List names and addresses of each employee including drivers (attach separate sheet if more than 5)
Driver’s License No. (if driver)
I hereby certify that all drivers of a taxicab hold a valid Class C driver’s license issued by the State of Texas,
Department of Public Safety, and do not have convictions for driving while intoxicated within three (3) years, or
more than three (3) moving violation within a twelve (12) month period. I further certify that the information as
listed above and in the attachments hereto is true and correct.
_________________________________________________
Signature of Applicant
SUBSCRIBED AND SWORN TO BEFORE ME this the day of _____________________ 20____.
_________________________________________________
Notary Public in and for the State of Texas (Seal)
Expiration Date: ___________________________________
PERMITTEE IS REQUIRED TO PERIODICALLY UPDATE THE LIST OF DRIVERS AS NECESSARY TO
ADD OR DELETE DRIVERS.
PLEASE ATTACH THE FOLLOWING TO YOUR APPLICATION:
1. Fee of $50.00 for the first vehicle and $25.00 for each additional vehicle.
2. A surety bond issued by a bond or insurance company in the sum of $1,000.00, payable to the City
of Rosenberg, conditioned that the permittee will abide by all the rules.
3. A certificate of insurance issued by a insurance company licensed to do business in the State of Texas
covering public and personal comprehensive general liability for any damages that may be occasioned,
by reason of the operation of the taxicab business providing no less than the minimum coverage
required to “show proof of financial responsibility” as that term is defined in the Texas Motor Vehicle
Safety Responsibility Act as now in force or hereafter amended. Such policy must contain a provision
of an endorsement requiring that the City be given ten (10) days notice before the policy can be
canceled for any cause. Such policy shall name the City of Rosenberg as an additional insured.
