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OPERATIONS INFORMATION <br /> I Do you have FMCSA ([CC)Authority? [I Yes Z No if Yes. please provide the MC4, DOT 4,and State 4, if applicable. <br /> NIC <br /> DO'J`-- <br /> State(Case) <br /> 0 <br /> 2. List states in which you have Operating Author on file." Include exact name and address as it appears on <br /> the Granted Authority:' <br /> Do fou require"Form E- filings? F-] Yes ® No <br /> 3. Have VOU ever lost or had authority withdrawn by any regulatory authority (ICC, Public Utilities Commission., etc.) or are <br /> you under current probation? F-1 Yes E No If Yes", pie-ase explain in detail here or on a separate sheet. <br /> 4. Do your vehicles ever transport any commodities other than passenger baggage or mail? El Yes ZNo <br /> cyg I e <br /> It Yes, please describe types of commodities and include copies of bills of lading issued or copies of contracts. <br /> Do vour vehicles ever transport professional athletic or entertainment groups? <br /> El Yes ® No If Yes,please explain: <br /> 6. Are vour vehicles wheelchair equipped? <br /> F1 Yes ® No If Yes,what is the percentage? % <br /> 7. A. List below vour estimated mileage. gross receipts, payroll and average number of revenue-producing units for the- <br /> proposed policy period. <br /> B. List below your estimated mileage, gross receipts, payroll and average number of revenue-producing units for your <br /> current policy period. <br /> C. List below your actual mileage, gross receipts. payroll and average number of revenue-producing units for your <br /> — Z�l 1� CW <br /> four(4)previous policy periods. <br /> Policy Period Year Annual Mileage I Gross Receipts <br /> Payroll Units <br /> (A) Proposed Policy Period <br /> 09/22/16- 1 <br /> (B) Current Policy Period... j 17 1000074 6558823 2981717 <br /> (C) Previous Policy Period <br /> Previous Policy Period <br /> Previous Policy Period <br /> Previous Policy Period <br /> Lancer l3us1,ong Application(09.131 <br /> !'age 3 of 10 <br />