Water Meter Installation Ballot

Water Meter Installation Ballot and Service Agreement

WHEREAS

WHEREAS, Municipal Authority Name: (the "Authority") administers public water services within its jurisdiction and has proposed a program to install metered water connections; and

WHEREAS, Property Owner: , for the property located at Address: , is eligible to vote to authorize installation and related service obligations; and

WHEREAS, Contractor Name: has been selected or proposed to perform installation services under the terms set forth herein.

BALLOT — VOTING OPTIONS

The undersigned Property Owner hereby records the vote and selection choices below. Only one vote per property address will be accepted. Mark the selected boxes clearly.

Yes — I approve the installation of a water meter at the property identified above.
No — I do not approve the installation at this time.

Standard cold-water meter (typically 5/8" or 3/4")
Large service meter (select for commercial or larger domestic service)
Remote/automatic read capability (AMR/AMI)
Include backflow prevention device where required

By voting Yes, I grant the Authority and its contractor reasonable access to the property to perform the installation during normal business hours and after prior notice where practicable. Preferred access instructions or restrictions:

SCOPE OF WORK

Contractor shall supply all labor, materials, equipment and permits necessary to install the selected water meter(s), associated appurtenances, and make connections to the Authority's distribution system. The standard scope shall include excavation, meter setting, necessary piping modifications, backflow prevention if selected, site restoration to a condition substantially similar to pre-installation state, and providing documentation of installation.

PAYMENT TERMS

Installation cost per meter (if applicable): $. Unless otherwise provided by the Authority, payment is due according to the selected payment option.

One-time lump sum payment due within days of invoice.
Installment plan: initial deposit $, remaining balance payable in monthly installments of $.

Late payment fee: per month on overdue balances or the maximum lawful rate permitted. All amounts are payable to: .

TERM AND TERMINATION

This Agreement shall commence on Start Date: and remain in effect until Completion Date: , unless earlier terminated as provided herein.

Either party may terminate for material breach upon written notice and a cure period of Notice Period (days): . Authority may terminate for convenience upon reasonable notice and compensation for work performed to date.

CONFIDENTIALITY

Each party shall maintain in confidence all non-public technical, business, and financial information disclosed in connection with the installation and shall not disclose such information to third parties except to its employees, contractors, or agents who have a need to know and who are bound by confidentiality obligations at least as restrictive as those set forth herein. Confidential information shall not include information that is or becomes publicly available through no breach by the receiving party, was known prior to disclosure, or is required to be disclosed by law, provided the disclosing party is given prompt notice to seek protective measures.

GOVERNING LAW

This Agreement shall be governed by and construed in accordance with the laws of the State of without regard to conflict of law principles.

ENTIRE AGREEMENT

This document, together with any attachments or schedules expressly incorporated herein, constitutes the entire agreement between the parties with respect to the subject matter and supersedes all prior and contemporaneous agreements, understandings, negotiations and discussions, whether oral or written. Any amendment must be in writing and signed by authorized representatives of both parties.

CERTIFICATION AND AUTHORIZATION

By signing below, the undersigned certifies under penalty of perjury that they are the owner or authorized agent for the property identified above and that the information provided on this ballot is true and correct. If voting Yes, the undersigned authorizes the Authority and its contractor to proceed with installations in accordance with the selections and terms above and agrees to the payment obligations selected herein.

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