HP-304C Small Wrecker / Rollback Rotation Price List



Name of Towing Service FORMTEXT ?????Address FORMTEXT ?????City FORMTEXT ?????State FORMTEXT ?????Office Phone FORMTEXT ?????Mobile Phone FORMTEXT ?????Pager FORMTEXT ?????Service ProvidedWrecker Towing Fees (Collision)ChargesWrecker Service during business hours (8:00 a.m. to 5:00 p.m. Monday – Friday) FORMTEXT ?????Wrecker Towing Fees (Non-Collision)ChargesWrecker Service during business hours (8:00 a.m. to 5:00 p.m. Monday – Friday) FORMTEXT ?????Additional Service(s)ChargesDolly Service FORMTEXT ?????Overturned Vehicle FORMTEXT ?????Winching FORMTEXT ?????Storage Fee Per DayChargesVehicle Storage (Inside) FORMTEXT ?????Vehicle Storage (Outside) FORMTEXT ?????Hourly Rate ChargesExtensive Road Clean-Up FeeHourly rate for more than sweeping or cleaning of the roadway Billed in quarter hours incrementsBasic charges apply for the first hour on scene, quarter hour rates charged thereafter FORMTEXT ?????Extra truck / manpower FORMTEXT ?????On-scene waiting time (applicable only after first hour on scene) FORMTEXT ?????Mileage FeeCharges Per MileCost per mile if taken outside assigned zone or outside county FORMTEXT ?????I acknowledge and understand North Carolina State Highway Patrol Rotation Wrecker Service Regulations, pursuant to 14B (NCAC) 07A.0116, which state in pertinent part: A price list for small wreckers/rollbacks for recovery, towing and storage shall be furnished in writing on a Patrol form to the District First Sergeant upon request. The District First Sergeant shall approve all price lists submitted within their respective District if they are determined to be reasonable, consistent with fees charged by other Highway Patrol rotation wrecker services within the District and do not exceed the wrecker service's charges for non-rotation service calls that provide the same service, labor, and conditions. The price list for each respective wrecker service shall be made available to customers upon request. Storage fees shall not begin to accrue until the next calendar day following the initial towing of the vehicle. Wrecker service towing fees for recovery and transport of vehicles after 5:00 p.m. and on weekends may not exceed the towing fees for recovery and transport of vehicles charged during regular "Business Hours" by more than 10 percent. A mileage fee may only be charged if the customer requests the vehicle to be towed to a location outside of the assigned wrecker zone or county. Prices indicated on this form shall be the maximum amount that will be charged for a particular service; however, this does not prevent charges of a lesser amount for said service. Owner’s NameOwner’s SignatureDate FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????District First Sergeant’s NameDistrict First Sergeant’s SignatureDate FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? ................
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