Pickup Pallet Form

PICKUP PALLET FORM

Agreement Recitals

THIS SERVICE AGREEMENT is entered into between Client Name: and Carrier Name: (each a "Party" and together the "Parties").

WHEREAS, Client requires pickup, handling and delivery of wooden or plastic pallets and related goods described herein; and

WHEREAS, Carrier is engaged in the business of transportation, pickup and handling of palletized freight and represents that it has the necessary authority, equipment, and insurance to perform the services; and

NOW, THEREFORE, in consideration of the mutual covenants set forth below, the Parties agree as follows:

Scope of Work

Pickup Location:    Drop-off Location:

Requested Pickup Date:   Requested Pickup Time:

Pallet Details

Number of Pallets:   Pallet Type: Standard Euro/EPAL Plastic Other

Approximate Total Weight (lbs):   Typical Pallet Dimensions (L x W x H inches):

Payment Terms

Agreed Pickup Fee (per job): $    Billing Schedule:

Late Payment Charge: applied to any past due balance.

Refunds and Adjustments: Any claim for shortage, damage or overbilling must be submitted in writing within of delivery. Carrier's liability for proven loss shall be governed by the liability and insurance provisions below.

Term and Termination

Term Commencement Date:    Term Expiration Date:

Either Party may terminate this Agreement for convenience upon providing days' prior written notice to the other Party. Termination for material breach shall be effective immediately upon written notice if the breaching Party fails to cure within days after receipt of notice.

Liability, Insurance and Acceptance

Carrier shall maintain at its expense commercial general liability and cargo insurance with limits sufficient for the services to be performed and shall provide proof of insurance upon request. Carrier's maximum liability for loss or damage to palletized goods shall not exceed unless otherwise agreed in writing.

The Client certifies that the goods to be transported are properly packaged and labeled, are not hazardous or regulated materials unless disclosed in writing, and that pallet condition has been documented at time of pickup.

Pallet Condition at Pickup: Good Damaged Missing Components

Confidentiality

Each Party shall treat as confidential and shall not disclose to third parties any non-public business information obtained from the other Party in connection with this Agreement, including pricing, operational details and customer information ("Confidential Information"). Confidential Information excludes information that (i) is or becomes publicly available through no fault of the receiving Party, (ii) was already rightfully in the receiving Party's possession, or (iii) is required to be disclosed by law or valid process. The receiving Party shall use Confidential Information solely for performance under this Agreement and shall protect it with at least the same degree of care it uses to protect its own confidential materials.

Governing Law

This Agreement shall be governed by and construed in accordance with the laws of the State of without regard to conflict of law principles. Venue for any dispute shall be in the state or federal courts located in such state.

Entire Agreement; Amendment

This Agreement constitutes the entire agreement between the Parties with respect to the subject matter and supersedes all prior oral and written communications, proposals and agreements. Any amendment or modification must be in writing and signed by authorized representatives of both Parties.

Acknowledgment and Signature

The undersigned represent and warrant that they are authorized to enter into this Agreement on behalf of the Party for which they sign and that the information provided in this form is true and accurate. Execution of this Agreement by electronic signature, facsimile or scanned copy shall have the same force and effect as an original signature.

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