CITY OF SARATOGA SPRINGS PROCEDURES FOR EQUINE-DRAWN CARRIAGE OWNER LICENSE

Similar documents
CITY OF SARATOGA SPRINGS PROCEDURES FOR MOTORIZED SPECIAL LIVERY VEHICLE OWNER LICENSE

City of Cumming Police Department

Application to Renew Cannabis Retail License 2019 (No Changes)

CITY OF SARATOGA SPRINGS HOLD HARMLESS AGREEMENT

May be furnished by any three (3) persons who have known the applicant (agent) for at least three (3) years. Include name, address & phone number.

TITLE CLOSER AFFIDAVIT TRUST

ESCORT INFORMATION SHEET

APPENDIX G WATER DISTRICT MAIN EXTENSION AGREEMENT

APPENDIX A. Main Extension Agreement (MEA)

SPECIAL EVENT ALCOHOLIC BEVERAGE INSTRUCTION SHEET

CHECKLIST OF REQUIRED ITEMS FOR LIQUOR LICENSE APPLICATIONS

INSTRUCTIONS FOR COMPLETING DBPR ABT 6004 DIVISION OF ALCOHOLIC BEVERAGES AND TOBACCO CHANGE OF OFFICER/STOCKHOLDER APPLICATION

Incorporated Village of Bellerose 50 Superior Road, Bellerose Village, NY FAX:

Carroll County Department of Community Development

Mansions West Resale Application Check List

INSTRUCTIONS FOR COMPLETING DBPR ABT 6004 DIVISION OF ALCOHOLIC BEVERAGES AND TOBACCO APPLICATION FOR CHANGE TO A LICENSED LEGAL ENTITY

THE LOFTS ON MAIN LIMITED PARTNERSHIP. and THE CITY OF PEEKSKILL $1,044, LOAN AGREEMENT. DATED AS OF June, 2016

SAFE HARBOR TITLE AGENCY, LTD.

INSTRUCTIONS FOR COMPLETING DBPR ABT 6004 DIVISION OF ALCOHOLIC BEVERAGES AND TOBACCO CHANGE TO LICENSED ENTITY APPLICATION

SEXUALLY ORIENTED BUSINESS LICENSE APPLICATION

Compliance with Georgia Security and Immigration Compliance Act PROCEDURES & REQUIREMENTS (Effective Supersedes All Previous Versions)

DBPR ABT-6006 Division of Alcoholic Beverages and Tobacco Application for Cigar Wholesale Dealer Permit

Business Address: City: State: Zip: Business Mailing Address (if different): City: State: Zip:

CITY OF UNION CITY REQUEST FOR PROPOSALS FOR FERAL CAT SPAYING AND NEUTERING SERVICES FOR THE CITY OF UNION CITY

INSTRUCTIONS FOR COMPLETING DBPR ABT 6008 DIVISION OF ALCOHOLIC BEVERAGES AND TOBACCO APPLICATION FOR IMPORTER OR BROKER SALES AGENT LICENSE

POWER OF ATTORNEY NEW YORK STATUTORY SHORT FORM

Business License Application

Mansions East Resale Application Check List

Transient Vessel Liquor License Application CHECKLIST

Project Information Form. Date of Submission: Zoning District: Tax Map # (s): Project Size (Acres): City: State: Zip: City: State: Zip:

Domestic Partner Forms

Engineer shall provide the goods, equipment, work, or services being <Description of Goods, Equipment, Work, or Services>.

DBPR ABT-6008 Division of Alcoholic Beverages and Tobacco Application for Importer or Broker Sales Agent License

INSTRUCTIONS FOR COMPLETING DBPR ABT 6008 DIVISION OF ALCOHOLIC BEVERAGES AND TOBACCO APPLICATION FOR IMPORTERS, BROKERS, OR SALES AGENT LICENSES

City of Fernley Business License Application City Clerk s Office 595 Silver Lace Blvd. Fernley, NV

City of Albany, New York

Wichita County Bail Bond Board Corporate Bonding License Application

Pedal Cab Vehicle Operator License Application Pursuant to Madison General Ordinance 11.06

TRUST JOINDER AGREEMENT APPLICATION And Ancillary Documentation

FURTHER RESOVED, the Mayor is hereby authorized to execute all documents necessary or appropriate to accomplish the purpose of this resolution.

2016 RENEWAL APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE

Checklist for FIRST TIME APPLICANTS and RENEWAL APPLICANTS:

Grantor(s) Initials Page 1 of 5 Trustee(s) Initials

City of LaGrange 200 Ridley Ave Rm 202 LaGrange, Ga Beer and Wine License Application Check List

Alabama State Board of Pharmacy New Wholesale Distribution Application

INSTRUCTIONS FOR COMPLETING DBPR ABT DIVISION OF ALCOHOLIC BEVERAGES AND TOBACCO APPLICATION FOR WHOLESALE CIGARETTE PERMIT

Deductible Reimbursement Proof of Loss Claim #:

APPLICATION FOR SNOW REMOVALDUMPING LICENSE

Alabama State Board of Pharmacy New Manufacturer Application

INSTRUCTIONS FOR COMPLETING DBPR ABT 6028 DIVISION OF ALCOHOLIC BEVERAGES AND TOBACCO APPLICATION FOR RETAIL TOBACCO PRODUCTS DEALER PERMIT

City of Southfield. Dear Applicant,

APPLICATION FOR MECHANICAL PERMIT Fill in all information completely

Arkansas Highway Police

Residence Homestead Exemption Application

SPECIFICATIONS AND BID PROPOSAL FOR SEAL COAT GRADE ASPHALT EMULSION TO THE BOARD OF COUNTY COMMISSIONERS HENRY COUNTY, OHIO

License Agreement for Special Use of Park Facilities

Checklist for FIRST TIME APPLICANTS and RENEWAL APPLICANTS:

2018 Program Year Mobile Home Renovation Loan Program Application

NEW VENDOR PRE-QUALIFICATION FORM

BERRIEN COUNTY ROAD DEPARTMENT PROPOSAL AND SPECIFICATION FOR

CITY OF TEMPLE BEER AND WINE APPLICATION

STANDARD COMMERCIAL FISHING LICENSE (SCFL) OR RETIRED STANDARD COMMERCIAL FISHING LICENSE (RSCFL) TRANSFER APPLICATION INSTRUCTIONS

A list of all Rhode Island licensed salespersons and brokers of the corporation. A completed Corporate Power of Attorney Form (Non-residents only).

REQUEST FOR PROPOSALS. Small Business and Commercial Corridor Revitalization Program BUSINESS PLANNING AND FINANCIAL PLANNING ASSISTANCE

DBPR ABT Division of Alcoholic Beverages and Tobacco Application for Caterer s License

DOMESTIC PARTNERSHIP ENROLLMENT PACKET

DBPR ABT-6014 Division of Alcoholic Beverages and Tobacco Change of Location/Change in Series or Type Application

Alabama State Board of Pharmacy New Third-Party Logistics Application

INSTRUCTIONS FOR COMPLETING DBPR ABT 6011 DIVISION OF ALCOHOLIC BEVERAGES AND TOBACCO APPLICATION FOR ALCOHOLIC BEVERAGE CATERER S LICENSE

Application Requirements This Application will not be processed unless all required information is provided.

REQUEST FOR PROPOSALS FOR Stormwater Utility Feasibility Study

CALIFORNIA DURABLE POWER OF ATTORNEY (California Probate Code Section 4401)

THE CITY OF LAKE FOREST SPECIAL EVENT LIQUOR LICENSE APPLICATION

TRAVERSE CITY HOUSING COMMISSION REQUEST FOR PROPOSALS FOR ARCHITECTURAL/ENGINEERING SERVICES

EXHIBIT P CONSULTANT S APPLICATION FOR PAYMENT *INSTRUCTION SHEET*

TOWN OF SILT. dba (Doing Business As) Name: Business Legal Name: Business Phone Number(s): Business Manager s Address and Phone #:

Checklist for FIRST TIME APPLICANTS and RENEWAL APPLICANTS:

PART I - INFORMATION FOR BUSINESS

New American Funding Attn: Loss Draft Department P.O. Box 1064 Tonawanda, NY [DATE]

PASTURE BOARDING AGREEMENT

City of Saratoga Springs

City of Albany, New York

NOTICE TO BIDDERS CUSTODIAL SUPPLIES

PUBLIC DISPLAY OF FIREWORKS PERMIT APPLICATION PROPERTY OWNER/MANAGER INFORMATION Must Be Filed 30 Days in Advance of Event

City of Albany, New York Traffic Engineering

BOROUGH OF TOTOWA NOTICE AND SOLICITATION OF PROPOSALS FOR ANIMAL CONTROL OFFICER FOR THE BOROUGH OF TOTOWA

TOWN OF FARMINGTON REQUEST FOR PROPOSALS INSURANCE / RISK MANAGEMENT SERVICES

POWER OF ATTORNEY NEW YORK STATUTORY GIFTS RIDER

Type: Film TV Commercial Photo Shoot Other. Project title: Brief description: Company name: Address: City, State, Zip: Local Project address:

APPLICATION FOR VARIANCE PERMIT TO ALLOW NON-STANDARD MATERIAL ON PUBLIC RIGHT OF WAY

City of Morristown Beer Board

The following document was obtained from the State of Georgia. This document may have changed since it was obtained. Please refer to the State's

PATRIOT PARK CONCESSION OPERATION BID DOCUMENTS. 4. Patriot Park Concession Operation Agreement between Park Board and Contractor

Application for License, Permit and Miscellaneous Bonds BOND INFORMATION

Please find below instructions to assist you in applying for the return of Henry County REMC Estate Capital Credits.

City of DeKalb Retail Tobacco License Application Supplement

TOWN OF SILT. dba (Doing Business As) Name: Business Legal Name: Business Phone Number(s): Business Manager s Address and Phone #:

BOROUGH OF ELMWOOD PARK REQUEST FOR QUALIFICATIONS AND PROPOSAL FOR MUNICIPAL BOND COUNSEL

NOTICE TO BIDDERS. Four (4) 2018 Harley Davidson Road King Police Model Motorcycles (FLHP) in solid luxury blue or equal

King Bridge Stables BOARDING AGREEMENT

Transcription:

CITY OF SARATOGA SPRINGS PROCEDURES FOR EQUINE-DRAWN CARRIAGE OWNER LICENSE 1. Applicant must complete owner s application and receive a copy of the ordinance. 2. The applicant must supply the following information: A. If a partnership, or operating under an assumed name, the applicant must file a certified copy of the certificate of partnership or assumed name. B. If a corporation, the applicant must file names and addresses of all corporate officers and stockholders. C. Carriage list-including photos D. Equine list: Must show proof of annual inspection for each equine used, together with proof from veterinarian of health of horses including proof of coggins test and rabies vaccination. E. City of Saratoga Springs Hold harmless agreement. F. Certificate of insurance as shown in the attached requirements. G. Proof of NYS Statutory Workers Compensation and NYS Disability-see attached. H. NYS Sales Tax Certificate I. Proof of valid NYS Driver License. J. Affidavit that the owner has inspected the carriage(s) and that they are in safe operating condition and that the owner is qualified to determine this information. 3. Applicant must sign the application before a Notary Public or Commissioner of Deeds. 4. Fees: A. License fee: $250.00 plus $50.00 for each carriage owned or controlled by the licensee, cash or check only-payable to City Clerk. B. For the cost of fingerprinting: $100.00 MONEY ORDER ONLY-Payable to Commissioner of Finance (Please note: If renewal and current license expired within the last ninety (90) days, fingerprinting will not be required). 5. Bring your completed application back to the City Clerk s office. We will give you two copies to take with you to the City Police Department along with the above noted fees for fingerprinting. 6. Make an appointment for the fingerprinting with the City Police Department. It will take about one week to get an appointment. The number is: 584-1800

CITY OF SARATOGA SPRINGS APPLICATION FOR EQUINE DRAWN CARRIAGE OWNER LICENSE 1. Company Name 2. Address 3. Business phone # Manager 4. Please check the appropriate box: PARTNERSHIP OPERATING UNDER AN ASSUMED NAME CORPORATION INDIVIDUAL If a partnership, or operating under an assumed name, you must file a certified copy of the certificate of partnership or assumed name. If a corporation, you must file names and addresses of all corporate officers and stockholders. 5. Applicant s full name 6. Home address 7. Home phone # Social Security # 8. DMV License # Class Exp. Date 9. Age Height Weight 10. Color of eyes Color of hair 11. Place of Birth Date of Birth 12. Is the application currently licensed as an equine-drawn carriage owner? YES NO 13. If yes, in what jurisdictions? 14. Has the applicant previously been licensed as an equine-drawn carriage owner? YES NO 15. If yes, in what jurisdictions? 16. Does the applicant currently hold an equine-drawn carriage owner s license which has been revoked or suspended? YES NO 17. If yes, give particulars 18. Is the applicant a former holder of an equine-drawn carriage owner s license which has been revoked or suspended? YES NO 19. If yes, give particulars

20. List below information regarding each driver who will be employed to drive carriages for this licensee including licensee if applicable: (Must also submit copies of each driver s New York State Driver s license): NAME ADDRESS PHONE DATE OF BIRTH EXP. DATE I do solemnly swear (or affirm) that the answers I have given are true to the best of my knowledge. Signature of owner Subscribed and sworn to on this day of 20 Notary Public or Commissioner of Deeds NOTE: THE SARATOGA SPRINGS POLICE DEPARTMENT WILL CONDUCT AN INVESTIGATION OF YOUR BACKGROUND, INCLUDING A FINGERPRINT SEARCH THROUGH THE DIVISION OF CRIMINAL JUSTICE SERVICES. IF IT IS DETEMINED THAT YOU HAVE GIVEN FALSE OR MISLEADING INFORMATION ON THIS APPLICATION, ANY LICENSE ISSUED TO YOU WILL BE SUBJECT TO IMMEDIATE REVOCATION. IF THIS APPLICATION IS FOR RENEWAL OF YOUR EQUINE DRAWN CARRIAGE OWNER S LICENSE, PLEASE BE ADVISED THAT FINGERPRINTING WILL NOT BE REQUIRED. IF YOUR LICENSE HAS EXPIRED FOR A PERIOD OF 90 DAYS OR MORE, A NEW SET OF FINGERPRINTS WILL BE REQUIRED. PLEASE BE SURE TO FILL OUT THE ATTACHED CARRIAGE AND EQUINE LISTS.

CITY OF SARATOGA SPRINGS CARRIAGE LIST EQUINE- DRAWN CARRIAGE APPLICATION 1. Description Length Width Number of Equine used to pull carriage 2. Description Length Width Number of Equine used to pull carriage 3. Description Length Width Number of Equine used to pull carriage 4. Description Length Width Number of Equine used to pull carriage 5. Description Length Width Number of Equine used to pull carriage In addition to the above information, you must also supply the following for each carriage: 1. Notarized affidavit that the carriage is in working condition.

CITY OF SARATOGA SPRINGS EQUINE LIST 1. Equine name Age Identifying marks Tattoo number if any 2. Equine name Age Identifying marks Tattoo number if any 3. Equine name Age Identifying marks Tattoo number if any 4. Equine name Age Identifying marks Tattoo number if any In addition to the above, you must submit the following: 1. Proof of annual health inspection together with proof of good health from a veterinarian, including proof of a negative coggins test and a rabies vaccination for each equine. 2. Name, address and phone number of veterinarian.

AFFIDAVIT OF OWNER AS TO DRIVER OF EQUINE-DRAWN CARRIAGE [CITY CODE SECTION 200-6(7)] I,, being duly sworn, depose and state: 1. I am the owner of one or more equine-drawn carriages. I have read Chapter 200 of the Code of the City of Saratoga Springs and I have made or am about to make application for an owner s license under that chapter. 2. I make this affidavit with respect to the following individuals, all personally know to me and employed by me to drive my carriages: NAME ADDRESS 3. To the best of my knowledge and belief, and based upon my observations and experiences, each of the aforementioned individuals is competent to safely drive an equine-drawn carriage, has knowledge and experience in driving such carriages, and has good and sufficient knowledge of proper equine grooming, care, nutrition and equipment. Signature of Owner STATE OF NEW YORK ) ) ss.: COUNTY OF SARATOGA ) On the day of, 200, before me, the undersigned, a Notary Public/Commissioner of Deeds in and for said State, personally appeared personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s), or persons upon behalf of which the individual(s) acted, executed the instrument. Notary Public/Commissioner of Deeds

AFFIDAVIT OF OWNER OF EQUINE-DRAWN CARRIAGE [CITY CODE SECTION 200-5(6)] I,, being duly sworn, depose and state: 1. I am the owner of one or more equine-drawn carriages. I have read Chapter 200 of the Code of the City of Saratoga Springs and I make this affidavit as part of my application for an owner s license under that chapter. 2. I have owned and used equine-drawn carriages for approximately years. I am fully familiar with the parts, operation and maintenance of all such carriages that I now own and for which I now apply for license. 3. I am experienced in my carriage s operation sufficiently to determine whether my carriage or carriages is or are in safe operating condition, and I have determined that it /they is/are in safe operating condition. Signature of Owner STATE OF NEW YORK ) ) ss.: COUNTY OF SARATOGA ) On the day of, 200, before me, the undersigned, a Notary Public/Commissioner of Deeds in and for said State, personally appeared personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s), or persons upon behalf of which the individual(s) acted, executed the instrument. Notary Public/Commissioner of Deeds

AFFIDAVIT OF VETERINARIAN [CITY CODE SECTION 200-8(L)] I,, being duly sworn, depose and state: 1. I am a veterinarian, as that term is defined in City Code Section 200-2. I am licensed by the State of New York to practice Veterinary Medicine and I practice equine or large animal veterinary medicine. 2. I have examined the following described equine, identified by me as follows, and I find said equine to be in good health: SIGNATURE OF VETERINARIAN NYS LICENSE #

CITY OF SARATOGA SPRINGS HOLD HARMLESS AGREEMENT The City of Saratoga Springs requires: A Certificate of Insurance naming the City of Saratoga Springs as an Additional Insured evidencing the following coverages: Commercial General Liability: $1,000,000 per occurrence $2,000,000 aggregate including completed operations and product liability and personal injury liability insurance specific to equine drawn carriages for hire Statutory Workers Compensation, Disability and Employer s Liability Insurance for all employees (Please note that for this coverage per NYS Law, the City of Saratoga Springs shall not be named as an Additional Insured.) The Certificate naming the City of Saratoga Springs as Additional Insured should be addressed to the attention of: Department of Accounts City of Saratoga Springs 474 Broadway Saratoga Springs, NY 12866 Attention: City Clerk s Office The Livery Owner acknowledges that failure to obtain such insurance on behalf of the municipality constitutes a material breach of contract and subjects it to liability for damages, indemnification and all other legal remedies available to the City. The Livery Owner is to provide the City with a Certificate of Insurance naming the City as Additional Insured prior to the commencement of any work or use of City facilities. The failure to object to the contents of the Certificate of Insurance or the absence of same shall not be deemed a waiver of any and all rights held by the municipality. In the event the Livery Owner utilizes a Subcontractor for any portion of the services outlined within the scope of its activities, the Subcontractor shall provide insurance of the same type or types and to the same extent of coverage as that provided by the Livery Owner, and shall name the City of Saratoga Springs as an Additional Insured for all those activities performed within its contracted activities for the contact as executed. In all cases, the following hold harmless agreement shall apply: The Livery Owner shall indemnify and save harmless the City, its Agents and Employees (hereinafter referred to as City ), from and against all claims, damages, losses and expense (including, but not limited to, attorneys fees), arising out of or resulting from the performance of the work, sustained by any person or persons, provided that any such claim, damage, loss or expense is attributable to bodily injury, sickness, disease, or death, or to injury to or destruction of property caused by the tortious act or negligent act or omission of Livery Owner or its employer, agents or subcontractors. Signature: Date: Livery Owner: Address: Authorized Representative: Title: