Cargo Transport Application

Cargo Transport Application

Recitals

WHEREAS, Applicant seeks authorization to provide cargo transportation services and to be approved by Client Company for the carriage of freight under the terms set forth in this application and any resulting contract; and

WHEREAS, Client Company seeks to establish the Applicant's qualifications, insurance, safety record and operational capability prior to tendering freight; and

WHEREAS, Applicant certifies the information provided in this application is true, complete and authorizes Client Company to verify the information, including insurance and regulatory status.

Applicant Information

Corporation LLC Sole Proprietor Partnership Other

Regulatory & Insurance Information

Certificate of insurance attached:

Equipment & Operations

Transport hazardous materials:

Scope of Work

The Applicant proposes to perform cargo transportation services including pickup, handling, transportation and delivery of freight as described below. Applicant agrees to perform all services in accordance with applicable laws, regulations and industry standards.

Payment Terms

Applicant requests the following general compensation structure; specific shipments will be subject to confirmed rate quotes and written tender instructions.

All invoices must include Applicant's invoice number, MC/DOT number, and any agreed reference numbers. Client Company will remit payment in accordance with the Billing Schedule above unless otherwise agreed in a separate executed service agreement.

Term and Termination

The term of approval or any resulting service agreement shall commence on and shall continue until unless earlier terminated as provided below.

Either party may terminate for convenience upon written notice to the other party no fewer than days prior to the effective termination date. Immediate termination for cause is permitted where the other party materially breaches any obligation and such breach remains uncured after ten (10) days' written notice, or where safety, insurance or regulatory compliance is materially impaired.

Confidentiality

Applicant and Client Company each acknowledge that in the course of discussions and performance they may receive Confidential Information. "Confidential Information" means non-public business, operational, pricing, routing, customer and freight details. Each party agrees to: (a) hold Confidential Information in strict confidence; (b) use it solely for purposes of performing obligations under the application or a subsequent agreement; and (c) limit disclosure to employees and agents having a need to know, provided recipients are bound by confidentiality obligations no less protective than those set forth herein. Confidential Information does not include information that is or becomes publicly available through no breach of this paragraph, or is independently developed without reference to Confidential Information.

Governing Law; Remedies

This application and any ensuing agreement shall be governed by and construed in accordance with the laws of the State of without regard to its choice of law principles. The parties agree that monetary damages may be inadequate for breach of confidentiality and injunctive relief shall be available in addition to other remedies at law or equity.

Certifications, Representations and Authorizations

Applicant certifies that the information contained in this application is true and complete to the best of Applicant's knowledge. Applicant represents that it is properly licensed, insured and authorized to provide the services described. Applicant authorizes Client Company to verify safety records, insurance status, regulatory standing and references, and to contact carriers, insurers and regulatory agencies for such verification.

Applicant acknowledges that submission of this application does not create an obligation by Client Company to tender freight and that any actual carriage will be governed by a separate written agreement or tender confirmations as required by Client Company.

Applicant authorizes release of accident, claim, and inspection records to Client Company and certifies that Applicant maintains a drug and alcohol testing program as required by applicable regulation:

Entire Agreement

This application, together with any written attachments and any subsequently executed service agreement, constitutes the entire agreement between Applicant and Client Company with respect to the subject matter hereof and supersedes all prior or contemporaneous agreements, proposals and communications, whether written or oral. No amendment shall be effective unless in writing and signed by both parties.

References

Additional Terms and Signature Authorization

Applicant agrees to indemnify and hold harmless Client Company from losses, liabilities, damages and expenses arising from Applicant's negligent performance or breach of applicable law, except to the extent caused by Client Company's negligence. Insurance maintained by Applicant shall be primary with respect to claims arising from Applicant's operations.

By signing below, the undersigned certifies under penalty of perjury that he or she is authorized to bind the named Applicant and that all information provided is true and correct.

Sign Now