SLM BROKERS GEHR RD WAYNESBORO PA PHONE: FAX:

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1 SLM BROKERS GEHR RD WAYNESBORO PA PHONE: FAX: In order to get you set up with our company we will need the following documents: Copy of your operating authority Copy of you US Dot # Signed Broker/Carrier Packet W-9 form Insurance Certificate with SLM Brokers Listed as certificate holder References if available. We must have all of these items before your company hauls a load and before payments are issued. Thank you, SLM Brokers *** We do not issue comchecks, we do not advance*** ***We work with all factoring companies***

2 SLM BROKERS GEHR RD WAYNESBORO PA PH: FAX: CARRIER PROFILE PLEASE PRINT CLEARLY NAME OF CARRIER: ADDRESS: PHONE NO: FAX NO: *******AFTER HOURS/EMERGENCY CONTACT NUMBERS: MUST BE FILLED OUT!!! ******* CONTACT NAME (S): (ONLY LIST IF YOU CHECK THIS REGULARLY!!) THIS PAGE MUST BE TOTALLY FILLED OUT BY CARRIER

3 SLM Brokers, Inc. MC B Gehr Road Waynesboro, PA Phone: 717) Fax: (717) Broker/ Carrier Agreemen This agreement between Street Address City State Zip Hereinafter designated as Carrier and SLM Brokers, Inc., hereinafter designated as Broker, is entered into this day of, 200. WITNESSETH: Whereas, Broker is actively engaged in operations as a freight broker, and WHEREAS, Carrier is a common and contract carrier, having the required authority from all governmental agencies, is engaged in the business of transporting freight by motor vehicle; and is desirous of retaining the services of Broker to obtain such freight for transporting as is offered by Broker. IT IS HEREBY, agreed in consideration of the premises and mutual covenants herein as follows: 1. Carrier agrees to transport all general commodities except household goods between points in the United States, which are intended to Carrier for transportation from time-to-time by Broker under the terms, provisions and conditions of the bill of lading. 2. This Agreement is not an exclusive agreement between Broker and Carrier and during the term of the Agreement, Broker may use other carriers, and Carrier may use the services of other Brokers. 3. Carrier agrees it shall never bill the shipper directly, or do any other thing that might interfere with Broker s relationship with the Shipper. 4. Carrier shall not attempt to circumvent Broker s relationship with any Shipper, and Carrier shall not solicit freight shipments from any shipper obtained for Carrier by Broker. Further, any shipments from shipper obtained for Carrier by Broker. Further, any shipments from shipper obtained for Carrier by Broker. Further, any shipments transported by Carrier for any shipper served pursuant to this Agreement, for a period of two (2) years from the date of the Agreement with appropriate payment made to broker.

4 5. Carrier will bill Broker directly and Broker will pay Carrier directly for freight charges payable to the Carrier on freight shipments obtained by Broker for the Carrier. Carrier s freight charges will be based on the amount negotiated between the Broker and the Carrier by a fax sheet on each individual shipment and approved by a representative of the Broker and Carrier before the Carrier is dispatched to pick up the shipment. 6. Carrier shall invoice only Broker at the agreed price on fax sheet, and Broker shall pat Carrier within thirty (30) days upon receipt of a clear original bill of lading and all necessary required documents including invoice and any accessorial receipt(s); provided, the Carrier shall furnish Broker prior to payment the following documents before payment(s) are released; (a) Signed Broker/Carrier Agreement (b) Carrier s Certificate of Insurance showing Broker as Certificate holder (c) Copy of Carrier s Contract Carrier Authority (d) Signed Broker/Carrier Rate Confirmation (e) Copy of W-9 7. Carrier shall be fully responsible for all shipments accepted for transportation in Carrier s equipment, and specifically shall be responsible for the count and visible condition of goods accepted by Carrier s driver. Carrier shall pay any claims received by Broker regarding shortage or damage incurred while a shipment was in Carrier s hands. If Carrier disputes the legitimacy of said claim or claims, Carrier shall be responsible for defending Broker against said claim. Any load with claims, the payment will be held from Carrier until claim amount is determined by shipper and at that point, claim will be deducted from Carrier settlement. Carrier recognizes that there are absolutely no double brokering of any shipments from broker. If Carrier double brokers any shipment from Broker, broker is not responsible for paying Carrier. Carrier acknowledges that any shipment accepted from Broker, the truck hauling the load will bear the same MC Number and US DOT number on the equipment as Carrier stated in this contract. If not, load is being double brokered and no payments will be issued. 8. Carrier shall be responsible for making all delivery appointments on time and shall also be responsible for defending incurred by reason of any delay in transit. Carrier acknowledges there will be fines imposed for any late pickup or delivery because of their own fault. Carrier shall be responsible for all/any damage to cargo whether it be driver theft, driver negligence, miscellaneous theft, fire, water, reefer breakdown, driver or carrier non-cooperation, due to delay in transit, or accident involving said Carrier. No matter what the circumstance, once Carrier obtains load, they are fully responsible for whole payment of entire load. Any overage, shortages or damages due to shipper or receiver, must be reported immediately to avoid being charged. Carrier will fax broker clear, legible copies of bills of ladings at Broker s request if any product on load is over, short or damaged. If driver or carrier refuses to cooperate with us regarding the placement/redelivery of any overages or damages that receiver will not accept, carrier will be fully responsible for entire payment of the product. In no way does Carrier decide

5 where shipper s product belongs nor does Carrier decide what to do with it. Never will carrier dispose of any product without broker s written consent. Never will carrier sell any product. Carrier must obey shipper and broker orders given if there are any changes while load is en route and must obey any and all orders given according to delivery locations and delivery times. 9. Carrier s failure to supply equipment for any load at the agreed time shall relieve Broker of any responsibility to tender said shipment to Carrier, unless otherwise agreed. If Carrier agrees to take load and does not show up to pick up load, No Call, No Show, Broker will notify all transportation reporting agencies of Carriers service failure. We will also be reporting any late trucks due to unnecessary reasons or if carrier is not cooperative with us, we will be reporting it to all transportation reporting agencies. 10. Carrier further covenants and agrees indemnify and hold harmless Broker or any shipper from any claim loss, damage, and injury to any person, including the employees of Carrier, which arise out of Carriers operations under this Agreement; and agrees to maintain insurance on cargo, property damage, and public liability in the amounts set forth in Paragraph 11 of this Agreement. 11. Broker shall have no liability to Carrier or to any Shipper for loss, damage of liability of any kind arising from the transportation of freight and shipments arranged for by Broker. Should any claim be made against Broker for Carrier, Carrier agrees to assume and handle any such claim at Carrier s expense and to indemnify Broker against any liability with respect thereto. All Carriers utilized by Broker to transport goods shall have on file with Broker. Current certificates of insurance providing 10 days notice of cancellation to Broker and evidencing the following minimum criteria: (a) Automotive liability: $1,000,000 combined single limit coverage or statutory minimums, whichever is greater. (b) Comprehensive general liability: $1,000,000 combined single limit. If a bulk Carrier, this coverage must include product liability or products completed operations coverage, or statutory minimums, whichever is greater. (c) Worker s Compensation (where required by law) statutory benefits. (d) Cargo: All risk type, minimum limit of $100,000 per load or an additional amount necessary to cover the financial liability of the cargo being transported. 12. it is further agreed that this contract shall continue in full force and effect from the date hereof, subject, however, to the right of the parties hereto to cancel or terminate the same upon thirty (30) days prior written notice to the other party. 13. Carrier agrees to observe all safety rules and regulations and other requirements of the U.S. Department of Transportation, Interstate Commerce Commission and other

6 regulatory bodies having jurisdiction; and to pay costs of fuel, fuel taxes, empty mileage, and accessorial services including permits of all types, tolls, ferries, base plates, licenses, and fines. 14. This Agreement is entered into the state of and shall be governed by laws of State of Pennsylvania. Judicial resolution of any dispute arising under this agreement shall be vested exclusively with the courts in Waynesboro, Pennsylvania. 15. It is further mutually understood and agreed upon that the relationship of Carrier to Broker hereunder is and shall remain solely that of an independent contractor that Carrier shall and does employ on its own behalf all persons operating motor vehicles carrying commodities under this Agreement and subject solely to the direction, control, and supervision of Carrier in every respect; and Carrier represents and agrees that such employees are and will at all times be covered by adequate worker s compensation insurance as provided by law and at its own expense. Carrier agrees to hold harmless and indemnify Broker against any claims related to Carriers failure to maintain adequate worker s compensation insurance, unemployment insurance, or any other required and applicable benefit. Carrier acknowledges when accepting a load from our company that their driver has enough hours to load the load and to complete the deliveries as scheduled. Carrier acknowledges they will not accept a load if driver is not able to complete it as scheduled. Broker: SLM Brokers Inc. By: Title: Date: Carrier: By: Title: Date: MC Number:

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