Monitor Indemnification Agreement

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					                                                                                      Dedicated to permanently preserving
                                                                          natural areas and special places in North Florida




                       Monitor Indemnification Agreement
                               (for Monitoring of Conservation Easements)

Statement of Purpose
The purpose of this agreement is to assure landowners and NORTH FLORIDA LAND TRUST INC.
that neither will be responsible for loss, damage, or injury suffered by any monitor or inspector while
on the property. This does not include indemnification against overt acts by either the landowner or
NORTH FLORIDA LAND TRUST INC. that cause damage loss or injury, or against traps or
dangerous conditions of which the landowner knows but does not expressly warn visitors about.

Indemnification
Monitors and Inspectors, by signing below, agree to indemnify NORTH FLORIDA LAND TRUST
INC. and the landowner against any accidental loss, damage, or injury resulting from this site visit
that does not arise out of the negligence or purposeful acts of NORTH FLORIDA LAND TRUST
INC. or the landowner.




Adopted by the Board of Directors of the North Florida Land Trust, Inc. on May 27, 2008.




Signed this day of _______________________________, 20______

Monitor __________________________________________________________________________

Monitor __________________________________________________________________________

Monitor __________________________________________________________________________

Monitor __________________________________________________________________________

NORTH FLORIDA LAND TRUST INC.
Representative_____________________________________________________________________

Landowner _______________________________________________________________________

Landowner Representative ___________________________________________________________




                                 Office: 2029 North Third St., Jacksonville Beach, FL 32250
                                Mailing: P.O. Box 51181, Jacksonville Beach, FL 32240-1181
                 Tel: (904) 827-9870     email: info@northfloridlandtrust.org www.northfloridalandtrust.org
  NORTH FLORIDA LAND TRUST IS A 503(C)(3) CORPORATION IN THE STATE OF FLORIDA. A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL
    INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE (800-435-7352) WITHIN THE STATE.
          REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENTATION BY THE STATE. NFLT REG. # CH11177
                                                            Page 1 of 4                              NFLT Form 008 Rev. 12/15/08
                 Conservation Easement Inspection Report
Date of Inspection: ____________________ Date Easement was Last Inspected: _______________________
Easement Property: ________________________________________________________________________
Location: ________________________________________________________________________________
Parcel Number: ___________________________________ Size of Property: __________________________

Name and address of owner at date of conservation easement recording:
    Name: ______________________________________________________________________________
    Address: ____________________________________________________________________________
    Phone/Fax/Email: _____________________________________________________________________

Current Landowner Contact Information (if different)
     Name: ______________________________________________________________________________
     Address: ____________________________________________________________________________
     Phone/Fax/Email: _____________________________________________________________________

Did the owner of the land accompany you on the inspection? ❏ Yes ❏ No
If not give the name and address of his/her authorized representative or identify permission given (whether by
letter, phone or personally.) __________________________________________________________________
       Name: ______________________________________________________________________________
       Address: ____________________________________________________________________________
       Phone/Fax/Email: _____________________________________________________________________

Names of those on the Inspection: ____________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________

Description of Current Land Use (including problems): ____________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________

Purpose and Summary of the Conservation Easement (date signed, size of property, reserved rights and specific
resources protected). Refer to the Easement Agreement for complete list of reserved and restricted rights.
 ________________________________________________________________________________________
 ________________________________________________________________________________________
 ________________________________________________________________________________________

List of Improvement Alterations (e.g., construction, dredging or filling, new trails, timber harvest, clearing of
new fields since the easement was last monitored). Please describe activity or alteration, note location, extent,
purpose, and individual responsible. Attach maps, photos, and illustrations.
 ________________________________________________________________________________________
 ________________________________________________________________________________________
 ________________________________________________________________________________________
 ________________________________________________________________________________________

List of Natural Alterations (e.g., flooding, fire, insect infestation). Note location and nature of changes. Attach
maps, photos, and illustrations where necessary.
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________

Conservation Easement Inspection                   Page 2 of 4                            NFLT Form 008 Rev. 12/15/08
Observations and Recommendation relative to conservation easement implementation (from Inspector):
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________

Picture Point Tour and Inspection: Take a tour of the property by personally inspecting each picture point on the
property base map. Note any changes recorded below.

Photograph #____ and Comments: ____________________________________________________________
________________________________________________________________________________________
Photograph #____ and Comments: ____________________________________________________________
________________________________________________________________________________________
Photograph #____ and Comments: ____________________________________________________________
________________________________________________________________________________________
Photograph #____ and Comments: ____________________________________________________________
________________________________________________________________________________________
Photograph #____ and Comments: ____________________________________________________________
________________________________________________________________________________________
Photograph #____ and Comments: ____________________________________________________________
________________________________________________________________________________________
Photograph #____ and Comments: ____________________________________________________________
________________________________________________________________________________________
Photograph #____ and Comments: ____________________________________________________________
________________________________________________________________________________________
Photograph #____ and Comments: ____________________________________________________________
________________________________________________________________________________________
Photograph #____ and Comments: ____________________________________________________________
________________________________________________________________________________________

Land Use: What are the present land use practices? Please describe. Are they consistent with the terms of the
conservation easement? _____________________________________________________________________
        ❏ Agricultural: (farming, etc.)
        ❏ Scientific/Educational: (research, nature study, etc.)
        ❏ Wildlife/Habitat Management: (planting, selective cutting, etc.)
        ❏ Forestry: (harvesting, reforestation, nursery, etc.)
        ❏ Ecosystem/Species Preservation: (nesting, site protection, etc.)
        ❏ Residential: (permanent residences, trailers, etc.)
        ❏ Commercial: (concessions, etc.)
        ❏ Industrial: (mining, etc.)
 ________________________________________________________________________________________
 ________________________________________________________________________________________
 ________________________________________________________________________________________

Man-made Alterations: (Have there been any additions or deletions of man-made alterations to the property
(fences, roads, power lines, buildings, ponds, trails, etc?) If so, please locate them on map (identify map), by
drawings and by photos and describe. __________________________________________________________
 ________________________________________________________________________________________
 ________________________________________________________________________________________

Landowner Contact: (Ask about any exciting wildlife sightings, found rare or invasive plants. Ask if the
landowner has had any difficulty following the terms of the conservation easement.) Please cite comments
below ___________________________________________________________________________________
 ________________________________________________________________________________________
 ________________________________________________________________________________________
Conservation Easement Inspection                 Page 3 of 4                           NFLT Form 008 Rev. 12/15/08
Natural Catastrophic Events: (Have any natural catastrophic events occurred since the last inspection? How has
it changed the property? Are the restoration procedures (if any) consistent with the terms of the conservation
easement?) Please cite comments below. _______________________________________________________
 ________________________________________________________________________________________
 ________________________________________________________________________________________

Specific Monitoring Requirements: (Complete any specific monitoring procedures such as bird counts, or rare
plant inventories, etc.) Attach the results to this form and note if any. _________________________________
 ________________________________________________________________________________________
 ________________________________________________________________________________________

Describe current land use and condition of appurtenant property, if any and note any significant changes singe
last monitoring report. ______________________________________________________________________
 ________________________________________________________________________________________
 ________________________________________________________________________________________

Did you note any possible violations of the terms of the conservation easement? If so, not and refer to the
Violation and Enforcement Policies. ___________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________

Is there a plaque or sign on the property acknowledging North Florida Land Trust’s involvement? If so, note
condition of plaque or sign. __________________________________________________________________
 ________________________________________________________________________________________
 ________________________________________________________________________________________

Wildlife observed during monitoring visit: ______________________________________________________
________________________________________________________________________________________

Method of monitoring visit (ground, air): _______________________________________________________



I, _____________________________________ , owner of the above property, agree that this report provides

an accurate representation of the physical condition of the property as of ____________________________.

                                            Signature _______________________________________

Name(s) Title(s) and Signature (s) of Inspectors:
______________________________              ______________________         ____________________________
______________________________              ______________________         ____________________________


Date ___________________Reviewed by___________________________________ Title________________

Date Report presented to NFLT Board of Directors _________________ to Landowner: __________________

❏ Easement inspection report approved
❏ Easement has problems identified that need to be addressed. Land Conservation and Stewardship Committee
   need to take initiate action to have corrective measures taken.


Conservation Easement Inspection                    Page 4 of 4                       NFLT Form 008 Rev. 12/15/08