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CASH 2825 ,OG CHECK = RWEI-23-43 3501 LOCUST ST S REFUNDS: CASH Ivy CHECK cs*_�_ HALL r~' ,j NE e C) j C°- INST 7C13 0LIQb4 113 AUGJ 3 49 Please return to: Catrina DeLosh Public Works Department PO Box 1968 Grand Island, NE 68802 f:I i)i6 WOW REGISTER OF DEEDS This Space Reserved for Register of Deed Right-of-Way/Easement Utility Permit This Right-of-Way/Easement Utility Permit is granted by the CITY OF GRAND ISLAND, NEBRASKA, a municipal Corporation, herein referred to as the "Permitor" and QWEST CORPORATION d/b/a CENTURYLINK QC, 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 installation/improvement which will infringe upon a public right of way: To access the City's public right-of-way to hand dig, trench, bore, replace ped at multiple parcels, soft surface disturbance and no hard surface disturbance to serve 3501 S Locust St, Project No. N.88289, per the attached Exhibit "A", dated 2023/6/27 and consisting of thirty-five (35) pages. 2. DESCRIPTION OF PERMITEE'S UTILITY LOCATION. The Permittee owns the infrastructure within the Permitor's public right of way to which this Right-of-Way/Easement Utiliy Permit shall apply: LOT 1, BLOCK 1 OF WAL-MART SOUTH SUBDIVISION TO THE CITY OF GRAND ISALND, 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 installation/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 installation/improvement. If the Permitor, in its sole discretion, determines that any part or all of the installation/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 installation/improvement. Permittee indemnifies and holds the City harmless from and against all claims arising out of the use or occupancy allowed under this permit.