license california add-delele-vehicle

THIS SECTION IS FOR PARTIES WHO ARE "LICENSED
TRANSPORTATION BUSINESS OPERATORS" SEEKING TO.......

ADD / DELETE

VEHICLES

OPERATOR (LICENSE HOLDER) INFORMATION:

P/S COMPLETE FORM BELOW
PS/The information you provide below is needed to complete your TCP Application.

COMPANY NAME:

(The "Legal Name" of your business)

FICTITIOUS NAME:

dba

(this is a non-legal name used to sell your services)

CalPUC/PSG #:

(TCP or PSC or MTR)

CA NUMBER:

CA# is the Carrier Profile/File-# assigned to your company by the California CHP). All vehicles designed to carry more than 10 passengers including the driver require CHP Inspection @ a fee $15 per vehicle. CHP Inspection fees are payable to the PUC which coordinates the inspection.

BUSINESS TAX ID#:

DRIVER LICENSE:

(owner-operator's driver license)

BUSINESS CONTACT:

(Must be an officer)

TITLE:

(must be Owner, President, CEO)

E-MAIL ADDRESS:

PHYSICAL LOCATION OF BUSINESS (WHERE RECORDS ARE KEPT)

BUSINESS ADDRESS:

SUITE/UNIT #:

CITY:

COUNTY:

STATE:

ZIP CODE:

BUSINESS PHONE:

Area-code: Phone #:

TERMINAL ADDRESS IS WHERE YOU KEEP THE VEHICLE LOCATION:

TERMINAL ADDRESS:

CITY:

COUNTY:

STATE:

ZIP CODE:

TERMINAL PHONE:

Area-code: Phone #:

VEHICLE (EQUIPMENT) DESCRIPTION:

Use the "Table (Form)" below to "ADD = A" or "DELETE = D" OR "CHANGE = C" your vehicles (equipment) as described in "Column/Section #1" of the Form below. You must report all your vehicles within 10-days of use (addition of a vehicle) or removal (deletion) from your fleet. You are required to insure all vehicles not reported deleted from your fleet.

VEHICLE IDENTIFICATION # (VIN#)

A/D/C

STATE

LICENSE PLATE

VEHICLE IDENTIFICATION #

NO. OF
SEATS

VEHICLE
TYPE

MODEL
YEAR

STRETCH
INCHES

H.A.

KEY TO VEHICLE TYPE: LIM = Stretch Limo; CAR = Sedan; BUS = Motor-coach /Bus /Mini-Bus; VAN = Any Van; SUV = Any SUV; SW = Station Wagon.

CHP INSPECTION: Any vehicle with seating capacity of more than 10 persons including the driver requires CHP Inspection; CHP INSPECTION FEES = $15/Vehicle for each vehicle with seating capacity of more than ten persons including the driver; and such a vehicle must be operated by a driver possessing a "Class B or Class A" or better driver license (DL).

CA NUMBER:

"CA Number" is the Motor Carrier Safety Number Assigned to your company by the CHP: similar to US-DOT#.

YOUR SAFETY CONTACT PERSON:

LIVERY PLATE: DMV issues Livery Plates to PUC-Licensed Limousine Operators with vehicle seating capacity of 10 or less passengers including the driver: standard or stretched Sedans or SUVs are included. Commercial Registration with Applicant's name (and or LLC member name) must be submitted to the PUC for Livery Plate Authorization Letter.

COMMERCIAL INSURANCE AGENT INFORMATION:

Ref: PUC General Order 115-F....
COMMERCIAL INSURANCE LIMITS REQUIRED
SEATING CAPACITY	REQUIRED COVERAGE
7 or Less Passengers	$750,000
8 to 14 Passengers	$1,500,000
15 or more Passengers	$5,000,000
Have your Agent file Certificate of Insurance # "PL914"

You must have an Insurance Agent/Broker at the time of the Application. We may find you an Insurance Agent, if you have not already found one.

CONTACT:

TITLE:

Company Name:

STE#:

Address:

CITY:

STATE:

ZIP CODE:

TELEPHONE:

FAX:

E-mail:

OUR FEES AND CHARGES: Please Pay...
ITEM	DESCRIPTION	FEES
	Our consulting fees for: 1. Preparing and filing your Equipment Update and CHP Carrier Profile, and 2. An Updated complimentary "Operator Folder" to assist our clients stay in compliance with regulations. (Pay to .......)	$ 150

We are unable to accept payment by credit/debit cards at the present.
PLEASE, CALL US TO PAY BY CHECK AT: 323-378-6494....

MISCELLANEOUS INFORMATION:
(Use box below for any more information to add)