Damage Waiver Protection     

Jobsite damage, vandalism, and graffiti of portable restrooms are on the rise.  This damage has increased labor and repair costs for the customer and supplier. 

The replacement cost of a standard portable toilet is $800.  Any damage beyond minor repair is the responsibility of the customer. 

In response to customer request, JOHNNY BLUE, INC. has developed Damage Waiver Protection for our Construction and Monthly Rental customers only.

Pricing and coverage details are as follows:

Please complete the information below to activate your Damage Waiver. 

Return this form to: JOHNNY BLUE, INC. via Mail or Fax at 540-665-0968.

 
CUSTOMER NAME: ______________________________________________________________________________________

BILLING ADDRESS: ______________________________________________________________________________________

CITY: _______________________________________________  STATE: ______ ZIPCODE: _____________ 

I understand that my company is responsible for any and all damage related to fire, loss, or theft as noted in the Exclusion above.  I am authorized to sign for my company to accept the Damage Waiver details discussed within this document.

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Signature                                                                                                              Date

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