12020 Shamrock Plaza, Suite 200 · Omaha, NE 68154 · (531) 230-3880 · [email protected]
Trip Contract & Service Agreement
Contract / Confirmation No.
Date of Agreement
1. Customer Information
Full Name
Company / Organization (if applicable)
Phone Number
Email Address
Billing Address
2. Trip Details
Service Type
Vehicle
Pickup Date
Pickup Time
Pickup Location / Address
Drop-Off Location / Address
Number of Passengers
Flight Number (if airport)
Special Instructions / Notes
3. Pricing & Payment
Base Fare
Gratuity / Additional Fees
Balance Due
Deposit Amount Paid
Payment Method
Payment Date
4. Terms & Conditions
Cancellation Policy: Cancellations must be made at least 24 hours prior to the scheduled pickup time to avoid a cancellation fee. Cancellations with less than 24 hours notice may be charged the full fare.
No-Show Policy: If the passenger fails to appear at the designated pickup location within 15 minutes of the scheduled pickup time without prior notice, the reservation will be considered a no-show and charged the full fare.
Wait Time: A complimentary 60-minute wait is provided for airport pickups after actual flight arrival. All other pickups receive a complimentary 15-minute wait. Additional wait time is billed at the applicable hourly rate.
Passenger Conduct: Passengers are responsible for their conduct and the conduct of their guests. Any damage to the vehicle caused by passengers is the financial responsibility of the booking party. Smoking is strictly prohibited in all vehicles.
Limitation of Liability: Blackline Executive Livery Sedan Service, LLC is not liable for delays caused by traffic, weather, or circumstances beyond our control. We are not responsible for items left in our vehicles, though every reasonable effort will be made to return lost property.
Refunds: Eligible refunds will be processed within 5–7 business days to the original payment method.
5. Acknowledgment & Signature
By signing below, the Customer acknowledges that they have read, understood, and agree to the Terms & Conditions set forth in this Trip Contract and Service Agreement with Blackline Executive Livery Sedan Service, LLC.
Customer Signature
Signature
Printed Name
Date
Authorized Representative — Blackline Executive Livery
Signature
Printed Name
Craig C Nehlsen
Date
Blackline Executive Livery Sedan Service, LLC · EIN: 42-2617955 · 12020 Shamrock Plaza, Suite 200, Omaha, NE 68154 · (531) 230-3880
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