Application Date: Monday, October 5, 2015 Application Type: Organization Organization Type:
Organization Name: * Rate Plan:
Peace of Mind
* Organization Contact Information First Name: * Last Name: * Address: * Address (cont): City: * State:
District of Columbia
Zip Code: * Email: * Home Phone: Work Phone: * Cell Phone: Payment Information Damage Fee Waiver Program
Insurance Deductible Terms
All members are insured for up to $1,000,000/incident in Liability coverage when driving eGo CarShare vehicles.
Effective March 1, 2013, our standard insurance deductible is $500/incident for damage.
Damage Fee Waiver Program
Our Damage Fee Waiver Program provides peace of mind by reducing your out-of-pocket cost for any damage that occurs while driving. You can reduce your prospective liability from $500 to $0. The If you would like to sign up for this option, select the program titled, “$0 Deductible - via $45/year/driver Damage Fee Waiver Program.”
We also offer an hourly option for $1/hour, $7/day maximum, that you can choose when making a reservation.
By signing up for the Damage Fee Waiver Program I understand that:
I need to remain a member in good standing by not violating the Membership Handbook and by paying any driving estimates and/or monthly invoices on time;
I am not purchasing, nor is eGo CarShare selling, insurance through this agreement;
Enrollment in the Damage Fee Waiver Program is annual;
Enrollment in the Damage Fee Waiver Program applies to all drivers on your account, there is a $45 charge for each driver.
The Damage Fee Waiver Program does NOT include any loss arising directly or indirectly from:
Damage to an eGo CarShare vehicle or another party’s vehicle which is unreported by the driver and/or account holder;
Damage caused to a vehicle when an eGo CarShare driver fails to stop and properly report an accident (hit and run);
Members whose account is not up to date or who have an overdue payment;
Members permitting a non-member to drive an eGo CarShare vehicle;
Members who falsify or provide misleading information to eGo CarShare staff investigating damage to an eGo CarShare vehicle;
Personal injury or damage to property;
Third party liability;
Dishonest, fraudulent or criminal acts;
Damage by improper fueling or tampering with engine parts;
Damage that occurs prior to signing up for the Program;
Intentional damage to a vehicle by a member;
Damage which occurs while driving under the influence of alcohol or illegal substances;
Any violation of the
Regardless of which program you select, you must report any damage that occurs during your reservation immediately by calling the eGo CarShare office at 303.720.1185 Program:
$500 Deductible $0 Deductible - via $45/year/driver Damage Fee Waiver Program
* Key Fob Delivery
You'll need to get your key fob before you can drive an eGo vehicle. Mailed fobs will arrive in 1-3 days. If you prefer you can come to our office in downtown Boulder or Denver to pick up your fob. For office locations visit our Fob Delivery Preference (dropdown menu - choose one)
website Pick up at Boulder office
Fob Delivery Preference *
Pick up at Boulder office
Pick up at Denver office
* Referrals and Promotions How many miles do you drive each year? * * Promotional Code? How did you find us? *
eGo CarShare Presentation
From a Friend
In the News
I saw a eGo CarShare Car
* Other? Please tell us how Has anyone referred you? Verification By submitting your application to eGo CarShare, you
Certify that everything stated in this application is true to the best of your knowledge.
Authorize eGo CarShare, its agents, and insurers to review your credit history, driving record, criminal record, and other background information as eGo CarShare shall deem relevant to its approval of Member's participation in the eGo CarShare program.
Understand that this application and all of the above consumer reports will be used to determine your acceptance for membership.
Understand that the information provided by you and the review of your driving record will be retained by eGo CarShare and its agents and insurers, whether or not your application is approved.
Agree to be bound by this application and understand that failure to disclose any violations or accidents will cause automatic rejection of this application.
Acknowledge that you have reviewed the eGo CarShare Membership Manual and Membership Agreement and agree to observe and be bound by the Manual and By-Laws, including any amendments to either document.
Authorize that your $25 Application Fee be charged to the credit card you provided on the application form above. Application fees may vary or be waived entirely when using a promotional code or for specific membership types such as, Business and Nonprofit applications.
I understand and accept