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

final-standing-corn-row-agreement.docx (rev. 2/26/2018) 4