Scott County Soil & Water Conservation District
656 South Boatman Road, Suite #3, Scottsburg, IN 47170 PHONE: (812) 752-2269 Extension 3 FAX: (812) 752-7066
This statement needs to be completely filled out and in our records before equipment can be taken into your possession. You are to inspect the equipment for damage before taking it into your possession. Report any damage to the S.W.C.D. office (812) 752-2269 immediately. Please contact the S.W.C.D. office as soon as you receive and release equipment. Please fill out the liability statement below.
Release of Liability Statement
I, ____________________________, am responsible for all SWCD equipment while it is in my care, custody, and control, and understand how to use this equipment properly. I also understand that I am responsible for any damages the equipment may incur while in my possession, other than normal wear and tear. I agree to use this equipment as agreed upon with the Scott County Soil & Water Conservation District. I agree to return the equipment to the District no later than __________________________.(date)
Name:_____________________________________________
Address:___________________________________________
City, State, Zip:_____________________________________
Number of Acres Tilling:______________________________
___Tye No-till Drill ___Warm Season Grass Drill ___Straw Crimper ___Tobacco Setter
Telephone #:________________________________________
Cell Phone:__________________________________________
Date:______________________________________________
Customer Signature:__________________________________________________
SWCD Rental Equipment consists of the following and their rental rates: 1 - Tye No-till drill at a cost of $9.00 per acre. 1 - Warm Season Grass Drill at a cost of $10.00 per acre or minimum of $35 if less than 3.5 acres 1 - Straw crimper at a cost of $25.00 per day 1 - Tobacco Setter at a cost of 1 to 4.9 acres = $35/acre, 5 to 9.9 acres = $30/acres, 10+ =$25 (min. $35)**NOTE: If you are renting the Crimper, the minimum cost is per day. If you keep either piece of equipment in your possession for more than one day, you can and may be charged for each day it is in your possession.