Argos USA Corporation
Suite 300
Alpharetta, GA 30005
**-**-**** *:25:47PM CDT
IntelliApp
Thank you for your interest in Argos USA Corporation. To apply for a driving position, please complete our online application for employment. Incomplete information will delay the processing of your application or prevent it from being submitted. In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, veteran status, non-job related disability, or any other protected group status.
Position City State/Province
Ocala FL - Commercial
Truck Driver
FL - Ocala FL
Personal Information
Referral Code: websitea
Name Thomas Harris
Residence 3 years or longer (If No,
previous addresses shown below)
Yes
Current Address 9564 S.w. 44th Ave
City, State/Province Zip/Postal Ocala, FL 34476
Country United States
Residence 3 years or longer (If No,
previous addresses shown below)
Yes
SSN/SIN 9742
Date of Birth
Primary Phone 352-***-****
Preferred method of contact Primary Phone
Best time to contact you Any
Email ad5qcf@r.postjobfree.com
Yes, I agree to receive information
concerning future opportunities or
promotions from Argos USA Corporation
by email or other commercial electronic
communications.
Yes
Would you like to receive communication
from Argos USA Corporation via text
Yes
1
message?
By participating, you consent to receive
text messages sent by an automatic
telephone dialing system, which may
contain recruiting/advertising messages.
Consent to these terms is not a condition
of being hired, contracted, or leased. You
may opt out at any time by texting STOP to
unsubscribe. You also agree that Argos
USA Corporation's service provider
receives in real time and logs your text
messages with Argos USA Corporation.
Company Questions
GENERAL INFORMATION
You are applying for a Company Driver Position with Argos USA Corporation What location are you applying for (this
includes the city and surrounding areas)?
FL - Ocala
Are you legally eligible for employment in
the United States?
Yes
Are you currently employed? Yes
Do you read, write, and speak English? Yes
Have you ever worked for this company
before?
No
Enter start and end dates, location,
position, and reason for leaving:
Please enter the names of any relatives
employed here:
Have you ever been known by any other
name?
No
Enter name:
How did you hear about us? Jobs In Trucks
Were you referred by an Argos Employee? No
If "Other", please explain
EMERGENCY CONTACT
Emergency Contact Name: Melissa
Emergency Contact Number: 352-***-****
DRIVING EXPERIENCE
Ready Mix Concrete Truck exp? 8+ years
Straight Truck 8+ years
2
Tractor and Semi-Trailer None
Tractor - Two Trailers None
Other No clam truck
How many jobs in last 10 years? 1
How many accidents in last 3 years? 0
Which safe driving awards do you hold and
from whom?
Certificate
Is there a manual restriction on your
Commercial License?
No
Licenses
License Number 550
Licensing Authority FL
Country US
License Class Class B
License Expiration Date 02-15-2029
DOT Medical Card Expiration Date 02-15-2029
Current License Yes
Commercial Driver License Yes
Endorsements
Tanker Endorsement No
HAZMAT Endorsement No
X Endorsement No
Doubles Triples Endorsement No
Other Endorsement No
Restrictions
No Night Driving No
Corrective Lenses No
No Air Brakes No
No Manual Transmission No
Other Restriction No
3
Employment / Unemployment
City of Ocala
Company City of Ocala
Start Date 06-2006
End Date 04-2024
Address 2100 ne 30 th ave
City, State/Province Zip/Postal Ocala, FL 34476
Country United States
Phone 352-***-****
Position Held Clam operator
Reason for leaving? Still there
Were you terminated/discharged/laid off? No
Is this your current employer? Yes
May we contact this employer at this time? Yes
Did you operate a commercial motor
vehicle?
Yes
Were you subject to the Federal Motor
Carrier or Transport Canada Safety
Regulations while employed/contracted by
this employer/contractor?
No
Did you perform any safety sensitive
functions in this job, regulated by DOT,
and subject to drug and alcohol testing?
No
Most common truck driven Dump Truck
Most common trailer Liftgate
Trailer length 32 to 44 feet
Motor Vehicle Record
1. Has any license, permit or privilege ever
been denied, suspended or revoked for
any reason?
No
2. Have you ever been convicted of driving
during license suspension or revocation, or
driving without a valid license or an expired
license, or are any charges pending?
No
3. Have you ever been convicted for any
alcohol or controlled substance related
offense while operating a motor vehicle, or
are any charges pending?
No
4
4. Have you ever been convicted for
possession, sale or transfer of an illegal
substance (including but not limited to,
marijuana, amphetamines, or derivatives
thereof) while on duty, or are any charges
pending?
No
5. Have you ever been convicted of
reckless driving, careless driving or
careless operation of a motor vehicle, or
are any charges pending?
No
6. Have you ever tested positive, or
refused to test on a pre-employment drug
or alcohol test by an employer to whom
you applied, but did not obtain
safety-sensitive transportation work
covered by DOT agency drug and alcohol
testing rules in past three years, or have
you ever tested positive or refused to test
on any DOT-mandated drug or alcohol
test?
No
Vehicle Accident Record
Were you involved in any accidents/incidents with any vehicle in the last 5 years (even if not at fault)?
No Accidents
Traffic Convictions \ Violations
Have you had any moving violations or traffic convictions in the past 3 years? No Violations
Criminal Record
Have you ever been convicted of a crime? No
Do you have any deferred prosecutions? No
Do you have criminal charges pending? No
Have you ever pled "guilty" to, been
convicted of, or pled "no contest" to a
felony?
No
If you have any felony convictions, do you
currently hold a minister's permit to enter
or exit Canada?
No
No
5
Have you, within the last five years, pled
"guilty" to, been convicted of, had
prosecution deferred in connection with, or
pled "no contest" to a misdemeanor?
Signature
Full Name Thomas Harris
IP Address 24.50.25.188
Signature Date/Time 04-18-2024 5:25 PM
By signing my application below, I agree to use an electronic signature to demonstrate my consent. An electronic signature is as legally binding as an ink signature. This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge.
Signed Date: 04-18-2024 5:25 PM
Signed:
Federal FCRA Summary of Rights Acknowledgment
By checking this box, I (a) acknowledge
that I have read and understand the
federal FCRA Summary of Rights and
have been given the opportunity to
copy/print the Summary of Rights and (b)
agree to use an electronic signature to
demonstrate my consent. An electronic
signature is as legally binding as an ink
signature.
Yes
PSP Disclosure and Authorization
By checking the box, I (a) acknowledge
that I have read and understand the PSP
Disclosure and Authorization and also
have been given the opportunity to
copy/print it, and (b) agree to use an
electronic signature to demonstrate my
consent. An electronic signature is as
legally binding as an ink signature.
Yes
6
Additional Consent or Certification
By checking the box, I (a) acknowledge
that I have read and understand the above
and also have been given the opportunity
to copy/print it, and (b) agree to use an
electronic signature to demonstrate my
consent. An electronic signature is as
legally binding as an ink signature.
Yes
FCRA Disclosure
By checking the box, I (a) acknowledge
that I have read and understand the above
and also have been given the opportunity
to copy/print it, and (b) agree to use an
electronic signature to demonstrate my
consent. An electronic signature is as
legally binding as an ink signature.
Yes
FCRA Authorization
By checking the box, I (a) acknowledge
that I have read and understand the above
and also have been given the opportunity
to copy/print it, and (b) agree to use an
electronic signature to demonstrate my
consent. An electronic signature is as
legally binding as an ink signature.
Yes
Employment Verification Acknowledgment and Release (DOT Drug and Alcohol) By checking the box, I (a) acknowledge
that I have read and understand the above
and also have been given the opportunity
to copy/print it, and (b) agree to use an
electronic signature to demonstrate my
consent. An electronic signature is as
legally binding as an ink signature.
Yes
Clearinghouse Release
By checking the box, I (a) acknowledge
that I have read and understand the above
and also have been given the opportunity
to copy/print it, and (b) agree to use an
electronic signature to demonstrate my
consent. An electronic signature is as
legally binding as an ink signature.
Yes
7
Summary of Rights Under 15 U.S.C. Section 1681m(a) By checking the box, I (a) acknowledge
that I have read and understand the
Summary of Rights Under 15 U.S.C.
Section 1681m(a) and have been given
the opportunity to copy/print the 1681m
Summary of Rights and (b) agree to use
an electronic signature to demonstrate my
consent. An electronic signature is as
legally binding as an ink signature.
Yes
INVESTIGATIVE CONSUMER REPORT DISCLOSURE
By checking this box, I represent that I
understand and agree to the above
Investigative Consumer Report
Disclosure.
Yes
User Requested Copy
User requested a copy to be sent to this
email address
ad5qcf@r.postjobfree.com.
Yes
8
DISCLOSURE FOR CONSUMER REPORTS
In connection with your employment or owner-operator (independent contractor) application, Argos USA Corporation may order one or more consumer report(s) (commonly known as "background reports" or "background checks") about you from one or more consumer reporting agencies. If you are hired or engaged as an owner-operator (independent contractor), additional consumer reports may be obtained in connection with and throughout your employment for employment purposes or for the legitimate business purpose of evaluating you as an owner-operator.
To the extent allowed by law, the consumer reports may include information concerning your character, general reputation, personal characteristics, mode of living, drug and alcohol test results, motor vehicle records, driving records, criminal information, public court records, employment history (including names and dates of previous employers, reason for termination of employment, work experience, and accidents), social security number validation, education, licensure, or verification of other information supplied by you. Such reports may be obtained from private and public record sources, including sanctions databases, CDLIS, former employers, public court records, and federal, state, and other government agencies that maintain such records. Printed Name:
Thomas Harris
Social Security #:
9742
Signed Date: 04-18-2024
Thomas Harris
9564 S.w. 44th Ave
Ocala, FL 34476
Gender:
9
AUTHORIZATION FOR CONSUMER REPORTS
I authorize Argos USA Corporation to obtain one or more consumer report(s) or investigative consumer report(s) about me. If hired or engaged as an owner-operator (independent contractor), I understand this authorization shall remain on file and shall serve as ongoing authorization for additional consumer reports or investigative consumer reports to be obtained from any consumer reporting agency at any time during my employment or contract period without asking me for authorization again. Printed Name:
Thomas Harris
Social Security #:
9742
Signed Date: 04-18-2024
Thomas Harris
9564 S.w. 44th Ave
Ocala, FL 34476
Gender:
10
IMPORTANT DISCLOSURE
REGARDING BACKGROUND REPORTS FROM THE PSP Online Service In connection with your application for employment with Argos USA Corporation ("Prospective Employer"), Prospective Employer, its employees, agents or contractors may obtain one or more reports regarding your driving, and safety inspection history from the Federal Motor Carrier Safety Administration (FMCSA).
When the application for employment is submitted in person, if the Prospective Employer uses any information it obtains from FMCSA in a decision to not hire you or to make any other adverse employment decision regarding you, the Prospective Employer will provide you with a copy of the report upon which its decision was based and a written summary of your rights under the Fair Credit Reporting Act before taking any final adverse action. If any final adverse action is taken against you based upon your driving history or safety report, the Prospective Employer will notify you that the action has been taken and that the action was based in part or in whole on this report. When the application for employment is submitted by mail, telephone, computer, or other similar means, if the Prospective Employer uses any information it obtains from FMCSA in a decision to not hire you or to make any other adverse employment decision regarding you, the Prospective Employer must provide you within three business days of taking adverse action oral, written or electronic notification: that adverse action has been taken based in whole or in part on information obtained from FMCSA; the name, address, and the toll free telephone number of FMCSA; that the FMCSA did not make the decision to take the adverse action and is unable to provide you the specific reasons why the adverse action was taken; and that you may, upon providing proper identification, request a free copy of the report and may dispute with the FMCSA the accuracy or completeness of any information or report. If you request a copy of a driver record from the Prospective Employer who procured the report, then, within 3 business days of receiving your request, together with proper identification, the Prospective Employer must send or provide to you a copy of your report and a summary of your rights under the Fair Credit Reporting Act. Neither the Prospective Employer nor the FMCSA contractor supplying the crash and safety information has the capability to correct any safety data that appears to be incorrect. You may challenge the accuracy of the data by submitting a request to https://dataqs.fmcsa.dot.gov. If you challenge crash or inspection information reported by a State, FMCSA cannot change or correct this data. Your request will be forwarded by the DataQs system to the appropriate State for adjudication.
Any crash or inspection in which you were involved will display on your PSP report. Since the PSP report does not report, or assign, or imply fault, it will include all Commercial Motor Vehicle (CMV) crashes where you were a driver or co-driver and where those crashes were reported to FMCSA, regardless of fault. Similarly, all inspections, with or without violations, appear on the PSP report. State citations associated with Federal Motor Carrier Safety Regulations (FMCSR) violations that have been adjudicated by a court of law will also appear, and remain, on a PSP report. The Prospective Employer cannot obtain background reports from FMCSA without your authorization. AUTHORIZATION
If you agree that the Prospective Employer may obtain such background reports, please read the following and sign below: I authorize Argos USA Corporation ("Prospective Employer") to access the FMCSA Pre-Employment Screening Program (PSP) system to seek information regarding my commercial driving safety record and information regarding my safety inspection history. I understand that I am authorizing the release of safety performance information including crash data from the previous five (5) years and inspection history from the previous three (3) years. I understand and acknowledge that this release of information may assist the Prospective Employer to make a determination regarding my suitability as an employee.
I further understand that neither the Prospective Employer nor the FMCSA contractor supplying the crash and safety information has the capability to correct any safety data that appears to be incorrect. I understand I may challenge the accuracy of the data by submitting a request to https://dataqs.fmcsa.dot.gov. If I challenge crash or inspection information reported by a State, FMCSA cannot change or correct this data. I understand my request will be forwarded by the DataQs system to the appropriate State for adjudication. I understand that any crash or inspection in which I was involved will display on my PSP report. Since the PSP report does not report, or assign, or imply fault, I acknowledge it will include all CMV crashes where I was a driver or co-driver and where those crashes were reported to FMCSA, regardless of fault. Similarly, I understand all inspections, with or without violations, will appear on my PSP report, and State citations associated with FMCSR violations that have been adjudicated by a court of law will also appear, and remain, on my PSP report. I have read the above Disclosure Regarding Background Reports provided to me by Prospective Employer and I understand that if I sign this Disclosure and Authorization, Prospective Employer may obtain a report of my crash and inspection history. I hereby authorize Prospective Employer and its employees, authorized agents, and/or affiliates to obtain the information authorized above. Printed Name:
Thomas Harris
Signed Date: 04-18-2024
11
Consent for Limited Queries of the Federal Motor Carrier Safety Administration (FMCSA) Drug and Alcohol Clearinghouse
I hereby provide consent to Argos USA Corporation to conduct a limited query of the FMCSA Commercial Driver's License Drug and Alcohol Clearinghouse to determine whether drug or alcohol violation information about me exists in the Clearinghouse. I understand this consent shall remain on file and shall serve as ongoing consent for Argos USA Corporation to conduct multiple limited queries of the Clearinghouse at any time during my employment or contract period without asking me for additional consent. I understand that if I refuse to provide consent for Argos USA Corporation to conduct a limited query of the Clearinghouse, Argos USA Corporation is required to prohibit me from performing safety-sensitive functions, including operating a commercial motor vehicle. I understand that if the limited query conducted by Argos USA Corporation indicates that drug or alcohol information exists about me in the Clearinghouse, the FMCSA will not disclose that information to Argos USA Corporation unless I give additional specific consent within the Clearinghouse. However, I understand that Argos USA Corporation will be required to conduct a full query of the Clearinghouse within 24 hours after a limited query indicates that drug or alcohol information exists and that if I do not grant consent within the Clearinghouse for that full query I will be removed from performing safety-sensitive functions, including operating a commercial motor vehicle.
04-18-2024
Thomas Harris Date
12
Position: Ready Mix Truck Driver:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
This would be considered moderately strenuous work. There are various postures, movements, lifting, carrying, and push/pull requirements are as follows:
a) There is approximately four hours per day of sitting. This would be considered driving to and from jobsite to plant, waiting to be loaded at plant, and lunches. There is approximately four to five hours per day required standing. This would be unloading concrete, cleaning standing on ladder washing charging hopper and fins or adding admixtures. (The hour calculation is based on a ten hour work day, which could be longer or shorter based on customer demand). b) The driver must be able to lift the desired weights at the frequency designated. For example, the following items are part of the job task requirements: rubber hose, map book, delivery tickets, 1.5# bags of fiber mesh, empty three gallon pails at a weight of approximately 5 pounds, and thirty pounds full and the frequency demand is eleven to thirty three percent of the time. Empty five gallon pails weigh approximately seven pounds and approximately fifty pounds full. Metal chutes weigh between fifty-one and seventy-five pounds, and the frequency rate is eleven to thirty three percent of the time. Ninety-four pounds of Portland cement needs to be lifted on rare occasion of one to ten percent frequency. c) The push/pull demand for the ready-mix driver consists of using handles to pull oneself into and out of truck. Pulling oneself up ladder, the force will vary depending on weight and technique. The driver must push/pull the door of mixer. There is also push/pull in operating shift/clutch operation as well as operating controls at a height of seventy-one inches. The driver must regularly push/pull an average of 9.9 pounds of force at 77 1/2" in height. The driver must also push/pull main chute at rear of truck with an average of 56.7 lb. of pull and 58.9 lb. of push force.
There are also regular push/pull forces in hooking as many as four chutes and using push/pull in side to side movements for proper positioning. In addition, there are regular push/pull movements in hooking and unhooking bungee cords holding chutes, and using chute scraper to pull concrete down chutes and cleaning truck with brushes. There are positional requirements of the ready-mix driver that happen frequently. Neck flexion and neck rotation are frequent in order to add ingredients, read map book, hooking chutes, observation while driving, operations of lever of concrete flow, reversing truck on jobsites.
There is neck-bending that happens occasionally when observing concrete flow and cleaning truck. Trunk bending is a frequent physical demand for driving, filling water tank, adding additional ingredients, fastening chutes and cleaning underside of truck. There is frequent twisting in the observation of work. There is occasional squatting on low level cleaning and position third chute at times. Climbing of an eight rung ladder, getting in and out of the truck, climbing onto truck while filling water tank is a frequent physical demand of a ready-mix driver. There is continuous reaching out (shoulder height) and grasping in climbing, driving, attaching and retrieving chutes, operating controls, radio, truck status signaling system, grasping brush while cleaning, trigger nozzle on hose, and controlling flow of concrete. There is also frequent reaching up and finger manipulation in the operation of levers to control concrete, buttons to control truck, driving, squeeze trigger on hose, pulling ladder down, climbing, and putting chutes on. 13
Printed Name: Thomas Harris
Social Security #: 9742
Signed Date: 04-18-2024
Signed:
14
Request/Consent for Information from Previous Employer(s)/Carrier(s) For Alcohol and Controlled Substances Testing Records
And changes in Parts 390 and 391 of the FMCSA
X 04-18-2024
Date
X 9742
Social Security Number
Thomas Harris
9564 S.w. 44th Ave
Ocala, FL 34476
Gender:
X Thomas Harris
Print Name (First, MI, Last)
X
Signature
I, the above mentioned signer, hereby authorize City of Ocala To release and forward in accordance with the following regulation, all known information pertaining to my alcohol and controlled substances testing/training records to Argos USA Corporation
DISCLOSURE AND AUTHORIZATION UNDER 49 C.F.R. PART 391.23 INCLUDING DOT DRUG AND ALCOHOL INFORMATION
For purposes of an investigation in accordance with 49 C.F.R. Part 391.23, I authorize my previous employers, contractors (if owner-operator), and trucking schools, as applicable, to release and forward to Argos USA Corporation ("Company") the following information for the past three (3) years:
1. DOT alcohol and controlled substance information in accordance with Parts 382 and 40 of the Federal Motor Carrier Safety Regulations (49 CFR Part 382 and 49 CFR Part 40, Section 40.25) limited to the following DOT regulated testing items, including pre-employment testing results: (i) alcohol tests with a result of 0.04 or higher; (ii) verified positive drug tests; (iii) refusals to be tested;
(iv) other violations of DOT agency drug and alcohol testing regulations; (v) information obtained from previous employers of a drug and alcohol rule violation; and (vi) documentation, if any, of completion of the return-to-duty process following a rule violation. 2. Safety performance history information in accordance with 49 CFR Part 391.23, which includes: employment dates, work history
(which may include position held, reason for leaving, any termination information, whether subject to the Federal Motor Carrier Safety Administration regulations, equipment experience, area driven, and other information as applicable) and accident information
(including accident date, nature of accident, whether it was preventable, whether there were injuries, fatalities, or hazardous materials involved, and copies of any accident report).
Pursuant to Section 391.23(i) of the Federal Motor Carrier Safety Regulations, you have the following rights with regard to the information released:
1. You have the right to make a written request at any time to review the information provided by previous employers, contractors (if owner-operator), or trucking schools, as applicable. 2. You have the right to have errors in the information corrected by the previous employer, contractor (if owner-operator), or trucking school, as applicable and for that employer, contractor (if owner-operator), or trucking school to re-send the corrected information. 3. You have the right to have a rebuttal statement attached to the alleged erroneous information if the previous employer, contractor (if owner-operator), or trucking school and you cannot agree on the accuracy of the information. 15
Summary of Rights Under 15 U.S.C. Section 1681m(a) You are hereby provided a summary of the following provisions of the Fair Credit Reporting Act, 15 U.S.C. 1681m(a): The following consumer reporting agencies will prepare the background report / consumer report for Argos USA Corporation
('Company'):
Tenstreet
120 W. 3rd Street
Tulsa, OK 74103
ad5qcf@r.postjobfree.com
https://www.tenstreet.com/privacy-policy/
The Health Bridge,
300 W 7th St,
West Point, GA 1833
For Pre-Employment Screening Program (PSP):
U.S. Federal Motor Carrier Safety Administration, of the Department of Transportation, ("FMCSA-DOT") 1200 New Jersey Avenue SE
Washington, DC 20590
Phone: 800-***-****, TTY 800-***-****
https://dataqs.fmcsa.dot.gov/Default.aspx
For Clearinghouse:
U.S. Federal Motor Carrier Safety Administration, of the Department of Transportation, ("FMCSA-DOT") 1200 New Jersey Avenue SE
Washington, DC 20590
Phone: 800-***-****, TTY 800-***-****
https://dataqs.fmcsa.dot.gov/Default.aspx
Sterling
1 State Street Plaza
New York, NY 10004
Phone: 1-888-***-****
Email: ad5qcf@r.postjobfree.com
Web: https://mybackgroundcheck.sterlingcheck.com
·
No consumer reporting agency utilized by the Company makes adverse decisions relating to your employment or contract relationship and no consumer reporting agency utilized by the Company is able to provide any specific reasons to you why an adverse decision relating to your employment or contract relationship may be taken or was taken based on a consumer report.
·
15 U.S.C. 1681j provides for the right to obtain a free copy of a consumer report on you from the consumer reporting agency which prepared your background report, under various circumstances, including but not limited to where you receive notice that an adverse action has been taken toward you based on the consumer report. In that instance, Section 1681j provides a right to a free copy of the report provided that you make the request within 60 days of the date that you received notice of the adverse action.
·
15 U.S.C. 1681i provides for the right to dispute, with a consumer reporting agency the accuracy or completeness of any information in a consumer report furnished by the agency.
·
16
INVESTIGATIVE CONSUMER REPORT DISCLOSURE
Argos USA Corporation ("Company") will order an 'investigative consumer report' concerning you for employment purposes or, if you are an owner-operator (independent contractor), for the legitimate business purpose of evaluating your suitability for an independent contractor engagement pursuant to your written instructions. An 'investigative consumer report' is defined as a consumer report or portion thereof in which information on a consumer's character, general reputation, personal characteristics, or mode of living is obtained through personal interviews with neighbors, friends, or associates of the consumer reported on or with others with whom he is acquainted or who may have knowledge concerning any such items of information.
The investigative consumer report the Company will order concerning you will contain information concerning your character, general reputation, personal characteristics, and mode of living, obtained through personal interviews. You have the right to request the additional disclosures provided for under the Fair Credit Reporting Act, 15 U.S.C. 1681d(b), which