Dan Braudrick Services, Inc. RENTAL AGREEMENT
Dan Braudrick Services, Inc.
P.O. Box 1749
Brentwood, CA 94513
Office (925) 513-0328
Fax (925) 513-0729
Email: dbsinc63@att.net
Billing and Contact Information (PLEASE PRINT) Date: ________________________
Card Holder Name: ___________________________________________ Phone: ______________________
Business Name (If applicable): _________________________________ Cellular: _____________________
Billing Address: _______________________________________________ Fax: _________________________
City, State, Zip: _______________________________________________ Email: _______________________
Credit Card Information
Card Number: _________________________________________________ Expiration Date: _____________
Card Type (Visa, MasterCard): _________________________________ Security Code (on back): _______
Delivery and Contact Information (If different from Billing)
Contact Name: ________________________________________________ Phone: ______________________
Delivery address: ____________________________________ City: __________________ Zip: ____________
Requested Delivery Date: _________________________ Requested Pick-up date: _____________________
Requested Box Size & Qty: ______ 20 Yard / ______ 30 Yard / ______ 40 Yard / ______ 50 Yard
Commodity: __________ Dirt ___________ Concrete __________ C & D __________ Other
Proposed drop off Area (driveway, backyard, etc.): ______________________________________________
Sign here if you have read and agree with our terms and conditions:
(Terms and Conditions are on second page)
Customer Signature: ____________________________________ Print Name: ___________________________
(Must be owner, officer or authorized person of company)
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Dan Braudrick Services, Inc.
Debris Box Terms & Conditions
14 day rental, prices include drop-off, pick-up and disposal fees.
Standard Box: Dry recyclable materials
Construction debris, metal, wood, yard waste, etc. No dirt, concrete, wet garbage, or hazardous material allowed.
20 yard box: 15.5 length x 7.5 width x 4.5 height. Weight included with price, 2 tons or 4,000 lbs. $380.00
30 yard box: 22 length x 7.5 width x 5.5 height. Weight included with price, 3 tons or 6,000 lbs. $480.00
40 yard box: 22 length x 7.5 width x 6.5 height. Weight included with price, 4 tons or 8,000 lbs. $590.00
50 yard box: 22 length x 7.5 width x 8 height. Weight included with price, 5 tons or 10,000 lbs. $705.00
Any box can be loaded with a max of 9 tons; overages will be billed @ $70.00 per ton.
Metal only box: Customer will receive credit back from recycling yard.
Dirt and Concrete box: Heavy / Dense materials
Dirt only, concrete only, brick only allowed. DO NOT MIX & NO WET CONCRETE ALLOWED.
20 yard box can be filled half way, 10 yards only with a max weight of 9 tons.
Overweight boxes will be charged $70.00 per ton or possibly asked that partial load be removed.
Terms and Conditions:
Asphalt in particular will get damaged with heavy loads in hot weather, so please keep all potential issues in mind when considering drop off areas. Plywood can be placed in driveway for protection.
from your handling of the equipment, except for normal wear and tear. You will not alter the equipment and will take reasonable
precautions to prevent others from doing the same. You will use the equipment only for its intended purpose.
4. NO Hazardous materials or wet garbage: The following items are not accepted by waste disposal facilities and should not be placed in our debris boxes: Fluorescent lights, PCB Ballasts, Oil Filters, 5 Gallon Barrels (OK if empty, cleaned & open on both ends), Acids, Ammunition, Anti-Freeze, Asbestos, Batteries, Explosives, Gas Tanks, Gasoline, Hazardous Chemicals, Insecticides, Medical Waste, Paints, Stains, Varnishes (Drained & dry paint cans are OK), Paint Thinners, Solvents, Pesticides, Poisons, Propane Tanks, Motor oil,
No computers, computer monitors, televisions, copiers, any electronic equipment. Extra charges are imposed by the waste disposal facilities if these items are found in the box load and will result in an extra charge or non removal of the box until said materials are removed.
P.O. Box 1749 Brentwood, CA 94513 * Office (925) 513-0328 * Fax (925) 513-0729
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