Schedule 17 - Order in Council 1901/2017
Schedule 17
Department of Indian Affairs and Northern Development
Section 28(2) Permit
THIS PERMIT made in quadruplicate as of this XXth day of XXXXX, 201X,
Between:
Her Majesty the Queen in Right of Canada as
represented by the Minister of Indian Affairs and
Northern Development, ("the Minister")
and
Hydro One Networks Inc., a corporation duly
incorporated pursuant to the laws of the Province of Ontario
(the "Permittee")
and
The Pic Mobert First Nation, a "band" as defined
under the Indian Act, R.S.C. 1985, c.I-5 as
represented by its Chief and Council
(hereinafter referred to as the "First Nation")
Recitals:
Whereas the Council of the Band has, in accordance with sub-section 28(2) of the Indian Act and pursuant to Band Council Resolution number ___ and dated ______, in consideration for the commitments of Ontario and Canada in the Final Agreement and such other good and valuable consideration (the receipt and adequacy of which are hereby acknowledged), agreed to request that the Minister issue this Permit to the Permittees on the terms set out in this Permit; Whereas the Permit Area forms part of the Pic Mobert Indian Reserve (the "Reserve") in the Province of Ontario, which lands have been set apart for the use and benefit of the First Nation; Whereas the Permittee has applied to use and occupy the lands hereinafter described in order to construct, maintain, repair and operate its transmission and distribution lines; And whereas the Band Council has, by Band Council Resolution No. XXXX dated the XXth day of XXXXX, 201X, a copy of which is attached hereto as Schedule "B", approved and consented to the issuance of this Permit Agreement including the terms and conditions herein set forth; And whereas the Minister is authorized to enter into this Permit Agreement pursuant to subsection 28 (2) of the Indian Act;
- Definitions:
- In this Permit:
"Adverse Effect" means "adverse effect" as that term is defined in the Ontario Environmental Protection Act, R.S.O. 1990, c. E-19, and regulations made thereunder, all as amended and replaced from time to time.
"Band Council Resolution" means a duly executed written resolution of the Band Council adopted at a duly convened meeting of the Band Council as provided in the Indian Act;
"Council" means the duly elected Chief and council of the First Nation which is a "council of the band" within the meaning of the Indian Act;
"Electricity Lines" means either one or both of the Permittee’s electricity distribution lines and electricity transmission lines, as those terms are defined in the Part VI of the Ontario Energy Board Act, S.O. 1998, c. 15, Sched. B, as amended and replaced from time to time;
"Federal" means pertaining to the Government of Canada ;
"Federal Court Act" means the Federal Court Act, R.S.C. 1985, c. F-7, and regulations made thereunder, all as amended or replaced from time to time;
"Final Agreement" means the agreement entered into between the First Nation, Canada and Ontario dated for reference _______, 2013;
"First Nation" means the Pic Mobert First Nation, a "band" as defined under the Indian Act;
"Indian Act" means the Indian Act, R.S.C. 1985, c. 1-5, and regulations made thereunder, all as amended or replaced from time to time, and any reference to a section of the Indian Act will include that section as amended or replaced from time to time;
"Local" means pertaining to the government of any municipality;
"Minister" means the Minister of Indian Affairs and Northern Development or his authorized representatives;
"Permit Area" means those lands situate in the Pic Mobert Indian Reserve, in the Province of Ontario as described in Schedule "A" attached hereto;
"Permit Date" means the date on which this Permit commences, being the latest of the dates that this Permit is executed by the Minister, the Permittee and the First Nation;
"Permit Period" means a period commencing on the Permit Date and expiring at the time that the Permittee no longer requires the use of the Permit Area for the purpose of transmission or distribution of electricity on reserve;
"Permit Rights" has the meaning ascribed thereto pursuant to section 2.1 herein;
"Provincial" means pertaining to the Government of the Province of Ontario;
"Reserve" means the Pic Mobert Reserve, in the Province of Ontario.
"Works" means (a) the Electricity Lines consisting of all necessary or convenient towers, poles, anchors with all braces, wires, cables and associated materials and equipment as they currently exist; and (b) any other works currently erected in, over, along and upon the Permit Area in connection with the Electricity Lines; and (c) underground conductor or conductors for grounding purposes with necessary grounding electrodes installed when and where required within the Permit Area during the term of this Agreement beneath the surface of the Permit Area, at a sufficient depth so as not to interfere with any agricultural operation; and (d) suitable markers to mark the location of the Electricity Lines under the Permit Area provided that such markers when set in the ground shall be placed on fences or other locations which do not interfere with the reasonable use of the Permit Area by others; and(e) any changes, alterations or additions to such Electricity Lines or such other works which are located in the Permit Area during the term of this agreement.
- In this Permit:
- Purpose
- The Minister, with the consent of the Council, under authority of subsection 28(2) of the Indian Act, hereby authorizes the Permittee to use and occupy those lands situate, lying and being in the Permit Area for the purpose of distributing electricity on Reserve and the transmission of electricity across and through the Reserve for the purpose of distribution of electricity off the Reserve, so long as the primary use of the Works shall be for the purpose of distribution (the “Permit Rights”) and as such the Permittee shall have the right to:
- lay down, construct, operate, maintain, inspect, patrol, alter, remove, replace, reconstruct, restore, refurbish and repair the Works in, under, on, over, along, upon, through and crossing the Permit Area;
- unload and store materials and vehicles on the Permit Area in connection with the construction, installation and maintenance and operation of the Works;
- temporarily use such lands on the Reserve immediately adjacent to either side of the Permit Area as may reasonably be required by the Permittee in connection with the construction, operation, repair, maintenance, inspection, patrol, alteration, removal, replacement, reconstruction, repair, restoration and refurbishment of the said Works; and
- access the Permit Area at any time and all times for itself and its workers, agents, contractors and subcontractors with or without vehicles, supplies, machinery and equipment for such purposes reasonably necessary to the exercise and enjoyment of the rights provided for in this Permit including the right to pass and repass over existing road allowances and existing roads and trails, to such extent as may from time to time be reasonably required by the Permittee for the purposes of ingress and egress to and from the Permit Area; provided however that the Permittee shall, at its own expense, ensure that such roads and trails are restored, within a reasonable period of time after its use, to a condition equal to that which existed prior to the Permittee’s use thereof in accordance with the foregoing.
- The Parties intend that this Permit shall replace any and all rights of the Permittee in respect of the Permit Area that may exist on the Permit Date.
- The Minister, with the consent of the Council, under authority of subsection 28(2) of the Indian Act, hereby authorizes the Permittee to use and occupy those lands situate, lying and being in the Permit Area for the purpose of distributing electricity on Reserve and the transmission of electricity across and through the Reserve for the purpose of distribution of electricity off the Reserve, so long as the primary use of the Works shall be for the purpose of distribution (the “Permit Rights”) and as such the Permittee shall have the right to:
- Prior encumbrances
- Except as otherwise provided herein, the Permit Rights are authorized subject to all prior encumbrances and to all other prior grants or permits, and reserving all mines and minerals, solid, liquid or gaseous which may be found to exist within, upon or under the Permit Area.
- Permit period
- The Permittee may exercise the Permit Rights commencing on the Permit Date for the Permit Period unless terminated earlier in accordance with the provisions of this Permit.
- Permit fee
- The Permittee will pay in each and every year of the Permit Period the sum of $10.00 which sum is payable on or before January 1st in each year except that the first such payment will be payable on or before the signing of the Permit by the Permittee.
- Payment of permit fee
- The Permittee will pay the Permit Fee in the manner set forth in this Permit without any abatement or deduction whatsoever and acceptance of the Permit Fee, whether or not in arrears, shall not constitute a waiver of compliance with any of the terms and conditions of this Permit or of Her Majesty's rights, or the First Nation's rights, with respect to Permit Fee reviews and other rights reserved to Her Majesty or the First Nation in this Permit.
- The Permittee will pay or cause to be paid the said Permit Fee in the manner and on the dates hereinbefore appointed for the payment thereof.
- The Permittee will, during the currency of this Permit, make all payments under this Permit by certified cheque or bank draft, payable in Canadian funds in favour of the Receiver General for Canada.
- Taxes
- The Permittee shall be liable for and pay and discharge all rates, taxes, duties and assessments which the Permittee is now or shall hereafter be liable to pay to any taxing authority, whether Federal, Provincial or in accordance with resolutions duly authorized by the Council and which are now or shall hereafter be charged during the continuance of this Permit upon or in respect of the Permit Area of the Permittee’s use of the Permit Area.
- Applicable laws
- The Permittee, in exercising its Permit Rights and in carrying out its obligations under this Permit, will comply with all applicable laws, including all Federal, Provincial, First Nation laws, and the orders of any competent authority or agency acting thereunder.
- Ingress and egress
- 9.1 The Permittee, its agents, employees, contractors and subcontractors shall have the right of ingress and egress with or without vehicles, supplies, machinery and equipment to and from the Permit Area over Reserve access roads and rights of way in common with others legally entitled thereto and shall have the right to unload and store material on the Permit Area and to do all other acts and things which may be necessary and convenient for the purpose of constructing, operating and maintaining the said Works.
- Nuisance
- The Permittee will not create or suffer any nuisance anywhere within the Permit Area and, without limiting the generality of the foregoing, the Permittee will, upon receiving written notice from the Minister or the First Nation, forthwith abate any nuisance arising directly or indirectly out of the Works, the exercise of any of the Permittee's Permit Rights or the performance or non-performance of any obligations of the Permittee under this Permit, and if the Permittee fails to do so, the Minister or First Nation may take whatever steps he or it deems necessary to abate any such nuisance and the Permittee will be liable to reimburse to the Minister or First Nation upon demand the full costs reasonably incurred by the Minister or First Nation in so abating the nuisance. It is understood that the ordinary use of the Permit Area for the maintenance, operation, repair, replacements, relocation, upgrading, improvement, modification, reconstruction, removal and erection of the Works does not constitute a "nuisance" within the meaning of the Agreement.
- Quiet enjoyment
- The Permittee, upon performing and observing the covenants and conditions of this agreement, shall peaceably hold and enjoy the rights and privileges hereby granted, without hindrance, molestation or interruption by Her Majesty or the First Nation.
- Waste
- Except as permitted by section 14.1, the Permittee will not cause, permit or suffer the commission of any waste of the Permit Area.
- Rubbish
- Without limiting Article 12, the Permittee will not cause, permit or suffer any rubbish or debris to be placed or left at the Permit Area except as is reasonably necessary in accordance with the Permit Rights or as permitted by the Minister or Council.
- Trees, bushes and plants
- Subject to section 14.2 the Permittee may cut down any trees, bushes and plants in the Permit Area. The Permittee is responsible for safely disposing of any such trees, bushes and plants. Nothing contained herein shall be deemed to constitute a conveyance of trees, bushes and plants to the Permittee.
- Except in all cases where in the sole discretion of the Permittee the safe operation of the transmission line or lines is endangered or interfered with, prior to cutting down any trees, bushes or plants in the Permit Area the Permittee agrees to contact the First Nation to advise it of said cutting and, the Permittee further agrees not to cut down any trees, bushes or plants within the Permit Area which are of cultural interest to the First Nation.
- Hazardous acts
- The Permittee shall not in exercising its rights or carrying out any of their obligations under this Permit, knowingly commit any act or make any omission which may directly or indirectly cause, prolong or increase any hazard to any person or property.
- Environmental standards
- Without limiting the generality of Article 8, the Permittee will at all times conduct all business or activities on the Permit Area in compliance with all applicable environmental laws, statutes, by-laws, ordinances, regulations, notices, orders or lawful requirements of the federal, provincial, municipal government or authority, the Council or other lawful authority of Canada or the Province of Ontario, or any competent Local authority or agency, whether or not such laws, rules, regulations, notices or orders be of a kind now existing or within the contemplation of the parties hereto.
- The Permittee will design, construct, operate and maintain and decommission the Permit Area in accordance with all specifications, mitigative measures, and environmental protection measures described or contained in any decision of Her Majesty pursuant to the Canadian Environmental Assessment Act.
- No contaminants
- Without limiting the generality of Article 16, no contaminants or toxic substances as defined under the Canadian Environmental Protection Act and its Regulations as amended or replaced from time to time or as defined under the equivalent provincial legislation, as amended or replaced, will be used, emitted, discharged or stored on the Permit Area or any adjacent land by the Permittee, its officers, directors, invitees, agents, or employees except in strict compliance with all applicable laws, statutes, by-laws, ordinances, regulations, notices, orders, or lawful requirements.
- No residual impacts
- At all times there will be no residual and/or Adverse Effects as a result of the use of the Permit Area or the activities of the Permittee, its officers, directors, agents and employees, except as would be normally incidental in the responsible exercise of the rights under this Permit.
- Mitigation of environmental impacts
- The Permittee will notify the Minister and the First Nation pursuant to Article 35 of any detrimental environmental impacts immediately upon discovery by the Permittee. Should the operations and activities of the Permittee, its officers, directors, invitees, agents and/or employees contribute to any detrimental environmental impacts for which the Minister, acting on the advice and/or direction of the Council, where appropriate, considers remedial action is necessary, in accordance with regulations and standards established by applicable Federal and Provincial Legislation, the Permittee hereby agrees to undertake immediately and pay the cost of such remedial action.
- The Permittee will implement the appropriate technology, design or repair to mitigate anticipated or actual adverse environmental impacts attributable to the Permittee's use of the Permit Area immediately following discovery or notice thereof by the Permittee. The Minister's and/or First Nation's representatives may enter onto the Permit Area at all times to inspect and monitor the Permittee's activities and to ensure that the Permittee has mitigated any anticipated or actual adverse impacts on the environment to the satisfaction of the Minister and First Nation.
- Maintenance of permit area
- The Permittee will at its expense alone, during the Permit Period, keep and maintain the Permit Area in good and safe repair, except for such damage or disrepair as may be caused by First Nation members or any of them or by those persons for whom the First Nation is responsible at law.
- Co-access to lands
- Subject to section 21.2, or where necessary or required for health or safety reasons, the Permittee will not, without the prior written consent of the Minister, acting on the advice and/or direction of the Council, where appropriate, fence or enclose the Permit Area or any part thereof.
- Her Majesty, Her officers, employees and agents, and representatives of the Council, and every person, whether an individual, firm, partnership, association or corporation, having any interest in, or right or privilege to use, any part of the reserve affected by this Permit in their own right, or claiming any interest in the part of the reserve affected by this Permit by, through or under Her Majesty, or the Council, may have free access to and use of the land occupied by the Permit, provided always that such access and use does not interfere with the installation, operation, maintenance, repair, removal or restoration of the Works.
- Archaeological resources
- The Permittee shall promptly notify the Minister and First Nation of any archaeological resources discovered or found on the Permit Area by the Permittee, its invitees, agents, or employees.
- Upon receipt of the notice given pursuant to section 22.1, the Minister, acting on the advice and/or direction of the Council, where appropriate, may order the Permittee to cease work to enable the First Nation to conduct an archaeological excavation of the site on which the archaeological resources referred to in section 22.1 were discovered or found.
- The Permittee hereby acknowledges that the archaeological resources referred to in section 22.1 or any archaeological resources uncovered during or following an excavation under section 22.2 are the property of the First Nation and hereby agrees that it will promptly remit all such archaeological resources to the Council.
- Indemnity
- To the extent attributable to the negligent acts or omissions of the Permittee, its directors, agents, invitees and employees, the Permittee shall at all times hereafter indemnify and hold harmless Her Majesty and the First Nation against all actions, claims and demands that may be lawfully brought or made against Her Majesty or the First Nation by reason of any act or omission by the Permittee in the exercise or purported exercise of the rights hereby granted. Her Majesty and the First Nation undertake to use her and it's best efforts to give the Permittee notice in writing as soon as practicable of any action, claim or demand made against Her Majesty or the First Nation that may give rise to a claim by Her Majesty or the First Nation pursuant to this provision; provided however that Her Majesty's or the First Nation's failure to notify the Permittee in accordance with the above shall not absolve or affect the Permittee's liability under the provision.
- Insurance
- The Permittee shall take out and maintain fire and comprehensive public liability insurance in the amount of Two Million ($2,000,000) Dollars, whereby the Permittee, Her Majesty and the First Nation are indemnified in respect of loss by fire or other insurable causes of property damage, death, and personal injury caused by or attributable to the use, occupation or possession of the Permit Area by the Permittee.
- The Permittee releases Her Majesty, Her heirs, successors and assigns, and the First Nation from all liability for personal injury, death and property damage caused by any or the perils against which the Permittee has agreed to insure.
- The Permittee shall furnish the Minister and the First Nation with certificates evidencing such policies within thirty (30) days of the commencement of this Permit and a certificate of renewal at least five (5) days prior to the date of the expiration of any policy in force. In the event that the Permittee fails to effect such insurance or renewal thereof or to furnish a certificate, the Minister or First Nation may procure such insurance and the premium paid by the Minister shall be deemed to be an additional Permit Fee due and payable by the Permittee.
- Notwithstanding anything to the contrary in Article 24.1, the Permittee may self-insure its respective obligations up to the full amount of Two Million ($2,000,000) Dollars, provided that (i) the Permittee is not in default of any of the terms and conditions of this Permit; and (ii) the Permittee has not assigned its respective interests in this Permit to any third party. For so long as the Permittee is self-insured, the Permittee shall not be required to provide any proof of insurance.
- Removal of fixtures
- Upon the termination of this Permit, the Permittee will peaceably yield up use and occupation of the Permit Area and shall remove all Works at its own expense and without damage to the Permit Area and until the Works are removed, the obligations of the Permittee under this Permit shall remain in force. In the event that the Permittee does not remove all Works within 12 months of the termination of this Permit, any unremoved Works shall, without compensation, at the option of the First Nation, become the property of the First Nation, or the First Nation may take all actions it deems necessary to remove the unremoved Works and to restore the Permit Area, and all costs, expenses and damages incurred by the First Nation shall be paid by the Permittee.
- Default of permittee
- The Permit Rights authorized hereunder may be revoked or cancelled by the Minister if the Permittee is in default in the performance of any of the terms or conditions hereunder, and such default is not rectified within, or if proceedings have not been diligently commenced to rectify such default, within ninety (90) days of the date of notice of the default from the Minister, except that with respect to the payment provisions and conditions outlined in Articles 5 and 6, default with respect to such payments shall be rectified within thirty (30) days of the date of notice of the default from the Minister.
- Any act or omission which would be a default of any term or condition of this Permit if done or omitted by the Permittee will be deemed to be an act or omission for which the Permittee is responsible if done or omitted by any of its respective employees or agents, or by any other person, whether an individual, firm, partnership, association or corporation, for whom the Permittee is responsible at law.
- Minerals
- Her Majesty, on behalf of the First Nation, may, with the consent of the First Nation, drill for, remove and dispose of petroleum, natural gas, and minerals in the Permit Area and adjacent portions, and for that purpose to drill wells, lay pipelines and build such tanks, stations and structures as may be necessary to carry out the said purpose and operations, provided always that same does not interfere with the installation, operation, maintenance, repair, removal or restoration of the Works.
- If pursuant to the Indian Oil and Gas Regulations respecting Reserve lands, Her Majesty grants leases or permits for well sites, roads, pipelines, storage tanks or other buildings or structures required in the drilling for, removal and disposal of petroleum and natural gas, then for the acreage taken for such leases and permits the Permittee will be compensated by Her Majesty and such compensation will be determined by the Minister and will be in full and final satisfaction of all claims arising from the exercise of the rights aforesaid by Her Majesty.
- If Her Majesty, with the consent of the First Nation, pursuant to section 27.1 or 27.2, proposes to use lands within the Permit Area, then Her Majesty shall subject such proposal to review pursuant to the Canadian Environmental Assessment Act. If pursuant to that assessment, the proposal or project is determined to be incompatible with the uses herein authorized, the Minister may proceed with the proposed use only if the Minister, or the proponent of the project, with the concurrence of the Council, relocates the affected lines or Works of the Permittee, at no cost to the Permittee, and amends this Agreement to delete the affected lands, and to substitute lands to which the line and Works will be relocated.
- Assignment
- The Permittee will not assign or otherwise transfer its Permit Rights hereunder or any part thereof without the prior written consent of the Minister, acting on the advice and/or direction of the Council, where appropriate, which consent shall not be unreasonably withheld.
- Waiver
- No waiver on behalf of the Minister of any breach shall take place or be binding unless the same be expressed in writing and any waiver so expressed shall extend only to the particular breach to which such waiver will specifically relate and shall not be deemed to be a general waiver or to limit or affect the rights of the Minister with respect to any other breach.
- Enurement
- All grants, covenants, conditions, provisos, agreements, rights, powers, privileges and liabilities herein contained will be read and construed as granted to, made and reserved by, imposed upon and undertaken by each of the Parties hereto and their respective successors.
- Not joint venture
- Nothing in this Permit will be construed as making any of the Minister, the Permittee, the First Nation or the Council an agent or partner of, or joint venturer with, the other or others.
- Interpretation
- All headings in this Permit have been inserted as a matter of convenience and for reference only and in no way define, limit or enlarge the scope or meaning of this Permit or any of its terms and conditions, and any reference to an article, section or subsection will mean an article, section or subsection of this Permit unless otherwise expressly provided.
- A reference to a party in this Permit will be read as if all required changes in the singular and plural and all grammatical changes rendered necessary by gender had been made.
- If a party is comprised of more than one person, then all agreements of that party will be joint and several.
- Amendments
- This Permit constitutes the entire agreement between the Permittee and Her Majesty hereto with respect to the subject matter and cannot be modified, amended or waived except by an instrument in writing duly executed and delivered by the parties and the First Nation or by their respective successors.
- Indian Act
- The Permittee and the Minister mutually covenant and agree that this Permit is given under section 28(2) of the Indian Act and the rights given hereby shall be construed as a licence only and shall not be deemed to grant, convey or confer on the Permittee any right "in rem" or any estate or interest in the title to the land.
- Notwithstanding anything in this Permit, the Permittee on behalf of itself, its officers, servants, agents, tenants, licensees and invitees acknowledges and agrees that this Permit does not confer or give rise to any greater right or rights upon the Permittee, its officers, servants, agents, licensees and invitees than the Minister is authorized to confer by section 28(2) of the Indian Act.
- Notice
- All notices, consents and other communications under this Permit must be given in writing and delivered in accordance with this Article.
- All notices will be delivered to the other party and the First Nation and no notice will be effective until such delivery has been made.
- The addresses and fax numbers for delivery are:
To the Minister:
Department of Indian Affairs
and Northern Development
Lands and Trust Services,
100 Anemki Drive, Suite 101
Thunder Bay, Ontario. P7J 1A5807-623-3534 Telephone
807-623-7021 FaxTo the Permittee:
Hydro One Networks Inc.
483 Bay Street
15th Floor, North Tower
Toronto, Ontario M5G 2P5Fax Number:
To the First Nation:
Chief and Council
Pic Mobert First Nation
General Delivery
Mobert, Ontario
P0M 2J0Telephone:
807-822-2134
Fax:807-822-2850 - Notice will be deemed to have been delivered:
- if delivery by hand, upon receipt;
- if sent by electronic transmission, 48 hours after the time of transmission, excluding from the calculation weekends and public holidays;
- if sent by registered mail, four (4) days after the mailing thereof, provided that if there is a postal strike or other disruption such notice will be delivered by hand or electronic transmission.
- The parties may change their respective addresses for delivery by delivering notice of change as provided in this Article.
- Corporate authority
- The Permittee warrants and represents to Her Majesty that:
- it has the corporate authority pursuant to its documents of incorporation to enter into this type of Permit or provide the within guarantee as the case may be and to perform all terms and agreements contained herein; and
- it is a company duly incorporated under the laws of Ontario and is a valid and subsisting company in good standing with respect to the filing of annual reports with the provincial corporate registry.
- The Permittee warrants and represents to Her Majesty that:
- Resolution of disputes
- In the event of a dispute concerning the interpretation of the terms and conditions of this Permit, including with respect to rights and remedies under Article 26, the Minister, Permittee, and First Nation shall meet to discuss the issue in dispute and shall make all reasonable efforts to resolve the dispute.
- In the event the Minister and the Permittee are unable to reach an agreement, including with respect to rights and remedies under Article 26, the matter in dispute may be referred by either party to the Federal Court of Canada for resolution pursuant to Section 17(3) of the Federal Court Act.
- Time of essence
- Time will be of the essence of this Permit and each of its terms and conditions.
In witness whereof the parties have signed hereunder
Signed, sealed and delivered in the presence of
[signed]
D/M/Y
Her Majesty the Queen in right of Canada as represented by the Minister of Indian Affairs and Northern Development by
[signed]
D/M/Y
Witness as to the signature of [signed]
Hydro One Networks Inc.
[signed]
D/M/Y
I have authority to bind the Corporation
[signed]
D/M/Y
I have authority to bind the Corporation
Signed, sealed and delivered in the presence of
[signed]
D/M/Y
Pic Mobert First Nation as represented by its Chief and Council
[signed]
D/M/Y
Witness as to the signature of [signed]
Schedule "A"
Permit Area
Schedule "B"
Band council resolution