Release of Liability Please complete this form to secure your delivery slot (Regardless of Payment method) Release Of Liability Date(Required) MM slash DD slash YYYY Name(Required) First Last Email(Required) Delivery Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone(Required)Delivery Date(Required) Gate Code (If Required) Will you be on location during delivery?(Required) Yes No Will irrigation/septic tank be flagged off?(Required) Yes No N/A Is there a construction entrance?(Required) Yes No N/A Release Of Liability Acceptance(Required) By Submitting this form, I hereby release Roedell's Landscaping and/or Rock Springs Trucking from any and all responsibility of damage to sidewalks, driveways, ornamental objects, etc. when the driver is delivering materials. I also understand that deliveries of material can be heavy and involves the risk of damage to my property and expressly accept the risk of any and all such damages. It's the customer/homeowner's responsibility to make sure that the area is clear of any obstacles before we deliver any material. Consent(Required) I have read and agree to the below.***Stone is a product of nature so the color of the stone may vary according to the area it is quarried / mined from. Size of stone may vary plus or minus from what is stated on the invoice and price list with each new shipment. Bulk stone sizes are based on a range and may run bigger or smaller than the size stated.***CAPTCHAPhoneThis field is for validation purposes and should be left unchanged. Δ THANK YOU!
