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1、DriverCertificationforBusinessUseofVehicle(s)SeeInstructionsonpage3.ReturnTo:HumanResources&RiskManagementSDSUResearchFoundation5250CampanileDriveSanDiego,CA92182-1945Project:Supervisor:Phone:Iherebycertifythat,wheneverIdriveanSDSUResearchFoundation(SDSURF)ownedvehicleoraprivatelyownedvehicleo
2、nSDSURFbusiness:1.Iwillhaveavaliddriver’slicenseinmypossessioninaccordancewithCaliforniaStatelaw,2.ThevehiclewillbecoveredbyliabilityinsuranceforatleasttheminimumamountprescribedbyCalifornialaw.Iwillhaveacurrentvehicleregistrationandproofofinsuranceinthevehicleatalltimeswhiledriving,asrequired
3、byVehicleCodeSection16020.3.IwillcarryonlypassengerswhoarealsoonSDSURFbusiness,4.Thevehiclewillbeequippedwithsafetybeltsingoodoperatingconditionandallpassengerswillberequiredtowearthem,5.Thevehiclewillbeappropriatefortheworkperformed,and6.Tothebestofmyknowledge,thevehiclewillbeinsafemechanical
4、conditionasrequiredbylaw.Ifurthercertifythat,whileusinganyvehicleforofficialSDSURFbusiness,allaccidentswillbereportedwithin24hourstotheSDSURFRiskManagementOfficeat(619)594-0858.IunderstandthatpermissiontodriveavehicleonSDSURFbusinessisaprivilege,whichmaybesuspendedorrevokedatanytime,andthatdri
5、vingapersonalvehicleonSDSURFbusinesswithoutmeetingtherequirementsasstatedaboveisconsideredaviolationofSDSURFpolicyandmaybegroundsfordisciplinaryaction,uptoandincludingterminationofemployment.SectionA-Choosetheapplicabledrivingoptionfromthefollowing:?IwillneverdriveanyvehicleonSDSURFbusiness.(I
6、fchecked,proceedtoandcompleteSectionC)?Iwilldrivelessthan2timesperweekandagreetoprovideproofofinsurance.(Ifchecked,proceedtoandcompleteSectionsBandC)?IwilldriveonSDSURFbusinessaspartofmyjobatleast2timesperweekandagreetoprovideproofofinsurance,orIwilldrivea10,12or15passengervan,canprovideproofo
7、fClassBlicense,andagreetoprovideproofofinsurance.(Ifchecked,proceedtoandcompleteSectionsB,CandD)SectionB:Licenseandinsuranceinformation:Driver’sLicenseNumber:State:ExpirationDate:InsuranceCarrierName:PolicyExpiration:PolicyNumber:Policy
