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Credit Application

1Applicant Info
2Contact Details
3Business Info
4Trade References
5Documents
6Financial Info
7Terms & Conditions
8Agreement & Sign
This field is for validation purposes and should be left unchanged.

BUSINESS NAMES

PHYSICAL ADDRESS

Physical Address(Required)

(Required)

FORMER ADDRESS (5-YEAR MINIMUM)

Physical Address

BILLING ADDRESS

Billing Address(Required)

Leave blank if same as physical address.

Billing Address

Leave blank if same as physical address.

JOB SITE

WHO IS YOUR MES SALES REPRESENTATIVE?

PHONE & COMMUNICATION

ACCOUNTS & WEB PRESENCE

PURCHASE ORDERS & STATEMENTS

Purchase Orders Required?(Required)
Email Statements Acceptable?(Required)

BUSINESS REGISTRATION

Bankruptcy Filed?

ENTITY TYPE

Entity Type(Required)

COMPANY PRINCIPALS

TRADE REFERENCE 1

TRADE REFERENCE 2

TRADE REFERENCE 3

Please upload the required documents below. Accepted formats: PDF, JPG, PNG, DOC, DOCX (max 10MB each).

W9 FORM

A completed IRS Form W-9 (Request for Taxpayer Identification Number and Certification) is required for all new credit accounts.

Accepted file types: pdf, jpg, jpeg, png, doc, docx, Max. file size: 10 MB.

CREDIT REFERENCES (IF APPLICABLE)

If you have existing credit reference letters, trade reference sheets, or financial statements you would like to include, please upload them here.

Accepted file types: pdf, jpg, jpeg, png, doc, docx, Max. file size: 10 MB.
Taxable or Tax-Exempt?(Required)

If tax exempt, you are required to upload exemption certificates and documentation to confirm status.

Accepted file types: pdf, jpg, jpeg, png, doc, docx, Max. file size: 10 MB.

FINANCIAL INFORMATION

Marine Equipment Supply and Mill & Marine Supply dba MES Supply
This application will apply to any additional MES clients that your company should charge with now or in the future.

Please read all terms carefully. The first four items require your initials.

1. Limitation of Liability

MES or affiliates shall not be held liable for any special, consequential, incidental, indirect, or liquidated damages, losses, or expenses, whether in contract, warranty, tort, or otherwise of any kind or nature whatsoever.

2. Safety Instructions Acknowledgment

The renter confirms that they have received the operator's manuals, safety instructions, and training in the safe and proper operation of the rented equipment before use.

3. Hazardous Material Warning

The renter agrees to return the rented equipment, such as dust collectors, vacuums, blast pots, etc., free of hazardous or toxic residue, in compliance with E.P.A. requirements. The renter shall be responsible for any additional service charges and cleaning costs incurred if the equipment is returned unclean or contaminated.

4. Equipment Malfunction and Safety Procedure

If the renter does not understand or forgets the safety or operating instructions, or if the equipment fails, they must not attempt to operate or repair the equipment. Instead, they must discontinue use and immediately notify MES or affiliates.

Shift Rates

Unless previously agreed upon, all diesel equipment is to be operated single shift for the monthly rate. Single shift is defined as 8 hr/day, 40 hr/week, 160 hr/month. DT or Unlimited will be billed if hours exceed 160 per month. All diesel equipment is delivered full of fuel and is expected to be returned as such.

Negligent Damages

If a rental unit returns with damage caused by negligence or requires heavy cleaning and/or waste removal, the customer is responsible for all parts, disposal costs, and labor billed at $130/hr.

Lessee Warnings
  • Rental rates exclude fuel, oil, water, and other consumables such as vacuum hose, blast hose, bull hose, control line, etc.
  • Dust Collector and Recycler Augers must be operated at least twice daily. If debris accumulates in Hoppers, a cleaning fee will be charged. Dust Collectors must be purged daily to ensure filter cleanliness; failure to do so will result in a filter charge.
Indemnity / Hold Harmless

The customer is responsible for taking necessary precautions with the rented equipment to ensure the safety of all individuals and property. The customer agrees to indemnify and hold MES or affiliates harmless from any liability, claims, judgments, including attorney's fees and costs, of any kind, including, but not limited to, injuries, death, or property damage arising from the use, maintenance, instruction, operation, possession, ownership, or rental of the equipment. This indemnification does not apply to claims resulting from MES or affiliate's sole negligence or willful misconduct.

Assumption of Risk / Liability Discharge

The customer acknowledges that there is a potential risk of injury or damage associated with the use or operation of the rented equipment. By voluntarily entering into this rental agreement, the customer assumes all risks related to injury and damage. The customer releases and discharges MES or affiliates from any responsibility or liability for any injury or damage arising from the use or operation of the equipment. Furthermore, the customer agrees to waive, release, and discharge any claims for injury or damage, to persons or equipment, against MES or affiliates that they may otherwise be entitled to assert.

Use

Lessee agrees to operate the equipment carefully and properly at the contract location, and only allow qualified personnel to operate it. Modifications to the equipment are prohibited without Lessor's written permission. The equipment is to be used solely for legal business purposes, not personal, family, or agricultural purposes.

Location

The equipment must be delivered and maintained at the specified location and cannot be removed without Lessor's written consent. Lessee is responsible for obtaining any required consent from the landlord.

Insolvency

If insolvency or bankruptcy proceedings are entered by or against Lessee, this agreement terminates as of the day before the proceedings began, and the equipment must be returned to Lessor immediately upon demand.

Warranties

LESSOR PROVIDES NO WARRANTY, EXPRESS OR IMPLIED, INCLUDING EQUIPMENT CONDITION, MERCHANTABILITY, OR FITNESS FOR A PARTICULAR PURPOSE. LESSEE RENTS THE EQUIPMENT "AS IS."

Usage Rate

Hourly usage is charged to the nearest hour, based on state-of-the-art tracking equipment. Rentals are based on an eight-hour day, five-day forty-hour week, and twenty-day one hundred sixty-hour month. For all diesel equipment, customers must change oil and filters every 250 hours.

Lessee's Obligations

a. Lessee is responsible for all transportation and handling charges to and from Lessor's yard.
b. Lessee must pay for minor repairs and any major repairs required due to negligence, abuse, or modifications.
c. Lessee must keep the equipment free of liens and encumbrances and in good repair.

Hazardous Waste

Upon retrieval of a rental unit from the job site, any materials discovered within the units during retrieval shall render the scheduled pick-up void. Testing shall be conducted for all title 22 metals. Any and all testing, disposal, and cleaning expenses become the customer's responsibility when returned to MES with material contained in the units.

Invoice

This is the only invoice. If legal action is required for collection, Lessee agrees to pay all collection costs and attorney's fees.

Insurance

Lessee must maintain public liability insurance policies with minimum limits of $1,000,000 for personal injury and $1,000,000 for property damage. Marine Equipment Supply, LLC is to be named as additional insured on all policies (except Workers Compensation) with a waiver of subrogation.

Governing Law

This agreement is governed by the laws of the State of Alabama. Any disputes will be resolved in the courts of Mobile County, Alabama.

Terms and Conditions Agreement(Required)

APPLICANT SIGNATURE

Credit Application Agreement 152(Required)
I/We have read, understand, and agree to all of the Terms and Conditions set forth above by Marine Equipment Supply (MES) and Mill & Marine Supply (MES Supply). I/We confirm that the initials provided above are my/our own and acknowledge the specific obligations indicated.
MM slash DD slash YYYY
PERSONAL GUARANTY

The undersigned (whether one or more, the "Guarantor") individually, jointly, severally, absolutely, independently, and unconditionally guarantees the prompt payment when due of all amounts owed by the applicant named above to MES and/or MES Supply, including reasonable attorney's fees. This guaranty applies to any and all debts owed to MES and/or MES Supply.

GUARANTOR 1

MM slash DD slash YYYY
MM slash DD slash YYYY

GUARANTOR 2 (IF APPLICABLE)

MM slash DD slash YYYY
MM slash DD slash YYYY

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