COOK COUNTY DEPARTMENT OF TRANSPORTATION AND HIGHWAYS
PERMIT BOND
Cook County Department of Transportation and Highways Permits Office 312.603.1670
George W. Dunne Cook County Office Building 312.603.9943
69 W. Washington, 24th Floor, Chicago, Illinois 60602
Revised 2020/10 FORM 24
KNOW ALL MEN BY THESE PRESENTS, that We (Principle Name) ___________________________________________
as Principal, and (Surety Company Name) ________________________________________________________________
as surety, are held and firmly bound unto The County of Cook, a body politic and corporate of the State of Illinois, in the
penal sum of Fifty Thousand and no cents dollars ($50,000.00) lawful money of the United State of America, for the
payment of which sum of money, well and truly to be made, we bind ourselves, our heirs, executors and administrators or our
successors and assigns, jointly or severally, firmly by these presents.
WHEREAS, The County of Cook of the State of Illinois is about to grant to the Principal permission and authority to
construct, install, operate and maintain certain installations, work or improvements in, under, along or upon a certain
highway in Cook County, Illinois, identified as:
COUNTY HIGHWAY(s) __________________________ __________________________ __________________________
The condition of the above obligation is such that if the said Principal shall do the work as described in said permit and upon
completion of same shall, within 10 days, at the Principle’s own cost, restore said highway substantially to the same
condition in which it was before said work was commenced, and shall remove all debris, rubbish, materials, apparatus, tools
and equipment as well as all excess excavated materials from the right of way of said highway, all to the satisfaction of the
County Superintendent of Transportation and Highways for The County of Cook, and shall indemnify and save harmless
The County of Cook against all claims for damages to persons or property on account of the prosecution of said work, and
the construction, location, operation and maintenance of the proposed installations work or improvements; also, against all
costs and expenses which may be incurred by The County of Cook on account of or in connection with such claims, then
the above obligation to be void, otherwise to remain in full force and effect.
Note: this bond will not be released unless another bond is submitted to replace this bond or all company infrastructure on
Cook County ROW is completely removed and Cook County right of way is properly restored and accepted.
This bond will remain in full force and effect until said bond is released, in writing, by the Cook County Department of
Transportation and Highways Permits Division.
In witness whereof, we have duly executed the foregoing this day of ____________________20___________
Surety _____________________________________ Principle _____________________________________
Address _____________________________________ Address _____________________________________
City/State_______________________________ ______ City/State _____________________________________
Contact Name _________________________________ Contact Name _________________________________
Phone Number_________________________________ Phone Number_________________________________
Email Address _________________________________ Email Address _________________________________
By: __________________________________________ By: __________________________________________
(Affix Seal) Signature of Agent for Surety (Affix Seal) Signature of Agent for Principle
ALL PERMITS
