Vehicles Private Carriers Permits And Importers Carriers Licenses
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Vehicles Private Carriers Permits And Importers Carriers Licenses Form. This is a Texas form and can be use in Alcoholic Beverage Commission Statewide.
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Vehicles – Private Carrier’s Permits and
Importer’s Carrier’s Licenses
L-O (6/2012)
1. Is each vehicle listed below to be used under a Private Carrier’s Permit covered with a minimum of
$500,000 (combined single limit) liability insurance for personal and property damage from an insurance
company licensed and authorized to do business in Texas?
Yes
No
2. Do you have knowledge and will you conduct operations of the vehicle in accordance with all federal and
state safety regulations?
Yes
No
FOR ANY VEHICLE(S) WEIGHING OVER 26,000 POUNDS
3. Have you attached a completed copy of the Texas Department of Insurance Form E (Uniform Motor Carrier
Bodily Injury and Property Damage Liability Certificate) obtained from your insurance company underwriter?
Yes
No
LIST THE VEHICLES OWNED OR LEASED IN GOOD FAITH BY APPLICANT
TO BE USED IN CONNECTION WITH THE PERMIT
4. Private Carrier’s Permit: If applicant wants the holder of an Agent’s Permit employed by applicant to
deliver product in personal vehicles, list vehicles owned or leased.
MAKE
MODEL
YEAR
Page 1 of 2
LICENSE NUMBER
L-O
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LIST THE VEHICLES OWNED OR LEASED IN GOOD FAITH BY APPLICANT
TO BE USED IN CONNECTION WITH THE PERMIT CONTINUED
MAKE
MODEL
YEAR
LICENSE NUMBER
IF YOU NEED MORE SPACE USE ADDITIONAL COPIES OF THIS PAGE
Page 2 of 2
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