That the Department will construct a project for the improvement of ______ miles of the ____________________ Highway from _________________________ to ____________________ , Station _________ to Station ______ known as ___________________________________ (Local Name of Street or Road) and to be designated as Georgia Project No. _________________ , subject, however, to the condition that the County/City shall provide for its proper maintenance after completion of its improvement, and will make ample provision each year for such maintenance, and also will, prior to or during the construction of the project, and for the duration of usage for this purpose provide the following additional services, certifications, and information, at no cost to the Department.
____ 1. Right of Way and Right of Way Certificate
____ 2. All utility relocations or adjustments
____ 3. Patching necessary prior to resurfacing satisfactory to District Engineer
____ 4. Clearing of ditches and drainage structures
____ 5. Leveling of shoulders subsequent to resurfacing of pavement
____ 6. Other as listed below
____ 7. Operate as a free Park & Ride Lot includinq routine security patrol.
IN WITNESS WHEREOF, the parties have hereunto affixed their signatures, the __________________
______________(County/City) on the _____ day of ___________, ______, and the Department on the
_____ day of ___________, ______.
| ____________________________ | ||
| (COUNTY) | ||
| By: __________________________________ | By: __________________________________ | |
| (Clerk) | (Authorized County Official) |
| Recommended: ___________________________ | DEPARTMENT OF TRANSPORTATION | |
|
Director of Preconstruction
| (official title of Department) | |
| Note: Any official signing for and on behalf of a political subdivision should attach a certified copy of order, resolution, ordinance or charter provision, or a citation to statute, under the authority of which this agreement is executed. Each agreement must be executed in sextette. | Authorized: ____________________ Deputy Commissioner Department of Transportation | |