SO GIAO THONG VAN TAI ONG H6A XA CHIJ NGHiA VItT NAM

THANH PHO HO CHI MINH Dc 14p - Tv do - H#nh phtic

TRUNG TAM QUAN Lt
GIA0 THONG CONG CONG
S6: ,X4-1.4/TT-ICHDT Thanh ph a Ha Chi Minh, ngay 09 thang JI nanz 2022
V/v mai tham gia,n0p ha so rang lac xet
dam nhan cung cap dickvn van tai hanh
khach cang cang,tren tuyen xe bujrt lien ke
kheing try gia Ben xe An Suang - Ben xe
Bien Hea

Kinh gut Cac don vi kinh doanh van tai hanh Ichkh Wang xe but.

Can cir Nghi dinh s6 10/2020/ND-CP ngay 17 thang 01 nam 2020 cna Chinh
phü quy dinh ve kinh doanh va diêu Icien kinh doanh v'an tai bang xe 0 to;
Can dr Th8ng tu st 12/2020/TT-BGTVT ngay 29 thang 5 nam 2020 cila,130
Giao th8ng van tai ban hanh quy dinh ye ta chat, quail 15, hoat dOng In tai bang
to va dich vv ho Dv van tai dui:mg b0;
Can cif Thong bao s6 8917/413-SGTVT ngay 25 thang 8 nam 2022 dm Set
Giao thong van tai ve nOi dung ket luan cüa Giam d6c Sà Giao thong van tai -
Tran Quang Lam ye tinh hinh hoat dOng van tai hanh khach c8ng cOng bang xe
but lien tinh;
Can dr Quyet dinh s6 1190/QD-SGTVT ngay 10 thang 10 nam 2022 cila So
Giao thong van tal, ye Thanh lap TO ding tac xay ding Tieu chi, hinh thirc lva
ch9n don vj cung cap dich vij van tai hanh khach bang xe buSft lien tinh gicra Thanh
ph6 H6 Chi Minh va tinh Ding Nai;
Can cir Cong van s6 4753/SGTVT-QLVTPT&PT ngay 02 thang 11 nam
2022 dm SO Giao thong van tai tinh Dang Nai ye viec dieing nhat tieu chi, phuang
an to chat Iva ch9n don vj cung cap dich vv van tai hanh khach bang xe buSrt lien
tinh gift-a thanh phi') HO Chi Minh va tinh Dong Nai;
Cong van s6 3843/SGTVT-VTPTNL ngay,07 thing 11 narn 2022 dm So(
Giao th8ng van tái tinh Binh Ducmg ye viec thong nhat tieu chi, phucmg an to
chIrc Iva ch9n don vj cung cap dich vv van tai hanh khach hang xe bujrt lien tinh
girra thanh ph6 H6 Chi Minh va tinh Dang Nai (MST 60-05);
Can dr Clang van s6 11903/SGTVT-VTDB ngay 08 thong 11 nam 2022 dm
Se( Giao thong In tái Thanh ph6 H6 Chi Minh ve vie'c deli chi, hinh thirc lip
ch9n don vi cung cap dich vki van tai va Ice hoach trien khai tuyen xe bu5rt giita
thanh ph6 H6 Chi Miph va tinh D6ng Nai;
Can cfr Quyet dinh s6 810/QD-TT ngay 08 thang 11 nam 2022 cilia Trung
tam Quart 1S, Giao thong cong cOng Thanh ph6 HO Chi Minh ye Phe duyet tit
chi, phuong phap dánh gia Iva ch9n don vi Ichai thac dick vv van tai hanh khach
 2

ding cOn4 tren cac tuyan xe buYt lien tinh lien Ice gala Thanh phi Ha Chi Minh
va tinh Ding Nai.
Trung tam Quan 1S, Giao thOng colig cOng Thanh phi Ha Chi Minh (Trung
tam) trian khai lva chon don vi cung cap dich vu van tai hanh khach cong cOng
trait tuyen xe buYt lien Ice khong trg gia Ben xe An Strong (Thanh phi Ha Chi
Minh) — Ben xe Bien Haa (Tinh Dong Nai). Trung tam med cac dun vi van tai tham
gia nOp ho so nang lye xet dam than tuyen v6i thong tin ca ban nhu sau:
, Pham • vi &Ong viec:
• Cung cap dich vu van tai hanh khkh cling cOng trén
tuyen xe buYt lien ke khong,trg gia Ben xe An Strang (Thanh ph6 Ha Chi Minh)
— Ben xe Bien Ma (Tinh Ding Nai).
Thong si hoat dOng tuyan xe buyt 1in Ica khons trg gia Ban xe An Strong
(Thanh phi Ha Chi Minh) — Ben xe Bien Hee (Tinh Dong Nai): Dinh kern tgi Phy
lyc I.
Cu quan to chirc lva chgn: Trung tam Quan Giao thong c8ng cOng
Thanh phi Ha Chi Minh.
Thad gian thvc hien hgp ding: Tir ngay 01 thang 01 nam 2023, dan hat
ngay 31 thang 12 nam 2027. (Theri gian thtrc hian hgp dang c6 tha thay d lchi c6
quyet dinh dm co quan c6 tham quyen). Sau thed gian hoat dung 05 nam, cac Ser
Giao thong von tai tian hanh clanh gia tinh hinh thvc hian hop clang cna don vi
khai thee tuyen ten co sir bao cao cüa Trung tam QuanlY Giao thong ding cOng
Thanh ph6 H6 Chi Minh de danh gia va xem xet gia han hgp ding them t6i da 02
nam.
Tieu chi, phucmg phap danh gia hra,chgn dun vi cung cAp dich vçi In tai
hanh kith cong cOng tr'en tuyen xe buYt lien ke khon4 trg gia Ben xe An Strong
(Thanh ph6 H6 Chi Minh) — Ban xe Bien Hôa (Tinh Wing Nai): Dinh kern Quyet
dinh si 810/QD-TT ngay 08 thang 11 nam 2022 cila Trung tam Quan 1ST Giao
thong ding &Ong Thanh phi Ha Chi Minh
Huang d'an lap ha so nang lye: Dinh kern tgi Phy lyc 2.
Huerng an nhan ha so meri tham gia va nOp ha so nang lvc
7.1. Nhan ha so meri tham gia: Don vi van tâi quan tam da nghi lien ha phong
Ke hoach dau tu (Trung tam) trong gier hanh chinh tir ngay 09 thing ‘11 dam
2022 den truirc 14 gibe 00 phut ngay 22 thing 11 nam 2022 de,nhan. ho so mai
tham gia. Ca nhan !chi than ho so mM tham gia phai cung cap Giay gieri thiau càa
don vi van tai.
7.2. NOp WO so !fang lye: Don vi van tai chufint bi va nop M so nang Iyc xet
dam nhan tuyan gni ye Trung tam Quart lY Giao thong c6ng cOng Thanh phi H6
Chi Minh (S8 27 Pham Viat Chanh, Phtring Nguygn Cu Trinh, Quan I, Thanh
ph6 Ha Chi Minh) truirc 14 gib. 00 phut ngay 22 thing 11 dam 2022 (trong-gia•
hanh chinh). Ca than 'chi den nOp ho so nan4 lye phai cung cap GiAy gieri thiau
cilia don vi van tai. Ban tic va ban chap cilia ho so nang lvc phai dugc dtmg trong
timg tái c6 them phong, ben ngoai ghi r8 "Ban goc" hoc "Ban chyp", sau tai
ban gac va ban chop tip toe duce di,mg trong cang mOt tái lon c6 niem phong
(coach danh dau niem phong do don vj v "dn tell te quy
Dan vi van tai np h6 so nAng lye cfr nhan sy tham gia buoi mer hkscr nang
lye ti h9i truing Trung tam Quan 15f Giao thong cong cOng Thanh pho NI Chi
Minh (SO 27 Pham Viet Chanh, Phuong Nguyen Cu Trinh, Quail 1, Thanh ph8
H6 Chi Minh), thoi gian 14 gin. 00 phut ngly 22 thang 11 nam 2022.
Trubng hop, den 14 gin. 00 phtit ngay 22 thang 11 nam 2022, eó it hcm 03
don vi van tai nOp ho so nang lye thi Trung tam se bao cao So Giao thong,* tai
Thanh phO HO Chi Minh xem xet cho phep mer ho so nang lye ngay de tier' hanh
danh gia hoac cho phep gia han tin diem nhan ho so nang lye.
Trung tam xin thong tin den cac don vi van tai dugc biet va thvc hien:tit/et

Noi nha KT. GIAM DOC

- Nhu tit,/ r E
- Set GTVT TP. HCM bao ea()); 4fs, GIAM DOC
- S& GTVT DOng Nai;
Ser GTVT Binh Dueng;
HiOp hOi van tai 0 t8 huh khach TP. HCM;
- Cac báo TM (ho trq dang tin);
- Ban Giam doe;
Ck Phong, Ban Trung tarn;
- Dang website So GTVT va Trung tam; Lê Hoin
Ltru: VT, ICHDT.
 v•te
TRUNG TAM
VAN Li Phi) lye 1:
Then A dm(1144)00 yen xe butt lien ke khong try gia
\%6BitcieN't
'rang
z — Ben xe Bien Him
(Dinh kem Cling vein`,. .t.n." DT ngety (Z9thcing di ncim 2022 cña Trung tam)

1. Thong tin chung:

Ten tuyen: Ben xe An Stnmg — Ben xe Bien Him;
Ma sa tuyen de xuAt: 60-5;
Loai hinh tuyetn: Kh8ng trg gia.
2. LO trinh tuyen, dim dAu-cuti, diem &mg trên tuyen:
2.1. LO trinh tuyen:
Lugt di: Ben xe An Sucmg - Quac 10 22 - Quac 10 1 - dueing yang eau vtrcrt
Dua - Cau vugt GO Dua - Tinh 10 43 - Tinh 10 743B - Duang LS, Thuemg Kiet -
Duimg Nguyen An Ninh - Tinh 10 743B - Due:mg Le Hang Phong - Dueng Nguyen
nil Minh Khai - Duemg Pham Van Diu- Dueng Bid Him Nghia - Duemg Nguyen
Ai Qu6c - cau Hee An - Throng Nguyen Ai Quoc - Ben xe Bien Him.
Lugt ve: Ben xe Bi'en Him - Duemg Nguyen Ai Qutc (quay du) - eau H6a An
- Duerng Nguyen Ai Quote - Throng Bñi Hun Nghia - Duimg Pham Van Dieu - Duang
Nguyen Thi. Minh Khai - Duemg Le Hang Phong - Tinh 10 743B -.Dtreing Nguyen
An Ninh - Duemg 14 Thueng Kia -11th 10 743B - Tinh 10 43 - Quoc 10 1 - Qui& 10
22 (quay du) - Ben xe An Sucmg.
2.2. Diem du - cuOi tuyen:
Diem dau tuyk: Ben xe An Sucrng.
Diem cuoi tuyen: Ben xe Bien Hoa.
2.3. Diem dirng (den, tra hinh khich) teen tuyen:
Sir ding the tram ding, nha ch6 xe buSrt hien him tren 10 trinh thuOc dia ban
Thanh phis H6 Chi Mirth, tinh Binh Duang va tinh Bang Nai.
Ba sung cac diem dung don tra lchach tren dia phan tinh Binh During:
+ Nha truyen thong DT An (during Nguyen An Ninh);
+ Truang lieu hgc Di An (thremg Nguyen An Ninh);
+ Tim sira chaa may vi firth Trung Chinh (throng Le Hang Phong);
+ Shop ban quAn do (throng Le Hang Phong);
+ Gong vien khu pha Tan Thing (du?mg Nguyen Thi Minh Khai);
+ Shop True Linh (clueing Nguyen TM Minh Khai);
+ Van phi:mg giao dich BDS Manh Cuemg (duerng Nguyen TM Minh Khai);
+ Dai din UBND phuang Tan Thang (duemg Nguyen Thi Minh Khai);
 2

+ D6 G6 Hang Nhung (dueng Le 1-16ng Phong);

+ Buu then thanh pho DIM (duerng Le Wing Phong);
+ Truerng tieu hoc Di An (throng Nguien An Ninh);
+ Nha truyen thang Di An (throng Nguygn An Ninh).
3. Cie thong se hout deng khic:
SD Cac chi tieu khai thic Dan vi tinh a
Thang 16 xuAt
1 Cu ly binh quan tuyen Km 37,4
2 Thad gian hanh trinh 01 chuye'n xe Phatichuyen 70
17 — 40 HK,
3 Chang loai phtrcmg tin Hieu xe, s6 cht;
c6 may lanh
4 TOng so chuyen xe hoS Ong trong ngay Chuyen/ngay 90
5 Thai gian hoat Ong trong ngay
5.1 + Chuyen du tien xuat ben Gi6 05 giCr 00
5.2 + Chuyen cuOi cling xuAt ben 18 gib. 00
6 sti xe hoat dOng theo bleu d6 chay xe Xeingiy 12
4. Bien de chny xe:
Ben xe An Swung Ben xe Bien Elea
SO G iAn each
Di BX An Den BX
chuyeA n chay xe Di BX Bien Den BX An
Strang Bien Rea boa Strong
5:00 6:10 5:00 6:10
2 5:20 6:30 0:20 0:20 5:20 6:30
3 5:40 6:50 0:20 0:20 5:40 6:50
4 6:00 7:10 0:20 0:20 6:00 7:10
5 6:15 7:25 0:15 0:15 6:15 7:25
6 6:30 7:40 0:15 0:15 6:30 7:40
7 6:45 7:55 0:15 0:15 6:45 7:55
8 7:00 8:10 0:15 0:15 7:00 8:10
9 7:15 8:25 0:15 0:15 7:15 8:25
10 7:30 8:40 0:15 0:15 7:30 8:40
11 7:45 8:55 0:15 0:15 7:45 8:55
12 8:00 9:10 0:15 0:15 8:00 9:10
13 8:20 9:30 0:20 0:20 8:20 9:30
14 8:40 9:50 0:20 0:20 8:40 9:50
15 9:00 10:10 0:20 0:20 9:00 10:10
16 9:20 10:30 0:20 0:20 9:20 10:30
17 9:40 10:50 0:20 0:20 9:40 10:50
18 10:00 11:10 0:20 0:20 10:00 11:10
19 10:20 11:30 0:20 0:20 10:20 11:30
20 10:40 11:50 0:20 0:20 10:40 11:50
21 11:00 12:10 0:20 0:20 11:00 12:10
22 11:15 12:25 0:15 0:15 11:15 12:25
 Ben xe An Sucrng Ben xe Bien Boa
st;
.c Di BX An
A
Den BX
Glen cach
Di BX Bien Den BX An
chuyen chu xe
Sirtrng Bien Hon Ileia Strang
23 11:30 12:40 0:15 0:15 11:30 12:40
24 11:45 12:55 0:15 0:15 11:45 12:55
25 12:00 13:10 0:15 0:15 12:00 13:10
26 12:15 13:25 0:15 0:15 12:15 13:25
27 12:30 13:40 0:15 0:15 12:30 13:40
28 12:45 13:55 0:15 0:15 12:45 13:55
29 13:00 14:10 0:15 0:15 13:00 14:10
30 13:20 14:30 0:20 0:20 13:20 14:30
31 13:40 14:50 0:20 0:20 13:40 14:50
32 14:00 15:10 0:20 0:20 14:00 15:10
33 14:20 15:30 0:20 0:20 14:20 15:30
34 14:40 15:50 0:20 0:20 14:40 15:50
35 15:00 16:10 0:20 0:20 15:00 16:10
36 15:20 16:30 0:20 0:20 15:20 16:30
37 15:40 16:50 0:20 0:20 15:40 16:50
38 16:00 17:10 0:20 0:20 16:00 17:10
39 16:15 17:25 0:15 0:15 16:15 17:25
40 16:30 17:40 0:15 0:15 16:30 17:40
41 16:45 17:55 0:15 0:15 16:45 17:55
42 17:00 18:10 0:15 0:15 17:00 18:10
43 17:20 18:30 0:20 0:20 17:20 18:30
44 17:40 18:50 0:20 0:20 17:40 18:50
45 18:00 19:10 0:20 0:20 18:00 19:10
Ghi chic
- Trong qua trinh thtrc hi@t h9p ding cac thong se; c6 tha thay d6i Ichi c6 va'n
ban dieu chinh cita co quan c6 tharn quye'n.
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Nad
en

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Co clang Icy thanhlap, hoot dOng, do cc quan c6 them cd)
quyen cart nude ma Dan vicung cap dich vu clang hoot
Giity chimg nhin dela us, gni), chirng
dOng cAp; (ley phep kinh doanh vin tai bang 6 tO, trong
nhin dAng ky doanh nghiep, quyet dinh
a

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d6 c6looihinhkin hdoanh van tai hanh khich bang xe bu t

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Hoch toin tAl chInh doe lip;

23
Kh6ng clang trong qui trinh g iai the; khong 174 k et luin Gitty phep kinh doanh yin taio to,
' trong do c6lordhinh kinhdoanh van tai
clang lam vao tinh trang phi slut hoc no khOng c6kha
hanhkhAch bang xe buyt theo tuyan
nang chi tra theo quy dinh eQa phap luet; codinh.
5 .0 P. 2 E •-•

Khing clang trong thin gian bi cAm tham dci Mau.

Tai lieu chfing minh Dan vj vOn tai

1
11
hach Wan tai chfnh dOcIOP

- Hop ding bi Chudent Iv kit Juan Don vj cung clip dick vy

khang hoan thank va Don vi cung cAp dick vo khangrhati ddk
- Hop ddng bj Chüdau tit kit Mn Don vicung cap dick vy

ow
kh6 ng hoan thank, khang dupe Don vi cung Tap djch vit chdp c
2
.0

to
0,
-.40

sel

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thuan &lung dadupe. Iron? Sal hoac tea an kit luan theo huang
t

cc
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c-
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2 00

to co

'5 ›, C
bit lot cho Dan vicung cap ckch vu.

'0 gi, ,,ji`

21
Cac hop (long khang hoan thankkh6ng bao Vim ctic hop
ddng ma quyit dinhSet Chuddu tie clabi bac ho bang ca
chi giai quyit tranh chdp.Hop clang khing haan thanh
ph&dva tren tdt cá nhfing thong tin ye tranh chap hoac
kin tong &tor gicii quyit theo guy dinh ctia co chi gicii
quyit frank chip cia hop citing twang ting vakhi ma Dan
, vj cung cAp dichvu do hit sit ca ccic ca h6i c6 thekhilu
not
Yêu c u kien ty ng dang giai quy t
=

Trutmg hop Dan v j cung cAp djch vtl c6kien fl ing dans
.
-03

c
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10.

DO

giai quyet thl vy kien se dinic coila cdk et qua giaiquyet th.
OZ

v0

NO

cc
oo

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03 ,

tel
Cung cAp tai lieu dOng thoc
2 bi)
..(0u t.c.
,

z .0

theo htrerng bet loi cho Don v j cung cAp djch vg vicAn
oo

o. c
.0

6 >, c
0
co

.0 40 „it

khorin chi ph!lien quan den cac kien tong nay kh6ng &roc
4e

vtrot qua 50% gii trj tai sin rang nam 202 1 mia Dan vj
curt ; ci. djch vv.
 Cat yen clu an tuln the
Dan vj Don v j cung cap djch vy lien danh

40
Bien mu

=
..ges=
0
TM lieu ching m inh Ghi chti

rn
t
cung cep Tang cfic Tung T i thi u met
dich vy thanh vien thhnh vien thanh vien
dOc l#p lien danh lien danh lien danh
(Gilt tr j tai sari reng =Tong titi san - Tang no).

et
I. Thong ke tinhhin h tai chinh Goa don vj
mo
eg

miu so 7
CO

Yeti ciu A ket qua hoot deng thichtnh trong 02 narn gan M et
NOp bao cao tai chinh02 nam lien tac gAn nhat &roc hoar' Bao cao tai chinh 02 nam lien ttic gan
in

thanh và duqc kiem tok deic lap hoac btio cao tai chfnh nhAt throe holm thanh và duqc ki em toan

'c
duqc co quan thue xac nhan. NOp hien ban ki em tra quyet dac 1p hoac bao cao tai chInh duqc co

-al

.0

1
0.

ni to

m:
' toan thuehoac tbkhai to quyet toan thue (thue gia trj gia quan thue xac nhan

tO .t,

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GIO C45
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ni .5 Li9:

= cr
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tang va thue thu nhap doanh nghiep) c6 xac nhan cUa ca Bien ban kiem tra quyet toan [huehok

E 0
quan thue ve thirid iem da nOp tbkha i. tOlchai to quyet toan thue (thue gift trj gia
Gia trj tai san rOng dm Dan vj cung cap djch va trong dun tang va [hue thu nhap doanh nghiep) c6
s .0 0.-= *.t, .-

gan nhat phai throng. xac nhan ctia ca quan thue ye thbi diem
da nop tb khai..

Yen au v doanh thu binh quAn hang nam tfrhost Trung tan, se danh gift theo so lieu the

c
.=
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Ong sin xuat, kin h doan h

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get
lieu chfmg minh 0 mac 4. 1

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hien taitai

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00 Cie
Doanh thu blnh quan hang nam toi thieu la9.765.000.000

44
6 >, =
(Kat qua hoot dOng tai chit:1h)

3 3 ?..,
E 0
VND, trong yang 02 nam gait n h At.

ii.
Yea tin ve rigu6n hp the c hInh
Dan vj cung cAp djch vu phai chfrng minh c6 cac tai sin
c6 khá nang thanhMoan canhoac c6 kha nang dap can
MCI
mo

-ea

..q
.0
Cung cap tai lieu c luing m irth nguZin lye
0.

veti tai sin c6kha nang thanhkhoan cao sari c6, ckIchoan
u
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, =

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tai chinh cna don vj van tai theo quy djn h

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khoan tam (mg thanh toan theo hop demo dedap Ong yeu
ye cau nguen lye tài chi:1h thoc hien cung cap djch vu veri
gia trj la2.442.000.000 VNDM. 3*
Yeu cliu v kinh nghiem thyt.hien Ito (Yong cung Ong I. DOT yenhop ding da hoar) thanh:
-.6 8 .8. 1 ri -c

djch vy v# n thi hhnh khach bang 8 t8 + Hop ding cung cep djch vu van tai
SOItrong t6i thi eu cac hop clang Prong to theo m8 tit dual hanhkhach.
.
u

day maDan vj cung cAp djch vu di'holm thanh toan b0 + Ha so nghiem thu hoan thanhhoac xac
CM

nhan hoan thanh dot chit dau tu hoac hien

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hoac hob thanh phan lem yeti tu cach la Dan vj cung cap
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ng?ty 01 thang 01 nam 2019den thbidiem danh gift he so: 16n (Hoan thitnh tit 80% gi a trj hop d eng
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— boz oat.- va-:a

— Al n r•=0.`8 .>

S6Itrong hop deng t6i thieu la01hop dens va c6 gia tri tit 18n):
(*)
"' .0

ted thi eu lit 6.835.000.000VND/raim . + Hop dong cung cap djch vy van tai
c

Ghi chii: Minhlchkh.

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Mien cfra ca quan thuehoac ca

thanh hoac hoon thanh phin lem (Hoan

+ TM lieu cluing minh de thyc hien hob
quan kiem toin veso lieu doanh thu van
vv ty thyc h ien va Ichai thic (dtryc cap

tAi hanh Ichfich do Dan vj cung cap djch

+ Tai l ieu cluing minhdjch xy van t ai
3. Truttng hop viec cung cap djch vi van
+ Xac nhan khed luting de hob thanh tat

MuthIchachduce ca quan c6 them quyen

taihanhkhachdo Dan v i cung cap djch
thttidi em hien tai c6 xac nhan dm chit

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vy tp [hut hien Yen fling tuyen.

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+
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lien dan h

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 Clic yeti au an tuan tin)
Don vj Dan vj cung cap djch vg lien danh
L.

lea

-ae
ko
a
E
=
TMlieu chfrng minh Ghi chit

a
a

c
U
>.
C

t
cung cAp Ting T 6i than m et

In
T ng cat
djch vy thAnh vien thAnh vien thAnh v ien
dee 1(tp lien danh lien danh lien danh
Mc xA, trong d6 quy djnhhap Mc xa c6
quyen, trach nh iem va nghia vv q uan 12,
sir dung, (lieu hanh xe o to thuOc ser Mu
cUa thetnh vien hop tau
+ Kekha idanh sach phtrcmg den hoot
6)111 tren tu
TruOng hop phucmg tien dv kien buy
dOng kh6ng c6 sin:
+ Hap Clang nguyen Mc mua ban xe giaa
Dan vj cung cap djch vu và nha cung cap
phucmg t ien t h ehien du s6lucmg phtrcmg
tien, nhan hieu xe, sac chin phuang tien
(theo t hi et k e), nam clang ky Ian Mu theo
yeti eau, dam bat) dang tiOn dØ cung cap
I then yeu
TM lieu chang minh leg dat he th6ng
bin yetv dOng hoac he th ng ban ye&In
tr dOng.
flu cAnvithing Icy phO hieu xe Iku*t
Dan vj cung dip djch vii cam kit bang van ban (theo mau

a.
.c
..= ..0
dInhkern) vi viec xin cap phahieu xe butt theo s6lugng ICheng tip

as 0

‘si
NI
C
ba 1:4
nhusau: Tai ThAnh ph6 HAChiMinh 06 xe (tucmg throng dung

a >, c
E0
a 0 47!..i
50% s6 Itrcrng xe) va tui tinh Deng Nai06 xe (Prang throng
50% s6humg xe).
I. Tnrang hcm tram sun chaa, bao dating
thuOc quyen sadung ala Dan v j cung cep
djch vu:
+Tailieu chImg minh (hap deng thuedat
, hoOc gu tty chang nhan quyen sir dung (let,
To-

so boa mat bang hien twig torn bao

e
A

dyeing, phucmg an Ho (luting situ chaa

c
du kiln, gi ft), clang 14 nganh nghekinh

a.
You au vi co sEr big dtreng stra chera
wo
o.

doanh sera chaa ha° dtrang theo quy

‘.6
en
Dan v j cung ctip djch viz c6 tram sera chaa, him dung
cc

oil
as t'o

Oa 00
co 0.
r

a >-• e
xe 8 to cht kiln huy Ong: 0 1 tram sin chCta, ban dutmg. djnh).
63
= ,>,

E1
2. Truang hop di thue:
u -es 10- to' .S '
a g .0 ra .es ;5 ..
— bog .192- E El 1

+Hap deng nguyen tic ved tram saa chaa

boo throng (don v j cho thue phaiboat
dOng nganh nghekinh doanhbao dams,
saa chaa 0 to va xe c6dOng ca khan (gay
phep clang ky kinhdoanh) vàthEti gian
hop deng t6ithieu bang thtri gian Mtn
 Cie yeu au can titan tha

g
Dan v j cung cAp djch vy lien danh .=
=
z
u
Tel lieu cliürig minh Bleu mAu

C
C
ec:

U)
A)
)"
U
u

t
T ng die Tang T61 thi u met

m.
C. i•
think vie,' thenh vier' thenh vien

ot a u
lien danh lien danh lien danh

ou

0 .2.0
hien cung cap djch vi VTHKCC tren
tuyen).
Trubng hop cha daxe butt thuec
quyen sir dung dm Don vi cung cap dich
vu:
+ TAi lieu chirng minh (hoe deng thuddit
hoac gtay chung nhan quyen sir dung dit,
so hoe mat bang hien trrmg IA; de,
.o

phuong an be trl chedo xe du kik).

Tnaing hop di thud:

ca.
Yeu au ve nal den xe

.c
.0
a
+ Hop dong nguyen tic thud ch8de xe

et
Nang lye Ow ism ted thieu 12 xe c6dien tichthi thieu IA

,c;
c -0
c=

.0c .,,,
OD t'0
=

s.
to 0.1)
(trong de neu r8 dien itch ched8 và thbi

E ?-• c
480 m2.

E0
.8 >,
gian duce phdp sir dung toi 'hien bing
cu. E cn u •-• -4,u 0
— oto .g Lu-r-E 4451
° ° c •— E ti

thbi gian thyc hien cung cAp dich vu

VTHKCC tren tuyen).
Phucmg an kinhdearth
Phucrng An PCCC Ira bien bin kiem tra
trong yang 1 nem cite don v i chile nang.
co
C)

CM

cn
..-.

<al
.0
iso

Phucmg An den d8 phtrong tien

,

Yen c u v Ca sfr ha ng dye tuy n

Don v i cung cAp djch vu coin ket d&u tu vtt th chirc thyc
hien cOng tic duy tu, boo tri theo guy djnh d6i v6i cac diem
dUng d6n trAkhach &roc b6 sung tren dirt phin tinhBinh
Throng, cy the t i cac v i tri sau:
+NhA truyen [hang DIM (dtrtmg Nguyen An Ninh);
+ Trutmg lieu hoc DI M (dutmg Nguyen An Ninh);
+ Tiem sira chat may vi tInh Thing C hinh (dutrng Le Hong
Phong);
ce
-c

>
..ais

ta.
L

+ Shop ban quAn An(dubng Le Hen Phong);

95

...co

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Xic djnh diem timg hp?:
Di em tong hppettn ca = (60% x Diem k9 thuataans +40% x Diem gikons .60
Trong de:
+ Diem ky thuatcangxa: LA só diem dirge the eljnh tinbuckdanh gidyeky thuat;
+ Diem giadang xti = IGthip nhit X 100] / Gdang uet
Veri:
Gthoonse giaye dExuAt sau sera l6i, hieuchinhsailech cila h6 so nang lye thap nhat;
++Gdangth: giavexuAt sau sita 16i, hien chtnhsai tech cis he so ming luc dung xet
/3]
(uia yede xuat = [(Gid ye tucmg frng cc ly S Nun) x 1 /3] +[(G ia vd twang Ong: 7Icm < cv ly 1/2 cv ly tuyen) x 1
+[ (Gia vO twang Ong cv ly > 1/2 cv ly tuyen) x 1/3].
Ghi
+Gia yede xuAt sau khidirge Iva chpn !thong chive dieu chinh tang trong thfri gian tei thi eu 0 1 nam. Tra6c khidam
nhan tuyen, don vi cung cap clich vv de xuAt gia ye phfrhop cho tirng nhem dei Wong theo quy dinh.
CO
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.

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thuang binh, benhbinh); Nguerikhuyet tat (CO xuAt trInhGitty cluing nhan Ithuyet tht); Ngtrai cao wed (CO xuAt trinh
giAy ter chi:mg minh tit du70 tuei tralen); Ngtrai c6 thedi xe buyt m ien phido ca quan c6 them quyen cap.
+Giãm toi [bleu 25% gia vO twang Ong cho hpc sinh, sinh vien.
+Gia yetwang (rug cc ly 5 71m: !thong qua 7.000deng/lupt hanh khach. Neu don v j vAn taic6 GiAvd twang Ong
cc ly S7Icm lan han 7.000deng/lacrt thldupe daubg
iilakheing dap Ong yeu cAu vaIcheng dupe xem xtt dartgia
i
t ep.
Kip hang Han vj v#n tai:
H
- esa nang lac c6 d i em teng hpp cao nhit dupe xep hang thfr nhAt.
- Tnreng hop, c6 tfrhaidon v j van tél tralen c6 diem t6ng hem bang nhau veIan 'that thl se dva vao cac tieu chi au
lien theo [hit ty sau day di xac djnhdon v j van tkidirge xep hang thir nhat: ( I) CO chlnh sach giam giA ve cho hpc
sinh, sinh vien tot ban ctuve danhgia cao ham; (2) Kinh nghiem trong boat deng van telhanhIduich cOng cOng bang
xe buYt (don v j c6 thtri gian tham gia trong host deng van teihenhIchich cong cOng bang xe butt Mu hem dupe danh
j, id cao han .
 12

Mu sici 1.

< Ten don vi van tai > COG 116A Xik HOI CHU NGHIA VItT NAM
DOc lap - Ty do - Hanh ph&

Thanh pho Ha Chi Mink ngay thong nom 2022

DON DE XUAT DAM NF14N TUYEN

Kinh giri: Trung tam Quart 13i Giao thong cong cong Thanh phi; Ha Chi Minh

Sau lchi nghien ciru van ban meri tham gia nap h6 so ming lye xet dam nhan ctmg cap dieh
vg van tai hanh kháeh ding cong ten tuyen xe butt lien ke khong trg gia Ben xe An Strong— Ben
xe Bien 1-16a, chimg tai: [Ghi ten Dan vi vcin tail cam ket tham gia dam nhan tuyen Ben xe An
Sucmg — Ben xe Bien Him theo yeu cau elm Trung tam Quãn 1 Giao thong cong cong Thanh pht5
HOChiMinh,vâigiávédêxuâtnhusaw.
Stt Cr ly chuyen di Gia ye twang an
1 Nho hcm hoac bang 7 km
2 Tir 7 km den hoc bang 1/2 cuiy tuyen
4 Tir 1/2 cu ly tuyen den hoac bang elf ly tuyen
Ching VIA cam k t:
Gid ye de xuAt sau khi thrgc lua chgn !thong dugc dieu chinh tang trong then gian tôi
thieu 01 narn. Truarc lchi dam nhan tuyEn, don vi cung cap dich vg de xuat gia ye pith help cho
timg 'thorn doi tucmg theo quy dinh.
Mien den ye cho cac dOi thong sau: TM em cao tir 1,3 met trer xu6ng; Tlaucmg binh, berth
binh (co xuat trinh the throng birth, benh birth); Ngueri khuyet tat (c6 xuat trinh Giay chimg than
khuyet tat); Ngueri cao Mai (c6 xuA't trinh giAy to chimg minh tit dit 70 tuoi trer len), Ngueri et, the
di xe buYt mien phi do ca quan c6 tham quyen cap.
Giam toi thieu 25% gia ye tuang img cho hoc sixth, sixth vien.
Gia ye tucmg img cu ly S 7km: Khong qua 7.000 dang/luct hanh khach. Neu don vi van
tai c6 Gia ye Wang img cy ly S 71un len hcm 7.000 deng/hrgt thi dugc danh gia la khang dap img
yen can va 'thong dugc xem xet danh gia ti'e'p.
Khong dang trong qua trinh giai the; khong bj ket luan dang lam vao tinh trang san hoac
nqkhôngcokhanAngchitththeoquydjnhcUaphaplut.
NW:mg thOng tin trong ho so ming lye la chinh xac, khong vi pham cac hanh vi bi cam.
ngay thcing nam
Hai din hop phap ctia Dom vi van tai
(Ghi rO ten, chire danh, IcY ten va dong dau)

Ghi chti:
(I) Truang hop clqi din theo phcip lu at cilia Dan vi van tai ay quye'n cho cap du&
kfi clan cfd xuat clam &tan tuyin thi phai gini kern theo Giay isy quyen theo Mciu so 2.
Trtaing hap tai dieu le cong ty, hop tac xa hoc tcd ccic tai lieu khcic lien quan co phcin
aing trcich nhiem cho cap du& kfi don de xuatclam nhan tuyen thi ph& giri kern theo ban
sao cac van ban, tai lieu nay (khong can kip Giciy zb quyen theo Mau so 2).
 13

MAu di 2.
(Alp clung cho trufmg hap Nguoi dal dien theo phap luat áy quyen cho ccip chroi thgc hien)
<Dan vi van tai> CONG HCOA Xrk Hoi CHU NGHiA VitT NAM
Me lap - Tu. do - Hanh phne

Thanh pho Ha Chi Minh, ngay thcing noun 2022

MAY t QUYENO)
Horn nay, ngay thang nam tai
Toi la [Ghi ten, so CMND hoac so ha chieu, char danh cisa %girth dal dien theo
phap luat caa Don vi van tai ], la ngueri Si din theo phap luat cüa [Ghi ten Don yi van
tat] c6 dia chi tai [Ghi dia chi czia Dan vi van tail bang van ban nay fly quyen cho
[Ghi ten, so CMND hoac so hO chieu, chgc danh caa ngual duce ay quy'en] thoc,hien
ck ding viec sau day trong qua trinh tham gia dam nhan tuyen Ben xe An Sucrng 7 Ben xe
Bien 146a do Trung tam Quin 15r Giao thong ding &Ong Thanh pho H6 Chi Mirth to chat:
KY don de xuat dam nhan tuyin ;
Kf ycic van ban, tai lieu dl giao dich voi Trung tam Quan lj Giao thong cang cang
Thanh pho HO Chi Minh trong qua trinh tham dg dam nhan tuyen;
Tham gia qua trinh thuang thao, hoan thien hap clang;
Cac nal dung c6ng viec khac (niu co phai ghi raj
Nguai duce ily quyen neu tren chi time hien ck dog viee trong pharn vi ñy quyen tied Ur
each là dai dien hop phap cüa /phi ten Dan vi van tai J. [Ghi ten Dan vi
van tai] chiu trach nhiem hoan toan ve,nhfing ding viec do [Ghi ten nguol duqc ày
quyen] thoc hien trong pham vi üy quyen.
Giay ity quyen c6 hieu lye k tir ngay den ngay (2). Giay Cry quyen nay ducle lap
thanh 04 ban c6 gia tri phap 15r nhu nhau, ngutri Cry quyen gill 02 ban, ngtrai dugc Cry quyen
gift 02 ban.
Nyr?ri dant fly quyen Nguti uy quyen
[Ghi ten, chgc danh, lo, ten va tong dau [Ghi ten nguyii dai then theo phcip luat cats
(neu co)] Dan vi van tai, chgc danh, ky ten vls dOng
dclu]
Ghi
Tritang hap ay quyen thi bángdc giay ày quyen phcii duvc ggi cho Trung tam Quan lj Giao
thong cling c Ong Thanh pho HO Chi Minh claw vet dan dé xutit dam nhan tuyen. Viec ay quyen
caa ngueri dai then theo phap luat clic: Don vi van tai cho clip pho, cap dual, gicim doe chi nhanh,
nor& clang dau van phong Jai then cisa Don vi van tai tie thay mat cho nguffi dal then theo phap
luat caa Don vi van tai thgc hien mat ho'ac cacsnai dung c Ong ' viec neu tr'en day. Viec sit dung
con dills trong trufmg hap duce Uy quyen co the la dau caa Don vi van tai hoac dem caa don vi
ma ca nhan lien quan dupt ày quyen. Nguai chew ay quyen khong duac tiep tyc isy quyen cho
nguai ,khcic.
Ghi ngay co hieu hcc va ngay hit hieu Arc caa giay ay quyen phis hap vOi qua trinh tham
gia dam nhan tuyen.
 14

Mau s6 3.

<Dan vi van tai> CONG HOA XA HOI CHU NGHIA VIET NAM
Doc lap - Tir do - Hanh phfic

Thanh pho Ha Chi Minh, ngery thang nam 2022

THOA THUAN LIEN DANH

Can ce Luat Dau than s6 43/2013/QH13 da duce Qu6c hei nuot CHXHCN Viet
Nam thong qua ngay 26 thang 11 nam 2013;
Can dr Nghi dinh so 10/2020/ND-CP ngay 17 thang,01 nam 2020 dm Chinh Ora
quy dinh ye kinh doanh va dieu ki'en lcinh doanh In tai bang xe o to; ,
Can cir van ban mai tham gia nOp ho sa nang. lye xet dam nhan cung cap dich vo In
tai hanh khach cong cong tren tuyen xe bu9t lien ke khong fro gia Ben xe An Sucmg — Ben
xe Bien Haa.
Chang tOi, dai din cho the ben lcy them thuan lien danh, gem c6:
Ten thenh vien lien danh [ghi ten ding thanh yien lien dank/
Dai dien la ong/ba: _
Chirc vu:
Dia chi:
Dien thoai:
Fax:
Tai khoan:
Ma so thue:
Giay uy quyen se ngay thang , narn (trtrong
, hop duot quye'n).
Cac ben (sau day gei la thanh vien) thong nhat 19? ket thee thuan lien danh vei cac
nOi dung sau:
Dieu 1. Nguyen tic chung
Cac thanh vien to nguyen hinh thanh lien danh de tham gia dam than ctmg cap
dich vu van tai hanh lchach cling cong tren tuyen xe bu9t lien ke kh6ng try gia Ben xe An
Strong — Ben xe Bien Hee.
Cac thanh vien thong nhat ten gei dm lien danh cho mei giao dich lien quan den
viec dam nh'an tuyen nay la: [ghi ten cita lien danh they thea thuan]
Cac thanh vien cam ket khong‘thanh vien nao GO quyen tü choi thirc hien trach
nhiem va nghia vij quy dinh trong hop &mg. Trtrang hop thanh vien dm lien danh tir choi
hoan thanh trach nhiem rieng cüa mirth nhu da th6a thuan thi thanh vien de bi xer l nhu
sau:
Bdi thttemg thiet hai cho cat ben trong lien danh.
Bei thtrang thiet hal cho Trung tam Quan 11) Giao thong tong tang Thanh pho
Hd Chi Minh theo quy dinh neu trong hop clang.
Hinh that xitlf, kluic [neu ro hinh that xit 55 Mac].

Dieu 2. Phan cong trach nhiem

 15

Cac thanh vien th6ng that phan ding trach nhiem det thyc hien cung cap dich vu
van tai hanh khach c8ng c6ng tren tuyen xe bu9t lien ke Ichong try gia Ben xe An Strang —
Ben xe Bien Hoa, dOi vOi ding thanh vier' nhu sau:
1. Thanh vien ding dau lien danh
Cac ben nhat tri phan cong cho [ghi ten mat ben] lam thanh vien dimg dau lien
danh, dai din cho lien danh trong nhiing phan viec sau:
- 1C35 dan de xuat dam nhan tuyen;
Kj2 cac van ban, tai lieu de giao dick vet ca quan co, tham quyen trong qua fink
tham gia dam nhan tuyin,
Tham gia qua trinh thwang thao, hoan thin hop dang;
- Cat cling viec khac fir viec 19, kit hop dang [ghi rö nal dung cdc c6ng viec khac
(neu co)].
2. Cac thanh vien trong lien danh [ghi cy the phan c Ong
' viec, track nhiem cña ding
thanh Wen, ke ca thanh vien thing dau lien danh va niu c6 the ghi tf7 le phan tram gia tri
twang tine
Cac thanh vien trong lien danh thee thuan phan c6ng trach nhie'm thgc hien dog
viec theo bang duei day:
Noi dung cling viec TS, Fe % thvc hien
Stt Ten
dam nhen trong lien danh
1 Ten thanh vien &mg dau lien danh - - %.
2 Ten thanh vien thir 2 - - %
, ....
Tong Ong Toan bi) cong vit'e 100%

Dieu 3. Hieu ltyc cila theta thuen lien danh

Them thuan lien danh có hien lye ke tit ngay k9.
Thea thuan lien danh cham dirt hie'u lye trong cac tnrOng hop sau:
- Cac ben hoan thanh trach nhiem, nghia vi cüa minh va tien hanh thanh l hqp
ding;
- Cac ben ding thOa thuan cham dirt;
Cac truong hop khac.
Them thuan lien danh duce lap thanh ban, mOi ben gift
ban, cac ban thOa thuan có gia tri phap l nhu nhau.
DAI DIEN HQP PHAP CEA THANH VIEN DUNG MU LIEN DANH
[ghi ten, civic dank ki ten va dong dau]
031 DIEN HOP PHAP CiJA THANH VIEN LIEN DANH
[ghi ten ding thank vien, civic dank kji ten va (long dau]

Ghi cha: mau sa 3 thoa thuan lien danh mang tinh chat tham khao, Dan vi van tai co tho
thay del nal dung a phis hop voi thiec re.
 16

1. DOI VOL BiA HO SO:

CONG BOA XA HOI CHU NGHTA VIeT NAM
Dc 14p — Ty do — Hanh phtic

HO SO NANG LC
(BAN GOC ) ho.ac (BAN CHOP)

CUNG CAP DICH VU VieiN TAI HANH ICHACH CONG CCING THEN
TUYEN XE BUIIT LIEN ICE ICHONG TRQ GIA BEN XE AN S1UtiNG —
BEN XE BIEN BOA

Dan vi van tai:

Nam 2022
 17

2. DOI VOITHUNG HO SO BEN NGOAI:

CQNG HOA XA HOT CHU NGHIA VIET NAM
D(ic 14p — Ty do — H#oh phtic

HO SO NANG LIIC
(HO SO GOM 1 BAN GOC VA 1 BAN CHIP)

CUNG CAP NCH VI) V4N TAI RANH KHACH CoNG COG TREN
TUYEN XE BUtT LIEN KE 'CHONG TRO GIA BEN XE AN SU'UNG —
BEN XE BIEN HOA

Dom vi van tai:

Nam 2022
 18

Mau ski 5.
<Don vi van tai> CONG HOA XA HOI CHIJ NGHIA VItT NAM
Doc lap - Ttr do - Hanh pink

Thanh phe Ha Chi Minh, ngery thang niim 2022

HOP BONG ICHONG HOAN THANH TRONG QUA Miff (1)

Ten don vi van tai:
Ngay:
Ten thanh vien tha lien danh (neu c8):

Ck hop clang khong holn thanh trong qua khir theo quy dinh tai ti8u mgc a Mgc 7 Phg
lye 2 (phan yeu cau ye lich sir kheng hoan thanh hop dOng).
o Khong co hop &mg nao dal ky nhung kh6ng thgc hian Ic6 tir n4ay 1 Mang 1 nam [ghi
Mimi theo guy dinh tai tieu mgc a Mgc 7 Phg lgc 2 (phan you cau ve lich sir khong hoan
thanh hop &Mg).
D CO hop clang &A ky nhtmg kh8ng hoan thanh tinh yr ngay, 1 thang 1 nam fghi
ram] theo quy dinh tai tieu mac a Mac 7 Phy Igo 2 (phari you cau ve lich sir khong hoan
thanh hop &Ong).
A .A
Phan Tang gia tri hcrp ding
vice
(gia tri hien tai, dolt vi
hop don
Ag
Nam MO la hop dang tien ta, ty gia bed doii, gia
khang hoan
thanh tri twang ding bang
VND)
M8 ta hop dong:
Ten Chit Au tu:
Dia chi:
Nguyen than !thong hoan thanh hop
thing:
Ghi chti:
(1) Don vi van tai phai ke khai chinh xac, trung thgc cac hop clan* khOng hoan thanh trong
qua kith; neu Trung tam Quart l Giao thong ding Ong Thanh pho H6 Chi Minh phat hien bat
dr Don vi van tai nao co hop &Mg khong hoan thanh trong qua kW ma khong Ice khai thi doge
coi là hanh vi "gian lan" va HO so nang ltrc se bi loai.
Twang hop Don vi van tai lien danh thi ding thanh vien dm lien danh phai ke khai theo
Mu nay.

, ngay thcing nom

DAI D4N HOP PHAP CiJA DON VI VAN TAI
(Ghi ten, chat danh, Icy ten va &mg du)
 19

Main sO 6.
<Don vi van tai> °ONG HOA XA HOI CHO NGII1A VIET NAM
Dec lap - Tir do - Hanh ph&

Thimh phd H Chi Minh, ngiry thong nom 2022

ICIEN TUNG BANG GIAI QUYET (I)

Ten don vi van tai:
Ngay:
Ten thanh vien cila lien danh (nen di):

Cfic vo kien clang gifii quyet

Chen met trong cfic thong tin me tá duel day:
Khong co vu kin nao dang giai quyet.
Duth day la mo tã ve cac vi kin dang giai guy& ma don vj van tai la mOt ben ducmg skr
(hoac m6i thanh vien cua lien danh nu 11 don vj van tai lien danh).
Gia trj vu ., ., . .
• Ty le cua gm' tri
kien clang
.
NAm ran a tranh chap •
A vu kien clang giii
gifit quyet
quyet so vai gm.,
tinh bAng
tri tli sin rong
VND

Ghi chfi:
(1) Dan vi van tai phai ke khai chinh xac, trung thvc cac vg kin tong clang giai quyet; neu
Trung tam Quin l Giao theng c6ng cOng Thanh pho H6 Chi Minh phat hiOn bat dr Don vj Von
tai nao dang cO cac vu kin twig ma khong ke khai thi dugc coi la hanh vi "gian l'an" vi HO so
nang lye se bj loai.
Truemg hop Don vj van tai lien danh thi timg thanh vien dm lien danh phai ke khai theo
Mu nay.
, ngiry thcing rzcim
DAI DIN HOP PHAP CIJA DON VI V4N TAI
(Ghi ten, chile danh, ky ten va thing dfiu)
 20

THONG ICE TiNH HiNH TM CHNH CIJA DON VI

Se lieu tai chinh cho 2 nam gan nhat [VND]

Nam 2020 Nam 2021
Thông tin tir Bãn2 can d6i kt twain
Teing tai san
Ping my
Gid tri tai san rang
Tai san ngan han
Ng ngan han
Von Km dOng
Thôn2 tin tic Bao cao !eh uni kinh doanh
T'eng doanh thu
Lgi nhuan tuft thud
Led nhuan sau thud
Dinh kern la ban sao cac bao cao tai chinh (cac bang can dei ke than bao gOrn,tAt cã
thuyet mirth c6 lien quan, va the bao cao ket qua kinh doanh) cho hai nam gan that, nhu
da neu tren, tuan thil cac dieu kin sau:
Phan anh tinh hinh tai chinh cfia dun vi ma khong phai tinh hinh tai chinh cua mOt
chit the lien ket nhu c6ng ty me hoc ding ty con.
Cac bao cito tai chinh dugc kiem toan theo quy dinh
Cdc bac) cao tai chinh phai hoan chinh, day dit nOi dung theo quy dinh.
Cac bao cao tai chinh phai thong img veri cac ky ke toan da hoan thanh va dugc kiem
toan. Kern theo la ban chup dugc chimg thtre mOt trong cac tai lieu sau day:
- Bien ban hem tra quyet toan thue;
- Ter khai hr quyet toan thue (thue gia tri gia tang va thue thu nhap doanh nghiep) do xac
nhan oh cu quan thut ye thiri diem da nOp ar Ichai; ,
- Tai lieu chimg minh viec Don vi van tli da ke lchai quyet than thue din tit;
- Van ban xac nhan elm cu quan quan ly thue (xac nhan so nOp ca nam) ve viec thgc
hien nghla vg nOp thue;
- Bao cao hem than.

, ngay thang n dm
DAI DItN HOP PHAP CiJA DON V! VAN TM
(Ghi ten, chile danh, Icy ten va (king dau)
 21

Miu se 8.
<Dun vi van tai> CONG HOA xA HOT CHU NGHIA VTST NAM
Doc lap - Tir do - Hanh pinic

Thanh phi; Hi) Chi Minh, ngay %hang nom 2022

NGUON LVC TAI CHiNH (I)

Neu re cac nguen tai chinh clg kin, chang han nhu the tai sari c6 kha nang thanh khoan cao(2),
cat han mire tin dung và cat nguon tai chinh khac (khong phai la cat khoan tam Ung theo hgp
tong) co sal de dap img yeu thu ye nguon luc tai chinh.
Ngutm ltrc tai chinh caa dun vi In tat
STT Ngulin tai chinh SO tien (VND)
1
2
3
• 1,
Tong ngulin hire tii chinh ctla Ilan I/ van tai (TNL)
Ghi chti:
Timg dun vi van tai hoc thanh vien lien danh phai cung cap thong tin ve ngutm lire tai chinh
cUa minh, kern theo tài lieu chUng minh.
Nguon lye tâi chinh ma dun vi van tai du Mn huy dOng d thgc hien dirge tinh theo tong thIrc
sau:
NLTC = TNL - DTH
Trong de:
- NLTC la ngu6n Ice tai chinh ma dun vi van tai du kien huy dOng de thuc hien;
- TNL la t6ng ngulin Ice tai chinh caa dun vi van tai (teng nguen lye tai chinh quy dinh tai Mau
nay);
- DTH la tong you eau v nguen luc tai chinh hang than cho the hap deng dang thirc hi'en (quy
dinh tai Mau so 9).
Don vi van etai dirge danh gia la dap frng you cAu v ng,u6n Ice tai chinh nu c6 ngueth ire tai
chinh du lcien huy dOng de thuni hien (NLTC) t'Oi thieu bang gia tri you cau ti tieu rave a Mut 7
Phu lye 2 (phari you tau ye nguon Ice tai chinh).
Twang hgp trong HO so nang hit, don vi van tai c6 nop kern theo ban carneket tin dung caa t6
chec tin dung hog dOng hgp phap tai Viet Nam, trong dO cam ket se cung cap tin dung cho don
vi van tai de thuc men cung cap dich vet tren tuyen xe bu9t lien ke khOng trg gia Ben xe An Strang
— Ben xe Bien Him vei han mut toi thieu bang gia tri yeu tau tai tieu mut a Mut 7 Phu lye 2
(phan you thu ye nguon luc tai chinh) trong suet thin gian thgc hile'n hgp deng thi don vi van tai
dirge danh gia la dap (mg yeu cau ye ngu6n icc tai chinh va khong phai ke khai thong tin theo
quy dinh Mau nay va Mau so 9.
TM san c6 kha nang thanh khoan cao la tien mat va Prong ducmg tien mat, cat cling cv tai
chinh ngen han, cat ehirng khoan sail sang de ban, chimg khoan de ban, cac khoan phai thu thucmg
mai, cat khoan phai thu tai chinh ngan han va cat tài san khac ma c6 the chuyen dOi thanh lien'
ma trong yang mOt nam.
 22

Mitt s6 9.
<Dan vi van tai> CONG HOA XA HOI CHU NGHIA VItT NAM
Doc lap - Tu. do - Hanh phfic

Thanh pha Ha Chi Mink ngay thcing nom 2022

NGUON Lljt TAI CHINH HANG THANG CHO CAC HOP BONG BANG THIX
HI N
Med Ilan Gii tri hop A •
Nguiri lien he Yeu du ve
con la'. cua
. A
de
on chum
Ten cfia Chili dAu Ngay hoan a nguAn hp thi
hop •dOng
- thanh tom,
STT hop fir (dia chi, thinh hop chinh hang
tinh bang bao gom cã
thing then thoai, clang thing
thing thud
fax) (B/A)
(A)(2) (B)(3)
1
2
3
...
Tang yeu au ye nguon Ivy tat chinh hang thing cho cac hop ding
clang thtrc hien (0TH).
Ghi chfi:
Ting don vi van tai hoc thanh vien lien danh phai cung cap thong tin dugc neu clued day de
tinh toan tong cac yeu eau ye nguon lye tai chinh, bang tons cue.: (i) cac cam ket hien tai cfia don
vi van tai (hoc timg thanh trong vien lien danh) trong tat ca cac hop dong ma don vi van tat
(hoc timg thanh trong vien lien danh) dang thgc hien hoc së duoc dux hien; (ii) you cau ye
nguon lye tii chinh dot v6i hop (tong dang xet theo xac dinh ala Chil dau ttr. Ngoai ra, don vi
In tai cling phai cung cap thong tin ye batkS, nghia vii tãi chinh nao khac di the anh hueong ding
ke den wee thtic hien hop dong dang xet nen don vi van tai clugc trao hop clang.
Tiled hall can lai dm hop ding tinh tai then diem 28 ngay Utz& ngay co thed diem ket thfic
nhan h6 so nang
Gia,tri hop diing con lai chua &roc thanh toan tinh tat died diem 28 ngay truerc ngay c6 died
diem ket thfic !than ho so fling lye.

ngety thong noun

031 DIEN DOI' PH3.13 CUA DON VI V3N TA!
(GM ten, chuc danh, 1c57 ten va d6ng &Au)
 23

Mu sO 10.
<Don vi van tai> CONG HOA xA HOI CHIJ NGILIA VIET NAM
Doc lap - Tu• do - Hanh pluic

Thanh pha fla Chi Minh, ngay thing nam 2022

HOP BONG TUONG TV DO DON VI VAN TAI THIX HIEN (1)

Ten don vi van [ghi ten day dñ caa don vi van
Thông tin vetfrng hop dMa, m6i hop tthng can bao dam cac thông tin sau day:
Ten va se hop (tang [ghi ten day chi cart hop dang, sa Igi hieu]
Ngay ky hcrp deng [ghi ngily, thing, nom] z4.1"TRI
Ngay hoan thanh [ghi ngay, thang, ndm] GIA
CO
[ghi fang gia hop clang bang so den Tuang dining VND
Gia hqp deng va tong tien dd ky]
i
Trong twang hop la thanh vien•
[ghi x den va, Tucmg throng
phan trim gia [ghi so TAM
trong lien danh hoac nha th'au hop i
tong trong tong doing tien dc,i 0!
pho, ghi gia tri phan hop dong G
gia hop clonal V/
ma Don vi van tai dam nhie'm
Ten do an: Ighi ten clay
' da cita die an có hop thing dang ke khai] .V
Ten Chil Au tu: Ighi ten day dzi clia chili ddu tit trong hop d'ang dang ke khai]
Dia chi: [ghi day dit clia chi hien tai cita chit dau tit]
Dien thoai/fax: [ghi so then thoai, sa fax id ca Ind quac gia, mil viing, dia chi
E-mail: e-mail]

MO ti tinh chat lining to (2)

Loai dich vii [ghi thong tin phis hop]
Ve gia tri ighi sa tin bang VND]
ve quy mo thoc hien [ghi quy mo theo hop clang,'
Cac dc tinh khac fghi cac dac tinh khac nau ca'n thilt]

Don vi In tai phai gfri kern:the° ban chop cac van ban, tai lieu lien quan den cac hop deng d6
(xac nhan cfra ChU dau tu ye hop &Mg da hoan thanh theo cat nOi dung lien quan trong bang
tren...).
Ghi chti:
Trong truemg hop lien danh, tir'ng thanh vien trong lien danh k8 khai theo MAu nay.
Don vi van tai chi ke khai nOi dung tucmg to vai yeu eau.

, ngay thang nom

041 DIEN HOP PHAP CiJA DON VI VAN TA!
(Ghi ten, chirc danh, lcY ten va dOng du)
 24

Min sti 11.

<Dan vi van thi> ONG HOA XA HO CHO NGICIA VIET NAM
Doc lap - Ttr do - Han h phtic

Thanh phi; Ha Chi Mink ngay thang nom 2022

ICE KHAI DANH SACH PHIJONG TIEN HOST DONG TREN TUYEN
BEN XE AN WONG — BEN XE BIEN HOA

Thu& Silheru S6 chi (ke ci chi Lit let Dern et cung eipThitt ,
Tin S6 Gigy it gain sit hinh Tit& bj bin xi
Minh Mk Nita sin
Sit ding it ding kt hint]
Bii viin g6p ding ks, cbg ngli Chi dung unit (C6/Idning)
Omni SO Ti A xe6 to
YOB (C6/1Ching)
(I) (2) (3) (4) (5) (6) (7) (8) (9) (10) (ii)

Chting tin xin chiu trach nhie'm fru& phap luat v cac nOi dung ke khai neu tren va cam
ket:
+ Phuang lien thuOc quyên so hint hoe quyen sir dyng .hgp phap theo hop dtng thue
phuang tin bang van ban elm Dan vi van tai vai to chirc, cá than hoac hap d8ng hap the lcinh
doanh theo quy dinkcita phap luat. Truemg hgp xe clang k9 thuec se. him dm thanh vien hap
the xä phai et hgp tong dich vi giira thanh vien vei hgp the xa, trong do quy dinh hap the xa
c6 quyen, trach nhiem va nghia vy quart ly, sir ding, dieu bath xe 8 to thuOc so haft elm thanh
vien hgp the IA.
+ Co day du' cac ht so c6 lien quan etei chimg mitt phucmg lien dang k9 tren thuOc quyen
quan 19, khai flak sir dyng elm cluing toi theo quy dinh cita phap luat.
+ Cac thiet bi duce lap dal tren xe nhu thiet bi giam sat harth trinh, camera gram sat, wifi
&rye chimg toi ky ket va trien khaiyai the don vi cung img dich vv dit nang lye va dieu kien.
Cac thiet hi dam bao dirge hap chuan, hgp quy,theo quy dinh cita phap luat.
+ Doi vOi truemg hap phucmg lien dy kien dau ttr: Dan vi van tai np hgp dling nguyen
the ved ben cung cip phuang tien kern bang thong so ky thuat elm phuang tin cam ket cung
cap cho tuyen. Thai gian dua phucmg tin vao dam nhan tuyen muOn that la 90 ngay ke tir ngay
c6 quyet dinh don vi van tad dit nang lye dam nhan tuyen. Tnrimg hap don vi van tai Idiong dap
(mg dñ cac xe clang nhu yeu ca'u thi xem nhu Dan vi van tai da vi pharn hgp Tsang, Don vi van
tan phai chiu trach nhiem va thyc hien theo yeu cau cna ca quan quan 19 Nha nude ea, them
quyen.
+ Trueng hap, chung thi duce lya chgn dam nhan cung pap dich vy van tai hanh khaeh
cOng cOng tren tuyen xe bu9t lien firth lien ke khong tro gia Ben xe An Strang — Ben xe Bien
Wm, chimg toi cam ket thye hien tho tie xin cap phep phit hieu xe buStt dôi vOi phucmg lien
hot dOng Yen tuyen nay theo quy dinh voi so Itrang nhu sau: Tai Thanh pho HO Chi Minh 06
xe (tucmg throng 50% so lugng xe) va tai tinh Hong Nai 06 xe (ttrcmg throng 50% só lugng xe).

, ngery (hang ncim

031 din hop phap clia Dan I/ van tai
(Ghi rO ten, chire danh, ksr ten va dong dal)
 25

Mlu sit 12.

<Dan vi In tai> CONG HOA xA HOI CHE NGHIA VIET NAM
Doc lap - Tit' do - Hanh phtic

Thanh ph a Ha CM Mink ngliy thOng nam 2022

PHUONG AN DSU DO PHUONG TItN HOST HONG TREN TUYEN

BEN XE AN MANG — BEN XE MEN HOA

Kinh Trung tam Quan 1 Giao th8ng c6ng cOng Thanh phi.; H6 Chi Minh

Dan vi van tai:

Dia chi:
Cac phucmg tin tham gia dam nhan tuyen Ben xe An Strong — Ben xe Bien H6a
'MN

dia chi sau:

Bien Se chi) Dia chi
STT
ding 14 Chi; thing Ch8 ngtoi dli xe (*)
1
2
...

Dan vi Van tai xin earn ket nhang nOi dung neu tren la ding sr that. Neu cat gi
khong dung, Dan vi van tAi xin chiu trach nhiem truac phap luat.

ngay (hang... nom....

Di din hcrp phip cüa Dan vi vin tat
(Ghi 1.8 ten, chat danh, 19, ten va clang du)
 26

Nth s6 13.
<Don vi van tai> ONG 116A XA HQ! CHU NGHIA VItT NAM
Dc lap - Tv do - Hanh phtic

Thanh pha HO Chi Minh, ngay thing ?lam 2022

BAN CAM KET

Du to va t6 chfrc thvc hien cOng tfic duy tu, bao tri theo quy dinh di voi cfic
diem ding don tra khich dove be sung tren dia phan tinh Binh Throng

Kinh Trung tam Quan ly Giao thong cong cOng Thanh phô He Chi Minh

Don vi van tai:

Dia chi
Dien thoai Fax
DM din theo phap luat• Chire
[Ghi ten Dan vi van tag cam ket dAu tu vã t6 chile thirc hien cong tac duy tu, bao tri
theo quy dinh,doi yeti cac diem dimg don tra khach dirge be sung ten dia phan tinh Binh
Ducmg, ea the:
+ Nha truyen thong Di An (duang Nguyen An Ninh);
+ Truang ti6u hgc Di An (duang Nguyen An Ninh);
+ Tim sfra chfra may vi tinh Trung Chinh (duemg Le Wing Phong);
+ Shop ban quart ao (duang Le Hong Phong);
+ Cong vien khu phi') Tan Thang (dirang Nguyen Thi Minh Khai);
+ Shop Tnic Linh (throng Nguyen Thi Minh Khai);
+ Van pheng giao dich BDS Manh Cueing ((Wang Nguyen Thi Minh Khai);
+ D6i din UBND phtrimg Tan ThAng (duang Nguyen Tbi Minh Khai);
+ De Ge Ming Nhung (duemg Le Hong Phong);
+ Buu din thanh phi.; Di An (duemg Le Wing Phong);
+ Trtrerng lieu h9c Di An (duang Nguyen An Ninh);
+ Nha truyen thong Di An (diremg Nguyen An Ninh).
[Ghi ten Dan vi van tin] cam ket hohn thin day dii the he sa phap b?, t6 eh& thi ding,
darn bao chat lugng (dirge nghiem thu theo quy dinh) va dirge dua vao sir clang maxi nhat
la 30 ngay k ter ngay co quyet dinh giao tuyen chinh thirc; thirc hien c8ng tac duy tu, bao
tri, khai thac doi vori cac diem dimg don tra khach tren theo quy dinh va huangran efia
SO Giao thông van tai tinh Binh Duang trong thai gian dam nhan lchai thae tuyen. Thirc
hien ban giao lai cho SO Giao thong van tai tinh Binh Duang khi ket thile theri gian darn
than tuyen theo quy dinh.
 27

Viec sir dung cac vi tri diem dimg don tra khach nay thgc hien theo quy dinh va huong
dlt cUa Ser Giao thong van tai tinh Binh Ducmg dei voi cac loai hinh kinh doanh va‘n tai
bang xe ô to.
, ngiry .... thing ... nãm
DO diet' hap phip cfia Dan vi van tai
(Ghi re ten, chile danh, Icy ten va thing dau)
 28

Mk sici 14.

<Don vi van tai> CO: NG HOA Xit HQ' CHU NGHIA VItT NAM
DOc lap - Ty do - Hanh ph&

Thanh pM Ha Chi Minh, ngay thcing nam 2022

KE ICEIAI NANG LC, KWH NGHIEM QUAN Lt DIEU HANH CI:JA

DON 'VT VAIN TAI TRONG LINH VI1C V4N TAI HANH ICIIACH BANG
xE Butr

Ten Don vi van tai:

- Dia chi:
58 lugng xe but hien co: ....phucrng tien. Trong do:
SO phuong tin thuOc so hem dm <Don vi van tai> 1a.• phucmg tin
- SO phucmg tien thuOc sO hiTru cüa thanh vien la • phuong tin
3. Tong s8 lao dOng hie'n co • ngutri.
Can b0 quan ly va chuyen mon tai <Dun vi van tai > ngutri
119 vi Trinh di) SoáA n ,..
Stt Chet vu A
ten • 119c van Chuyen m8n cling tic
1
2
'•'
3.1. Tong s6 can b0 nhan vien b0 phan dieu hanh: ngutri
Hqp diong lao dOng BHXH
Ngiy thing st
119 aim sada St Nghe HIM, Mc hqp u. Chem aim Chi
STT vi
ten CMND/CCCD nghidp SS Ngay dong 4II dank Mi st Timm thug chit
boo tic
tuyin HD kt Tit Den . chuyen BliXH gia
Nam NA. dong
Ming ngay ogay mon
I
2

3 2. TOng sO can IN) va nhan vien thuOc b0 phan k'e tom: ngued
NO), Hop dang lao dung BHXH
Sti
Ho thing Hien lot
STT vinam sinh
só Nghe
Lo •.
Choy nam Ghi
CMND/CCCD nghiep S6 Ngity hop done daub Ma s6 Tham rang cite
ten i hop
Nam Ner
tuyin HD ks, Tir Den Ilan chuyen BHXH gia tat
dung ugly ngay g man
1
2
••
3.3. BO phan Tan 1, theo d6i cac dieu kin ye an toan giao thong-
H9 vi Trinh di) SO nam
Stt Chit v u A
ten • H9c van Chuyen man cling tic
1
2
"•
 29

3.4. BO phan theo dOi, xfx ly thong tin tir thiet 131 giam sat hanh trinh:
Hy vi , Trinh dO SO nam
Stt Choc vu
ten • Hyc van Chuyen mon ding Mc
1
2
••
3.5. Ring so lai xe vi nhan vien phi,tc vu tai <Dan vi van tai>:
Stt MST Ten thy& SO lai re SO nhan vier' phyc vy tren xe
1
2

Chong tOi xin cam ket nhftng nal dung ke khai tren la hoan toan dung str that,
chfing tort xin chin trach nhiem fru& phap luat ye viec ke khai nay.
(Ghi chic N'eu tham gia voi tu• each lien danh thi mai thanh vien lap rieng 1 ban theo
mciu nay).

, ngety thang
Dyi (lien hqp phi') cfia Dan vi Von tãi
(GM r6 ten, chirc danh, ky ten va dong du)
 30

Min sip 15.

<Don vi van tai> CONG HOA xA HOI CHU NGITIA WET NAM
Doc - Tut do - Ha n h pluic

Thanh pha Ha Chi Minh, ngety thdng nein: 2022

Id KHAI DANH SACH LAI XE HOAT BONG TFIEN TUYEN

BEN XE AN WONG — BEN XE BIEN HOA

Trinh Gigy phep lei se

Th?ri hon Gigy chfrng Mien tep ham
Ho ye Nam SO de
ThiYi nghiep vo, nfing cao trach nhiem, do dirc
Sft ten sinh CMND hyc Hong han
nghe nghiep
van
(1) (2) (3) (4) (5) (6) (7) (8)
1
2
...

Chang lei xin chiu trach nhiem truot phap luat v ck nei dung ke khai neu tren va cam
ket:
+ Time hien day da viec k9 hop Mng lao dOng, thing ck loai bao him, t6 chirc kham
sirc khoe dirt kjr (theo Thong tir lien tich so 24/2015/TTLT-BYT-BGTVT ngay 21 thing 8
n;a4n 2015 caa BO truerng BO y te va BO truang BO Giao thong van tai va giay kham sire khee
xe con hieu hrc thi hanh) va thvc Men day da cac quyen lyi cüa lai xe theo quy dinh ciia
phip1uat ve lao dOng.
+ Lai xe thea man cac tieu chuin quy dinh tai Dieu 9 caa Quyet dinh so 20/2014/QD-
UBND ngay 30/05/2014 ciia tfy ban than dan Thanh phi) ye Quy dirt to chive, quart 19, khai
thac boat dOng van tai hanh khach bang xe buSrt tren dia ban thanh phe H6 Chi Minh.
+ Lai xe ichong nam trong dart sach do Trung tam Quan19 Giao theng cong cOng thong
bao da bi chain dirt quan he lao dOng, bi sa thai tir cac Dan vi van tai Ichac vi vi pham quy dinh
ve boat &Ong xe bu9t tren dia ban thanh pho HO Chi Minh.
, ngay thcing neim
Dal then Iwp phap ctia Don vi In tai
(Ghi rO ten, chirc danh, k9 ten va thing du)
 31

Mau s6 16.
<Dan vi van tai> CONG HOA xA HO CHU NGHIA VIET NAM
D6c lao - Ty do - Hanh ph&

Thanh pho Ha Chi Mink ngay tháng nam 2022

icE 1CHAI DANH SACH NHAN \TIEN PRIX VV HOST BONG TREN TUYEN
BEN XE AN SUONG — BEN XE MEN HOA

HQ vh Nem S6 Trinh (10 Thtri hyn Grey chl-ng nhen rep huen nghiep vy, Fling eh
S tt . A
ten sinh CMND hcx vim nhiem, do dot nghe nghiep A M to,
(1) (2) (4) (5) i
(3) (6)
'1N G ,
1 . HG --i-,
2 4#

Ching t8i xin chiu tract' nhiem truck phap luat ve the nol dung ke khai neu tren
va earn ket:
+ Thgc hien day dil viec 19? hgp ding lao dOng, thing cac loai bao hiem, to chirc
kham the khoe dinh ky va thgc hien day da cac quyen lgi eüa titian vien phue vu tren xe
theo quy dinh cüa phap luat ve lao dOng.
+ Nhan vien phuc vu tren xe thee man cac tiêu chuan ' quy dinh tai Dieu 9 co a
Quyet dinh so 20/2014/QD-UBND ngay 30/05/2014 tha fly ban nhan dan Thanh ph8
ye Quy dinh t6 chat, quan 1Y, khai tilde hoat dOng van tai hanh khach Wang xe bitYrt tren
dia ban thanh pho H6 CM Minh.
+ Nhan vien phvc vg tren xe khong nim trong danh sach do Trung tam Quin ly
Giao thong cong cOng thong bao da bi cham dirt quan h lao dOng, bi sa thai tit cat Dern
vi van tai khac vi vi pham quy dinh ve hot dOng xe butt tren dia ban thanh pho Ho Chi
Minh.
, ?way .... thang ... nom ....
031 din hqp phap ciia Dom vi tai
(GM ro ten, chIrc danh, kyr ten va &gig &Au)
 32

Mau sO 17.
<Don vi van tai> CONG HOA Xi HOI CHU NGHIA V1tT NAM
Dac - Tcr do - Ha nh phoc

Thanh pho Ha Chi Mink ngery thang niim 2022

BAN CAM KIT

That hian nghla va vi trach nhiam ciia Dan vi van tai

Kinh gid: Trung tam Quan Giao thOng c6ng cOng Thanh phi; HO Chi Minh

Don vi van tai:

Dia chi
Dien thoai Fax
Dai din theo phap luat• Chile vii:
Don vi van tai cam ket thoc hien dAy cin viec ky hop din lao &Ong, &Mg cac loai bao
him, t6 chnt kham sire kh6e dinh va thoc hien day âü cat quyen lgi cüa ngirai lao
dOng (bao grim ca lai xe, nhan vien phoc tren xe) theo quy dinh cüa phap luat ve lao
&Ong.
Trong qua trinh th(rc hien cO phat sinh tranh chap MI Don vi van tai së hoan toan chiu
trach nhiem theo quy dinh cUa phap luat.
, ngiry thang nam
Dal din him phap caa Dun vi van tai
(Ghi 1.6 ten, chat danh, ky ten va thing du)