Ceylon Form

Before Federated Rural Electric can begin any underground construction (communication cable, fiber or pole installation, removal, repair or relocation), we require the property owner to accurately locate and clearly mark all private facilities and equipment in the proposed construction path. Some of that infrastructure may include but not limited to are: sprinkler systems, natural gas/propane lines, sewer, or water lines, drain tiles, underground electrical wiring, lawn lighting or underground pet fencing, etc. Also, any power lines beyond your meter must be identified.

Federated Rural Electric agrees to;
1. Contact Gopher One Call before any underground construction begins. This will locate the facilities of utilities but not the private lines mentioned above.
2. Cut, plow and install telecommunications cable down a line across the property described below and using a reasonable area of land adjoining the actual line of construction to drive, move and operate the construction equipment necessary to complete this installation.
3. Use reasonable care when entering and leaving the property and while on the property and to perform its work in compliance with normally accepted telecommunications industry construction practices and safety standards.
4. Restore the soil, or other surface, covering over the installed cable or telecommunications line within a reasonable time and in a skillful fashion.
Homeowner/Property Owner agrees to;
1. Allow Federated access to the property, and exercise prudent and reasonable care by identifying and/or removing any potential hazards located on the property.
2. Give Federated the right to install buried telecommunications and other telecommunications related facilities across, though, under or upon the property and, if necessary, grant Federated an easement, prepared at Company expense, across the property.
3. You recognize that all telecommunications facilities located on this property are the property of Federated.
4. You agree to locate, mark and clearly identify all private facilities prior to the start of underground construction activities. You understand that failure to locate and mark all facilities could result in damage to those facilities.
5. You understand that, in the event of damage to facilities that you did not clearly locate and mark, Federated Rural Electric is not responsible and you agree to hold Federated Rural Electric harmless for any damage to any such facilities.
By completing this form, you are agreeing to move forward with installing Federated Broadband.

NOTE - Please fill in all entry fields before submitting this form. If the question does not apply to you write “NA” in that field. Thank you.
Home Owner / Property Owner*

First NameLast Name
Home phone*
Please enter a valid phone number.
Cell Phone*
Please enter a valid phone number.
Email*
example@example.com - Required for status updates
Service Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Signature*

Clear
Date*

MonthDayYear
I am not the owner of this property. My current landlord/owner can be reached at:
Landlord name*
Mailing address*
Phone Number*
Please enter a valid phone number.
Email*
Current buried underground services: (Check all that apply)*

Septic SystemDrain FieldDrain TilesPower LinesNatural Gas/Propane LinesSprinkler SystemInvisible fencing (for pets)Well/WaterlinesUnderground Electrical (Private)Underground CableTV/Phone (Private)Wood Furnace LinesOther
List any other underground services here or general comments for when we reach your property:*
If the property owner changes their mind about placement of services on their property after the execution of this document, it is the sole responsibility of the property owner to notify Federated Broadband in writing of the withdrawal of their permission prior to construction beginning.
Federated Broadband fiber services I am interested in: *
Managed WIFI included and required with fiber connection. This saves you the hassle of buying a router & allows us to do trouble-shooting with you over the phone, saving you a service call fee.
Other
* Underground construction cannot begin until this form is signed and returned to us. Federated REA will have all public utilities located at your location.

If you would like a paper version mailed to you, contact us at info@federatedbroadband.coop or call our office at 507-847-1001 or Toll-Free at 833-847-8001.

For more information on our fiber buildouts, visit our website at www.federatedbroadband.coop or e-mail us at info@federatedbroadband.coop

507-847-1001

77100 US HWY 71 S, PO Box 69

Jackson MN 56143

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