team travel safety compliance verification

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TEAM TRAVEL SAFETY COMPLIANCE VERIFICATION

This information must be completed when utilizing a company other than Peoria Charter for bus/motor coach transportation.

Name of Company _______________________________________________________________________

Attach a copy of Certificate of Insurance which shows the carrier’s levels of insurance and effective policy dates. Accepted levels of insurance call for a minimum of $5 million combined for single-limit liability.

Obtain ICC and Department of Transportation (DOT) numbers. Such numbers are assigned by the U.S. Government and are required to operate legally. #’s _________________________________________________________________________________

Verify Company’s DOT Safety Rating. Call the Federal Highway Administration’s Office or Motor Carriers at 1-800-832-5660 to verify carrier’s safety rating. Never charter from a company with an unsatisfactory rating. Safety Rating ________________________________________________________________________ Information obtained/verified by: ______________________________________

Date___________