Fill and Sign the Temporary Construction Easement City of Broken Arrow Form

1 TEMPORARY EASEMENT FOR CONSTRUCTION For and in consideration of receipt of which is hereby acknowledged, the undersigned owners of the following described property, situated in  County, Iowa, to-wit: _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ or hereby grant to the City of , County of , (hereinafter referred to as the "CITY"/"COUNTY"), a temporary easement to allow the City/County, its agents, contractors and employees a right of entry in, upon and onto the above described property for the purpose of hauling, transporting, and storage of materials and equipment during the construction of the following described public project: _______________________________________________________________________________________________________________________________________________________________________________________________________________1. It is further understood and agreed that the City/County will remove all of said materials and equipment from the above described premises within days after the above described project has been completed. It is understood and agreed that the consideration for this easement includes full compensation for damages if any to: . 2. It is further understood and agreed that the undersigned hereby releases the City/County from liability and relinquishes any claim for damages to the property hereinabove described arising out of the above described public project, except such damages as may be caused by the negligent acts or omissions of the City or its agents, contractors or employees.Signed and dated this day of , 20 . "I certify that the signatory parties hereto are all of these persons learned to be the owners of the property concerned by the undersigned during negotiations and that ownership has been verified from the files of the City/County Assessment Clerk." Printed Name SignatureDate Printed Name SignatureDate 2