Application for Annual Move Permit

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Application for Annual Move Permit Permit Number: Permit Fee: $109.50 Date: **Expires December 31 st of the Year of Issue** Annual Permit for Moving on Grey County Highways Heavy Vehicles in Excess of Dimensional Limits Prescribed in the Highway Traffic Act To Whom it May Concern: Special permission is hereby granted pursuant to Section 110(1) of the Highway Traffic Act (RSO 1980, Chapter H.8) to: Company Name Mailing Address Telephone No. Email Address Purpose Fax No. A) Overall Length C) Overall Width B) Overall Height Page 1

1. The movement of which this permit is issued may be made during daylight hours, except Saturday, Sundays, and holidays, and except between the hours of 7:30 a.m. to 9:30 a.m. or 4:30 p.m. to 6:30 p.m., when in congested areas. 2. This annual permit is valid January to December of the year of issue. 3. This permit may only be used for the purposes designated above. 4. The Permit Holder is to supply the County of Grey with the following insurance documentation: a. Commercial General Liability insurance satisfactory to the County, including the following and underwritten by an insurer licensed to conduct business in the Province of Ontario: i. A limit of liability of not less than $5,000,000/occurrence. ii. The County shall be named as an additional insured with respect to the activities of the Named Insured under the permit; iii. The policy shall contain a provision for cross-liability in respect of the named insured and severability of interests; iv. Non-owned automobile coverage with a limit of at least $2,000,000 including SEF 96 (contractual liability); v. Products and completed operations coverage with a limit of not less than $5,000,000; vi. 30 days prior notice of an alteration, cancellation or material change in policy terms which reduces coverage shall be given to the County; b. Automobile Liability insurance for an amount not less than $5,000,000 on forms meeting statutory requirements covering all licensed vehicles owned or leased by the company. It must be noted on the auto liability certificate that the carrier s policy does not exclude coverage for oversize or overweight vehicles. Please provide the above in the form of a letter from your insurer, or a certificate of insurance. 5. Every precaution must be taken to safeguard other users of the highways. 6. This permit is valid only upon the Grey County Highways. If other highways must of necessity be used, permission must be secured from the proper authorities pursuant to Section 110(1) of the Highway Traffic Act. 7. In accepting this permit, the person or persons to whom it is issued agree to hold blameless the County of Grey for any damages which may result from the movement of this load or object and to indemnify the County of Grey for any damage caused to County property. Page 2

8. Subject to reduced load restriction when and where applicable in accordance with Section 122 of the Highway Traffic Act. 9. This permit or a copy of it is to be carried by the driver and is subject to the provisions of the Public Commercials Vehicle Act. 10. This permit is not valid for passage over bridges on which signs are displayed indicating restricted loads or gross weights. a. Subject to condition (1), vehicles and loads having a width in excess of 2.6 metres (8' 6") and/or an overall combined length in excess of 12.5 metres (41') must display in a conspicuous position to the front and rear, a clearly discernible sign in black letters 200mm high x 30mm wide on a yellow background reading OVERSIZE LOAD. Vehicles shall be marked with four (4) or more red or orange fluorescent flags (minimum 40 cm²) placed as near as possible to each corner of the vehicle or load. b. Where a permit is issued on condition the permit holder provide a private escort vehicle or vehicles, the escort vehicle shall have not more than two (2) axles and be equipped with a flashing amber roof light visible from the front and rear for a distance of at least 150 metres. Drivers of the escort vehicles shall be at least 18 years of age. Signage on escort vehicles is the same as the above. Listed below are the dimensions indicating the type of escort vehicle required based on the overall dimensions of the load. If the width of your vehicle or load is: 2.61 m to 3.99 m (8 6 to 13 1 ) No Escort Required 4.00 m to 4.99 m (13 2 to 16 4 ) Private Escort Required 5.00 m (16 5 ) and greater Police Escort Required If the length of your vehicle or load is: 23.01 m to 36.74 m (75 6 to 120 6 ) No Escort Required 36.75 m to 45.74 m (120 7 to 150 0 ) Private Escort Required 45.75 m (150 1 ) and greater Police Escort Required Excessive overweight vehicles may only cross bridges under controlled conditions with police escort. 11. All escort vehicles must be equipped with two-way radios. All escort personnel must wear safety vests. Page 3

12. It is the responsibility of (applicant) to notify the Ontario Provincial Police, and where applicable, all and any utility companies including Hydro One, the Public Utilities Commission, Cable TV, Telephone Companies, Railway Companies, the Fire Department(s), and the Ambulance. 13. Vehicles and loads which are described in this permit must be marked with flags and signs as per Ministry of Transportation specifications. 14. For all loads that exceed 4.15 m in height, the permit holder shall ensure that the load may be accommodated on a Grey Road prior to the move commencing. 15. Additional conditions: Grey County Transportation Services Date of Approval Page 4

Oversize/Overweight Summary An Overload permit is required when the dimensions or weight exceeds the normal limits permitted by legislation. Details as follows: Maximum Width Vehicle Including Load 2.6 Metres Exceptions 1. Raw Forest Products (En Route) 2.8 Metres 2. Road Service Vehicles defined as vehicles travelling to and from a maintenance site or repair centre No Specified Limit 3. Loose farm products (including rectangular and Round bales of hay) No Specified Limit Maximum Length Single Vehicle Including Load 12.5 Metres Exceptions 1. A Fire Apparatus 2. A Semi-Trailer 3. An Articulated Bus Maximum Length (Semi-Trailer) Semi-Trailer Including Load Maximum Length Combination Combination of Vehicles and Load Maximum Height Vehicle and Load 14.65 Metres 23.0 Metres 4.15 Metres Maximum Weight Maximum weight allowances are determined using axle configurations and spacings. An overload permit is required if the axle and/or gross vehicle weight exceeds the limits set out in the Highway Traffic Act (HTA). Farm Vehicle Exemption Over-dimensional farm vehicles are exempt from permit requirements when the vehicle is self-propelled or drawn by a farm tractor. Page 5