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Individual Monthly Parking Agreement
Location #
Today’s Date
Card #
Starting Date
Hang Tag #
Cancellation Date
Employer
Customer’s Name
Business Phone
DL #/State
Employer’s Address
E-Mail
City/State/ZIP
Home Phone
Home Address
City/State/ZIP
Send Invoice To
Home Address
Business Address Would you like access to pay your account online?
Yes
No
Add to an existing company account?
Yes
No
E-Mail Address
VEHICLE(S) INFORMATION
Make
Model
License Plate #
State
Make
Model
License Plate #
State
ColorYear
ColorYear
*** PLEASE READ AND SIGN REVERSE SIDE ***
For office use only
Paris
Set up Paris on WEB
#
Account
$
Card Fee
$
1st Month Charge
Rev 6/1/15
City of Omaha Parking Division 1819 Farnam Street Suite 308 Omaha, NE 68183
ParkOmaha.com
This agreement is on a month-to-month basis and can be terminated at any time by City of Omaha and/or its designee.
Monthly Parking Rules & Regulations
1. Monthly parking fees are due on the 1st of the month and subject to a 3% late fee or $10 per card, whichever is
greater, if not paid by the 5th. Overdue accounts will be locked, cancelled, and/or sent to collections until payment
is received, after which the account holder is responsible for paying any fees or fines associated with this process
prior to reactivation.
2. There is a $10 set up fee charged for each new account and/or key card issued.
3. The cost to replace a lost, stolen or damaged access card (due to negligence of the cardholder) is $10.
4. If an access card was turned off due to a past due balance, there is a $10 reactivation fee.
5. Monthly parking permits, access cards and contracts are non-transferable. Any use of a permit by anyone other
than the account holder may result in the termination of monthly parking account or additional fines. Furthermore,
card holders are asked to follow all signage located within their assigned facility or forfeit their parking privileges.
These signs are, but not limited to include, handicapped, shopper zone, resident parking and authorized personnel
parking spaces.
6. Monthly permits (hangtags) and/or decals must be visibly displayed at all times when using the facility. Vehicles
without a visibly displayed permit or decals may be subject to the posted maximum daily rate, the vehicle ticketed
and/or towed.
7. The City of Omaha and/or its contracted operator reserves the right to confiscate all non-valid or non-renewed
permits, decals or access cards.
8. The account holder agrees to report any damage their vehicle causes to the facility. This includes the leaking of any
chemicals such as oil, gas or antifreeze. If it is determined that a vehicle is leaking chemicals it may be removed at
the owner’s expense granted that reasonable efforts were made to notify the owner to remove the vehicle from the
premises and make the necessary repairs. However, if there a threat of imminent danger to life or property, then a
vehicle may be removed at owner’s expense without such effort to notify the owner. The parking contract will be
suspended until the necessary repairs to the vehicle are made.
9. Vehicles may not be stored for an extended amount of time without written approval by the City of Omaha Parking
Division. Residents are asked to move their vehicle(s) once a week.
10. Advanced 30-day written notice of cancellation is required and can be sent to the City of Omaha Parking Division.
Termination of the account becomes effective on the last day of the month following the 30 days. For example,
a customer completes the cancellation form on May 13. The account is marked as terminated at the end of June.
There are no refunds or prorated amounts for partial months. The account holder will be charged for parking until
written cancellation is given, even if they stop using the parking facility.
Customer agrees that if, at any time while using said premises, he/she is involved in any type of accident involving
property damage that may include but is not limited to, another vehicle or object and vacates the premises without
completing the necessary and proper paperwork and cooperating with law enforcement and appropriate management,
then he/she terminates all rights and privileges that are otherwise mentioned in this agreement.
Your permit licenses you to park and lock one vehicle in a designated area at your sole risk. The City of Omaha Parking
Division and/or its contracted operator does not guard or assume care, custody or control of your vehicle or its contents
and is not responsible for fire, theft, damage or loss not directly resulting from the willful misconduct or negligence of
the City of Omaha and/or its contracted operator. Only a license to park is granted hereby, and no bailment is created.
This is your entire contract and no City of Omaha Parking Division employee and/or an employee of its contracted
operator may not modify or waive any of its terms.
By signing below you agree to all conditions outlined on the front and back pages of this agreement.
Client’s Signature
Print Name
Date