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1、DriverCertificationforBusinessUseofVehicle(s)SeeInstructionsonpage3.ReturnTo:HumanResources&RiskManagementSDSUResearchFoundation5250CampanileDriveSanDiego,CA92182-1945Project:Supervisor:Phone:Iherebycertifythat,wheneverIdriveanSDSUResearchFoundation(SDSURF)ownedvehicleora
2、privatelyownedvehicleonSDSURFbusiness:1.Iwillhaveavaliddriver’slicenseinmypossessioninaccordancewithCaliforniaStatelaw,2.ThevehiclewillbecoveredbyliabilityinsuranceforatleasttheminimumamountprescribedbyCalifornialaw.Iwillhaveacurrentvehicleregistrationandproofofinsurancei
3、nthevehicleatalltimeswhiledriving,asrequiredbyVehicleCodeSection16020.3.IwillcarryonlypassengerswhoarealsoonSDSURFbusiness,4.Thevehiclewillbeequippedwithsafetybeltsingoodoperatingconditionandallpassengerswillberequiredtowearthem,5.Thevehiclewillbeappropriatefortheworkperf
4、ormed,and6.Tothebestofmyknowledge,thevehiclewillbeinsafemechanicalconditionasrequiredbylaw.Ifurthercertifythat,whileusinganyvehicleforofficialSDSURFbusiness,allaccidentswillbereportedwithin24hourstotheSDSURFRiskManagementOfficeat(619)594-0858.Iunderstandthatpermissiontodr
5、iveavehicleonSDSURFbusinessisaprivilege,whichmaybesuspendedorrevokedatanytime,andthatdrivingapersonalvehicleonSDSURFbusinesswithoutmeetingtherequirementsasstatedaboveisconsideredaviolationofSDSURFpolicyandmaybegroundsfordisciplinaryaction,uptoandincludingterminationofempl
6、oyment.SectionA-Choosetheapplicabledrivingoptionfromthefollowing:?IwillneverdriveanyvehicleonSDSURFbusiness.(Ifchecked,proceedtoandcompleteSectionC)?Iwilldrivelessthan2timesperweekandagreetoprovideproofofinsurance.(Ifchecked,proceedtoandcompleteSectionsBandC)?Iwilldriveon
7、SDSURFbusinessaspartofmyjobatleast2timesperweekandagreetoprovideproofofinsurance,orIwilldrivea10,12or15passengervan,canprovideproofofClassBlicense,andagreetoprovideproofofinsurance.(Ifchecked,proceedtoandcompleteSectionsB,CandD)SectionB:Licenseandinsuranceinformation:Driv
8、er’sLicenseNumber:State:ExpirationDate:InsuranceCarrierName:PolicyExpiration:PolicyNumber:Policy
