Off Airport Parking Courtesy Vehicle Permit Application

December 22, 2017
RE: Oakland International Airport – 2018 Ground Transportation
Off-Airport Parking Courtesy Vehicle Permit Application Package
To Whom It May Concern:
Thank you for your interest in providing ground transportation services at Oakland International
Airport (OAK). The 2018 Ground Transportation Permit application is attached for your
convenience. When submitting your application package, please ensure that copies of all
requested documents are attached to the application. Please allow ten (10) business days for
your application to be processed. Incomplete applications, including applications lacking any
required attachments, will not be processed and will be returned.
Deadline:
The deadline for submitting Off-Airport Parking Courtesy Vehicle Permit Application Packages
to the Ground Transportation office is March 30, 2018.
New and Renewal Applicants:
All applicants must submit an application package with the required documents and the non-
refundable application fee. Companies that are currently operating at OAK should complete the
Renewal Application in the attached package and submit the required documents, along with any
updated information required in the application package. Renewal applicants are not required to
complete a New Application package. Applications are available online at
www.oaklandairport.com/permits/. Applications must be approved by the Airport or your
company will not be authorized to operate at OAK. Companies with outstanding fees cannot
obtain permits.
Application Submittal:
If you need assistance with the completion of your application package, please schedule an
appointment by calling (510) 563-2897. Appointments are required to meet with Ground
Transportation Staff. Office hours are 9:00 a.m. to 4:30 p.m. Monday through Thursday.
Permit applications can be submitted in person or by mail:
1. Drop-off: No appointment is necessary to drop off completed application packages, which

can be dropped during business hours at the Ground Transportation office counter; or
during off hours by depositing your completed application into the drop box located on the
left side of the ID Badging office, which is next to the Ground Transportation office. Look
for the white drop box built into the left-side wall.
2. Mail: Application packages can be mailed to: Ground Transportation Office, Oakland
International Airport, One Airport Drive, Box 45, Oakland, CA 94621.
Submitted applications must include:
 Completed application package

 Payment for application fees – Credit card, business check, money order, cashier check
 Transponder fee for each vehicle – $50.00 per vehicle (see GT Fee Schedule)
 Driver Roster - Full name, address, telephone number of each driver (see attached)
 Copy of current and valid TCP or PSC certificate
 Vehicle Equipment statement – list all vehicles to be included in the permit to
operate. Include transponder numbers for any San Jose transponder already
installed on each vehicle (see attached)
 Copy of current vehicle registration
 Documentation of CHP inspections
 Schedule of fares to be charged to passengers (if applicable)
 Evidence of Insurance – each qualified operator shall provide
 Accord insurance certificate (see attached)
 Designated Insured Endorsement (see attached)
 Commercial General Liability and Automobile Liability
 Worker’s Comp (if you have employees)
Sub-Carrier Company (if any) Required Information:

 Sub-Carrier Application (for Sub-carriers providing service under someone else’s,
(applicant’s) business name)
 Notarized copy of contract between applicant and sub-carrier
 Sub-carrier submits notarized release from agreement from any other carrier
 Copy of current and valid TCP or PSC certificate
 Copy of current vehicle registration
 Evidence of Insurance – each qualified operator shall provide
 Accord insurance certificate (see attached)
 Designated Insured Endorsement (see attached)
 Commercial General Liability and Automobile Liability
 Worker’s Comp (if you have employees)
Page 2 of 3
Incomplete applications will not be processed and will be returned. Once the application
review process is complete, you will be contacted to have your vehicle(s) inspected by Ground
Transportation staff. All payments must be made by credit card or with a bank-cashier’s
check, business check, or money order, payable to the Port of Oakland. Personal checks will
not be accepted.
Automated Vehicle Identification (AVI) Transponder Requirements:
AVI transponders shall be installed on all vehicles that operate at Oakland International Airport.
Airport Rules and Regulations (Port Ordinance 4445) Section 8.1(e) requires that each Qualified
Operator, Partially Exempt Qualified Operator, and Exempt Qualified Operator shall pay a non-
refundable $50 Operator Transponder Fee per vehicle. This fee shall be returned only if the
applied-for permit is not issued.
Insurance Requirements:
Insurance requirements are specified in the application package and proof of same shall be
submitted in the application and mailed to the Risk Transfer Office, Oakland International Airport,
One Airport Drive, Box 45, Oakland, CA 94621. The appropriate level of insurance must be
provided with the proper endorsements as specified. OAK Ground Transportation Permits will
not be issued if these amounts are incorrect.
We value our partnership with your business in providing ground transportation services at OAK.
If there are any questions or concerns, please contact the Landside Ground Transportation Staff at
(510) 563-2897.
Sincerely,
Stephen Gordon
Airport Business Manager
Page 3 of 3
OAKLAND INTERNATIONAL AIRPORT
GROUND TRANSPORTATION GENERAL APPLICATION
GENERAL REQUIREMENTS
The documents listed below must be included and submitted together in each application submittal. Failure to
submit all required documents will result in an incomplete application which will be returned to the applicant.
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. 4445, effective January 1, 2018. This is the controlling document for all
operational, legal and financial matters related to Airport Ground Transportation.
ITEMS NEEDED TO PROCESS OFFICE USE ONLY

INCLUDED
APPLICATIONS NOT
NOTES
INCLUDED
1 Completed Application
2 Business License (City doing business in)
3 Complete Driver Roster
4 Insurance – General/Auto/Workers Comp (if required)
5 Vehicle Equipment Statement
6 Vehicle Registration (copy)
7 CHP Vehicle Inspection Certificate (if required)
8 Fare Schedule / Approved CPUC Tariff List

(On-Demand Operators only)
SUBCARRIER INFORMATION (if Applicable)
1 Notarized copy of contract between subcarrier and main carrier
2 Completed Subcarrier Form
3 TCP or PSC Certificate (Hotels Exempt)
4 Insurance - General/Auto/Workers Comp. (if required)
5 Vehicle Registration
REVIEWER SIGNATURE:
Company Name:
2018 General Ground Transportation Application Package – Off-Airport Parking Courtesy Vehicle Permit
Page 1 of 11
APPLICATION FEES TO BE INCLUDED WITH THIS PACKAGE

All applicants must submit an application package with the required documents and the non-refundable
application fee. The applicant acknowledges the application fee submitted does not include any required
security deposits and/or transponder fees. Once the application review process is complete, Ground
Transportation staff will contact you with instructions to submit the required security deposit, transponder fees
and/or to schedule appointments to have your vehicle(s) inspected and permitted.
CHOOSE ONE OF THE PLAN OPTIONS BELOW

Plan A - Qualified Operator. This plan is for operators who make more than 120 trips per year.
$ 300 New Operator Application Fee
Renewal Application Fee:
$200 - if renewed before the annual permit expires.
$250 - if renewed up to 30 days after the expiration of the Annual Permit Period.
Plan B - Partially Exempt Qualified Operator. This plan is for operators who make 60 trips per year or less.
No Security Deposit is required and Operator cannot operate a Courtesy Vehicle, Bus and/or any Vehicle over
30 feet long.
$ 222 Application Fee
Plan C - Exempt Qualified Operator. This plan is for operators who make 120 trips per year or less.
No Security Deposit is required. Operator cannot operate a Courtesy Vehicle, Bus and/or any Vehicles over 30
feet long and makes no more than 120 trips per year.
$ 444 - Application Fee
The applicant acknowledges the application fee submitted does not include any required Security Deposits
and/or Transponder Fees.
Signature Print Name Date
All payments must be made by credit card or with a bank-cashier’s check, business check, or money order,
payable to the Port of Oakland. Personal checks will not be accepted.
Page 2 of 11
GENERAL APPLICATION
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 abide
by the Airport Rules and Regulations outlined in Port Ordinance 4445 and subsequent amendments and revisions.
BUSINESS INFORMATION
Company Name: Tenant #
DBA: PSC/TCP Permit #
Company Address:
(Physical Address – No PO Boxes accepted)
City: State: Zip:
Mailing Address
(If different from above)
City: State: Zip:
Email Address:
Phone Number: Ext: Fax Number:
CONTACT INFORMATION
Contact Name:
Contact Title:
Contact Phone # Contact Cell Phone #
Contact Email Address:
(Check this box if you would like to be listed on the Oakland Airport Website.)
Authorized Signature: Date:
Page 3 of 11
SUB-CARRIER APPLICATION
(Each Sub-Carrier Must Fill Out This Form)
SUB-CARRIER CONTACT INFORMATION
Company Name: PSC/TCP Permit #
Contact Name:
Contact Title:
Company Address:
(Physical Address – No PO Boxes accepted)
City: State: Zip:
Email Address:
Contact Phone # Contact Cell Phone #
Contact Email Address:
Driver’s License: State: Expiration Date:
EMPLOYER INFORMATION
Company Name:
PSC/TCP Permit # Vehicle #
Note: Must include a notarized copy of contract between subcarrier and main carrier.
I certify to the best of my knowledge the above information is correct and true.
Sub-Carrier Signature: Date:
Page 4 of 11
DRIVER ROSTER INFORMATION
Every application must include a driver roster along with a photocopy of the California Driver License for all drivers listed. The driver roster
shall, at a minimum include the following information listed on the sample below.
Please complete the table below, or you may submit the requested information in an excel spreadsheet (preferred).
Company Name:
Driver License License Zip Telephone

Last Name First Name Address State
Number Class Code Number
1.
2.
3.
4.
5.
6.
Use additional pages if needed.
Page 5 of 11
EQUIPMENT STATEMENT
Please attach copies of the following documents for each vehicle to this form: Valid Vehicle Registration (copy), CHP Vehicle Inspection.
Failure to submit current documents, per vehicle listed below, will result in an incomplete application and permits will not be issued.
Please complete the table below, or you may submit the requested information in an excel spreadsheet (preferred).
Company Name:
Vehicle License VIN Number Make & Vehicle Year Fuel Number of OAK AVI Airport Permit
Plate Number Model Manuf. Date Type* Seats Tag Number Number
1.
2.
3.
4.
5.
6.
*Indicate the following fuel type vehicle
D – Diesel C-CNG H-Hybrid G- Gas F –Fuel Cell P-Propane E – Electricity ET- Ethanol ME- Methanol HY – Hydrogen
Page 6 of 11
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.
Company Name:
DBA:
Print Name:
Signature:
Date Signed:
Telephone Number:
Email Address:
Page 7 of 11
GROUND TRANSPORTATION FEES
*The following is only a summary of fees provided for convenience. All required fees are set forth in
the Airport Rules and Regulations, Appendix A, which shall control.*
Airport Rules &

Description Fee
Regulations Section
Permit Application Fee: Qualified Operator

o This plan is for operators who make more than 120 trips per year.
$300
Permit Application Fee: Partially Exempt Operator
8.1(d) $222
o This plan is for operators who make 60 trips per year or less.
$444
Permit Application Fee: Exempt Operator
o This plan is for operators who make 120 trips per year or less.
8.1(e) Operator Transponder Fee per Vehicle $50
8.1(m)(3) Permit Renewal Fee: Before end of Annual Permit Period $200
Permit Renewal Fee: Up to 30 Days Past End of Permit Period $250
8.2(b) Taxi Permit Application Fee $300
Taxi Permit Renewal Fee Before end of Annual Permit Period $200
8.2(c)(1)
Taxi Permit Renewal Fee: Up to 30 Days Past End of Permit Period $250
8.2(h) Taxi Permit Transfer Fee $50
8.5(b)(6) Taxi Transponder Fee $50
Limousine Per Trip Fee: Non-Alternative Fuel Vehicle $3.70
8.7(a)(1)
Limousine Per Trip Fee: Alternative Fuel Vehicle $3.35
$3.70
Door-to-Door On-Demand Shuttle Per Trip Fee: Non-Alternative Fuel Vehicle
8.7(a)(2)
Door-to-Door On-Demand Shuttle Per Trip Fee: Alternative Fuel Vehicle
$3.35
Door-to-Door Reservation Shuttle and Scheduled / Charter Operator Per Trip Fee:
$3.70
Non-Alternative Fuel Vehicle
8.7(a)(3)
Door-to-Door Reservation Shuttle and Scheduled / Charter Operator Per Trip Fee:
$3.35
Alternative Fuel Vehicle
8.7(a)(4)(i) Hotel Courtesy Vehicle Per Trip Fee $3.35
8.7(a)(4)(ii) Parking Courtesy Vehicle Per Trip Fee $3.35
Airport Permit Dwell Time Fee per minute (or portion thereof) in $0.50; up to
8.7(a)(5)
excess of 30 minutes $50/trip
Partially Exempt Qualified Operator: Annual Fee $222
8.7(a)(6)
Exempt Qualified Operator Annual Fee: Annual Fee $444
Airport Permit Security Deposit – per vehicle fee for first 5 vehicles $500
8.7(b)(2)
Airport Permit Security Deposit – per vehicle fee after 5th vehicle $50
Taxi Per Trip Fee: Non-Alternative Fuel Vehicle $3.70
8.7(c)
Taxi Per Trip Fee: Alternative Fuel Vehicle $3.35
8.7(d) Taxi Lost/Damaged Transponder Fee $50
TNC Per Trip Fee: Non-Alternative Fuel Vehicle $3.70
8.7(e)(1)
TNC Per Trip Fee: Alternative Fuel Vehicle $3.35
TNC Security Deposit Amount: 3 Months of Monthly Permit Fee Revenue, as Company-
8.7(e)(3)
determined by the Port specific
Page 8 of 11
APPLICATION SECURITY DEPOSIT AND TRANSPONDER FEE CALCULATIONS
Company Name:
CHOOSE ONE PLAN BELOW:

Plan A - Qualified Operator: This plan is for operators who make more than 120 trips per year.
 New Operator Application Fee = $300.00
 Renewal Application Fee

o (if renewed before the annual permit expires = $200)
o (if renewed up to 30 days after the expiration of the Annual Permit Period = $250)
Plan B - Partially Exempt Qualified Operator: This plan is for operators who make 60 trips per year or less.
 Application Fee = $222.00

(No Security Deposit is required. Operator cannot operate a courtesy vehicle, bus or any vehicle over 30 feet long).
Plan C - Exempt Qualified Operator: This plan is for operators who make 120 trips per year or less.
 Application Fee = $444.00

(No Security Deposit is required. Cannot operate a Courtesy Vehicle or vehicles over 30 feet long & makes no more than 120
trips per year).
SECURITY DEPOSIT (Not required for Plans B or C above or if previously paid and at proper amount.)
 Refundable Security Deposit (1 to 5 vehicles) = $500

 Security Deposit for each additional vehicle
50
o Number of Additional Vehicles________ X $ 0.00
Note: All vehicles must have a transponder.
TRANSPONDER FEES
 New Transponder Fee = $50 per vehicle 0.00
50
o Number of Vehicles ________ X $
 Transponder Fee for each additional vehicle
50
o Number of Additional Vehicles ________ X $ 0.00
SECURITY DEPOSIT AND TRANSPONDER FEE TOTAL: 0.00
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.
Signature Print Name Date
Page 9 of 11
INSURANCE REQUIREMENTS
LIMOUSINES and CLASS C VEHICLES (Seating Capacity 7 or Less)
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 limousines and
Class C vehicles with seating capacity of 7 or fewer passengers:
1. Business Automobile Liability: $750,000 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.
SHUTTLES and BUSES (Seating Capacity 8 to 15)

the Airport Risk Transfer Office. Minimum Required Insurance and limits are shown below for vehicles with
seating capacity of eight (8) to fifteen (15) passengers:
1. Commercial General Liability: $1,000,000 per occurrence and general aggregate,

2. Business Automobile Liability: $1,500,000 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,
3. Worker’s Compensation: Statutory,
4. Employer’s Liability: $1,000,000 per accident/policy limit by disease.
BUSES (Seating Capacity 16 or More)

the Airport Risk Transfer Office. Minimum Required Insurance and limits are shown below for vehicles with seating
capacity of 16 or more:
1. Commercial General Liability: $1,000,000 per occurrence and general aggregate,

2. Business Automobile Liability: $5,000,000 per accident (or as required by the Public Utilities Commission,
whichever limit is higher), owned, non-owned and hired vehicles. If vehicles are on a “scheduled” basis, please
provide schedule,
3. Worker’s Compensation: Statutory Limits,
4. Employer’s Liability: $1,000,000 per accident/policy limit for disease.
Page 10 of 11
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
Airport Risk Transfer Office
Phone: 510-563-3631
Email: risktransfer@portoakland.com , aforte@portoakland.com
Clear Form
Page 11 of 11

Off Airport Parking Courtesy Vehicle Permit Application

Uploaded by

Document Information

Original Description:

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Off Airport Parking Courtesy Vehicle Permit Application

Uploaded by

Copyright:

Available Formats

December 22, 2017

RE: Oakland International Airport – 2018 Ground Transportation

Off-Airport Parking Courtesy Vehicle Permit Application Package

To Whom It May Concern:

New and Renewal Applicants:

Permit applications can be submitted in person or by mail:

1. Drop-off: No appointment is necessary to drop off completed application packages, which

Submitted applications must include:

 Completed application package

Sub-Carrier Company (if any) Required Information:

Automated Vehicle Identification (AVI) Transponder Requirements:

ITEMS NEEDED TO PROCESS OFFICE USE ONLY

2 Business License (City doing business in)

3 Complete Driver Roster

4 Insurance – General/Auto/Workers Comp (if required)

5 Vehicle Equipment Statement

6 Vehicle Registration (copy)

7 CHP Vehicle Inspection Certificate (if required)

8 Fare Schedule / Approved CPUC Tariff List

SUBCARRIER INFORMATION (if Applicable)

1 Notarized copy of contract between subcarrier and main carrier

2 Completed Subcarrier Form

3 TCP or PSC Certificate (Hotels Exempt)

4 Insurance - General/Auto/Workers Comp. (if required)

APPLICATION FEES TO BE INCLUDED WITH THIS PACKAGE

CHOOSE ONE OF THE PLAN OPTIONS BELOW

$ 300 New Operator Application Fee

Renewal Application Fee:

$200 - if renewed before the annual permit expires.

$ 222 Application Fee

$ 444 - Application Fee

Signature Print Name Date

DBA: PSC/TCP Permit #

City: State: Zip:

City: State: Zip:

Phone Number: Ext: Fax Number:

Contact Phone # Contact Cell Phone #

Contact Email Address:

Authorized Signature: Date:

SUB-CARRIER CONTACT INFORMATION

Company Name: PSC/TCP Permit #

City: State: Zip:

Contact Phone # Contact Cell Phone #

Contact Email Address:

Driver’s License: State: Expiration Date:

PSC/TCP Permit # Vehicle #

Sub-Carrier Signature: Date:

Driver License License Zip Telephone

Use additional pages if needed.

*Indicate the following fuel type vehicle

IF YOU DO NOT HAVE EMPLOYEES

Please have an authorized Company Representative complete the information below.

GROUND TRANSPORTATION FEES

Airport Rules &

Permit Application Fee: Qualified Operator

CHOOSE ONE PLAN BELOW:

 New Operator Application Fee = $300.00

 Renewal Application Fee

 Application Fee = $222.00

 Application Fee = $444.00

 Refundable Security Deposit (1 to 5 vehicles) = $500

SECURITY DEPOSIT AND TRANSPONDER FEE TOTAL: 0.00