[go: up one dir, main page]

0% found this document useful (0 votes)
168 views9 pages

FMCSA Registration for Carriers

The document is a summary of an application to the Federal Motor Carrier Safety Administration (FMCSA) submitted by US South Plumbing. It includes information about the company contact, business description, operations classification, vehicles, drivers, financial responsibility, affiliations with other entities, and certifications of compliance with DOT regulations. The applicant is seeking operating authority for transporting non-hazardous materials across state lines using 2 commercial vehicles and 8 drivers.

Uploaded by

Vanessa
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
168 views9 pages

FMCSA Registration for Carriers

The document is a summary of an application to the Federal Motor Carrier Safety Administration (FMCSA) submitted by US South Plumbing. It includes information about the company contact, business description, operations classification, vehicles, drivers, financial responsibility, affiliations with other entities, and certifications of compliance with DOT regulations. The applicant is seeking operating authority for transporting non-hazardous materials across state lines using 2 commercial vehicles and 8 drivers.

Uploaded by

Vanessa
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 9

United States Department of Transportation

FMCSA
Federal Motor Carrier Safety Administration

Summary Print View


08/27/2018 11:29 AM Print Page

URS Welcome Summary


Q: Other Documents Linked to the profile
A: 99|MCSA1_FINAL_User789821_20180827.pdf|Other

Application Contact Summary


Q: Application Contact Info
Application Contact Type: Company Contact
Application Contact First Name: Kimberly
A: Application Contact Last Name: Murray
Application Contact Title: Office Manager
Application Contact Middle Name: Anne

Q: Application Contact Address


A: Application Contact Street Address Line 1: 7555 INDUSTRIAL CT
Application Contact City: ALPHARETTA
Application Contact State/Province: GEORGIA
Application Contact Postal Code: 30004-3379
Application Contact Country: United States
Application Contact Telephone Number: US ( 770 ) 569-2222 Ext: 107
Application Contact Fax Number: US ( 770 ) 569-2007
Application Contact Cell Phone Number: US ( 770 ) 262-0730
Application Contact Email Address: kmurray@ussouthplumbing.com
Confirm Email Address: kmurray@ussouthplumbing.com
Q: Application Contact Preferred Contact Method
A: Email

Business Description Summary


Q: Does the Applicant have a Dun and Bradstreet Number?
A: No

Q: Legal Business Name


A: US South Plumbing

Q: Is the Applicant's Principal Place of Business Address the same as the Application Contact's
Address?
A: Yes

Q: Principal Place of Business Address


Country: United States
Street Address/Route Number Line 1: 7555 INDUSTRIAL CT
A: City: ALPHARETTA
State/Province: GEORGIA
Postal Code: 30004-3379

Q: Mailing Address
Country: United States
Street Address/Route Number Line 1: 7555 INDUSTRIAL CT
A: City: ALPHARETTA
State/Province: GEORGIA
Postal Code: 30004-3379

Q: Principal Place of Business Telephone Number


A: US ( 770 ) 569-2222 Ext:
Q: Principal Place of Business Fax Number
A: US ( 770 ) 569-2007
Q: Principal Place of Business Cell Number
A: US ( 770 ) 262-0730

Q: Employer Identification Number (EIN) or Social Security Number (SSN)


A: EIN : 270846518

Q: Form of Business (Select the business form that applies)


A: Corporation: State of Incorporation
Q: LLC/Corporation/LLP (State of Incorporation)
A: GEORGIA

Q: Ownership and Control


A: Owned/controlled by citizen of U.S.

Q: Name and Titles of the Sole Proprietor, Partners, or Others


Company Contact: true
First Name: Martin
Middle Name: Dean
Last Name: Kesterson
A: Suffix:
Title: President
Email: kmurray@ussouthplumbing.com
US ( 770 ) 569-2222
Telephone Number:

Q: Company Contact Address


Country: United States
Street Address/Route Number Line 1: 7555 INDUSTRIAL CT
A: City: ALPHARETTA
State/Province: GEORGIA
Postal Code: 30004-3379

Q: Is the Applicant a Unit of Government ?


A: No

Operation Classification Summary


Q: Will the Applicant operate as an Intermodal Equipment Provider?
A: No

Q: Will the Applicant transport Property?


A: Yes

Q: Will the Applicant receive compensation for the business of transporting the property belonging to
others?
A: No
Q: Will the Applicant transport their own property ?
A: Yes

Q: What type of Property will the Applicant transport?


A: Non-Hazardous Materials

Q: Will the Applicant transport Non-Hazardous Materials across state lines, otherwise known as
Interstate Commerce?
A: Yes

Q: Will the Applicant transport any Passengers ?


A: No

Q: Will the Applicant provide Property or Household Goods (HHG) Broker services?
A: No

Q: Operation Classification Type


A:
Q: Operation Type
A:

Q: Will the Applicant provide Freight Forwarder services?


A: No

Q: Will the Applicant operate a Cargo Tank Facility ?


A: No

Q: Will the Applicant operate as a Driveaway ?


A: No

Q: Will the Applicant operate as a Towaway ?


A: No

Q: Please select all classifications of cargo that the Applicant will transport or handle.
A: General Freight

Vehicles Summary
What type of motor vehicle(s) will the Company operate with a Gross Vehicle Weight Rating,
Q: Gross Combination Weight Rating, Gross Vehicle Weight or Gross Combination Weight greater
than or equal to 10,001 pounds?
A: Owned Term Leased Trip Leased Serviced
Tow /
Driveway

2 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0

Please provide the number of vehicles that the Entity will operate in Canada or Mexico with a
Q: Gross Vehicle Weight Rating, Gross Combination Weight Rating, Gross Vehicle Weight or Gross
Combination Weight greater than or equal to 10,001 pounds.
Canada: 0
A:
Mexico: 0

Q: Please provide the number of Commercial Motor Vehicles the Applicant will operate solely in
Interstate Commerce.
A: 2

Q: Please provide the number of Commercial Motor Vehicles the Applicant will operate solely in
Intrastate Commerce.
A: 2

Q: Non-CMV Property
A: 2

Drivers Summary
Q: What are the number of drivers who will operate as Interstate?
Within a 100 Air-Mile Radius: 4
A:
Beyond a 100 Air-Mile Radius: 4

Q: What are the number of drivers who will operate in Canada or Mexico?
Canada: 0
A:
Mexico: 0

Q: What are the number of drivers who will operate solely as Intrastate?
Within a 100 Air-Mile Radius: 4
A:
Beyond a 100 Air-Mile Radius: 4

Q:
What are the number of drivers with a Commercial Driver's License (CDL), Licencia Federal de
Conductor (LFC), or a valid Canadian License Class 1, 2, 3, or 4 (or Class A, B, C, or D if licensed
in Ontario)?
A: 0

Financial Responsibility Summary


$Financial_Responsibility
Q:
Please click Next to proceed.
A: 1~1

Affiliation With Others Summary


Does the Applicant currently have, or has had within the last 3 years of the date of filing this
Q: application, relationships involving common stock, common ownership, common management,
common control or familial relationships or any other person or applicant for registration?
A: No

Certification Statement Summary


Q: Certification Statement Oath
I, Kimberly, Murray and Office Manager, certify that I am familiar with the Federal Motor Carrier
Safety Regulations and, if applicable, the Federal Hazardous Materials Regulations, and the Federal
Motor Carrier Commercial Regulations. Under penalties of perjury, under the laws of the United
States of America, I certify that all information supplied on this form or relating to this application
is true and correct. Further, I certify that I am qualified and authorized to file this application. I
know that willful misstatements or omissions of material facts constitute Federal criminal
violations punishable under 18 U.S.C. § 1001 by imprisonment up to 5 years and fines up to
$250, 000 for each offense. Additionally, these statements are punishable as perjury under 18
U.S.C. § 1621, which provides for fines up to $250, 000 or imprisonment up to 5 years for each
A:
offense.

I further certify under penalty of perjury, under the laws of the United States, that I have not been
convicted, after September 1, 1989, of any Federal or State offense involving the distribution or
possession of a controlled substance, or that if I have been so convicted, I am not ineligible to
receive Federal benefits, either by court order or operation of law, pursuant to Section 5301 of the
Anti-Drug Abuse Act of 1988, formerly Pub. L. 100-690, Title V, Section 5301, Nov. 18, 1988,
102 Stat.4310, renumbered and amended Pub. L. 101-647, Title X, Section 1002(d), Nov. 29, 1990,
104 Stat. 4827 (21 U.S.C. § 826).

Compliance Certifications Summary


Does the Applicant certify it is willing and able to provide the proposed operations or service and
to comply with all pertinent statutory and regulatory requirements and regulations issued or
Q: administered by the U.S. Department of Transportation, including operational regulations, safety
fitness requirements, motor vehicle safety standards and minimum financial responsibility and
designation of process agent requirements?
A: Yes, I Certify
Does the Applicant certify it is willing and able to produce for review or inspection documents
which are requested for the purpose of determining compliance with applicable statutes and
regulations administered by the Department of Transportation, including the Federal Motor Carrier
Q: Safety Regulations, Federal Motor Vehicle Safety Standards, Commercial Regulations, Hazardous
Materials Regulations, and Americans With Disabilities Act regulations within 48 hours of any
written request? Applicant understands that the written request for documents may be served on the
contact person identified in the company contact section of this application, or the designated
process agent?
A: Yes, I Certify

Q: Does the Applicant certify it is not currently disqualified from operating commercial motor
vehicles in the United States?
A: Yes, I Certify

Does the Applicant certify it understands that the agent(s) for service of process designation will be
Q: deemed the applicant’s official representative(s) in the United States for receipt of filings and
notices in administrative proceedings under 49 U.S.C. § 13303, and for receipt of filings and
notices issued in connection with the enforcement of any Federal statutes or regulations?
A: Yes, I Certify

Does the Applicant certify that the carrier is not prohibited from filing this application because its
Q: FMCSA registration is currently under suspension, or was revoked less than 30 days before filing
the application?
A: Yes, I Certify

Q: If the Applicant's registration is currently revoked, does the Applicant certify the deficiencies cited
in the revocation proceeding have been corrected?
A: Yes, I Certify

Applicants Oath Summary


Q: First Name
A: Kimberly
Q: Last Name
A: Murray
Q: Title
A: Office manager
Q: Date
A: 08/27/2018
Q: Middle Name
A: Anne

Payment Info Summary


FMCSA has determined the Applicant will operate as Private Property Motor Carrier General
Freight . To proceed with submitting the Applicant's application an application fee of $0 is
Q: required.

Please click Next to proceed.


A: 0

Portal Account Summary


Q: Should the Company Official role be assigned to the Company Contact
$Display_Company_Contact_Name ?
A: No

Q: First Name
A: Kimberly
Q: Middle Name
A: Anne
Q: Last Name
A: Murray
Q: Email
A: kmurray@ussouthplumbing.com
Q: Verify Email
A: kmurray@ussouthplumbing.com
Q: Telephone Number
A: US ( 770 ) 569-2222 Ext: 107
Q: Fax Number
A: US ( 770 ) 569-2007
Q: Method of Contact
A: Email
Q: Title
A: Office Manager
Q: User Id
A: USSouthP
Q: Password
A: Value Present
Q: Verify Password
A: Value Present

Q: First Name
A: Kimberly
Q: Last Name
A: Murray
Q: Title
A: Office Manager
Q: ROB Confirmation
A: Yes
Q: Middle Name
A: Anne

Q: First Name
A: Kimberly
Q: Last Name
A: Murray
Q: Title
A: Office Manager
Q: RESP Confirmation
A: Yes
Q: Middle Name
A: Anne

ATTENTION ATTENTION ATTENTION

• You are accessing a U.S. Government information system, which includes


(1) this computer, (2) this computer network, (3) all computers connected to
this network, and (4) all devices and storage media attached to this network
or to a computer on this network. This information system is provided for
U.S. Government-authorized use only.
• Unauthorized or improper use of this system may result in disciplinary
action, as well as civil and criminal penalties.
• By using this information system, you understand and consent to the
following:
◦ You have no reasonable expectation of privacy regarding any
communications or data transiting or stored on this information
system. At any time, and for any lawful government purpose, the
government may monitor, intercept, and search and seize any
communication or data transiting or stored on this information system.
◦ Any communications or data transiting or stored on this information
system may be disclosed or used for any lawful government purpose.

This system contains information protected under the provisions of the Privacy
Act of 1974 (Public Law 93-579). Any privacy information displayed on the
screen or printed shall be protected from unauthorized disclosure. Individuals who
violate privacy safeguards may be subject to disciplinary actions, a fine of up to
$5,000, or both.

You might also like