Automobile Exchange Agreement –sample a
I, ______, of ______, Canada, hereby loan to
of , my
vehicle registered in my name, stated below, for the period of ____ weeks from ______to ______
inclusive, and grant the above named person(s) permission to be a guest driver of my vehicle within this area: ______. It is understood that the driver must be in possession of a valid Driver’s Licence.
In the event of an accident in which the above named persons are blameworthy, they hereby agree to reimburse the vehicle owner, ______, for the deductible portion of the insurance claim in the amount of $ for collision. They also agree to reimburse the vehicle owner the full amount of any sum in excess of the owner’s liability coverage should a legal suit for bodily injury and/or property damage result in an award in excess of the owner’s insurance
coverage. Furthermore, they hereby agree to reimburse the vehicle owner for the loss of his safe driving discount each
year for a period of ______years, or, at the choice of , pay outright the total cost of
any repairs required as a result of the accident.
Additional conditions: (e.g., emergency repair expenses)
______
Make of Vehicle: Model/Year: Licence No.:
Serial Number: Registration Number
______
Owner's signatureOwner's name
Current HomeLink International member number ______Date ______
______
Exchange partner's signature Exchange partner's name
Current HomeLink International member number ______Date ______
N.B. It is understood that both parties hold valid current HomeLink memberships.
For your personal reassurance, please exchange only with currently registered members.
This form is provided only as a template to be adapted by the members to suit their circumstances. While the form and its
contents are recommended,HomeLink Canada shall not be held in any way responsible or liable for any of
the arrangements members make or for any of the monetary claims that may arise from vehicle accidents
or damages involving theindividuals utilizing this form.
© 1999-2014 HomeLink International Canada, 1707 Platt Crescent, North Vancouver, BC V7J 1X9
Auto Exchange Agreement –sample b
Name of registered owner of vehicle:/ Name of registered owner of vehicle:
Address: / Address:
HomeLink membership number: / HomeLink membership number:
Proposed dates for the car exchange:
______
Make, model, year and registration number of vehicle:
______The car is currently insured with the following company:
______
My car will remain fully registered and insured for the duration of the exchange
______Insurance and registration documents are kept in the following place:
______Any age restrictions for the driver on your car insurance policy?
______Mileage limit or territory exclusion requested (if applicable)
______Date of car's last full service prior to the exchange will be:
______
In case of mechanical difficulties please call:
______
I, ,
Hereby give the following person(s) permission to be a guest driver of my vehicle.______It is understood that the driver(s) must be in possession of a current drivers license.
In the event of an accident in which the above named guest driver is blameworthy, he/she hereby agrees to reimburse the
Vehicle owner for the non-claimable portion of the insurance claim.
This amount would be: $CAD ______
Furthermore, the guest driver also agrees to reimburse the vehicle owner for the loss of his/her safe-driving discount each year for a period of ___ years, or pay outright the total cost of any repairs resulting from the accident.
Signed Date Signed Date ______
N.B. It is understood that both parties hold valid current HomeLink memberships.
For your personal reassurance, please exchange only with currently registered members.
This form is provided only as a template to be adapted by the members to suit their circumstances. While the form and its
contents are recommended,HomeLink Canada shall not be held in any way responsible or liable for any
of the arrangements members make or for any of the monetary claims that may arise from vehicle accidents
or damages involving theindividuals utilizing this form.
©1999-2014HomeLink Canada, 1707 Platt Cres., North VancouverBCV7J 1X9