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CC—{ <br />State <br />SERVL AGREEMENT <br />iit-l4ru;f/ <br />Store # Space # <br />Truck Owner Information <br />Owner Name: 1)c\ <br />Last <br /> <br />V o°1)( <br />irst <br /> <br />Kt. <br />Billing Address:'-'V.... j 0 J0 y- CLA Ye <br />Street Address 1 <br />--Cify <br />(.0Q4 < 5 )5 -..S()) 4V-c Mobile Phone: <br />\In <br />Apartment/Unit # <br />Ljh <br />?OS Z P Code <br />Home Phone: <br />E-mail Address: <br />Truck and Driver information <br />License Plate #: Reseller #: <br />Driver #1: Cell Phone #: <br />Driver #2: Cell Phone #: <br />Insurance Co.: Policy #: <br />Services and Rate <br />Full Service (space, electric, ice, waste) 1 Barrel of ice per day IA barrel more if available. <br />No Electricity — one (1) receptacle per truck/trailer = two extension cords allowed. <br />Waste Only — Only business related waste allowed in LAC dumpsters. <br />0 Other—Keep your parking space clean and free of debris. <br />Start bate <br />a f <br />Monti* Total $ <br />By signing your acknowledgement below, Owner agrees to pay for the Services listed above at the rates quoted <br />and beginning as of the Start Date shown above. Service Fees are due in advance and payable on the lsl day of <br />each calendar month; a $25 late fee shall be owed if payment is not received by the 10th day of each month due. <br />La Comercial is not responsible for any damage caused to your vehicle by other parking tenants or for any lost or <br />stolen property. Owner is responsible for maintaining proper insurance at all times for your vehicle and operating <br />personnel. Owner agrees to reimburse La Comercial for all damage done to the La Comercial facilities by you, your <br />vehicle and personnel. Either La Comercial or Owner may terminate this agreement with 30 days written notice, or <br />immediately in the case of breach of this agreement by either party. <br />Accepted and Agreed to as of 4- /9-( <br />-Owner: La Comercial Corp.