Address:
# Permits $250.00/Permit. On-line payment option link:
# of Annual MTO Permit(s) Attached
Length(m) Width(m) Height(m)
25
3.7 4.26
3.7 4.26
3.7 4.26
3.7 4.26
3.7 4.26
32
29.25
26.05
28
25
4.27 4.26
(Office Use Only)
Issued by the County of Dufferin
Date:
https://www.dufferincounty.ca/purchase
Contact Name:
Phone:
Email :
The personal information collected on this form is collected under the Highway Traffic Act, Section 110 (1) for the purpose of the proper
administration of Excess Load Moving Permits. Specific questions relating to the Municipal Freedom of Information and
Protection Act can be directed to Director of Public Works, County of Dufferin at 519-941-2816 x2600.
Permit number
Under Section 110 of the Highway Traffic Act
*NOTE* All conditions of MTO permit(s) shall apply to County Permit(s)
DECLARATION: I have reviewed and accept all Provisions and Conditions attached to this application. I have/
will submit an Insurance Certificate naming the County of Dufferin as additional insured with minimum
coverage of $5,000,000. I have/will submit page 1 of my MTO permits as they may apply. I have/will provide
payment as required.
PUBLIC WORKS DEPARTMENT
55 Zina St, 2nd Floor, Orangeville, ON L9W 1E5
Phone: 519-941-2816 Ext 2600 Fax 519-941-4565
publicworks@dufferincounty.ca
Weight(kgs)
Company Name:
Submit first page of all MTO Annual Permits (check that you have attached permits - indicate how many MTO permits will be
listed)
Application - Annual Permit to Move Excess Loads
Up to Five (5) MTO Annual Permits of the same 'Type' can be listed per Dufferin Permit. Dufferin
Annual Permits do not identify individual truck/trailer combinations.
Valid Dates for all annual permits - January 1 to December 31
63,500
63,500
MTO Permits, Enhancements, Amendments and Exceptions must accompany the application
Maximum Dimensions for Annual Permit Types as per MTO (check your selection)
63,500
63,500
63,500
63,500
Annual Permit Type
Annual-General Loads
Annual-Enhanced General Loads
Annual-Enhanced Modular Buildings
Annual-Tree Length Logs
Annual-Hydro Poles
Annual-Bulldozer
Blade
Exception
PROVISIONS AND CONDITIONS
for
PERMIT TO MOVE EXCESS LOAD
Issued Under Section 110 of the Highway Traffic Act
1. INSURANCE REQUIREMENTS: In order to receive a Dufferin County issued permit the applicant must
provide proof of a valid insurance certificate naming the County of Dufferin as additional insured
with minimum Commercial General Liability (CGL), General Aggregate coverage of two million dollars
with sufficient Umbrella coverage to total minimum five million dollars.
2. THIS PERMIT IS NOT VALID:
a. on any road or highway other than roads under the jurisdiction of the County of Dufferin.
b. for overweight vehicles on any load restricted County Road. Load restrictions generally apply
annually during the period of March 1
to May 15
but may change at the County's discretion.
Roads not affected by reduced load periods include Dufferin Roads 3, 24, 25, 109 and 124.
Permit holder is responsible for verifying current load restrictions.
c. on Saturdays, Sundays and Statutory Holidays.
d. in congested traffic conditions when the overall width exceeds 3.05 metres (10 feet) or
the overall length exceeds 24.5 metres (80 feet).
e. from 1/2 hour after sunset to 1/2 hour before sunrise or at any other time when, due
to insufficient light or unfavourable atmospheric conditions, persons and vehicles on the road
are not clearly discernible at a distance of 150 metres (492 feet) or less.
f. Subsections (c),(d) and (e) do not apply to overweight and over height vehicles.
3. CONDITIONS:
a. all conditions that are contained on the Ontario Ministry of Transportations Permit shall
apply to this permit.
b. Permit holder must provide escort vehicles to precede and follow load(s) in excess of 4.0
metres (13 feet) in width when crossing the Grand River Bridge (200m (656 feet) west of
Dufferin 24 on Dufferin 109).
c. Annual permit holders in excess of MTO annual permit limits (“Special Annual”) must notify
the County of Dufferin a minimum of 2 business days in advance of each haul. (Quote
permit #) The County reserves the right to deny specific loads. Confirmation of notification
and approval will be issued by the County and must be carried in the vehicle for each load.
d. A photo copy of this permit and an original of the associated Ontario Ministry of
Transportation’s permit must be carried in the vehicle and produced on demand of a police
officer or an officer for carrying out enforcement of the Highway Traffic Act.
e. It is the responsibility of the permit holder to confirm all horizontal and vertical clearances
along haul route prior to transport. Permit is issued on the condition the permit holder
accepts responsibility for any and all damage that may be caused to overhead wires,
structures, roads, encroachments, or railway rights-of-ways.
PAYMENT OPTIONS
PAYMENTS ONLINE*
Dufferin County offers secure online credit card payment processing for select
services.
Please visit, https://www.dufferincounty.ca/purchase and select the appropriate
service you are paying for.
PAYMENTS BY MAIL*
Payment by cheque may be mailed to the address below. Cheques shall be made
payable to the County of Dufferin, not be postdated and shall include a copy of
the application that was submitted.
PAYMENTS MADE IN PERSON*
Payments may be made in person at:
County of Dufferin
55 Zina St.
Orangeville, ON L9W 1E5
Monday through Friday from 8:30 AM to 4:30 PM excluding holidays
Payment in the form of cash, cheque, money order, Debit, Visa or MasterCard will be
accepted.
* Payment in full must be made prior to any service commencing, or permits being issued.
* All returned payments will be subject to a $20.00 NSF fee.
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