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The document appears to be a rental agreement between Sixt Rent a Car and customer Daniel Molina for a vehicle rental in Miami from December 6-12, 2021.

The agreement specifies the rental rate, insurance and protection options purchased, payment details, terms and conditions of the rental, and vehicle condition upon handover.

The customer is responsible for inspecting the vehicle for damage, returning it with the same or more fuel, not smoking in the vehicle, and only allowing authorized drivers. Damage caused by unauthorized drivers is not covered.

Sixt Rent a Car LLC

P.O. Box 8188


Fort Lauderdale, FL 33310
United States

Face Page of Contract No. 9481626601 XXX N

Customer No: 0019054379


Time out: 12/06/2021 20.44 Miami Int Airpo Int. No: 0014881762
Due in: 12/12/2021 16.00 Miami Int Airpo Registr No: FL-QMXN22
Return address: RENTAL CAR CENTER, 3900 NW 25TH STREET #414
33142, MIAMI
ml Level: 13187 Fuel Gauge: 8/8 Veh. Type: NISSA VERSA SEDA
Car is parked on: Order No: 683633152
Res No: 9915375633
Renter 1: Driver Renter 2: Company
MOLINA
DANIEL

NO ADDITIONAL AUTHORIZED DRIVERS WITHOUT OUR PRIOR WRITTEN CONSENT


Rate: UST1D000 CCAR Agent: 000186206

------------------------------ Number ---- Unit Price ------ Subtot.---------


Rental days 6 1 x 277.54 277.54 USD A1
Liability Roadside Assistance 6 x 24.99 149.94 USD A0
Vehicle License Fee 6 x 0.90 5.40 USD A1
Rental Facility Charge 6 x 5.10 30.60 USD A1
Toll pass 6 x 12.99 77.94 USD A1
Tire and Battery Fee 6 x 0.02 0.12 USD A1
Rental Surcharge 6 x 2.00 12.00 USD A1
AP Concession Recovery Fee 11.11 % 56.76 USD A1
Rate includes all mls
A0 Tax exempt
A1 Sales Tax 7,00% 32.22 USD
Total 642.53 USD

minimum excess LDW included


Loss Damage Waiver included
Loss Damage Waiver with an excess of USD 0.00
Theft Protection with an excess of USD 0.00

Voucher value incl.TAX: 382.02 USD


Voucher: SX00044490401
Payment method: MASTERCARD
Card: #############844 0000
Authorization: 12/06/2021 431667 460.51 USD
Merchant-ID: 0
Transaktion-ID: 36427
Terminal-ID: 0004pp188
Receipt No: 1673
PayCor-ID: 11207EOOTVTWRDUFSB
AID: A0000000041010
TVR: 0000008000
TSI: E800
AC: 113B1FFE14B822C5
ARC: 3030
All designated discounts have been included in the stated final price.
This rate is not eligible for the collection of air miles or bonus points.
We offer for an additional charge the following optional products:
Loss Damage Waiver (LDW), Partial Damage Waiver (PDW), Personal Accident
Coverage (PAC), Supplemental Liability Insurance (SLI). Before deciding
whether to purchase any of these products you may wish to determine whether
your personal insurance or credit card affords you coverage during the rental
period. The purchase of any of these products is not required to rent the
vehicle.
The valid and collectible liability insurance and personal injury protection
insurance of any authorized rental or leasing driver is primary for the
limits of liability and personal injury protection coverage required by
paragraphs 324.021 (7) and 627.736, Florida Statutes.
You agree to purchase and pay for LDW. LDW does not cover all instances of
damage to the Vehicle. There are exclusions. Subject to the terms of
Paragraph 5 of the Terms and Conditions, we will waive your responsibility
for damage to, or loss of, the Vehicle.
You decline to purchase PAC.
You agree to purchase SLI. You acknowledge receiving the summary of the
terms of the SLI policy in the separate brochure provided to you. SLI does
not cover all risks. There may be exclusions for unauthorized or intoxicated
drivers, no first party uninsured motorist coverage, no coverage for certain
passengers in the Vehicle, and other exclusions. Please read the policy
summary.
Authorized Drivers are the only persons permitted to drive the Vehicle. If
you permit anyone other than the Renter or an Additional Driver listed by us
above to drive the Vehicle, we will hold you responsible for damage to the
Vehicle and for damage to others and their property caused by the
unauthorized driver. Damage caused by unauthorized drivers is not covered
by Loss Damage Waiver. There is a small fee to add Additional Drivers to this
Agreement.
You decline to purchase fuel in advance. You must return the Vehicle with at
least as much fuel as when rented. If the Vehicle is returned with less
fuel than when rented, you will pay us for the fuel used at
USD 10.99 per gallon, plus tax.
This vehicle's license plate is registered with Toll-By-Plate, a Florida
toll road express lane service. Each time you drive the Vehicle through an
automated express lane, the license plate is photographed and we are noti-
fied that you used the Express Lane. We offer Toll Express Service (TX), a
a fee service that permits you to use automated express lanes within Florida
without paying a toll at the time you drive through.
You agree to purchase TX and pay Sixt a fee for each day of this rental as
shown above regardless of the number of times you use an Express Lane.
You may use the Express Lanes an unlimited number of times during this
rental.
You decline to purchase Personal Property Coverage (PPC).
Failure to return rented property or equipment upon expiration of the rental
period and failure to pay all amounts due (including costs for damage to the
property or equipment) are evidence of abandonment or refusal to redeliver
the property,punishable in accordance with section 812.155, Florida statutes.
GEOGRAPHICAL RESTRICTIONS: The rental vehicle may only be used in the state
of pick-up and the following states: Alabama, Georgia (the "Region"). If the
vehicle is driven outside of the Region, we will charge you an excess mileage
fee of $0.50 for each mile the vehicle has been driven during the rental.
This fee does not limit in any way the total amount or any compensation owed
to us under this Agreement.
For One-Way Rentals: If you have a reservation for a one way rental to return
the Vehicle in a state other than the state of pick-up (as shown on the Face
Page), the territorial restrictions described above do not apply. However,
you may only use the Vehicle in the continental United States, Ontario
British Columbia, Canada.
CHANGE OF RETURN LOCATION: You agree if you return your Vehicle to a
permissible location other than the return address listed on this Face Page,
without previously informing us of your intentions to do so, you will be
charged a change of location fee of $20.00, in addition to any applicable
one-way charges.
EARLY RETURN FEE: You agree if you return your Vehicle earlier than the Due
In time listed at the top of this Face Page, without previously informing us
of your intentions to do so, and it causes the amount of rental days listed
on this Face Page to be reduced by one rental day or more, you may be charged
an early return fee of $10.00, in addition to any applicable changes to the
daily Rental Day charges.
LATE RETURN FEE: You agree if you return your Vehicle two hours or more later
than the Due In time listed at the top of this Face Page, without previously
informing us of your intentions to do so, you may be charged a late return
fee of $10.00, in addition to any applicable changes to the daily Rental Day
charges and the amount of days charged, if your late return leads to you
being in possession of the vehicle for an additional rental day(s).
We are enrolling you in the Sixt Express Master Agreement, a program
designed to make your next rental from Sixt proceed more efficiently.
The benefits of the Sixt Master Agreement are given to you at no cost. The
details are explained in Paragraph 13 of the terms and Conditions and else-
where on the rental jacket.
Upon handover, vehicle is free from damage except for the damage marked
with an asterisk (*).
*Side view Mirror : Driver side scratch < 2 inch superf
*Side view Mirror : Driver side scratch < 2 inch (down
*Bumper loading strip : Passenger side scratch < 2 inch (down
*Bumper loading strip : middle scratch < 2 inch (down

Vehicle Condition: It is your responsibility to inspect the Vehicle for


damage before leaving our facility. If you discover damage, return to our
office and notify us of the damage.
All vehicles are non-smoking. A $400 Cleaning Fee will be assessed for
violations to this policy.
You also acknowledge receiving from us a map of the Miami Dade Airport area.
By signing below, you agree to the Terms and Conditions printed on the rental
jacket and to the terms found on this Face Page, which together constitute
this Agreement. You acknowledge that you have been given an opportunity to
read this Agreement before being asked to sign it, and that all information
you have provided is true and correct.
Your signature constitutes your agreement to purchase the optional products
described above. Your signature allows us to process credit or debit card
vouchers in your name for all amounts due us under this Agreement.
You permit us to reserve against your card at the beginning of the rental an
amount up to three times the estimated total charges as a deposit, in no
event less than $200, or the amount listed on the Face Page. For Vehicles in
the executive or luxury categories you authorize us to reserve up to $5,000
against your card. We may use your deposit to pay any amounts owed to us
under this Agreement. You authorize us to charge your credit/debit card
after the rental concludes for all unpaid tolls, toll and parking violations
and fines or penalties assessed against you, us, or the Vehicle during the
rental plus our administrative fee of USD 40.00 for each such charge and to
release your rental and credit/debit card information to the charging
authorities for processing purposes.
I further acknowledge and consent to the dispute resolution provisions
contained in the Terms and Conditions.
Accident or Breakdown Hotline: 1-888-749-8543

Signature: 9481626601 2

++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++

You have been served by Mr. Tony V

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You want to extend your current rental period or get an overview of your
previous rents? Then register or log in at www.sixt.com/mysixt, your
online customer portal.

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Thank you for choosing Sixt. Have a pleasant journey!

Internet: www.sixt.com
E-Mail: reservations-usa@sixt.com, customerservice-usa@sixt.com
Call: +1(888)749-8227, Fax: +1(888)722-2980, Bank: J.P. Morgan,

2021-12-07T02:45

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