Broadband Info and Applications

The undersigned member of Jackson County Rural Electric Membership Corporation, Inc. ("Cooperative"), hereby applies for Residential Broadband Internet Services provided by Jackson County REMC. By signing this document, the undersigned agrees to the terms of Terms and Conditions of Services Agreement, Acceptable Use Policy, and any other Rules and Regulations now in effect or which may be hereafter amended, adopted or repealed. If the electric membership is a joint membership, only one (1) member signature is required.

Signing this agreement does not guarantee the actual installation date but will initiate the scheduling of the pre-drop survey. The installation date for broadband service at your residence is dependent upon your location and the Jackson County REMC build-out schedule.

By signing below, I am authorizing Jackson County REMC to install fiber optic lines, equipment and devices at the service location indicated and if necessary, to penetrate the structure of the residence to install the equipment for the service drop. In addition, I am agreeing to receive internet service from Jackson County REMC.

The location of all existing underground improvements as determined during the Pre-Drop Survey are based upon (in addition to an 811 inspection) aboveground evidence and upon information provided by you. These improvements may include but are not limited to telecommunications cables, waterlines and pipes, electrical lines and conduits, dog fences, drains, downspouts and septic tank and its laterals. JACKSON COUNTY REMC will not be responsible for any damages to any underground improvements on your real estate occurring during the fiber-optic cable installation which were not revealed by an 811 inspection or not disclosed on the attached Pre-Drop Survey. You agree that you will be responsible for and shall defend and indemnify and hold harmless JACKSON COUNTY REMC, and its employees, affiliates, suppliers, agents and contractors and shall reimburse us for any damages, losses or expenses (including without limitation, reasonable attorney’s fees and costs) incurred in connection with any claims, suits, judgements and causes of action arising out of any damages caused to an underground facilities or improvements on your real estate not revealed by an 811 inspection conducted pursuant to I.C., 8-1-26 or by the pre-drop survey.

Once broadband internet service is installed, it is your responsibility to take appropriate precautions to secure your own network by installing and maintaining anti-virus and anti-malware software. Jackson County REMC does not assume any responsibility and you are solely responsible for any content stored, accessed, or transmitted using Jackson County REMC broadband internet services.

BY EXECUTING BY SIGNING BELOW, YOU ARE AGREEING TO RECEIVE INTERNET SERVICE FROM JACKSON COUNTY REMC. FAILURE TO PURCHASE SERVICE WILL RESULT IN JACKSON COUNTY REMC BILLING ME FOR THE FULL COST OF THE FIBER SERVICE DROP. YOU ALSO UNDERSTAND AND AGREE WITH ALL TERMS AND CONDITIONS CONTAINED AND ACKNOWLEDGE THAT THE TERMS AND CONDITIONS AND THE ACCEPTABLE USE POLICY CAN BE FOUND ON WWW.JACKSONREMC.COM OR AVAILABLE UPON REQUEST.

The undersigned member of Jackson County Rural Electric Membership Corporation, Inc. ("Cooperative"), hereby applies for Commercial Broadband Internet Services provided by Jackson County REMC. By signing this document, the undersigned agrees to the terms of Terms and Conditions of Services Agreement, Acceptable Use Policy, and any other Rules and Regulations now in effect or which may be hereafter amended, adopted or repealed.

Signing this agreement does not guarantee the actual installation date but will initiate the scheduling of the pre-drop survey. The installation date for broadband service at your residence is dependent upon your location and the Jackson County REMC build-out schedule.

By signing below, I am authorizing Jackson County REMC to install fiber optic lines, equipment and devices at the service location indicated and if necessary, to penetrate the structure of the residence to install the equipment for the service drop. In addition, I am agreeing to receive internet service from Jackson County REMC.

The location of all existing underground improvements as determined during the Pre-Drop Survey are based upon (in addition to an 811 inspection) aboveground evidence and upon information provided by you. These improvements may include but are not limited to telecommunications cables, waterlines and pipes, electrical lines and conduits, dog fences, drains, downspouts and septic tank and its laterals. JACKSON COUNTY REMC will not be responsible for any damages to any underground improvements on your real estate occurring during the fiber-optic cable installation which were not revealed by an 811 inspection or not disclosed on the attached Pre-Drop Survey. You agree that you will be responsible for and shall defend and indemnify and hold harmless JACKSON COUNTY REMC, and its employees, affiliates, suppliers, agents and contractors and shall reimburse us for any damages, losses or expenses (including without limitation, reasonable attorney’s fees and costs) incurred in connection with any claims, suits, judgements and causes of action arising out of any damages caused to an underground facilities or improvements on your real estate not revealed by an 811 inspection conducted pursuant to I.C., 8-1-26 or by the pre-drop survey.

Once broadband internet service is installed, it is your responsibility to take appropriate precautions to secure your own network by installing and maintaining anti-virus and anti-malware software. Jackson County REMC does not assume any responsibility and you are solely responsible for any content stored, accessed, or transmitted using Jackson County REMC broadband internet services.

BY EXECUTING BY SIGNING BELOW, YOU ARE AGREEING TO RECEIVE INTERNET SERVICE FROM JACKSON COUNTY REMC. FAILURE TO PURCHASE SERVICE WILL RESULT IN JACKSON COUNTY REMC BILLING ME FOR THE FULL COST OF THE FIBER SERVICE DROP. YOU ALSO UNDERSTAND AND AGREE WITH ALL TERMS AND CONDITIONS CONTAINED AND ACKNOWLEDGE THAT THE TERMS AND CONDITIONS AND THE ACCEPTABLE USE POLICY CAN BE FOUND ON WWW.JACKSONREMC.COM OR AVAILABLE UPON REQUEST.

Dear Applicant,

Please request that the landowner/landlord, or its authorized representative, complete this form to acknowledge and authorize the installation of broadband internet services at the service address listed at the bottom of this form. This form must be completed and received by Jackson County REMC before a pre-drop survey and any installation can be scheduled.

By executing this document, the landowner/landlord is granting permission to install all necessary equipment in order for Jackson County REMC to provide broadband internet services (Services) to the Service Address listed below. This signed form releases Jackson County REMC from any liability related to damages that may claim as a result of an alleged violation of a lease/rental agreement as it relates to the installation of the required equipment.

The landowner/landlord grants to Jackson County REMC or its representative authorization to enter the premises to construct, install, maintain, inspect and/or replace all other Equipment necessary to provide Services. Furthermore, as the landowner/landlord of the premises at which the Services are provided, landowner/landlord will grant to Jackson County REMC a perpetual easement without charge on and through landowner/landlord premises to construct, install, maintain, inspect and/or replace equipment necessary to provide Services to the Customer and others. By signing this agreement, the landowner/landlord expressly consents to the expansion of the electric easement of the Jackson County REMC to include communications infrastructure.

Should your landowner/landlord only approve the installation subject to specific requirements that make the actual installation in excess of what is offered as part of its standard professional installation, the Customer will be asked to pay any excess costs, to be agreed upon by the Customer and Jackson County REMC. Upon installation, all equipment is still owned by Jackson County REMC and proper care must be taken of the equipment. Any damages to the equipment will be charged to the Customer.

The location of all existing underground improvements as determined during the Pre-Drop Survey are based upon (in addition to an 811 inspection) aboveground evidence and upon information provided by you. These improvements may include but are not limited to telecommunications cables, waterlines and pipes, electrical lines and conduits, dog fences, drains, downspouts and septic tank and its laterals. JACKSON COUNTY REMC AND ANY DIVISION will not be responsible for any damages to any underground improvements on your real estate occurring during the fiber-optic cable installation which were not revealed by an 811 inspection or not disclosed on the attached Pre-Drop Survey. You agree that you will be responsible for and shall defend and indemnify and hold harmless JACKSON COUNTY REMC, and its employees, affiliates, suppliers, agents and contractors and shall reimburse us for any damages, losses or expenses (including without limitation, reasonable attorney’s fees and costs) incurred in connection with any claims, suits, judgements and causes of action arising out of any damages caused to an underground facilities or improvements on your real estate not revealed by an 811 inspection conducted pursuant to I.C., 8-1-26 or by the Pre-Drop.

By signing below, I am authorizing Jackson County REMC to perform a Pre-Drop survey and install broadband internet service at the service address listed.