Tow_Operator_Application.pdf
PDF 42 KB Posted
- Attached to
- Heavy Duty Towing
- Solicitation number
- 2023-RFP-0184
- Issued by
- Sacramento County, San Francisco City, California
About this file
The document is a Tow Operator/Driver Information form from the County of Sacramento and Sacramento Sheriff Department, designed to collect detailed information from potential tow truck operators for a heavy-duty vehicle towing contract. The form requires comprehensive details about the operator/driver, including personal information, driver's license specifics, years of experience across different tow truck classes, DMV program enrollment status, and criminal history disclosure.
The form serves as a screening mechanism for the Sheriff Department's initiative to remove illegally operated or parked heavy-duty vehicles from unincorporated areas of Sacramento County. Key requirements include providing complete personal and professional information, confirming medical certification, and acknowledging that providing false information to a peace officer is a misdemeanor under Vehicle Code Sections 20 and 31. The document requires signatures from both the operator/owner and the tow driver, certifying the accuracy of the submitted information, and is part of a broader contract opportunity focused on improving roadway compliance and vehicle removal efficiency.
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Other files
| File | Type | Posted |
|---|---|---|
| Heavy_Duty_Towing.pdf | ||
| RFP-0184_Exhibit_D.pdf |
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Text version
Proposer Name: __________________________ County of Sacramento
Request for Proposal EXHIBIT "D" Proposal Form
Sacramento Sheriff Department
TOW OPERATOR/DRIVER INFORMATION
Instructions: Please type or print clearly. Form must be filled out completely
Operator/Driver Full Name __________________________ (First, Middle, Last)
Date of Birth List all AKA’s _______________________________________
(Use additional pages if necessary)
Company Name___________________________________
Driver License Number State Exp. Date________
License Class Endorsements Medical Certificate? Yes No
Medical Certificate Expiration Date Job Title/Classification______________
Number of years experience as a tow truck operator/driver in the following classes:
Class A Class B Class C Class D
Operator/Driver presently enrolled in the DMV Pull Notice Program? Yes No
Operator/Driver ever been convicted of a crime? Yes No . If yes, explain the circumstances.
Include the crimes committed, sections violated, date of convictions, country, state, and county where crimes were committed.
(Use additional pages if necessary)
I certify that the above information is true and correct, and that no omissions have been made.
�The operator and Driver are advised that giving false information to a peace officer, either orally or in writing, is a misdemeanor pursuant to Vehicle Code Sections 20 and 31.
Operator’s/Owner’s signature Date______________________
Tow driver’s signature Date______________________ jahicks Typewritten Text jahicks Typewritten Text jahicks Typewritten Text jahicks Typewritten Text jahicks Typewritten Text
File details come from the government source that posted it. Updated .