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Program Goals:
Support companies that sell and install S.R. Smith products Help installers manage risk Ensure our diving boards and slides are properly installed Encourage the safe use of our diving boards and slides
Program Highlights:
Available to quali�ed Swimming Pool Builders, Installers and Service Companies that have a current, valid contractor’s license. Installers must meet either residential or public pool installation standards (see details on back) $1,000,000 product liability insurance coverage upon completing the Certi�cation Form on the back of this �ier (form must be fully completed and signed)
PEACE OF MINDpriceless
srsmith.com 800.824.4387 [email protected]
A FREE $1,000,000 Product Liability Insurance Program
For more than 80 years, S.R. Smith has been making products that enhance a pool’s value, safety and fun. It is the hallmark of what we do and what we take pride in.
We are committed to supporting the businesses that sell and install our products, and who help ensure their safe enjoyment. This is precisely why we created the S.R. Smith PEACE OF MIND program.
Both the installer and the homeowner / pool operator must follow certi�cation procedures detailed on the back, completely �ll out and sign the form and then e-mail, fax or mail to S.R. Smith
toll free 800.824.4387fax 503.266.4334P.O Box 400, Canby, OR 97013
3/2014
Model Date Installed
Product information: Diving Board Water Slide
installer information home owner / pool operator informationCompany Name
Installer Name
Phone
Customer Name
Street Address
City/State/Zip
Phone
Installer Signature Today’s Date
Home Owner / Pool Operator Signature Today’s Date
Please e-mail, fax or mail completed form
AVAILABLE TO QUALIFIED LICENSED INSTALLERS ONLY, WITH CURRENT, VALID CONTRACTOR’S LICENSE.
Street Address
Fax
License #
City/State/Zip
The Installer certifies:
The pool on which this product has been installed meets the ANSI/APSP/ICC-5 Standard For Residential Swimming Pools or the ANSI/APSP-1 Standard For Public Swimming Pools, as well as, all applicable local codes. The diving board and stand combination, or slide was installed in accordance with S.R. Smith’s written Assembly and Installation Instructions. The enclosed S.R. Smith safety, warning and warranty information was presented to and reviewed with the homeowner / pool operator: The Safe Diving Video (boards only) “How to Dive” brochure (boards only) Product safety and warning labels Product owner’s manual
The Home Owner / Pool Operator certifies:
I have read and fully understand the terms and conditions o S.R. Smith’s Limited Warranty for this product. I have read and fully understand the following enclosed S.R. Smith safety, warning, and warranty information: The Safe Diving Video (boards only) “How to Dive” brochure (boards only) Product safety and warning labels Product owner’s manual I will communicate this information to all users of this product.
Serial Number
email: [email protected]
M-E-POM-11RETAIN A COPY OF THIS FORM FOR YOUR RECORDS
ALL SECTIONS MUST BE COMPLETELY FILLED OUT
peace of mind product liability insurance program
CERTIFICATION & REGISTRATION FORM
