Loading...
Agreement - Road Use Annual ANNUAL ROAD USE AGREEMENT Company Name: ________________________________________________________________________ Address: _______________________________________________________________________________ City: ________________________ Prov: _________________ Postal Code: ______________________ Contact Person: _______________________________ Position: ________________________________ Phone (office): ____________________ Cell: _________________ Fax: ________________________ E-mail Address: _________________________________________________________________________ I hereby acknowledge I am able to act on behalf of the Company noted above and request approval for this Company or its agents to request blanket use of County of Newell roads. By signing this agreement, the Company accepts the following conditions: 1.This agreement will be in effect from the date of authorization until December 31 of that calendar year. 2.This agreement is binding upon successors and assignees, subject to notification of any changes. 3.Use legal weights only and notify the Roadata Services Ltd. of any overweight / over dimensional loads prior to hauling. In the event that permission is requested for overload weights for travel above a posted Road Ban limit, application may be made to post a security bond. 4.Any damages or excess maintenance requirements caused by trucks or equipment operating under this agreement are the responsibility of the company. This may include but is not limited to snow plowing, dust control, grading, re-gravelling and/or road repair of any kind. 5.The applicant agrees to reimburse the Municipality for any work deemed necessary for safe public passage as a result of this activity. 6.The applicant is to obtain all required approvals from Alberta Environment, the Natural Resources Conservation Board, Alberta Transportation regarding use of the Provincial Highway System also any other agencies, to obtain any necessary approvals. 7.The County of Newell is to be advised any movement of overweight equipment on Municipal roadways by way of obtaining a permit through RoaData Services Ltd. at (888) 830-7623. 8.The County of Newell is not responsible for any injury, loss or damages sustained by you, your employees or agents as a result of this activity. 183037 RR145 (Box 130), Brooks, AB T1R 1B2 Check us out on social media Phone: 403-362-3266 Fax: 888-361-7921 Email: administration@newellmail.ca Web: www.countyofnewell.ab.ca 9.A copy of this Road Use Agreement must be carried in the Vehicle at all times during operations. The Road Use Agreement must be presented upon request by Peace Officers, or agents of the County of Newell. The County of Newell may monitor the roads and suspend operations or this agreement if necessary. 10. All road use privileges may be suspended until such time as operations are in compliance with the above-noted conditions. Date: ____________________ Name: _____________________ Signature: _____________________ Position: _______________________________ Contact #: ____________________________________ RETURN COMPLETED FORM TO Roadata Services Ltd: Fax: 403-341-7467 or by E-mail: permits@roadata.com Document is Valid upon Submission to the Municipality and/or Roadata Services ______________________________________________________________________________________ Office Use Only Accepted: EFFECTIVE DATE: ______________________________________ AGREEMENT NUMBER: ______________________________________ Muni Contact Name _____________________________________________________________________________ Muni Contact Title _____________________________________________________________________________ Muni Department _____________________________________________________________________________ ATTACHED CONDITIONS TO BE FOLLOWED: YES NO 183037 RR145 (Box 130), Brooks, AB T1R 1B2 Check us out on social media Phone: 403-362-3266 Fax: 888-361-7921 Email: administration@newellmail.ca Web: www.countyofnewell.ab.ca