Form TC71-202 "Industrial Haul Permit: Performance Bond' " - Kentucky

What Is Form TC71-202?

This is a legal form that was released by the Kentucky Transportation Cabinet - a government authority operating within Kentucky. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on June 1, 2008;
  • The latest edition provided by the Kentucky Transportation Cabinet;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form TC71-202 by clicking the link below or browse more documents and templates provided by the Kentucky Transportation Cabinet.

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Download Form TC71-202 "Industrial Haul Permit: Performance Bond' " - Kentucky

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Kentucky Transportation Cabinet
TC 71-202
Division of Maintenance
06/2008
Page 1 of 2
INDUSTRIAL HAUL PERMIT:
PERFORMANCE BOND
Attach Standard Power of Attorney
IHP CONTROL NO.
BOND NO.
DATE
SECTION 1: SURETY INFORMATION
SECTION 2: DISTRICT INFORMATION
COMPANY NAME
DISTRICT OFFICE
ADDRESS
ADDRESS
CITY, STATE, ZIP
CITY, STATE, ZIP
PHONE
PHONE
FAX
FAX
SECTION 3: RELEASE
KNOW ALL MEN BY THESE PRESENTS: That we
located at
,
in the city and state of
as principal, and
,
located at
in the city and state of
as surety, are
held and bound unto the Commonwealth of Kentucky, for the use and benefit of the Transportation Cabinet in the
district office located at
, in the city and state of
,
obligee, in the penal sum of six thousand ($6,000.00) dollars (per truck maximum), lawful money of the United States
for the payment of which will and truly be made, we bind ourselves, our heirs, executors, administrators, and assigns,
jointly and severally, firmly by these presents.
Whereas the condition of foregoing obligation is such that the said
has obtained from the Commonwealth of Kentucky, Transportation Cabinet, a permit authorizing overweight/over-
dimensional industrial haul trucking on specific "A" and "AA" state maintained roads.
Whereas under the terms of said permit, a cash indemnity or bond indemnity is required of said principal as good and
sufficient surety, payable to the Commonwealth of Kentucky for the use and benefit of the Transportation
Cabinet, and conditioned upon
fulfilling the maintenance
agreement in regard to the permitted "A" and "AA" state maintained roads and being guaranteed that all
nonconforming aspects resulting from the overweight/over-dimensional industrial haul trucking can be corrected,
without expense to the Transportation Cabinet, by the said principal.
Now, therefore, if the above bonded principal has faithfully and honestly complies with all specifications and
restrictions of the Industrial Haul Application, Transportation Plan and Maintenance Agreement, its attachments
and the issued permit, and if
terminates all overweight/over-dimensional
industrial haul trucking on said "A" and "AA" state maintained roads, and
requests in writing to be released from this obligation, and upon final inspection of said "A" and "AA" state maintained
roads and upon approval of the District's Chief Engineer then this obligation shall be null and void; otherwise it will
remain in full force and effect until completion of any repairs required as a result of the overweight/over-dimensional
industrial haul trucking as determined by the District's Chief Engineer.
This obligation shall remain in full force and effect until terminated in writing by the Transportation Cabinet.
In witness thereof, we, the parties, have set our hands to this surety agreement on this the
, day of
, 20
.
Kentucky Transportation Cabinet
TC 71-202
Division of Maintenance
06/2008
Page 1 of 2
INDUSTRIAL HAUL PERMIT:
PERFORMANCE BOND
Attach Standard Power of Attorney
IHP CONTROL NO.
BOND NO.
DATE
SECTION 1: SURETY INFORMATION
SECTION 2: DISTRICT INFORMATION
COMPANY NAME
DISTRICT OFFICE
ADDRESS
ADDRESS
CITY, STATE, ZIP
CITY, STATE, ZIP
PHONE
PHONE
FAX
FAX
SECTION 3: RELEASE
KNOW ALL MEN BY THESE PRESENTS: That we
located at
,
in the city and state of
as principal, and
,
located at
in the city and state of
as surety, are
held and bound unto the Commonwealth of Kentucky, for the use and benefit of the Transportation Cabinet in the
district office located at
, in the city and state of
,
obligee, in the penal sum of six thousand ($6,000.00) dollars (per truck maximum), lawful money of the United States
for the payment of which will and truly be made, we bind ourselves, our heirs, executors, administrators, and assigns,
jointly and severally, firmly by these presents.
Whereas the condition of foregoing obligation is such that the said
has obtained from the Commonwealth of Kentucky, Transportation Cabinet, a permit authorizing overweight/over-
dimensional industrial haul trucking on specific "A" and "AA" state maintained roads.
Whereas under the terms of said permit, a cash indemnity or bond indemnity is required of said principal as good and
sufficient surety, payable to the Commonwealth of Kentucky for the use and benefit of the Transportation
Cabinet, and conditioned upon
fulfilling the maintenance
agreement in regard to the permitted "A" and "AA" state maintained roads and being guaranteed that all
nonconforming aspects resulting from the overweight/over-dimensional industrial haul trucking can be corrected,
without expense to the Transportation Cabinet, by the said principal.
Now, therefore, if the above bonded principal has faithfully and honestly complies with all specifications and
restrictions of the Industrial Haul Application, Transportation Plan and Maintenance Agreement, its attachments
and the issued permit, and if
terminates all overweight/over-dimensional
industrial haul trucking on said "A" and "AA" state maintained roads, and
requests in writing to be released from this obligation, and upon final inspection of said "A" and "AA" state maintained
roads and upon approval of the District's Chief Engineer then this obligation shall be null and void; otherwise it will
remain in full force and effect until completion of any repairs required as a result of the overweight/over-dimensional
industrial haul trucking as determined by the District's Chief Engineer.
This obligation shall remain in full force and effect until terminated in writing by the Transportation Cabinet.
In witness thereof, we, the parties, have set our hands to this surety agreement on this the
, day of
, 20
.
Kentucky Transportation Cabinet
TC 71-202
Division of Maintenance
06/2008
Page 2 of 2
INDUSTRIAL HAUL PERMIT:
PERFORMANCE BOND
SECTION 4: PRINCIPAL COMPANY
SECTION 5: KENTUCKY BONDING AGENT
PRINCIPAL COMPANY
KENTUCKY BONDING AGENT
NAME
NAME
ADDRESS
ADDRESS
CITY, STATE, ZIP
CITY, STATE, ZIP
PHONE
PHONE
ATTORNEY IN FACT
PRINT NAME & TITLE
PRINT NAME
SIGNATURE
DATE
SIGNATURE
DATE
Page of 2