Concurrence for Temp. Use of City Streets - Wayne St. - INDOT

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CONCURRENCE FOR TEMPORARY USE OF CITY OR COUNTY STREETS OR ROADS FOR THE DETOURING OF TRAFFIC FROM A STATE HIGHWAY ** TO BE ATTACHED TO STATE FORM 41769R** December 2004 Detour requested to be used It is agreed that repair of any damages to county roads, city streets, intersections, public or private property and/or drainage caused by this road closing and/or detours will be the responsibility of: COUNTY HIGHWAY DEPARTMENT CITY STREET DEPARTMENT TOWN BOARD OF TRUSTEES THE APPLICANT AGREES TO INDEMNIFY, DEFEND, EXCULPATE, AND HOLD HARMLESS THE STATE OF INDIANA, IT’S OFFICIALS AND EMPLOYEES FROM ANY LIABILITY DUE TO LOSS, DAMAGE, INJURIES OR OTHER CASUALTIES OF WHATSOEVER KIND, OR BY WHOMEVER CAUSED TO THE PERSON OF PROPERTY OR ANYONE ON OR OFF THE RIGHT-OF-WAY ARISING OUT OF, OR RESULTING FROM THE ISSUANCE OF THIS AGREEMENT OR THE WORK CONNECTED THEREWITH, OR FROM THE INSTALLATION, EXISTANCE, USE, MAINTENANCE, CONDTION, REPAIRS, ALTERATION, OR REMOVAL OF ANY EQUIPMENT OR MATERIAL. WHETHER DUE IN WHOLE TO THE NEGLIGENT ACTS OR OMISSIONS (1) OF THE STATE, IT’S OFFICIALS, AGENTS OR EMPLOYEES; OR (2) OF THE APPLICANT, HIS AGENTS OR EMPLOYEES OF THE PERSONS ENGAGED IN THE PERFORMANCE OF THE WORK, OR (3) THE JOINT NEGLIGENCE OF ANY OF THEM: INCLUDING ANY CLAIMS ARISING OUT OF THE WORKMAN’S COMPENSATION ACT OR ANY OTHER LAW, ORDINANCE, ORDER, OR DECREE. THE APPLICANT ALSO AGREES TO PAY ALL REASONABLE EXPENSES AND ATTORNEY FEES INCURRED OR IMPOSED ON THE STATE IN CONNECTION HERE WITH IN THE EVENT THAT THE APPLICANT SHOULD DEFAULT UNDER THE PROVISIONS OF THE PARAGRAPH COUNTY OF , BOARD OF COMISSIONERS BY:** 1. 2. CITY OF BY:** 1. 2. ** DENOTES (2) MEMBER SIGNATURES ARE REQUIRED** **DEPARTMENTAL USE ONLY** Recommendation Approval Approval 71 - St. Joseph State Road 933 (Main St.) Application/Permit Number County Number Road to be Detoured NB: Wayne St. to Lafayette Blvd. to Jefferson Blvd. SB: Jefferson Blvd. to Dr. MLK Jr. Blvd. to Western Ave. City of South Bend March 28, 2023