SAMPLES OF BILL OF SALE

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Transcription:

SAMPLES OF BILL OF SALE

BILL OF SALE - SEWER THE UNDERSIGNED hereby conveys and transfers to the SILVER LAKE WATER DISTRICT (the "District") the following described personal property: This conveyance is made in consideration of the District's agreement to provide routine maintenance of said property and to provide sewer services pursuant to the District's resolutions and regulations, which may be amended from time to time. The undersigned, and its successors and assigns, covenants and agrees to and with the District, its successors and assigns, that the undersigned is the owner of said property and has the right and authority to sell the same, that the property is free of all liens or encumbrances, and that the undersigned will, and does, hereby warrant and agree to defend the title of the District, its successors and assigns, against the claims of all third parties claiming to own the same or claiming any interest therein or encumbrance thereon. The undersigned warrants that all bills and taxes relating to the construction and installation of the sewer main and appurtenances have been paid in full and that there are no lawsuits pending involving this project. The undersigned further warrants that in the event any lawsuit is filed as a result of, or involving, this project the undersigned will undertake to defend the lawsuit and will accept responsibility for all costs of litigation, including costs on appeal, and will hold the District harmless on any judgment rendered against the District. The undersigned further warrants that all laws and ordinances respecting construction of this project have been complied with, and that the property is in proper working condition, order and repair and fit for purposes intended; i.e., for use as a sewer collection system adequate for the service intended and has been constructed in accordance with the conditions and standards of the District. The undersigned covenants and agrees with the District to replace, repair and correct any defect in work or materials in respect to the personal property subject to this Bill of Sale arising during a period of two (2) years from date hereof, without cost to the District. The undersigned shall further warrant the corrected work for two years after acceptance of the corrected work by the District. DEVELOPER: By: Its: (4/2017) N:\OFFICE\BLANKFORMS\DEVELOPERSTANDARDS\BILLSEWR.DOC 1

STATE OF WASHINGTON ) INDIVIDUAL On this day of, before me, the undersigned Notary Public, duly commissioned and sworn, personally appeared to me known to be the individual(s) named herein, and who executed the within and foregoing in instrument, and acknowledged execution of the said instrument to be the free and voluntary act and deed of said individual(s), for the uses and purposes therein mentioned. WITNESS my hand and official seal hereto affixed the day and year first above written. STATE OF WASHINGTON ) CORPORATE On this day of, 20, before me, the undersigned Notary Public in and for the State of Washington, duly commissioned and sworn, personally appeared to me known to be the of the corporation named herein, and acknowledged execution of the said instrument to be the free and voluntary act and deed of said corporation, for the uses and purposes therein mentioned; and on oath stated that he is authorized to execute said instrument and that the seal affixed (if any) is the corporate seal of said corporation. WITNESS my hand and official seal hereto affixed the day and year first above written. (4/2017) N:\OFFICE\BLANKFORMS\DEVELOPERSTANDARDS\BILLSEWR.DOC 2

ITEMIZED COST OF SANITARY SEWER SYSTEM Date UNIT ITEM DESCRIPTION QUANTITY COST TOTAL 8" Dia. PVC Pipe 8" Dia. Ductile Iron Pipe 6" Dia. PVC Side Sewer 6" Dia. Ductile Iron Side Sewer Manholes SUBTOTAL SALES TAX TOTAL COST Note: 1. Include in each pipe price (Total Cost & Unit Cost) the cost of fittings, pavement repairs, and any other items not otherwise listed above. 2. Blank spaces reserved for major cost items such as force mains, vaults, sewage lift stations, etc. Contact District regarding listing of such items. (4/2017) N:\OFFICE\BLANKFORMS\DEVELOPERSTANDARDS\BILLSEWR.DOC 3

BILL OF SALE - WATER THE UNDERSIGNED hereby conveys and transfers to the SILVER LAKE WATER DISTRICT (the "District") the following described personal property: This conveyance is made in consideration of the District's agreement to provide routine maintenance of said property and to provide water services pursuant to the District's resolutions and regulations, which may be amended from time to time. The undersigned, and its successors and assigns, covenants and agrees to and with the District, its successors and assigns, that the undersigned is the owner of said property and has the right and authority to sell the same, that the property is free of all liens or encumbrances, and that the undersigned will, and does, hereby warrant and agree to defend the title of the District, its successors and assigns, against the claims of all third parties claiming to own the same or claiming any interest therein or encumbrance thereon. The undersigned warrants that all bills and taxes relating to the construction and installation of the water main and appurtenances have been paid in full and that there are no lawsuits pending involving this project. The undersigned further warrants that in the event any lawsuit is filed as a result of, or involving, this project the undersigned will undertake to defend the lawsuit and will accept responsibility for all costs of litigation, including costs on appeal, and will hold the District harmless on any judgment rendered against the District. The undersigned further warrants that all laws and ordinances respecting construction of this project have been complied with, and that the property is in proper working condition, order and repair and fit for purposes intended; i.e., for use as a water distribution system including distribution and supply lines adequate for the service intended and has been constructed in accordance with the conditions and standards of the District. The undersigned covenants and agrees with the District to replace, repair and correct any defect in work or materials in respect to the personal property subject to this Bill of Sale arising during a period of two (2) years from date hereof, without cost to the District. The undersigned shall further warrant the corrected work for two years after acceptance of the corrected work by the District. DEVELOPER: By: Its: (4/2017) 1

INDIVIDUAL STATE OF WASHINGTON ) On this day of, 20, before me, the undersigned Notary Public, duly commissioned and sworn, personally appeared to me known to be the individual(s) named herein, and who executed the within and foregoing in instrument, and acknowledged execution of the said instrument to be the free and voluntary act and deed of said individual(s), for the uses and purposes therein mentioned. WITNESS my hand and official seal hereto affixed the day and year first above written. STATE OF WASHINGTON ) CORPORATE On this day of, 20, before me, the undersigned Notary Public in and for the State of Washington, duly commissioned and sworn, personally appeared to me known to be the of the corporation named herein, and acknowledged execution of the said instrument to be the free and voluntary act and deed of said corporation, for the uses and purposes therein mentioned; and on oath stated that he is authorized to execute said instrument and that the seal affixed (if any) is the corporate seal of said corporation. WITNESS my hand and official seal hereto affixed the day and year first above written. (4/2017) 2

ITEMIZED COST OF WATER SYSTEM Date UNIT ITEM DESCRIPTION QUANTITY COST TOTAL 6" Dia. Ductile Iron Pipe 8" Dia. Ductile Iron Pipe 12" Dia. Ductile Iron Pipe Fire Hydrant Assemblies 3/4" Water Services 1" Water Services 1 1/2 Water Services 2" Water Services Meter Vault & Larger Services Air-Vac Assemblies Blow-off Assemblies Detector Check Assembly Note: SUBTOTAL SALES TAX TOTAL COST 1. Include in each pipe price (Total Cost & Unit Cost) the cost of gate valves, fittings, pavement repairs, and any other items not otherwise listed above. 2. Include in each fire hydrant price the main line tee, hydrant valve, valve boxes, shackle rods, thrust blocks, hydrant posts and other related items for a complete hydrant installation. 3. Blank spaces reserved for major cost items such as pressure reducing vaults, pressure relief vaults, pump stations, etc. Contact District regarding listing of such items. (4/2017) 3

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