VEHICLE USE AGREEMENT

As consideration for Memphis City Schools, (“MCS”), authorizing the undersigned to operate MCS motor vehicles and as a condition to continued employment with MCS, I hereby certify that the following statements are true and accurate and agree to the following terms: I now hold and will maintain a valid driver’s license with the appropriate endorsement. If my driver’s license is suspended or revoked for any reason, I agree to immediately notify my supervisor. I have not been convicted of any felony offense relating to the operation of a motor vehicle. I agree to use MCS motor vehicles solely for business purposes. I agree to transport only MCS employees in MCS motor vehicles. I will not use MCS motor vehicles for other purposes, such as driving to and/or from my personal residence, unless I have secured the express written permission of my supervisor and other appropriate MCS officials. I agree to operate MCS motor vehicles safely and consistent with local, state and federal law. If I am cited for a traffic violation in my capacity as a MCS employee, I agree to immediately notify my supervisor of the alleged infraction and court date. I agree to abstain from the use of alcohol or other substances that might impair my ability to operate a MCS motor vehicle. I will not transport alcohol, controlled substances or explosives in MCS motor vehicles. I agree to refuel MCS motor vehicles according to MCS procedures and ensure that MCS motor vehicles are properly maintained at all times. I agree to secure and lock MCS motor vehicles in order to protect the vehicle and its contents from theft. I agree to wear my seatbelt when operating MCS motor vehicles and will ensure that passengers in MCS motor vehicles also wear seatbelts. I understand that MCS places an insurance card in every MCS motor vehicle and requires this information to be in MCS motor vehicles at all times. If I am involved in an accident, I will use the telephone number on the insurance card to contact MCS Security. The contact phone number for MCS Security is 416-5773. I understand that MCS Security will contact the Office of Risk Management and the Office of Risk Management will send a representative to the scene of the accident. I agree to remain at the scene of the accident until instructed to leave by MCS Risk Management or MCS Security, unless emergency medical personnel advise me otherwise. If I do not have a radio or MCS cell phone, I will request the Memphis Police Department to contact MCS Security. I understand that T.C.A. 29-20-101 grants MCS immunity from certain claims arising out of my employment. I agree to operate all MCS motor vehicles in my capacity as a MCS employee within the control and direction of MCS as to the result to be accomplished and as to the means and details by which the result is accomplished. I acknowledge that MCS reserves the right to obtain independent legal counsel in suits arising out of my employment if there is a conflict between MCS and myself. I AUTHORIZE MCS TO PERFORM PERIODIC MOTOR VEHICLE OR CRIMINAL BACKGROUND CHECKS ON ME. _______(employee initials) I have read the Vehicle Use Agreement and understand that any violation of said Agreement may prevent me from using MCS motor vehicles and/or cause other disciplinary action, including suspension or termination of employment. ________________________________ _________________________ Employee Name / Driver’s License # / State of License (Please Print) Job Title / Location ________________________________ _________________________ Employee Signature Date ________________________________ _________________________ Print Name of Supervisor/Principal Initial verification of valid driver’s license ________________________________ _________________________ Supervisor/Principal Signature -- Location Date ________________________________ _________________________ Executive Leadership Date Type of vehicle and license this form applies to (please check appropriate box):  Passenger vehicle (1-6 passengers) – Class “D” driver license Passenger vans (7-10 passengers) – Class “D” driver license with “F” endorsement  Passenger vans/buses (Over 10 passengers) – Class “C” commercial driver license with both the “P” and “S” endorsements (vehicle must be state approved) General Disclaimer: This form must be completed for the use of any MCS vehicle or rental vehicle related to MCS activities. If a personal vehicle is used for a school-related activity, the requirements and liabilities will be the same as parent or employee transporting a student.