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CITY OF LANCASTER

APPLICATION FOR TOW LICENSE

CHECK ONE: _____ New Application _____ Renewal

LICENSE APPLYING FOR (Check all that apply):

PUBLIC PROPERTY PRIVATE PROPERTY EVIDENCE TOW

(Complete pages 1-7, also (Complete pages 1-7, also see (Complete pages 1-8)

See item #6 below) item #7 below)

FEE SCHEDULE

ORIGINAL APPLICATION FEE: Original application fee is $700.00 for any single license (Public Property, Private Property and/or Evidence Tow), an additional $200 for a second license (total $900), and an additional $100 for a third license (total $1000). APPLICATION FEES ARE NON-REFUNDABLE

RENEWAL FEE: Currently licensed companies applying for a renewal are subject to an annual renewal fee of $400.00 for a single license (Public Property, Private Property or Evidence Tow), $500.00 for two licenses, and $600.00 for three licenses. ALL LICENSES ARE SUBJECT TO ANNUAL REVIEW

Companies terminated for just cause must submit an original application and pay the appropriate original application fee(s) in order to be considered for a license.

PLEASE READ CAREFULLY BEFORE FILLING OUT THIS APPLICATION

1. A person commits the offense of Unsworn Falsification to Authorities if the person knowingly makes any false affidavit or knowingly swears or affirms falsely to any matter or thing relating to the regulation of towing businesses under the Pennsylvania Vehicle Code. The offense described in this section, Unsworn Falsification to Authorities, relating to regulation of vehicle related business, is a third degree misdemeanor under the Pennsylvania Crimes Code section 4904, subsection b.

2. All areas of this application must be completed in their entirety. Applications received with blank information areas and/or missing information will not be accepted for further processing. Answers such as “see above,” or, “see page #,” will not be accepted.

3. The application must be an original document. Any supporting documentation (i.e. proof of insurance, fee schedule) may be photocopies.

4. Illegible and/or incomplete applications will be returned without processing. Tow companies may be removed from the tow rotation list upon expiration of their license and until a complete tow application is processed and on file with the City of Lancaster. This removal will not be subject to a hearing request and this temporary removal shall remain in effect until a new application has been processed and is on file.

5. If applying for a Public Property tow license to tow abandoned vehicles you must have a Pennsylvania Salvor Certificate of Authorization, and must provide a copy of the Certificate of Authorization along with this application.

6. If applying for a Private Property tow license, attach a copy of all contracted locations, to include address and name of property owner/manager.

7. To list additional company owners, drivers and/or vehicles, or to add or delete drivers (after the application is filed), please use the additional insert pages at the end of this application. You may copy these pages to facilitate the need of your company in filing this application.

8. ALL LICENSES SHALL EXPIRE ON DECEMBER 31ST

PLEASE TYPE OR PRINT NEATLY

|Company Name: |Business Phone #: |

| | |

| |Dispatch Phone #: |

|Doing Business As (if applicable): |PA Department of Revenue License Number: |

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|Storage Lot Street/Physical Address: |

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|City: |Zip: |County: |

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|Business Office Address: |

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|City: |Zip: |County: |

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|Business Mailing Address: |

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|City: |Zip: |County: |

LIST ALL OWNER(S) OF THE TOW COMPANY MAKING THIS APPLICATION OR IF A CORPORATION, THE NAME(S) AND ADDRESS(ES) OF THE PRINCIPAL OWNER(S). IF ADDITIONAL SPACE IS NEEDED PLEASE USE THE ATTACHED BLANK SHEETS AT THE END OF THIS APPLICATION.

|Name: |Street: |

| | |

|City: |State: |Zip: |Phone #: |

| | | | |

|Date of Birth: |Social Security Number: |

| | |

CHECK HERE IF ADDITIONAL OWNERS ARE LISTED ON SEPARATE PIECE OF PAPER _________

INSURANCE DECLARATION

PER SECTION 285-140 OF THE TOWING ORDINANCE:

1. TOWING COMPANIES SHALL BE REQUIRED TO CARRY INSURANCE WITH MINIMUM POLICY LIMITS AS FOLLOWS:

A. AUTOMOBILE LIABILITY INSURANCE IN AN AMOUNT NOT LESS THAN $1,000,000.00, COMBINED SINGLE LIMITS.

B. WORKERS’ COMPENSATION INSURANCE, AS REQUIRED BY STATUTE.

C. GARAGE KEEPER’S LIABILITY INSURANCE IN AN AMOUNT NOT LESS THAN $75,000.00 PER LOCATION.

D. GARAGE LIABILITY INSURANCE IN AN AMOUNT NOT LESS THAN $500,000.00 COMBINED SINGLE LIMIT.

E. MISCELLANEOUS COVERAGE TO PROVIDE COMPLETE PROTECTION TO THE CITY AGAINST ANY AND ALL RISKS OF LOSS OR LIABILITY INCLUDING COMPREHENSIVE GENERAL LIABILITY.

F. COLLISION COVERAGE FOR VEHICLES IN TOW.

2. THE CITY SHALL BE LISTED AS AN ADDITIONAL INSURED PARTY ON ALL POLICIES AND SUCH POLICIES SHALL CONTAIN A PROVISION REQUIRING NOTIFICATION TO THE CITY PRIOR TO ANY POLICY REVISION OR TERMINATION. COPIES OF THE POLICY AND ARTICLES OF INSURANCE SHALL BE PROVIDED TO THE CHIEF OF POLICE.

|INSURANCE COMPANY: |ADDRESS: |TELEPHONE #: |

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|AGENT: |ADDRESS: |TELEPHONE #: |

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|POLICY NUMBER: |

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|POLICY EXPIRATION DATE: |

A COPY OF INSURANCE COVERAGE MUST BE ATTACHED.

APPLICATION WILL NOT BE PROCESSED WITHOUT IT.

LIST ANY TOWING AND VEHICLE STORAGE BUSINESSES YOU HAVE PREVIOUSLY OR ARE PRESENTLY ASSOCIATED WITH OR HAVE A FINANCIAL INTEREST IN:

|Business Name: |Street: |

|City: |State: |Zip: |Dates: |

|Business Name: |Street: |

|City: |State: |Zip: |Dates: |

|Business Name: |Street: |

|City: |State: |Zip: |Dates: |

|Business Name: |Street: |

|City: |State: |Zip: |Dates: |

LIST ALL TOW VEHICLES FOR THIS BUSINESS LOCATION ONLY

| |MAKE |YEAR |PLATE # |DOT NUMBER |STATE |CLASS |

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|2 | | | | | | |

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|3 | | | | | | |

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|4 | | | | | | |

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|5 | | | | | | |

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|6 | | | | | | |

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|7 | | | | | | |

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|8 | | | | | | |

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|9 | | | | | | |

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|10 | | | | | | |

Check here if additional pages are used to list vehicles ___________

TOW TRUCK DRIVERS EMPLOYED BY YOUR COMPANY AT THIS LOCATION:

(Current Drivers Residence Address Must Be Listed – Do Not Use Business Address)

|Name – Last, First Middle |Drivers License Number |License State |License Class |

| | | | |

|Street Address |City |State |Zip |

| | | | |

|Name – Last, First Middle |Drivers License Number |License State |License Class |

| | | | |

|Street Address |City |State |Zip |

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|Name – Last, First Middle |Drivers License Number |License State |License Class |

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|Street Address |City |State |Zip |

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|Name – Last, First Middle |Drivers License Number |License State |License Class |

| | | | |

|Street Address |City |State |Zip |

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|Name – Last, First Middle |Drivers License Number |License State |License Class |

| | | | |

|Street Address |City |State |Zip |

| | | | |

Check here if additional pages are used to list drivers. ________

TOWING EQUIPMENT VERIFICATION/BUSINESS INSPECTION FORM

ONE WRECKER, AT A MINIMUM, MUST MEET THE FOLLOWING SPECIFICATIONS:

1. 10,000 POUND OR GREATER GVWR (GROSS VEHICLE WEIGHT RATING) CHASSIS TRUCK;

2. REAR WHEEL LIFT WITH EITHER AN INTEGRATED OR SEPARATE BOOM;

3. 8,000 POUND WINCHING CAPABILITY;

4. RECOVERY CHAIN;

5. JUMPSTART CAPABILITY;

6. DOLLY WHEELS;

7. ONE OR TWO ROTATING AMBER OVERHEAD LIGHTS VISIBLE FROM 360 DEGREES;

8. CLEAN-UP EQUIPMENT AND OIL DRY, OR SIMILAR APPROVED MATERIAL;

9. THE ABILITY TO COMMUNICATE IMMEDIATELY WITH THE TOWING COMPANY DISPATCHER; AND

10. ANY OTHER EQUIPMENT TO PROPERLY TOW VEHICLES.

LIST THE VEHICLE REGISTRATION PLATE(S) OF THE WRECKER(S) THAT MEETS THE ABOVE REQUIREMENTS: ____________________________________________________________________

____________________________________________________________________________________

|COMPLIANCE (MARK “YES” OR “NO” BOX FOR EACH ITEM.) |YES |NO |

|Business telephone at location with both business (location) phone number and dispatch phone number clearly | | |

|visible to the public. | | |

|Person available 24 hours for the release of vehicles. | | |

|24 hour dispatch service 365 days a year | | |

|Business location and responding tow trucks can maintain a reasonable and acceptable response time within | | |

|geographical area of tow zone. | | |

|All Invoices for City of Lancaster tows are kept on file at business location for 2 years. | | |

|All tow trucks for this business location are properly licensed | | |

|All tow truck drivers/operators are properly licensed | | |

|All trucks display the company name and telephone number. | | |

|Storage yard/business facility is properly zoned and within 10 miles of Lancaster City. | | |

|Your storage yard is fenced per administrative rule and locked to protect against unauthorized entry. | | |

|Price list filed with the City of Lancaster is posted and available to the general public. | | |

Explain any item marked “NO”_______________________________________________________

________________________________________________________________________________________________________

FOR POLICE USE ONLY

|PRINT NAME OF PERSON INSPECTING: |SIGNATURE OF PERSON INSPECTING: |

| | |

|DATE OF INSPECTION: |DATE OF SIGNATURE: |

| | |

Before submitting this application make sure you have:

1. Ensured that all requested information is marked and/or supplied and that there are no blank sections.

2. Attached a copy of your insurance coverage.

3. Attached a copy of your towing fee schedule.

4. If applying for a Private Property tow license, attached a copy of all contracted locations, to include address and name of property owner/manager.

5. If a licenses salvor, attached a copy of a Pennsylvania Salvor License.

6. Notarized the application.

7. Listed any additional documents submitted with this application. If none write “N/A”:

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Mail or return application to: Lancaster City Police Department, Attn: Patrol Services Lieutenant

39 W. Chestnut St., Lancaster, PA 17603

TO BE COMPLETED BY APPLICANT:

I, _________________________________________________________, being first duly sworn, on oath depose and say, that I'm the owner and/or agent acting on behalf of the Owner of the aforementioned applicant tow company and have prepared the attached CITY OF LANCASTER towing application. I understand and acknowledge that all information and all entries made by me in response to this application are true, complete, and correct to the best of my knowledge. I further understand that if at any time it is discovered that I have made untruthful statements, falsified my application form, and/or have given or provided misleading statements, it shall be cause for immediate termination of a City of Lancaster issued towing license.

TO BE COMPLETED BY NOTARY:

THE APPLICANT, ___________________________________________, PERSONALLY APPEARED BEFORE ME, AND BEING DULY SWORN OR AFFIRMED ACCORDING TO LAW, THE APPLICANT DEPOSES AND SAYS THAT THE STATEMENTS CONTAINED HEREIN ARE TRUE AND CORRECT TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF.

SWORN OR AFFIRMED AND SUBSCRIBED TO BE THIS _____________ DAY OF

_____________________, 20______.

_______________________________________ _________________________________

APPLICANT NOTARY

APPLICATION FOR EVIDENCE TOW

|COMPLIANCE (MARK “YES” OR “NO” BOX FOR EACH ITEM.) |YES |NO |

|All facilities shall be indoors with at least a 6-foot fence securing the vehicles from patrons and other | | |

|work being done within the indoor facility. The fence should be secure with a lock and key/code, either or | | |

|both of which should be provided to the Lancaster City Police Department. | | |

|There should be a sign-in log maintained in an accessible location for anyone entering the secure area the | | |

|vehicles are stored. | | |

|The facility must have sufficient lighting to allow for vehicle processing and inspection. | | |

|The indoor area designated for vehicle storage should contain at least 2,000 square feet and should have | | |

|enough room to allow investigators to move around the vehicles for processing and photographing. | | |

|The evidence tow license holder should establish systems that assure that no one from the public be | | |

|authorized to obtain access to the area designated for storage of vehicles; that when vehicles are removed | | |

|they are removed in such a way as not to disturb the other vehicles remaining in the facility; and that | | |

|weekly reports are provided to the Lancaster City Police Department of vehicles maintained in the facility. | | |

|The towing company owner shall establish a system convenient to the Chief of Police to provide for staffing | | |

|of the facility 24 hours a day, seven days a week, or should otherwise provide an alarm system satisfactory | | |

|to the Chief of Police. | | |

|The towing company owner shall establish a system to provide the Lancaster City Police Department with | | |

|access to the facility 24 hours a day, seven days a week, within 20 minutes of a request for access by a | | |

|representative of the Lancaster City Police Department. | | |

Explain any item marked “NO”_______________________________________________________

________________________________________________________________________________________________________________________________________________________________________________________________________________

_____________________________________________________________________________________________

Mail or return application to: Lancaster City Police Department, Attn: Patrol Services Lieutenant

39 W. Chestnut St., Lancaster, PA 17603

FOR POLICE USE ONLY

|PRINT NAME OF PERSON INSPECTING: |SIGNATURE OF PERSON INSPECTING: |

| | |

|DATE OF INSPECTION: |DATE OF SIGNATURE: |

| | |

ADDITIONAL OWNERS (To be completed only if listing additional owners other than those listed on the main application)

|Name: |Street: |

| | |

|City: |State: |Zip: |Phone #: |

| | | | |

|Date of Birth: |Social Security Number: |

| | |

|Name: |Street: |

| | |

|City: |State: |Zip: |Phone #: |

| | | | |

|Date of Birth: |Social Security Number: |

| | |

ADDITIONAL TOW TRUCK DRIVERS EMPLOYED BY YOUR COMPANY AT THIS LOCATION

Current Drivers Residence Address Must Be Listed – Do Not Use Business Address.

(To be completed only if listing additional drivers other than those listed on the main application)

|Name – Last, First Middle |Drivers License Number |License State |License Class |

| | | | |

|Street Address |City |State |Zip |

| | | | |

|Name – Last, First Middle |Drivers License Number |License State |License Class |

| | | | |

|Street Address |City |State |Zip |

| | | | |

|Name – Last, First Middle |Drivers License Number |License State |License Class |

| | | | |

|Street Address |City |State |Zip |

| | | | |

ADDITIONAL TOW VEHICLES FOR THIS BUSINESS LOCATION ONLY

(To be completed only if listing additional vehicles other than those listed on the main application)

| |MAKE |YEAR |PLATE # |DOT NUMBER |STATE |CLASS |

| | | | | | | |

|2 | | | | | | |

| | | | | | | |

|3 | | | | | | |

| | | | | | | |

|4 | | | | | | |

| | | | | | | |

|5 | | | | | | |

ADD/REMOVE TOW TRUCK DRIVERS EMPLOYED BY YOUR COMPANY-Current Drivers Residence Address Must Be Listed – Do Not Use Business Address (To be completed only if adding/removing drivers other than those listed on the main application)

ADD REMOVE (Circle one)

|Name – Last, First Middle |Drivers License Number |License State |License Class |

| | | | |

|Street Address |City |State |Zip |

| | | | |

ADD REMOVE (Circle one)

|Name – Last, First Middle |Drivers License Number |License State |License Class |

| | | | |

|Street Address |City |State |Zip |

| | | | |

ADD REMOVE (Circle one)

|Name – Last, First Middle |Drivers License Number |License State |License Class |

| | | | |

|Street Address |City |State |Zip |

| | | | |

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