YOU MUST INCLUDE ALL THE FOLLOWING ITEMS IN ORDER TO PROCESS PAYMENT FOR YOUR SERVICES

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1 Please fill ut cmpletely and send back t r YOU MUST INCLUDE ALL THE FOLLOWING ITEMS IN ORDER TO PROCESS PAYMENT FOR YOUR SERVICES We must receive: 4 pages f Vendr packet filled ut cmpletely and signed P1. Cntact infrmatin P2. Survey P3. Payment terms (fr Quick Pay include vided check) P4/P5. Carrier agreement If Quick Pay is selected yu must include a vided check ***Yu can view yur accunt nline at Vendrs.Garick.cm*** If using a Factring Cmpany, submit letter f assignment t the fax# abve COI frm insurance cmpany (MUST HAVE GARICK LLC AS CERTIFICATE HOLDER) Garick LLC Bradway Ave. Cleveland, OH ***Certificates that d nt have GARICK LLC as the certificate hlder will NOT be cnsidered Cpy f Certificate f Authrity Cpy f W-9- Incrrect W9 infrmatin will result in delayed payments. Thank yu. REMEMBER: YOU MUST INCLUDE ALL THE FOLLOWING ITEMS IN ORDER TO PROCESS PAYMENT FOR YOUR SERVICES ***Vendr packets submitted t destinatins ther than r will nt be prcessed*** ***Please d nt send POD dcuments t either f these destinatins ***

2 Page 1 THIS PACKET WILL NOT BE PROCESSED WITHOUT ALL THE REQUIRED INFORMATION. THIS MAY RESULT IN DELAY OF PAYMENT - Please Include all the infrmatin listed n the cver page. Cntact Inf Business Cntact Infrmatin Business/Individual Name: DBA Mailing Address: City: State: Zip: Phne: ( ) - Tll-Free: ( ) - Fax*: ( ) - Website: *: Cntact Inf Dispatch Manager: MC#: *: Phne: ( ) - Fax*: ( ) - After Hurs Cntact*: Phne :( ) - Cntact Inf -Accunting - Accunts Receivable Manager: Phne: ( ) - Fax*: ( ) - Accunts Payable *: Check if address is the same as business address Mailing Address: City: State: Zip: *By prviding yur fax# and/r address, yu are authrizing Garick & GarTran t crrespnd with yu via thse methds. Accunts can be mnitred nline at vendrs.garick.cm. Tax Infrmatin Tax Identificatin Please fill ut the infrmatin belw and INCLUDE a W-9 frm If yu are an Individual, enter the fllwing: SSN: - - Full Name: If yu are a Cmpany, enter yur Federal Tax ID# - If yu are a Cmpany, please select the type f cmpany Sle Prprietrship Crpratin Partnership L.T.D. L.L.P. L.L.C W9 Infrmatin By signing belw, I certify that 1) The tax identificatin number abve is crrect, 2) I am nt subject t backup withhlding because (a) I am exempt frm backup withhlding, r (b) I have nt been ntified by the Internal Revenue Service (IRS) that I am subject t backup withhlding as a result f a failure t reprt all interest r dividends r (c) the IRS has ntified me that I am n lnger subject t backup withhlding, and 3) I am a U.S. persn (including a U.S. resident alien). The Internal Revenue Service des nt require yur cnsent t any prvisin f this dcument ther than the certificatins required t avid backup withhlding. Signature f U.S. persn: Date: Printed Name f U.S. persn: Title: Please cmplete entire vendr packet and return via fax t

3 Page 2 Transprtatin Prvider Survey 1. If yu wuld like t receive the Gar-Tran lad list via fax r please chse belw: Please send me the Gar-Tran lad list via Fax Please send me the Gar-Tran lad list via Yu can view ur current lads at 2. Hw did yu hear abut us? (Check all that apply): Internet (what website?) Fax Other 3. T help us prvide ur custmers with prper equipment, please fill ut this frm: TYPE OF TRAILER NUMBER OF UNITS TRAILER DIMENSIONS TRAILER CAPACITY CUBIC YARDS TRAILER CAPACITY TONS LICENSED STATES Flat Bed Dry Van Spider Trucks (frklift) End Dump Live Flr Hpper Other Are yu interested in advertising yur cmpany n Gartran? Please prvide cntact infrmatin belw and we will have a representative cntact yu with mre infrmatin. Cntact name: Phne: ( ) - Please cmplete entire vendr packet and return via fax t Page 3

4 Chse Yur Payment Terms Must select ne - If n bx is selected, payment will autmatically default t Net 60 Days (paper check) Standard Terms Net 60 days (Direct Depsit Prgram, $7.00 fee per transactin) Net 60 Days (paper check) Quick Pay (free direct depsit, $7.00 fee is waived) 10 days, 5% discunt, Net days, 3% discunt, Net 60 INCLUDE VOIDED CHECK FOR QUICK PAY Fr Direct Depsit & Quick Pay: 1. Check apprpriate bx abve 2. Enter yur address: (required) 3. Must include a VOIDED CHECK (Fax: ) ***Accunts may be viewed nline at Vendrs.Garick.cm*** Nte: Hand written changes t this frm are NOT accepted. Are yur lads paid thrugh a factring cmpany? Yes N Factring Cmpany Name: Factring Cmpany Address: City: State: Zip: Cntact Name: Phne #: Fax #: ***Please include a letter f assignment frm yur factring cmpany*** Quick Pay Prgram GarTran is partnering with Supply Chain Financial (SCF) t ffer yu quick and easy payments directly int yur checking accunt. SCF direct depsits yur payment within 10 days f cnfirmed delivery, fr a 5% discunt. Yu can als chse a 3% discunt and be paid with 15 days f cnfirmed delivery. Bth ptins include direct depsit int yur bank accunt with n additinal fee. Direct Depsit Prgram Paper checks can be eliminated thrugh ur direct depsit prgram. When yu chse standard terms, payments can be directly depsited int any accunt with n discunt, fr a fee f $7.00 per transactin. Benefits f the Quick Pay & Direct Depsit Prgrams: - N lst checks - Depsited funds are immediately available - N waiting fr the mail - Depsit ntificatin via - N trips t the bank - Reduce administrative csts Signature cnfirms acceptance f the terms chsen abve. Cmpany: Signature: MC # Date: Page 4

5 Truck Carrier Agreement N truck will be laded withut a Garick GO#. Nr can the same GO# be used fr mre than ne lad. Carriers wh lad the same GO in duplicate d s at there wn expense. Please cntact yur Transprtatin team Dispatcher if yu d nt have a Garick GO number. If rder is fr ne (1) full trucklad, lad t max by vlume r weight, whichever ccurs first? If the rder is fr a specific amunt, lad the listed quantity. If the listed quantity can t be laded, yur dispatcher must call the Prcurement Team fr instructins. Garick will nt be respnsible fr any truck recrded as verweight. All lads MUST be secured by straps r lad lcks. Carriers wh fail t secure lads will be respnsible fr all charges related t damage. Services: Carrier agrees t safely, prmptly and efficiently transprt all shipments tendered t it by Garick and Gartran. Carrier is fully qualified and adequately equipped t perfrm the transprtatin services cntemplated hereby and carrier has and will cntinue t cmply with the regulatins f the Bureau f Mtr Carrier Safety f the Department f Transprtatin including drivers hurs f service and recrds theref, driver qualificatin requirements, physical, and equipment maintenance standards and reprts. Carrier certifies they will nt re-brker, assign r interline the shipments hereunder, withut prir written cnsent frm Garick and Gartran. Carrier must maintain a Satisfactry Safety Rating. Shuld rating change t Unsatisfactry r Cnditinal, carrier shall ntify Garick and Gartran immediately. Custmer Slicitatin: Acceptance by carrier f a lad ffered by Garick and Gartran will cnstitute carrier s recgnitin that the shipper f the lad is a custmer f Garick and Gartran. Carrier agrees nt t slicit r accept, directly r indirectly, shipments frm Garick and Gartran custmers, frm anyne ther than Garick r Gartran. The slicitatin plicy remains in effect fr a perid f twelve mnths after terminatin f this agreemenmt. In the event f a breach f this prvisin, Garick and Gartran will be entitled t a cmmissin f fifty percent f the grss transprtatin revenue received by carrier frm Garick and Gartran custmer. (carrier initials required) Insurance Requirements: At all times and at its wn expense, Carrier will maintain insurance n trucks, trailers, and carg. Carriers are als required t prvide Garick with a valid (nn-expired) COI (certificate f insurance). Garick shuld be specified as the certificate hlder. Carrier will supply Garick and Gartran with updated COI s each time insurance is updated. COI s may be ed t r faxed t Delivery Appintments: Carriers are t all delivery appintments daily t Any trucker nt able t pick up and/r deliver a lad n the day scheduled must call the Garick ffice IMMEDIATELY. Carriers are nt t deliver withut a valid delivery appintment with the custmer. Missed appintments, nn-scheduled deliveries, and/r drpped lads can result in Garick assumed charges frm ur custmers. These charges will be passed t carriers. NOTE: Fr lads delivered late, Garick reserves the right t assess a $50/day penalty. Fr lads nt delivered/drpped, there is a $200 re-dispatch fee. DETENTION POLICY: Drivers are required t sign in and ut when picking up a lad. Shuld additinal lading/wait time incur, carrier must cntact Garick n the day f detentin. Failure t cmply with the abve will relieve Garick f any respnsibility in regard t paying detentin. The first tw hurs f lading/wait time incurred by carrier at any lading facility will be at n charge. Except fr peak hurs between 10:00AM and 2:00PM where the lading/wait time incurred at n charge will be fur hurs. Garick will issue $25.00 fr each additinal hur incurred by a carrier after the required lad/wait time is met. Garick will issue up t $ maximum per day in detentin time fr any carrier. NOTE: Shuld carrier either arrive late r change the pick-up date frm what was riginally agreed upn; n detentin will be paid. Yur dispatcher must cntact the Transprt Team after a 1 hur wait. If detentin ccurs during delivery, custmer must ntate in and ut time and sign. Page 5 Truck Carrier Agreement Standard Accessrial Charges fr Trucklad: A REGIONAL SERVICE MANAGER FROM GARICK MUST APPROVE ALL

6 ACCESORIAL CHARGES Carrier is respnsible fr getting apprval prir t accepting lad. Equipment rdered and nt used is subject t a $50 flat charge. Lading/Unlading with pallet jack - $50 Stps in transit - $25 per extra stp excluding first Drp (unless therwise apprved by Transprt Mgr) Any trucker lading bulk material fr Garick in a dump r walking flr trailer must clean their trailer bed prir t lading. Fr a list f pssible cntaminants see Cntaminatin Warning n All lads must use a Garick bill f lading. Any trucker lading bulk material fr Garick in a dump r walking flr trailer must clean their trailer bed prir t lading. Fr a list f pssible cntaminants see Cntaminatin Warning n Carriers wh fail t cmply will be respnsible fr all charges incurred by Garick fr cntaminated prduct. All lads must use a Garick bill f lading. Carriers delivering freight n vans are required t use lad lcks. Carriers wh fail t cmply will be charged all fees related t damaged prduct r re-stacking. PROOF OF DELIVERY REQUIRED FOR PAYMENT. Carriers will btain prf f delivery based n custmer requirements belw. All carrier invices must have the Garick GO# listed. Failure t prvide the fllwing dcuments will result in nn-payment f yur shipment: 1. Bill f Lading signed POD as indicated belw 2. Invice 3. Rate Cnfirmatin CUSTOMER REQUIREMENTS ON BILL OF LADING: Hme Dept First and Last Name f Receiver and Key Rec # (n label attached t BOL) There will be a $25 fee assessed if n KEY REC STICKER r NUMBER is prvided n the frnt f the BOL (please d nt write the Key Rec number n the back f the BOL) Lwe s First and Last Name f Receiver and Clck # Wal-Mart & All Others First and Last Name f Receiver Terminatin f Carrier Agreement- The term f this agreement shall be fr ne (1) year, cmmencing n the executin heref. This agreement shall be autmatically renewed after this time. Carrier has the right t cancel this agreement at anytime by submitting a written request t ur Transprtatin Department. POD infrmatin t r fax t (Please d nt send any ther infrmatin t this r fax Any ther infrmatin that des nt pertain t POD dcuments sent t these destinatins WILL NOT BE PROCESSED). Yu can als mail POD dcuments t the fllwing address: Bradway Avenue. Cleveland, OH Hand written changes t this agreement are NOT accepted Please acknwledge by signing belw yu will abide by the abve rules and regulatins cntained within this dcument, including the cntaminatin warning befre accepting lads fr Garick/GarTran. By: Representing: Date: MC #

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