Service Customer

SWWC Utilities, Inc. effective February, **** Appendix A Page 1 of 2

THIS APPLICATION MUST BE COMPLETED, SIGNED AND RETURNED TO MONARCH UTILITIES I, L.P. BEFORE

SERVICE CAN BE ESTABLISHED. A TRANSFER FEE IN THE AMOUNT OF $45 MAY BE ASSESSED IF APPLICABLE.

Monarch Utilities, I, L.P.

CONTRACT/APPLICATION FOR UTILITY SERVICE

Name of Applicant*: Authorized User:

*This is the person or other entity in whose name service will be rendered and who will responsible of all service and other bills.

Are you Buying or Renting? (provide valid Lease Agreement) Purchase Settlement/Lease Date: / /

SSN Last 4 Digits: Driver’s License: Date of Birth: / /

Date to Begin Service (MM/DD/YY): / / Is the water currently on? Yes No

Type of service Water, Sewer, or Both Residential, Commercial, Industrial, or Developer

Service Address:

City: State: Zip Code:

Lot: Block: Section:

Mailing Address if different then above:

City: State: Zip Code:

Water Emergency Contact Preference (please check one): Home Phone: Cell Phone: Text: E-mail:

Telephone(s): Home: (__ _) Day: (__ _) Cell: (__ _)

Email address: _

Have you ever been an Monarch Utilities I, L.P. customer? Yes No

Previous Address:

(Street, City, State, Zip)

All utility services to be provided hereunder shall be subject to all terms and conditions of Utility's state-approved tariff(s), Public

Utility Commission of Texas (“PUCT”) and the rules of the Texas Commission on Environmental Quality ("TCEQ"). This

Contract/Application for Utility Service ("Contract/Application") is by and between Monarch Utilities I, L.P., a Texas corporation,

(“Utility”) and the applicant ("Customer" or "Applicant") whose name and signature is shown below at the end of this document.

Deposit: If a residential service applicant does not establish credit to the satisfaction of the utility, the residential service applicant

may be required to pay a deposit of $50 for water service and $50 for sewer service. No deposit may be required of a residential

service applicant who is 65 years of age or older if the applicant does not have a delinquent account balance with the utility or

another water or sewer utility. Applicant must provide valid proof of age.

CUSTOMER LIABILITY: Customer shall be liable for any damage or injury to Utility-owned property or personnel by the customer

or others under his control. Customer agrees to take no action to create a health or safety hazard or otherwise endanger, injure,

damage or threaten Utility's plant, its personnel, or its customers.

LIMITATION ON UTILITY’S PRODUCT/SERVICE LIABILITY: Public water utilities are required to deliver water to the

customer's side of the meter or service connection which meets the potability and pressure standards of the TCEQ. Utility will not

accept liability for any injury or damage occurring on the customer's side of the meter. Utility will not accept liability for injuries

or damages to persons or property due to disruption of water service caused by: (1) acts of God, (2) acts of third parties not

subject to the control of Utility, (3) electrical power failures, or (4) termination of water service pursuant to Utility's tariff, TCEQ

and PUCT rules.

FIRE PROTECTION: Utility is not required by law and does not provide fire prevention or fire fighting services. Utility therefore

does not accept liability for fire-related injuries or damages to persons or property caused or aggravated by the availability (or

lack thereof) of water or water pressure (or lack thereof) during fire emergencies.

Return Signed Application to:

Mail: 12535 Reed Rd, Sugar Land, TX 77478

Fax: 832-***-**** Phone: 866-***-****

Email: ******@****.***

(We must receive second page with signature)

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