One Time Move Permit

Permission is hereby requested to transport the following described oversize or overweight vehicle(s) or object. If the equipment is to be moved on any state highway or city street, permission must be obtained from the state or city authorities. Fee of $50.00 must be paid before the permit will be issued. Permit not valid during Springtime Frost Law.

Nature of Load*

Gross Weight*

From Location*

To Location*

Route*

Date of Movement*

Time of Movement*

:

Hours on County Roads*

Overall Width*

Height*

Length*

Vehicle Width*

Total Number of Axles*

Unit License #'s*

Truck-Tractor	Semi-Trailor	Trailer

Note: All vehicles or loads shall be properly flagged and equipped with flashers when required. When the width exceeds 16 ft., an escort shall accompany the movement. When the height exceeds 13.5 ft., clearance shall be obtained from all utilities.

Purpose of the unusual loading and the reason for the permit application*

This is to certify that, to the best of my knowledge, the statements contained in this application are true and correct, that I have the insurance required while transporting under this permit and I will comply with all Rules and Regulations which apply to this movement.

Company Name*

Applicant's Name*

First Last

Applicant's Email*

Enter Email Confirm Email

Applicant's Mailing Address*

Street Address Address Line 2 City State ZIP Code

Applicant's Phone Number*

Applicant's Fax Number

One Time Move Permit

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Approved __________________________________________________

Approval Date ______________________________________________

Consent*

I agree to the general conditions of this permit:

1. Permits are automatically invalidated by the violation of any of the conditions specified by the terms of the permit or by false information given on the application. Failure to comply with the conditions of this permit shall be just cause for the immediate suspension or revocation of any or all permits and the operator and/or owner of the vehicle subject to appropriate legal action.
2. Oversize permits are issued for daylight hours only Monday through Saturday. Permits are not valid from noon on the day preceding and continuing until daylight of the 1 day after holidays except with the approval of the Commission when emergency st repair movements are necessary in the best interest of public safety. Permit valid only in favorable driving and traffic provisions prevail.
3. The movement shall not impede other traffic in an unreasonable manner and at no time shall the traffic be blocked from the use of the highway. Vehicles and loads shall not be parked on the highway at any time.
4. Vehicles shall be registered as required by the Michigan vehicle code and will not violate statute or valid ordinance, rule or regulation by any state agency or sub-division to the state. Vehicles are to comply with all statutory provisions as to other permits, licensing, motor vehicle equipment and operation.
5. The driver of the vehicle shall carry an approved copy of the permit in the vehicle to which it applies and shall have it available for inspection by any police officer or Weigh Master of a road commission or motor carrier officer.
6. Applicant shall be responsible for any damage caused to wires, mailboxes, trees, buildings, or the road including the structure and appurtenances, and shall reimburse the appropriate parties for any damage caused by the moving vehicle or load. Applicant shall save harmless, indemnify. Defend, and represent the omission against any and all claims for bodily injury or property damage, or any other claim arising out of or related to the moving vehicle, load, or its presence on or use of the highway.
7. Permits are not valid if insurance expires. Applicants must present evidence that insurance coverage is in full force and effect on each vehicle while operating on the public highways under special permit. The permitee or contractor shall name the Road Commission as additional insured and certificate holder by name, as listed: Additional Insured: Cass County Road Commission, Commissioners, and Employees.
8. Permits will be issued only for vehicles owned by the applicant or operated under a bona fide lease or rental agreement. The applicant may be required to deposit a reasonable inspection fee and to furnish a good sufficient cash bond to cover any damage that might occur to roads. bridges or highway structures by the movement of vehicles and objects under the proposed posting.
9. Permits will not be issued for oversize or overweight vehicles or loads which can be readily dismantled, reduced or otherwise rearranged to come within the legal limits. Permits will in no way supersede posted axle loading limits on any bridge or highway. The applicant agrees to reimburse the Road Commission for any damage resulting from disregard of such postings.
10. The equipment shall be loaded on the vehicle in such a manner to reduce to a minimum the excess over statutory size or weight limitations and the least width or length dimensions becomes the width of the load. Striking or damage to any structure or facility will be perceived to be noncompliance with this section and will result in termination of this permit.
11. The Road Commission may temporarily suspend a Extended Move Permit, either in its entirety or in respect to certain of its provisions, due to seasonal or other special conditions.
12. The vehicle shall not be loaded or unloaded within the outer shoulder limits of any county road unless permitted by an officer of the Road Commission. The vehicle covered by this permit shall not exceed 35 mph at anytime
13. The movement requires the display of clean, plain, red or orange flags of at least 18” square. One flag shall be displayed at each of the four corners of the vehicle or load; and if any portion of the load extends beyond the width of the corner flag, one additional flag shall be displayed at the widest point on each side of the vehicle or load. Flags should be securely fastened by at least one corner or securely mounted on a staff.
14. When width exceeds 12 feet: Shall be proceeded and followed by one escort vehicle (passenger car or pickup) with at least one flashing or rotating amber light on top of cab, a reasonable distance in rear of the movement when moving on 4 or more lanes. Amber lights are to be visible for 360 degrees for a distance of 500’.

Billing Information

Billing Address*

Street Address Address Line 2 City State ZIP Code

Total

$0.00

Credit Card

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name