NEW CARRIER FORM MC NUMBER FEDERAL ID CARRIER NAME ADDRESS CITY STATE and ZIPCODE E-MAIL TOLL FREE # LOCAL # FAX # CONTACT PERSON INSURANCE COMPANY INS. CO. PHONE# & FAX# TRUCKS V48 V53 R48 R53 F48 FT/SD CV ST24 How many? LOCATIONS SERVED Check Boxes N. WEST S. WEST MID S. N. WEST CENTRAL EAST EAST FLORIDA NEW JERSEY PENN. CONN. INSURANCE COMPANY MUST FAX INSURANCE CERTIFICATE TO 800-844-8317 WITH LIBERTY LOGISTICS INC. NAMED AS ADDITIONAL INSURED BEFORE LOADING. NEW YORK PLEASE FAX THE FOLLOWING INFORMATION ALONG WITH THIS FORM TO 800-844-8317 1) CARRIER AUTHORITY 2) COPY OF INSURANCE CERTIFICATE: a) LIABILITY MINIMUM OF $1,000,000 b) CARGO MINIMUM OF $100,000 c) WORKERS COMP AS PER STATE REQUIREMENTS 3) SIGNED W-9 4) DRIVER / CARRIER CHECK CALL PROCEDURES 5) DRIVER ID SHEET (If multiple drivers, include one sheet per driver) IF YOU HAVE ANY QUESTIONS PLEASE CALL 800-844-8249 FOR ASSISTANCE Phone: 800-844-8249 Fax: 800-844-8317 jsprouse@libertylogisticsinc.com 1 of 11
DRIVER and/or CARRIER CHECK CALL PROCEDURES & REQUIREMENTS THE FOLLOWING PROCEDURES ARE MUST BE ADHERED TO IN ORDER FOR THE CARRIER TO AVOID MONETARY PENALTIES AS LIBERTY IS 24/7 DISPATCH. SHIPPER INSTRUCTIONS DRIVERS MUST CHECK IN WITH LIBERTY DISPATCH UPON ARRIVAL AT SHIPPER. DRIVER MUST CALL LIBERTY DISPATCH BEFORE PULLING AWAY FROM DOCK AT SHIPPER. CONSIGNEE INSTRUCTIONS DRIVER MUST CHECK IN WITH LIBERTY DISPATCH UPON ARRIVAL AT CONSIGNEE. DRIVER MUST CHECK IN WITH LIBERTY DISPATCH BEORE PULLING AWAY FROM THE DOCK AFTER UNLAODING AT THE CONSIGNEE. FAILURE TO DO EITHER OF THE ABOVE AT THE SHIPPER OR CONSIGNEE WILL RESULT IN A $100.00 PENALTY!!! THE PREVENTION OF HAVING A TRAILER REJECTED (See next page for examples of rejected trailers) All trailers are checked for the following things: Cleanliness Swept of debris, dirt and no odor Walls No torn, ripped or splintered wood or metal sticking out Floors No holes, loose boards, water or metal sticking out Roof No holes, cracks or water dripping ATTENTION: CARRIERS ARE BEING INFORMED THERE WILL BE A FINE EQUIVELANT FOR ANY AND ALL TRIALERS REJECTED THE LAST THING WE WANT TO DO IS PENALIZE ANYONE IT IS VERY SIMPLE DRIVERS MUST CALL LIBERTY AS PER THE ABOVE INSTRUCTIONS. THERE WILL BE NO EXCEPTIONS!!!!! CARRIER DISPATCH SIGNATURE DRIVER SIGNATURE 2 of 11
DISPLAYED DAMAGE WITH METAL EXTRUTIONS STICKING OUT ANY HOLES OR BROKEN BOARDS ON FLOORS DISPLAYED DAMAGE AND HOLES ON WALLS 3A of 11
January 1, 2012 TO ALL OUR CARRIERS IF THERE ARE ANY DAMAGES OR SHORTAGES ON OUR LOADS WE MUST HAVE THE PAPERWORK FAXED WITHIN 24 HOURS OR LESS. SHIPPERS NOW ARE REQUIRING NOTIFICATION WITHIN 48 HOURS OF SHORTAGES TO AVOID ANY UNNECCESSARY DEDUCTIONS. THIS IS FOR YOUR PROTECTION AS WELL AS OURS. YOUR COOPORATION IS MUCH APPRECIATED!!! CARRIER SIGNATURE DATE 3 of 11
4 of 11
DRIVER INFORMATION SHEET To reduce the amount of calls, please provide the following information: Driver Name: Driver Cell#: Truck Number: Trailer Number: Is driver getting unloaded before loading with Liberty? Please forward time and location to insure on-time pickup... ANY CHANGES OF DRIVER INFORMATION PLEASE LET US KNOW AS SOON AS POSSIBLE. 5 of 11
6 of 11
Milton K. Morris PO Box 511 Richboro, PA 18954 888-831-6751 Robin Abilene Motor Express PO Box 34507 Richmond, VA 23234 804-275-0224 Judy - A/R Western Equipment 2586 Marble Ct. Zeeland, MI 49464 616-403-1171 Jeff Crane Cartage 16685 Air Center Blvd. Houston, TX 77205 717-268-4808 Bret Copa Transport 356 Murry Hill Drive Lancaster, PA 17601 609-847-5772 Angel D&S Factors PO Box 1210 Fruitland, ID 888-777-5543 Heidi FEIN: 57-1131080 D&B: 03363783 CARRIER REFERENCES Factoring Company References Freight Check PO Box 100920 Atlanta, GA 615-574-7515 Tony TJK Transport LLC 340 Figsboro Road Martinsville, VA 24112 276-340-5928 Tony Bryson Trucking 198 kelton Road West Grove, PA 19690 610-587-5107 Ken AAA Transit PO Box 23825 Lexington, KY 40523 859-361-0504 Tom Floyd Beasley Transfer Co. 950 S. River Industrial Blvd Atlanta, GA 30315 800-952-7610 Jeff Manbeck Trucking 94 Host Road Womeldorf, PA 19567 866-389-5959 Kathy Corporate Billing PO 2219 Decatur, AL 877-584-3600 Chris Apex Capital PO Box 961029 Fort Worth, TX 800-511-6022 Ashley ESTABLISHED 2001 JD Factors PO Box 687 Wheaton, IL 630-690-5871 Mandy 7 of 11
8 of 11
9 of 11
10 of 11
11 of 11