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City of #1< <br />RAMSEY <br />Contractor Information <br />Company Name: <br />Address: <br />Email: <br />Phone: <br />Jobsite Contact <br />Name: <br />Project Title: <br />Mobile Phone: <br />14199 Jasper St NW • Ramsey, MN 55303 <br />Public Works Facility 763.433.9839 <br />www.cityoframsey.com <br />Hydrant Meter Rental Agreement (5/8" Meter) <br />Meter Information <br />Meter ID #: Meter Size: <br />Beginning Reading: Ending Reading: <br />Gallons Used: Hydrant Wrench ❑ <br />Terms and Conditions <br />By signing below, I, the undersigned contractor, agree to abide by the terms of the Hydrant Meter Rental Agreement <br />and acknowledge receipt of a copy of this agreement. <br />A deposit of $800.00 is required at the time of rental. The deposit will be cashed and held by the City of Ramsey <br />until the meter is returned. If the meter or hydrant is damaged, the cost of repairs or replacement will be deducted <br />from the deposit. If the meter is lost or stolen, the deposit will not be refunded. <br />I further agree to hold harmless the City of Ramsey from any injury or damage to myself, my staff, my personal <br />property, customers' property, and/or equipment that may occur as a result of the use of the rented equipment <br />listed above. <br />Authorization <br />Signature: <br />Printed Name: <br />Date: <br />Itis our mission to work together to responsibly grow our community, and to provide quality, cost-effecdve and eldentgovernment <br />services. <br />