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RWEI-23-94 3720 STATE ST W CASH 5 Gv CHECK REFUNDS: CASH CHECK icEC ORDtD N HALL C UN TY NE B�� e 1NST 224 00036 20211 JAN -3 u 1:35 w cr) KR;ST! 'iVOLD REGISTER OF DEEDS Please return to: Catrina DeLosh Public Works Department PO Box 1968 Grand Island, NE 68802 This Space Reserved for Register of Deed Right-of-Way/Easement Utility Permit 00 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 LUMEN, 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 utility easement: To access the City's public right-of-way and utility easement for relocation of Qwest Corporation dba CenturyLink QC fiber and new installation of sewer pipe per the attached exhibit "A", dated 2023/12/18 and consisting of four (4) pages. 2. DESCRIPTION OF PERMITEE'S UTILITY LOCATION. The Permittee owns the infrastructure within the Permitor's public utility easement to which this Right-of-Way/Easement Utility Permit shall apply: PUBLIC RIGHT-OF-WAY AND UTILITY EASEMENT NORTH OF STATE STREET, EAST OF EBONY LANE. 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. All facilities thereto, after having been erected, shall at all times be subject to inspection and the right is reserved to require