HomeMy WebLinkAboutAgreement - 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