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Acceptance Form <br />Please confirm your name and address below and make any changes if necessary. <br />E-mail Address Phone # <br />By providing my e-mail address, I request that I be notified when my current and future service agreements and any related documents are available at <br />www.slwofa.com, and I acknowledge that I can access these documents. I can change my preferences or request paper copies online or by calling SLWA.SLWA_AH_BLUPK_CChoose Your Protection Plan(s) <br />BEST VALUE <br />FIRST-YEAR SAVINGS OF 10% OFF <br />when you select both plans <br />MONTHLY YEARLY <br />For fastest processing, please visit www.slwofa.com. <br />To protect your privacy, we do not share your information except to deliver this service. <br />Yes, please sign me up for the protection plan(s) from SLWA I have selected above. By signing below, I agree to <br />the terms on the reverse side of the letter, understand there are limitations and exclusions, and meet the eligibility <br />requirements for this coverage. SLWA will invoice me based on my selection above and I will select a payment method <br />on the invoice. I understand this optional coverage is based on an annual contract and will automatically renew annually <br />on the same payment terms I selected at the then-current renewal price. I can always cancel at any time. <br />Signature (required) <br />Important Questions & Answers <br />Visit www.slwofa.com to protect your exterior lines <br />Or call toll-free 1-844-257-8795 | Available: MON-FRI 8AM-8PM | SAT 10AM-4PM EST <br />SLWA_AH_BLUPK_CTake A Look At The Benefits You'll Receive Exterior Water Service Line Coverage Exterior Sewer/Septic Line Coverage <br />1. Covered Repairs – Guaranteed for one full year. <br />2. 24-Hour Emergency Repair Service Hotline – Open 24 hours a day, 365 days a year. <br />3. Our Promise to You – If you are ever dissatisfied with your coverage, simply call SLWA toll-free at 1-844-257-8795, and it will be discontinued at your request. <br />What would you do in an exterior line emergency? <br />‡ National average repair costs as of January 2016. <br />No charge for covered repairs up to the benefit amount. <br />The illustration shows where things may go wrong with your exterior lines and how much a licensed and insured plumber would typically charge customers who don't have coverage. How would you cope if it happened to you? With coverage, it's not something to worry about; you'll have no bill to pay for covered repairs up to the benefit amount. <br />Replace water <br />service line <br />$2,587 <br />Plan Members: <br />No Charge‡ <br />Replace sewer/ <br />septic line <br />$3,929 <br />Plan Members: <br />No Charge‡ <br />The water and sewer/septic lines beyond the property boundary may be an additional responsibility of the homeowner and are included in this coverage.Septic tanks, leaching fields, pumps or grinders are not covered. <br />Property <br />Boundary <br />Water Service Line <br />Sewer/Septic Line <br />Typical Homeowner’s Responsibility <br />Water <br />Main <br />Sewer <br />Main <br />What am I responsible for?As a homeowner, you are responsible for your exterior water service line and exterior sewer/septic line. If the service lines beyond the property boundary to the main connections are also the responsibility of the homeowner, then they will be covered up to the benefit amount.Does my homeowners insurance cover this?Most basic homeowners insurance policies do not cover repair or replacement due to normal wear and tear of these lines.Does this coverage include well lines?Yes, coverage provides for repair or replacement of either water service or well lines, as explained in the “What should I know about this coverage” section.Who is eligible for coverage?An owner of both a residential home permanently secured to the ground and the land it is located on may be eligible for coverage. Recreational vehicles or homes on wheels and properties used for commercial purposes are not eligible for coverage. In GA, residential properties containing more than two dwelling units are not eligible. In IA, residential properties containing more than four dwelling units are not eligible. Your property is not eligible if you are aware of any pre-existing conditions, defects or deficiencies with your exterior water service or sewer septic lines or have had any roots removed from your exterior sewer/septic line prior to enrollment. If you live in a development community with a condominium, co-op or homeowners association, your exterior water service line or exterior sewer/septic line may not be an individual homeowner’s responsibility, so please check with your association before accepting this coverage. If you live in a multi-family structure and do not own the entire structure, it will be your responsibility to provide Service Line Warranties of America (SLWA) with a signed release from all other homeowners for any work which may affect their portion of the structure.What should I know about this coverage?Coverage is for the following exterior lines, for which you have sole responsibility, that are damaged due to normal wear and tear, not accident or negligence. Exterior Water Service Line Coverage: Coverage provides, up to the benefit amount, for the covered cost to repair or replace a leaking, frozen, low pressure, or permanently blocked exterior water service line from your utility’s responsibility or external wall of your well casing to the external wall of your home. Exterior Sewer/Septic Line Coverage: Coverage provides, up to the benefit amount, for the covered cost to repair or replace a leaking or permanently blocked sewer line that takes wastewater away from the exit point within your home up to your utility’s responsibility, or septic line that takes wastewater away from the exit point within your home up to the point of connection to the septic tank on your property. Not covered: Damage <br />from accidents, negligence or otherwise caused by you, others or unusual circumstances and the product-specific exclusions below. Exterior Water Service Line Coverage: Repair to any water line that branches off the main water service line, and any shared water line that provides service to multiple properties or secondary buildings. Additional exclusions apply. Exterior Sewer/Septic Line Coverage: Septic tanks; leach fields; grinder pumps; lift stations, or any non-conforming drain line, such as a basement or storm drain; repairs to any line that branches off the main line; and lines that provide service to multiple properties or secondary buildings. Additional exclusions apply. You agree to resolve disputes related to this plan by arbitration or in small claims court, without resort to class action or jury trial. To see full Terms and Conditions with complete coverage and exclusion details prior to enrolling call 1-844-257-8795 or go to www.slwaterms.com.When can I make a service call?Your plan(s) start the day your form is processed, and there is an initial 30-day waiting period before you can make a service call, giving you 11 months of coverage during the first year. Upon renewal/reactivation (if applicable), you will not be subject to a waiting period.What is the cancellation policy?You may cancel either plan within 30 days of your start date for a full refund of the cancelled plan(s) (less any claims paid, where applicable). Cancellations after the first 30 days will be effective at the end of the then-current billing month, and you will be entitled to a prorata refund of the cancelled plan(s) less any claims paid (where applicable). You may also contact SLWA to cancel if you find your utility or municipality provides similar coverage to you at no charge, and you will receive a refund less any claims paid (where applicable).What is the term of my service agreement?The plan is annual. For E-Z Pay/Direct Pay, credit card or debit card customers, unless you cancel, your plan automatically renews annually at the then-current renewal price with your same payment terms.What is E-Z Pay/Direct Pay?E-Z Pay/Direct Pay is a paperless and stress-free way to pay for your coverage. Payments are automatically debited from the bank/checking account of your choice as your payment becomes due, at no additional cost.What quality of repair can I expect?Local, licensed and insured plumbers perform covered repairs, which are guaranteed against defects in materials and workmanship for one year.Who is SLWA?SLWA is an independent company, separate from your city, local utility or municipality, providing emergency home repair services and protection solutions to homeowners across the U.S. If you would prefer not to receive solicitations from SLWA, please call 1-844-257-8795.1804SAHH071AMNZ$12.50 $11.24 $150.00 $134.88 <br />$5.25 $63.00 <br />$7.25 $87.00 <br />Exterior Water Service Line Coverage <br />and <br />Exterior Sewer/Septic Line Coverage <br />1804SAHH071AMNS-9999 <br />1804SAHH048BMNS-9999 <br />1804SAHH071CMNS-9999 <br />1804SAHH048CMNS-9999 <br />Arden Hills, MN 55112 <br />Exterior Water Service Line Coverage <br />Exterior Sewer/Septic Line Coverage