I/We, ___________________________________________________________________ the property owner(s) of _________________________________________, Clarkson Valley, Missouri hereby authorize the City of Clarkson Valley and approved plumbing contractors to enter onto my property in order to repair my sanitary sewer lateral. As part of this work, I realize that there will be noise, dirt, dust, mud and inconvenience. In the process a large hole will be excavated and earth mounded in my yard. My property could become damaged by the use of large machinery and stockpiling of materials.
I agree to hold the City and the approved contractor harmless from minor damages that could result from this work. In turn, I expect the contractor to provide the City with a Certificate of Insurance and Performance Bond to guarantee the completion of the necessary work.
I understand that the City's sanitary Sewer Lateral Repair Program does not cover the following items that will be the property owner's responsibility:
Signed ___________________________________ ____________________________________ Date ____________________________________
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