MDOT 2918 (10/15)
Page: 2 of 2
NOTICE OF TERMINATION
TENANT agrees to vacate the premises by the above written agreement ending date. The DEPARTMENT may,
at its sole discretion and upon written notice to the TENANT, terminate or temporarily suspend this License Agreement.
In event that the DEPARTMENT suspends the License Agreement, TENANT is aware damage may occur to the fields,
orchards, crops and/or vineyard lands and the DEPARTMENT is not required to make repairs and will not be liable in
any way for such damage.
TENANT understands and agrees when the TENANT vacates the premises either at will or at the request of the
DEPARTMENT, the DEPARTMENT will not be obligated to provide, and the TENANT will not be entitled to receive,
relocation assistance and benefits.
TENANT shall, before the expiration of this agreement, prepare for vacation of the premises by bringing it to a clean and
sanitary condition.
INDEMNIFICATION & LIABILITY INSURANCE
The TENANT agrees to indemnify and save harmless the State of Michigan, the Michigan State Transportation
Commission, the Michigan Department of Transportation and all officers, agents and employees thereof from any and all
claims for injuries to, or death of, any and all persons, for loss of or damage to property, environmental damage,
degradation, response and cleanup costs, and attorney fees or other related costs, arising out of, under, or by reason of
this Agreement/Permit, except claims resulting from the sole negligence or willful acts or omissions of said indemnitee, its
agents or employees.
TENANT must provide liability insurance for said land in the amount of $_________________ with the Michigan
Department of Transportation named as additional insured.
Any notice or other communication to the Department may be directed to the Michigan Department of Transportation, Program
and Property Management Unit.
Although duly executed, this agreement will not be binding on the parties until accepted by the Department.
TENANT’S NAME
PHONE
TENANT’S SIGNATURE
DATE
ADDRESS
CITY
STATE
ZIP
MDOT SIGNATURE ACKNOWLEDGMENT
Signed this _______________ day of _______________________, 20_______
SIGNATURE
STATE OF MICHIGAN, COUNTY OF
The foregoing instrument was acknowledged before me this _______________ day of ___________________________20_______
,
By_________________________________________________, MICHIGAN DEPARTMENT OF TRANSPORTATION
MICHIGAN
,
,
COUNTY
NOTARY PUBLIC
COMMISSION EXPIRES
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