Instrument Rental Order Form

I accept the agreement below, continue to the Instrument Rental Order Form.

This agreement made on date of the submitted Instrument Rental Order Form between The Travelers Companies, Inc., its subsidiaries and affiliates (hereinafter "Travelers") and Company listed on the submitted Instrument Rental Order Form (hereinafter "Borrower"). WHEREAS, Travelers is in the business of providing laboratory analysis services and will loan certain instruments for the express purpose of acquiring samples to be analyzed by Travelers; and WHEREAS, Borrower wishes to use certain instruments in the interest of acquiring samples to identify worker chemical exposures in an economical manner; NOW, THEREFORE, in consideration of the mutual promises contained in this Agreement, it is agreed as follows:

This Agreement constitutes the entire agreement between the parties relating to the matters contained herein and supersedes all previous communications, representations or agreements, either oral or written, with respect to the subject matter hereof.

I accept the agreement above, continue to the Instrument Rental Order Form.

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