HILLSBOROUGH COUNTY PUBLIC UTILITIES DEPARTMENT CONTRACT FOR TANK TRUCK WATER SERVICE
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1 HILLSBOROUGH COUNTY PUBLIC UTILITIES DEPARTMENT CONTRACT FOR TANK TRUCK WATER SERVICE Account Number: Business Name Date Appl ied: (as reg istered by FL Division of Corporations): Billing Address: Daytime Telephone: Truck IDN IN Number: Type of Business: Responsible Party/Title: Applicant hereby applies for a tank truck water meter and agrees to pay all fees and charges in accordance with the rates, rules, codes, ordinances, resolutions, policies, and procedures legally in effect and on file with Hillsborough County, Florida. Applicant understands that applicant will be responsible for the purchase of the appropriate backflow prevention device to be installed on th e tan k truck prior to delivering the tank truck to the Utility Field Maintenance Services in accordance with County requirements attached hereto and incorporated herein by reference. South/Centra l Lin e Maintenance: Billie Rivera (813) , Ext: #43051 Northwest Lin e Maintenance: Sean Yuhas (813 ) , Ext: #42863 Applicant will ensure the meter assembly is properly installed and remains on the designated truck at all times to assure that safe methods are being taken to prevent contamination of the water supply by tank truck chemicals. Applicant agrees to adhere to the County's requirements attached hereto and incorporated herein by reference for inspection of the meter assembly and will use only hydrants designated pursuant to the County's procedures attached hereto and incorporated herein by reference. Applicant understands that: (1) Bills/statements for water service will be calculated in accordance with the County's established rate schedule. (2) Must take a picture of the Tanker Meter lid (Showing the imprinted meter number on it), lift the lid and take, a clear picture of the reading (Dials on the meter) each month. This information must be submitted 3 to 5 business days prior to the last business day of each month. the pictures along with your account number/name of your company to; WRS-Billing@hillsboroughcounty.org. Please note; (Failure to submit these readings, will result in an estimated billing for consumption and a $30 service charge). (3) Bills for service are due and payable when rendered, and 4) Billing for service will commence on the date the Utility issues the water meter field activity. Applicant agrees to indemnify, defend and hold harmless the County, its agents and employees from and against any and all liabilities, claims, damages, losses and expenses including attorney's fees which arise out of or are in any way connected with the use by applicant, its employees or agents, of the County's designated fire hydrants from which to draw water except when caused by the sole negligence of the county, its agents or employees. Applicant acknowledges that pursuant to section Florida statutes, the applicant cannot park a vehicle, whether occupied or not, within 15 feet of a fire hydrant. Applicant further acknowledges that pursuant to section Florida statutes it is a felony of the third degree for the applicant to interfere in any manner with the use of a fire hydrant in the extinguishment of a fire. Applicant understands that at the sole determination of the County, should county at any time determine that the County's requirements and safe practices are not being met by applicant, applicant will immediately be denied use of designated hydrants. (Authorized Signature) (Printed Name and Title) (Federal Identification and/or Social Security Number) (Date)
2 METER SWIVEL COUPLING (SPUD) BALL VALVE/ METER SWIVEL COUPLING (SPUD) ~METER BALL VALVE REDUCED PRESSURE r BACKFLOW PREVENTER ----====A---SSEMBLY BALL VALVE >
3 Truck Filling Hydrant Locations J 3005 SUNLAKE BLVD DALE MABRY HWY COMMODITY PL 7502 GUNN HWY N FLORIDA AVE 5201 EAGLE TRAIL DR 6038 PINE ST 1530 W BRANDON BLVD EL GRECO DR ESTATES DEL SOL DR 5931 FROND WAY 750 1ST ST SW 779 CYPRESS VILLAGE BLVD 802 BLUEWATER DR Truck Filling Hydrants HC Potable Service Area County Boundary
4 EL GRECO CT VAN GOGH CIR EL GRECO DR Truck Fill Hydrants AMAYA CT JOHN MOORE RD EL GRECO DR I SANDSPUR RANCH RD CRAFT RD W BLOOMINGDALE AVE E BLOOMINGDALE AVE BLOOMINGDALE VILLAS CT FALLING WATER DR GRAYCLIFF LN BROOK CROSSING DR
5 PEACH AVE PINE ST Truck Fill Hydrants INTERSTATE 4 W INTERSTATE 4 E PINE ST I E US HIGHWAY 92 W US HIGHWAY
6 Truck Fill Hydrants S US HIGHWAY FOXMOOR PEAK DR ESTATES DEL SOL DR I ESTATES DEL SOL DR HEALEY SU MMIT LN PAJARO DR RODEO LN PANTHER TRACE BLVD B ANFIELD DR BRAMFIELD DR NAVIGATION DR PANTHER TRACE BLVD 12515
7 Truck Fill Hydrants 6205 FLORIDA CIR S GOLF AND SEA BLVD FLORA TER FRANCIS DR FAUNA LN 308 FLAMINGO DR FROND WAY LOO 202 FORTUNE PL KO U T DR 201 REX HALL LN MILLER MAC RD FROND WAY I SILVER FALLS DR N US HIGHWAY FALLS BLVD
8 HUXLEY PL GENET CT 202 EL RANCHO DR RICKENBACKER DR EL TURCO CT Truck Fill Hydrants SOLA LN WINTERSONG LN BLUEWATER D R MEADOWVISTA LN SUN KEY CT 802 BLUEWATER DR I E DEL WEBB BLVD SUN CITY CENTER BLVD AMESBURY CIR STONEHAM DR N BROCKFIELD DR SEDGEWICK CT S US HIGHWAY 301
9 Truck Fill Hydrants GOLFVI EW W MOLLIE LN OODS DR GAVIOTA DR MONTERO CT LA PALOMA DR CYPRESS VILLAGE BLVD UPPER CREEK DR 779 CYPRESS VILLAGE BLVD I SUN CITY CENTER BLVD 33RD ST SE
10 Truck Fill Hydrants N DALE MABRY HWY JAMAIS WOOD WAY LAUREL DALE DR 3605 LANDINGS WAY DR LAND OAKS DR CYPRESS MEADOWS RD DALE MABRY HWY I NORTH LAKEVIEW DR ROUND OAK DR MEADOW GROVE ST CARROLLWOOD PLACE CIR TALLY CT ROSEVILLE CT PLEASANT LAKE DR
11 Truck Fill Hydrants WESTON DR BASSBROOK LN HALBROOK DR RACE TRACK RD COMMODITY PL I COMMODITY PL LYNMAR BLVD CYPRESS RESERVE DR
12 Truck Fill Hydrants EAGLE TRAIL DR I EAGLE TRAIL DR FLORIDA MINING BLVD SUNSTATE ST
13 LAKEWOOD DR DEBRA DR ROWELL ST W BRANDON BLVD 111 I QUAILS NES T DR DERBY DOWNS PL MELODIE DR ROBIN LN LAKE MEADOW CIR N LAKE MEADOW C Truck Fill Hydrants IR S WEDGEFIELD PL WICKLOW CT MICHIGAN CT N HILLTOP RD BUCWOOD CT SHADY LANE DR FOXWOOD DR LIMONA RD W BRANDON BLVD S LAKEWOOD DR MORRISON RD BROOKSIDE DR VIRGINIA CT S HILLTOP RD BRENTSHIRE DR
14 2ND ST SW DIC KMAN DR SW 6TH AVE SW W COLLEGE AVE CAMPUS DR Truck Fill Hydrants 3RD A VE SW 4TH AVE SW 6TH AVE SE 3RD AVE SE 5TH AVE SE ST ST SE 4TH AVE SE 2ND ST SE E COLLEGE AVE ST ST SW I ST ST SW S US HIGHWAY WOODLAND ESTATES AVE TH AVE SW 1ST ST SW ND ST SE 12TH AVE SE
15 Truck Fill Hydrants ALMARK ST 7719 BERKFORD AVE 7705 SPIVEY RD BAYBERRY AVE UPPER TAMPA BAY TRL EHRLICH RD ALMARK ST ALTALOMA ST ALLOWAY ST ALEMA ST WALSH LN ALLOWAY ST 7510 BASSWOOD AVE POMELO PL TAMARIND AVE LEMON VALLEY PL 7502 GUNN HWY I CITRUS CRE ST CIR WOODBROOK DR ORANGE DALE PL CITRUS POINTE DR HENSON CIR GUNN HWY
16 Truck Fill Hydrants EVERGREEN OAKS DR MAJESTIC VIEW DR MAJESTIC VIEW DR SUNLAKE BLVD ALICE CIR SUNLAKE BLVD I AMELIA CIR ALAMAR ST GOLDIE LN ACACIA ST W LUTZ LAKE FERN RD APIAN WAY
17 N FLORIDA AVE Truck Fill Hydrants SINCLAIR HILLS RD W BEARSS AVE E BEARSS AVE N FLORIDA AVE I CONNIE AVE PINECREST RD FISHER RD N OLA AVE SIOBHAN AVE LAURIE LN MILLSTREAM WAY APRIL LN
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