Use of County Road 101: Road Closure Request Form

Overview

This document is a request form for closing County Road 101 in Blair County, Pennsylvania. It is designed to be completed by an organization or individual planning an event that requires a road closure and returned to the Commissioners Office in Hollidaysburg, PA.

Submission Details

To submit a request, the form must be completed and returned to:

• Office: Commissioners Office
• Address: 423 Allegheny Street, Suite 441A, Hollidaysburg, PA 16648
• Email: CommissionerStaff@blaircountypa. gov
• Phone: 814-693-3030
• Fax: 814-693-3033

Required Information

The form requires the following details to be filled out:

• Organization Details: Name, contact person's name, street address, city/state/zip, phone number, and email address.
• Event Details: Name of the event, date, begin time, end time, starting point, and ending point.
• Insurance: A Certificate of Liability Insurance is required. The County of Blair must be listed as the Certificate Holder and added as an additional insured on a primary, non-contributory basis. A 30-day notice of cancellation applies.

Guidelines and Responsibilities

Applicants must adhere to the following guidelines regarding County Road 101 closures:

• Safety and Conduct: The organization is responsible for the safety and conduct of all event participants.
• Property Damage: The organization is responsible for any damages to county-owned property caused by the event.
• Cleanup: The organization is responsible for any cleanup of county-owned property required due to the event.
• Local Requirements: The organization must contact Greenfield Township prior to the event to determine if there are specific local requirements.

Approval and Distribution

The bottom of the form includes sections for:

• Signatures: Printed name, signature, and date of the applicant.
• Internal Approval: Initials from Commissioner Kessling, Commissioner Webster, Commissioner Burke, and Chief Clerk Tiracave, along with the date approved.
• Copies: Checkboxes to indicate if copies should be sent to Paul Shaffer (Public Works), Mark Taylor (EMA/911E), Greenfield Township, the Requestor, or for File Copy.