1-Communications Franchise Application.docx

DOCX document 568 KB Posted

Attached to
Communication Franchise August 2025
Solicitation number
RFA260062
Issued by
Bath County, Kentucky

About this file

This is a Communications Franchise Application form from Louisville Metro Public Works & Assets for companies seeking to obtain franchises to erect, install, or maintain communication facilities within Louisville Metro Rights of Way. The application is part of a non-exclusive franchise opportunity governed by Chapter 116 of the Louisville Metro Code of Ordinances, which is being amended and updated. Interested parties must submit bid proposals through Louisville Metro Government's Procurement Portal, and all franchises will be awarded under the terms of Chapter 116 as it exists at the time of bid approval.

The application requires detailed information including complete legal name as registered with the Kentucky Secretary of State, business address, contact information, local representative details, and emergency contact information. Applicants must certify that they agree to be bound by all franchise provisions, will obtain all necessary permits and authorizations prior to constructing or operating systems in the right-of-way, and will notify Louisville Metro of any material changes to their application information during the franchise term. The form includes a signature section requiring authorization from an official representative of the applying company.

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Text version

Louisville Metro Public Works & Assets Communications Franchise Application

Applicant Information Applicant Name: __________________________________________________________________ (Complete Legal Name as registered with the Kentucky Secretary of State) Address: ________________________________________________________________________ City: _______________________________________ State: __________ Zip Code: ____________ E-mail Address: ____________________________________________________ Phone Number: _____________________________ Fax Number: _________________________

Local Representative Information Applicant Name: ___________________________________________________________________ Address: _________________________________________________________________________ City: _______________________________________ State: __________ Zip Code: _____________ E-mail Address: ____________________________________________________ Phone Number: _____________________________ Fax Number: ___________________________ Emergency Contact Information:______________________________________________________

Certification

Applicant agrees to be bound by all provision of the Franchise and agrees to obtain all application permits and authorizations prior to constructing, installing or operating a System in the right-of-way.

Applicant hereby certifies that the information provided by the applicant is true and correct and that the person signing on behalf of the applicant is authorized to do so. Applicant further acknowledges and certifies that it shall be responsible to certify to Louisville Metro any material changes to the information provided in the completed application during the terms of any Franchise.

Complete Legal Name of Applicant: ____________________________________________________ Signature: ________________________________________________________________________ Printed Name: _____________________________________________________________________ Title: ____________________________________________________________________________ Date: _________________________________________ image1.emf

File details come from the government source that posted it. Updated .