1 REQUEST FORM 2 Complete REQUESTOR: * Name of person making the request EMAIL ADDRESS * PHONE NUMBER * DESCRIPTION OF INFORMATION REQUESTING * Please list all files and information you are requesting DISCLAIMER Some of the data herein was created by the City of East Providence (the "City") or acquired by the City from other sources. All data is believed to have been substantially accurate as of the date(s) created and/or as of the date(s) acquired by the City. Some of the data contained herein remains in its original form (created by the City or provided to the City), while some of the data may have since been modified. In any event, no warranty, express or implied, is made by the City, or by any of the City's other data providers with respect to the present accuracy of the original or modified data. Without limitation, no warranty is made by the City or by any of the City's other data providers as to the accuracy or completeness of the original or modified data or the usefulness of the original or modified data for the user's requirements; nor is there any warranty by the City, or by any of the City's other data providers that the original or modified data will be error free. The City, and the City's other data providers are under no obligation to third party users to update the data. All use of and reliance on the original or modified data shall be at the user's sole risk. By viewing, accessing, downloading, or copying the original or modified data, the user agrees that in no event will the City, or the City's other data provides be liable to the user or subsequent transferees of said data for any damages including, without limitation, incidental or consequential damages, resulting from the user's use of or inability to use the original or modified data contained herein. SIGNATURE * DATE * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20222023202420252026 CONTACT Karen Lanoue Engineering Division (401)435-7703 ext.11132 klanoue@eastprovidenceri.gov