Laserfiche WebLink
'-* ' • /..v-. , ■ . '■ ■V -..i*'' '; /’.f- - ♦ <br />rn-m f(Q|^ Minnesota Department of Vans^vrtation <br />- <br />i- <br />■!?:. <br />■ii-v' <br />'i<dttck ijOi) <br />Adopt-a-Highway Permit <br />di Adfl|>t*a-Highwa)t The group agrees to pick up Utter at least thav times a \ ear tor a mirumum ot wo vears. <br />, .-t. <br />G Pic|Mi*Highway. Yhe group agrees to ^ck up litter one time only. <br />We ffequcil petflUssion to pick up litter on <br />V’’ ■**' <br />Vrf-.: vO-'i'--.-'’ <br />»»••••, • Mk« « I <br />ibr a total of miles. <br />TbtMuoKSOta Department ot Transportation resen es the ngbt to refuse, cancel or revise lhi.s agreement it in its sole judg-ment <br />nJttlillitfiMVOfthe group or its sign is political c»intro\’ersial or in questionable taste, or if the group is not meeting the terms and <br />oandliiomof^is agreement. By signing thb agreement, the group acknowledges the ha/anlous ruilure of the^work and agrees <br />IbOOBtpiy with the terms and conditions herew *^h tc the s,itisfactior ot the Miimesiita Oepiirtment ot Transportation. <br />Except fc>r the negligent acts of the.State, its agents and employees, the volunteers or their agents shall assume all liability <br />for# md swetite Slate, its agents and employees, harmless trom, any and all claims tor damages, actions ur causes of action <br />Mdidng out of the work to be done herein <br />H»f ^iVMd aU volunteers of the group or other persons while engaged in the performance of anv work or service performed <br />.under this agreement sh^ll not be considered eniployces ot the State, and any and all claim, that mav or might arise under <br />dhe Wjiker'sCompensation Act of MinnesoU cn benalf ot said employee's or other persons ivhile so engaged, and any and <br />all cl'ima made by any third parp/ of the group's v'olunteer*; or other persons while so engagt^f on anv of the work or <br />ber vice* lobe rendered shall in no way be the obligation or msponsibilitv of the State. <br />of group <br />1*.(please print) <br />Name of group tepresentadve <br />" ' Phme (home)(work) <br />ike, .Name tc appear <br />cm sign <br />^ ) <br />1 ------1 <br />! <br />i ;___• <br />1 i <br />i <br />’ }\ <br />_! <br />- <br />dip.'i. .* , <br />%>«cial provisions <br />Area Maintenance Engineer Date <br />^ ■........................................................................................................................................................................ <br />i <br />i <br />..i <br />4 <br />1 <br />3 <br />i <br />.vf <br />f. #1 ■ <br />■3 <br />rid <br />I