Carrier Information

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Carrier Information
Company Information
(Last 3 Pages please fill out by hand..)
Company
Address
City
State
Zip Code
Country
Phone
Number
Fax Number
Dispatch Name
email
Type Of Equipment
Flatbed
Numer Trucks
Step Deck
Curtian Van
Numer Trailers
Insurance (Check all that
apply
Cargo
Liability
Workers Compensation (Required)
Authority (Check all that apply)
Broker
Federal ID #
Van
Common
Contract
Reefer
P. O Box 1219
Provo, UT 84603
Telephone
Fax
801-374-0761
801-377-3167
Date
Please fax us the following items so we may complete your file.
A copy of your Contract Authority Certificates.
If you do not carry contract authority, please forward your common or broker authority certificates.
If you carry contract authority and common or brokerage authority, please forward a copy of each authority
you have.
Cargo insurance certificate, agent's name and telephone number.
Contact your agent and list SMP Logistics, LLC as certificate holder.
Liability insurance certificate, agent's name and telephone number.
A copy of your DOT Motor Carrier Safety Rating.
This copy should show type of rating your company was given and the assigned Department of
Transportation number for your company.
A completed, signed W-9 form.
Either complete and return the attached W-9 or forward a complete W-9 you may already have on file.
Please ensure that the form is legible and indicates the legal title of your organization and whether your
company is incorporated, a partnership or a sole proprietorship. Also, indicate if your company requires
that a 1099 be provided.
Please review the attached Carrier Contract. Please complete this contract by filling in the blanks,
obtaining the appropriate signatures and faxing the contract to us with all requested information. We will
be unable to set up your account without having a signed and dated contract on file. Your may fax the
requested information to (801) 377-3167, attention Todd Stokes.
Thank your in advance for your cooperation and quick response to our request for the above information.
Please contact me if you have any questions.
Sincerely,
Todd Stokes
Transportation Manager
Remember: SMP Logistics, LLC can not allow a carrier to move freight without all the above listed information forwarded to the
SMP Logistics, LLC (West Coast Office) at the above listed numbers.
P. O Box 1219
Provo, UT 84603
Telephone
Fax
801-374-0761
801-377-3167
INSURANCE.
The Motor Carrier will with respect to each shipment tendered to it for transportation by the Broker,
maintain, at a minimum, the following insurance coverages:
(1) Cargo Insurance . Cargo coverage with no exclusions, (except as may be agreed in writing by the
Broker and Motor Carrier) of One Hundred Thousand Dollars ($100,000) per shipment, per
vehicle. Such coverage shall be deemed to cover the Broker, and any Shipper with whom the
Broker has dealt with respect to any given cargo, as well as any consignee, owner or other party
involved with and otherwise entitled to claim with respect to any applicable loss.
Public liability and property damage
(2) Public Liability and Property Damage Insurance.
insurance in a minimum amount of One Million Dollars ($1,000,000) per vehicle operated by the
Motor Carrier when transporting property pursuance to the terms of this agreement. Such
minimum required coverage shall be deemed increased automatically upon the effective date of
any amendment to or successor provision of any federal law or regulation increasing minimum
coverage's under Code of Federal Regulations, 49 C.F.R. 1043.2. Notwithstanding any provision
herein to the contrary, the Broker, with respect to transportation service to be rendered by the
Motor Carrier, may in its sole discretion required that with respect to a given shipment or
shipments, minimum insurance coverage's be higher than those set forth herein.
(3) Worker's Compensation. Worker's Compensation insurance adequate to comply with the laws
of all states in or through with the Motor Carrier will operate. In that connection: (1) no driver or
other person employed or contracted for in connection with the transportation of shipments under
this agreement is to be considered the employee or agent of the Broker. (2) All such persons are
subject to the direction, control and supervision, if at all, only of the Motor Carrier, and (3) the
Motor Carrier agrees to assume the total and sole responsibility to assure adequate Worker's
Compensation coverage is in place for its employees and other persons as the law may require.
(4) Form of Policies. The Motor Carrier will cause the Broker to be named as an additional insured
with regards to all policies of insurance set forth or otherwise described herein. No provision for
exclusion of coverage shall be applicable except as approved in writing by the Broker. If such
policy or a certificate evidenced by any regulatory agency having jurisdiction over the Motor
Carrier, such filings or other evidence shall be in a form that fully complies with such
requirements.
(5) Copies of Insurance Policies. Promptly following the execution of this agreement, the Motor
Carrier shall forward a copy or copies of all policies of insurance required to be in force and effect
under the terms hereof. The Motor Carrier agrees to give the Broker a minimum of ten- (10) day's
notice of cancellation of any or all of such insurance coverage's.
P. O Box 1219
Provo, UT 84603
Telephone
Fax
801-374-0761
801-377-3167
ATTN: Carriers
To whom it may concern:
As per our conversation, SMP Logistics, LLC will require in possession the
following prior to being loaded.
1. Published or contract rate for (12) western states is $____ per shortest mile
VIA the PC Miler from Provo, Utah to the farthest point plus & _____ per stop
fee after first stop.
2. At the loading location there is a $25.00 loading fee per semi trailer. $37.50
per train load and $25.00 for doubles. This will be deducted from your
invoice.
3. We do load stepdecks; you can either supply your own dunnage or can be
purchased at the time of loading.
4. To receive payment, you must send ORIGINAL BILL OF LADEN
Signed and dated for proof of delivery and your invoice. If you don't have the
ORIGINAL BILL OF LADEN YOU HAVE TO GET A COPY AND
HAVE IT NOTERIZED BY THE RECEIVER.
5. If at any time you receive a load through SMP Logistics, LLC and have
problems, Please contact SMP Logistics, LLC ASAP.
6. There are delivery appointments for all deliveries.
7. The CARRIER is responsible for making sure the CUSTOMER receives all
products, This includes PIPE/GASKETS/LUBE.
Carrier
Signature
Date
Telephone
Fax
P. O Box 1219
Provo, UT 84603
801-374-0761
801-377-3167
Date
This agreement made between Broker
SMP Logistics, LLC
And Carrier
for freight from,
Please initial each state that you care to haul
Birmingham, AL to Provo, UT
1735 Miles Rate per mile $____
Chicago, IL
to Provo, UT
1412 Miles Rate per mile $____
Coshocton, OH
to Provo, UT
1754 Miles Rate per mile $____
Louisville, KY
to Provo, UT
1586 Miles Rate per mile $____
Per shortest mile VIA the PC miler from these areas to the farthest point plus &
_____ per stop off fee, excluded first stop.
Carrier
Signature
Title
Telephone
Fax
P. O Box 1219
Provo, UT 84603
801-374-0761
801-377-3167
Date
This agreement made between Broker SMP Logistics, LLC
And Carrier
for freight from Provo, UT to IDAHO, OREGON,
WASHINGTON, WYOMING.
At $____ per shortest mile VIA the PC Miler from Provo, UT to the farthest point
plus & _____ per stop off fee, excluding first stop.
Trainloads consist of 40' and 20' trailers
Carrier
Signature
Title
AGREEMENT FOR
TRANSPORTATION OF PROPERTY BY
A LICENSED INTERSTATE MOTOR CARRIER BROKER AND A
MOTOR CONTRACT CARRIER
by and between
date
, 20
,which address at
SMP Logistics,
,(hereinafter referred to as CARRIER), and
LLC (MC-422483), with address at 402 Route 519, Phillipsburg, NJ 08865, (hereinafter referred to as BROKER).
THIS AGREEMENT made
WHEREAS, CARRIER is an authorized interstate motor contract carrier of property operating under
permit no. MC
(a copy of which permit is attached hereto and made a part hereof), issued by the Interstate
Commerce Commission. Federal Highway Administration, or Federal Motor Carrier Safety Administration, to
provide regulated interstate transportation of property for BROKER; and
WHEREAS, BROKER is a duly licensed interstate motor carrier broker, licensed to arrange for the
interstate transportation of property (except household goods), by the Interstate Commerce Commission, Federal
Highway Administration, or Federal Motor Carrier Safety Administration under Docket No. MC,a
copy of which is attached hereto and made a part of hereof; and
WHEREAS, BROKER controls the routing and transportation of the commodities to be tendered to
CARRIER, through agreements and arrangements BROKER has with the beneficial and title owners or receivers of
such commodities in accordance with the criteria established Dixie Midwest Express 132 M.C.C. 794 (1982):
NOW, THEREFORE, in consideration of the above premises, BROKER agrees to offer for shipment and
CARRIER agrees to transport by motor vehicle from and to such points between which service may be required,
such quantities of authorized commodities as the BROKER may require, subject to the availability of suitable
equipment, as follows:
(1) BROKER agrees to tender to CARRIER for transportation, a minimum of
Pounds per year for each year this AGREEMENT remains in effect.
(2) CARRIER agrees to maintain cargo insurance in the minimum amount
Of
for the benefit of and to compensate BROKER, consignor or consignee, or owner for loss or
damage to property belonging to BROKER, owner, consignor, or consignee while in actual or constructive
possession or control of CARRIER in connection with any transportation service provided herein. Cargo insurance
shall be in the form required by 49 C.F.R. § 387 seq., and shall not have any exclusions or restrictions that would be
deemed unacceptable to the Federal Motor Carrier Safety Administration for filing under the statutory requirements
of the above-cited section, but shall, in all respects, be identical to the cargo insurance filed in accord with the said
section. CARRIER shall cause its insurance carrier to forward forthwith to BROKER a standard Certificate of
Insurance, which Certificate shall require the insurance carrier to give BROKER written notice of 30 days prior to
the cancellation of such cargo, insurance and which shall list BROKER as an additional insured under CARRIER'S
cargo insurance policy.
(3) (a) CARRIER agrees to defend, indemnity and save harmless, BROKER and to
Assume full responsibility for and pay cost of compliance with all insurance covering cargo, personal liability and
property damage risks; pay all Federal, State, or Municipal license fees, taxes and other charges; and meet all
requirements that may be specified in regulations now in force, or hereafter promulgated from time to time, by
authority of law.
(b) CARRIER further agrees to indemnify, defend, and save harmless, BROKER
From any and all claim for death or injury, to persons, and loss of damage to property of any nature whatsoever,
growing out of, or in any way arising from, the transportation of property of BROKER, or its beneficial or title
owner or receiver.
© CARRIER further agrees to assume in transportation property of or for
BROKER, its beneficial or title owner or receivers, liability for loss, damage, and injury, and said liability to exist
from the time of the receipt of any said property by the CARRIER until property delivery has been made. The
liability imposed by this paragraph is for the actual loss or injury to the property caused by the CARRIER. Th
CARRIER'S liability shall be the same as a carrier's liability under 49 U.S.C. 14706 and amendments thereto.
(4) Rates and charges for commodities transported under this AGREEMENT shall
Be as agreed to between the parties hereto in writing, shall be contained in written rate schedule or memorandum of
rates and charges prepared and issued by CARRIER or by BROKER, acknowledged by both parties in writing, and
attached hereto and made a part hereof. Changes to this schedule or memorandum shall also be written and
mutually agreed to in writing by both CARRIER and BROKER. This foresaid and attached schedule or
memorandum or rates shall also contain the conditions or, and charges for, any additional or accessorial services
which may be required or performed; and shall also set forth the ways in which the statutory provisions as to
contract carriage are to be fulfilled, i.e., either (1) by furnishing transportation service through the assignment of
motor vehicles for a continuing period of time for the exclusive use of BROKER, and /or its accounts, or (ii) by
furnishing transportation services specifically designed to meet the distinct needs of BROKER and/or its accounts.
(5) Modifications or additions to rates, assignment of motor vehicles, and/or the
Providing of specialized transportation services may be agreed to in writing or made verbally to meet specific
shipping schedules. Confirmation of verbally agreed rates will be made by a recap faxed or mailed by BROKER to
CARRIER. In addition, the CARRIER'S billing and BROKER'S payment shall make confirmation or any verbally
agreed rates thereof. If BROKER pays the freight invoice in a reduced amount, such amount shall constitute the
agreed rate, unless CARRIER indicates to the contrary to BROKER within sixty (60) days of its receipt of
payment. All modifications and additions to the rates made either in writing, or verbally and confirmed in writing,
or as established by the billing and payment by the parties together with the underlying freight bills shall be deemed
as appendices to and considered a part of this AGREEMENT.
(6) BROKER and CARRIER agree that transportation services hereunder are to be
Preformed as a contract carrier in compliance with 49 U.S.C 13102 by assigning motor vehicle for continuing
period of time for the exclusive use of BROKER or by providing specialized services or equipment designated to
meet the distinctive needs of BROKER or the consignor. Such services shall include, when applicable, but shall
not be limited to: protective services, multiple stops in transit, direct dispatch, drop shipments, inside deliveries,
spotting trailer and expediting shipments.
(7) The CARRIER, (or the BROKER on behalf of the CARRIER), shall on each
transportation movement of commodities under this AGREEMENT, issue a standard Bill of Lading, covering the
subject transportation movement of commodities and the commodities shall be transported under the terms and
conditions of said Bill of Lading and of this AGREEMENT.
(8) CARRIER authorizes BROKER to invoice Shipper, Receiver, Consignor or
Consignee for freight charges as agent for and on behalf of CARRIER. Payment of the freight charges to
BROKER shall relive Shipper, Receiver, Consignor or Consignee of any liability to the CARRIER for nonpayment of charges or under payment of freight transportation charges.
(9) BROKER agrees to pay CARRIER for the transportation of authorized
commodities under this AGREEMENT in accordance with all effective schedules or memorandum of rates within
30
days of the receipt of BROKER of CARRIER'S invoice covering such transportation and of proof of
clear and clean delivery of the subject commodities transported, by submission to BROKER of a signed bill of
lading and delivery receipt.
(10) CARRIER understands and agrees that BROKER has made substantial efforts
and investment in order to develop its accounts and CARRIER will not during the term of this AGREEMENT, and
for a period of one (1) year after the effective date of any termination of this AGREEMENT, either directly or
indirectly, attempt to solicit, divert, by-pass, back-solicit, or perform any services for compensation for any account
of BROKER with BROKER has solicited, secured and from with BROKER has previously tendered freight or
commodities to CARRIER for transportation under this AGREEMENT. Unless BROKER has given prior written
authorization to the contrary, CARRIER agrees to pay BROKER a commission of ten (10%) percent of all gross
freight revenues billed to and paid by any account of BROKER in violation of the foregoing provisions for a period
of one (1) year and such commission shall be due and payable to BROKER within thirty (30) days after
CARRIER'S billing date. This liquidated damage provision is agreed by the parties hereto as reasonable and
necessary due to the difficulty in ascertaining damages, at this time, for CARRIER'S Breach of this condition of the
AGREEMENT.
(11) Neither party hereto will be liable for the failure to tender of timely transport
freight or commodities under this AGREEMENT if such failure, delay or other acts or omissions are caused by
strikes, acts of God, war, accidents, civil disorder, through compliance with legally constituted orders or civil or
military authorities, or by circumstances and conditions beyond the control of either party hereto.
(12) CARRIER shall be liable to the BROKER, of the property's beneficial or title
owner of receiver for loss of damage to any property transported under this AGREEMENT. Such liability shall
begin at the time the property is tendered to/delivered into CARRIER'S actual or constructive possession of control,
or is loaded upon CARRIER'S equipment at point of origin, and continue until said property is delivered to the
designated consignee at destination, or to any intermediate stop-off party. This liability shall be for the full value of
the item, which shall be understood to mean the replacement cost of the lost or damaged item(s), unless otherwise
released or reduced by agreement in writing by the parties hereto.
(13) All claims for loss and damage of property, cargo, or commodities transported
under this AGREEMENT, and any salvage arising therefrom, shall be handled and processed in accordance with
the regulations of the Interstate Commerce Commission as published in the Code of Federal Regulations (49 CFR
§ 370 et seq.)
(14) The Bill of Lading shall note that the shipments were transported by
CARRIER, acting as a carrier, and that the shipment was arranged by BROKER, acting as a broker. The name of
the underlying shipper may be inserted into the blank for the shipper, and the name of the consignee may be
inserted into the blank for the consignee. When BROKER has assembled multiple shipments into carload or
truckload lots, the list of underlying shippers may be attached as an Appendix to the Bill of Lading.
(15) Both parties recognize that motor contract carrier services is based on the
CARRIER, either (1) assigning motor vehicles for a continuing period of time for the exclusive use of a shipper or
receiver, or (2) providing a service designed to meet the distinct needs of the shipper, as set forth above in
paragraph (6).
(16) The relationship of the CARRIER to the BROKER is and shall, at all times,
be that of an independent contractor, and neither is or shall be considered as any agent of the other for the purpose,
other than as specified herein.
(17) It is expressly understood and agreed that any assignment of this
AGREEMENT by the CARRIER, without the written consent of the BROKER having first been obtained, shall be
void and of no effect, and further, that this first been obtained, shall be void and of no effect, and further that his
AGREEMENT may be cancelled by either party giving the other party thirty (30) day notice in writing, certified
mail, returned receipt requested, as its home office address and until so cancelled, this AGREEMENT is to remain
in full force and effect, for one (1) year from the date written above and from year to year thereafter.
Notwithstanding the foregoing, this AGREEMENT may be cancelled immediately by either party hereto, upon
notice to the other, for a breach this AGREEMENT by any party hereto.
CARRIER:
Broker: SMP Logistics, LLC
BY:
By: Todd Stokes
(Need's to be signed)
TITLE:
TITLE: Transportion Manager
WITNESS:
WITNESS: Dave Pierce
(Need's to be signed)