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CONSENT TO RESTORE SERVICE

CONSENT AND WAIVER AGREEMENT

I acknowledge that, as a condition of water service being established or restored, I shall indemnify and hold harmless the Deptford Township Municipal Utilities Authority, its officers, agents and employees, from any and all claims, damages, losses, liabilities, or personal injury and/or expenses direct, indirect or consequential, arising out of or alleged to have arisen out of or in consequence of the establishment or restoration of water service, including damage from plumbing fixtures left in the “On” position, leaks, below grade fixtures, or improper or incomplete plumbing. This includes all ongoing construction or repairs of internal/external plumbing fixtures which may have been removed.

RESIDENTIAL ACCOUNTS

I understand that the Deptford Township Municipal Utilities representatives will not be responsible for fixtures or piping which discharges water through the home/residence after establishing or restoring service. Any water damage caused by the establishment or restoration of water service is not the responsibility of the Deptford Township MunicipalUtilities Authority.

COMMERCIAL, MULTI-UNIT, MULTI-OWNER ACCOUNTS

I understand that the Deptford Township Municipal Utilities Authority will establish or restore service pursuant to my request, and the usage, as shown on the water meter, will not be monitored at the time of restoration of service, even if the account property is unoccupied. It is the property owner(s) or tenant(s) responsibility to ensure that no damage occurs as a result of the established or restored service. This Consent and Waiver Agreement is binding on myself, my heirs, assigns, tenant and personal representatives.

I certify that I have read and agree to all of the above.