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PID No. <br />Abandoned Well Sealing Cost Share Agreement <br />Contract No. <br />Well Depth <br />Well Diameter <br />THIS AGREEMENT is between Elk River Municipal Utilities, 13069 Orono Parkway NW, Elk River, <br />Minnesota, 55330, ("ERMU") on behalf of the ERMU Water Department ("DEPARTMENT")and <br />at the address: <br />(Name of GRANTEE) <br />The parties agree as follows: <br />1. SERVICES TO BE PROVIDED: <br />a. The GRANTEE warrants that s/he is the lawful and sole owner of the property at <br />("GRANTEE"). <br />and that the well to be sealed is located on the <br />property. (sde Address) <br />b. The GRANTEE shall allow on-site inspection of the well by ERMU or by the Minnesota <br />Department of Health staff ("MDH"). Inspection by ERMU does not constitute approval or a <br />guarantee as to workmanship. <br />c. The GRANTEE shall be solely responsible for contracting directly with a licensed well-sealing <br />contractor and for paying the contractor; or payment of the agreed amount by ERMU to the <br />contractor with the GRANTEE paying the remaining portion is allowed if that is the agreed <br />upon method. <br />2. The performance of services shall commence on or about <br />and be <br />completed on or before .The GRANTEE shall submit proof of filing of the well <br />sealing report and an invoice from the well sealing contractor by <br />3. ERMU shall reimburse the GRANTEE or pay the GRANTEE'S contractor after completion of the <br />work and after the GRANTEE's contractor files a sealed well report and a copy of the well record <br />with ERMU and the MDH upon completion of the well sealing. Payment shall be made within (30) <br />working days after the GRANTEE provides proof of the filing of the sealed well report to ERMU and <br />an invoice from the GRANTEE'S contractor documenting the costs of the well sealing. ERMU shall <br />pay the GRANTEE or the GRANTEE'S contractor the lesser of the following: a) fifty percent (50%) of <br />the actual cost of the well sealing; or b) the maximum grant amount listed herein. The cost to <br />