HomeMy WebLinkAboutAgreement_General_06/17/2013 HOLD HARMLESS, INDEMNITY AND LIABILITY AGREEMENT
THIS AGREEMENT made this �Jday of June, 2013 between the Village of Tequesta, a municipal
corporation with offices located at 345 Tequesta Drive, Tequesta, Florida 33469, herein referred to as the
VILLAGE, and DAVID RUFF, in his individual capacity, herein referred to as RUFF.
Whereas, RUFF was the successful bidder for purchase of the 1983 30' Scarab boat, herein referred
to as the BOAT, at the VILLAGE'S auction on June 15, 2013; and
Whereas, the terms of the auction included a provision that the BOAT was being auctioned "as-is and
where -is" and did not include the trailer upon which the BAOT was displayed and kept; and
Whereas, upon making full payment for the BOAT to the VILLAGE, RUFF desires to transfer the
BOAT onto his own trailer and has requested that the VILLAGE assist in this regard by transporting the
BOAT to a near -by public boat ramp so that it can be floated off of its current trailer and onto RUFF'S trailer;
and
Whereas, the VILLAGE is willing and able to transport the BOAT to a near -by public boat ramp so
that the BOAT can be floated off its current trailer and onto RUFF'S trailer, pursuant to the terms and
conditions contained herein.
Now Therefore, in consideration of the mutual covenants contained herein, the receipt and
sufficiency of which are hereby acknowledged, RUFF agrees to indemnify, defend and hold harmless the
VILLAGE for any personal injury or death, or loss or damage to real or personal property of any kind
whatsoever that may occur during and within the scope of the transportation of the BOAT from its current
location at 345 Tequesta Drive, Tequesta, Florida 33469, where it was purchased at auction by RUFF on June
15, 2013 "as-is and where -is" and without its current trailer, to the public boat ramp at Burt Reynolds Park or
to any other near -by public boat ramp at the sole discretion of the VILLAGE.
RUFF shall be solely responsible for determining that the BOAT is worthy of floatation prior to
transportation. This responsibility includes, but is not limited to, assuring that any bilge plugs are in place and
properly secured. The VILLAGE is not responsible for the condition of the BOAT.
The above indemnification, defense and hold - harmless provisions shall also include and extend to the
removal of the BOAT from its current trailer, into the water, and onto RUFF'S trailer. RUFF specifically
acknowledges and agrees that he shall be in sole actual possession of the BOAT upon its removal from its
current trailer into the water. Any voluntary assistance rendered to RUFF by VILLAGE personnel in placing
and securing the BOAT upon RUFF'S trailer shall be at RUFF'S sole risk and direction.
RUFF further agrees that he shall be fully liable and responsible to the VILLAGE for any damage
sustained to any VILLAGE property that may occur during and within the scope of the transportation and
transfer of the BOAT onto RUFF'S trailer as more fully described herein.
IN WITNESS WHEREOF, the parties have executed this agreement the day and year first above
written.
S: DAVID R
David Ruff, Individ
A EST: %� -y'QG I A E OFT QUESTA
cu
Lori McWilliams, i FQ , Ch h& �g
Village Clerk
STATE OF FLORIDA
DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES - DIVISION OF MOTORIST SERVICES
SUBMIT THIS FORM TO YOUR LOCAL TAX COLLECTOR OFFICE
www.flhsmv,00v /offices/
Notice of Sale and /or Bill of Sale for a Motor Vehicle,
Mobile Home, Off - Highway Vehicle or Vessel
Notice of Sale (Seller must complete sections 1 & 3). The purchaser's signature in section 3 is optional.
Bill of Sale (Seller and purchaser must complete sections 1, 2 (when applicable) & 3).
1. Motor Vehicle, Mobile Home, Off- Highway or Vessel Description
Year Make /Manufacturer Body Type Model Color
ALL
Certificate of Title Number VehicleNessel Identification Number
�o I=1 I`Z'31 C11 - 1 0 b��A ?3 . 3Q)
Itwe do hereby sell or have sold and delivered the above described motor vehicle, mobile home,
off - highway vehicle or vessel to:
Print Name(s) of Pu
Address- fifi City Sta* Zip Code
Date of Sale Selling price P
J $ :)
2. Odometer Disclosure Statement (Required For a Motor Vehicle)
Federal and State law requires that you state the mileage in connection with the transfer of ownership. Failure to
complete or providing a false statement may result in fines and /or imprisonment.
WE STATE THAT THIS MOTOR VEHICLE'S I 5 DIGIT OR 6 DIGIT ODOMETER NOW READS ❑ — 1 El El E El . xx
(NO TENTHS) MILES, DATE READ / / AND WE HEREBY CERTIFY THAT TO THE BEST OF OUR KNOWLEDGE
THE ODOMETER READING:
1. REFLECTS THE ACTUAL MILEAGE. ] 2. IS IN EXCESS OF ITS MECHANICAL LIMITS. ! J 3. IS NOT THE ACTUAL MILEAGE.
Affidavit (When applicable):
3. Certification
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS
STATED IN IT ARE TRUE.
Seller's Signature Seller's Printed Name Date
e , 0 �, �9 �
Seller's Address City State Zip Code
1. - T
Co- Seller's Signature (wh applicable) Co- Seller's Pr ted Name (when applicable) Date
Co- Seller's Address (when applicable) City State Zip Code
Purchaser's Signature Purchaser's Printed Name Date
Co- Purchaser's Signature (when applicable) Co- Purchaser's Printed name (when applicable) Date
CIE OWNERSHIP STATUS FOR THE ABOVE DESCRIBED MOTOR VEHICLE, MOBILE HOME, OFF - HIGHWAY VEHICLE OR VESSEL
WILL NOT CHANGE UNTIL THE PURCHASER APPLIES FOR AND IS ISSUED A CERTIFICATE OF TITLE.
Check your local phone book government pages or visit the following website for current mailing
addresses: http: / /www.flhsmy.goy /offices/
HSMV 82050 (Rev. 06/11) S
Mail Lien Satisfaction to: Dept of Highway Safety and Motor Vehicles, Neil Kirkman Building, Tallahassee, FL 32399.0500 T# 753874213
B# 470020
F Identification Number Year 3 Make Body T WT - L - BHP Vessel Regis. No. -- Ti 7 Number 'III ` '�
t ; PIFLE0901Sf838300 1983 I WEL — TVs 130' — 111753997 'rulfl�aL��'
Registered Owner: Date of Issue 05/08/2013 Lien Release
Interest in the described vehicle is hereby released
I TEQUESTA POLICE DEPARTMENT By
357 TEQUESTA DRIVE Title
TEQUESTA, FL 33469 Date
IMPORTANT INFORMATION
1. When ownership of the vehicle described herein is
transferred, the seller MUST complete in full the
Transfer of Title by Seller section at the bottom of
the certificate of title.
Mail To: 2. Upon sale of this vehicle, the seller must complete
TEQUESTA POLICE DEPARTMENT the notice of sale on the reverse side of this form.
357 TEQUESTA DRIVE 3. Remove your license plate from the vehicle.
4. See the web address below for more information and
TEQUESTA, FL 33469 the appropriate forms required for the purchaser to
title and register the vehicle, mobile home or vessel:
I hftp : / /www.hsmv.state.fl.us/html /titlinf.html
_■ a
- -- Identification Number Make Body -- WT -L BHP Vessel Regis. No. - Title Number
T 175399 UIELE0901M83B300 I�983 WEL ^ I VS 30' 1117 5 3 9 97 Lien Release
Interest in the described vehicle is hereby released i
t
Prev T— Color Primary Brand Secondary Brand No of Use Prev Issue Date By
State Brands 1
SP -- VESSEL I --
— Title
Odometer Status or Vessel Manufacturer or OW:use �" Hull Material Prop Date of Issue
S: �WELLCRAFT MARINE CORD — I FBGLS$ OUTBRD 05/08/2013 Date
—
Registered Owner
TEQUESTA POLICE DEPARTMENT
357 TEQUESTA DRIVE
TEQUESTA, FL 33469
1 st Lienhoider
NONE
a
DIVISION OF MOTORIST SERVICES TALLAHASSEE V- � FLORIDA
DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES
a Ll
a
Boyd Walden Julie L. Jones ,
Director Control Number 094 6 9 2 2 0 2 Executive Director '
42 /3 94692202
TRANSFER OF TITLE BY SELLER (This section must be completed at the time of sale.)
Federal :aid /or State law r'equir'e that the seller state the mileage, put'Chuset''s name. sellhtl price and date sold fit connection with the tmnster of owne'shlp.
- Failure to complete of providing a false statement may result in fines and /or imprisonment.
This title is warranted to be free from any liens except as noted on the race of the certificate and the motor vehicle or vessel described is hereby unnsrerred to: `==
_ Seller Must Enter Purchaser's Name: Address: -
Seller Must Enter Selling Price: Seller Must Enter Date Sold:
1/We state that this El ;i or 6 digit odometer now redds I-- .I— I— I•I--- I--I•I Xj (tit) tenths) miles, date read and 1 hereby certify that to the best of my knowledge the odumee• reading:
L reflects ACTUAL MILEAGE. 2. is IN EXCESS OF ITS MECHANICAL LIMITS. 0 3. is NOT THE ACTUAL MILEAGE.
UNDER PENALTIES OF PERJURY, IDECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE.
E. S ELLER Must }'�'� � CO- SE LLER Must _
Sign Hel'e: gn- ,L. t�Q ,.•� 'O�� ail""' Sign Here:
Print Here. f T � L 9 Z) -- -- PriN Here:
Selling Dealer's License Number: - Tae No.: Tax Collected:
1
Auction Name: Lmensc Number:
PURCHASER Muse : CO-PURCHASER Must
ti•! Sign Hem:
/ Bien Here.
Prins Herc:
Prim I-Irre:
NOTICE: PENALTY IS REQUIRED BY LAw'IF NOT SUBMITTED FOR TRANSFER WITHIN 30 DAYS AFTER DATE OF PURCHASE.
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I:4 2 3 CPT 361 Y# HliYii Yuen 61 0 FOMIMMAT ,II I III T# 753874213
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AUDIT # 94692202 STATE OF FLORIDA s# 470020
Go APPLICATION FOR VEHICLENESSEL 16159221
CERTIFICATE OF TITLE
TITLE NUMBER VEHICLEIVESSEL IDENTIFICATION # YR. MAKE MANU A MAKE or BODY COLOR WT /LENGTH GVW /LOC
111753997 WELE0901M8311300 1983 WEL VS m 30'
DATE OF ISSUE TRANS VEHICLE USE HULL PROPULSION FUEL VESSEL WATER FL NUMBER AUTH
MO. DAY YEAR CODE MATERIAL TYPE DESTRUCTION
OS 08 13
F I VESSEL FBGLSS OUTBRD GAS OPEN F 1
BIRTHDATE RESIDENT CNTY
SEX MO. DAY YEAR Y N ALIEN RES.#
Applicel s Name &Address
TEQUESTA POLICE DEPARTMENT X 42
357 TEQUESTA DRIVE
TEQUESTA, FL 33469 1st OWNER FUDL# OR 2nd OWNER FUDL# OR
F.E.I. D.# UNIT #
VOLUNTARY CONTRIBUTIONS
AGENCY TITLE FEE SALES TAX GRAND TOTAL
FEE
6.75 8.00 0.00 14.75
Action Requested: ORIG USED TITLE Brands:
PREY. STATE DATE ACQUIRED NEW USED ODOMETER / VESSEL MANUFACTURER ODOMETER
DECLARATION
CERTIFICATION
SP 05/08/2013 XX WELLCRAFT MARINE CORP ❑
LIEN INFORMATION DATE OF LIEN RECEIVED DATE FEID # OR FL / DL AND SEX AND DATE OF BIRTH DMV ACCOUNT #
NAME OF FIRST LIENHOLDER:
ADDRESS SALVAGE TYPE
SELLER INFORMATION
NAME OF SELLER, FLORIDA DEALER, OR OTHER PREVIOUS OWNER
ADDRESS
DEALER LICENSE NO.
CONSUMER OR SALES TAX EXEMPTION #
SALES TAX AND USE REPORT INDICATE TOTAL PURCHASE PRICE, INCLUDING ANY $
TRANSFER OF TITLE PURCHASER HOLDS VALID UNPAID BALANCE DUE SELLER, BANK OR OTHERS
❑
IS EXEMPT FROM EXEMPTION CERTIFICATE INDICATE SALES OR USE TAX DUE AS PROVIDED BY CHAPTER $ 0.00
FLORIDA SALES OR ❑ VEHICLE / VESSEL WILL BE 212, FLORIDA STATUTES
USE TAX FOR THE USED EXCLUSIVELY FOR RENTAL
REASONS) CHECKED ® OTHER OTHER ❑ SELLING PRICE VERIFIED
APPLICANT CERTIFICATION
WOE HEREBY CERTIFY THAT THE VEHICLENESSEL TO BE TITLED WILL NOT BE OPERATED UPON THE PUBLIC HIGHWAYS/WATERWAYS OF THIS STATE.
I CERTIFY THAT THE CERTIFICATE OF TITLE IS LOST OR DESTROYED.
I CERTIFY THAT THIS MOTOR VEHICLENESSEL WAS REPOSSESSED UPON DEFAULT OF THE LIEN INSTRUMENT AND IS NOW IN MY POSSESSION.
ME HEREBY CERTIFY THAT VWE LAWFULLY OWN THE ABOVE DESCRIBED VEHICLEIVESSEL, AND MAKE APPLICATION FOR TITLE. IF LIEN IS BEING RECORDED NOTICE IS HEREBY GIVEN THAT THERE IS AN
EXISTING WRITTEN LIEN INSTRUMENT INVOLVING THE VEHICLENESSEL DESCRIBED ABOVE AND HELD BY LIENHOLDER SHOWN ABOVE. UWE FURTHER AGREE TO DEFEND THE TITLE AGAINST ALL CLAIMS.
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE.
Signature of Applicant/Owner Signature of Applicant/Co-Owner
HSMV 82041 REVISED 02/06 SCAN CODE MVT
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DR -13
' 2013 Florida Annua�Resale R. 10/12
./ Vt THIS CERTIFICATE EXPIRES ON DECEMBER 31, 2013
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Business Name and Location Address
Re istration Effective Date Certificate Number
12/06/06 16- 8013713551 -1
S &L AUTO SALES
TMB ENTERPRISE LLC
2095 N STATE ROAD 7
HOLLYWOOD FL 3302 1-3804
This is to certify that all tangible personal property purchased or rented, real property rented, or services purchased by the above business are being
purchased or rented for one of the following purposes: incorporation as a material, ingredient, or
• Re - rental'as realproperty. component art of tangible personal property
• Resale as tangible personal property. . incorporation into and sale as part of the repair of P roduced for sale by manufacturing.
• Re- rental as tangible person al property. e b a repair dealer. that is being p
tangible personal property Y p comp Ing, or processing.
• Resale of services.
• Re- rental as transient rental property.
piurposes. This certificate canna t Resale C,ert a�e will subject thetuser certif can
es pbovided by t act
Use sig d ph ad # t or its authorized employees.
Misuse of this Annu
Presented by : Authorized Signature (Purchaser Idalei
Presented to : linse.. name or seller on photocopy) (date)