CUDenver Parking Agreement

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Monthly Parker Agreement

Permit Options*

Lawrence Street Center reserved permit parking: $155/month Lawrence Street Center daytime only parking: $139/month Tandem parking (with two participants): $106/month per person Motorcycle Parking: $47/month BUS / CU full-time open parking - $138/month BUS / CU part-time open parking (up to 12 days per month) - $90/month BUS / CU part-time open parking (up to 8 days per month) - $60/month

Are you a CU Employee?*

Yes No

Which garage will be your primary parking location?*

Which garage are you requesting?*

Name*

First Name

Last Name

Employee ID#*

Name of Tandem Parker*

First Name

Last Name

Email*

Home Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Personal Phone*

Business Phone*

Employee Badge # (see example below)*

the last 6 digits on the back of your badge,

Badge Expiration Date*

CIDEX Number *

####NAMEMMDD - Last 4 of Social Security number / First 4 letters of your last name (if shorter than 4 letters fill in with the underscore character “_” / 2 digits for birthday month and 2 digits for birthday day)

I hereby authorize Parking and Transportation Services to deduct the following amount per month (this is subject to annual increases) from my paycheck on the last day of the month. I understand that this deduction will continue each month as long as the entry card and/or permit is in my possession. The entry card and/or permit must be returned to the Parking Office before my payroll deductions will stop.

Payroll Deduction Option*

Pre-Tax Post-Tax

Start Deduction:*

Deduction Amount*

____________________________________________________________________________________________________________________________________________________________________

Vehicle Information (Must include License Plate Numbers)

License Plate Number*

State*

Make*

Model *

Year*

Color*

Do you have another vehicle to add?*

Yes No

Vehicle Information (Must include License Plate Numbers)

State*

License Plate Number*

Make*

Model *

Year*

Color*

Do you have another vehicle to add?*

Yes No

Vehicle Information (Must include License Plate Numbers)

State*

License Plate Number*

Make*

Model *

Year*

Color*

____________________________________________________________________________________________________________________________________________________________________

For Staff/Faculty Use - Must Select One

Hours Per Week*

Full Time Part Time (less than 50%)

Payment Schedule*

Monthly Bi-Weekly

Additional Notes:

Terms and Conditions:

I hereby certify that this information is true and agree to the terms and conditions herein and the rules and procedures that follow.

Signature*

[clear]

Use your mouse or finger to draw your signature above

Date:

Parking Agreement

This agreement is made between the “Customer” listed above and The University of Colorado Denver Campus and Standard Parking. As part of this agreement, the customer who parks with the University and Standard Parking agrees to all conditions of the agreement.

The Customer agrees to pay for their parking access and the amount of monthly parking. Payment is due on the first of the month. If payment is not received their parking access or hang tag may be deactivated or unauthorized and the parking Customer(s) will have to pay the normal daily rate and/or parking citation amount upon exiting. Any Parking Access hang tag that is lost, stolen, or returned damaged will be subject to a $10 non-refundable replacement/lost fee.

I Agree

Only authorized parkers will be allowed to park. Cars parked in handicapped stalls must display a valid handicapped permit. The entry card or permit is issued exclusively for the Customer’s use. Unauthorized use of an entry card or permit may result in revocation of parking privileges. If a vehicle is left unattended for more than two days the Customer must notify the Parking Office. Vehicles without prior notice may be ticketed or removed at the owner’s expense. The Customer agrees to provide the University/Standard Parking with any changes for their account on a timely basis. All vehicle(s) information such as license plate, vehicle make, model, etc. must be kept current.

I Agree

Employees must pay for parking via pay roll deduction. This deduction will continue until the parking office has been contacted to stop or cancel parking.

I Agree

This agreement may be canceled with a written notice and the return of the access card and/or hang tag. The notice may be faxed, mailed or hand delivered to our office. It is the Customer’s responsibility to ensure that the University/SP+ is in receipt of the cancellation. The Customer (and its employees) acknowledge and agree that the University and SP+ shall not be responsible or liable for the loss of or damage to vehicles or articles of personal property left in vehicles parked in the parking facility. Each vehicle is parked at the parker’s risk. There will be an administrative fee charged for all returned checks. In the event the Customer is in default, the Customer agrees to pay all costs of collections and attorney fees with interest. The signature on this agreement acknowledges that the Customer (and its employees) have read, understand, and agree to all of the above terms and conditions. There are no outside conditions, verbal agreements, or understandings.

I Agree

I have read all of the above and have received a copy of the “Most Commonly Asked Questions” form:

Faculty/Staff FAQ

I Agree