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. PUC/LICENSE#:    COMPANY NAME:   (The "Legal Name" of your business) FICTITIOUS NAME: dba   (this is a non-legal name used to sell your services) 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.  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#) 1 2 3 4 5 6 7 8 9 10 A/D/C STATE LICENSE PLATE VEHICLE IDENTIFICATION # NO. OF SEATS VEHICLE TYPE MODEL YEAR STRETCH INCHES H.A Y/N. LIVERY Y/N                     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#.   # VEHICLES OVER 10 PASSENGERS : EACH VEHICLE WITH SEATING CAPACITY OVER 10  PAX REQUIRES CHP INSPECTION @ $15 /VEHICLE. YOUR SAFETY  CONTACT PERSON: LIVERY PLATE: Livery Plate is required by the PUC for all Limousines with vehicle with 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: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware D.C. Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming  ZIP CODE: TELEPHONE: FAX: E-mail:     DESCRIPTION OF OUR WORK, FEES AND CHARGES: ITEM    DESCRIPTION  FEES     TCP ADD/DELETE EQUIPMENT WORK ONLY   1   TCP/DMV APPLICATIONS (for vehicles that carry 10 passengers or less including the driver):           We Prepare and File your TCP and DMV Applications and follow through to get you the proper transportation-for-hire "Exclusive Charter License" for vehicles that carry less than 10 passengers including the driver. You are allowed to make one change (1 change) during the Application Process: you may change your Car, your Driver, or your Address .............►           2. TCP ADD/DELETE + TCP OPERATOR GUIDE/FOLDER for vehicles that carry 10 or more passengers including the driver requiring "CHP Terminal/Safety Inspection". Our work in this option includes everything in #1 and prepares you for the required CHP Terminal Inspection.   PLUS, OR VERY IMPORTANT MATERIAL SMART TRANSPORTATION OPERATORS ALSO BUY...▼   MANAGEMENT, MAINTENANCE & SAFETY INFO FOLDER 3. TCP OPERATOR GUIDE/FOLDER (optional for Item 1; BUT essential for vehicles that carry more than 10 passengers including the driver, requiring CHP Inspection)           We prepare a custom "TCP Operator Folder" for your business to assist you in managing your operations: especially if you operate vehicles that require CHP Inspection. This Folder includes a compilation of Rules & Regulations, Safety Material, and general information you need to run your transportation business; and limited support (answers) for your telephone and online questions...........►     See FILING FEES at top of this page ▲▲▲ ABOUT OUR CREDIT CARD PAYMENT FUTURE: We are unable to accept payment by credit or debit cards or any other online payment system at the present; but, all this will be available soon! For now, however....▼ PLEASE, CALL US TO PAY BY CHECK AT: 323-378-6494 MISCELLANEOUS INFORMATION: (Use box below for any more information to add)

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