Please fill out all required fields indicated by a red asterisk.
If Co-Applicant is applicable, please fill out Co-Applicant section and sign where indicated.
Security Deposit maybe required with Application.Application does not guarantee gas service install.Fees may be associated with this install.
Pursuant to §48-11 of Duluth City Code, Comfort Systems requires personal guarantee on all Limited Liability Corporation (LLC) and Limited Liability Partnerships (LLP) applications for service. The personal guarantee can be executed by any member/officer that is authorized to execute contracts on the organization’s behalf.
When completing an application for service on behalf of an LLC or an LLP, you must provide the LLC/LLP information in the “Business Signer Information” portion of the application. In addition, the officer who will be executing the personal guarantee must provide his/her information.
The signature line on this application is for the individual who is providing his/her personal guarantee.
You must present a business card or written authorization. You can stop in our office to drop off a copy or upload an electronic version that will be attached to this form.
I hereby make application to the Public Works & Utilities (“the Department”) to install meters to measure water and/or gas for use only at the service address listed.
I hereby certify the information given on this application is true and correct. I authorize the Department to verify this information and retain the application whether or not it is approved. I further authorize the Department to receive and retain credit information on my credit experience with other creditors.
TERMS OF SERVICE:
I hereby agree to use said meters strictly in accordance with the ordinances, rules and regulations of the Department, which ordinances, rules and regulations are as truly a part of this application as though printed herein in full. I further agree to pay all valid bills or charges for materials and services of any nature whatsoever rendered by the Department, including, for damage to the meters and I hereby authorize the shutting off of any service under this application for any failure of payment as specified above. I also hereby agree the Department has the right to easy access to meters at all reasonable hours for reading or examination of the same or for any other lawful errand.
TRANSFER OF OWNERSHIP OF THE GAS SERVICE:
I hereby transfer ownership of the gas service at the service address from the main to the meter, to the City of Duluth, Department of Public Works & Utilities. I further grant a permanent right of access in, upon and under the premises at the service address for the purpose of operation, maintaining and repairing said gas service as shall be laid on/in the premises.
REMOTE READING UNIT:
By signing this application, the applicant agrees that the meter inside the building is always considered to be the accurate reading, unless determined by the Department to the contrary, and not that of any remote reading dial attached to the outside of the building.
If there is any discrepancy between the remote register reading and the meter reading the Department will, based on its findings, do the necessary repairs and either credit the applicant's account or bill the applicant for the additional consumption; therefore it is in the application's best interest to periodically compare the two readings for accuracy and notify the Department promptly when a discrepancy occurs.
SECURITY DEPOSIT WAIVER:
The applicant, by signing below, agrees and understands that should this account receive a termination of service notice within the first twelve (12) consecutive billings, the Department reserves the right to request a security deposit in the amount shown below. Failure to pay the requested security deposit may result in termination of service.
The amount of the security deposit required by the Department is calculated pursuant to Section 48-12 of the Duluth City Code.
Any security deposit required by the Department must be paid in full prior to approval and confirmation of our Application.
TERMS OF ACCEPTANCE AND SIGNATURE:
I, the Applicant, warrant the truthfulness of the information contained in this application and accept the above Terms and Conditions.
Indicate your consent to the Terms and Conditions of this Application by clicking on the “I Accept” button. By clicking the “I Accept” button, you are entering into a binding agreement with Department.
Notice: Your Application is subject to approval by the Department. Until you receive confirmation of the Department’s acceptance of your Application, it will be consider in process.
Please select the “I Accept” button to complete your electronic signature. By clicking the “I Accept” button, you are signing this Application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this Application. By selecting the “I Accept” you consent to be legally bound by this Application.
Typing your name verifies the above signature is yours and is accurate
Co-applicant: typing your name verifies the above signature is yours and is accurate