92 Ill. Adm. Code 550.APPENDIX C
C Blanket Bond for Highway Access Permits
Section 550
Section 550.APPENDIX C Blanket
Bond for Highway Access Permits
STATE
OF ILLINOIS
DEPARTMENT
OF TRANSPORTATION
SPRINGFIELD,
ILLINOIS
BLANKET
BOND FOR HIGHWAY ACCESS PERMITS
KNOW ALL MEN BY THESE
PRESENTS, That I(We)
as Principal and
a corporation organized and
existing under the laws of the State of ______________and licensed to do
business in the State of Illinois, as Surety, are held and firmly bound unto
the People of the State of Illinois in the penal sum of _____________ Dollars
($__________________________), lawful money of the United States, well and
truly to be paid until said People of the State of Illinois, for payment of
which we bind ourselves, our heirs, administrators, successors and assigns,
jointly, severally, and firmly by these presents.
THE CONDITION OF THE
FOREGOING OBLIGATION IS SUCH that; whereas, the Department of Transportation of
the State of Illinois may, from time to time, issue to said Principal the
right, permission and authority to construct access driveways and appurtenances
thereto from private properties to and on State Highways, as fully described in
each Permit and Permit Sketch, which by this reference are each and everyone
made a part hereof as if written herein at length, in and by which Permits and
Permit Sketches the said Principal has promised and agreed to construct said
access driveways and appurtenances thereto in accordance with the terms and
conditions of said Permits and Permit Sketches.
NOW, THEREFORE: if
the said Principal shall well and truly perform said construction in accordance
with the terms and conditions of said Permits and Permit Sketches to the
satisfaction of said Department, and shall perform no other work or
construction at any of said locations without first applying for and receiving
other permits from said Department, then no claim or demand will be made
against the above obligation: otherwise, so much of this bond as may be
necessary shall inure to the benefit of said Department as cost and expense to
change said construction to conform to the terms and conditions of any
applicable Permit and Permit Sketch.
IN WITNESS WHEREOF, WE have duly
executed the foregoing Obligation this ________day of _______________, A.D.
19____.
(Seal)
Surety
(Seal)
(Principal)
By:
By:
Principal
Attorney
in Fact
Approved this _________day of
Countersigned
A.D. 19____
By:
Agent
for Surety
STATE OF ILLINOIS
Department of Transportation
Address
of Agent
By
Engineer
of Traffic