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Form preview Taxicab lease 2016 2019 form Cityofchicago. org/bacp. Chauffeurs should know the tier and the age of the taxicab vehicle they lease. CITY OF CHICAGO UNIFORM TAXICAB LEASE AGREEMENT FOR TAXICAB MEDALLION LICENSE NUMBER TX THIS DOCUMENT MUST BE KEPT IN VEHICLE AT ALL TIMES and IS NOT VALID UNLESS COMPLETED AND SIGNED. Org www. cityofchicago. org/bacp Page 1 of 2 v.January. 1. 2016 The information on this page is provided as a quick reference and does not contain all taxicab lease agreement information. For complete information please refer to the Municipal Code of Chicago www. INS. Medallion Owner I certify that all the information on this lease is true correct and accurately reports the terms and conditions of the full taxicab lease agreement in compliance with the Municipal Code of Chicago and applicable rules and regulations. Lease Type Check One Box 12-Hour Daily Lease 12-Hour Weekly Lease Medallion License Only Lease Lease Term FROM at Start Date MM/DD/YEAR AM / PM Time HH MM TO at End Date MM/DD/YEAR CF Public Chauffeur / Lessee Information Print First Name Last Name Phone Number with Area Code Lessee s Signature Date Signed MM/DD/YYYY Taxicab Vehicle Information Make Model Fuel Source Gasoline Hybrid CNG Affiliation WAV Yes No Total Taxicab Lease Amount with GTT/Accessibility Fund and Worker s Comp Fees VEHICLE TIER NUMBER Model Year Other TOTAL LEASE AMOUNT GTT ACCESSIBLITY FEE Lessor Listed Below is the Check One Box Medallion Manager LESSEE S WORKER S COMP. For a list of approved taxicab vehicles classified by tier number please visit www. cityofchicago. org/bacp. Vehicle Age is the age of a vehicle computed by totaling the number of years in between and including both the calendar year and the model year. Examples In the calendar year 2016 a vehicle model year of 2016 vehicle age of 1 year and a vehicle model year of 2013 vehicle age of 4 years. MCC 9-112-230 - Tiered Lease Rate Structure and applicable lease rate caps in effect since February 1 2015 Tier 1 Vehicles MPG 36 OR CNG MPG 21 Maximum Lease Rate Vehicle Age of 1 year or less 72 per 12-hr shift 504 per week 99 per 24-hr shift 693 per week 497 per week 665 per week Vehicle Age 3 years or greater 413 per week 595 per week MPG 25 but 35 OR CNG MPG 20 MPG 24 Any Vehicle Age MCC 9-112-230 effective JAN. 1 2016 - Additional GTT Accessibility Fund Maximum Fees 1 maximum of 2. Management Company Name If Applicable Lessor Name Please Print Lessor 24-Hour Phone Number with Area Code Signature of Lessor SEE PAGE 2 FOR LEASE RATES AND FEES INFORMATION KEEP A COPY OF ALL LEASES FOR YOUR RECORDS REPORT LEASE OVERCHARGE COMPLAINTS TO 311 BACPPV cityofchicago. amlegal*com and the rules and regulations governing City of Chicago licensed taxicabs and the public vehicle industry www. For a list of approved taxicab vehicles classified by tier number please visit www. cityofchicago. org/bacp* Vehicle Age is the age of a vehicle computed by totaling the number of years in between and including both the calendar year and the model year.
Form preview Fmcsa sample lease agreement f... Fmcsa Sample Lease Agreement. pdf DOWNLOAD HERE MOTOR CARRIER AGREEMENT - Freightquote. com http //www. Http //www. chp.ca.gov/html/pdf/chp555topic3. pdf Sample Bill of Lading - No USDOT 94. LEASE AGREEMENT. Examples Who is the Motor Carrier FMCSA Ticket Book/Visor Card. Title o - Jones Truck Insurance http //jonestruckinsurance. Examples Who is the Motor Carrier FMCSA Ticket Book/Visor Card. Title o - Jones Truck Insurance http //jonestruckinsurance. com/files/8113/4323/7524/FMCSAStandardsReviewprocess. doc View a sample warning letter here. Federal Motor Carrier Safety Administration. Any owner operator with a valid lease agreement submitting an RDR should. To All Common or Contract Carriers http //www. Operator shall provide to Federal Motor Carrier Safety Administration certificate 1 - DOT http //cvisn.fmcsa.dot. gov/downdocs/cvisndocs/prism/PRISM 20Law 20Enforcement 20Training 20Manual 20- 20Part 201 20June 202010. doc Federal Motor Carrier Safety Administration.. Response Sample. and the driver log as well as a lease agreement if present to be certain who is the. freightquote. com/promos/carrier 20agreement 20041408 20- 20rev 20payment 20terms. pdf BROKER - CARRIER AGREEMENT - Ntba Brokers http //ntba-brokers. com/media/775/ntbabrokercarrieragreementtemplate. pdf CHECK LIST - IGH Home http //www. ighlogistics. com/forms/LEASE 20AGREEMENT. pdf Owner Operator Lease Agreement Copy of Motor Carrier Authority Permit. Operator shall provide to Federal Motor Carrier Safety Administration certificate 1 - DOT http //cvisn*fmcsa*dot. gov/downdocs/cvisndocs/prism/PRISM 20Law 20Enforcement 20Training 20Manual 20- 20Part 201 20June 202010. doc Federal Motor Carrier Safety Administration*. Response Sample. and the driver log as well as a lease agreement if present to be certain who is the. BROKER MOTOR CARRIER AGREEMENT - Cornerstone Systems Inc http //www. cornerstone-systems. com/forms/Broker 20Motor 20Carrier 20Set 20Up 2020110601. pdf 1June 2011. BROKER MOTOR CARRIER AGREEMENT. This Agreement is entered into this day of 20 by and between Cornerstone Business PMCPs provide private interstate transportation of. http //dps. georgia*gov/sites/dps. georgia*gov/files/relatedfiles/sitepage/16 20- 20Private 20Motor 20Carriers 20of 20Passengers. pdf Motor Carrier Safety. or lease buses for the private transportation of their. at your business premises the FMCSA s safety fitness THE MCS-90 ENDORSEMENT THE INSURANCE INDUSTRY S http //www. crawfordkestner. com/mcs90. doc Title THE MCS-90 ENDORSEMENT THE INSURANCE INDUSTRY S WELL KEPT SECRET Last modified by Owner Created Date 11/10/2008 3 26 00 PM Other titles INDEPENDENT CONTRACTOR AGREEMENT - Quality Distribution Inc. http //driver. qualitydistribution*com/Apply/PDF 20Files/ICAAgreementwithFSP. pdf BROKER/SHIPPER TRANSPORTATION AGREEMENT - The National. http //www. nitl*org/ModelBrokerContractFinalv1. pdf A. Carrier shall agree to defend indemnify and hold BROKER and SHIPPER harmless from all damages claims or losses arising out of its performance of the Agreement.

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