Fill - Free fillable Water Line Extension Form-1 Fillable

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Extension Form.docx

AGREEMENT

WATER SYSTEM EXTENSION

THIS AGREEMENT is made __________ day of __________, 20 , by and between (the applicant)

, with an address of ____________________________________

and the Town of Hudson, a municipal corporation of Hillsborough County, New Hampshire, with

offices at 12 School Street, Hudson, New Hampshire 03051 ( the “Town”).

RECITALS:

1.01 (The applicant) is the owner of certain real estate situated in Hudson, Hillsborough County, New

Hampshire, with an address of ____________________, and shown as Map ______, Lot _____

on the Town of Hudson Tax Maps (the “Premises”).

1.02 Presently, the Town’s water system extends along ____________________ Road to a point

approximately _____ feet from the common boundary line between the Premises and Lot _____

to the __________ of the Premises.

1.03 ____________________ desires to extend the Town’s water system to the Premises and then

further extend the Town’s water system through the Premises ____________________ as shown

on the Subdivision Plan for the purpose of providing water to Lot _____ as shown on the

Subdivision Plan.

Agreement to do Work

2.01 The parties agree that the recitals set forth above are true, accurate and complete.

2.02 (The applicant) shall cause the following work to be undertaken and completed the (project)

“Work”:

2.02.1 The installation of a _____ inch water main from the end of the existing town water main

located on _______________ Road to the Premises. Such _____ inch water main shall

be located on the Premises within the Proposed access Access and Utility Easement as

shown on the Subdivision Plan.

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Extension Form.docx

2.02.2 (The applicant) shall undertake all necessary work within _______________ Road and

on its Premises to install the water main, gate valves, service lines, with gates and fire

hydrants. This work shall include, but is not limited to, reclaiming pavement with

trenching and installation of the water main and service lines. This work shall also

include associated loaming and seeding on or adjacent to the premises. The scope of

work and limits of construction shall be approved prior to the commencement of

construction by the __________. All such work shall be undertaken in coordination with

the _________ and the Town of Hudson Town Engineer. All such work shall be

approved as to quality and workmanship by the Public Works Department

______________ and the Town of Hudson Town Engineer.

Preliminary or Related Matters

3.01 (The applicant) shall covey easements to the town of Hudson for the proposed _________ Access

and Utility Easement as shown on the Subdivision Plan in form and substance satisfactory to the

Town of Hudson, (see attached standard form).

Inspections

4.01 (The applicant) shall pay all applicable fees and inspection costs related to the Work.

Certain Fees/Bonding

5.01 (The applicant) shall pay any and all hook-up assessments or extension fees including capital

assessment fees to provide municipal water service to the Premises.

5.02 Prior to the commencement of Work, (the applicant), the Town (through its Board of Selectmen),

and __________ shall establish mutually acceptable amounts for the bonding of __________

Work.

5.03 Prior to the commencement of Work, (the applicant) shall provide the Town with a bond, letter of

credit or combination thereof to constitute the surety for the Work.

General

6.01 (The applicant) has appended hereto a certificate of authority confirming that it has authorized

certain duly authorized agents and/or employees of __________ to enter into this Agreement on

behalf of and bind hereto.

6.02 The Town represents to (the applicant) that its Board of Selectmen are duly authorized to approve

this Agreement on behalf of the Town and bind the Town hereto.

6.03 This Agreement is a complete and accurate statement of the agreement between the parties and

any and all prior agreements, representations, understandings, oral or written by and between the

parties with respect to the subject matter hereof, are hereby expressly superseded, and this

Agreement constitutes the entire agreement of the parties with respect to the subject matter

hereto.

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Extension Form.docx

6.04 This Agreement shall be governed by and construed in accordance with the law of the State of

New Hampshire without regard to its conflict of law rules or principles.

IN WITNESS WHEREOF, the Town and (the applicant) have caused this Agreement to be duly

executed by their respective representatives the date first set forth above.

By:

Witness

Its:

Duly Authorized Owner

Town of Hudson its Board of Selectman

________________________ By: _________ _______