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HomeMy WebLinkAboutDIGLINEDIGLINE�N.. cI G 910REGULAR MEMBERSHIP AGREEMENT The undersigned hereby applies for membership with Dig Line, Inc. (Digiine). Upon approval of this completed application, the undersigned agrees to be bound by and to comply with Digline's general operating procedures. The party executing this agreement affirms that they have the authority to do so on behalf of the applicant. LEGAL NAME OFa I. COMPANY: C h2y "V "Cll, P� IhI, c� OJOAs Physical Address: 33 E. Arcr,_ cLuaaL Z �(2 Sr �. t Zoo City: mel" •oV��- State: Ib Zip: g 3442- Website: Wi.UU_.,,, OAQv4�C.WC,;�)/,rl� CLASSIFICATION (Chose onlyl) [ ] Communications (phone, CATV, fiber) [ ] Electrical [ ] Gas Distribution [ ] Pipeline (Liquids, Gas, Gathering, Producer) Government (Town, City, Parks, County,State) [ ] Water or Wastewater [ ] Private Entity (Ranch, Farm, etc.) [ ] Very Small System (< 10 miles of plant or <250 cust.) [ ] Sinai System (Master meters, trailer parks, etc.) [ ] Incorporated Non -Profit Association or Group [ ] Business Entity or Corporation [ ] Other Company Representative �� � I _%1, Name: -/y� t L1v�Sy�/ Title:�/uUS�U�'yY`� �. �, �y �yr%r�% Mailing Address: 3 3 i. aar,,,J uuc" Ave, City: ,AQ V�J. Ct State: Zip: Phone: 2(7 IrK- L4 U31S 2 Ext.: Fax: Email: CA(_ ,""Iy t,, vt�Ft O�per,, Oi Billing Contact Information Name: Mailing Address: City: Phone: Ext.: Fax: Person Authorized to Execute Service Contract State: Title: Zip: Email: Name: 7-QMMU U &C l,U eeArcj Title: q�Q jr Mailing Address: �}kQ rngrcUan ) 3' E ejYooacoo j City: W e)ricucu 1 State: TQ Zip: g3 p142- Phone:202_9%-LI ,3�) Ext.: Fax: Email: Signature of Person Authorized to Execute Service Member Contracts: Witness: S G►/ Print Name Dig Line, Inc. Manager: Date Witness: Date: / of Witness FOR OFFICE USE ONLY: Received: Completed: Member Code: Password: Rate Code: DIGTINE rNc.D Ca// Bgou fu" Dq Member Company Information Sheet Please fill in the following information and return this form by mail, fax, or email (Oi?lineldoholA, . We would prefer to receive invoices and statements: [by mait I Uott by mail and electronically, at the email below Fzrelectronicallv- atXltt l, email aidress: 50 S. Cole Rd Boise, lD 83709 (208) 342-rs8s (8(x)) 342-1585 Fax:(2081377-3742 www.digline.com ffi*"* Member Setup Existing Member Information Update Effective Date: I company Name: ar..,,* t,.ra, ",^-t1-{ii]iit1,iffi"'i,^r)r*,,,,^) 9*n Mailing Address: --_-------------Billing Address <u.le xzt (if different) Mrr.)i",- rai <ztqL Counties served Business Hours:*-<ou d: Transmission Type: J,Transmission Destination @mail or FTP address orfax number)hr If you would like lo receive additional copies of locate requests*, please complete thefollowing, Second Transmission Type:Email 'ax*FTP Second Destination @mail or FTP address orfu number)l Second Transmission Options: tr Duplicate all requests !Er".g.n.ies only IEmergencies, Priorities, andZ"d Requests *Addilional charges will applyforlax transmissions andfor additional copies oflocate reqrusls. Contact Information MemberRepresentative: Al (,rlr.lu phone: ?Og,f4.O39L emait: acj,r'gfV2rrrr",J'^;1, @u uooinc und Notifi cation Area Q{*unrRequests lIemait l_lo** !.r. Transmission of Locate Requests ph,"", hDg. +4q . Dl l'l e,^ t, kwattno.rvwi Ltancik-\.Y Additional Roles'. Alternate Representative: Additioml Rolesr.Accounting Mapping and Notification Area Pre-Designs Facility Requests Emergency Locate Contact (Day):Primary Phone: 7q .gt'381L llternate phone Emergency Contact (After Hours)Primary Phone: qg gt<q?Alternate phone: Additional Contact:Phone Email Rolest.Accounting Mapping and Notification Area Facility Requests Additional Contact:Phone:Email Rolest:Accounting tsee foltowing page for Rote descriptions. Mapping and Notification Area Pre-Designs Facility Requests J Al Lt t',*l' At ct ";*J-r Meridian City Council Meeting Agenda January 15, 2019 – Page 152 of 462 DIGLINE Ca// Bgo* fu" D? rNc.t 50 S. Cole Rd Boise, lD 83709 (208) 342-1585 (80o) 342-rs8s Fax:(20{l1377-3742 www.digline.com DIGLINE Contact Roles Member Representative: This required role is the primary point of contact for all DIGLINE correspondence and may authorize changes to company information, personnel, notification area, and transmission preferences. All unassigned roles will default to the Member Representative. Alternate Representative: This required role is the secondary point of contact for all DIGLINE correspondence and may authorize changes to company information, personnel, notification area, and transmission preferences. The Alternate will fill any unassigned roles in the absence of the Member Representative. Emergency Locate Contact: This required role will receive a phone call to confirm receipt of any locate requests issued with Emergency, Priority, or Second Request header codes, which require lines to be located sooner than the standard two business days. See Member Mqnual Appendix B for information on limiting or opting out of this service. Accounting: This optional role is the primary contact for any billing questions, including payment of DIGLINE invoices. If unassigned, this role will default to the Member Representative. Mapping and Notification Area: This optional role is responsible for the accuracy and maintenance of your company's territory information in DIGLINE's database and is the primary contact for any questions regarding this data. Multiple contacts may be assigned this role to make territory maintenance easier. If unassigned, this role will default to the Member Representative. Pre-Designs: This optional role is responsible for responding to information requests on your company's existing underground facilities, primarily from engineering firms, for projects on which no digging is yet taking place. This contact will receive emails of any additional maps associated with Pre- Design tickets. The Pre-Design contact's information can be distributed to requestors if necessary. If unassigned, this role will default to the Member Representative. Facility Requests: This optional role will be contacted directly by requestors regarding information on your company's existing underground facilities. This contact's information will be distributed to requestors, primarily from engineering firms. If unassigned, this role will default to the Member Representative. Meridian City Council Meeting Agenda January 15, 2019 – Page 153 of 462 DIGLINE, INC DIGLINEINC. -0 c41rf3eeom �161f /:219 APPENDIX E TYPES OF WORK TICKET SUPPRESSION General. The Subscriber acknowledges that the Agreement to which this Appendix is attached provides the Subscriber with, among other rights, the right (i) to receive a copy of certain notices of pending excavation received by Digline if the Subscriber has indicated that it has Underground Facilities within the one-quarter (1/4) square grid in which a locate request received by Digline indicates that construction will occur and (ii) to receive from Underground Facility owners accurate information as to locatable underground facilities by surface -marking the location. Waiver. The Subscriber waives receipt of all notification provisions of the Subscriber's agreement with Digline with respect to specific Pre -Selected Types of Work listed on utility location requests submitted to Digline by excavators. The specific Pre -Selected Types of Work are attached and are part of this Addendum. RELEASE and INDEMNITY: The Subscriber herewith releases Digline, its officers, agents, servants and employees from any and all liability, loss, cost or expense whatsoever including, without limitation, all liability for direct, indirect, consequential or other damage to underground facilities owned by the Subscriber as a result of non -notification of Subscriber's underground facilities. CONSIDERATION: The consideration for the waiver, release and indemnity herein set forth includes, without limitation, the reduction in liability for locate fees resulting from the reduction in notifications. The Subscriber herewith acknowledges the receipt and adequacy of the consideration. Dates this ' day of �(QnMY(1 , 20n SU BER: Authorized et DIGLINE, INC.: Authorized Agent Members Manual 02/2017 Page 17 of 20 DIGTINE tNc.I G.//Bgou TouD? woRK wpE TTGKET SUPPRESS|ON (AppENDtX E) Please indicate with an Xwhich work types you want suppressed. You will not receive locate requests from Digline for tickets containing these types of work. 50S-Coh Rd Boise, lD 83709 (2(B) 342-rs8s (8m) 342-ls8s Fa*.12m)377-3742 www.digline.com xY x ADDITION TO BUILDING ADDITION TO HOME ANCHOR(S) TNSTALL AN IMAL ENCLOSURE INSTALLATION BARN/SHOP NEW CONSTRUCTTON BARROW PIT CLEANING BORING FOR UTILITIES INSTALL/REPAIR BUILDING DEMOLITION CANAL CLEANING CATCH BASIN INSTALL CATCH BASIN REPAIR CATHODTC DEVTCE(S) TNSTALL CATTLEGUARD I NSTALVREPAIR CATV LINE/PED INSTALL - PRIVATE CATV LINE/PED INSTALL - PUBLIC R/O/W CATV LINES REPAIR COM MU NICATION TOWER INSTALL CONCRETE PAD(S) INSTALL CONDUIT INSTALLATION coNTAM TNATED SOtL REMOVAL (PR|VATE) coNTAMtNATED SOtL REMOVAL (pUBLtC) CULVERT INSTALL/REPAIR CULVERT REPAIR CULVERT REPLACE CURB&GUTTER&SIDEWALK CURB & GUTTER REPAIR DECK - INSTALLATION/REPAIR DIR BORING FOR JOINT TRENCH UTILITIES DIR BORING FOR UTILITIES DIRECTIONAL OR MECHANICAL BORING FOR: DRAIN CLEANING DRAIN FIELD INSiALL DRAIN FIELD REPAIR/REPLACE DRAIN REPAIR DRAINAGE DITCH EXCAVATION DRY WELL(S) EXCAVAION FENCE INSTALL (PRIVATE) FENCE INSTALL (PUBLIC) FENCE REPAIR/REPLACE (PUBLIC) FENCE REPAIR/REPLACE (PRIVATE) FIBEROPTIC (DIR BORE) INSTALL FTBEROPTTC CABLE (tNSTALL) FIBEROPTIC CABLE REPAIR/REPLACE X Xxx x FIRE ALERT NOTICE FOOTINGS INSTALL NEW FOOTINGS REPAIR/REPLACE FOUNDATION INSTALL/ REPAIR (COMMERCIAL) FOUNDATION INSTALL/ REPAIR (PRIVATE) FRENCH DRAIN INSTALL GARAGE - NEW CONSTRUCTION GAS LEAK ON MAIN/SERVICES GAS LINE EXTENSION GAS LINE INSTALL GAS LINE MAINTENANCE GAS LINE RELOCATE GAS LINE/ SERVICE ABANDON GAS MAIN INSTALL GAS MAIN LOWERING GAS SERVICE LINE REPAIR GAS SERVICE(S) INSTALL GEOTHERMAL LINE INSTALL GEOTHERMAL LINE REPAIR GROUND RODS INSTALL GUARDRAIL(S) INSTALL HYDRANT INSTALL HYDRANT REPAIR/REPLACE IRRIGATION LINE REPAIR IRRIGATION SYS INSTALL (RURAL) JOINT TRENCH OF UTILITIES JOINT TRENCH OF UTILITIES BORING JOINT UTILITY SERVICE TRENCHING LEVELING GROUND MAIL BOX INSTALL MAINLINE REPLACEMENT MANHOLE INSTALL MOVING UTILIW LINE NEW COMMERCIAL CONSTRUCTION NEW HOME CONSTRUCTION PARKING LOT PATIO . NEW CONSTRUCTION PAVTNG (PR|VATE) PAVTNG (PUBLtC RD) PEDESTRIAN RAMP CONSTRUCTION PHONE CABLE INSTALL - PRIVATE PHONE LINE INSTALL - PUBLIC R/O/W PHONE LINE NEW INSTALL x X x/ x x x Members Manual 02t2017 Work WorkSu Page l8 of20 --'1 f- r L L _.1 t- t L_ I Meridian City Council Meeting Agenda January 15, 2019 – Page 155 of 462 Work TypeSuppress DIGTINE 50 S. Cole Rd Boise, lD 83709 (2G) 342-158s (8{n)x2 rsss Fa*,(20fl)377-3742 www.diTline.com INC.D G,// Bgoae fu"D? PHONE LINE REPAIR PHONE LINE W DIR BORE PILINGS INSTALL PLANTING SHRUBS PLANTING TREES POLE GROUNDS POLE(S) & ANCHOR(S) TNSTALL POLE(s) INSTALL POLE(s) REINFORCEMENT POLE(S) REPLACE POND EXCAVATION POST HOLES FOR POWER POLES POTHOLING UTILITIES POWER LINE ABANDON POWER LINE NEW INSTALL POWER LINE REPAIR/REPLACE POWER POLE(S) REPAIR/REPLACE POWER POLES(S) AND ANCHORS(S) PROPANE TANK INSTALL/REMOVE REMODELING BUSINESS REMODELING HOME RETAIN ING WALL (PRIVATE) RETAINING WALL (PU BLIC) ROAD CONSTRUCTION ROAD REPAIR/SINK HOLE SATELLITE DISH INSTALL SEE REMARKS SEPTIC SYSTEM INSTALL (RURAL) SEPTIC SYSTEM REPAIR/REPIACE SERVICES FOR UTILITIES - INSTALL SEWER LrNE TNSTALL (PR|VATE) SEWER LtNE TNSTALL (PUBL|C) SEWER LINE REPAIR/REPLACE (PRIVATE) SEWER LtNE REpAtR/REPLACE (pUBL|C) SEWER MAIN INSTALL SEWER MAIN REPAIR/REPLACE (PUBLIC) SHED - NEW CONSTRUCTION SHRUBS/TREE REMOVAL SIDEWALK REPAIR srGN(s) TNSTALL SOIL REMOVAL NEW CONSTRUCTION SOIL SAMPLE SPLICE PIT SPRINKLER-NEW-PUBLIC SPRINKLER SYSTEM EXTENSION PRIVATE SPRINKLER SYSTEM EXTENSION PUBLIC SPRINKLER SYSTEM REPAIR (PRIVATE) SPRINKLERS - NEW - COMMERCIAL x I SPRINKLERS. NEW. PRIVATE SPRINKLERS . REPAIR/REPLACE - PRIVATE SPRINKLERS - REPAIR/REPLACE . PUBLIC SPRINKLERS/FENCE . NEW. PRIVATE SPRINKLERS/FENCE - NEW - PUBLIC SPRINKLERS/LANDSCAPING . NEW - PRIVATE SPRINKLERS/LANDSCP - REPAIR/REPLACE - PUBLIC SPRINKLERS/LANDSCP . REPAIR/REPLACE - PRIVATE SPRINKLERS/LANDSCP.RPR/RPLC - COMMERCIAL sroRM DRA|N(S) TNSTALL STREET LIGHTS INSTALL sruMP(s)REMOVAL SURVEYING SWIMMING POOL/SPA INSTALL TANK(S) INSTALL TEST HOLES OR PITS TRAFFTC LrGHT(S) TNSTALL TRAMPOLINE INSTALL NEW TREE(S) REMOVAL U/G TANK(S) REMOVAL UNDERGROUND POWER INSTALL UTILITY LINE MAINTS VALVE REPAIR VALVE(S) TNSTALL VALVE(S) REPATR/REPLACE WATER & SEWER LINES WATER AND SEWER LINE INSTALL (PRIVATE) WATER AND SEWER LINE INSTALL (PUBLIC) WATER AND SEWER SVC INSTALL WATER LINE INSTALL (PRIVATE) WATER LrNE TNSTALL (PUBL|C) WATER LINE RELOCATE WATER LINE REPAIR/REPLACE (PRIVATE) WATER LINE REPAIR/REPLACE (PUBLIC) WATER LINE/SERVICE ABANDON WATER MAIN INSTALL WATER M ETER BOX INSTALL/REPAIR/REPLACE WATER METER INSTALL (PRIVATE) WATER METER INSTALL (PUBLIC) WATER METER REPAIR WATER SERVICE INSTALL WATER SERVICE RENEW WATER SERVICE REPAIR WATER SERVICE REPAIR/REPLACE WATER, SEWER & POWER TO NEW HOME WELL DRILLING WELL INSTALLATION YARD EXCAVATION INCLUDING LANDSCAPING Page l9 of20 *.xx x xV x xx Members Manual 0212017 Suppress ; Work Type I -1 L I --__l -- ------------*l r t--- t-- t l-- t---I 1 -1 t Meridian City Council Meeting Agenda January 15, 2019 – Page 156 of 462 DIGtIilE &//B$ote?"Dg rNc.t 5O S. Cole Rd Boise, lD 83709 (208) 342-1 s8s (800) 342-1 585 Far (208) 377-3742 www.digline.com *PUBLIC - Work being done in the Road R/O/W, usually called in by a Member Utility or a Subcontractor for the utility. *PRMTE - Work being done on private property, usually called in by a Property Owner or an Excavator working for a property owner. Members Manual 0212017 Page 20 of 20 Meridian City Council Meeting Agenda January 15, 2019 – Page 157 of 462