7000-FM-ETD0105
Rev. 8/2009
COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF ENVIRONMENTAL PROTECTION OFFICE OF ENERGY AND TECHNOLOGY DEPLOYMENT
LANDOWNER-GRANTEE AGREEMENT
This Agreement, made this By: EIN/SSN: Residing at: , PA Telephone # ( ) day of (Landowner) , 20 ,
and EIN/SSN: Residing at:
(Grantee)
Telephone # ( , 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 , 20 between PEDA and Grantee Energy Development Authority Grant Agreement, dated (the “Grant Agreement”). For purposes of this Agreement, the “Premises” is defined as the property located at
2.
3. 4.
The terms of this Agreement shall be in force during the term of the Grant Agreement. 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. Landowner shall comply with all Federal, State, local laws, rules and regulations, relating to the environment. 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. This Agreement shall be binding on the parties, their heirs, legal representatives, successors, and assigns. -1-
5. 6.
7.
7000-FM-ETD0105
8/2009
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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