5.5. ERMUSR 07-15-2008 - Laserfiche WebLink

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/j Eik River Municipal Utilities 13069 Orono Parkway • P.O. Box 430 Phone: 763.441.2020 Elk River, MN 55330-0430 WATER SHUT-OFF Fax: 763.441.8099 REQUEST I, whose address is request that Elk River Municipal Utilities ("ERMU") shut-off the water service at , Elk River, Minnesota (the "Property") at the curb stop. I understand and agree: 1. I declare that I am the owner of the Property and have full and complete authority to request the shut-off of the water service to the Property. 2. I agree that ERMU, its agents or employees shall not be liable to me or those claiming through or under me for any injury or property damage occurring in, on or about the Property as the result of the shut-off of water service. I understand that the $600.00 payment is the fee for the water service shut-off during times when the ground is not frozen and is non-refundable. 4. I agree to indemnify and hold harmless ERMU from and against all costs, expenses and liabilities, including reasonable attorneys' fees, incurred in connection with any claims or proceedings brought in connection with the water service shut-off and defense thereof. 5. I understand that turning off the water simply limits the source of water to the Property, it does not prevent damage to the Property from water due to mold or frozen plumbing fixtures or internal piping. I understand and agree that the scope of work is limited to shutting off the water service at the curb stop and replacement of the curb stop, if necessary, including limited restoration of the Property. (seeding or sod) and sidewalk repair. Restoration does not include replacement of trees, shrubs, or driveways, which are my responsibility. 7. I acknowledge that shutting off the water service does not eliminate the possibility of damage to the Property either before or after shut-off of the water service. Date: Owner: Name Telephone Number: Fax Number: