FacebookThis field is for validation purposes and should be left unchanged.This agreement is between Mille Lacs Energy Cooperative, hereinafter called Cooperative (Coop), and the member at the stated location. The member acknowledges that he/she understands and agrees to abide by these terms and conditions. The agreement shall automatically be renewed on a month-to-month basis until terminated by either party. Prior to the installation of the surge suppression service, or any Meter Base Surge Suppression Device (MB-SSD), the Coop’s designated representative will inspect the home’s external grounding system to verify that a proper external safety ground exists at the service entrance. If the Co-op’s representative should determine that any of the home’s electrical grounding system or wiring are inadequate for the proper installation of the MB-SSD (s) the Co-op reserves the right to refuse installation until necessary corrections are made. The MB_SSD can only be installed, serviced, or removed by the Co-op’s designated representative. Maintenance work will be done during regular working hours Monday through Friday, excluding holidays. Applicant hereby grants the Co-op the right to install and maintain the MB-SSD and appurtenances on the property of the applicant. There is a $10 (plus tax) installation fee. This payment of $10.69 is payable in advance of installation All surge suppression devices including the MB-SSD, which is an integral part of the sealed electric meter, shall remain the property of the Co-op. The design and manufacture of the MB-SSD shall be selected by the Co-op. Service charges for the service will be billed with the consumer’s regular monthly electric bill at the current rate of $3.95 per month plus applicable tax and shall be considered due upon the same date as the electric service bill. If the device is removed either due to non-payment or customer request, there will be a $50 reinstallation charge if the customer requests the device to be re-installed. The service fee for the surge suppression service may be increased as deemed necessary by the Board of Directors. The member understands these MB- SSD(s) will not protect against direct or indirect lightning strikes beyond the manufacturer’s rated energy diversion capability. It is understood and agreed the applicant accepts the MB-SSD “as is” and the Co-op makes no representations or warranties regarding the performance of the product being provided. Consent(Required) As the consumer requesting this surge suppression service, I agree to the terms and conditions of this agreement. I hereby verify the information to be true and complete and agree to the terms and conditions. I understand that by typing my full name and pressing the Submit button, this form submission will be stamped with today’s date and authorized by me as if I had signed my signature.Consumer's Electronic Signature (Full Name)(Required)Account Number(Required)Lineman:Meter NumberDate of Install (mm/dd/yyyy) Month Day Year