Shipping Qualification Form

SHIPPING QUALIFICATION AND SERVICES AGREEMENT

Client Name:    Client Address:

Carrier Legal Name:    Carrier Address:

Recitals

WHEREAS, Client engages Carrier to perform transportation, pickup, delivery and related logistics services for shipments described herein, and Carrier represents that it is duly authorized, insured, and qualified to perform such services; and

WHEREAS, Carrier affirms that it maintains current operating authority, insurance coverage and safety controls necessary to transport Client's goods in the applicable jurisdictions and will comply with all applicable laws, regulations and industry standards; and

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

Scope of Work

Payment Terms

All amounts payable under this Agreement shall be paid in United States dollars unless otherwise agreed in writing. Carrier's charges must be supported by documentation customary to the industry and accepted by Client. Client may withhold amounts reasonably disputed in good faith pending resolution.

Term and Termination

Effective Date:    Term Expiration Date:

Either party may terminate this Agreement for cause upon material breach if such breach remains uncured for the notice period above. Either party may terminate without cause upon providing the notice period. Termination does not relieve the parties of obligations accrued prior to termination, including payment for services rendered and liabilities for breaches occurring before termination.

Confidentiality

Each party shall treat as confidential all non-public business, technical and operational information disclosed by the other party in connection with this Agreement and shall not disclose such information except to employees, agents or subcontractors who have a need to know and who are bound to protect confidentiality at least as protective as this paragraph. Confidential information does not include information that is or becomes publicly available through no fault of the receiving party or that is independently developed without use of the disclosing party's confidential information.

Carrier Qualifications and Compliance

Hazardous Materials and Special Handling

Will the Carrier handle hazardous materials? Yes No

Service Area, Lead Times & References

Compliance Checklist (Carrier represents that the following are current)

Valid operating authority and required registrations
Active commercial liability and cargo insurance as stated above
All drivers hold valid commercial driver's licenses and required endorsements
Hazmat endorsements where hazardous materials are carried
Any commodity-specific certifications required for carriage (e.g., food-grade, temperature control)

Representations, Warranties and Indemnity

Carrier represents and warrants that it will perform services in a competent, lawful and professional manner in accordance with accepted industry standards and applicable law. Carrier shall indemnify, defend and hold Client harmless from and against any and all claims, liabilities, losses, costs and expenses (including reasonable attorneys' fees) arising from Carrier's negligence, willful misconduct, breach of this Agreement, or violation of law in connection with performance of the services, except to the extent caused by Client's gross negligence or willful misconduct.

Governing Law

This Agreement shall be governed by and construed in accordance with the laws of the jurisdiction specified below, without regard to conflicts of law principles.

Entire Agreement

This Agreement, together with any written rate confirmations or service orders signed by the parties, constitutes the entire agreement between Client and Carrier with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements, proposals, representations and communications, whether written or oral. No amendment or modification shall be effective except in a writing signed by authorized representatives of both parties.

Additional Provisions

The parties hereby certify that the information provided in this Shipping Qualification and Services Agreement is true, complete and accurate to the best of their knowledge, and that each party has the full authority to enter into this Agreement.

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