Stevedore and Freight Handler Application

Stevedore and Freight Handler Application

Pursuant to the provisions of item 2.242, Port of Corpus Christi Authority Tariff 200, application is hereby made for a license to operate as a:*

In support thereof, the following information is submitted.

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Application Type*

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Company or Agency Name:*

Principal business address:*

Telephone:

Phone

Email address:*

Address where books and records are or will be maintained:*

Form of business entity:*

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If a limited partnership, corporation, or limited liability company, the applicant was organized in the State of:*

Names and position of principal officers:*

Name and address of applicant owner(s) with indirect controlling interest in applicants business:*

Nature of applicant's business:*

Describe equipment and facilities available to applicant for carrying on proposed licensed operations.*

Are equipment and facilities owned by applicant? If not, describe arrangements under which they are available to applicant.*

Does applicant currently hold a valid license to perform the proposed service or similar service at any other port?*

Please specify the service, years, and port(s).

Has applicant actually performed the proposed service in the past two months?*

Yes

What types of cargo does the applicant intend to handle in its stevedoring or freight handling operations?*

Is this type of cargo presently being handled at the Port of Corpus Christi?*

Yes

How much new business does applicant have under contract to handle in the Port of Corpus Christi during the next twelve months?*

If this is proprietary information, please provide this information orally to the Port's Chief Executive Officer, Chief Operating Officer or Chief External Affairs Officer. Failure to demonstrate that the applicant has a contractual commitment to bring new cargo to the Port of Corpus Christi (i.e., cargo that is not currently being handled in the Port) may result in the denial of the application.

Will the applicant maintain an office in Nueces or San Patricio County?*

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Who will supervise the applicant's operations in the Port of Corpus Christi?*

Please describe the supervisor's experience in the stevedoring and/or freight-handling business:

Please provide any other information about the applicant you deem relevant to this application:

Supporting Documents

In support of this application, and to establish proof of applicant as a competent operator with past practices which demonstrate a commitment to safe and efficient performance of stevedoring and/or freight handling, and skill, experience, equipment and personnel necessary to do so, please provide documentary evident of:

Note: Statements or additional pages may be attached hereto and will be considered a part hereof.*

A. Financial Responsibility. B. Experience in delivering the proposed service. C. Ownership or availability of equipment and facilities essential to performance of proposed service. D. Required insurance coverage (COI) (see Tariff 200 Item 2.242(7)). E. Safety record (OSHA records of the past 3 years). F. Environmental Management System review (see Tariff 200 Item 2.242(8)). G. Applicant Declaration

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