RURAL FIRE PROTECTION SERVICE AGREEMENT

This agreement is made on the __ day of ______________, between

________________________________ ______________________________
(Print Name) (Print Name)

________________________________ ______________________________
(Print Name) (Print Name)
(hereinafter Owner(s)) and the City of Fredericktown, a municipal corporation of the
state of Missouri in consideration of the undertakings of the parties under this agreement.

City will provide fire protection services for real and personal property of Owner at
______________________________________________________, including the
(Address)

property described as follows:
( ) Residence
( ) Commercial Property
( ) Multiple family property __ units covered
( ) Additional property

the property being outside the city limits,

The fire protection will be furnished upon the following terms:

1. The fire protection will begin at the time and date of the execution of this Agreement,
and continue for one year at an annual fee in accordance with the rates set from time to
time by the Fire Chief or Fire Department of the City. The rate will be set forth in the
Rural Fire Service Rates and Terms as shown on the attached Exhibit 1 and as modified
from time to time. Failure to pay the annual fee within sixty (60) days of due date will
result in termination of the Agreement as of the close of business on that day.

2. This contract will be renewed automatically for one year periods from the time of its
first expiration upon the payment by Owner of the then current Annual Fire Service Fee,
unless either party notifies the other in writing thirty (30) days prior to the termination of
the annual period the intention not to renew for the next annual period.

3. This service is to be provided in accordance with the Rural Fire Service Rates and
Terms, which provides in part substantially as follows: (1) that the payment may not be
refunded but that the property shall be protected for one year regardless of change in its
ownership; (2) that the sole discretion will rest with the fire chief as to the firefighters and
equipment that will answer each alarm, provided that protection will be adequate
(meaning reasonable protection, considering available firefighters and equipment of city
fire department); and (3) sending of firefighters and equipment to protect property of
owner will be subordinate to requests for fire protection within city limits.

4. The City is not responsible for any claims because of injuries to the public or damage
to the property which occur while the City's fire department is engaged in answering a
fire call or working at or returning from a fire in response to any call from the company
under the terms of this agreement. The Owner agrees to indemnify the City for any
judgment rendered against it or sums paid out by it in payment of any claims. City will
not be liable for loss or damage to property resulting from the alleged negligence of the
city, its officers or employees in carrying out this contract, failure to furnish adequate fire
protection to owner's property, failure unreasonably to furnish any protection to owner's
property or failure to timely respond to a request for protection.

5. Owner agrees to immediately notify Owners casualty insurance company of any
request for service and to submit to such insurance company the name, address and any
billing statement for charges for fire protection services for responding to a call for
emergency assistance at the Owners property.



OWNER CITY


___________________________


___________________________


___________________________

DATE:____________ TIME_______



By: __________________________
MAYOR

ATTEST:

BY: _________________________
CITY CLERK