CEC Surge Protection Program Purchase and Installation Agreement Name Phone Number Address City/State/Zip CEC Account Number Email Address Today's Date Year Year1900190119021903190419051906190719081909191019111912191319141915191619171918191919201921192219231924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026202720282029203020312032203320342035203620372038203920402041204220432044204520462047204820492050 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Select Your Product Brooks Utility Products Surge Protector (model #MBSA-4J-180) $170 State sales tax (6 percent) is included in price. The undersigned (hereinafter referred to as Purchaser) agrees as follows (must check each box): Purchaser agrees that Brooks Utility Products Surge Protector will be installed and replaced, if necessary, by Cooperative personnel only. Central Electric Cooperative (CEC) reserves the right to refuse to install MSA unit if Purchaser’s service equipment is not in serviceable condition, adequately sized and grounded. Refunds will not be made upon ownership changes. If Purchaser moves to another location service by the CEC, and the MSA unit is compatible with that service, MSA unit will be moved to the new location by CEC personnel at the request of the member and at no cost to the Purchaser. Purchaser recognizes that if the Surge Protection device indicator lights are ON, the surge device has NOT failed and equipment was not damaged due to Surge Protection device failure; therefore NO CLAIM will be honored. CEC makes NO claims or implications towards equipment protection caused by periods of low voltage. ALL PRODUCT WARRANTIES ARE LIMITED TO THAT OF THE MANUFACTURER (Brooks Utility Products). CEC PROVIDES NO WARRANTIES OF ANY KIND, EXPRESSED OR IMPLIED, INCLUDING THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE; CEC WILL NOT PERFORM WARRANTY REPAIRS OF ANY KIND. CEC IS NOT RESPONSIBLE, AND WILL NOT BE HELD LILABLE FOR SPECIAL, INDIRECT, OR CONSEQUENTIAL DAMAGES, INCLUDING INJURY OR DAMAGE TO PROPERTY OR PERSON, WHETHER IN CONTRACT, IN TORT, UNDER WARRANY OR OTHERWISE. Brooks Utility Products coverage is secondary to homeowner insurance. By typing your name in the following box you are agreeing to all terms within this agreement.