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<br />. <br />. <br />. <br />. <br />I. <br />i. <br />I. <br />'. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />I. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br /> <br />Corporate Name S-eiliAr()l~')LLXf-If\Cu._______ <br />Date Incorporated_~J q~~_____ State of Charter: F I or Ie) ~_. <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 3 <br />CLASS A SLIDE BACK CARE CARRIER _-.1____ <br />CLASS B WRECKER I <br />CLASS B SLIDE BACK CAR CARRIER <br />CLASS C WRECKER I I "- <br />CLASS D WRECKER I U <br />OTHER (DESCRIPTION AND NUMBER) ___ <br /> <br />-- -- ---------.----.-..---- <br /> <br />Please provide complete information for each wrecker on the attached equipment form. <br /> <br />9. Do you have now or have you had any contracts with private companies? _lJ(S <br />If so, list two, including the name and phone number of your contact at these c6mpanies: <br /> <br />10. Has the towing agency filed for insolvency, reorganization or bankruptcy petition (voluntary or involuntary)? <br />NO __ <br /> <br />11. List five (5) references preferably public agencies with current or past contracts: AGENCY CONTACT <br /> <br /> <br />12. How long has this towing agency been in the towing business? <br /> <br />25: VE4/ZS <br />( <br /> <br />26 <br />