I hereby enter into this contract with the City of Cave Spring and agree to pay $2.00 per month for said Excessive Leak Insurance as billed. If insurance is not taken with application for service, then I have a (six) 6 month grace period before the coverage is effective.
I understand that the City can cancel the policy at any time, but will provide notice in the event this may occur. Bills not paid when due will result in termination of coverage under this policy.
I understand that I must report a potential leak to the city immediately upon learning of a potential leak and make arrangements for repair of leak within in 10 days from becoming aware of leak.
I understand that to file a claim I must fill out an Adjustment Request form and provide a copy of repairs to my water system as a result of the leak, along with any other information relative to the leak as requested by the City.
The City will adjust the bill based on the policy if the leak qualifies under same. No more than two months’ charges will be adjusted in connection with a leak, and a maximum of $500 will be adjusted. Only one adjustment is allowed in any 12 month rolling period.
I understand that I will not be entitled to an adjustment of my water bill in the event of a leak if I have not purchased the leak protection offered by the City.
Thank you for submitting!