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Water Recreation Shuttle Permit Application
This form has been modified since it was saved. Please review all fields before submitting.
Steps
1.
Operator Information
This section is complete
This section is incomplete
2.
Shuttle Information
This section is complete
This section is incomplete
3.
City Secretary's Office
This section is complete
This section is incomplete
Operator Information
Operator Company Name:
*
Year:
*
Operator Phone:
*
Primary Email:
*
Emergency Contact:
*
Operator Physical Address:
*
Mailing Address:
*
List names and addresses for:
Sole Proprietorship
Corporation
Partnership/Association
List here:
USDOT Number
*
TxDMV Certificate Number
*
Certificate of Occupancy
*
Yes
No
*If no, your application will only be approved for a limited permit. If yes, please make sure a current Certificate of Occupancy is on file with City Secretary's Office.
Insurance Upload
Accord Form/ Certificate of Liability Insurance; proof of insurance must show all vehicles listed on this application with the amount of coverage. No shuttles on this application will be inspected until insurance has been reviewed for all vehicles on the application.
Insurance Expires:
*
Continue
Shuttle Information
Make:
*
Model:
*
Year:
*
River ($50/each):
*
Comal
Guadalupe
VIN Number:
*
License Plate:
*
Capacity of Shuttle:
*
Passenger Seating:
*
0-25
26+
26+ requires $5 million insurance coverage.
Internal-
Permit Number:
Insurance Provided:
Yes
No
Insurance Expires:
Make:
Model:
Year:
River ($50/each):
Comal
Guadalupe
VIN Number:
License Plate:
Capacity of Shuttle:
Passenger Seating:
0-25
26+
26+ requires $5 million insurance coverage.
Internal-
Permit Number:
Insurance Provided:
Yes
No
Insurance Expires:
Make:
Model:
Year:
River ($50/each):
Comal
Guadalupe
VIN Number:
License Plate:
Capacity of Shuttle:
Passenger Seating:
0-25
26+
26+ requires $5 million insurance coverage.
Internal-
Permit Number:
Insurance Provided:
Yes
No
Insurance Expires:
Make:
Model:
Year:
River ($50/each):
Comal
Guadalupe
VIN Number:
License Plate:
Capacity of Shuttle:
Passenger Seating:
0-25
26+
26+ requires $5 million insurance coverage.
Internal-
Permit Number:
Insurance Provided:
Yes
No
Insurance Expires:
Make:
Model:
Year:
River ($50/each):
Comal
Guadalupe
VIN Number:
License Plate:
Capacity of Shuttle:
Passenger Seating:
0-25
26+
26+ requires $5 million insurance coverage.
Internal-
Permit Number:
Insurance Provided:
Yes
No
Insurance Expires:
Make:
Model:
Year:
River ($50/each):
Comal
Guadalupe
VIN Number:
License Plate:
Capacity of Shuttle:
Passenger Seating:
0-25
26+
26+ requires $5 million insurance coverage.
Internal-
Permit Number:
Insurance Provided:
Yes
No
Insurance Expires:
Make:
Model:
Year:
River ($50/each):
Comal
Guadalupe
VIN Number:
License Plate:
Capacity of Shuttle:
Passenger Seating:
0-25
26+
26+ requires $5 million insurance coverage.
Internal-
Permit Number:
Insurance Provided:
Yes
No
Insurance Expires:
Make:
Model:
Year:
River ($50/each):
Comal
Guadalupe
VIN Number:
License Plate:
Capacity of Shuttle:
Passenger Seating:
0-25
26+
26+ requires $5 million insurance coverage.
Internal-
Permit Number:
Insurance Provided:
Yes
No
Insurance Expires:
Make:
Model:
Year:
River ($50/each):
Comal
Guadalupe
VIN Number:
License Plate:
Capacity of Shuttle:
Passenger Seating:
0-25
26+
26+ requires $5 million insurance coverage.
Internal-
Permit Number:
Insurance Provided:
Yes
No
Insurance Expires:
Make:
Model:
Year:
River ($50/each):
Comal
Guadalupe
VIN Number:
License Plate:
Capacity of Shuttle:
Passenger Seating:
0-25
26+
26+ requires $5 million insurance coverage.
Internal-
Permit Number:
Insurance Provided:
Yes
No
Insurance Expires:
Make:
Model:
Year:
River ($50/each):
Comal
Guadalupe
VIN Number:
License Plate:
Capacity of Shuttle:
Passenger Seating:
0-25
26+
26+ requires $5 million insurance coverage.
Internal-
Permit Number:
Insurance Provided:
Yes
No
Insurance Expires:
Make:
Model:
Year:
River ($50/each):
Comal
Guadalupe
VIN Number:
License Plate:
Capacity of Shuttle:
Passenger Seating:
0-25
26+
26+ requires $5 million insurance coverage.
Internal-
Permit Number:
Insurance Provided:
Yes
No
Insurance Expires:
Make:
Model:
Year:
River ($50/each):
Comal
Guadalupe
VIN Number:
License Plate:
Capacity of Shuttle:
Passenger Seating:
0-25
26+
26+ requires $5 million insurance coverage.
Internal-
Permit Number:
Insurance Provided:
Yes
No
Insurance Expires:
Make:
Model:
Year:
River ($50/each):
Comal
Guadalupe
VIN Number:
License Plate:
Capacity of Shuttle:
Passenger Seating:
0-25
26+
26+ requires $5 million insurance coverage.
Internal-
Permit Number:
Insurance Provided:
Yes
No
Insurance Expires:
Make:
Model:
Year:
River ($50/each):
Comal
Guadalupe
VIN Number:
License Plate:
Capacity of Shuttle:
Passenger Seating:
0-25
26+
26+ requires $5 million insurance coverage.
Internal-
Permit Number:
Insurance Provided:
Yes
No
Insurance Expires:
Continue
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City Secretary's Office
Shuttle Application (for this application)
Approved
Denied
CONB Internal Use Only
Permit Price (for this application):
$50 per shuttle, per river
Signature of City Representative
Date:
The operator agrees to and shall indemnify and hold harmless CITY OF NEW BRAUNFELS, its officers, agents, and employees from and against any and all claims, losses, damages, causes of actions, suits, and liability of every kind, including expense of litigation, court costs, and attorney’s fees, for injury to, or death of, any person, or for damages to any property, arising out of, or in connection with, work done by the outfitter under this permit, whether such injuries, death, or damagers are caused by CITY OF NEW BRAUNFELS or any other person or entity. The express intention of the parties hereto, both outfitter and CITY OF NEW BRAUNFELS, that the indemnity provided for in this paragraph is an indemnity by outfitter to indemnify and protect CITY OF NEW BRAUNFELS form the consequences of CITY OF NEW BRAUNFELS’ own negligence, WHEN that negligence is a concurring cause of the injury, death, or damage cause of action, suit or liability where the injury, death, or damage results from the sole negligence of CITY OF NEW BRAUNFELS unmixed with the fault of any other person or entity. Outfitter assumes no liability for the sole negligence of CITY OF NEW BRAUNFELS, its officers, agents, or employees. Per City ordinance all information provided in the application is true and correct.
Signature of Operator:
Must be done in front of a Notary Public, State of Texas.
Date:
This instrument was acknowledged before me on this ______ day of _____________________, 20______, by _________________________________
Notary Public, State of Texas and seal.
Leave This Blank:
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Email address
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Submit
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