HomeMy WebLinkAboutRELEASE OF LIABILITY OF MAIN WATER LINE - 20-00795 - 1056 Cypress Loop - New SFRCITY OF REXBURG WATER DEPARTMENT
RELEASE OF LIABILITY FORM-Paving/Concreting over Meter Pits
I hereby acknowledge that I have requested that I be able to Pave/Concrete
over the Meter Pit on or adjacent to my property with full knowledge of the
dangers involved. In consideration for the City of Rexburg Water' Department
letting me Pave/Concrete over the meter pit for my convenience, If I am
installing a meter in a'building or paving/concreting over the meter pit, I will take
responsibility for the maintenance of the service line from the meter to the
Corporation stop or Valve off of the immediate main line and replacing any
pavement/concrete that has to be removed for future repairs. I hereby assume
all risks involved therein and release, discharge, indemnify, and agree to hold
harmless the City of Rexburg its employees, volunteers, and representatives
from any and all liability for any harm or losiE, including but not limited to death,
disability, personal injury, property damage,
Additionally, I agree that I will cause to be completed all work, meter pit exposed
and concrete ring installed as soon as practicable.
Additionally, I agree that the foregoing obligation shall be binding not only upon
me, the contractor, but also and including, the property owner, current or future.
Additionally, I agree that the foregoing obligation shall be binding not only upon
me, but also upon my heirs, eiecutors, administraftr$ assigns, legal
representatives, OW all merri $ of tom,
This agreement shall be construed broadly to provide a release and waiver to
the maximum extent permissible under applicable law.
I hereby certify that I have read this document and fully understand and agree to
its contents.
Address of assumption of water line responsibility.
Purpose: Request to pave/concrete over meter pit or assumption of water line
rsponsibdity:
Pfint