EXHIBIT B

TOWING ROTATION APPLICATION

Please complete the following and mail or deliver to: Hays County Sheriff’s Office

Traffic Division,

1307 Uhland Road

San Marcos, TX 78666

Company Name
Company Address
Company Phone / Alternate Phone / Mobile
Fax / Pager / Email
Owner/Principal Full Name / DOB / TDL
Driver Full Name / DOB / TDL
Driver Full Name / DOB / TDL
Driver Full Name / DOB / TDL
Driver Full Name / DOB / TDL
*Insurance Company Name / Telephone Number / Policy Number
Make/Model/Class (A,B,C) / Year / VIN#
Truck #1
Truck #2
Truck #3
Truck #4

*Copy of Insurance documentation must be submitted with the application

Service District/Tow Service applying for (circle below for each section):

SAN MARCOS
·  IH 35 NORTH TO YARRINGTON RD. – CR 159
·  EAST HWY 21 TO CR 159
·  NORTH POST RD TO BLANCO RIVER
·  RR12 TO CR 214
·  CR 213 TO HILLIARD RD / KYLE/BUDA
·  IH 35 NORTH OF YARRINGTON RD TO COUNTY LINE
·  NORTH ON FM 150 TO ONION CREEK
·  WEST ON FM 3237 TO RR12
·  WEST ON CR 183 TO CR 221
·  WEST ON FM 967 TO FM 1826 / DRIPPING SPRINGS
·  FM 150 TO ONION CREEK
·  FM 1826 TO COUNTY LINE
·  RR12 TO CR 170 / WIMBERLEY
·  RR12 TO RR32
·  RR32 TO COUNTY LINE
·  RR12 TO CR 170
·  FM 3237 TO FM 150
·  MT. SHARP TO E. MT GAYNOR
Towing Rotation – Class A/B Trucks
YES NO / YES NO / YES NO / YES NO
Heavy Rotation – Class C Trucks
YES NO / YES NO / YES NO / YES NO
Optional Motorist Assist Rotation
YES NO / YES NO / YES NO / YES NO

I hereby authorize the Hays County Sheriff’s Office to conduct a criminal background check through TCIC/NCIC:

Criminal History Checked

Owner Printed Name
Signature
Driver #1 Printed Name
Signature
Driver #2 Printed Name
Signature
Driver #3 Printed Name
Signature
Driver #4 Printed Name
Signature

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STATE OF TEXAS

COUNTY OF ______

☐New Application ☐Renewal Application ☐Reinstatement

This instrument (Hays County Sheriff’s Office Wrecker Policy) consisting of ______pages was received on ______(date) by ______(name of acknowledging partner or partners), partner(s) on behalf of ______(name of partnership), a partnership. I agree to abide by the rules and regulations set forth in this document. I they have read through the document and any attachments carefully. I attest

·  The facts contained in the document are true,

·  I am expressly authorized to sign the document,

·  I understand the consequences of making a false statement will result in termination of this contract with Hays County.

·  I understand that this is a government record and will be considered as such for any false statements.

______

Signature Date

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Notary

The foregoing instrument was acknowledged before me this _____ day of ______, 20____,
by ______.
______
Notary Public Signature Notary Public Name My commission expires

(Notary Seal)

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Date Received: ______HCSO Rep receiving application:______

☐Application Accepted ☐Application Rejected

Notes:______

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