Shared Mobility Device Operator Agreement - Bird Rides, Inc.

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Please Indicate that you agree or disagree by marking yes or no for the following statements. 1. Licanee is in good standing and has not had any license or registration to operate a business revolved or suspended. 21 Yeses No Licensee is current wills City. County and State for any taxes, license fees, or any other indebtedress. Yes1, No The person signing this application has the authority to sign for the business being licensed. Yes x N . Licensee attests that it has read and agrees to comply with Chapter 4, Amide 4. Section ; 4 of the South Bead Municipal ode(' ily Code') and all other applicable sections of the City Code, state and federal laws ordinances, regulations, orders and decisions of public officials, , Yet o . Licensee will maintain all shared mobility devices pursuant to Chapter 4, Arbcle 4* Section 4- 4, Subsection (0 of the Code (i.,e,-, safety, condition and appearance; and qu ipment)- Yet No 6. Licensee acknowledges that unsafe devices will be removed from the public right of way in accordance with Chapter 4, ArticAe 4, Section , Subsection ) the Code. Yes X No . Licensee ackncwledges that failure to remove unsafe devices may result in removal by Chy at the sole oust and expense of the Shared Mobility Device System Operator. Yes N Licensee acknowledges that failure to maintain the required insurance and bond, operating without a license, or operating i n a manner which imposes unreasonable risk of serious bodily injury to any purr may subject Operator to a cease and desist order or other specific injunctive relief by a oou d of competent jurisdiction and civil penalty of Two Thousand Five Hundred Dollars ( , 0 ), and any other damages permitted by law. Yes� No Licensee agrees to notify the CV of South Bend License Administrator of any change in the information on this appricatn wMin 15 days of such change. Yes No 10. Licensee agrees to give the License Administrator written notice once the business ceases to exist. 1e o 11. Licensee has received, read, and will comply with the Shared Mobility Data Sharing Specifications, Yes X No I have provided the following required attachments with this application: 1 , A check payable to the City of South Bend for the license fee � * Color photographs of each device type and color scheme and inventory inclusive of total numbers of each doioo typo . Puts schedule 4. Rules and regulations for the system users . Certificate of commercial general liability insurance in compliance with Section -54 (e) of the Code 6. Bond certificate 7. Completed indemnification agreement . CPS or GIS based map of proposed service area . Customer Complaint Form Dopariment of PubhC 01*9 2023 Shamd Aiob#dy Davwq operator Ur -arse ApplicnUon