Town of Fairfield Project - Phase 1Fiber Optic Drop Application Town of Fairfield Project – Phase 1 Fiber Optic Drop Application Name: * Address * City, State and Zip * Total Service Drop Fee: $100.00 (if received by June 1, 2021) * Check (Mail to: PO Box 230, Reedsburg, WI 53959) Credit Card (Please note: RUC LightSpeed will need to set up your account to apply a credit card payment. If you choose this option you will be contacted by an Account Representative within 7 business days to apply your credit card payment) A standard service drop includes vibratory plowing the service line from the road right-of-way to the customer premise. Fiber service drop does not include private service extensions. RUC/LightSpeed will contact Digger’s Hotline prior to excavating on the premises. Through Digger’s Hotline, all public facilities (Telephone, Electric, CATV, and Gas) will be marked with paint from the Right of Way to the home or business. Any private utilities such as water, sewer, irrigation, lighting, utilities to outbuildings, LP gas, etc. will not be marked. RUC is not responsible for damage to private facilities that have not been brought to our crew’s attention prior to the start of work. Turf restoration will only be completed on excavated turf areas and not along the plow line. Turf restoration will only include a rough backfill. Standard installation fees may apply; additional fees may apply for non-standard installations Please provide a detailed sketch of private underground facilities on your property such as: lawn sprinkler system, septic, well, gas, water, electric, and telephone lines, etc. Upload detailed sketch of your property here: (Please provide a detailed sketch of private underground facilities on your property such as: lawn sprinkler system, septic, well, gas, water, electric, and telephone lines, etc. ) Drop a file here or click to upload Choose File Maximum upload size: 33.55MB Although an upload of your sketch is preferred, as an alternate option you can email your sketch to: lightspeed@rucls.net. If choosing this option, please include your name and service address in your email. Site Address for LightSpeed Service (If different than above): City, State, Zip * I accept and agree to the following terms: * • The undersigned property owner has requested and hereby authorizes the installation of a fiber service line and equipment by Reedsburg Utility Commission (RUC) / LightSpeed on his/her property for future service connection at the following property address. • I agree to pay the established rates for all services, fees, and/or equipment. • I agree to allow the RUC to have access to their equipment, wires and my property in order to provide service. • All installed equipment remains the property of Reedsburg Utility Commission (RUC) unless otherwise noted. • I agree to pay the established rates for all services, fees, and/or equipment. • I authorize RUC to obtain customer service records from my current or previous service provider and to authorize my local service to be switched to RUC. • I authorize RUC to request my credit report as allowed for permissible purposes under the Fair Credit Reporting Act (FCRA). • I agree to allow the RUC to have access to their equipment, wires and my property in order to provide service. • Internet speeds may vary and are not guaranteed. Wi-Fi performance varies by site conditions. • I agree not to use RUC’s services to do anything illegal or to cause harm. • I agree RUC’s services won’t be redistributed, resold, or shared. • I agree to Reedsburg Utility Commission’s Acceptable Use/Terms of Service policies. • I certify that I am over 18 years of age. DISCLAIMER: By typing your name below, you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this application. Electronic Signature: Name: * Date: * Email: * Phone: * If you are human, leave this field blank. Submit