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Get NY TA-W68159 2011

with the Thruway Authority's specifications before permit activity will commence and is equipped with required safety equipment. I certify further that all service vehicle operators are appropriately licensed to operate the service vehicle described above and that they are aware of the Conditions of a Commercial Road Service Permit and in particular, safety equipment and procedures contained herein. Date: Signature: Section III For Authority Use Only Certificate of Insurance on file? Yes No.

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