PETITION TO THE CITY OF CAMERON, MISSOURI TO ACCEPT PUBLIC INFRASTRUCTURE IMPROVEMENTS AND CERTIFICATE OF COMPLIANCE

The undersigned are owners of all fee interests in and developers of property described hereon and hereby petition the city of Cameron, Missouri to accept improvements within said property as public infrastructure in perpetuity as public domain; the location of public improvements are evidenced on the subdivision plat.

NAME OF SUBDIVISION: 										

LEGAL DESCRIPTION: 										

													

The undersigned hereby certifies to the City of Cameron that:

1.The construction of the subdivision has been inspected by the City of Cameron staff and found to be completed and in compliance.
2.All work in connection with said subdivision has been performed in a workmanlike manner and in accordance with the plans, permits, and specifications authorized and approved in compliance with the proposal.
3.As-built drawings showing all deviations from original plans and locations of valves and fittings have been submitted to the City or are included herewith.
4.Certification has been provided that the work complies with the City’s Storm Water Ordinance.
5.Maintenance guarantee has been submitted and accepted by the City.
6.The date of the completion of the project is the date of this Certificate.
7.Title to the property covered by any easements to be accepted by the City has been released from the lien of any deeds of trust and is not subject to any liens, including without limitation mechanics’ liens; and the undersigned hereby warrants and agrees to indemnify the City from any inaccuracy of the foregoing warranties and representations.

With respect to assignment of warranties, DEVELOPER agrees by its execution hereof to assign to the City any warranties it has, express or implied, with respect to those portions of said subdivision to be accepted by the city by its approval herein.

IN WITNESS WHEREOF, the undersigned has duly executed this document on this 		 

day of 				, 20 		.

							PETITIONER:

(notarize)												
							Company
							By:

													
							Signature                                   Title