lease fee based on requested usage: Units Unit Costs Subtotal Property UB Inspection Vehicle 20 x 125.00 = 2,500.00 Personnel Truck Operator Personnel Bucket Operator Misc. Expense Misc. Expense 20 x( 34.23 x 1.8033 Hourly Rate Additive** 16 x( 39.44 x 1.8033 Hourly Rate Additive** * Attach additional sheets as necessary ** Additive is published annually, usually August 1, by Office of Finance ) 1,234.53 1,137.95 = 0.00 Estimated Total $ 4,872.48 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 Bridge 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 Iowa 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 lessee, 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 for City of Waterloo , I agree to lease the property and operator from the Iowa Department of Transportation as stated 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. Alternatively, an equivalent exchange of benefits, for example, county employee labor in exchange for use of Department equipment, may be agreed upon and documented. Lessee's Authorized Representative aterctuz 9r-6 011-Aur SIGNED Title Mayor 11/4/2024 Date Iowa Department of Transportation Date Office Director or Bridge Maintenance Engineer Page 2 of 3 Date Returned Condition Final Fee: Units Unit Costs Subtotal Property x = 0.00 Personnel x( x ) = 0.00 Hourly Rate Additive* Personnel x x ) = 0.00 Misc. Expense Hourly Rate Additive* Misc. _ Expense x 0.00 * Additive is published annually, usually August 1, by Office of Finance Prepared by Date Total $ 0.00 Page 3 of 3