Grand Rapids Auto Repair

Reserve A Loaner Car

Ervine’s will contact you to schedule an appointment after receiving this form. Do you have a question now? Call us or email us at [email protected]

Regular business hours are Mon – Fri 8:00 AM to 5:00 PM EST

The conditions on the copy of our loaner car agreement below have allowed us to offer FREE LOANER VEHICLES for many years and will ensure their availability for years to come. This form is provided here for information purposes only. If you have a confirmed appointment with a loaner car just bring in your driver’s license and insurance declarations page*. We’ll fill the agreement out at your appointment.

*You (or your insurance agent) can fax or email your Insurance Declarations page to 616-532-5505 or [email protected]

Loaned Vehicle Assumption of Liability Agreement

I understand if I do not stop and top off the gas tank when returning the loaner that I will be charged $10 plus $.50 a mile driven by me.
X____________________________ Gas Gauge ¼ ½ ¾ Full Mileage OUT ___________ IN ___________

The undersigned customer of Acclaimed Automotive Services, Inc., d/b/a Ervine’s Auto Repair (hereafter “Acclaimed”), agrees that in consideration for Acclaimed’s loan of the above referenced vehicle to me while my vehicle is being repaired, I assume sole and absolute responsibility and liability for any damage to the vehicle described above and owned by Acclaimed and agree to reimburse Acclaimed for any and all damages, loss, expense, fees and/or claims resulting from or relating to the operation of said vehicle while it is in my possession or under my control.

I have motor vehicle liability insurance coverage which complies with the State of Michigan minimum liability requirements and is sufficient to provide primary first vehicular coverage against any and all losses, damages, expense, claims, damages, expenses and/or fees including reasonable attorney’s fees, related to my operation or possession of said Vehicle while it is in my possession or under my control. It is understood that the conditions of my use of the loaned vehicle are as follows, and I hereby certify that I meet and will abide by all of those conditions.

1. I am at least 25 years old and I have a valid driver’s license, copy provided to Acclaimed.
2. I have proof of personal insurance which is currently in effect, copy provided to Acclaimed.
3. I agree that I will not allow any other person other than myself to drive the loaned vehicle.
4. I agree that I will not drive the vehicle outside of a 25 – mile radius of Acclaimed’s business location, in, Wyoming, MI.
5. If there are mechanical problems with the vehicle I will call Rapid towing at 616-455-5190.
6. I understand I will be responsible for any tow fees if the vehicle is outside the 25-mile radius or by a company other than Rapid.
7. I understand I will not be reimbursed for unauthorized parts purchases or repair costs.
8. I understand there is NO SMOKING, NO EATING, and NO PETS in the loaner vehicles. Acclaimed makes exceptions for registered service animals. I understand that if the loaner car I am using needs to be sent out to be professionally cleaned, there will be a $100 service charge. This decision is left up to Acclaimed’s discretion.
9. I will not use this vehicle for any business related purpose. It is only for my personal transportation.

Customer Signature________________________________________________

Date________________________________________________

ACCLAIMED AUTOMOTIVE SERVICES, INC.

d/b/a Ervine’s Auto Repair

By________________________________________________