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TEMPORARY HIGHWAY EASEMENT GRANT
(GENERAL)
Form T-3 Project: 1400639
Revised 05/2019 Code: N/A
Parcel: 20B & 20C
Page: 1 of 4
THIS INDENTURE WITNESSETH, That The City of South Bend, Indiana, by and through its Board of Park
Commissioners, the Grantor(s) of St. Joseph County, State of Indiana Grant(s) to BOARD OF COMMISSIONERS OF THE
COUNTY OF ST. JOSEPH, INDIANA, the Grantee, for and in consideration of the sum of One thousand one hundred
twenty-five and 00/100 Dollars ($1,125.00) (of which said sum $0.00 represents land improvements acquired and $1,125.00
represents land temporarily encumbered and damages) and other valuable consideration, the receipt of which is hereby
acknowledged, a temporary easement to enter upon and have possession of the Real Estate of the Grantor(s) for the purpose of
sanitary sewer construction and tree planting (the “Work”) which said Work is incidental to the construction of the highway
facility known as Douglas Road and as Project 1400639, which said Real Estate situated in the County of St. Joseph, State of
Indiana, and which is more particularly described in the legal description(s) attached hereto as Exhibit “A” which is
incorporated herein by reference, which said temporary easement shall expire, become void and revert to the Grantor(s) and/or
the Grantor(s) successor(s) in title upon completion of the said Project. Upon expiration of the Temporary Construction
Easement, the Grantee, at its sole cost and expense, shall restore the Temporary Easement Property to substantially the same or
better condition it was in prior to Grantee’s use. Grantee shall not leave any rubbish or debris on or about the Temporary
Easement Property. Following inspection and sign-off of the Temporary Easement Property by the Grantor, the Grantee shall
promptly execute and record an easement release document, at no cost to the Grantor(s).
The undersigned represents and warrants that they are the Board of Park Commissioners of the Grantor, that pursuant
to state and local ordinance they are fully authorized to grant the temporary easement under this easement and that said
authority has not been revoked and that therefore, fully authorized and empowered to convey to the Board of Commissioners of
the County of St. Joseph, Indiana this temporary easement of the City, and that on the date of execution of said conveyance
instruments they have full authority to so act. For use as a county highway or for highway purposes
Any and all timber, shrubbery, fences, buildings and any other improvements situated within the area of the temporary
easement granted herein shall become the property of Board of Commissioners of the County of St. Joseph, Indiana except:
Any timber, shrubbery, fences, buildings and any other improvement that does not need to be removed to install the
planned improvements. Ownership of any of said materials or structures not removed as a result of the improvements will revert
back to Grantor upon release of this instrument.
To the extent allowed by law, the Grantee shall indemnify and hold the Grantor harmless against any claim of liability
or loss from personal injury or property damage resulting from or arising out of the negligence or willful misconduct of the
Grantee and its contractors, consultants, subcontractors, subconsultants, materialmen, suppliers, workers, successors, and
assigns thereof, except to the extent such claims or damages are due to or caused by the negligence or willful misconduct of
Interests in land acquired by
Board of Commissioners of the County of St.
Joseph, Indiana
Grantee and Tax mailing address:
227 West Jefferson Boulevard
South Bend IN 46601
I.C. 8-23-7-31
Grantor or its employees, contractors or agents.
The said Grantor(s) acknowledge(s) that all provisions of this grant of temporary easement are as stated and set forth
herein and that no verbal agreements or promises exist with respect thereto.
This temporary conveyance is subject to any and all easements, conditions and restrictions of record. However, the
said Grantor(s), for the purpose of inducing Board of Commissioners of the County of St. Joseph, Indiana to accept this
grant and to pay the hereinbefore referenced consideration, represent(s) that the Grantor(s) is the owner(s) in fee simple of the
Real Estate and that to the best of Grantor’s knowledge and reasonable belief there exist no encumbrances, conditions,
restrictions, leases, liens (except current real estate taxes and assessments) of any kind or character which would be inconsistent
with the temporary rights granted herein.
IN WITNESS WHEREOF, the said Grantor(s) has executed this instrument this __________________________ day
of __________________________, 2020.
The City of South Bend, Indiana, by and through its Board of Park Commissioners, By
(Seal) (Seal)
Signature Signature
Mark Neal, President Consuela Hopkins, Vice President
Printed Name Printed Name
(Seal) (Seal)
Signature Signature
Aimee Buccellato, Member Dan Farrell, Member
Printed Name Printed Name
Witness
_________________________________________
Signature
_________________________________________
Printed Name
STATE OF INDIANA:
SS:
COUNTY OF ST. JOSEPH:
Before me, a Notary Public in and for said State and County, personally appeared Mark Neal , President ; Consuela Hopkins,
Vice President; Aimee Buccellato, Member; and Dan Farrell, Member of The City of South Bend, Indiana, by and through its
Board of Park Commissioners, the Grantor(s) in the above conveyance, and acknowledged the execution of the same on the date
aforesaid to be their voluntary act and deed and who, being duly sworn, stated that any representations contained therein are
true.
Witness my hand and Notarial Seal this __________________________ day of __________________________, 2020.
Signature
Printed Name ___________________________________________
My Commission expires ___________________________________________
I am a resident of ______________________________ County.
PROOF NOTARIAL CERTIFICATE
STATE OF INDIANA:
SS:
COUNTY OF ST. JOSEPH:
Before me, a Notary Public in and for said State and County, personally appeared, the witness
, to the foregoing instrument, who, being duly sworn by me, did
depose and say that they know Mark Neal , President ; Consuela Hopkins, Vice President; Aimee Buccellato, Member; and
Dan Farrell, Member of The City of South Bend, Indiana, by and through its Board of Park Commissioners, Signatory(s) of the
Grantor(s) to be the individual(s) described herein and who executed the foregoing instrument; that said witness
was present and saw Mark Neal , President ; Consuela Hopkins, Vice
President; Aimee Buccellato, Member; and Dan Farrell, Member of The City of South Bend, Indiana, by and through its Board
of Park Commissioners, Signatory(s) of the Grantor(s) execute the same; and said witness
at the same time subscribed his/her name as a witness thereto.
Witness my hand and Notarial Seal this day of __________________________, 2020.
Signature
Printed Name ___________________________________________
My Commission expires ___________________________________________
I am a resident of ______________________________ County.
This instrument was prepared by Jamie C. Woods, Thorne Grodnik, LLP, License No. 21879-79, 420 Lincolnway West
P.O. Box 1210, Mishawaka, Indiana 46546-1210
I affirm, under the penalties for perjury, that I have taken reasonable care to redact each and every Social Security number from this
document, unless it is required by law. Jamie C. Woods