HomeMy WebLinkAboutState Highway Permit for Detouring Traffic - INDOT - Leighton Plaza Statue Unveiling11
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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**
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Application/Permit Number
Detour I`eauested to be used
County Number
3tZ ��3 (Ma1vI 5 -� )�
Road to be Detoured
75
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 H
CITY STREET DEPARTMENT a-F ) U41 '&o
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
it
2.
CITY OF -j-
1. Akii-t-i c� �
04
Recommendation Approval
, BOARD OF COMISSIONERS BY:**
**DEPARTMENTAL USE ONLY**
Approval
i
December2004