Water Hydrant Rental Agreement Water Hydrant Rental Agreement**PLEASE SPEAK TO STAFF AT PUBLIC WORKS ABOUT YOUR ACCOUNT STATUS BEFORE FILLING THIS FORM OUT.** Before a hydrant can be rented, we require a $200.00 deposit to be paid for these scenarios: 1) for all new customers; 2) current customers with delinquent accounts, whose delinquent bills must also be paid in full; and 3) current customers who haven’t rented a hydrant for 3 or more years. This deposit amount will be applied to your bill amount once the hydrant is returned. If the deposit paid is more than the bill amount, a refund will be issued from the Finance Department.Water Hydrant Rental Rates:Daily rental rate: $7.10 per day – 2025 rate. Water consumption cost: $2.32 per cc ft – 2025 rate. Late fee: $50.00 per day. Additional fees may be applied. This field is hidden when viewing the formHave you spoken to staff at Public Works today before filling out this form? Yes No **PLEASE DO NOT FILL THIS FORM OUT BEFORE SPEAKING TO STAFF AT PUBLIC WORKS.** You can contact them at (509) 575-6154 during normal business hours. This field is hidden when viewing the formName of City of Yakima staff you spoke to before filling out this form today:Today's Date:(Required) MM slash DD slash YYYY Date Hydrant Rented Out (if not today's date) MM slash DD slash YYYY CURRENT EXISTING CUSTOMERIf you are a current customer in our system, please select your business/customer name from this list. If your info is not there, fill out the required fields below and your info will be added for next time. Also, if your contact info on your last billing was incorrect, fill out the fields below to provide the correct info. CUSTOMER NAME & ACCOUNT NUMBER(Required) New or Existing Customer not on this list – I will fill out the contact info fields below. ABC Fire Control Inc – 753209 Albas Excavating – 782666 American Rock Products – 781256 Apollo Inc – 791095 Ascent Excavation – 788663 Barefoot Communications Inc – 793167 Bore Construction Inc – 787010 Boyer Mountain pool & excavation inc – 789415 Budinger & Associates – 762161 CA Precision Drilling LLC – 789416 Catalyss Homes LLC – 750151 Central Washington Asphalt – 799637 C-More Pipe Services – 791093 Chervenell Construction Co – 750843 CM Excavating Services – 782026 Columbia Reach Pack – 792091 Crown Utilities LLC – 783658 Don Riddle Excavating – 750216 Elegant Landscaping – 750765 ESF Solutions LLC – 767657 Granite Construction – 751349 Hansen Drilling Co LLC – 751056 High Desert Utilities lie – 787351 Hurst Construction LLC – 788666 lnsituform Technologies LLC – 753380 lnterwest Construction Inc. – 792953 Iron Horse LLC – 788664 ltalstone Marble & Granite – 788630 John I Haas – 773133 Ken Leingang Excavating – 750695 Kitt Construction and Development – 799799 Kiva Underground – 788641 Landau Associates – 754124 LJC Excavating – 761376 LS Networks – 787986 Lunder Underground Services – 793168 M.C. Lundgren Inc – 751078 McNamara Pools LLC – 773347 MJ Hughes Construction – 787676 N.A. Degerstrom Inc – 788665 North Sky Communications – 793163 Northwest Asphalt – 774173 Pacific Tech Communications – 789965 Paragon Northwest lie – 751098 Paramount Communications – 755097 Potelco Inc – 788786 Powerhouse Flats Apts – 783028 Precision Paving – 750206 Riddco Inc – 791729 Russell Crane Service Inc – 751058 Stone Church – 732569 Superior Grading & Paving LLC – 747176 Swofford Excavating – 791492 The Perfect Clean – 792095 Total Site Services – 762979 Tri Valley Construction – 750202 TTC Construction – 750282 VFS Excavating – 738102 Westrock Longview, LLC – 799406 Westwood Company LLC – 792093 Yakima Landscape Mgmt – 788662 Yakima Pressure Cleaning – 750162 Yakima School District #7 – 750657 Please select your business name. By selecting this field and not filling out the info below for your account info you are saying that all of your contact info we have on file is current and accurate. If you need to update any of your info, please also fill out those fields below. Applicant Name:(Required) First Last Person who is on site to rent hydrant.Applicant Phone Number:(Required)Customer Drivers' License Number (Required)Customer Drivers' License PhotoMax. file size: 63 MB.Please take a photo of your ID and attach here. ** If the form doesn’t allow you to submit it with this photo, remove the photo.**NEW CUSTOMER INFOIf you are a new customer without an existing account number, or if you are an existing customer and your account name and number aren’t on the list above, fill out the fields below. Your account will be added to the list above for next time. NEW CUSTOMER – Organization/Company Name Business Name Name of business, if applicable and if it’s different than the customer name.Applicant Name: First Last Person who is on site to rent hydrant.Customer ID: Tax ID number, UBI number, or Drivers' License Number – REQUIREDEnter your tax ID number, UBI number, or government issued ID number such as a driver’s license. Customer Phone Number:If it’s different than the applicant phone number provided above.Email Address: Entering your email will send you a copy of this form and your bill once the hydrant is returned and your account is billed.Mailing Address: Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Street Address: Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code If different from mailing address. This field is hidden when viewing the formCustomer Account Number:Account number will be provided by City of Yakima staff if you don’t know it. Account numbers are 6 digits long and start with a 6 or 7. If you are not on site at a City of Yakima facility, call the Water Dept. at 509-575-6154 or Utility Services at 509-575-6080 for your account number. This field is hidden when viewing the formCustomer Account Number:Account number will be provided by City of Yakima staff if you don’t know it. If you are not on site at a City of Yakima facility, call the Water Dept. at 509-575-6154 or Utility Services at 509-575-6080 for your account number. DEPOSIT**PLEASE ONLY SELECT YES IF YOU HAVE OR ARE REQUIRED TO PAY A DEPOSIT AT PUBLIC WORKS **FOR THE HYDRANT YOU’RE RENTING TODAY** AND THEY GAVE YOU THE RECEIPT NUMBER FOR THAT PAYMENT.** DO NOT SELECT YES IF YOU HAVE PREVIOUSLY PAID A DEPOSIT FOR A PREVIOUS HYDRANT RENTAL.Deposit Paid:(Required) Yes No If you don’t know if you are required to pay a deposit today or if your account is delinquent, please contact City of Yakima water dept. at 509-575-6154 or Utility Services at 509-575-6080 for those inquiries. All new customers, any customers with delinquent amounts owing on their existing account, and customers who have an existing account but haven’t rented a hydrant in 3 or more years will be required to pay a $200.00 deposit. All delinquent amounts must also be paid before a new hydrant will be rented. This deposit amount will be applied to your bill amount once the hydrant is returned. Deposit Receipt #:Receipt number will be provided by Public Works Admin staff after payment is received each time you have to pay a deposit.Hydrant Use Location:(Required)List location/s hydrant will be used at.Reason for Rental:(Required) Car Wash Construction Dust Control Other RENTAL AGREEMENT(Required) I agree to the rental agreement terms below and confirm the information provided is correct.I. The hydrant meter assembly must be utilized to measure all water dispensed from fire hydrant. 2. The hydrant meter assembly and accessories must be returned in good serviceable condition. 3. Water meter assemblies shall not be rented for more than 30 consecutive days (day I is first day of rental). Water meter assemblies shall be returned to the Water/ Irrigation Division for a read and inspection at the end of the rental period. A late fee of $50.00 per day will be assessed for water meter assemblies kept longer than 30 days per Y MC 7.68.25 1. 4. Payment will be made by the applicant/company for all water dispensed and rental dates listed on Hydrant Meter Rental Agreement. 5. If the hydrant meter assembly is lost, broken, or altered by the applicant, the applicant shall be responsible for the necessary repairs or charges for replacement of the meter, meter fittings, accessories or sign. 6. If the hydrant meter is stolen or lost, please contact the Water/ Irrigation Division at 575-6154 by the next business day. 7. Only City Personnel are authorized to make any modifications, adjustments, or repairs to the hydrant meter assembly or hydrant. For any malfunctions return the assembly to the City of Yakima Water/Irrigation Division at 2301 Fruitvale Blvd, Yakima. 8. The Permitted Fire Hydrant Use sign must be clearly visible on the fire hydrant. 9. If left unattended, the meter will be removed by the Water/ Irrigation Division. If the meter is kept more than ten (I0) days after the Date of Return listed above, the Water/ Irrigation Division may remove the meter (including the sign) and charge the applicant the cost of removal, including labor and time spent costs in addition to the late fee and any other costs associated with this Agreement. I0. Prior to using a City fire hydrant, please inform the Fire Department 248-2 103 of the location and day(s) for use. 11. Upon return of the Hydrant Meter Assembly a meter read will be recorded and the assembly assessed for damage. A billing statement will be sent by the Finance Division to the mailing address listed above. If you have any questions or require assistance please contact the City of Yakima Water/ Irrigation Division at 575-6154. 12. If the meter is not returned within fifteen (15) days of the end of this rental agreement, the City may enter the property on which the meter is located and repossess the meter with no notice, or enter the property on which the applicant is located and repossess the meter. In the event the meter is not located as indicated in this agreement, the City may charge the applicant with theft.Signature(Required)FOR OFFICIAL CITY OF YAKIMA USE ONLYAll fields below are for City Of Yakima staff use only. HYDRANT #: ______________________________HYDRANT DUE DATE: ______________________________CHECK OUT DATE: ______________________________CHECK IN DATE: ______________________________METER READ AT CHECK OUT: ______________________________METER READ AT CHECK IN: ______________________________CHECKED OUT WITH WRENCH: YES / NOCHECKED OUT WITH SIGN: YES / NORENTED SIGN #: ______________________________CHECKED IN WITH WRENCH: YES / NOCHECKED IN WITH SIGN: YES / NOADDITIONAL CHARGES OR NOTES:_____________________________________________________________________________** If the form doesn't allow you to submit it due to the file size of the drivers license photo, remove the photo and submit again.**