Dfuser- Pure Auto Group

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Dfuser- Pure Auto Group

DFUSER- PURE AUTO GROUP ACKNOWLEDGEMENT OF COMPETITION USE AND RELEASE, ASSUMPTION OF RISK & INDEMNITY

1. I have asked DFUSER to sell me a DPF (diesel particulate filter) delete kit for my vehicle or vehicle on which I am repairing or modifying. 2. I am aware that the DPF Delete Kits is for use in vehicles to be used solely for competition and is not for use on vehicles that will be used for any other purpose than competition. 3. By signing below, I represent and warrant that I am purchasing the DPF Delete Kit for the sole purpose of installing it on a vehicle that will be used solely in competition (and not on any public roadway), and that such vehicle is in a condition that makes its use other than in competition unsafe, impractical, or highly unlikely. 4. I have indicated to DFUSER/Pure Auto Group that I am aware that if I use my vehicle for any purpose other than competition that the DPF Delete Kit may cause my vehicle to fail emissions standards and testing and that I may be subject to penalties and fines. I also understand and am aware that installation of the DPF Delete Kit may void vehicle & engine warranties. The undersigned assumes all responsibility for the forgoing. 5. I understand that I must destroy upon installation of the DPF Delete Kit, or I acknowledge that I have already destroyed, the original emission label of the vehicle on which the DPF Delete Kit is installed.

Therefore, in consideration of DFUSER’s/Pure Auto Group’s agreement to sell the DPF Delete Kit, I, on behalf of myself, and my successors, assigns, & affiliates (collectively the ”Releasing Parties”), hereby release and forever waive and discharge DFUSER/Pure Auto Group and its affiliates, successors, assigns, directors, officers, agents, representatives, employees and equipment manufacturers and distributors (Collectively the “released parties”), both jointly and severally, from any and all actions, covenants, claims and demands for damages or injuries (to the vehicle or any person or other property) , and claims for penalties, fines, or other actions taken by any government authority, however arising, which may have been or may have been sustained by, or in any way relating or arising out of, the DPF Delete Kit (including, without limitation, any claims related to failure to meet emission standards, failure of the vehicle to be used solely for competition, and voided warranties).

In witness hereof, I executed this Representation of Competitive Use Only and Release, Assumption of Risk and Indemnity having fully read and understood it and willingly agreeing to acknowledge all of its terms.

This release form also applies to Diesel Oxidation Catalyst (DOC), Exhaust Gas Recirculation (EGR) delete, block- off, or EGR cooler removing kits and any emission related parts.

Name: ______

Address: ______

Signature: ______

Date: ______/ ______/______

DFUSER/PureAutoGroup, 108 Evergreen Road, Georgetown, TX 78633-9500 Phone: 512-750-7102, Fax: 512-650-3663

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