Or. Admin. Code § 137-025-0115 - Application for Linked Progressive Bingo Contractor License
(1) An application
for a Linked Progressive Bingo Contractor license or license renewal shall be
made on a form prescribed by the Department, shall be signed by a responsible
official of the organization, and must be accompanied by the license
application fee as provided in section (3) of this rule. The Department shall
reject applications which are incomplete, are not accompanied by the documents
required by this section, or are not accompanied by a sufficient license fee.
An applicant shall be immediately notified of any such deficiencies. The
license application shall include the following information:
(a) The name, address and telephone number of
the organization;
(b) A statement
as to whether or not the organization has had a license to provide equipment or
services for bingo or other gambling activity denied, revoked or suspended by
the State of Oregon or any other licensing authority; and
(c) The full names and physical addresses of
the responsible officials of the organization.
(2) The applicant shall submit the following
documents with the application. The information required in subsections (b) and
(c) of this section shall be on forms prescribed by the Department and shall be
signed by a responsible official of the organization:
(a) Proof of compliance with applicable state
and local business registration laws and regulations.
(b) As required by Oregon ORS 464.280, a
waiver of potential liability claims against the State of Oregon, its agencies,
employees, and agents for any damages resulting from any disclosure or
publication of any information acquired by the Department during any of its
investigations, inquiries or hearings;
(c) A consent to allow Department employees
access to licensees' place of business for inspection and testing of equipment
and to examine records maintained by licensees.
(d) A description of the Linked Progressive
Bingo Game(s) which the applicant intends to offer to Oregon bingo
licensees.
(e) Such other
information as requested by the Department.
(3) The non-refundable application and
licensing investigation fee is $500.
Notes
Stat. Auth.: ORS 167.117(10)(12), 464.250(1), 914
Stats. Implemented: SB 716, 2003
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