Water Delivery Contract I, the undersigned, agree to the following:1) I am a Water Wagon Customer and being such subscribe to one of the following services (Please CHECK the box next to the appropriate service you’re requesting):* a. Auto Fill Customer who requests that Water Wagon keep track of my water usage and fill my tank when necessary. I understand that if I change my water usage pattern, it is my responsibility to notify Water Wagon so my deliveries can be adjusted; b. Regular Scheduled Customer who has instructed Water Wagon to come fill my tank on a schedule of a set number of days between deliveries. I understand that if I change my water usage pattern. It is my responsibility to notify Water Wagon of the appropriate change in number of days between deliveries. I understand that if I request a schedule that results in deliveries being less than the minimum delivery amount then the minimum delivery rate applies. c. Request Delivery Customer who may request Water Wagon to come fill my tank from time to time. d. Exact Amount Customer who contacts Water Wagon to come fill my tank and will provide Water Wagon with the exact amount of water to put in my tank. It is my responsibility to measure my tank and if the amount I’ve provided Water Wagon is incorrect all consequences from an over filled tank are my responsibility. 2) I understand that since the tank and fill and vent piping are part of my property I am responsible to make sure it functions properly. I agree to maintain the tank and piping in good working order. In the winter I will keep all lines thawed and clear of ice or frost. If the tank or its associated piping system overfills, bursts, or fails, I am solely responsible for any and all damages that are a result of such failures. 3) I also understand that since I control the use of the space in which the tank located that I am responsible for any water damage to the building structure and components and personal belongings that I have located in the vicinity of the tank. 4) Water Wagon delivers potable water and it’s vital that Water Wagon personnel make every effort to maintain the quality of the delivered water. As the property owner or tenant it is my responsibility to keep a clear and clean pathway to my water tank, fill pipe, and to any other access points that Water Wagon personnel are required to visit to deliver my water. If pathways are found to be unsafe and/or unclean Water Wagon will halt deliveries until such time the unsafe and/or unclean conditions are resolved. 5) During the winter, it is my responsibility to maintain my driveway(s). I will provide snow removal for a minimum of 10 feet wide road way, and clearly mark deep inclines or ditches located adjacent to the driveway. I will also clearly mark or flag any areas (gardens or lawns) where I don’t want the water truck driver to traverse with the water truck or drag a hose. In the spring, snow hard pack should be no thicker than 4 inches. In the summer, driveways that are topped with pit run or silt may cause soft road conditions which will cause Water Wagon to refuse to make deliveries. Low hanging branches of trees that are located adjacent to roadways can cause damage to water trucks making water deliveries. I agree to remove any low hanging limbs or bent over trees that are identified by Water Wagon for removal. If I request water delivery when the condition of my driveway is marginal, then I am responsible for any damage caused by a water wagon truck spinning tires, sinking into the driveway, or sliding off of driveway. Furthermore, I will reimburse Water Wagon for any costs related to having a truck removed from my driveway. 6) The address or addresses to which I am requesting Water Wagon to deliver water to is (are):Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Do you need to include an additional address? Yes No Phone*2nd Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Property Tenant/Owner Name:* First Last Date* Date Format: MM slash DD slash YYYY Your Signature*NumberEmailThis field is for validation purposes and should be left unchanged.
