TNC AGENT FOR NOTICES/SERVICE OF PROCESS/POWER OF ATTORNEY
KNOW ALL BY THESE PRESENTS, that I, _______________________________________,
( Name of Licensee and/or Its Duly Authorized Representative or Agent),
having applied for a license to operate a Transportation Network Company (“TNC”) within the
City of Duluth, do hereby make, constitute and appoint:
TNC AGENT NAME & BUSINESS ADDRESS: TNC AGENT PHONE & EMAIL ADDRESS
_____________________________________ EMAIL ADDRESS____________________________________
_____________________________________ BUSINESS PHONE NUMBER __________________________
and his/her successor in office, my true and lawful ATTORNEY, on whom all notices, summonses
and all legal processes in any action or legal proceeding against me, arising from or on account
of the operation of said Transportation Network Company within the City of Duluth, may be served.
Said Attorney is hereby duly authorized and empowered, as my agent, to receive and accept
service of all notices, summonses and all legal processes in any action or legal proceeding against
me as aforesaid, as provided by the laws of the State of Minnesota, and such service shall be
deemed valid personal service upon me, said ______________________________________.
(Name of Licensee)
This appointment is to continue in force irrevocably so long as any such TNC is operated under
the above-mentioned permit, and so long as any liability arising from or on account of said
operation of such TNC remains outstanding.
IN TESTIMONY WHEREOF, I have hereunto set my hand and seal at the City of Duluth,
Minnesota, this ______day of __________________________, 2___.
(Signature of Applicant/Licensee)
STATE OF MINNESOTA )
COUNTY OF ST. LOUIS )
On this ________day of _______________________, 2____, before me, a Notary Public within and for said County
and State, personally appeared ______________________________, to me well known to be the person named in
and who executed the foregoing instrument, and acknowledged that they executed said instrument as their free act and
deed, for the uses and purposes therein expressed.
My Commission Expires: ___________________