Drivers Permit Application Page 3

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City of Arlington, Texas
Pedicab/NEV Driver Permit Application
DECLARATION OF APPLICANT
Pedicab/NEV driver permits are a means of administrating a process and do not constitute property or rights to property
for driver permit holders and as such, no property rights or interests are created by the submittal of a Pedicab/NEV
Driver Permit Application. A Pedicab/NEV Driver Permit has no value and cannot be transferred, pledged as a security
interest, or be subjected to execution by a judgment holder or bankruptcy estate. The City of Arlington reserves the right
to stop Pedicab and NEV services at any time without providing compensation or to modify or revoke a Pedicab/NEV
Driver Permit without providing compensation. Whenever use of public right-of-way for public purposes prevents the
operation of a Pedicab or NEV, the Pedicab/NEV Driver Permit is not entitled to compensation for losses resulting from
the loss of use of such right-of-way. Nothing contained in this Application shall be construed to create any liability
against the City.
RELEASE, DEFEND, HOLD HARMLESS, INDEMNIFY
____________ (Applicant) FULLY RELEASES THE CITY OF ARLINGTON, ITS AGENTS, CONTRACTORS,
EMPLOYEES, ASSIGNEES AND OFFICIALS THEREOF, FROM ANY AND ALL LOSS, DAMAGE, LIABILITY, CLAIM, EXPENSE,
SUIT, OR DEMAND OF ANY KIND WHATSOEVER ARISING OUT THE SUBMITTAL, ACCEPTANCE, PROCESSING, DENIAL,
OR APPROVAL OF THIS APPLICATION AND OUT OF THE APPLICANT’S PEDICAB AND/OR NEV DRIVER OPERATIONS AND
AGREES TO DEFEND, INDEMNIFY, AND HOLD HARMLESS THE CITY OF ARLINGTON, ITS AGENTS, CONTRACTORS,
EMPLOYEES, ASSIGNEES AND OFFICIALS THEREOF FROM ANY SUCH LIABILITY, CLAIM, SUIT, OR DEMAND OF ANY
KIND, INCLUDING ATTORNEYS FEES.
I (print name)
, declare that I have examined this application and that all statements
in the application are true and correct. And further, that any false statements or omissions may be cause for rejection of
this application, or revocation of my driver permit. I further declare that I will comply with and abide by the
requirements for the issuance and use of a driver permit, in accordance with the Transportation Chapter of the City of
Arlington.
Applicant’s Signature:
Date: __________________________
Before me, the undersigned authority, on this day personally appeared
(Applicant) known to me to be the person whose name is subscribed to the above and foregoing instrument, and
acknowledged to me that he executed the same for the purposes and consideration expressed and in the capacity therein
stated.
Given under my hand and seal of this office on this
_________ day of __________________________,
SEAL:
20_________.
_________________________________________
Notary Public in and for the State of Texas
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