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UTILITY SERVICE APPLICATIONAND AGREEMENTService Address: Service Start Date:Mailing Address (If Different):Applicant Name:Applicant Social Security Number:Applicant Date of Birth:Applicant Driver's License Number: State:Co-Applicant Name:Co-Applicant Social Security Number:Co-Applicant Date of Birth:Co-Applicant Driver's License Number: State:EMAIL ADDRESSI agree to opt in to electronic email notificationsHome Phone: Cell Phone:I agree to opt in to automated phone callsI agree to opt in to automated text messagesPrevious service in the City of Sanger If yes, Address:CONFIDENTIALITY REQUEST – Please check mark one selection below:I hereby request confidentiality of my personal information by the City of Sanger’s utilitybilling departmentI hereby withdraw my request for confidentialityI have received a copy of the late fees and collection policy from the City of Sanger. I have read andunderstand the conditions stated.I have received a copy of the indemnity waiver from the City of Sanger. I have read and understandthe conditions stated.In order to comply with the Federal Trade Commission’s Identity Theft Prevention Program, applicants willneed to appear in person at City Hall and provide a valid form of government issued photo identification.By signing this Utility Application Agreement, I agree that I am responsible for utilities at aboveaddress until I request the disconnection.Signature of ApplicantSignature of Co-ApplicantDateAccount #FOR OFFICE USE
AUTOMATIC BANK DRAFT AUTHORIZATION**PLEASE ATTACH A VOIDED CHECK TO THIS FORM** Complete the Automatic Bank Draft Authorization Form below and attached a voided checkThe first automatic bank draft may take up to 60 days from receipt of this authorizationYou will continue to receive a monthly statement showing your current utility chargesFor questions regarding this service, please call 940.458.7930CUSTOMER INFORMATIONCustomer Name (as it appears on your account)Account Number (##-####-##)Service AddressEmail AddressPhone NumberFINANCIAL INFORMATIONName of Financial InstitutionType of AccountCheckingRouting NumberBank Account NumberSavingsI authorize the City of Sanger and the Financial Institution designated in the authorization form to withdraw funds on arecurring basis from my checking or savings account for payment of my utility bill. I understand that both the FinancialInstitution and the City of Sanger reserve the right to terminate this service and my participation in it at any time. I may electat any time to discontinue automatic bank draft service by notifying the City of Sanger at least 30 days prior to the effectivebill date.In the event my bank refuses the monthly draft due to insufficient funds, I understand I will be removed from the AutomaticBank Draft program and will not be allowed to pay my utility account by either bank draft or personal check for a period of 12months. I understand that I am responsible for payment of any insufficient fees assessed to my utility account for bank draftsthat are returned as insufficient by my Financial Institution.SignatureThis form may be submitted:IN PERSONCity of Sanger Utility Billing Office502 Elm StreetSanger TX 76266DateBY MAILCity of Sanger Utility Billing OfficePO Box 1729Sanger TX 76266
SERVICE AGREEMENTI. PURPOSE. The CITY OF SANGER is responsible for protecting the drinking water supply fromcontamination or pollution which could result from improper plumbing practices. The purpose of this serviceagreement is to notify each customer of the plumbing restrictions which are in place to provide this protection.The utility enforces these regulations to ensure the public health and welfare. Each customer must sign thisagreement before the CITY OF SANGER will begin service. In addition, when service to an existingconnection has been suspended or terminated, the water system will not re-establish service unless a copyof this agreement has been signed.II. PLUMBING RESTRICTIONS. The following unacceptable plumbing is prohibited by State Regulations.A. No direct connection between the public drinking water supply and a potential source of contaminationis permitted. Potential source of contamination shall be isolated from the public water system by anair-gap or an appropriate backflow prevention device.B. No cross-connection between the public drinking water supply and a private water system ispermitted. These potential threats to the public drinking water supply shall be eliminated at theservice connection by the installation of an air-gap or a reduced pressure-zone backflow preventiondevice.C. No connection which allows water to be returned to public drinking water supply is permitted.D. No pipe or pipe fitting which contains more that 8.0% lead may be used for the installation or repairof plumbing at any connection which provides water for human use.E. No solder of flux which contains more than 0.2% lead can be used for the installation or repair ofplumbing at any connection which provides water for human use.III. SERVICE AGREEMENT. The following are the terms of the service agreement between the CITY OFSANGER (water system) and NAME OF CUSTOMER (the customer).A. The WATER SYSTEM will maintain a copy of this agreement as long as the customer and/or thepremises are connected to the WATERSYSTEM.B. The customer shall allow his property to be inspected for possible cross-connection and otheracceptable plumbing practices. These inspections shall be conducted by the Water System or itsdesignated agent prior to initiating new water service; when there is reason to believe that crossconnection of other unacceptable plumbing practice exists; or after any major changes to the privateplumbing facilities. The inspections shall be conducted during the Water System’s normal businesshours.C. The Water System shall notify the Customer in writing of any cross-connection or other unacceptableplumbing practice which has been identified during the initial inspection.D. The Customer shall immediately correct any unacceptable plumbing practice on his premises.E. The Customer shall, at his expense, properly install, test, and maintain any backflow preventiondevice required by the Water System. Copies of all testing and maintenance records are to beprovided to the Water System.IV. ENFORCEMENT. If the customer fails to comply with the terms of the Service Agreement, the WaterSystem, may either terminate service, or properly install, test, and maintain an appropriate backflowprevention device at the service connection. Any expenses associated with the enforcement of thisagreement shall be billed to the Customer.CUSTOMER’S SIGNATURE:PRINT NAME:DATE:ADDRESS:
502 Elm Street, Sanger, TX ICE HOURS: 7:30 a.m. to 5:00 p.m. Monday - Thursday7:30 a.m. to 11:00 a.m. FridayEMERGENCY CITY OF SANGER ELECTRICAfter Hours Number - 940-391-9694EMERGENCY CITY OF SANGER WATERAfter Hours Number - 940-453-9973BILL PAYMENT OPTIONS:IN PERSON:City Hall502 Elm StreetDrive-Thru during office hoursBY MAIL:City of Sanger, TexasP.O. Box 1729Sanger, TX 76266BY PHONE:1-866-275-5232NIGHT DROP:Located at the back of City Hall[No Cash Please]ONLINE AT:www.sangertexas.orgBANK DRAFT:Request form and attach a voided checkOTHER HELPFUL CONTACTS:Atmos Gas Company:1-800-460-3030Coserv Electric:1-800-274-4014Bolivar Water Supply Corp:940-458-3931Chamber of Commerce:940-458-7702
GENERAL INFORMATIONNew Customers are required to complete an application, place deposits, and pay services fees to set up newservices including water, wastewater, garbage and electric.Current customers moving from one location to another must pay current balance at old address, service fees,and any applicable deposits for new address before service can be active at the new address.One form of government issued photo identification will be required at the time of new or transferred service.Residential Service Deposits: A 100 deposit for water connection is required. A 200 deposit for electric serviceis required but may be waived when the customer provides a Letter of Credit for the past 12 consecutive monthswith Sanger, or another electric utility service with no late payments, penalties, or disconnects. The Letter ofCredit can be emailed to utilitybilling@sangertexas.org, or faxed to 940-458-4180.Commercial Service Deposits: A 100 deposit for water is required with a smaller than 2” water meter. Watermeters 2” or greater require a 200 deposit for water. A 200 deposit for single phase electric service, 500 forthree phase electric service. Occupancy permit required prior to any utility connection.Service Fees: A service fee of 30 for each utility (water/electric) will be charged for all connections. A service fee of 35.00 will be applied to all returned checks. If service is disconnected due to non-payment a service fee of 30.00 per utility will be added to theaccount. Service fees apply even if services are not disconnected before bill is paid. Additional charges are assessed for after-hours connections due to being disconnected for non-paymentof 50.00 per utility.Notice of Moving required: Anyone moving out of a facility where electric, water, wastewater, or solid wasteservice is provided must notify the City of Sanger utility customer service by filling out a disconnect request toensure proper billing.NOTICE TO ALL COMMERCIAL CUSTOMERS - EFFECTIVE NOVEMBER 2012Requests for water, electric, and/or gas services must apply for, and obtain approval for a “Certificate ofOccupancy” through the City Building Inspection Department located at:201 Bolivar StreetSanger, Texas940-458-2059The Certificate of Occupancy must be obtained prior to utility connection.
LATE FEE AND COLLECTION POLICY1. The City of Sanger is not responsible if utility bills are not received by mail. It is the applicant's responsibilityto submit payments in time. This responsibility cannot be passed off to the schedule of the post office or otherdelivery units.2. All utility payments must be received at City Hall by the close of business on the 15th day following the billdate. When this date falls on a City of Sanger non-work day, payments are due by close of business the followingbusiness day.3. Any account not paid by the 15th day following the bill date is considered past due and a 10% penalty will beapplied.4. Upon request one late penalty per calendar year may be waived.5. Utility bills not paid by close of business on the 27th day following the bill date will result in disconnection ofservice and a service fee of 30.00 for electric and 30.00 for water to be applied to the account. After close ofbusiness on the 27th day following the bill date, service fees apply even if services are not disconnected beforebill is paid. If the 27th day following the bill date falls on a City of Sanger non-work day, payments are due onthe following business day. After hours fees are 50.00 for electric and 50.00 for water in addition to all balancesdue. After hours fees apply beginning one hour prior to close of business, or on Saturday, Sunday, holidays,etc.6. Sec. 4.102 Tampering Fee - In the event the user or customer or his agent restores water services orelectric services after service has been disconnected by the city, or the user or customer or his agent tamperswith the water meter or the electric meter or service line appurtenances in any manner, based on the bestestimated time that tampering occurred, an average kwh usage fee will be charged. All vehicle, man-hours andequipment replacement costs will also be charged. A tampering fee of two hundred dollars ( 200.00) per utilityshall be collected in addition to the service fees.7. The City of Sanger utilizes a collection agency to collect on unpaid balances after services are finalized.INDEMNITY WAIVERI hereby indemnify and hold harmless the City of Sanger, its agents and employees from and against all claims,damages, losses, and expense, including, but not limited to, attorney’s fees arising out of or resulting from anynegligent performance of water connections services on the property referenced herein.Be aware that this waiver is so that the meter reader can turn the service on without anyone being present. It isin your best interest to ensure that all faucets, both inside and out, have been shut off completely. Otherwise,the meter reader will have to disconnect the service due to water running and a delay in connection will beunavoidable. If the meter reader has to return for another service call there will be an additional fee.
CITY OF SANGER UTILITY RATESResidential ElectricResidential WaterFacility ChargeEnergy ChargeKWHERCOT Fee 10.00/month 0.1175 perUsage 0-1,000/gal 24.32/month 4.00/monthUsage 1,001-4,999/gal 24.32/plus 4.32 perthousand gallons 16.00/month 0.12 per KWH 4.00/monthUsage 5,000-14,999 24.32/plus 4.75per thousand gallonsUsage 15,000-29,999 24.32/plus 5.93 perthousand gallonsCommercial ElectricFacility ChargeEnergy ChargeERCOT FeeSecurity Light Rates150W H.P.S. 15.00/month400W H.P.S.Directional flood light 35.00/monthUsage 30,000 gallons 24.32/plus 8.59 perthousand gallons1,000 W Metal Halide 70.00/monthDirectional flood lightResidential WastewaterCommercial WaterUsage 0-1,000 29.75/monthUsage 1001-9,999 29.75/plus 4.22 perthousand gallonsUsage 10,000 29.75/plus 4.69 perthousand gallonsNot to exceed Seventy dollars ( 70.00) permonthUsage 0-1,000/gal 31.68/monthUsage 1,001-4,999 31.68/plus 5.02 perthousand gallonsUsage 5,000-14,999 31.68/plus 5.44 perthousand gallonsUsage 15,000-29,999 31.68/plus 6.15 perthousand gallonsCommercial WastewaterUsage 30,000 Rates based on meter size 31.68/plus 7.59 perthousand gallons
SOLID WASTESolid Waste is provided by Waste Connections 1-800-909-9061Residential: Twice Weekly pick-up 17.33 per monthPick up is either Monday/Thursday or Tuesday/FridayPick up of Large Household Items is on the 2nd pick up of the week (Thurs/Fri)Solid Waste Handling Requirements: Trash must be placed in container and to the curb by 7:00 a.m. No paint, oils, solvents, tires, sludge, hazardous waste, batteries, gasoline, or fuels Appliances, including refrigerators with Freon removed by a certified technician and tagged, will be pickedup on the 2nd pick up of the week. Construction debris, remodeling and excessive material will be disposed at a price agreed upon by thecontractor and/or individual and Waste Connections. Small amounts of wood and carpet must be tied in 3’ lengths and no more than 40 lbs.Recycling: A blue recycling container will be distributed to all residential customers and will be picked up oncea week. Recycling will be on the 2nd pick up of the week.Only paper, cardboard, #1 and #2 plastics, aluminum and steel cans will be picked up.If the container is contaminated, Waste Connections will not collect any of the bin.Commercial: Need to complete a separate Commercial Solid Waste ApplicationYard Debris: Tree limbs are chipped by the Parks Department on a first come, first serve basis. Please call940-458-2059 to get on the schedule.REGISTER YOUR PETS AND KEEP THEM SAFEPROVIDE IDENTIFICATION - Animal control is concerned about the animals being picked up. Often timesthey have no identification tag, no collar, and no microchip. We encourage you to provide identification foryour animal and keep it current.VACCINATE YOUR PET – City of Sanger Municipal Article 2.200 requires all animals capable of transmittingrabies must be vaccinated at four months of age and annually thereafter. Get your pets vaccinated at anySanger area veterinarian clinic or other licensed provider.MAXIMUM NUMBER OF PETS City of Sanger Municipal Article 2.800 limits the number of pets to nomore than 3 and one litter of puppies or kittens.REGISTER YOUR PET – It is important to register your pets with the City of Sanger. It’s the law. City ofSanger Municipal Article 2.500 requires all dogs and cats four months or older to be registered with the City ofSanger. It also helps us locate your lost dog or cat. The person who finds your dog or cat can simply call ouroffice with your registration number (on your pet’s tag).You must show proof of current rabies vaccination. Registration is good for one year and must be renewedannually. Registration is 5.00 per animal.For more information please call Sanger Police Department – 940-458-7444.
at any time to discontinue automatic bank draft service by notifying the City of Sanger at least 30 days prior to the effective bill date. In the event my bank refuses the monthly draft due to insufficient
