NY Water Sentinels: Shale Monitoring Equipment Loan Agreement
The NY Water Sentinels seek to provide volunteer monitors with loans of equipment, free of charge, to monitor local streams for early detection of the impacts from Marcellus Shale gas extraction. Please feel out this form to renew a kit provided by the NY Water Sentinels.
LaMotte Meter Serial Nr. *
(see sticker on the meter)
Time Stamp *
Lease period is one year following this date.
MM
/
DD
/
YYYY
Broome/Tioga *
First Name *
Last Name *
E-mail *
Phone number *
Phone number 2
Address *
Town/City *
County *
Zip Code *
Team Partner *
What is the first and last name of the partner you are testing with?
Agreement *
This agreement is entered into with the understanding that the property loaned to recipient(s) shall remain that of the NY Water Sentinels. The equipment described below is offered by the NY Water Sentinels for use of collecting stream data without charge for the citizen monitor(s) named above for a period of time, to be renewed each year. The signed team members take full responsibility for the care and return in clean and working condition of the non-perishable equipment loaned by the NY Water Sentinels. By checking off "I agree" below, I have read and agreed to the Terms and Conditions of Equipment Loan below.
Required
Each Kit Contains
Non Perishable:
1 LaMotte PockeTester
1 Distilled Water Wash Bottle
1 Gage Stick
1 Wide-mouth Sample Bottle

Perishable:
1 1L bottle of calibration solution
2 Islechem sample bottles for QAQC

Total Kit replacement value approximately $125

Terms and Conditions of Equipment Loan
1. Borrower agrees to test at minimum once per month, and to have the test results and site coordinates shared publically unless specific concerns are raised in advance to the data manager.

2. All kits and/or instruments will be used and properly maintained by borrower in conformance with the manufacturer's directions and safety recommendations.

3. Equipment shall not be modified, loaned, or transferred to third parties without the prior written permission of the NY Water Sentinels.

4. Borrower is responsible for returning the non-perishable portion of the kit to the Sierra Club Atlantic Chapter undamaged and clean up to seven days after the end of the loan date unless renewed.

5. This agreement should be renewed every year within a month of the expiration of the loan date by contacting the NY Water Sentinels at NYWaterSentinels@gmail.com. Unless renewed, equipment will be returned to the NY Water Sentinels up to seven days after the end of the loan date.

6. Borrower agrees to report to the NY Water Sentinels any equipment damaged or lost during loan, and assumes all financial responsibility for replacing lost or damaged equipment. Borrower will not expect the NY Water Sentinels to reimburse Borrower for replaced equipment.

7. Borrower indemnifies and holds harmless the NY Water Sentinels against any and all liability loss, damages, claims, and cost incidental as a result of Borrower’s and affiliated use of the loaned property.

Liability Waiver
1. Borrower agrees to test at minimum once per month, and to have the test results and site coordinates shared publically unless specific concerns are raised in advance to the data manager.

2. All kits and/or instruments will be used and properly maintained by borrower in conformance with the manufacturer's directions and safety recommendations.

3. Equipment shall not be modified, loaned, or transferred to third parties without the prior written permission of the NY Water Sentinels.

4. Borrower is responsible for returning the non-perishable portion of the kit to the Sierra Club Atlantic Chapter undamaged and clean up to seven days after the end of the loan date unless renewed.

5. This agreement should be renewed every year within a month of the expiration of the loan date by contacting the NY Water Sentinels at NYWaterSentinels@gmail.com. Unless renewed, equipment will be returned to the NY Water Sentinels up to seven days after the end of the loan date.

6. Borrower agrees to report to the NY Water Sentinels any equipment damaged or lost during loan, and assumes all financial responsibility for replacing lost or damaged equipment. Borrower will not expect the NY Water Sentinels to reimburse Borrower for replaced equipment.

7. Borrower indemnifies and holds harmless the NY Water Sentinels against any and all liability loss, damages, claims, and cost incidental as a result of Borrower’s and affiliated use of the loaned property.

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