Courtesy Ground transportation Application packet - John Wayne ...

CheCklist form
Courtesy
Permit Paperwork (required):
Check-off as you prepare your permit package for submittal.
Application:
• Fill out top portion only, make sure all spaces are filled in or circled where indicated.
Security Deposit:
• Determine how many trips you plan on making each month/year and calculate on the provided form.
• Fill out a check for the amount of deposit, payable to John Wayne Airport.
Vehicle Registration & Picture: “See Sample”
• Provide a copy of the DMV registration for all vehicles.
• Please note on the registration the color, type of vehicle, # of passengers, and
If using a transponder from LAX or Ontario then write the transponder # on the registration.
• Provide one picture for each type of vehicle your company will be using here at JWA (shuttle, limo, etc).
Operating Permit:
• Fill-in the following spaces:
Page 1 – Company name only, (skip ‘Term of Permit’ portion)
Page 13 – Sign, title, and date
Insurance Paperwork (required):
Check-off as you prepare your permit package for submittal.
Certificate of Insurance
• Policy Limits:
Commercial Auto Policy
7 passengers or less $750,000
8-15 passengers $1,500,000
16+ passengers $5,000,000
• Workers Compensation/ Statutory
Employers Liability $1,000,000
Additional Insured Endorsement
• Separate page Auto Policy Endorsement
naming:
County of Orange/John Wayne Airport
Workers Compensation Waiver
• If no employees, submit Workers Comp
Waiver Form
• Description of Operations:
All Operations at John Wayne Airport
• Certificate Holder:
County of Orange/John Wayne Airport
3160 Airway Ave
Costa Mesa, CA 92626
Questions
Permit
Insurance
(949) 252 -5116 (949) 252-6037
Hand deliver or Mail all paperwork to:
John Wayne Airport Landside Office
18601 Airport Way, Box 41, Ste 116,
Santa Ana, CA 92707
Attention: Kathy Davis