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MnDOT Contract No.
STANDING CORN ROW AGREEMENTWinter Season of Protection
Trunk Highway
Drift Identification
Plow Route #
Reference Post
to
County
Truck Station
Township Name
¼
Section
Township
Range
Participant(s) agree(s) to leave standing corn rows along Trunk Highway by refraining from harvesting acres of corn stalks setback feet back from the Right of Way until . (date) After this date, the farm operator may remove the standing corn rows without notification from MnDOT. In consideration for this service, the Minnesota Department of Transportation (MnDOT) agrees to pay Participant(s) according to Section 1 Payment Formula below provided that MnDOT certifies that the terms and conditions contained in this Contract have been met.
1. PAYMENT FORMULA(Round all numbers to the second decimal point)
a) Acres of corn left standing =
Length ft. X width ft. ÷ 43,560 ft.2
= acres (Round to the second decimal point.)
b) Multiply line (a) above by $ per acre
= $ (For total payment made under this agreement)
Appropriate payment is to be made after final inspection on or before April 30, .
FARM OPERATOR INFORMATION
final-standing-corn-row-agreement.docx (Rev 5/17/2023) 1
Name:
Address:
City:
State:
Zip:
Phone:
E-Mail:
2. DATA PRACTICESBooks, records, documents, and accounting procedures and practices of the landowner relevant to the agreement shall be subject to examination by the contracting department or agency and the legislative auditor.
3. PARTICIPANTS-SIGNATURESBy signing below, Participant(s) agree(s) to the terms and conditions in this Contract and that the information I have provided is the amount on line (b) of the Payment Formula.
Participant(s) may receive a W-9 verification form requiring further information to register as a vendor with the State of Minnesota. Participant(s) will receive a 1099 form, which reports the amount received from the State of Minnesota from this Contract within the calendar year.
Participant(s) has/have read and understands the terms and conditions of this Contract and agrees to its term and conditions.
Farm Operator Signature
Date
Area Maintenance Engineer Signature
Date
(with delegated authority)
4. LENGTH OF THIS AGREEMENT IS ONE WINTER SEASON.Inspected and Approved for Payment (To be signed in spring after services verified and complete)
final-standing-corn-row-agreement.docx (rev. 2/26/2018) 2
(Signature) (Date)
............................................................................................................................................................................................................
TO BE COMPLETED BY THE MNDOT DISTRICT BUSINESS OFFICE
Purchase Order No. Vendor No. & Location No. Category
FUND: FIN DEPT ID: APPROP ID:
ACCOUNT: PROJECT ID: SOURCE TYPE:
TAXABLE: NO
Note to Business Office: This signed form serves as the invoice
Use the vendor number as the invoice number
STANDING CORN ROW BLOWING SNOW CONTROL PROJECT LOCATION AND PLAN
Please draw the standing corn rows on the grid below to dimension their length and location from the roadway.
NORTH
final-standing-corn-row-agreement.docx (rev. 2/26/2018) 3
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