APPENDIX A: UTILITIES EXTENSION CONTRACT
UTILITIES EXTENSION CONTRACT
   AGREEMENT made and entered into this ________ day of _________________________ by and between the Utility System of the Village of South Roxana, Illinois, hereinafter called the Utility Department and _______________________________, hereinafter called the Depositor.
FIRST: That the Utility Department contracts and agrees to have installed by contract in accordance with its rules, utility mains as shown on the plat thereof, and the specifications are attached hereto and made a part hereof.
SECOND: Bids having been taken and the lowest responsible bid having been in the amount of $_______, the Depositor agrees to deposit and does deposit here with the cost thereof.
   (A)   The lowest responsible bid: $______________
   (B)   Engineering and Inspection Charge: $______________
   (C)   Total: $______________
THIRD: Final costs to be adjusted up or down according to completed job cost.
FOURTH: The ownership of the utility mains laid herein shall be at all times in the Utility Department, its successors and assigns.
FIFTH: This Agreement shall be valid and binding on the Utility Department only when signed by the Mayor and Clerk of the Village of South Roxana, Illinois.
SIXTH: This Agreement shall be binding upon the heirs, executors, administrators, successors or assigns of the respective parties.
   EXECUTED in duplicate by the parties hereto on the date first above written.
UTILITY DEPARTMENT
VILLAGE OF SOUTH ROXANA, ILLINOIS
BY:    _______________________________________
   MAYOR
   ________________________________________
   DEPOSITOR
ATTEST:
_____________________________________
CITY CLERK
WITNESSES:
___________________________________________
___________________________________________