LU ;c- PUBLIC UTILITY COMMISSION r~»i MAR CfttL-A'C/VZ tp(L. · authority (airport transfer...
Transcript of LU ;c- PUBLIC UTILITY COMMISSION r~»i MAR CfttL-A'C/VZ tp(L. · authority (airport transfer...
BUSINESS PLAN OF APPLICANT FOR MOTOR CARRIER AUTHORITY
THE FOLLOWING INFORMATION IS REQUIRED BY THE COMMISSION TO DETERMINE APPLICANT'S
FITWRSS TOOPERATE. STATEMENTS SHOULD BE TYPED OR PRINTED. ILLEGIBLE STATEMENTS Q WlLj/DELA'fi/OUR APPLICATION.
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Pt C Application Docket No.
CfttL-A'C/VZ tp(L. MAR 07 2017
UJ Legal Name of Applicant BUREAU OF
A Vi^T A v ( TECHNICAL UTILITY SERVICES
Krade Name, if any
U(,3 rvav PA LVHg CSired Address (principal place nf business) ( ity or Municipality Slate Z,ip Code
This document is a business plan, or your proposal for providing the transportation service for which you are
making application. Prior to deciding to make application for operating authority from the Public Utility
Commission, you likely gave much consideration to the manner in which you would operate the business in
order that you could provide satisfactory' service to your customers and so that you could make a reasonable
profit. As part of the application process, you must provide the Commission with your proposal to provide the
transportation service.
You are encouraged to provide as much information as possible to fully explain your plan. If you fail to provide
sufficient infonnation about the subjects listed below, it may cause the review of your application to be delayed
until you provide the necessary infonnation. If you need more space to provide your explanation, please attach
additional pages that list the appropriate item by number.
Identify the person providing the information by giving your name and indicate whether you are the owner,
employee, officer, or attorney for the applicant.
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2. List the applicant's affiliation (owner, manager, controls) with any other carrier, with the description of
affiliation.
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3. Describe the applicant's business experience, particularly any experience relating to the operation of a
transportation service. An explanation of education or training that you believe may be relevant may also
be included.
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4. Describe your facilities, record maintenance plan and your communication network. Please include a
description of your physical location, to include the office area, office machines that will be utilized, and the
facility to house vehicles. Household goods in use carriers should include a description of their storage
facilities, if applicable. Please include an explanation of your plan to maintain records required by the
PUC. as well as normal business records. In regard to your communication network, please explain how
you will receive customer requests for transportation, how you will dispatch the vehicles to fulfill the
request, and how you will maintain continuous communication with your drivers. Finally, please state your
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5. Please state the number of employees you intend to use. along with a description of their duties. Please
explain why that number of employees is appropriate to provide reasonable and efficient service to the
geographical territory you will be serving. (Do not address drivers in your explanation about this item;
drivers are addressed separately in item # 6).
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6. Please state the number of drivers you intend to use or hire in your business and explain why that number of
drivers is appropriate for the size of the geographical territory you will be serving. In addition, please
explain:
a. Your hiring standards for drivers;
b. Your system to ensure prospective drivers will be subject to a criminal background check;
c. Your driver training program;
d. Your system for ensuring that your drivers are properly licensed at all times;
e. Your system to ensure that all drivers will be subject to a criminal background check every two
years;f. Your policies regarding alcohol and drug use by your drivers.
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7. Please state the number of vehicles you plan to use in your business and why that number is appropriate to
provide reasonable and efficient service to the geographical territory you will be serving. If you have
already obtained vehicles for your business, please list them in the chart below. Taxicabs may not be used
if the vehicle's age is greater than ten model years in age or the vehicle's mileage greater than 350,000.
Limousines may not be used if the vehicle's mileage is greater than 350,000 miles.(j$) T-e-Hrv’tory is S-e^Sc*T<aj£
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Describe your vehicle safety program. Please include the following in your explanation:
a. Your periodic vehicle maintenance plan;
b. Your system for ensuring your vehicles will continuously comply with Pennsylvania's equipment
standards (67 Pa. Code. Chapter 175) that are applicable to the type of vehicles used in your
business;
c. Your system for ensuring your vehicles will maintain compliance with the PUC’s requirements for
passenger service at 52 Pa. Code. Section 29.403 (applicable to passenger applicants only);
d. If applying for taxi authority, your system for replacing vehicles once they are greater than ten
model years in age or with mileage greater than 350.000 in compliance with 52 Pa. Code. Section
29.314(c);
e. If applying for limousine authority, your system for replacing vehicles once have mileage greater
than 350,000 in compliance with 52 Pa. Code. Section 29.333(d);
f. If applying for household goods in use authority, your system for ensuring your vehicles will
comply with the requirements of 49 CFR Parts 393 and 396, as adopted by the PUC at 52 Pa.
Code, Chapter 37.rvait-U \/-eX^id^ cwx,
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9. Please explain what steps you have taken to determine if you can obtain and pay the premiums to maintain
insurance coverage for the proposed number of vehicles for your business.Wc QM^tdJjUdi QfV
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10. Please describe your customer service standards. Within your description, please explain:
a. Your plan to inform customers of the procedures for filing complaints with the PUC;
b. Your intended customer complaint resolution procedure.
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II. Criminal Record. Has the applicant* been convicted of a misdemeanor or felony for which applicant
remains subject to supervision by a court or correctional institution? YES____
*//applicant is a partnership, limited partnership, limited liability partnership, limited liability company,
or corporation, this question applies to all partners, members, shareholders and corporate officers. In
the event that the answer is yes for one of those individuals, a separate page identifying the individual
and stating relevant information should be attached.
12. Financial Data. In addition to demonstrating your technical fitness, you must also demonstrate that you
possess the financial fitness to provide the proposed transportation service. You may use the "Statement of
Financial Position" which follows this page or supply a balance sheet prepared by an accountant. You need
only provide the applicable infonnation. Please feel free to also provide clarification infonnation with your
"Statement of Financial Position", which explains why you believe you have sufficient funds to ensure your
transportation business can provide reliable service to the public in a safe manner. PLEASE MOTE:
COMMISSION REGULA TIONS REQUIRE THA T PARTNERSHIPS, LIMITED PARTNERSHIPS,
LIMITED LIABILITY PARTNERSHIPS, LIMITED LIABILITY COMPANIES, AND
CORPORA TIONS MUST FILE A CURRENT INCOME STA TEMENT.
Statement of Financial Position (Balance Sheet)As of (date) lr^£> glP l"!
ASSETS
Current Assets
Cash
Other Current Assets (specify)
Other Assets
Motor Vehicle Equipment
Building and Structures
Office Equipment
Investments and Funds (specify)
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TOTAL ASSETS
LIABILITIES
Current Liabilities (Due within one year of date) G Long Term Liabilities (Due after one year of date)
TOTAL LIABILITIES
NET WORTH /OWNER S EQUITY (Subtract total liabilities from total assets)
Verification of Statement
The undersigned deposes and says that he/she is authorized to and does make this verification and that the
facts set forth therein are true and correct to the best of his/her knowledge, information, and belief. The undersigned
understands that false statementsjierein are made subject to penalties of 18 Pa. C. S. Section 4904 relating to unsworn falsification to authonfi^s?^l"i9 5.AyV13y33S , .
' ___________________________________________ 3h,ln._e2:CHd L-mm(Signa (Date)1
(Name and Title, printed or typfed)AI303B
BUSINESS PLAN OF APPLICANT FOR MOTOR CARRIER AUTHORITY
4) Facility information, continued- It is our plan to build a maintenance facility (garage) at 1163 Miller Rd. specifically for the repair and maintenance of both our current taxi fleet and the additional vehicles needed for the paratransit service. Our current office/records system consists of computer equipment, printers, internet and custom forms designed for recording and keeping credit card and all other pertinent customer and account information private and secure.
We are in the process of designing a web site at AVPTAXI.com that will allow customers to book and pay for their transportation packages online. The paratransit authority requested is integral for us to be able to allow the public the convenience and ease of arranging and paying for transportation for themselves OR third parties. Currently it is near impossible or very difficult, at best, for a third party to arrange and/or pay for the transportation of another person in the territory we have requested. Our internet based booking and payment system will be able to accomplish this and allow bookings 24 hours per day.
Our official office hours will be the same as the taxicabs, 7 am to 7 pm, and service will be provided 24 hours per day via advance reservation. While we are committed to the 7am-7pm hours, we normally answer the phones almost 24 hours per day.
Vehicles are dispatched via cell phone and SMS in rural areas and we are awaiting additional authority (airport transfer service) and have a current pending bid proposal to operate at AVP airport, and upon being awarded the airport contract, and corresponding airport service authority from the PUC, we will add both digital 2-way radios to the vehicles and hand-held digital repeater radios to facilitate dispatch from ANY of our locations.
If awarded the airport contract, we may or may not be allowed to add a “tower” there for radio communication, and as high tech equipment is prohibitively expensive, we do not wish to invest in the “wrong” digital equipment, and annual contracts binding us to pay for equipment and digital repeater service as both PUC authority and the airport contract in “pending” status.
6) continued.a) We consider taking on drivers after review of both an mvr and criminal background check.
b) We do not put any driver on the road unless we have both an MVR history & background check completed.
c) Our driver training program (for those without previous taxi or transportation experience) consists of at least one observation shift with another driver, where half of the shift consists of being a passenger and observing how our driver conducts himself, fills out log sheets and communicates with the office. The other half of the shift consists of our driver, or myself, being a passenger and observing how well the individual drives and conducts himself- and answers any questions about filling out log sheets, etc. Drivers with taxi/limo/paratransit experience are also required to be a passenger for all or part of a shift, determined by interactions between driver and trainee, passengers and office, and the level of confidence and experience evidenced.
d) We perform a bi-annual MVR check and have drivers sign a statement that they will not
knowingly operate any of our vehicles with a suspended revoked or otherwise invalid license under penalty of law and/or dismissal.
e) every year, by the end of January, all current drivers must submit a PSP background check for their file. We are establishing accounts with PSP to be able to accomplish this on our own.
f) Zero tolerance. Drivers must sign a statement that they agree to random drug/alcohol testing as a requirement to operate our vehicles. If a driver is suspected of drug/alcohol use, he will be tested immediately (if testing is available) and sent home. Drivers must also list any and/all medications prescribed to them by doctors as a condition to drive for us. Applicants that are on psychotropic or narcotics will not be considered as drivers. Our “loss ratio” via our current insurance policy is “zero” and we have been given a discount by our insurance carrier. We are testing GPS systems now, which used in conjunction with the OBD port in modem vehicles that can be used to determine erratic and odd driving behaviors via the vehicle's computer, as well as GPS locations which can help us “see” what our drivers and vehicles are up to, in real time. There is a switch that allows us to turn off the car, remotely, in the event of any issue or theft.
10) continued- Our customer service standards are the highest in the industry, the principal of the company is a hands-on operator, that deals and interacts with the customers on a daily basis. Our online reviews are very accurate and are much better than those of other local carriers.Our dedication to serving the riding public is evidenced by the application for both the paratransit and airport transfer authority- which will allow to serve the public in capacities that do not currently exist. There are no “complete” transportation service companies that provide larger capacity vehicles and taxicabs for the public, groups of people are forced to take several expensive taxicabs or try and find a limousine. We believe that offering vans, minivans and such will save people time and money. People are requesting us to provide such service via phone and we cannot accommodate them without the proper authority.
VERIFIED STATEMENT IN SUPPORT OF THE APPLICATION
THE FOLLOWING INFORMATION IS REQUIRED BY THE COMMISSION TO DETERMINE THAT THERE IS A NEED FOR THE APPLICANT’S SERVICES.STATEMENT SHOULD BE TYPED OR PRINTED.
p\ n O P.OcSts^>Name of Supporter
c^>-} P'lH-pron PAStreet Address City or Municipality State Zip Code
CALL-A-CAR INC. PUBLIC paUTility commis
A-2016-2563872 S/O/V
Name of Applicant
Describe the type of transportation service needed.
FLAT RATE “Car/Van Service” A/K/A Paratransit
2017Tec^NlCAt^u 0f
utility
What will be the usual origin and destination? Please give specific locations, such as ^ names of cities, boroughs, or townships, p- Ml w ^ ^
T> J C+c
How frequently is this service needed? Example: Is it on a daily, weekly, or monthly basis? cl CX.'\
C-.J
ICcr
•- Have you tried to use other providers of service in this area, and if so. why do you prefer y. not to use them? OOlu kJSC- C-cju\ ( ' Gca-C
LO -
> ;; Have you supported similar applications in the past? If so, please supply name and
Tj docket number. NO.
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VERIFICATION OF STATEMENT
The undersigned deposes and says that he/she is the person who signed the Statement for the above-captioned applicant/application and that he/she is authorized to and does make this verification and that the facts set forth therein are true and correct to the best of his/her knowledge, information, and belief.
The undersigned understands that false statements herein are made subject to the penalties of 18 Pa. C. S. Section 4904 relating to unsworn falsification to authorities.
[^0 * -■ _________________ ____________________
({Signature) ^ (Date)S’ u dliVs ft__Q\wetroo§
(Name, printed or typed)
12/ 'Vi 6
VERIFIED STATEMENT IN SUPPORT OF THE APPLICATIONTHE FOLLOWING INFORMATION IS REQUIRED BY THE COMMISSION TO DETERMINE THAT THERE IS A NEED FOR THE APPLICANT’S SERVICES. STATEMENT SHOULD BE TYPED OR PRINTED.
__Oo-r\Aa-.A__ 'Di _____________________________Name ofSupporter
sj c-.raWsp C-oo^A- ^PiVy^Von_____________ PA____\ £. mL>
Street Address City or Municipality State Zip Code
CALL-A-CAR INC.A-2016-2563872
Name of Applicant
• Describe the type of transportation service needed.MAR - 7 20|,'
FLAT RATE uCar/Van Service” A/K/A Paratransitpii l ILITV COrl.viISSrOf
What will be the usual origin and destination? Please give specific locations, such as names of cities, boroughs, or townships.^p1/. tOl k^-S ^
3c- cx.n-ron J rj-O £tc
• How frequently is this service needed? Example: Is it on a daily, weekly, or monthly basis? cJo-J l ^
• Have you tried to use other providers of service in this area^and if so. why do you prefer not to use them? UO & Oru^ kj •S € Co_|) cS-> GCT^r* *
• Have you supported similar applications in the past? If so. please supply name and
docket number. NO.
VERIFICATION OF STATEMENT
The undersigned deposes and says that he/she is the person who signed the Statement for the above-captioned applicant/application and that he/she is authorized to and does make this verification and that the facts set forth therein are true and correct to the best of his/her knowledge, information, and belief.
The undersigned understands that false statements herein are made subject to the penalties of 18 Pa. C. S. Section 4904 relating to unsworn falsification to authorities.
___ _________________________________________________ ____________________(Signature) t . U. . (Date)Co~'C*&q<c/Dt _______________________________ i2//y/i6
(Name, printed or typed)
VERIFIED STATEMENT IN SUPPORT OF THE APPLICATION
THE FOLLOWING INFORMATION IS REQUIRED BY THE COMMISSION TO DETERMINE THAT THERE IS A NEED FOR THE APPLICANT'S SERVICES. STATEMENT SHOULD BE TYPED OR PRINTED.
ZWName of Supporter
Sanf^>(\ pa iStreet Address City or Municipality State Zip Code
CALL-A-CAR INC.A-2016-2563872
Name of Applicant
• Describe the type of transportation service needed.MAR - 7 2017
FLAT RATE “Car/Van Service” A/K/A ParatransitPA PUBLIC UriLITY COilMISSION
r--'~ •B BUkEAU
What will be the usual origin and destination? Please give specific locations, such as names of cities, boroughs, or townships.
How frequently is this service needed? Example: Is it on a daily, weekly, or monthly basis? , it i
• Have you tried to use other providers of service in this area, and if so, why do you prefer not to use them? CliL ^
• Have you supported similar applications in the past? If so, please supply name and
docket number. NO.
VERIFICATION OF STATEMENT
The undersigned deposes and says that he/she is the person who signed the Statement for the above-captioned applicant/application and that he/she is authorized to and does make this verification and that the facts set forth therein are true and correct to the best of his/her knowledge, information, and belief.
The undersigned understands that false statements herein are made subject to the penalties of 18 Pa. C. S. Section 4904 relating to unsworn falsification.to authorities.
____________________________(Signature)
(2 Z-\i(Date).
12/>T/16(Name, printed or typed)
VERIFIED STATEMENT IN SUPPORT OF THE APPLICATION
THE FOLLOWING INFORMATION IS REQUIRED BY THE COMMISSION TO DETERMINE THAT THERE IS A NEED FOR THE APPLICANT’S SERVICES. STATEMENT SHOULD BE TYPED OR PRINTED.
_Mjn _______Name of Supporter
5?/YUyfnY' pa /s&rStreet Address City or Municipality State Zip Code
CALL-A-CAR INC. jA-2016-2563872 l
FiS TP1?, J s--® Ejrs r-V >r* c; V '7 q
Name «f Applicant MAR - 7 2017
• Describe the type of transportation service needed.
FLAT RATE “Car/Van Service” A/K/A Paratransit
UBLIC UTILITY COrT'USStOr SUCRE ITKY S BUREAU
• What will be the usual origin and destination? Please give specific locations, such as names of cities, boroughs, or townships.
• How frequently is this service needed? Example: Is it on a daily, weekly, or monthly basis?
SAws -FmoolA,
• Have you tried to use other providers of service in this area, and if so, why do you prefer
not to use them?I
• Have you supported similar applications in the past? If so, please supply name and
docket number. NO.
VERIFICATION OF STATEMENT
The undersigned deposes and says that he/she is the person who signed the Statement for the above-captioned applicant/application and that he/she is authorized to and does make this verification and that the facts set forth therein are true and correct to the best of his/her knowledge, information, and belief.
The undersigned understands that false statements herein are made subject to the penalties of 18 Pa. C. S. Section 4904 relating to unsworn falsification to authorities.
^ v. v ->*—______________________ la-io-d*
(Signature) (Date)12/J()/16
(Name, printed or typed)
VERIFIED STATEMENT IN SUPPORT OF THE APPLICATION
THE FOLLOWING INFORMATION IS REQUIRED BY THE COMMISSION TO DETERMINE THAT THERE IS A NEED FOR THE APPLICANT'S SERVICES. STATEMENT SHOULD BE TYPED OR PRINTED.
------------ r t ^ t r------v; icrName of Supporter
X----------
PA IflSM
Street Address City or Municipality State Zip Code
CALL-A-CAR INC.A-2016-2563872 'A:b ieo Ur//
Name of Applicant MAK - J /)(]|7
• Describe the type of transportation service needed.
FLAT RATE “Car/Van Service” A/K/A Paratransit
^ PUBLIC UViJ. SZCRElAl'- S BURF/'.ij
• What will be the usual origin and destination? Please give specific locations, such as names of cities, boroughs, or townships.
HosptGl wolCffe ■
• How frequently is this service needed? Example: Is it on a daily, weekly, or monthly basis?
• Have you tried to use other providers of service in this area, and if so, why do you prefer not to use them?"\ o S\ot>> c^trHiiOCj 'to p rox. u? - 4- f fl 1 ^ i S 'b h ^
• Have you supported similar applications in the past? If so, please supply name and
docket number. NO.
VERIFICATION OF STATEMENT
The undersigned deposes and says that he/she is the person who signed the Statement for the above-captioned applicant/application and that he/she is authorized to and does make this verification and that the facts set forth therein are true and correct to the best of his/her knowledge, information, and belief.
penalties of 18 Pa. C. S.
(Signature)
The undersigned understands that false statements herein are made subject to the 01^4904 relating to unsworn falsification to authorities.
________________________ VA-lg Ik.
\-Ywrft f kGip £ ^/i tr^s.(Date)12/5/16
SUPPORTING STATEMENT FOR THE APPLICATIONTHE FOLLOWING INFORMATION IS REQUIRED BY THE COMMISSION TO DETERMINE THAT THERE
IS A NEED FOR THE APPLICANT'S SERVICES. STATEMENT SHOULD BE TYPED OR PRINTED.
d SpCXDfName of Supporter
//9 CL/?4- I^H3/Street Address City or Municipality State Z,ip (.'ode
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• Describe ihe type of transportation service needed.
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• What will be the usual origin and destination? Please give specific locations, such as names of cities,
boroughs, or townships.
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• How frequently is this service needed? Example: Is it on a daily, weekly, or monthly basis?
• Are there others in your area who provide this service, and if so, why do you prefer not to use them?
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• Have you supported similar applications in the past? If so. who was the applicant?
AJO
VERIFICATION OF STATEMENTThe undersigned deposes and says that he/she is the person who signed the Statement for the
above-captioned applicant/application and that he/she is authorized to and does make this verification and that the
facts set forth therein are true and correct to the best of his/her knowledge, information, and belief.
The undersigned understands that false statements herein are made subject to the penalties of 18
Pa. C. S. Section 4904 relating to unsworn falsification to authorities.
(Date)
MA* - 7 20,7
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SUPPORTING STATEMENT FOR THE APPLICATIONTHE FOLLOWING INFORMATION IS REQUIRED BY THE COMMISSION TO DETERMINE THAT THEIREIS A NEED FOR THE APPLICANT'S SERVICES. STATEMENT SHOULD BE TYPED OR PRINTED.
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JStreet Address City or Mtinicipxlity / State Zip Code
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Describe the type of transportation service needed.
• What will be the usual origin and destination? Please give specific locations, such as names of cities,
boroughs, or townships.
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• How frequently is this service needed? Example: Is it on a daily, weekly, or monthly basis?
• Are there others in your area who provide this service, and if so. why do you prefer not to use them?
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• Have you supported similar applications in the past? If so. who was the applicant?
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VERIFICATION OF STATEMENTThe undersigned deposes and says that he/she is the person who signed the Statement for the
above-captioned applicant/application and that he/she is authorized to and does make this verification and that the
facts set forth therein are true and correct to the best of his/her knowledge, information, and belief.
The undersigned understands that false statements herein are made subject to the penalties of 18
Pa. C. S. Section 49i)4 relating to unswoiil falsification to authorities.
ynMJrmrt'JUMu*Supporter) M — iy(Signature of Sup
(Supporter's Name, printed or typed)
L-2.Z.-0(Date)
SUPPORTING STATEMENT FOR THE APPLICATIONTHE FOLLOWING INFORMATION IS REQUIRED BY THE COMMISSION TO DETERMINE THAT THERE
IS A NEED FOR THE APPLICANT’S SERVICES. STATEMENT SHOULD BE TYPED OR PRINTED.
Name of Supporter
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Street Address City or Municipality
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State Z,ip (.'ode
Name of Applicant . Ao|
Describe the type of transportation service needed.
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What will be the usual origin and destination? Please give specific locations, such as names of cities,
boroughs, or townships.
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How frequently is this service needed? Example: Is it on a daily, weekly, or monthly basis?
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Are there others in your area who provide this service, and if so. why do you prefer not to use them?
• Have you supported similar applications in the past? If so. who was the applicant?
Mo
VERIFICATION OF STATEMENTThe undersigned deposes and says that he/she is the person who signed the Statement for the
above-captioned applicant/application and that he/she is authorized to and does make this verification and that the
facts set forth therein are true and correct to the best of his/her knowledge, infonnation. and belief.
The undersigned understands that false statements herein are made subject to the penalties of 18
Pa. C. S. Section 4904 relating to unsworn falsification to authorities.
SUPPORTING STATEMENT FOR THE APPLICATION
THE FOLLOWING INFORMATION IS REQUIRED BY THE COMMISSION TO DETERMINE THAT THERE
IS A NEED FOR THE APPLICANT'S SERVICES. STATEMENT SHOULD BE TYPED OR PRINTED.
\\& S.oeJri Lj&a^r
Name nfSupporter
P{\ \*?>VI
Street Address City or Municipality State 7Ap C.'ode
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Name of Applicant _ Ao|
• Describe the type of transportation service needed.
• What will be the usual origin and destination? Please give specific locations, such as names of cities,
boroughs, or townships.
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How frequently is this service needed? Example: Is it on a daily, weekly, or monthly basis?
• Are there others in your area who provide this service, and if so, why do you prefer not to use them?
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• Have you supported similar applications in the past? If so. who was the applicant?
SOD
VERIFICATION OF STATEMENTThe undersigned deposes and says that he/she is the person who signed the Statement for the
above-captioned applicant/application and that hc/she is authorized to and does make this verification and that the
facts set forth therein are true and correct to the best of his/her knowledge, information, and belief.
The undersigned understands that false statements herein are made subject to the penalties of 18
Pa. C. S. Section 4904 relating to unsworn falsification to authorities.
lure of Supporter)
(Supporter's Name, printed or typed)
c?-<3Q-d
(Date)
mar
r-i ifJ-Kurr,
bi'J v ^
'7 tt/y
C:h
SUPPORTING STATEMENT FOR THE APPLICATIONTHE FOLLOWING INFORMATION IS REQUIRED BY THE COMMISSION TO DETERMINE THAT THEREIS A NEED FOR THE APPLICANT'S SERVICES. STATEMENT SHOULD BE TYPED OR PRINTED.
r hciro^_____ / s
. Name c»f Siujnorlcr
Street AddressJX
City or Municipality
dpiiC^'Cfyz. //oc
IcL__LSMS§
lunicipality ^itate Zip Code ^
Name of Applicant - £ol (.-AS & &
• Describe ihe type of transportation service needed.
Car j\kn• What will be tne usual origin and destination? Please give specific locations, such as names of cities,
boroughs, or townships.
tffaU C{f)J
• How frequently is this service needed? Example: Is it on a daily, weekly, or monthly basis?
• Are there others in your area who provide this service, and if so. why do you prefer not to use them?
/Jo
• Have you supported similar applications in the past? If so, who was the applicant?
VERIFICATION OF STATEMENTThe undersigned deposes and says that he/she is the person who signed the Statement for the
above-captioned applicant/application and that he/she is authorized to and docs make this verification and that the
facts set forth therein are true and correct to the best of his/her knowledge, information, and belief.
The undersigned understands that false statements herein are made subject to the penalties of 18
SUPPORTING STATEMENT FOR THE APPLICATION
THE FOLLOWING INFORMATION IS REQUIRED BY THE COMMISSION TO DETERMINE THAT THERE
IS A NEED FOR THE APPLICANT'S SERVICES. STATEMENT SHOULD BE TYPED OR PRINTED.
A'CM* //QCNairn' nr Applicant fl.*^*^*?*
Describe the type of transportation service needed.
F/-AT
What will be the usual origin and destination? Please give specific locations, such as names of cities,
boroughs, or townships.
How frequently is tWs service needed? Example: Is it on a daily, weekly, or monthly basis?
\s^tirtdLAre there others in yourlarea who provide this service, and if so, why do you prefer not to use them?
dkjUc&aasAUJUjz_. JUiSsfi)
• Have yUsupportedsIm
l\ovtvhirwTSTW applicant?
VERIFICATION OF STATEMENTThe undersigned deposes and says that he/shc is the person who signed the Statement for the
above-captioned applicant/application and that he/she is authorized to and does make this verification and that the
facts set forth therein are true and correct to the best of his/her knowledge, information, and belief.
The undersigned understands that false statements herein are made subject to the penalties of 18
Pa. C. S. Section 4904 relating tq unsworn falsification to authorities.
\(Signatur
Y\ane o^SupporterJ. (
Suppori rr’s Name, prin^i or typed)
SUPPORTING STATEMENT FOR THE APPLICATION
THE FOLLOWING INFORMATION IS REQUIRED BY THE COMMISSION TO DETERMINE THAT THERE
IS A NEED FOR THE APPLICANT'S SERVICES. STATEMENT SHOULD BE TYPED OR PRINTED.
_____________ //VC_______________________________________Niimc of Applicant
• Describe the type of transportation service needed.Ff&h Ctxr /^atsy SVrt/> r e.
• What will be the usual origin and destination? Please give specific locations, such as names of cities,
boroughs, or townships.
P'C C< A
• How frequently is this service needed? Example: Is it on a daily, weekly, or monthly basis?
D '• Are there others in your area who provide this service, and if so, why do you prefer not to use them?
N h• Have you supported similar applications in the past? If so. who was the applicant?
VERIFICATION OF STATEMENTThe undersigned deposes and says that he/she is the person who signed the Statement for the
above-captioned applicant/application and that he/she is authorized to and does make this verification and that the
facts set forth therein are true and correct to the best of his/her knowledge, infonnation. and belief.
The undersigned understands that false statements herein are made subject to the penalties of 18
Pa. C. S. Section 4904 relating to unsworn falsification to authorities.
SUPPORTING STATEMENT FOR THE APPLICATION
. h
THE FOLLOWING INFORMATION IS REQUIRED BY THE COMMISSION TO DETERMINE THAT THEREIS A NEED FOR THE APPLICANT'S SERVICES. STATEMENT SHOULD BE TYPED OR PRINTED.
ri/i-rj /Llctfo *1
Name of Supporter
//g fadtawl LQyrU- /M/fpmJ ffi /(f337
Street Address City or Municipality State Zip CZip (.‘ode
/?//PCN»mc nrApplicnnt
Describe the type of transportation service needed.
What will be the usual origin and destination? Please give specific locations, such as names of cities,
boroughs, or townships. •
• How frequently is this service needed? Example: Is it on a daily, weekly, or monthly basis?
/"
• Are there others in your area who provide this service, and if so, why do you prefer not to use them?
AfO
Have you supported similar applications in the past? If so. who was the applicant?
NO
VERIFICATION OF STATEMENTThe undersigned deposes and says that he/she is the person who signed the Statement for the
above-captioned applicant/application and that he/she is authorized to and does make this verification and that the
facts set forth therein are true and correct to the best of his/her knowledge, information, and belief.
The undersigned understands that false statements herein are made subject to the penalties of 18
Pa. C. S. Section 4904 relating to unsworn falsification to authorities.
(Signature of Supporter)
____________Jjvaj(Supporter's Name, printed or typed)
2/3.*///(Date)
Mar 7 m
PA PL'Zi rr*
SUPPORTING STATEMENT FOR THE APPLICATION
THE FOLLOWING INFORMATION IS REQUIRED BY THE COMMISSION TO DETERMINE THAT THERE
IS A NEED FOR THE APPLICANT'S SERVICES. STATEMENT SHOULD BE TYPED OR PRINTED.
fflfu burtonf\ . < _ ,__ /s, Name of SupporterPO &QC tbV - rlu)lf t
Street Address V-City or Mtmicipattlf/
Cf\LL- /A>C
Slate Zip Code
Name »r Applicant Q _aB, J* ?A
Describe the type of transportation service needed.
pfet f {lcJ~£ <■
What will be the usual origin and destination? Please give specific locations, such as names of cities,
boroughs, or townships.
oast no, snopp-nq-How frequently is this service needed? Example: Is it on a daily, weekly, or monthly basis?
pppitv i| 4-iinfisa month• Are there others in your area who provide this service, and if so, why do you prefer not to use them?
• Have you supported similar applications in the past? If so, who was the applicant?
VERIFICATION OF STATEMENTThe undersigned deposes and says that he/she is the person who signed the Statement for the
above-captioned applicant/application and that he/she is authorized to and does make this verification and that the
facts set forth therein are true and correct to the best of his/her knowledge, information, and belief.
The undersigned understands that false statements herein are made subject to the penalties of 18
Pa. C. S. Section 4904 relating to unsworn falsification to authorities.
r OJU1 Wiral mm(Supporter's Name, printed or typed)
(Date)
SUPPORTING STATEMENT FOR THE APPLICATIONTHE FOLLOWING INFORMATION IS REQUIRED BY THE COMMISSION TO DETERMINE THAT THERE
IS A NEED FOR THE APPLICANT S SERVICES. STATEMENT SHOULD BE TYPED OR PRINTED.
Joan /^\(X r'ic
ay a? ftd. ~uik TA iHs-p
Slreet Address Cily nr Municipality
(L(\LL- A'CtyZ. //ocState /ip (.'ode
Name nf Applicunt _ Ao| 3m
• Describe the type of transportation service needed.
• What will be the usual origin and destination? Please give specific locations, such as names of cities,
boroughs, or townships. _ ,
• How frequently is this service needed? Example: Is it on a daily, weekly, or monthly basis?
• Are there others in your area w'ho provi^this service, and if so, why do you prefer not to use them?
• Have you supported similar applications in the past? If so. who was the applicant?
VERIFICATION OF STATEMENTThe undersigned deposes and says that he/she is the person who signed the Statement for the
above-captioned applicant/application and that he/she is authorized to and does make this verification and that the
facts set forth therein are true and correct to the best of his/her knowledge, information, and belief.
The undersigned understands that false statements herein are made subject to the penalties of 18
Pa. C. S. Section 4904 relating to unsworn falsification to authorities. t y
fri Zhi _________ Sfi-ih?(Signature of Supponer)^
(Supporter's Name, printed or typed)
SUPPORTING STATEMENT FOR THE APPLICATION
THE FOLLOWING INFORMATION IS REQUIRED BY THE COMMISSION TO DETERMINE THAT THERE
IS A NEED FOR THE APPLICANT'S SERVICES. STATEMENT SHOULD BE TYPED OR PRINTED.
A-0 f f C\ t
Name of Supporter
ff\ Jil37
Street Address ( ily or Municipality State
Cf\LL-A'C/VZ- //VC
/.ip C»>de
N»mc „r Applicant C3$7 Z
Describe the type of transportation service needed.
FVn Anv
What will be the usual origin and destination? Please give specific locations, such as names of cities.boroughs, or townships, { r a r -j-± - (Ji/Avr-r*. S4e^ori (/7) ^ « ,'U/
How frequently is this service needed? Example: Is it on a daily, weekly, or monthly basis?
/)] ty
Are there others in your area who provide this service, and if so, why do you prefer not to use them?
• Have you supported similar applications in the past? If so. who was the applicant?
/U)
VERIFICATION OF STATEMENTThe undersigned deposes and says that he/shc is the person who signed the Statement for the
above-captioned applicant/application and that he/she is authorized to and does make this verification and that the
facts set forth therein arc true and correct to the best of his/her knowledge, infonnation. and belief.
The undersigned understands that false statements herein are made subject to the penalties of 18
Pa. C. S. Section 4904 relating to unsworn falsification to authorities.
of Supporter)
u or ra. \ a-Q- ea ia(Supporter's Name, printed or typed)
(Date)
PU8l K- / I rr, ..SVror - uir/ CO-
/Afty'-'/team
'VSSIQk
SUPPORTING STATEMENT FOR THE APPLICATIONTHE FOLLOWING INFORMATION IS REQUIRED BY THE COMMISSION TO DETERMINE THAT THERE
IS A NEED FOR THE APPLICANT’S SERVICES. STATEMENT SHOULD BE TYPED OR PRINTED.
-Vcnoc- ,N.
Name of Supporter
r Wn e HorY^cVaY PA
Street Address City or Municipality
(Lull- /a^c
State /.ip Code
NamofApplicn.
Describe the type of transportation service needed.
Oxr Van
What will be the usual origin and destination? Please give specific locations, such as names of cities,
boroughs, or townships.
l4a^Vy VWcs tkcAc
How frequently is this service needed? Example: Is it on a daily, weekly, or monthly basis?
0\CuK
• Are there others in your area who provide this service, and if so. why do you prefer not to use them?
QnWf Vmo SefOv'c^S.
• Have you supported similar applications in the past? If so. who was the applicant?
<r\
VERIFICATION OF STATEMENTThe undersigned deposes and says that he/she is the person who signed the Statement for the
above-captioned applicant/application and that he/she is authorized to and does make this verification and that the
facts set forth therein are true and correct to the best of his/her knowledge, infonnation. and belief.
The undersigned understands that false statements herein are made subject to the penalties of 18
(Date) / /
I
VERIFIED STATEMENT IN SUPPORT OF THE APPLICATIONTHE FOLLOWING INFORMATION IS REQUIRED BY THE COMMISSION TO DETERMINE THAT THERE IS A NEED FOR THE APPLICANT’S SERVICES. STATEMENT SHOULD BE TYPED OR PRINTED.
Ftrc i a.____c g-d _________________________________Name of Supporter
^0^ 'TdrtnnfPA /^TV 2.
Street Address City or Municipality State Zip Code
CALL-A-CAR INC.A-2016-2563872
I1Name of Applicant
Describe the type of transportation service needed. m _ 7,()1/
FLAT RATE “Car/Van Service” A/K/A Paratransit pi ignr , r-
What will be the usual origin and destination? Please give specific locationsTSuctf ;as
names of cities, boroughs, or townships.'~r/i''^5? sc ja i S/it’ppiK^
• How frequently is this service needed? Example: Is it on a daily, weekly, or monthly basis? Da /A-
• Have you tried to use other providers of service in this area, and if so, why do you prefer
not to use them? \//~ c
• Have you supported similar applications in the past? If so, please supply name and
docket number. NO.
VERIFICATION OF STATEMENT
The undersigned deposes and says that he/she is the person who signed the Statement for the above-captioned applicant/application and that he/she is authorized to and does make this verification and that the facts set forth therein are true and correct to the best of his/her knowledge, information, and belief.
The undersigned understands that false statements herein are made subject to the penalties of 18 Pa. C. S. Section 4904 relating to unsworn falsification to authorities.
_________________ ____________ ____(Signature) (Date)
_____________ 12/45716(Name, printed or typed)
VERIFIED STATEMENT IN SUPPORT OF THE APPLICATION
THE FOLLOWING INFORMATION IS REQUIRED BY THE COMMISSION TO DETERMINE THAT THERE IS A NEED FOR THE APPLICANT’S SERVICES.STATEMENT SHOULD BE TYPED OR PRINTED.
_____rh.K.*__ ___________________________Name of Supporter
j>y PA lYtoMCStreet Address City or Municipality State Zip Code
CALL-A-CAR INC.A-2016-2563872 y
Name of Applicant
• Describe the type of transportation service needed. MAR - 7 2017
FLAT RATE “Car/Van Service” A/K/A Paratransit PA li nurr CO: 'i.vussiONxSL'CR". ?.Ak >' l Dt'i'ir/i.; i
• What will be the usual origin and destination? Please give specific locations, such as
names of cities, boroughs, or townships. uc-juy^ tv-13 / '
• How frequently is this service needed? Example: Is it on a daily, weekly, or monthly
basis? bctZ/y/
Have you tried to use other providers of service in this area, and if so, why do you prefer
not to use them? l^j AtvJ ~!^t ■~r5
• Have you supported similar applications in the past? If so, please supply name and
docket number. NO.
VERIFICATION OF STATEMENT
The undersigned deposes and says that he/she is the person who signed the Statement for the above-captioned applicant/application and that he/she is authorized to and does make this verification and that the facts set forth therein are true and correct to the best of his/her knowledge, information, and belief.
The undersigned understands that false statements herein are made subject to the penalties of 18 Pa. C. S. Section 4904 relating to unsworn falsification to authorities.
^ __I______________________________ ________________________(Signature) (Date)
ft, A-:/_____________________________________________ 12/ If /16
(Name, printed or typed)
VERIFIED STATEMENT IN SUPPORT OF THE APPLICATION
THE FOLLOWING INFORMATION IS REQUIRED BY THE COMMISSION TO DETERMINE THAT THERE IS A NEED FOR THE APPLICANT’S SERVICES. STATEMENT SHOULD BE TYPED OR PRINTED.
YYVVor^Y\A<^.________________ .Name of Supporter
^Cjcr.PAStreet Address City or Municipalit> State Zip Code
CALL-A-CAR INC,A-2016-2563872
Name of Applicant
sy* tf<*k
■ ‘J V.-; r'vx.
• Describe the type of transportation service needed. MAR - 7 2017
FLAT RATE “Car/Van Service” A/K/A Paratransit pf\ pUBi.jri, rr.. r0|1.,.
.SL'CRiH rAi-": -• 1- Ei./iJGA’!What will be the usual origin and destination? Please give specific locations, such asnames ofcities, boroughs, or townships, Ufnjur; 'ljp<rx.
How frequently is this service needed? Example: Is it on a daily, weekly, or monthly basis? TV** %
• Have you tried to use other providers of service in this area, and if so, why do you prefer not to use them? ^; ^^ Co^, C5Ue^ Ox^f^ .
• Have you supported similar applications in the past? If so, please supply name and
docket number. NO.
VERIFICATION OF STATEMENT
The undersigned deposes and says that he/she is the person who signed the Statement for the above-captioned applicant/application and that he/she is authorized to and does make this verification and that the facts set forth therein are true and correct to the best of his/her knowledge, information, and belief.
' , The undersigned understands that false statements herein are made subject to the penalties of 18 Pa. C. S. Section 4904 relating to unsworn falsification to authorities.
(Signature)
7y-zir?d^ b? ftph f'(Date)12/ /16
(Name, printed or typed)
VERIFIED STATEMENT IN SUPPORT OF THE APPLICATION
THE FOLLOWING INFORMATION IS REQUIRED BY THE COMMISSION TO DETERMINE THAT THERE IS A NEED FOR THE APPLICANT'S SERVICES.
CALL-A-CAR INC.A-2016-2563872 • K. CpSK
Name of Applicant
• Describe the type of transportation service needed.MAR -7 2017
FLAT RATE “Car/Van Service” A/K/A Paratransit
What will be the usual origin and destination? Please give specific locations, such as names of cities, boroughs, or townships. ^ 1 Q(OcCq\^ , r|)
How frequently is this service needed? Example: Is it on a daily, weekly, or monthly basis?
• Have you tried to use other providers of service in this area, and if so, why do you prefer not to use them? ... fvVi r \.,x tOv op C\.<\ c K
j ckefQC.
Have you supported simfiar applications in the past? If so, please supply name and
docket number. NO.
VERIFICATION OF STATEMENT
The undersigned deposes and says that he/she is the person who signed the Statement for the above-captioned applicant/application and that he/she is authorized to and does make this verification and that the facts set forth therein are true and correct to the best of his/her knowledge, information, and belief.
The undersigned understands that false statements herein are made subject to the ;s of 18 Ea. C/jS. Section 4904 relating to unsworn falsification to authorities.
/
(Date)
12/ I\6
IA
(Name, printed or ty
VERIFIED STATEMENT IN SUPPORT OF THE APPLICATION
THE FOLLOWING INFORMATION IS REQUIRED BY THE COMMISSION TO DETERMINE THAT THERE IS A NEED FOR THE APPLICANT’S SERVICES. STATEMENT SHOULD BE TYPED OR PRINTED.
C^Q \ CaJ
Name of Supporter
PAStreet Address Cit> or Municipalit> State Zip Code
CALL-A-CAR INC.A-2016-2563872 7=N ^jW.< 1--|Jl ''J, rnr. ' A5:i
Name of Applicant
• Describe the type of transportation service needed.
•ja PIJ3LIC UT'lLlTY COrvitSSICFLAT RATE uCar/Van Service” A/K/A Paratransit f.- BJiTA-1
• What will be the usual origin and destination? Please give specific locations, such asnames of cities, boroughs, or townships. ClO^S \ EY5 . j Pt)Cc^oO,5
How frequently is this service needed? Example: Is it on a daily, weekly, or monthly basis? GueetA^ .
• Have you tried to use other providers of service in this area, and if so, why do you prefernot to use them? ^^5 . Uber ' donb +cu^ 'Dr.uers
/5 n-tu<LC
• Have you supported similar applications in the past? If so, please supply name and
docket number. NO.
VERIFICATION OF STATEMENT
The undersigned deposes and says that he/she is the person who signed the Statement for the above-captioned applicant/application and that he/she is authorized to and does make this verification and that the facts set forth therein are true and correct to the best of his/her knowledge, information, and belief.
The undersigned understands that false statements herein are made subject to the penalties of 18 Pa. C. S. Section 4904 relating to unsworn falsification to authorities.
______________ ____________________(Signature) (Date)
_________________________ 12/^/16(Name, printedortyped)
VERIFIED STATEMENT IN SUPPORT OF THE APPLICATION
THE FOLLOWING INFORMATION IS REQUIRED BY THE COMMISSION TO DETERMINE THAT THERE IS A NEED FOR THE APPLICANT’S SERVICES.STATEMENT SHOULD BE TYPED OR PRINTED.
ShuryilCV
/-2.aa
Name of Supporter
cTf //btoCa PA IfrWI
Street Address City or Municipality State Zip Code
CALL-A-CAR INC. RK?Vi A' i&as n
A-2016-2563872------------------ mail- . "^17-------
Name of Applicant
• Describe the type of transportation service needed. public •jul-tv CO: c ussior
ci.'fd'AU
FLAT RATE “Car/Van Service” A/K/A Paratransit
What will be the usual origin and destination? Please give specific locations, such as names of cities, boroughs, or townships. ilOOheQor) Uo’liACS'
How frequently is this service needed? Example: Is it on a daily, weekly, or monthly basis?
Have you tried to use other providers of service in this area, and if so, why do you prefer not to use them? UfcKL/'T
Pr>Ci25 OiCcrv)£ .
Have you supported similar applications in the past? If so, please supply name and
docket number. NO.
VERIFICATION OF STATEMENT
The undersigned deposes and says that he/she is the person who signed the Statement for the above-captioned applicant/application and that he/she is authorized to and does make this verification and that the facts set forth therein are true and correct to the best of his/her knowledge, information, and belief.
The undersigned understands that false statements herein are made subject to the penalties of 18 Pa. C. S. Section 4904 relating to unsworn falsification to authorities.
(Signature)
n kwc yme, printed or typed){Name
(Date)12//,C/16
CftCL-A"
11 (ob mtUnL gA
lz4t&Pat/wiTFO^arrcF(?sr«t unv^ii
100017105
UWSTAGEPOTTSVILLE, PA
17901MAR 06, 17
AMOUNT
$2.03R2304M115834-02
R U.£.T>c> “S^y: 35
V*CQ
0?
P/^ nioZ-'biiS
as:Qv
'C
P-TT^J, b] SECRETARY'S BUREAU
ATT JODI TAYLOR