Community Citizen Petition

COMMUNITY CITIZEN PETITION AND IMPLEMENTATION AGREEMENT

Petitioner Contact Information

Recitals

WHEREAS, the Petitioner named above seeks municipal or community action to address the matter described in this petition and to secure cooperative assistance for implementation; and

WHEREAS, the Petitioner requests that the Respondent entity acknowledge receipt of this petition and provide a written response setting forth proposed remedial steps, timeline, and any resource commitments; and

WHEREAS, the parties intend by this document to combine a citizen petition with a conditional implementation agreement that defines scope, responsibilities, funding commitments, confidentiality and dispute resolution consistent with applicable law.

Petition Summary

Scope of Work

The Scope of Work describes the actions proposed to satisfy the petition and the responsibilities of the parties if implementation is authorized. The Petitioner may provide volunteers, coordinate outreach, and contribute limited resources; the Respondent may provide permits, technical review, and municipal support as specified below.

Payment Terms (If Implementation Requires Funding)

If the implementation of the petition requires payment for materials or contracted services, the parties agree to the following payment terms:

Payments that are not made when due shall accrue interest at the rate set forth above or the maximum rate permitted by applicable law, whichever is lower. The party owing payment shall be responsible for all reasonable collection costs and legal fees incurred to collect delinquent amounts.

Term and Termination

This Agreement shall commence on and, unless earlier terminated in accordance with this Agreement, shall expire on .

Either party may terminate this Agreement for material breach by the other party if the breaching party fails to cure the breach within the notice period specified above. Termination does not relieve the breaching party of liability for breaches occurring prior to termination.

Confidentiality

Each party shall treat as confidential all non-public information disclosed by the other party in connection with this petition and any resulting implementation actions. Confidential information shall not include information that (i) is or becomes publicly known through no breach of this Agreement, (ii) is lawfully obtained from a third party without restriction, or (iii) is required to be disclosed by law or valid order of a court or governmental authority, provided the disclosing party gives prompt notice to the other party to permit objection or protection.

Governing Law and Dispute Resolution

This Agreement shall be governed by and construed in accordance with the laws of the state of without regard to choice of law principles. The parties shall attempt in good faith to resolve disputes through informal negotiation. If unresolved, disputes shall be resolved by litigation in the courts with jurisdiction where the Respondent's principal office is located, unless the parties agree otherwise in writing.

Entire Agreement

This document, including any attachments and any written implementation exhibits subsequently executed by both parties, constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior discussions, proposals and understandings. Any amendment must be in writing and signed by authorized representatives of both parties.

Certification and Notice to Signatories

By signing below, the Petitioner certifies that the statements in this petition are true to the best of the Petitioner's knowledge, that the Petitioner has authority to submit the petition on behalf of the named organization (if any), and that the Petitioner understands that knowingly submitting false information may subject the Petitioner to penalties under applicable law.

Citizen Signatory List (Attach Additional Pages as Needed)

Signatory 1

Signatory 2

Signatory 3

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