Form Op-1 - Application For Motor Property Carrier And Broker Authority Page 12
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16FORM OP-1 Revised 01/10/2017
OMB No.: 2126-0016 Expiration: 01/31/2020
Section
TYPE OF OPERATING
2
AUTHORITY
28. CHECK BOX(ES) FOR EACH TYPE OF OPERATING AUTHORITY REQUESTED
(you must submit a filing fee of $300 for each box checked):
Motor Common Carrier of Property (except Household Goods)
Motor Contract Carrier of Property (except Household Goods)
Motor Common Carrier of Household Goods
Motor Contract Carrier of Household Goods
Broker of Property (except Household Goods)
Broker of Household Goods
United States-based Enterprise Carrier of International Cargo (except Household Goods)
United States-based Enterprise Carrier of International Household Goods
Section
INSURANCE
3
INFORMATION
Applicants that will operate commercial motor vehicles must complete this section.
The dollar amounts in parentheses represent the minimum amount of bodily injury and property damage (liability) insurance
coverage you must maintain and have on file with the FMCSA. (Refer to the instructions for information about cargo insurance requirements
for motor common carriers and United States-based enterprise carriers, and surety bond/trust fund agreement filings for brokers.)
29a. APPLICANT WILL OPERATE ONE OR MORE VEHICLE(S) HAVING A GROSS VEHICLE WEIGHT RATING (GVWR) OF 10,000
POUNDS OR MORE TO TRANSPORT:
Non-hazardous commodities ($750,000)
Hazardous materials referenced in FMCSA’s insurance regulations at
49 CFR 387.9
($1,000,000)
Hazardous materials referenced in FMCSA’s insurance regulations at
49 CFR 387.9
($5,000,000)
29b. APPLICANT WILL OPERATE ONLY VEHICLE(S) HAVING GROSS VEHICLE WEIGHT RATINGS (GVWR) UNDER 10,000
POUNDS TO TRANSPORT:
Any quantity of Division 1.1, 1.2, or 1.3 material; any quantity of Division 2.3, Hazard Zone A, or Division 6.1, Packing Group I,
Hazard Zone A material; or highway route controlled quantities of a Class 7 material as defined in
49 CFR 173.403
($5,000,000)
Commodities other than those listed above ($300,000)
FORM OP-1 • Page 2 of 6
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