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<br />. <br />. <br />. <br />. <br />. <br />e <br />e <br />. <br />. <br />. <br />e <br />. <br />. <br />. <br />,. <br />Ie <br />'e <br />'e <br />. <br />Ie <br />Ie <br />,. <br />. <br />I <br /> <br />I. <br />. <br />I. <br />.. <br />I. <br />I. <br />, <br />I. <br />e <br />I. <br />I. <br />I. <br />I() <br />'. <br />. <br />. <br />. <br />. <br />. <br />e <br />A <br /> <br />Corporate Name: <br />Date Incorporated: State of Charter: <br />6. What is the fictitious name under which the business will be conducted (if applicable): <br /> <br />7. Has this business ever been suspended, revoked or been the subject of suspension, revocation or <br /> <br />violation of Local, County, or State Law? <br /> <br />8, How many wreckers does the towing agency have in each class? <br /> <br />Refer to Equipment Requirements of specifications for class description <br /> <br />CLASS A WRECKER <br />CLASS A SLIDE BACK CARE CARRIER <br />CLASS B WRECKER <br />CLASS B SLIDE BACK CAR CARRIER <br />CLASS C WRECKER <br />CLASS D WRECKER <br />OTHER: (DESCRIPTION AND NUMBER) <br /> <br />Please provide complete information for each wrecker on the attached eauipment form. <br /> <br />9. Do you have now or have you had any contracts with private companies? <br />If so, list two, including the name and phone number of your contact at these companies: <br /> <br />10. Has the towing agency filed for insolvency, reorganization or bankruptcy petition (voluntary or involuntary)? <br /> <br />11. List five (5) references preferably public agencies with current or past contracts: AGENCY CONTACT <br /> <br />TELEPHONE <br /> <br />12. How long has this towing agency been in the towing business? <br /> <br />a~ <br /> <br />26 <br />