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1156 High Street
Santa Cruz, CA 95064
U
NIVERSITY OF
C
ALIFORNIA
S
ANTA
C
RUZ
P
rocurement Services
(831) 459-2311
FAX (831) 459-3300
https://www.ucop.edu/risk-services-insurance/_files/certificate-of-
UCSC
-
Procurement Services
Thank you for taking the time to complete this application.
company will be added to the approved Bus Charter
supplier list.
After your documents have been reviewed and your application has been approved, your
Complete and submit the UCSC Bus Charter application
form.3.
Submit a copy of your current PUC Certificate.2.
Regents as additional
insured.
Submit your current Certificate of Insurance per the below requirements naming UC
1.
the
following
steps:
If
you
are
interested in
becoming an
approved UCSC
Bus
Charter
Vendor
please
complete
your
contract.
insurance/transportation_ins_limits_rev11_13_13.pdf
and
this
application
will be
part of
Minimum
Insurance
Requirements
for
Contractors/External
Users
-
Transportation
located
at
Article
9
of
the
UC
Terms
requires
you
to
maintain
the
insurance
contained
within
the
Terms
and
Conditions
of
Purchase
will
become
the
governing
contract
with the
University.
When
the
University purchases
your
services,
a
purchase
order
will
be
issued
and the
UC
company
will
be
added
to
the
list
of
approved
bus
charter
services
suppliers
on
our
website.
and
PUC
certifications.
After
your
application
has
been
reviewed
and
approved,
your
complete
the
enclosed
application
form
and
provide
us
with
a
current
Certificate
of
Insurance
If
you
are
interested in
becoming an approved
bus
charter
services
supplier,
you
must
requirements.
are
met,
including
California
Public
Utilities
Commission (PUC)
and
all
insurance
web-site.
This
approved list
is
meant
to
ensure
that
all
University of
California
requirements
services
will
select
from
this
list,
which
is
accessible
from
the
UCSC
Procurement Services
responsible
bus
charter
services
for
campus
events.
Campus
departments
requiring
these
provides
to our
campus
a
list
of
pre-approved
companies
who
provide
responsive
and
The
University of California
Santa
Cruz,
Procurement
Services
department,
(“University”)
Applicant:
UCSC
Bus
Charter
Transportation
Services
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Requirements for UCSC Campus Bus Charter Services
U
NIVERSITY OF CALIFORNIA - SANTA CRUZ
Insurance
Insurance terms are contained with the UC Terms and Conditions of Purchase located at
- https://www.ucop.edu/procurement-services/policies-forms/legal-forms-current/uc-terms-
conditions-2-27-20.pdf. Additional insurance requirements, that are made part of
the contract are included within the Minimum Insurance Requirements for Contractors/
External Users - Transportation located at https://www.ucop.edu/risk-
services-insurance/_files/certificate-of-insurance/
transportation_ins_limits_rev11_13_13.pdf. We summarize some of the terms here
for your convenience but the UC Terms and Conditions of Purchase and the Minimum
Insurance Requirements for Contractors/External Users - Transportation take
precedence.
A bus charter company providing charter services for campus events is required to show
evidence of adequate insurance coverage by furnishing a certificate of insurance
indicating compliance with all requirements stated below.
1. The bus charter company’s general and auto liability insurance policies shall be endorsed
to name the University as an additional insured. The certificate must read as follows:
“The Regents of the University of California, are named as additional insureds under the
policy for all liability arising out of the provision of bus and transportation services by
Bus Charter Company to University of California Santa Cruz.”
This policy shall be primary to any other valid and collectible insurance available to the
Regents.
2. The MINIMUM REQUIRE
MENTS for bus charter companies can be found below:
h
ttps://www.ucop.edu/risk-services-insurance/_files/certificate-of-insurance/transportation_ins_limits_rev11_13_13.pdf
3. Insurance company must provide advance written notice to UCSC Procurement Services, 1156
High Street, Santa Cr
uz, CA 95064 of any modification, change, or cancellation of any of the
insurance coverage.
PU
C Certificate
The bus charter company must provide a current copy of its PUC Certificate including the File
Transportation Charter Permit (TCP)- number.
Indemnification and Insurance
The bus charter company is required to agree to the UC Terms and Conditions of Purchase, as more
clearly defined on page four of this application without modification, which include indemnification
and insurance requirements.
Application
The bus charter company must complete and sign all sections as required of the Application
for UCSC Campus Bus Charter Service. The two-page Application for UCSC Campus Bus
Charter Services including all required certificates must be returned for review and approval.
Application for UCSC Bus Charter Services
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Business Information
Certification
Bus charter company certifies that it is in compliance with all PUC regulations and requirements
for Charter-Party Carrier of Passengers.
_
Authorized Signature
Date
Bus Fleet Size: Limits of Travel
No. of vehicles with this capacity in
your fleet
Destination limits
Business Name: _
Address:
Business Phone: FAX
Owner's Name:
Manager’s Name: Manager’s Phone:
Reservation Contact: Reservation Phone #:
PUC #: Expiration Date:
Application for UCSC Bus Charter Services
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INDEMNIFICATION AND WAIVER
Return completed application and copies of PUC Certificate and Certificate of Insurance via email.
UNIVERSITY USE ONLY:
AUTHORIZATION: FOLLOWING CONDITIONS MUST BE MET FOR APPROVAL TO BE
EFFECTIVE:____________________ ______ _____ _________ ______ _______
APPROVED BY:_______________ _____ ______ _ DATE:______________ _
Please allow at least 15 working days to approve the application after all
required documents are received.
The bus charter company (“Company”) named above hereby represents and warrants that the information
provided above is true and complete to the best of its knowledge and that Company agrees to the UC Terms
and Conditions of Purchase (“UC Terms”) located at -
https://www.ucop.edu/procurement-services/policies-
forms/legal-forms-current/uc-terms-conditions-2-27-20.pdf., which shall be updated from time to time in the
Un iver sity’s sole discretion.
Further, Company agrees that University approval of Company’s qualification to provide bus charter
services is valid until the date of expiration of its PUC Certificate, or its auto, liability, or worker’s
compensation insurance. Cancellation of Company insurance, PUC suspension or violation of regulations
will be cause for removal from the University’s Pre-qualified list.
Signature:____________________________________ Date:___________________________
Print Name:___________________________________
Title:_______________________________________ _