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City of Gardner, Kansas
Utilities Department
Pole Attachment License Agreement
The joint use agreement is for attachment by outside utilities serving
customers in the City of Gardner electric service
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How to fill out pole attachment agreement

How to fill out pole attachment agreement
01
Obtain a copy of the pole attachment agreement form from the relevant authority or organization.
02
Read the agreement thoroughly and understand all the terms and conditions mentioned.
03
Fill in the required information accurately, such as the name of the attaching entity, contact details, and any additional relevant information.
04
Provide details about the pole(s) to be attached to, including their location, identification numbers, and any necessary specifications.
05
Include information about the attachments themselves, such as the type of equipment to be attached, any necessary certifications, and the purpose of the attachment.
06
If applicable, mention any specific insurance requirements or indemnification provisions.
07
Review the completed agreement to ensure all information is accurate and complete.
08
Sign and date the agreement, and have it signed by the authorized representative of the attaching entity.
09
Submit the filled-out and signed agreement to the appropriate authority or organization for approval and further processing.
10
Keep a copy of the filled-out agreement for your records.
Who needs pole attachment agreement?
01
Any entity or organization that wishes to attach equipment or infrastructure, such as cables, wires, or other devices, to existing utility poles may need a pole attachment agreement.
02
This can include telecommunication companies, broadband providers, utility companies, municipalities, or any other organization requiring access to utility poles for their operations or services.
03
The agreement helps establish the terms, conditions, and responsibilities of both the attaching entity and the pole owner to ensure safe and efficient use of the poles.
04
It is generally required to protect the integrity of the poles, prevent damage or interference with existing attachments, and maintain safety standards.
05
Specific regulations and requirements may vary depending on the jurisdiction and the pole owner's policies, so it is essential to consult the relevant authority or organization for accurate information.
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