CUSTOMER CONTRACT
Receipt No.
_____________ Date Service Required _________________ Acct. No. ___________________
Tapping Fee
______________ Deposit _____________________ Service Charge_____________________
THIS AGREEMENT, entered into by and between NORTHEAST
KNOX UTILITY DISTRICT of Knox County, Tennessee a UTILITY established and
existing under the laws of the State of Tennessee, hereinafter referred to as
the “UTILITY”, and the applicant, hereinafter referred to as “CUSTOMER”.
It is the policy of the UTILITY to require that the
applicant seeking service be the responsible party residing at the service
address. Anyone seeking service who is
acting on the applicant’s behalf may be required by the UTILILTY to provide the
applicant’s written verification as well as applicant’s identification papers,
as required below.
Whenever an application is made for service and the
UTILITY has knowledge of a dispute as to the ownership of the right of
occupancy at the service address, and one or more of the claimants attempts to
prevent such service being furnished, the UTILITY reserves the right to adopt
either one of the following two courses:
(a)
Treat the applicant in actual possession of the
premises at the service address as being entitled to such service,
notwithstanding the rights of claims of other persons;
(b)
Withhold service pending a judicial or other
settlement of the rights of the various claimants.
FULL LEGAL NAME(S)
_____________________________________________________________________________________
STREET ADDRESS (FOR
SERVICE)___________________________________City______________State
_____Zip_________
BILLING ADDRESS ( if
different)_________________________________City___________________State______Zip_________
MARITAL STATUS: Single_____ Married______ Spouse Name______________ Date of
Birth_________________________
DRIVER LICENSE NO.
_______________________________SOCIAL SECURITY
NO.________________________________
PHONE NO. OF SERVICE ADDRESS____________________PHONE
NO OF BILLING ADDRESS_____________________
WHERE EMPLOYED &
ADDRESS____________________________________________________________________________
WORK/DAY PHONE
NO.___________________________________ E-MAIL
ADDRESS________________________________
EMERGENCY PHONE NO. OF RELATIVE NOT AT
SERVICE ADDRESS_________________________________________
RELATIVES
NAME/ADDRESS_______________________________________________________________________________
PREVIOUS
ADDRESS_______________________________________________________________________________________
APPLICANT IS ( ) OWNER
( ) RENTER ( )
OTHER ________________(explain)
SERVICE TYPE ( ) SINGLE FAMILY ( )
MULTI-FAMILY ( ) HOME BASED
BUSINESS ( ) OTHER ______________
Is there any medical reason that service cannot be
interrupted? _______Explain_______________________________________
(Written verification from a medical doctor is required before meter can
be labeled as non-cut-off.)
“NORTHEAST KNOX UTILITY DISTRICT IS AN
EQUAL OPPORTUNITY PROVIDER”
The
following information is requested by the Federal Government in order to
monitor our compliance with various civil rights laws. You are not required to furnish this
information, but are encouraged to do so.
The law requires that we may not discriminate based upon this
information, nor whether you choose to furnish it. However, if you choose not to furnish it,
under Federal regulations, we are required to note the race and sex on the
basis of visual observation or surname.
If you do not wish to furnish the above information, please check here: ____I do not wish to furnish
this information
Race: White___ Black or African American___ American Indian or Alaskan
Native___ Native Hawaiian or Pacific Islander
___ Hispanic or Latino ____ Asian ____ Ethnicity:
___Hispanic or Latino ____Not
Hispanic or Latino Sex: ___Male ___Female
I have read and understand the terms of this contract:________________________________________________________
Customer Signature Date
CUSTOMER CONTRACT Continued
RESIDENTIAL SERVICE
In consideration of payment by the CUSTOMER of certain
fees detailed in the SCHEDULE OF RATES AND CHARGES, the UTILITY agrees to
furnish service to the service address listed herein, and the CUSTOMER agrees
to purchase services from the UTILITY, subject to the terms and conditions
herein set forth.
1. The obligations of this contract shall be binding upon the executors,
administrators and estate of the original parties, provided that no
application, service agreement or service contract may be assigned or
transferred without the written consent of the UTILITY.
2. It is agreed that if CUSTOMER sells, subdivides or leases the property
herein described, CUSTOMER will notify the UTILITY in order that it may execute
a new contract with the successor CUSTOMER.
3. It is understood and agreed that every condition of this contract is of
the essence of the contract, and if breached, the UTILITY may cut off one or
all of its services to the service address and may not be reconnected except by
order of the UTILITY, after the payment of all rates and charges have been made
by the CUSTOMER.
4. Service provided by the UTILITY shall be supplied only to the applicant
at the address named in this contract.
CUSTOMER shall not connect any other dwelling or property to his
service.
5. The meter and related appurtenances serving the CUSTOMER’S service
address shall remain the property of the UTILITY.
6. The UTILITY or its agents reserve the right to make inspections of the
service installation within the CUSTOMER’S premises upon reasonable notice and
at reasonable time. The UTILITY assumes
no liability for the operation or maintenance of the CUSTOMER’S plumbing.
7. The CUSTOMER agrees to keep the property at the service address
accessible and free from impediments to UTILITY access, maintenance and meter
reading. Upon notification from the
UTILITY, the CUSTOMER
agrees to remove any impediments to UTILITY access. If such impediments are not removed within
such reasonable time as requested by the UTILITY, service will be
disconnected. Service shall be
reinstated after any impediments are removed and all bills, reconnection fees
and other such fees are paid by the CUSTOMER.
8. The UTILITY shall have the right to restrict, control or discontinue
service at any time during emergencies or repairs. The UTILITY shall not be liable for failure
to furnish service for any reason beyond its control or for any loss, injury or
damage to persons, plumbing or property resulting from such service curtailment
or discontinuance.
9. The UTILITY makes no guarantees, expressed or implied, as to service
quality, quantity, pressure, consistency or continuity.
10. The UTILITY shall, at its discretion, specify how and what uses may be
made of service provided to CUSTOMER. If
the CUSTOMER fails to comply with the uses so specified, service shall be
discontinued.
11. All pressure regulators, valves, service lines and other devices
located on the CUSTOMER’s side of the meter are the responsibility of the
CUSTOMER. No pump may be installed on
potable water lines without the written permission of the UTILITY.
12. The CUSTOMER agrees not to allow cross-connection between
UTILITY service and a private well or any other connection, either inside or
outside of any building, in such manner that a flow of water from such
connection may potentially be introduced into UTILITY service lines.
13. All requests for disconnection of service should be made either in
writing or in person if possible. The
UTILITY will accept telephone requests for discontinuance if caller can give
adequate identification. The UTILITY
will make every effort to respond within a reasonable time.
14. If the applicant fails to connect to the system when service is
available and a tap is made, the CUSTOMER will pay the minimum bill until such
time as the CUSTOMER installs his service or until such time as CUSTOMER
notifies the UTILITY that he no longer wishes service.
15. The CUSTOMER shall be responsible for installing and maintaining a
pressure regulator device.
16. If the UTILITY discontinues service for non-payment or any other
reason and the service is turned on without authority of the UTILITY, the
UTILITY shall charge a reconnection fee and penalty charge according to its
Rates and Fees Schedule.
17 .The CUSTOMER agrees that in the event any utility property is damaged,
destroyed or tampered with by the fault of the CUSTOMER, it shall be repaired
or replaced at the CUSTOMER’S expense.
18. The UTILITY shall have the right to estimate or prorate any bill when
conditions beyond the control of the UTILITY prevent the normal billing
procedure.
19. If the CUSTOMER after signing this CONTRACT does not take their service
for any reason, the CUSTOMER shall reimburse the UTILITY for any expenses
incurred.
20. The receipt by the UTILITY of the application for service of the
prospective CUSTOMER, regardless of whether or not accompanied by payment of
fees, shall not obligate the UTILITY to render such service. If the service cannot be supplied in
accordance with the UTILITY’S policies, rules, regulations and general practice
or those of any state or federal agency with oversight regarding service, the
liability of the UTILITY to the applicant for such service shall be limited to
the return of any fees paid to the UTILITY by such applicant.
21. CUSTOMER agrees that this document is only an APPLICATION for service
and shall not be effective as a CONTRACT until approved by an official of the UTILITY. If the service in the opinion of the UTILITY
cannot be supplied, the liability of the UTILITY to the CUSTOMER shall be
limited to the return of any fees, less any project development costs as
incurred by the UTILITY.
22. As condition of service, the property owner shall provide at no cost a
suitable place for the installation of the meter and related equipment and give
an easement to the UTILITY for said location.
23. Customer should have and will be responsible for a cut-off valve on his
service line.
24. If the UTILITY damages any underground facilities the CUSTOMER cannot
locate, the CUSTOMER will be responsible for all repairs.
By
my signature, I obligate myself to obey all rules and regulations of the
UTILITY and pay for all utility service at the service address in accordance
with the prevailing rate schedule set by the Governing Board. In the event of non-payment or unauthorized
partial payment, I agree that the UTILITY may terminate service and that all
unpaid bills are immediately payable by me, including all costs of collection
and attorneys fees. It is further
understood that the UTILITY has the right and shall continue to have the right
to make, amend and enforce any policies, regulations or by-laws that may be
necessary or proper regarding any UTILITY matter. The CUSTOMER agrees to abide by such
policies, regulations or by-laws.
It is Unlawful to obtain or
attempt to obtain by use of any fraudulent scheme, device, means or method,
electric, sanitary sewer, water, or gas service, with intent to avoid payment
of the lawful price, charge or toll therefore, or for any person to cause
another to avoid such payment for such service, or for any person to assist
another in avoiding payment for electric, sanitary sewer, water, or gas
service, either through the making of multiple applications for service at one
(1) address, or otherwise. TCA
65-35-102 (3)
Also any person violating
the provisions of TCA 65-35-102 is
liable civilly for damages resulting from such violation, including actual,
compensatory, incidental and punitive damages.
The damages shall be three (3) times the utility’s estimated loss of
revenue, plus reasonable attorney’s fees and costs associated with such
loss.
TCA 65-35-104 (a) (b)