0120-FM-PO0105
10/2014
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROTECTION
POLICY OFFICE
LANDOWNER-GRANTEE AGREEMENT
This Agreement, made this
By:
day of
, 20
,
(Landowner)
EIN/SSN:
Residing at:
Telephone # (
)
Telephone # (
)
, PA
and
(Grantee)
EIN/SSN:
Residing at:
, PA
Section 1 – Agreement Provisions
The undersigned Landowner agrees to participate in the Pennsylvania Energy Development Authority grant and
comply with terms set forth herein for the period covered by this Agreement. The undersigned Landowner
represents and agrees that:
1.
The Commonwealth of Pennsylvania, Department of Environmental Protection (PADEP), Pennsylvania Energy
Development Authority (PEDA) and/or Grantee, its employees, agents and contractors shall have the right to
enter upon the Premises to perform the work described in Attachment D – Scope of Work to the Pennsylvania
Energy Development Authority Grant Agreement, dated
, 20 between PEDA and Grantee
(the “Grant Agreement”).
2.
For purposes of this Agreement, the “Premises” is defined as the property located at
3.
The terms of this Agreement shall be in force during the term of the Grant Agreement.
4.
By signing this Agreement, the Landowner warrants that he/she is the sole owner of the real property on which
the work is to be performed, or has secured a sufficient property interest, including any necessary easements
or rights-of-way, that may be necessary to grant access, for the completion and maintenance of the work.
5.
Landowner shall comply with all Federal, State, local laws, rules and regulations, relating to the environment.
6.
Landowner shall permit the PADEP, PEDA, and/or Grantee, its employees and agents, upon the presentation
of proper identification, to enter upon the Premises to inspect and observe the work or any records associated
with the work or other conditions of this Agreement.
7.
This Agreement shall be binding on the parties, their heirs, legal representatives, successors, and assigns.
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0120-FM-PO0105
10/2014
Section 2 – Additional Agreement Provisions, if necessary, as deemed by the Grantee
Section 3 – Agreement Signatures
In Witness Whereof, the parties hereto have executed this Agreement as of the date first stated above.
Landowner Signature:
Title:
Grantee Signature:
Title:
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