Application for General Membership
APPLICATION FOR GENERAL MEMBERSHIP
KANSAS ONE-CALL SYSTEM, INC.
WHEREAS, Kansas One-Call System, Inc. (hereinafter called "Corporation"), a Kansas non-
profit corporation, has been formed in an effort to reduce damage to the underground facilities of its
members through the establishment of a statewide notification system to facilitate the receipt and
transmittal of information to and from persons, firms, corporations, municipalities, and other entities
intending to undertake activities, including but not limited to: excavating, drilling, blasting, or other-
wise disturbing the subsurface of the earth, which activities might interfere with or damage the
underground facilities of the members of Corporation who have facilities in the area of the proposed
activities; and,
WHEREAS, the undersigned represents that it has underground facilities located within the
State of Kansas and is otherwise eligible to be a general member of Corporation; and,
WHEREAS, the undersigned desires to be a general member of Corporation and hereby
tenders this Application.
NOW, THEREFORE, in considaration of the mutual covenants, agreements, and benefits to be
gained by membership in Corporation, the undersigned hereby applies for admission as a general
member of Corporation, and in connection therewith covenants and agrees, when accepted as a
general member, to be bound as follows:
1. The undersigned agrees to give the notification center, and to require its contractors to give
the notification center, notice of any demolition or excavation, no sooner than ten (10) days nor later
than forty-eight (48) hours, excluding Saturdays, Sundays, and legal holidays, prior to the com-
mencement of such work; PROVIDED, HOWEVER, the undersigned reserves the right, when an
emergency exists that endangers life, health, or property, or when necessary to restore service to a
customer, to begin excavation operations immediately, PROVIDED, FURTHER, that if performing
emergency operations, the notification center will be notified of such excavation operations as
promptly as possible. For purposes of this Application, the terms "demolition" and "excavation" shall
mean any activities designed or resulting in a disturbance of the subsurface of the earth, including,
but not limited to, excavating, drilling, blasting, digging, or other similar activities.
2. That within forty-eight (48) hours after receipt of notice from the notification center of any
proposed demolition or excavation, excluding Saturdays, Sundays, and legal holidays, and unless
otherwise arranged with the individual or entity proposing to do the demolition or excavation, the
undersigned agrees to locate, mark, or otherwise provide the approximate location of its under-
ground facilities in such a manner as to allow the use of hand-dug test holes to determine the
precise location of the underground facilities in advance of the proposed demolition or excavation.
Further, if the undersigned has no underground facilities in the area of the proposed demolition or
excavation, the undersigned hereby agrees to notify such individual or entity proposing to engage in
the demolition or excavation activity that it has no underground facilities therein prior to the time
such activity is to begin.
3. The undersigned agrees to abide by and accept the By-Laws of the Corporation and to be
bound thereby in its participation as a member of Corporation.
4. The undersigned hereby agrees and promises to pay promptly and fully the annual dues and
fees prescribed by the Board of Directors of Corporation pursuant to the By-Laws of Corporation.
8100 East22nd Street North. WichiIB, KS 67226. 1-316-687-2102
5. The undersigned hereby agrees to indemnify. save harmless, and defend Corporation from and against any and all
liabilities. claims. penalties. forfeitures. suits. and the costs and expenses incident thereto. including costs of defense.
settlement, and reasonable attorneys' fees. which Corporation may hereafter incur. become responsible for. or payout as
a result of death or bodily injuries to any person or persons. destruction or damage to any property. contamination of or
adverse effects on the environment. or any violation of any governmental laws. regulations. or orders. caused. in whole or
in part. by the breach of any term or provision of this Agreement. or by any negligence or willful act or omission by the
undersigned. its employees. subcontractors. agents. or assigns. in the performance of requirements of members of
Corporation.
For the City of Salina
(Traffic Control Only)
by Frank R. Weinhold
Name of Ap~
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.ff'/! L tdZ. ~1( d!-~~ ~ .,i/
I ' i ~G/(Signature)
By:
Director of General Services
(Title)
City of Salina
P.O. Box 736
(Address)
Salina, Kansas 67402-0736
ATTEST:
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\ 6ecretafY t"':1 ~
ACCEPTANCE
The above Application for General Membership in Kansas One-Call System, Inc., is hereby accepted
this day of ' 19 - .
KANSAS ONE-CALL SYSTEM, INC.
By:
Secretary