Access Ramp Program Application

Please note: The fields marked * are mandatory.

Eligibility Criteria*Please select all that apply. Note: All of the above criteria must be selected in order to be eligible for selection/participation.My business/organization is located in the City of BramptonMy businesses/organization has a single step from the walkway into the front entrance of the businessMy businesses/organization serves the BIPOC & 2SLGBTQ+ communities and other equity deserving groupsMy business/organization carries a minimum of $2 million Commercial Liability InsuranceMy business/organization agrees to remove the ramp during snow events (limit use to upon request)My business/organization will provide an update once the ramp is installed as to how our business was impacted

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Terms of Use*Please indicate your agreement by selecting all that apply to the above criteria. Note: applicants must agree to all criteria in order to be eligible for selection/participation.Ramps are to be placed outside by customer request, or at most, during regular business hours (provided there is a clear and accessible path of travel)Ramps must sit level and flush against the step with no gaps presentAgree to sign a liability waiver with StopGapAgree to sign an agreement with the City of BramptonAgree to be authorized to use ramps in the City of Brampton’s Road Occupancy Permit

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Business/Organization Name*

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Applicant Name (last name, first name)*

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Applicant Email Address*

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Applicant Phone Number*

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Property Owner Name (last name, first name)*

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Type of Business*

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Address for Ramp Location (street address, suite number, city, postal code)*

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Eligibility Checklist*Please select all that apply. Note: All of the above criteria must be selected in order to be eligible for selection/participation.My business/organization has a valid Articles of Incorporation and/or an Ontario Name RegistrationMy organization has valid Commercial General Liability (CGL) insurance against all claims for personal injury including bodily injury resulting in death, property damageThe amount of the CGL insurance is not less than $2M per occurrence insuring them against liability imposed by law for any loss or damage resulting from the carrying on of the business to which the License relatesThe ramp will be located on private propertyThe ramp will not occupy or cross a drive laneThe ramp will allow for a clear path of travelThe ramp will brought inside during the business’s non-operating hours

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I have the authority to bind the business/organization*Yes
No

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Declaration (Please check if you agree and acknowledge)

I understand that this application may not be accepted as ‘complete’ until such time as StopGap and the City of Brampton are satisfied with the application content, images, and materials submitted in support of this application.

I confirm that I understand that an application may be closed or refused by StopGap and/or the City of Brampton due to: Ineligibility of the application or any reason; An extended period of inactivity; Non-compliance with requests to maintain the ramp; or Non-compliance with property standards requirements

I agree and acknowledge that this application and any supporting material, including any photographs and drawings, filed in support of this application, is public information, and forms part of the public record. I hereby consent to the City of Brampton making copies of and releasing this application and any supporting information for the City of Brampton's use in the processing of this application or at the request of a third party, without further notice to or permission from the applicant. In addition, I consent to information about my application being publicly available and posted on the City’s website, etc.

Declaration (Please check if you agree and acknowledge)

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Acknowledgement ( (Please check if you agree and acknowledge)

I hereby state that I have the authority to bind my consultants to the terms of this acknowledgement and declaration.

I hereby declare that the statements made by me in this application are to the best of my belief and knowledge, a true and complete representation of the purpose and intent of this application.

I understand failure to comply, if a ramp is issued, may result in enforcement and prosecution by the municipality.

I acknowledge a condition of the temporary permit may include execution of ancillary agreements with the municipality regarding use of public property and/or other agreements.

Acknowledgement ( (Please check if you agree and acknowledge)

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Attachment 1*

Attachment 2*

Attachment 3*

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Privacy Statement

The personal information on this form is collected under authority of the Municipal Act SO 2001, c. 25. Questions about the collection of personal information should be directed to the Accessibility Office at accessibility@brampton.ca. Please review the City’s Privacy Statement for more information www.brampton.ca/policy