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TOWNOFAURORA ROADOCCUPANCYPERMITAPPLICATION APPLICANTINFORMATION CONTRACTORINFORMATION(ifdifferentthenapplicant)

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229IndustrialParkwayNorth
Aurora,OntarioL4G4C4
(905)727‐3123ext.3443
Fax(905)727‐7616
roadpermits@aurora
.ca
TOWNOFAURORA
ROADOCCUPANCYPERMITAPPLICATION
PermitNo._________________
APPLICATIONDATE: LOCATIONOFWORK:
APPLICANTINFORMATION
CompanyName: ContactPerson:
Address:
Phone#: Emailaddress:
Workisbeingdoneonbehalfof:
CONTRACTORINFORMATION(ifdifferentthenapplicant)
CompanyName: ContactPerson:
Address:
Phone#: Emailaddress:
PERMITINFORMATION
OCCUPANCYTYPE:( allthatapplybelow)
WorkonBlvd.orDitch_______m2Pavement/Blvd.Drilling_______m
UtilitiesInstall_______m UtilitiesRepair_______mRoadOccupancy_______m2
RoadCut _______m2 SidewalkRemoval_______m2CurbCut_______m
WorkDescription:
MunicipalConsent# StartDate: CompletionDate:
UTILITYLOCATES(NOWORKISPERMITTEDWITHOUTLOCATES)
UtilityLocatesSubmittedCopyofLocatesattachedDateofExpiry________________________
TRAFFICPLANWillthefollowingbeaffected:Twowayvehicletraffic PedestrianTraffic
Note:TrafficControlPlansmustbesubmittediftrafficisimpacted
ATTACHMENTSINCLUDED
CertificateofInsurance WSIBCertificate TrafficControlPlan SiteDrawing Other
APPLICANTAGREEMENT
ByexecutingthisApplicationbelow,theApplicantagreestothetermsandconditionssetouthereinandonthereverse
sideofthisPermit.TheApplicantalsoacknowledgesandunderstandthatthePermitandthisapplicationissubjecttothe
Town’sExcavationandInstallationonHighwaysBy‐lawNumber5733‐15,asamendedoritssuccessor(“Excavationand
InstallationonHighwaysBy‐law”).FailureoftheApplicanttocomplywithanyofthetermsandconditionsofthePermit
mayresultinactionbeingtakenbytheTown,whichmayincludeastopworkbeingissued,chargesbeinglaidandfines
beingimposedpursuanttotheExcavationandInstallationonHighwaysBy‐law.
SignatureofApplicant: Date:
TOWNOFAURORAAUTHORIZATION
ApprovalSubjecttothefollowingspecialconditions:
PermitFee: SecurityDeposit: PaymentDate:
Approvedby: Signature: DateApproved:
NATURE OF EXCAVATION: Hand Dig Machine Dig Trenching Bore
Other (Provide Details):
ROADOCCUPANCYPERMIT
–
TERMSANDCONDITIONS
–
TOWNOFAURORA
Indemnification
TheApplicant,itsContractorandsubcontractorsshallindemnify,defendandholdharmlessTheCorporationofTheTownofAurora,its
councilmembersandemployees(the“Town”)fromandagainstanyandallliabilityforpropertydamagesorinjurytopersons
resultingfromorarisingoutoforinanywayconnectedwiththeactivitiesorthepresenceoftheContractor,itsservants,agentsor
employeesandpersonsdulyauthorizedbytheContractor,ontheroadallowanceinconnectionwiththisPermit,andshallreimburse
theTownforallcosts,expensesandanylossincurredbyitinconsequenceofanyclaims,demandsandcausesofactionwhichmaybe
broughtagainstitarisingoutoftheactivitiesorthepresenceoftheContractor,itsservants,agentsoremployeesandpersonsduly
authorizedbytheTown,ontheroadallowanceinconnectionwiththisPermit.
Insurance
TheApplicant,itsContractors,agentsandsubcontractorsshallmaintainthroughoutthedurationofthisPermit:
(a)CommercialGeneralLiabilityinsuranceofnotlessthan$2,000,000CADperoccurrencecoveringalloperationsandliability
assumedpursuanttotheobligationsandresponsibilitiessetoutinthePermit.TheApplicantshalladdtheTownasanamedadditional
insuredtotheCommercialGeneralLiabilitypolicy;and
(b)AutomobileLiabilityInsuranceofnotlessthan$2,000,000CADincludingstatutorycoverages(thirdpartyliability,accident
benefits,directcompensationpropertydamage,anduninsuredautomobile)forallvehiclesownedorleasedandusedinconnection
withthisPermit.TheApplicantshallprovidetheTownwithacopyoftheInsuranceCertificateevidencingsuchrequirementswiththis
Application;
StakeoutsandProtectionofUtilities
Allutilitylocatesmustbeobtainedpriortothestartofwork.Backfill/compaction/supportofpipes,cables,etc.ofallutilizesshallbe
completedtothesatisfactionofeachindividualutilitycompany.
Notifications
Wherelaneorroadclosuresarepermittedoraccesswillberestricted,theApplicantshallcontactalladjacentpropertyownersandall
transitandemergencyservices.
BetweenthedatesofNovember1andApril15,roadplatesshallnotbeusedunlesstheTownprovidesspecificconsentfortheiruse.
Health&Safety
TheApplicantandContractoragreestoimplementandmaintainasafeworkingenvironmentinaccordancewiththeregulationsofthe
OccupationalHealthandSafetyAct,asamended.
Allworksmustbeperformedinaccordancewiththecurrent“OntarioTrafficManual,Book7–TemporaryConditions”.Atraffic
managementplanshallbeprovidedtothePublicWorksServicesforapprovalandnoworksshallcommencewithoutanapproved
trafficmanagementplan.
DesignCriteria
Allworkshallconformtotheapproveddesign,drawing,standardsandspecificationsoftheTownofAurora.The“TownofAurora
DesignCriteriaManualforEngineeringPlans”aswellasthe“TownofAuroraGeneralSpecificationsfortheConstructionofBuried
PipelinesandRoadwaySystems”areavailableonrequestaswellasontheTownwebsite.
https://www.aurora.ca/TownHall/Pages/Departments/Operational%20Services/Engineering.aspx
ValidityandDurationofPermit
ThePermitisgrantedonapprovalfromtheTown’sRoadsSupervisororhisdesignatefollowingapre‐workinspection.Thepermission
fortheworktobedonepursuanttothisPermitmaybewithdrawnatanytimebytheTowniftheApplicantdoesnotabidebythe
termsandconditionsofthisPermitorotherwisepursuanttotheTown’sExcavationandInstallationonHighwaysBy‐law.Securities
collectedwillonlyberefundeduponcompletionofafinalinspectionthatissatisfactorytotheTown’sRoadsSupervisororhis/her
designate,intheirsolediscretion.
TheTown’spermissionhereundertoallowtheactivitiesandworkbytheApplicant,ortheirContractor,describedhereinisvalidfor
thirty(30)daysfollowingtheapprovaldate.ExtensionsmaybegrantedonwrittenrequestfromApplicantmadepriortotheexpiryof
thePermit.AcopyofasignedRoadOccupancyPermitmustbeonsiteatalltime.ThepermitisnotvalidunlesssignedbytheTown.
TestingandInspectionofWork
TheApplicantisresponsibleforthecompletionofalltestingofmaterialsasrequiredtodemonstratecompliancewiththeTown’sroad
restorationrequirements.TheapplicantshallconfirmthetestingandinspectionrequirementsfortheprojectwiththeTownpriorto
commencinganywork.
RestorationoftheworkingareashallbecompletedinaccordancewiththeprocedureandstandardspecificationsoftheTown.The
TownofAurora,OperationalServicesDepartmentwillconductapre‐inspectionpriortocommencementofwork.Thiswillbefollowed
byapostinspection(s)andafinalinspection.
TreeProtection
AlltreesintheworkingareashallbeprotectedinaccordancewiththerequirementsoftheTownofAuroraMunicipalForestryPolicy.
Itistheapplicant’sresponsibilitytoconductappropriateliaisonwithinterestedpersonsregardingtreepreservation,removaland
replacement.Call(905)727‐313extension3223foradditionalinformation.
RightofTownofAuroratoCompleteRemedialWork
ThecontractoracceptstheTownofAurora’srighttoperformanynecessarycorrectiveworkresultingfromthecontractor’soperation,
subjecttothefollowing:
(a)TheRoadsSupervisororhisdesignatewillgivethecontractorforty‐eight(48)hours’noticetorectifyanyremedialworkrequired,
unlessconditionswarrantimmediateattention;
(b)If,attheexpirationofthetimeallowed,theApplicantoritsContractorhasnotcommencedremedialworktothesolesatisfaction
oftheTown,theTownmayundertaketohavetheremedialworkcompletedbywhatevermeansnecessary;and
(c)TheApplicantagreestoreimbursetheTownforallcostsassociatedwithremedialworkundertakenbytheTown,includingany
chargessetoutintheTown’sFeesandChargesBy‐law.
WarrantyPeriod
TheApplicantisresponsibleforallcostsrelatingtoanyrestorationrequirementsresultingfromtheworkpursuanttothisPermitfora
periodofoneyearfromthelaterofthedateofcompletionorrestoration/repairofanysuchwork(the“WarrantyPeriod”).
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TOWNOFAURORA ROADOCCUPANCYPERMITAPPLICATION APPLICANTINFORMATION CONTRACTORINFORMATION(ifdifferentthenapplicant)

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Completed 27 April 2021

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