STATE OF ILLINOS
DEPARTMENT OF TRANSPORTATION
INDIVIDUAL HIGHWAY PERMIT BOND
Click here to view
image
WHEREAS, Highway Permit No. _________________ issued by the
Department of Transportation of the State of Illinois grants to
______________________________ permission and authority to construct, locate,
operate, and maintain the work described in said Permit, upon or adjacent to
________ Route _____________________________ in _____________________ Conty as
more fully described in said Permit and Sketch, which by this reference are
made a part hereof as if written herein at length, in and by which Permit and
Sketch the said Principal has promised and agreed to perform said described
operation and related activities in accordance with the terms and conditions of
and description in said Permit and Sketch.
NOW, THEREFORE, if the said Principal shall well and truly
perform said operation in accordance with the terms and conditions of and
description in said Permit and Sketch to the satisfaction of said Department,
and shall perform no other work or construction at said location without first
applying for and receiving another permit from said Department, and shall
indemnify and save harmless the State of Illinois against all claims for
damages that may occur to persons or property, due to accidents or otherwise by
reason of the location, operation, or maintenance of the work authorized by the
referenced highway permit, including damages to property belonging to the State
of Illinois arising out of the performance of said described operation and
related activities during a period of five years from the date of approval of
this bond by the Department, then this obligation to be void. Otherwise, this
bond or so much thereof as may be necessary shall inure to the said Department
as cost and expense to change and correct said construction to conform to the
terms and conditions of and description in said Permit and Sketch.
IN WITNESS WHEREOF, WE HAVE DULY EXECUTED THE FOREGOING THIS
_______ DAY OF ___________19____.
Click here to view
image
