C.E.M. QUARANTINE

Transcription

C.E.M. QUARANTINE
Date ___|___|___
Horse _____________________________
Permit ______________
____________________ C.E.M. QUARANTINE AGREEMENT____________________
This agreement is entered into between Eagle Tree Farm, Inc., hereinafter referred to as ETF, from 4452
Southshore Blvd, Wellington, Fl 33414 and
Name________________________________________________________________________________________ from
Street Address_______________________________________________ City_________________________________
State/Province__________________________ Postal Code___________ Country____________________________
Telephone___________________ Email_________________________________ hereinafter referred to as Owner.
Owner is the owner of a horse hereinafter referred to as Horse
Name__________________________________________ Breed________________________________ Age_________
Color____________________________ Sex__________ Passport Number__________________________________
RIGHT TO INSPECT - The Owner and or his Agent has had the opportunity to inspect the facility and agrees that
all aspects of the facility are acceptable and in acceptable condition. All objections as to the conditions of the
facility must be provided in writing before Horse arrival to ETF /Marilou N. de Azúa
OWNER’S EXPENSES - Any additional expenses incurred by ETF on behalf of the Owner and in the event veterinary
services and/or farrier services are provided for Horse or miscellaneous expenses were incurred for Horse, will
be the sole responsibility of Owner and shall be paid prior to the release of the Horse from ETF quarantine.
SECURITY INTEREST - In accordance with Chapter 713 of the Florida Statutes, Owner hereby grants to ETF and/
or its operators a security in Horse for any unpaid Owner’s expenses.
INSURANCE - Owner shall maintain and pay for life and casualty insurance and extended coverage insurance
on Horse in such amounts to fully compensate Owner in the event there is any loss, damage or death to
Horse. Owner hereby waives any and all rights of recovery, claims, actions, or causes of action against ETF,
Horse by reason
Owner, regardless of cause or
origin, including negligence, gross negligence or willful misconduct of ETF
employees.
ASSUMPTION OF RISK - Owner expressly assumes all liability for or on account of any such injury, loss or damage
to Horse, during the time Horse, is in the care and custody of ETF; and will at all times indemnify and hold
ETF
of any nature, including attorneys’ fees, including those arising from ETF
employees’ negligence, gross negligence and/or willful misconduct incurred in or caused by or arising out of
any such injury, loss or damage to Horse.
Eagle Tree Farm, Inc.
4452 Southshore Boulevard
Wellington, FL 33414
T 11(561)319-5463
(561) 310 3219 | 1 (305) 607 3220
F 1(561)753-4633
[email protected]
Page 1 of 2
PERSONAL GUARANTY - In the event the registered Owner is an entity, the agent, by signing below, personally
and unconditionally guarantees the faithful, prompt and complete compliance by Owner with all terms and
conditions of this Agreement and agrees to pay all costs, expenses, charges and other expenditures required
to be made by Owner under the terms and provisions of this Agreement.
COLLECTION - In the event any Owner’s expenses are not paid pursuant to the terms of this Agreement within
ten (10) days after the same becomes due and payable, Owner shall be deemed in default of this Agreement
and all outstanding sums owed by Owner to ETF, shall thereafter bear interest at the maximum rate permitted
by law. Owner shall be responsible to ETF for any reasonable attorney’s fees and costs incurred by ETF in
attempting to collect payment or enforcing the terms of this Agreement, through and including any appellate
costs and fees.
GOVERNING LAW AND VENUE - This agreement shall be constructed in accordance with and shall be governed by
the laws of the state of Florida. Any legal action must be brought in the appropriate jurisdictional court of Palm
Beach County, Florida.
Eagle Tree Farm, Inc. (ETF)
Owner
By __________________________________________
By __________________________________________
Print name___________________________________
Print name___________________________________
Date_________________________________________
Date_________________________________________
___________________ HORSE ADDITIONAL INFORMATION ____________________
INSURANCE
Insurance Company _______________________________________________________________________________
Policy Number __________________________________ Insurance company telephone _____________________
EMERGENCY CONTACTS
Name_____________________________________________________________ Telephone______________________
Veterinarian ________________________________________________________Telephone _____________________
Farrier ____________________________________________________________ Telephone _____________________
Eagle Tree Farm, Inc.
4452 Southshore Boulevard
Wellington, FL 33414
T 11(561)319-5463
(561) 310 3219 | 1 (305) 607 3220
F 1(561)753-4633
[email protected]
Page 2 of 2
___________________ INTRODUCTORY PRICE SCHEDULE ____________________
C.E.M. QUARATINE SERVICE
The price of C.E.M. quarantine service includes boarding, approved use of facility, all required testing and
handling for all C.E.M. procedures.
Fee per Stallion - $9,000 (up to INTRODUCTORY
38 days in our quarantine
facility)
___________________
PRICE
SCHEDULE ____________________
If for ANY reason a stallion’s stay is extended beyond 38 days, the owner will be billed $80/day plus $40/ day
per each test mare.
C.E.M. QUARATINE SERVICE
Fee per Mare - $2,200 (up to 18 days in our quarantine facility) Fee includes a fourth extra culture to decrease
The
price of C.E.M.
quarantinestay.
service includes boarding, approved use of facility, all required testing and
the likelihood
of an extended
handling for all C.E.M. procedures. Please call or contact us for our introductory prices!!
If for ANY reason a mare’s stay is extended beyond 18 days, the owner will be billed $80/day.
Fee per Stallion - $9,000 (up to 38 days in our quarantine facility)
Florida Department of Agriculture Fee - Both mares and stallions are required to pay the Florida Department of
If for ANY reason a stallion’s stay is extended beyond 38 days, the owner will be billed $80/day plus $40/ day
per
each test
mare.
or stallion
owned
by the same person and arriving on the same day. Most shipping agents include and collect
this fee as a convenience to the client. Eagle Tree Farm can also perform this service free of charge.
Fee per Mare - $2,200 (up to 18 days in our quarantine facility) Fee includes a fourth extra culture to decrease
the likelihood of an extended stay.
IfADDITIONAL
for ANY reason
a mare’s
stay is extended beyond 18 days, the owner will be billed $80/day.
VETERINARY
SERVICES
Florida
Department
of Agriculture
Fee -the
Both
mares andhorse
stallions
are required
to pay the veterinary
Florida Department
During the
quarantine
period and until
quarantined
is released,
any additional
services of
needed can be provided only by a veterinarian previously approved by the Florida Department of Agriculture
or
stallion
owned
by the same
person
and arriving
thedirectly
same day.
Most shipping
agents include and collect
and
Consumer
Services
and these
services
will be on
billed
to Owner
by said veterinarian.
this fee as a convenience to the client. Eagle Tree Farm can also perform this service free of charge.
While in quarantine, if expressly required by the owner, we can provide the following:
• Coggins – $35
ADDITIONAL VETERINARY SERVICES
• Vaccines* (EWT, West Nile, Flu/Rhino, Rabies) - $111
During the quarantine period and until the quarantined horse is released, any additional veterinary services
•
in case they are shipping out of the state)
needed can be provided only by a veterinarian previously approved by the Florida Department of Agriculture
• De-worming
- $18
(de-wormer
and
and
Consumer (Ivermectin)
Services and
these
services will
beadministration)
billed directly to Owner by said veterinarian.
• De-worming
(Panacur
Power Pak)
- $100
and
administration)
While
in quarantine,
if expressly
required
by (de-wormer
the owner, we
can
provide the following:
& Associates,
•Reid
Coggins
– $35 is Eagle Tree Farm’s approved C.E.M. veterinarians and will administer vaccinations and
• Vaccines* (EWT, West Nile, Flu/Rhino, Rabies) - $111
tine protocol, all at the same time unless indicated otherwise.
•
in case they are shipping out of the state)
-
• De-worming (Ivermectin) - $18 (de-wormer and administration)
• De-worming (Panacur Power Pak) - $100 (de-wormer and administration)
Page 1 of 2
Eagle Tree Farm, Inc.
T 1(561)319-5463
4452 &
Southshore
Boulevard
F 1(561)753-4633
Reid
Associates,
is Eagle Tree Farm’s approved
C.E.M. veterinarians and will administer vaccinations and
Wellington, FL 33414
[email protected]
-
tine protocol, all at the same time unless indicated otherwise.
Eagle Tree Farm, Inc.
4452 Southshore Boulevard
Wellington, FL 33414
T 11(561)319-5463
(561) 310 3219 | 1 (305) 607 3220
F 1(561)753-4633
[email protected]
Page 1 of 2
OPTIONAL (NON-VETERINARY) SERVICES AVAILABLE
• Complimentary use of our 90 x 220 lighted, covered arena from 7:00 AM to 9:00 PM. Use of the arena between
7:00 PM to 9:00 PM requires advance notice.
• Complimentary use of our horse treadmill. While on the treadmill, the Owner or someone authorized by the
Owner must supervise the horse at all times. Eagle Tree can provide supervision for an added charge. of $25
per session.
• Complimentary administration of medication and/or nutritional supplements provided by owner except those
mentioned in the Additional Veterinary Services section.
• Complementary sheeting and blanketing of the horse. (Sheets and blankets must me provided by owner.)
• Supervised Turn Out and Clean - $25
• Lunge and Clean - $25
• Pre and post ride grooming - $30/ride including tack cleaning and legs wrapping.
• Body Clip - $150 including mane pull
can we help.
PAYMENTS
prefer for extra security purposes please call us (561-319-5463) with the following information at hand:
Credit Card
Card Number ____________________________ Security Code _________ Expiration Date _________________
Name (as appears on credit card) _________________________________________________________________
Billing Address __________________________________________________________________________________
City ________________________________________ State _______ Zip Code _____________________________
Telephone_________________________ E-mail ______________________________________________________
Checks
All checks should be made payable and mail to:
Eagle Tree Farm, Inc.
4452 Southshore Boulevard
Wellington, Fl 33414
For international checks please contact us for prior approval at no additional fee.
Eagle Tree Farm, Inc.
4452 Southshore Boulevard
Wellington, FL 33414
T 11(561)319-5463
(561) 310 3219 | 1 (305) 607 3220
F 1(561)753-4633
[email protected]
Page 2 of 2
___________________________ HOUSE RULES ___________________________
EagleTree C.E.M. Quarantine (Eagle Tree Farm, Inc.) Is a limited access facility. Visitation is permitted at the
discretion of the Department of Agriculture and Consumer Services of the State of Florida, the United States
Department of Agriculture and the management of Eagle Tree Farm, Inc. Below are the guidelines we follow to
allow visitors in our installations.
• ALL VISITORS MUST FIRST REGISTER at office and sign a release form. To avoid any delays we
recommend that you call or text Marilou de Azúa in advance.
• REGULAR HOURS OF OPERATION ARE FROM 7:00 AM TO 7:00 PM, TUESDAY THROUGH
SUNDAY. Mondays and after hours use of the facility can be arranged upon request.
• USE OF FOOT AND HAND WASH IS MANDATORY UPON ENTERING OR LEAVING QUARANTINE
AREAS. This applies to all visitors including veterinarians, trainer, farriers and non-staff grooms.
• NO PETS are allowed in any of the quarantine areas.
• MEDICATION, SUPPLEMENTS OR TOPICAL TREATMENTS shall not be administered to any
quarantined horses without prior consent.
• ADMINISTRATION OR USE ANTIBIOTICS AND ANTIBACTERIAL PRODUCTS IS NOT ALLOWED
while a horse is undergoing C.E.M. testing.
• SMOKING IS STRICTLY FORBIDDEN in all the quarantine areas
• QUARANTINED HORSES MAY BE EXERCISED BY HAND WALKING, LUNGING OR RIDING. Turn
out is available.
• VETERINARIANS AND FARRIERS CAN WORK ON QUARANTINED HORSES SUBJECT TO PRIOR
NOTIFICATION AND APPROVAL. The signing of a release of liability form is also required.
• TIPPING OF GROOMS IS WELCOME. Nonetheless, all service requests and special instructions
must be made through our General Manager or Assistant Manager.
Eagle Tree Farm, Inc.
4452 Southshore Boulevard
Wellington, FL 33414
T 11(561)319-5463
(561) 310 3219 | 1 (305) 607 3220
F 1(561)753-4633
[email protected]
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