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1/31/22,9:21 AM Please return to: Catrina DeLosh Public Works Department PO Box 1968 Grand Island, NE 68802 RWIP-22-1 2131 LAFAYETTE AVE N This apace Reserved for Register o} Deed Right -of -Way Infrastructure Permit This Right -of -Way Infrastructure Permit is granted by the CITY OF GRAND ISLAND, NEBRASKA, a municipal Corporation, herein referred to as the "Permitor" and Cellco Partnership dba Verizon Wireless & , Owner, hereinafter referred to as the "Permittee". 1. STATEMENT OF PURPOSE. The purpose of this Permit is to set forth the terms and conditions, under which the Permittee may construct, maintain, repair, and utilize the following described improvement which will infringe upon a public right of way: To access the City's public right-of-way for installation of Verizon Wireless poles and fiber conduit cable to serve 2131 North Lafayette Avenue, per the attached Exhibit "A" dated 2022/1/20 and consisting of thirteen (13) pages. 2. DESCRIPTION OF PERMITEE'S INFRASTRUCTURE LOCATION. The Permittee owns the infrastructure within the Permitor's public right of way to which this Right -of -Way Infrastructure Permit shall apply: ALL OF LOT TWO (2) AND ALL OF LOT FOUR (4), EXCEPT THE SOUTHERLY THIRTY THREE (33) FEET OF LOT FOUR (4), ALL IN BLOCK ONE (1) IN SCARFF'S ADDITION TO WEST LAWN, IN THE CITY OF GRAND ISLAND, HALL COUNTY, NEBRASKA 3. PERMITEE'S DUTIES AND RISKS. It is understood and agreed that the Permittee may construct, maintain, repair and utilize the above described improvement at the Permittee's sole risk. The Permittee hereby waives any claim for damages against the Permitor, its officers, employee, agents and independent contractors for any damage or injury that may result to said improvement. If the Permitor, in its sole discretion, determines that any part or all of the improvement must be removed or is damaged by the Permitor, its employees, agents or independent contractors working for the Permitor during the course of their employment or duties with the Permitor, the Permittee agrees to assume and pay all costs relating to the replacement or repair of the improvement. Permittee indemnifies and holds the City harmless from and against all claims arising out of the use or occupancy allowed under this permit. Licensee Is responsible for their contractor obtaining a Right -of -Way permit from the City of Grand Island Public Works Department, as well as submitting an approved traffic control plan prior to commencement of any work. Locate flags shall be removed after the "excavator" has determined the work is complete. Licensee shall coordinate any and all work with the City of Grand Island, their consultant, and contractor to eliminate any interference with know/marked City utllltles. Any Interference with City utilities shall be addressed Immediately and at the expense of the Licensee 4. PROTECTION OF EXISTING UTILITIES. The Permittee is responsible for locating and coordinating original construction and future maintenance work on the described improvement. No excavation work will be permitted in the area of underground utility facilities until all such facilities have been located and identified to the satisfaction of all parties. The excavation must be done with care in order to avoid any possibility of damage to the utility facility. The Permittee shall be responsible for any and all damages, Must maintain a minimum of three (3) foot separation from any underground electric lines when paralleling such. 5. RESTORATION OF PROPERTY. If the construction or maintenance of the improvement identified in Paragraph 1 above requires the excavation of earth, removal of hard surfacing, grass, vegetation, landscaping, or any other disruption of the surface of the public right-of-way or neighboring property, the Permittee shall restore the surface of the area to the same condition as it existed immediately prior to the Permittee's work in the area. 1/2