Pool Fill Contract
Border City Fire District | Serven Company | BCFD.Serven@gmail.com | 352 US-20 Waterloo, NY 13165 | 315-789-3541
Name
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First Name
Last Name
Email
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example@example.com
Address. (Must be within BCFD district)
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mobile Phone Number
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**We will contact you when we are on our way**
Format: (000) 000-0000.
How many loads will you need delivered?
MAX 2 LOADS. Each load carries 3000 gallons.
Appointment Request- Subject to change
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Any additional info needed?
Special directions, parking instructions, key code, pool description, etc.
Border City Fire District | Serven Company Pool Fill Service Agreement – Summer 2026. This agreement is made between the Border City Fire District | Serven Company ("Service Provider") and the undersigned property owner or responsible party ("Recipient") for the provision of water delivery services for the purpose of filling a residential swimming pool. 1. Service Description: The Service Provider agrees to deliver water to the Recipient’s designated location for the purpose of filling a pool within the Border City Fire District. This service is offered as a community courtesy. 2. Donation Fee & Terms: A minimum donation of $80.00 per load (whether a full load is used or not) is required. Full payment is due at the time of arrival by either cash or check only. Additional donations to support our volunteer fire department are welcome. Please make checks payable to "Serven Volunteer Fire Department". 3. Scheduling: Pool fill appointments will be scheduled based on availability. The Service Provider will make reasonable efforts to accommodate the requested date and time. As a volunteer emergency response organization, we cannot predict when we may be called to duty. Therefore, appointments may be delayed or rescheduled at the last minute without notice. We appreciate your flexibility and understanding as our first priority is emergency service to the community. Priority will be given to emergency fire department needs. 4. Liability: The Service Provider is not liable for any damage to property, landscaping, pool structure, or related equipment during or as a result of the water delivery. The Recipient is responsible for ensuring that the delivery location is safe, accessible, and properly prepared for water delivery. 5. Acknowledgment: By signing below, the Recipient acknowledges and agrees to the terms of this agreement, including the limitations of liability and the donation-based nature of the service.
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Donation of $80 per load—whether the full load or only part of it is used—is kindly requested in cash or check upon arrival. Our firefighters will begin filling your pool once the donation has been received. Please make checks payable to "Serven Volunteer Fire Department". Thank you for your understanding!
Agree
Signature
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