SEWER BACKUP PREVENTION PROGRAM

SEWER BACKUP PREVENTION PROGRAM

PROGRAM DESCRIPTION The Village will provide partial funding for a Village approved overhead sewer, backflow prevention device and/or related equipment to single-family and multi-family residential property owners who have experienced or may experience sanitary sewer backups or basement flooding during periods of heavy rainfall. Funding shall be provided on a reimbursement basis once the project is complete and receives final inspection by the Village Building Department. PROCEDURE AND REQUIREMENTS 1. Reimbursement Amount. The Village will reimburse an owner 50% of the approved cost up to $4,000 for the installation of a Village approved overhead sewer, backflow prevention device and/or related equipment. The program is limited to the actual costs of the labor and materials to install the overhead sewer, backflow prevention device and/or related equipment, subject to the funding limitations contained herein. The Village shall not reimburse for other costs such as landscape restoration, interior finish restoration, painting, tile, carpeting, etc. 2. Eligibility. Eligibility to participate in the program is subject to the following: a. Only single-family and multi-family properties connected to the Village of Mundelein sanitary sewer system are eligible. In order to apply for the reimbursement, you must provide evidence of ownership of the subject property satisfactory to the Village. b. The reimbursement applies to the installation of an overhead sewer, backflow prevention device and/or related equipment made after August 1, 2013. There shall be no retroactive reimbursements for work performed prior to August 1, 2013. c. All work subject to reimbursement must be completed within six (6) months of the date that the building permit is issued. Any work not completed within that timeframe shall not be eligible for reimbursement. Also, if the property owner fails to comply with all of the requirements of the Sewer Backup Prevention Program, the Village shall have no obligations to reimburse him or her for any of the costs thereof. d. No owner shall be eligible for reimbursement if there is an outstanding balance with respect to payment of any fees and charges due to the Village. e. An owner may be eligible for participation more than once for the same property; however, in no case shall the total reimbursement from the Village for any one property exceed the limits prescribed in paragraph 1 above. f. The Village shall have the sole authority to determine eligibility for participation, prioritization of requests, funding of Program and compliance with all Village Codes and Ordinances.

3. Types of Sewer Backup Prevention Systems. There are different types of sewer backup prevention methods and devices, almost all of which are eligible. The following is a list of several different types of sewer backup prevention systems: Rerouting of the under floor sewer to an overhead sewer. (See attached diagram) Installation of an interior flood control device (check valve) in your sanitary line. Installation of a battery back-up for the storm water sump pump. Installation of an exterior flood control valve. Installation of an injector pit as part of an overhead sewer installation. Connection of sump pump discharge into a Village storm sewer system. 4. Application Process. Prospective applicants must complete and submit a building permit application and drawings of the proposed work. (See Application/Project Checklist) In addition applicants must provide (a) an Affidavit of Evidence of Ownership satisfactory to the Village, i.e. a copy of a recorded deed or a title insurance policy, (b) Property Owner's Agreement/Waiver of Liability and (c) proposals for the work from two licensed contractors. (A list of contractors that have performed this type of work in the Village is attached.) 5. Reimbursement Process. Reimbursement of eligible items at approved amounts shall be made after all work is completed, inspected and approved by the Village Building Department. A completed and signed Sewer Backup Prevention Reimbursement Form must be completed and submitted with other documentation including a detailed invoice, waiver of lien and notarized statement from the contractor of record. (Also, Application/Project Checklist) 6. Waiver Required. Owner(s) of the property where the overhead sewer, backflow prevention device and/or related equipment is installed must execute an Agreement which includes a provision wherein the owner(s) waive, release and indemnify the Village and its officials, employees and agents from liability as provided therein. (See Application/Project Checklist) 7. Program Duration. Financial participation of the Village is limited to funds budgeted for the program in the fiscal year ending April 30, 2014. The program will be evaluated annually as part of the Village's annual budget process, and the Village may change or eliminate the program at that time. Funding levels may be changed or eliminated based on the Village's periodic review of the program. 8. Other Sewer Backup Prevention System Requirements. The Sewer Backup Prevention System shall comply with the following requirements:

a. The installation of an overhead sewer, backflow prevention device and/or related equipment shall meet current Village Codes and Ordinances and be approved by the Village Building Department. Ends of all abandoned pipes must be properly capped and sealed as directed by the Village Building Department. b. No plumbing or electrical work shall commence until Village approval is obtained and a permit is issued. The Village Building Department shall be notified to inspect the plumbing and electrical work as required under any permit. c. The perimeter drain tile and other sources of storm water, including but not limited to all footing drains and storm water tiles, must be disconnected from the sanitary sewer service. Installation of a sump pit and sump pump may be required, if it does not already exist. The sump pump discharge must be connected to a Village storm sewer. If a Village storm sewer is not available, the sump pump must discharge in the rear yard in a location that will not cause an impact to neighboring properties. The property owner(s) shall be responsible for regular and periodic maintenance of all pump systems. d. Proper functioning of foundation drains is necessary to prevent seepage of ground water through the walls below grade. The Village will not be responsible for testing existing foundation drains for proper function. The property owner(s) have the responsibility for all inspections, testing and corrective work regarding foundation drains that may be or may become necessary. e. The Sewer Backup Prevention Program is designed to substantially reduce the risk of basement backups. However, there is always some risk of basement backup as a result of unexpected sewer collapse, obstruction, power failure, extreme environmental conditions or other unforeseen factors. f. It is recommended that the property owner install a battery backup system to provide protection in the event of a power failure. The cost of a battery backup system, if installed shall be eligible for funding subject to the funding limitations contained herein. APPLICATION PROCESS

Contact the Building Department at 847-949-3283 to inquire about the program and obtain the application forms. The forms are also available on the Village's website, www.mundelein.org. Owner submits application for a building permit and all associated documentation, including a drawing of proposed work and proposals from two licensed contractors; Affidavit and Evidence of Ownership; and Property Owner's Agreement/Waiver of Liability. The drawings will be reviewed and will either be approved as noted or returned for revisions. When drawings receive approval, the permit will be issued and the contractor can start the work. Owner schedules inspections as needed and completes the work. Once work is complete, a final inspection must be scheduled. After work receives final approval, the property owner must pay the full amount to the contractor and then submit the Sewer Backup Prevention Reimbursement Form with verification that the work is paid in full (accompanied by a detailed invoice, waiver of lien, and notarized statement from contractor of record.) The Village will process the reimbursement request and remit payment to the applicant within approximately four weeks of receiving all of the final closeout documentation. APPLICATION/PROJECT CHECKLIST Building Permit Application (and all associated documentation) Affidavit and Evidence of Ownership (see attached form)

Property Owner's Agreement/Waiver of Liability (see attached form) Sewer Backup Prevention Reimbursement Form to be submitted upon completion of the project (see attached form) Documentation that the work is paid in full (accompanied by a detailed invoice, waiver of lien, and notarized statement from contractor of record) STATE OF ILLINOIS ) ) SS. COUNTY OF )

AFFIDAVIT AND EVIDENCE OF OWNERSHIP The undersigned, under oath, states as follows: 1. Street address of Subject Property: 2. Name(s) of Owner(s) of Record (Please Print): 3. Evidence of Ownership Submitted (check applicable box): Copy of recorded deed Copy of title insurance policy Signature of Owner: Signature of Co-Owner (if applicable): Subscribed and Sworn to before me this day of, 20. Notary Public

SEWER BACKUP PREVENTION PROGRAM PROPERTY OWNER'S AGREEMENT/WAIVER OF LIABILITY 1. The undersigned states that the Subject Property is a single-family or multi-family residential property located in the Village of Mundelein and has experienced or may experience sanitary sewer backups or basement flooding during periods of heavy rainfall. As such the Subject Property is eligible for participation in the Village of Mundelein Sewer Backup Prevention Program. 2. The undersigned has applied to the Village of Mundelein for partial reimbursement, i.e. 50% of the approved cost up to a maximum of $4,000.00, for the installation of a Village approved overhead sewer, backflow prevention device and/or related equipment on the Subject Property. 3. The undersigned is the owner(s) of the Subject Property and has read, fully understands and agrees to the terms and conditions of the Village's Sewer Backup Prevention Program as set forth in the Program Description distributed by the Village, a copy of which is attached to this Agreement/Waiver of Liability. 4. The undersigned agrees to waive and release the Village of Mundelein and its officials, employees, and agents from any and all liability resulting from (a) prior and subsequent sewer backups, flooding and other wastewater and stormwater damage to the Subject Property; (b) any and all determinations by the Village as to eligibility for participation, prioritization of requests, funding of the Program and compliance with all Village Codes and Ordinances and (c) installation, maintenance and operation of the overhead sewer, backflow prevention device and/or related equipment installed on the Subject Property and the performance of the contractor installing same. Further, the undersigned agrees to indemnify and hold harmless the Village of Mundelein, its officials, employees, and agents from any and all liability arising from claims by third parties for injury or damages related in any way to the installation, operation and maintenance of the overhead sewer, backflow prevention device and/or related equipment installed on the Subject Property. Street Address of Subject Property:, Mundelein, Illinois. Names and Addresses of Owner(s) of Record of Subject Property (Please Print) Signatures of Owner(s) or Authorized Person(s) executing this document: Date: Date:

NAME OF OWNER(S) STREET ADDRESS OF SUBJECT PROPERTY PHONE (WORK) (HOME/MOBILE) CONTRACTOR NAME SEWER BACKUP PREVENTION REIMBURSEMENT FORM CONTRACTOR ADDRESS CONTRACTOR PHONE COST OF ELIGIBLE EXPENSES REIMBURSEMENT REQUESTED* *(50% of eligible expenses not to exceed $4,000) Owner(s) Certification The undersigned,, owner(s) of the Subject Property certify that all of the information contained on this Request for Reimbursement Form is true and correct to the best of my/our knowledge. Signature of Owner Date Signature of Co-Owner (if applicable) Date Contractor's Certification The undersigned, of certify that all work completed under this program has been performed in accordance with the Village of Mundelein Sewer Backup Prevention Program and all applicable Village Codes and Ordinances. Signature of Owner or Authorized Officer Date **************************************OFFICE USE ONLY******************************** PERMIT # DATE ISSUED FINAL INSPECTION FINAL APPROVAL REIMB. APPROVED REIMB. SENT DATE BY