Utility Service Agreement Form (Page 2 of 2) in pdf

The undersigned, hereinafter referred to as CUSTOMER, applies to MORGAN CITY CORPORATION,

hereinafter called CITY, for utility services. Utility service shall mean the providing of water, sewer, power or

garbage or any combination thereof. In consideration of the acceptance of this application by the City and the

rendering of such service, the Customer agrees and grants as follows:

Customer agrees to pay for such services in accordance with the rules and regulations and at the applicable

rates for such service now in effect or as the same shall lawfully be amended or changed from time to time.

Customer agrees to pay current utility bill by the end of each month. It is understood that if the utility

bill becomes delinquent you will receive a delinquent notice with your following month’s bill. If not paid by

shut-off date utilities will be turned off and a reconnection fee will be assessed. Utilities will not be

turned back on until the utility bill plus the reconnection fee are paid in full.

Customer agrees to notify the City in writing, in person, or by phone, one week in advance of termination of

service.

A security deposit shall be paid by all renters. There is a separate deposit charged for water and electricity.

This deposit is fully refundable if the renter moves and his/her bill is paid in full. The deposit may be applied to

the final billing only after any amount over the total deposit is paid in full. The utility deposit will be refunded

to the address given on the front of this agreement unless a forwarding address is given to the City office.

Customer agrees to permit City, its agents or employees, to enter the above described premises at all

reasonable times for the purposes necessary and incident to rendering of such service.

Customer warrants that he/she has the authority to sign this agreement and to grant permission to enter

premises to the City.

Customer agrees that he/she will make certain meter and equipment is readily accessible to the City and that

there are no barriers or animals which would prevent reasonable access to them.

Customer agrees to pay any damage to the meters or equipment excepting normal wears.

Customer agrees to pay 1½ % per month (18% APR) interest on any amounts not paid by the end of the

month.

10. Customer understands that there will be a charge for a check paying for utilities or a deposit that is returned

from the financial institute for insufficient funds, closed accounts or any other reason stated by the financial

institute.

11. Customer agrees to pay interest at the rate of (1½ %) per month, (18)% annually, on all balances over (90) days

from the original due date, plus court costs and reasonable attorneys’ fees and collections fees, with or without

suit, incurred in collecting any past due balance.

12. To secure payment for service rendered, the Customer grants the City the right to claim a lien on all real

property which receives service and is either owned by the Customer or possessed by Customer as purchaser

under a Real Estate Contract when the bill for such service is 90 days delinquent.

13. Customer understands the City shall not be responsible for damages to electrical devices, appliances or other

personal property except when such damage is caused as a result of negligence or operator error on the part

of the City Power or Water/Sewer Department employees.

14. Any notices which are to be given to the Customer shall be mailed to Customer at the address listed on the

reverse side of this agreement.

15. Customer understands that it is illegal and charges may be filed if any tampering takes place with the water or

electrical meters at the property address listed on the front of this form.

I certify that the information given by me in the application is true and correct and that falsification of any

information will be grounds for discontinuance of utility services.

CUSTOMER STATES THAT HE/SHE HAS READ ALL OF THE ABOVE PROVISIONS AND AGREES TO THE

SAME.

Applicant

Signature

Date:

_____________________________________________________________________

_________________

(Owner, tenant or authorized agent)

Co- Applicant

Signature

Date:

_____________________________________________________________________

_________________

MORGAN CITY STAFF INITIAL:

_________________

(Update 2013))

Utility Service Agreement Form Page 2

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