Notice of Access to Neighbouring Property Form

Use this form to notify the Town of Tecumseh of your intention to access a neighbour's property to complete Repairs as defined in By-Law Number 2023-086.

Notice of your intention to access a neighbour's property must be received by the Clerk no later than five (5) days in advance of the first day you intend to gain access. Please refer to our Access to Neighbouring Property page for all conditions and procedures.

The personal information you provide on this form is collected under the authority of Section 132 of the Municipal Act, 2001. Details of the proposed access, as represented on this form, shall be provided by you to the owner (and, if not the same as the owner, the occupant) of the land for which access is sought in order to provide such individual or individuals with an opportunity to address the matter.

Information about Property to be Repaired 

Details of Repairs to be Completed

Certification and Agreement

I, the undersigned, hereby certify, and agree that all of the information in this Notice is true and accurate.

I further acknowledge and confirm that:

1. The adjoining land will be left in the same condition as it was prior to entry.
2. Entry will be limited to the days and time periods specified herein.
3. Entry will only be exercised by myself or my employees or agents.
4. The person(s) exercising the power of entry will display or produce upon request, proper identification.
5. the owner or his or her employees or agents will save the adjoining owner harmless from claims for injury or damage to the owner or his or her employees or agents and their equipment as the case may be.
6. A Certificate of Insurance is attached to this Notice and will be in full force and effect throughout the term of the entry onto the Adjoining Lands, including Commercial General Liability Insurance underwritten by insurers licenced to conduct business in the Province of Ontario with a limit of liability not less than One Million Dollars ($1,000,000.00) per occurrence and naming the Adjoining Landowner as an additional insured, containing a provision for cross liability in respect of the named insured.
   OR
   In the event I retain a contractor to enter the Adjoining Lands pursuant to the By-law, I will ensure that the contractor keeps in full force and effect throughout the term of its entry onto the Adjoining Lands, and attaches hereto to this notice proof of Commercial General Liability Insurance underwritten by insurers licenced to conduct business in the Province of Ontario with a limit of liability not less than Two Million Dollars ($2,000,000.00) per occurrence, naming the Adjoining Landowner as an additional insured and containing a provision for cross liability in respect of the named insured. In addition, I will ensure that the contractor keeps in full force and effect throughout the term of entry onto the Adjoining Lands, a valid Clearance Certificate issued by the Workplace Safety and Insurance Board of Ontario applicable to the contractor’s business.