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Barricade Request Form

A traffic barricade can be used to control the flow of traffic or block access completely. The City of Lloydminster requires this form to be completed prior to gaining barricade form. The obstruction that necessitates the use of a traffic barricade may be excavations, construction, roadblocks, debris, restricted areas, etc.

 

 

THE BELOW CONTAINS PROVISIONS WHICH AFFECTED YOUR LEGAL RIGHTS.  PLEASE READ CAREFULLY BEFORE SIGNING.

I acknowledge that barricades/signs are the property of the City of Lloydminster and shall be returned to the City in the same condition in which they were received.  Repairs or alterations of any kind shall not be conducted by the Borrower.  I agree and consent that if the barricade/sign is damaged or stolen while in my possession, I shall be charged any costs the City endures to repair or any costs the City endures for the replacement of the barricade/sign.

The Borrower shall be liable to and shall indemnify and hold harmless the City, its employees and agents, from any demands, losses, costs, damages, actions, claims, proceedings, penalties and expenses, including legal costs on a full indemnity solicitor and own client basis, whatsoever that may arise, directly, or indirectly, out of any act or omission of the Borrower, the Borrower's agents, employees, or representatives, in the use of the barricades or participation in the event.  The Borrower's obligations to indemnify the City shall survive the termination of this Agreement.

The City shall not be liable or responsible for any bodily or personal injury or property damage of any nature whatsoever that may be suffered or sustained by the Borrower, its employees or representatives in the use of the barricades/signs or participation in the event.

Your personal information is being collected under the authority of section 25 of the Local Authority Freedom of Information and Protection of Privacy Act. This information will only be used to administer the program/activity it was collected for.  If you have any questions about the collection, please contact the Office of the City Clerk at 780-875-6184 or email cityclerk@lloydminster.ca.

By signging below you confirm that you are of 18 years of age, that you have read and understand the above, and that you understand that the above will be binding upon your heirs, next of kin, executors, administrators, and successors.

Clear

Click "continue" button below to submit the form. 

If you are needing assistance regarding your Barricade Request, you can contact Road Services at 780-874-3700 or by emailing roadservices@lloydminster.ca

Thank you.



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