2022/2023 Taxi Application

OAKLAND INTERNATIONAL AIRPORT

2022/2023 Ground Transportation Taxi Permit Application
The documents listed below must be included and submitted together with each application submittal. Failure to submit all required documents will result in an incomplete application which will not be processed.

Permits will not be issued for incomplete applications. All forms reflect requirements detailed in the Rules and Regulations for Oakland International Airport, adopted by the Board of Port Commissioners of the City of Oakland by Port Ordinance No. 4579, effective January 1, 2021. This is the controlling document for all operational, legal and financial matters related to Airport Ground Transportation.
Company Information

Please note that every Ground Transportation driver shall be affiliated with a company that is duly permitted by the Airport under the Airport Rules and Regulations. Regardless of the contractual relationship between the individual driver and the company, the company will be responsible for all fees and charges incurred by drivers and the company will be billed accordingly.

A non-refundable Application Fee must be submitted with the Application materials. Current Application Fee amounts can be found in the Airport Rules and Regulations, Appendix A. Applications received without payment of the Application Fee and other required fees, and/or all required documents shall be deemed incomplete. Permits will not be not be issued for incomplete applications.

By accepting an Oakland International Airport Ground Transportation Permit, the Permit Holder acknowledges and agrees to abideby the Airport Rules and Regulations outlined in Port Ordinance 4579 and subsequent amendments and revisions.
OAK Tenant Number
Company Name *
DBA
Company Physical Address *
No PO Boxes
City *
State *
Zip Code *
Is there a separate mailing address? *

Yes No
Mailing Address *
If different from above
Mailing Address City *
Mailing Address State *
Mailing Address Zip Code *
Customer Service / Dispatch Phone
Please enter a valid phone number. This number may appear on the OAK website.
Business Contact Information
Contact Name *
Contact Title *
Contact Phone Number *
Please enter a valid phone number.
Contact Phone Number *
Please enter a valid phone number.
Contact Email *
example@example.com
Is there an alternate contact for billing? *

Yes No
Billing Contact Information
Billing Contact Name *
Billing Contact Email Address *
example@example.com
Billing Contact Phone Number *
Please enter a valid phone number.
Billing Contact Cell Phone Number *
Please enter a valid phone number.
Do you have employees? *

Yes No

Application Fees

8.2(b) Taxi Permit Application Fee

	Number of Taxi's to Permit	Price
Taxi Permit Renewal Fee Before end of 2021 Permit Expiration		$ 200.00
Up to 30 days after Permit expiration		$ 250.00
New Account or After 30 days		$ 300.00

Item subtotal: $ 0.00

AVI Transponder if needed (All vehicles must have a valid OAK Transponder) AVI Transponder Fee = Any vehicle without a valid OAK Transponder will be assessed a replacement transponder fee of $50.00 at the time of vehicle inspection, this will need to be paid prior to the permit being issued. Removing an AVI transponder for any reason (this includes windshield replacements), invalidates the AVI and operators are subject to citation. AVI transponders are non-transferrable and once removed, cannot be reused or reapplied to the windshield and must be returned in the event of removal or vehicle sale.

$ 50.00 Quantity
Item subtotal: $ 0.00

Total

$ 0.00

Please note all Ground Transportation Tenants are required to have a valid card on file within the OAK Payment Portal, for payment of application, transponder and trip fees. *

I acknowledge as a Ground Transportation Tenant I must have a valid card on file within the OAK Payment Portal and I am responsible for all fees for all vehicles associated with this account.

Please complete the Driver Roster table below Every application must include a driver roster along with a photocopy of the California Driver License for all drivers listed. Permit holders are required to maintain accurate driver information with the Port as part of the terms of the permit. *
Please attach copies of the following documents for each vehicle to the application: -Driver's License -Taxi Driver ID *

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EQUIPMENT INFORMATION

Please complete the Equipment Statement table below. The following is required for each taxi:
- Medallion Number
- Vehicle License Plate Number
- VIN Number
- Make/Model
- Year
- Fuel Type
- Number of Seats
Equipment Statement table *
Please attach copies of the following documents for each vehicle to the application: -Vehicle Registration -Taximeter Inspection Certificate -Vehicle Permit – Issued by Oakland Police Department. *

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Workers' Compensation Waiver

ONLY IF YOU DO NOT HAVE EMPLOYEES

Provide a statement that your company is exempt from providing Workers' Compensation and does not have any Employees at this time, and if you should hire any in the future you will immediately notify the Ground Transportation Unit and submit the required copy of your Worker's Compensation Certificate with any required Endorsement(s) to the Ground Transportation Department and the Port of Oakland's Risk Management Insurance Section.

Please have an authorized Company Representative complete the information below.
*
Email Address *
example@example.com
Signature: *

Clear
Date *

INSURANCE REQUIREMENTS

Before beginning operations at the Port, Certificates of Insurance, as required below, must be approved by the Airport Risk Transfer Office.

Minimum Required Insurance and Limits are shown below for taxicabs:

1) Business Automobile Liability: $1,000,000 per accident (or as required by the Public Utilities Commission, whichever limit is higher), owned, non-owned and hired vehicles. If vehicles are on “scheduled” basis, please provide schedule.

2) Worker’s Compensation: Statutory

3) Employer’s Liability: $1,000,000 per accident/policy limit by disease

CERTIFICATES OF INSURANCE MUST SHOW THE FOLLOWING:

1. That the City of Oakland, a municipal corporation, acting by and through its Board of Port Commissioners, "the Port", its commissioners, agents, contractors, employees, and officers are additional insureds on the Commercial General Liability policy (if required above) and the Business Automobile Liability policy (a copy of the additional insured endorsement must be attached to the certificate and must include the above additional insureds or provide blanket coverage);

2. That all insurance is primary and non-contributory with insurance carried by the Port of Oakland;

3. That the Commercial General Liability (if required above) and Automobile Liability Insurance policies contain cross liability or separation of insured provisions;

4. That the Port of Oakland Risk Transfer Office shall receive 30-days advance written notice of cancellation, non-renewal, or material reduction in coverage;

5. That all insurance policies (as required above) provide a waiver of subrogation in favor of the City of Oakland, a municipal corporation, acting by and through its Board of Port Commissioners, "the Port" its commissioners, agents, employees, and officers (a copy of the waiver of subrogation endorsements must be attached to the certificate

6. All autos scheduled under the policy should be listed on the certificate or attached thereto. Operations or occupancy may be interrupted without proper evidence of insurance. Should you or your insurance company representative have any questions pertaining to the insurance requirements as listed above, please contact:

Audrey Forte-Green, Port Insurance Analyst

Email: aforte@portoakland.com

Airport Risk Transfer Office Phone:510-563-3631
Please attach copies of the following documents: -Certificate of insurance -Additional Insured Endorsement -Waiver of Subrogation -Business License *

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By completing this application and accepting the Airport issued permits, the applicant acknowledges their responsibility for paying all applicable fees. The applicant hereby certifies that the information in this application is accurate and that the signatory below is fully legally authorized to sign on behalf of the applicant. The applicant further agrees that its company and its drivers will comply with all applicable federal, state, and local laws, ordinances, rules, regulations, and directives, as they may be amended from time to time, including, without limitation the Airport Rules and Regulations, Airport Operating Directives from the Director, or his/her designee, all oral and/or written instructions applicable to Ground Transportation Services given by the Landside Operations Manager, or his/her designee, and all laws pertaining to public safety, safe driving practices, seat belts, child seats, drug testing, and accommodation of individuals with disabilities. The applicant agrees to notify the Airport immediately in writing of any changes to the materials or information submitted with this application, and to the prompt return of Permits and Transponders in the case of replacement windshields, vehicle removal from fleet or as required by Airport regulations. A valid OAK AVI tag is required to be installed on each commercial vehicle operating in the Ground Transportation Program.There is a non-refundable fee of $50.00 for each new or replacement tag installed.In the event a transponder is applied at the time ofvehicle inspection the transponder fee will be billed. In the event of a windshield replacement or other action which results in transponder removal or damage the original transponder must be returned and a new transponder must be purchased and installed prior to the permitted vehicle operating at OAK.
Company
DBA
Name *

First Name Last Name
Authorized Signature *

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OAKLAND INTERNATIONAL AIRPORT

Business Contact Information

Billing Contact Information