Transportation Service Application

TRANSPORTATION SERVICE APPLICATION & AGREEMENT

Parties and Application Date

Client Name:     Provider Name:

Application Date:

WHEREAS

WHEREAS, Client requires transportation services for the movement of goods and/or passengers as described in this application and the attached Scope of Work; and

WHEREAS, Provider represents that it is duly licensed, insured, and qualified to perform such transportation services in the geographic areas and under the service types requested below; and

WHEREAS, the parties intend, subject to the terms set forth herein, that this Application, when accepted in writing by Provider, shall constitute a binding agreement governing the provision of transportation services by Provider to Client.

Applicant / Business Information

Individual    Corporation    LLC    Partnership    Other:

Service Details & Vehicles

Freight/Logistics    Passenger Transport    Courier/Parcel    Special Equipment (e.g., lift)    Other:

Scope of Work

The Scope of Work below describes the services Provider will perform if this Application is accepted. Provider shall perform services in accordance with applicable law, industry standards, and the directions provided by Client.

Payment Terms

Agreed Compensation per:

Term and Termination

Term Commencement Date:     Term Expiration Date:

Insurance, Compliance & Certifications

Applicant certifies that it will maintain all licenses, permits, and insurance required by applicable law for the duration of any performance under this Application and Agreement. Applicant authorizes Provider and Client to verify insurance and licensing information with the listed carriers and regulatory authorities.

I consent to insurance and regulatory verification.

Confidentiality

Each party shall keep confidential and not disclose to any third party any Confidential Information received from the other party, except as required by law or with the prior written consent of the disclosing party. "Confidential Information" includes business plans, pricing, client lists, operational details, and other non-public information disclosed in connection with the services. Confidentiality obligations survive termination for a period of three (3) years.

Applicant acknowledges and agrees to the Confidentiality terms set forth above.

Governing Law; Indemnification; Entire Agreement

Governing Law: This Application and Agreement shall be governed by and construed in accordance with the laws of the state of without regard to conflict of laws principles.

Indemnification: Provider shall defend, indemnify and hold harmless Client and its affiliates from and against third-party claims arising out of Provider's negligence or willful misconduct in the performance of transportation services. Client shall indemnify Provider for claims arising from Client's instructions or goods unless Provider acted outside reasonable professional standards.

Entire Agreement: This Application, together with any attachments and written acceptance by Provider, constitutes the entire agreement between the parties regarding the subject matter hereof and supersedes all prior agreements and understandings, whether written or oral. Any amendments must be in writing and signed by both parties.

Applicant Certifications

By signing below, Applicant certifies that the information provided in this Application is true and complete to the best of Applicant's knowledge, and acknowledges that material misrepresentations may constitute grounds for denial of service or termination for cause.

Applicant consents to background checks of drivers and company principals where permitted by law.

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