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GROSSE ILE MUNICIPAL AIRPORT 9601 Groh Rd., Room 211 Grosse Ile, MI 48138-0129 Phone: 734-675-0155 Fax: 734-675-0932 COURTESY CAR USE AND INDEMNIFICATION AGREEMENTThe undersigned hereinafter referred as "DRIVER" agrees to defend, indemnify and hold harmless the Grosse Ile Municipal Airport, Grosse Ile Township, its officers, employees and agents from and against any and all damages, loss, theft or destruction of the courtesy car being provided to the undersigned by the Grosse Ile Municipal Airport and against all losses, liabilities, damages, injuries, claims, demands, costs and expenses of every kind and nature, including reasonable legal fees and disbursements arising out of and in connection with the use, condition or operation of said courtesy vehicle. It is further agreed by the undersigned that the Grosse Ile Municipal Airport and Grosse Ile Township shall not be responsible to the DRIVER for any loss of business or any other damage caused by the use of the courtesy car, or for any property of DRIVER or any other person which is damaged, lost or stolen in of from the courtesy vehicle. The DRIVER is the only person authorized to drive the courtesy car and agrees to operate said motor vehicle with reasonable care and diligence and to comply with all local ordinances and state law with regards to the operations of said motor vehicle. The DRIVER must be currently licensed to drive the motor vehicle. The undersigned agrees the use of the courtesy car will be limited to a 15-mile radius from the Grosse Ile Municipal Airport and no more than two hours. Driver’s License Number: ___________________________ State: ________________ Expiration Date: ________________________________________ Aircraft Make / N-number: ________________________________ Name: ________________________________________________ Address: ______________________________________________ Home Phone Number: ___(_________)_______________________ Local Phone Number: ___(_________)_______________________ Business Address: _______________________________________ Business Phone: ___(_________)____________________________ Signature: _______________________________ Date: ________________ cc: Grosse Ile Police Department Traffic Safety Division |