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Fax Completed packet to +1(561) 800-3529 WWW.CSLLOGISTICSGROUP.COM
Billing Address: 1439 SW GilroyRd,Port SaintLucie,FL 34953
Company Phone: (850) 810-5056
CSL Logistics Company Information
 Federal ID#81-2283128
 MC #964987
Banking Information
WellsFargo
10330 SW Village CenterDr
Port SaintLucie,FL 34987
ShackeraThomas 772-345-1609
$75,000 Surety BondInformation
3514 interstate 70 DR SE #102
Columbia,MO65201
Bob Wolf 573-441-1055
Fax Completed packet to +1(561) 800-3529 WWW.CSLLOGISTICSGROUP.COM
CSL Logistics GroupCarrier Form
Welcome to CSL Logistics Group. We will need the following form filled out in order for us to update
your company information and process your payments in a timely manner.
1) SignedBroker/Carrier Agreement (includedin this packet);
2) Copy of Certificate of Insurance or PolicyBothCARGO and LIABILITY insurance;
3) W9 (included inthis packet);
4) Copy of Certificate of Insurance or Policyof your WORKERS’ COMPENSATIONinsurance;
5) Contract or Carrier AuthorityissuedbyFMCSA;
6) This form, completed withyour information;
7) Factoring companyaddress andphone number, if applicable;
8) A voidedinvoice from your company;
9) Copy of broker authorityfrom FMCSA, if applicable;
10) HazMat Certificate, if applicable; and
11) Fax completedpacket to (561) 800-3529, or emailCsllogisticsgroup@hotmail.com
CarrierName:___________________________________________________________________
Dispatchers:____________________________________________________________________
RemitTo Address: ______________________________
City,State,Zip_________________________________
Physical Address: _______________________________
City,State,Zip_____________________________________
Phone (Local):_______________________ WATTS: _____________________ Fax:________________
Email Address:_______________________________________ Web Site:________________________
Doesyour companyuse a dispatchservice?____ Yes ____ No (If yes,please complete line below)
Name of DispatchService _____________________________________
Phone of DispatchService __________________________
Is yourcompanya SmartWaypartner?Yes No
Is your company a certified diverse-owned business (under a federal,state, or local diversity contractingprogram
based upon the diversity of its ownership)? If so, pleaseselect the category below and send a copy of your
certification to Csllogisticsgroup@hotmail.com
___ Minority (Minority-Owned Business –MOB) ___ Female (Women-Owned Small Business –WOSB)
___Economically Disadvantaged ___Service-Disabled Veteran-Owned Small Business (SDVOSB)
___ Other
ClaimsContact:____________________________________________________________________
Fax Completed packet to +1(561) 800-3529 WWW.CSLLOGISTICSGROUP.COM
SCACCode Doesyour companybrokeroutextrafreight?____Yes ____No Numberof Tractors: ______
Numberof Trailers:Reefers_______Vans_______ VentedVans_______Flats _______ 4' Tarps _______
6' Tarps _________8' Tarps _______Step Deck _______ Removable Goose Neck____DropDeck _______
Other:________________________
Is yourcompanyHazmat Certified?____Yes____No (If yes,forwarda copy of your Certificationandfill
out AppendixA of the contract)
How doyou track your drivers?GPS_______Cell Phone_______ Other:_________ If GPS, can CSL
Logisticshave accessonline?Yes__ No
Payment Terms
Pleaseindicatewhich of the followingpayment terms you would liketo use. Your selection will remain as your
permanent payment term until CSL Logistics is notified in writingthatyou would likeyour terms changed. If this
form is not filled out, signed, and returned, then your payment terms will defaultto 28 DAYS.
**All pay terms are calculated from the day CSL Logistics receives your complete and legible paperwork**
Payment Terms: Please select ONE payment term as your regular payment term.
____ 28 Days – No fees – check mailed or payment direct deposited within 28 days of CSL Logistics receiving
complete and legiblepaperwork. Pleasesee the InvoiceInformation section of the Rate Confirmation for
paperwork submission instructions.If original documents arerequired, pleasemail them. If originals arenot
required, pleasefax paperwork to 561-800-3529 or e-mail to Csllogisticsgroup@hotmail.com
____ 7 Day Quick Pay – A 3% servicechargewill be deducted from the gross truck rate. This is issued through
either check or direct deposit.Pleasesee the InvoiceInformation section of the Rate Confirmation for paperwork
submission instructions.If original documents arerequired, please mail them. If originals arenot required, please
fax paperwork to 561-800-3529 or e-mail to Csllogisticsgroup@hotmail.com and be sureto write or type “Quick
Pay” on your invoiceand/or the Rate Confirmation.Payment will be issued within 7 days of CSL Logistics receiving
complete and legiblepaperwork.
____ One-Day Quick Pay – A 5% servicechargewill be deducted from the gross truck rate. Payment is made with
directdeposit. To use this option,you must mark “One-day Quick Pay” clearly on both your envelope and
invoice/RateConfirmation.Pleasesee the InvoiceInformation section of the Rate Confirmation for paperwork
submission instructions.If original documents arerequired, pleasemail them. If originals arenotrequired, please
fax paperwork to 561-800-3529 or e-mail to Csllogisticsgroup@hotmail.com and be sureto write or type “1-day
QuickPay”on your envelope and invoice/RateConfirmation.
**If we receive your paperwork on Friday,you will receiveyour directdepositon Monday (One Day Quick Pay will
not be guaranteed if there are any problems with the load overages, shortages,latedelivery, temperature issues,
etc.).
***You can select5% One Day Quick Pay on a per invoicebasisif you have selected either 28 Day or 3% 7 Day. To
use this option “5% One Day Quick Pay” must be marked clearly on both your envelope and invoice/Rate
Confirmation.
____ DirectDeposit – Select if you want directdeposit (availableon all payment terms). Fill outAgreement Form
and fax to 561-800-3529.
Fax Completed packet to +1(561) 800-3529 WWW.CSLLOGISTICSGROUP.COM
We allowinvoices and billsof ladingto be sent via fax,email, or mobiledevice scanning. Sendingpaperwork via
one of these methods will ensurewe receive your documents the same day and will help you get paid faster.Fax
invoices to 561-800-3529 or email them to csllogisticsgroup@hotmail.com for 28 day pay.
Fax invoices to 561-800-3526 or email them to csllogisticsgroup@hotmail.com for all oneday and seven day quick
pays.Before sending paperwork electronically,pleasecheck your CSL Logistics RateConfirmation to be sure that
original paperwork is notneeded. This information can be found in the “Invoice Information” section of the Rate
Confirmation.If the box is checked, then original documents are required and you must mail your paperwork to
receive payment.
All paperwork submittedmust be complete and legible andinclude:
- Invoice withyourcompanyname andaddress,andwithyourpaymenttermsclearlyindicated. CSL
LogisticsRate Confirmationcanserve asyourinvoice.Paymentwill be made accordingtotermsprinted
on the Rate Confirmation,unlessyouindicateadifferenttermonyourinvoice orRate Confirmation
- Original B.O.L./P.O.D.signedbythe receiver.
- Anyunloadingorpalletreceiptswith CSLLogistics authorizationnumberprintedonthem.
Direct Deposit Agreement, Change, and/or Cancellation Form and Authorization Agreement
CompanyauthorizesCSLLogisticsGroup,LLC (CSL) to initiate automaticdepositstoCompany’saccount
at the financial institutionnamedbelow.CompanyalsoauthorizesandpermitsCSLLogisticstomake
withdrawalsfromthisaccountif a creditentryismade in error or to payany amountthat Companymay
owe to CSL Logistics.
Companyagreestodefend,indemnify,andholdCSLLogisticsharmlessfromandagainstanydelayor
lossof fundsdue to incorrector incomplete informationsuppliedbyCompanyorCompany’sfinancial
institutionordue toan error onthe part of Company’sfinancial institutionindepositingfundsto
Company’saccount.CompanyagreesthatCSL Logisticscannotbe heldresponsible orliable for
overdraftsoroverdraftfeesincurredbeforefundsare deposited.
NewSetup:
Name of Financial Institution:_______________________________________________
AccountNumber:___________________________ RoutingNumber:___________________________
Checking_____ Savings_____
E-mail AddressorFax NumberforRemittance Advices:_______________________________________
If RequestingChange:
NewAccountInformation
Name of Financial Institution:__________________
AccountNumber:____________________________ RoutingNumber:___________________________
Checking_____ Savings_____
Fax Completed packet to +1(561) 800-3529 WWW.CSLLOGISTICSGROUP.COM
If RequestingCancellationofDirect Deposit
_____ I herebyrequestCSLLogisticstocancel my directdepositaccount.
Payment Terms (Please selectonlyone)
____ 1 Day at 5%. Please write ortype “One-dayQuickPayviadirectdeposit”oneveryinvoice sentin.
____ 7 Day at 3%. Please write ortype “QuickPay”oneveryinvoice sentin.
____ 28 Day.No additional fees.
MC # or DOT# (Required)________________________
COMPANYNAME ______________________
TITLE ________________________
SIGNATURE ______________________
*Onlyavailable oncontinentalUnitedStatesbankaccountandmay notbe available on initial loads due
to bank account set up time
Fax Completed packet to +1(561) 800-3529 WWW.CSLLOGISTICSGROUP.COM
For UnitedStates Carriers Only
FORM W-9
CSL Logistics FormW-9 is usedto determinewhetherornot CSL Logistics shouldfile Form1099-MISC
annuallyfora specificpayee.The IRSrequires CSLLogistics tosupplyourpayeeswitheitherthe
standardfederal W-9form or our substitute W- 9 formto holdinthe payee’sfile.Pleasecomplete CSL
LogisticsSubstitute FormW-9and returnitwithyour contract carrierapproval paperwork.Shouldyou
have any questions,pleasefeel free tocontactus 305-389-1218.
Please be sure tosupplyyour“DoingBusinessAs”information,if applicable.YourDBA isimportant
informationforpropertax reporting.If yourcompanyisregisteredas“Inc.”or “LLC,” youwill not
receive a1099 for tax purposes.
CORPORATIONS
Company Name________________________________________________________________________
Doing Business As, Trade Name or Alias (If applicable) _________________________________________
State of Incorporation________________ Federal Tax ID#______________________________________
INDIVIDUALS, SOLE PROPRIETORS, PARTNERSHIPS
Companyor IndividualName______________________________________________________________
DoingBusinessAs,Trade Name,orAlias(If applicable)_________________________________________
Federal Tax ID #________________________________________________________________________
Social Security#________________________________________________________________________
Name:______________________________________________ Title:____________________________
Address:___________________________________City: __________________State: ____
Zip:___________
CERTIFICATION
Under penaltyof perjury,I(we) certifythat:(1) the numbershownonthisformismy correct taxpayer
identificationnumber(orIam waitingfora numbertobe issuedtome),and(2) I am notsubjectto
backupwithholdingbecause (a) Iamexemptfrombackupwithholding,(b) Ihave notbeennotifiedby
the IRS that I am subjecttobackup withholdingasaresultof a failure toreportall interestordividends,
or (c) the IRS hasnotifiedme thatIam nolongersubjecttobackup withholding.I(we) agree to the
termsand conditionsinthe CSLLogistics CarrierFormconsistingof the previous5pagesand including
thispage,and that all informationprovidedto CSL Logistics istrue and accurate and is communicatedso
that CSL Logistics may,and will infact, reasonablyrelyuponit.
Signature:_______________________________________________ Date: _______________
Fax Completed packet to +1(561) 800-3529 WWW.CSLLOGISTICSGROUP.COM
BROKER/CARRIER AGREEMENT
ThisBROKER/CARRIERAGREEMENT (“Agreement”) ismade byandbetweenCSLLogisticsGroup,LLC
(“BROKER”or “CSL Logistics”),aFloridalimitedliabilitycompanywhosemainoffice islocatedinPort
SaintLucie,Florida,andthe motorcarrier identifiedbelow(“CARRIER”) (BROKERandCARRIERare
collectivelyreferredtoas the “Parties”or individuallyas“Party”),andiseffectiveonthe date onwhich
thisAgreementissignedbyCARRIER(“EffectiveDate”).
CARRIERLegal Name:
CARRIERState of Incorporation/EntityType:
CARRIERCityand State of Main Office:
CARRIERFMCSA OperatingAuthority(“OperatingAuthority”):MC#: DOT#:
RECITALS:
a) CARRIERis a motor carrierunder49 USC 13102(12), isdulyregisteredwiththe USDOTpursuant
to 49 USC 13902 and 13905 witha Motor CarrierSafetyRatingas indicatedabove;itownsandoperates
equipmentsuitabletotransportgoodsshippedandreceivedbyBROKER;andit isfullyequippedto
renderpromptand uninterruptedservice toBROKER;
b) BROKER isauthorizedandqualifiedasalicensedPropertyBroker,hasthe opportunitytoroute
shipmentswithvariousCustomers,andhasworkingcontrol overcarrierselection,rate negotiation,
paymentof freightcharges,andBROKERrequirescarrierservices.
THE PARTIES AGREE:
TransportationService andInsurance
a) BROKER will tenderfreighttoCARRIERfor transportationasdescribedinAddendum“A”and
BROKER agreestopay to Carrierthe ratesstatedinAddendum“A”to thisAgreement.
b) CARRIERshall obtainandmaintainineffect;
i. personal injuryandpropertydamage liabilityinsuranceincompliancewiththe regulationsof
the FMCSA and the U. S. Departmentof Transportation;
Fax Completed packet to +1(561) 800-3529 WWW.CSLLOGISTICSGROUP.COM
ii. Workers'Compensationinsurance asrequiredunderthe lawsof the statesinwhichthe
transportationservicesshallbe performed,protectingandcoveringCARRIERandits employeesinsuch
amountsas are requiredbysuchlaws;
iii. and (c) cargo insurance inthe amountsufficienttocoveritspotential liabilitypursuantto
paragraph 2 of thisAgreemententitled"CargoLoss". CARRIERshall cause itsinsurance carrierto furnish
BROKER witha certificate attestingtothe personal injury,propertydamage,workers'compensation,
and cargo insurance inforce,whichcertificate shallinclude aprovisionthatthe insurance carriershall
notifyBROKERat leastthirty(30) daysin advance of any reductionorcancellationof suchinsurance.
Upon BROKER's request,CARRIERshall alsocause itsinsurance carriertofurnishnotice toBROKER
and/orits designeesatleastthirty(30) daysin advance of any reductionorcancellationof such
insurance.
Cargo Loss
CARRIERshall be liable toBROKERfor the full actual value of any loss,damage orinjuryto shipments
tenderedtoitfor transportation,exceptinsofarandto the extentthatsuchloss,damage or injuryshall
have resultedfrom the causesexceptedinthe straightBill of Ladingpublishedinthe NationalMotor
FreightClassification,the termsof whichare incorporatedbyreference. BROKERshall file anyclaim
arisingunderthisparagraphwithCARRIERwithinnine (9) monthsof the deliveryorlossof the shipment
and bringsuitwithintwo(2) yearsfromthe date of any claim'sdeclination. Inthe eventBROKERshall
fail to complywiththese time limits,the claimthatisnot timelyfiledshallbe barredandCARRIERshall
have no liabilitytoBROKERfor the lossalleged.
Status of Carrier
CARRIERshall performthe transportationcontemplatedbythisAgreementasan independent
contractor, andneitheritsemployeesnoritsagentsshall be deemedtobe those of the BROKER.
CARRIERshall be responsibleforthe procuringandoperatingthe vehiclesandthe employment,hiring,
training,supervisingandcontrollingitsdriversandhelpers. CARRIERshall be responsibleforthe safe
and lawful operationof the vehiclesusedinthe performanceof the transportationcontemplatedbythis
Agreementandshall holdBROKERharmlessforanypenalties,fines,assessments,claimsorjudgments
resultingfromthe operationof the vehicles.
Expenses
CARRIERshall bearthe costsand expensesof furnishingall fuel,oil,tires,andanyotherparts,supplies
and equipment,necessaryorrequiredforthe safe operationandmaintenance of the equipment.
CARRIERshall bearall expenses,includingthe expense of roadservice andrepairinconnectionwiththe
use and operationof the equipmentandshall bearthe costand expense of maintainingthe equipment
ingood repairand mechanical condition.
Fax Completed packet to +1(561) 800-3529 WWW.CSLLOGISTICSGROUP.COM
FreightDocumentation
The UniformFreightDocumentationformsetforthasAddendum“B”may be utilizedbythe Parties.
The terms andconditionsof thisAgreementshall prevail overthose appearingonthatformor any other
form(s) usedbythe Partiesforthe deliveryof freight. Anyform(s) usedbythe Partiesshall onlybe used
for the purpose of documentingthe pick-upanddeliveryof freight. EitherParty,atitsoption,may
supplyanydocumentrequiredbyorreferencedinthisAgreementineitherpaperorelectronicform
(including,butnotlimitedto,anelectronicallyimaged,faxed,photocopied,oronline postedversion),
and anysuch versionshall be sufficientforall purposesunderthisAgreement. Unlessspecifically
agreedto bythe Parties,anyjointmovementinvolvinganothertransportationentitytoorfrom a point
outside the U.S.shall notbe consideredasmovingona "through"bill of lading. Carrieragreesnotto
subcontract,broker,interline,ortouse "substitutedservices"byrail or motorcarrier withoutthe
specificapproval of Shipper. If forany reasonthisisdone withoutpermission,Carriershall be liable to
Shipperforanycargo loss,damage,orinjurytothe same extentasif Carrierperformedthe service.
Prepaid/CollectShipments
BROKER shall specifywhetherthe termsforany shipmentunderthiscontractshall be "prepaid"tobe
paidby the consignor,ormarked"collect"tobe paidby the consignee.
Non-Recourse Shipments
BROKER mayspecifywhetherthe collectionof chargesfromanyconsignee shallbe withoutrecourseto
the BROKER as the consignor,inaccordance withthose provisionsof Section7of the UniformBill of
Ladingas in effectonthe date of this Agreement.
ShipmentsUnderContract
Whetheror notCARRIER isauthorizedtooperate,ordoesoperate asa commonmotorcarrier, eachand
everyshipmenttenderedbyBROKER to CARRIERon or afterthe date of thisAgreementshall be deemed
to be a tendertoCARRIERas a motorcontract carrierand shall be subjectonlytothe termsof this
Agreementandthe provisionsof lawapplicable tomotorcontract carriers.
Overchargesand Undercharges
(a) Anyactionat lawby CARRIERto recoverunderchargespursuanttoservicesprovidedunderthis
Agreement,orbyBROKERto recoveroverchargesclaimedagainstCARRIERforservicesrenderedunder
thisAgreement,shallbe commencednotmore thanone (1) yearafterCARRIER's receiptof the
shipmentwithrespecttowhichsuchundercharge or overcharge isclaimedtobe due.
(b) The provisionsof thissectionshall survive the cancellation,terminationorexpirationof this
Agreement.
Fax Completed packet to +1(561) 800-3529 WWW.CSLLOGISTICSGROUP.COM
Assignment
ThisAgreementmaynotbe assigned,inwhole orinpart,by eitherparty,withoutthe writtenconsentof
the otherparty.
Confidentiality
(a) Exceptas requiredbylawor otherprovisionsof thisAgreement,the termsandconditionsof this
AgreementandinformationpertainingtoanyshipmenttransportedunderthisAgreementshallnotbe
disclosedbyeitherpartyto personsotherthanitsowndirectors,officers,employees,agents,attorneys,
accountantsand auditors.
(b) BROKER shall have the rightto disclose anysuchterms,conditionsorinformationtoitsvendors,
vendeesorthe consigneesof the individual shipmentsmovingbetweenBROKERandthe applicable
vendor,vendeeorconsignee.
(c) The provisionsof thissectionshall survive the cancellation,terminationorexpirationof this
Agreement.
Indemnification
CARRIERagreesto indemnify,save harmlessanddefendBROKERfromandagainstany and all claimsfor
loss,damage or injuryandfromand againstany suits,actionsandlegal proceedingsbroughtagainst
BROKER foror onaccount of anylossor damage to the tangible propertyof thirdparties,orforor on
account of any injuriesreceivedorsustainedbyanyperson,includingbutnotlimitedto,employeesof
CARRIER,and employeesandagentsof BROKERcausedby,or growingout of,any intentional or
negligentactoromissionof CARRIERor itsemployeesinperformingthe servicesprovidedforunderthis
Agreement. Thisindemnificationisinapplicable andof noforce or effectif the damage or injurytoany
personiscausedsolelybythe intentional ornegligentactor omissionof BROKER'semployees,agents,
or thirdpartieswithwhomCARRIERcomesintocontact.
Force Majeure
Exceptas otherwise provided,the obligationof CARRIERtofurnishandof BROKER to use the
transportationservicesprovidedforinthisAgreementshall be suspendedtemporarilyduringany
period(s) inwhicheitherof the partiesisunable tocomplywiththe requirementsof thisAgreementby
reasonof the acts of God or the publicenemy,fire,flood,labordisorder,civilcommotion,closingof the
publichighway(s),governmentinterferenceorregulations,orothercontingenciessimilartothe
foregoingbeyondthe reasonablecontrol of the affectedparty. The partyexperiencinganeventof
Force Majeure shall notifyotherpartiesof the eventassoonas possible,take reasonableactionto
eliminatethe cause forthe Force Majeure and resume normal operationsassoonaspossible.
Fax Completed packet to +1(561) 800-3529 WWW.CSLLOGISTICSGROUP.COM
Term and Termination Provision
The term of thisAgreementshall be foraninitial periodof one (1) year. Followingterminationof such
initial period,thisAgreementshall continue inforce fromyeartoyear until terminationbyeitherparty
withor withoutcause,uponnotlessthanthirty(30) day’sprior writtennotice inaccordance with
Section"Notices". Thisprovisionshallapplyfromthe effective date of thisAgreement.
Default
If in the opinionof eitherpartythe financial responsibilityof the otherpartyisimpaired,orif either
party shouldpersistentlyorrepeatedlyrefuse orfail toperformanyduty,obligationorresponsibility
requiredbythe termsof thisAgreement,orpersistentlydisregardlawsorregulationsapplicable to
performance underthe termsof thisAgreement,either partymayterminate thisAgreementwithout
prejudice toanyotherrightor remedy,aftergivingthe otherpartyat leastthirty(30) days'prior written
notice of such termination.
Notices
(a) Anyand all noticesrequiredorpermittedtobe givenunder thisAgreementshall be inwriting
and shall be deliveredtothe partyentitledtoreceive the same byhandor byU. S. CertifiedMail,return
receiptrequested,addressedasindicatedinthe headingtothisAgreement,ortosuch otheraddresses
as a party shall fromtime to time advise the otherparty. Anynotice givenunderthisAgreementshall
be effective,if sentbymail,onthe date of placingthe same in the UnitedStatesMail,and if by personal
delivery,the date of suchdelivery.
(b) Alternatively,anysuchnotice maybe givenbyfacsimile tothe telephonenumberof the other
party as disclosedandindicatedinthe headingtothisAgreement. Anynotice givenbyfacsimile shallbe
effectiveonthe date itis sentprovidedthe receivingpartygivesevidenceof receiptorthe sendingparty
obtainsevidenceof receiptbymachine confirmation.
No Back SolicitationAgreement
CARRIERshall not solicittrafficfromanyconsignor,consignee,orCustomerof BROKER(collectively
referredtoas "CUSTOMERS") where either(1) the availabilityof suchtrafficfirstbecame knownto
CARRIERas a resultof BROKER's efforts,or(2) the trafficof the BROKER,consignor,consignee or
customerof the BROKERwas firsttenderedtothe CARRIERbythe BROKER. If CARRIERbreachesthis
Agreementand"back-solicits"the BROKER'scustomers,andobtainstrafficfromsuchcustomer,BROKER
thenisentitled,foraperiodof fifteen(15) monthsafterthe involvedtrafficfirstbeginstomove,toa
commissionfromthe CARRIERequal toFifteen(15%) Percentof the transportationrevenuereceivedon
the movementof the traffic. CARRIERfurtheragreesthatBROKER maypubliclyreportthisbreachof the
Agreement,if itoccurs,toany trade associationorpublication,andthatthe facts of the breach may be
published.
Fax Completed packet to +1(561) 800-3529 WWW.CSLLOGISTICSGROUP.COM
Miscellaneous
(a) ThisAgreementcontainsthe entireunderstandingbetweenthe partieswithrespecttothe
subjectmattertreatedherein.
(b) ThisAgreementsupersedesandcancelsall priorlettersof intent, agreements,understandings,
offersandassurances,oral or written,of anyparty,and shall be the sole agreementwithrespecttothe
mattersinvolved,exceptasmaybe agreedtoin writingbysubsequentamendments.
(c) ThisAgreementisbeingdeliveredandisintendedtobe performedinthe State of Floridaand
subjecttothe provisionsof Title 49of the UnitedStatesCode (49 USC) andthe RulesandRegulationsof
the FMCSA, USDOT, or theirsuccessors,whichmaygovernbysubjectmatterandjurisdictional
supremacy,shall be construedandenforcedinaccordance withthe lawsof Illinois.Byexecutionof the
Agreement,the BROKERandCARRIERagree and consentthatany actionbroughtto enforce the terms
of thisAgreement,ortocollectany moniesdue under thisAgreement,oranylitigationregardingthe
transportationservicesorothermattersrelatingtothisAgreementshall be broughtinthe courtsin
UnitedStates,Florida
(d) ThisAgreementshall be bindinguponandshall inure tothe benefitof the partieshereto,their
personal representatives,heirs,successorsandassigns.
(e) No modificationof thisAgreementshallbe validunlessinwritingandexecutedbyall the
parties. Nobreachof any provisionof thisAgreementshallbe deemedwaivedunless specifically
waivedinwritingbythe non-breachingparty. The waiverof anybreachof any termor conditionhereof
shall notbe deemedawaiverof anyotheror subsequentbreach,whetherof like orof differentnature.
(f) ThisAgreementmaybe executed simultaneouslyinone ormore counterparts,eachof which
shall be deemedtobe an original,butall of whichtogethershall constitute one andthe same
instrument.
(g) BROKER and CARRIERwill discussanyperceiveddeficiencyinperformance byeitherof them,
and will promptlyattempttoresolveall disputesingoodfaith.
(h) In the eventthatthe FMCSA, or anyother federal agencyordepartment,oranystate
government,agencyordepartmentshall byregulation,orderorstatute,directlyorindirectly,require or
prescribe the establishmentof anyrulesorprovisionsinconsistentwiththe termsof thisAgreement,
CARRIERshall promptlynotifyBROKERandBROKER or CARRIERmay, withoutprejudice toanyother
rightor remedy,terminate thisAgreementaftergivingatleastfive (5) days'priorwrittennotice of such
termination.
(i) The partiesagree that signaturesonthe Agreement,aswell asanyotherdocumentstobe
executedunderthe Agreement,maybe deliveredbyfacsimile inlieuof anoriginal signature,andthe
partiesagree totreat facsimile signaturesasoriginal signaturesandagree tobe boundbythisprovision
(j) The Recitalsto the Agreementare incorporatedintothe Agreement.
Fax Completed packet to +1(561) 800-3529 WWW.CSLLOGISTICSGROUP.COM
Carrier Your Company
Signature:_____________________________________ Signature:
Title:_________________________________________ Title:
Dated:_______________,200________ Dated:

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Carrier Full Packet

  • 1. Fax Completed packet to +1(561) 800-3529 WWW.CSLLOGISTICSGROUP.COM Billing Address: 1439 SW GilroyRd,Port SaintLucie,FL 34953 Company Phone: (850) 810-5056 CSL Logistics Company Information  Federal ID#81-2283128  MC #964987 Banking Information WellsFargo 10330 SW Village CenterDr Port SaintLucie,FL 34987 ShackeraThomas 772-345-1609 $75,000 Surety BondInformation 3514 interstate 70 DR SE #102 Columbia,MO65201 Bob Wolf 573-441-1055
  • 2. Fax Completed packet to +1(561) 800-3529 WWW.CSLLOGISTICSGROUP.COM CSL Logistics GroupCarrier Form Welcome to CSL Logistics Group. We will need the following form filled out in order for us to update your company information and process your payments in a timely manner. 1) SignedBroker/Carrier Agreement (includedin this packet); 2) Copy of Certificate of Insurance or PolicyBothCARGO and LIABILITY insurance; 3) W9 (included inthis packet); 4) Copy of Certificate of Insurance or Policyof your WORKERS’ COMPENSATIONinsurance; 5) Contract or Carrier AuthorityissuedbyFMCSA; 6) This form, completed withyour information; 7) Factoring companyaddress andphone number, if applicable; 8) A voidedinvoice from your company; 9) Copy of broker authorityfrom FMCSA, if applicable; 10) HazMat Certificate, if applicable; and 11) Fax completedpacket to (561) 800-3529, or emailCsllogisticsgroup@hotmail.com CarrierName:___________________________________________________________________ Dispatchers:____________________________________________________________________ RemitTo Address: ______________________________ City,State,Zip_________________________________ Physical Address: _______________________________ City,State,Zip_____________________________________ Phone (Local):_______________________ WATTS: _____________________ Fax:________________ Email Address:_______________________________________ Web Site:________________________ Doesyour companyuse a dispatchservice?____ Yes ____ No (If yes,please complete line below) Name of DispatchService _____________________________________ Phone of DispatchService __________________________ Is yourcompanya SmartWaypartner?Yes No Is your company a certified diverse-owned business (under a federal,state, or local diversity contractingprogram based upon the diversity of its ownership)? If so, pleaseselect the category below and send a copy of your certification to Csllogisticsgroup@hotmail.com ___ Minority (Minority-Owned Business –MOB) ___ Female (Women-Owned Small Business –WOSB) ___Economically Disadvantaged ___Service-Disabled Veteran-Owned Small Business (SDVOSB) ___ Other ClaimsContact:____________________________________________________________________
  • 3. Fax Completed packet to +1(561) 800-3529 WWW.CSLLOGISTICSGROUP.COM SCACCode Doesyour companybrokeroutextrafreight?____Yes ____No Numberof Tractors: ______ Numberof Trailers:Reefers_______Vans_______ VentedVans_______Flats _______ 4' Tarps _______ 6' Tarps _________8' Tarps _______Step Deck _______ Removable Goose Neck____DropDeck _______ Other:________________________ Is yourcompanyHazmat Certified?____Yes____No (If yes,forwarda copy of your Certificationandfill out AppendixA of the contract) How doyou track your drivers?GPS_______Cell Phone_______ Other:_________ If GPS, can CSL Logisticshave accessonline?Yes__ No Payment Terms Pleaseindicatewhich of the followingpayment terms you would liketo use. Your selection will remain as your permanent payment term until CSL Logistics is notified in writingthatyou would likeyour terms changed. If this form is not filled out, signed, and returned, then your payment terms will defaultto 28 DAYS. **All pay terms are calculated from the day CSL Logistics receives your complete and legible paperwork** Payment Terms: Please select ONE payment term as your regular payment term. ____ 28 Days – No fees – check mailed or payment direct deposited within 28 days of CSL Logistics receiving complete and legiblepaperwork. Pleasesee the InvoiceInformation section of the Rate Confirmation for paperwork submission instructions.If original documents arerequired, pleasemail them. If originals arenot required, pleasefax paperwork to 561-800-3529 or e-mail to Csllogisticsgroup@hotmail.com ____ 7 Day Quick Pay – A 3% servicechargewill be deducted from the gross truck rate. This is issued through either check or direct deposit.Pleasesee the InvoiceInformation section of the Rate Confirmation for paperwork submission instructions.If original documents arerequired, please mail them. If originals arenot required, please fax paperwork to 561-800-3529 or e-mail to Csllogisticsgroup@hotmail.com and be sureto write or type “Quick Pay” on your invoiceand/or the Rate Confirmation.Payment will be issued within 7 days of CSL Logistics receiving complete and legiblepaperwork. ____ One-Day Quick Pay – A 5% servicechargewill be deducted from the gross truck rate. Payment is made with directdeposit. To use this option,you must mark “One-day Quick Pay” clearly on both your envelope and invoice/RateConfirmation.Pleasesee the InvoiceInformation section of the Rate Confirmation for paperwork submission instructions.If original documents arerequired, pleasemail them. If originals arenotrequired, please fax paperwork to 561-800-3529 or e-mail to Csllogisticsgroup@hotmail.com and be sureto write or type “1-day QuickPay”on your envelope and invoice/RateConfirmation. **If we receive your paperwork on Friday,you will receiveyour directdepositon Monday (One Day Quick Pay will not be guaranteed if there are any problems with the load overages, shortages,latedelivery, temperature issues, etc.). ***You can select5% One Day Quick Pay on a per invoicebasisif you have selected either 28 Day or 3% 7 Day. To use this option “5% One Day Quick Pay” must be marked clearly on both your envelope and invoice/Rate Confirmation. ____ DirectDeposit – Select if you want directdeposit (availableon all payment terms). Fill outAgreement Form and fax to 561-800-3529.
  • 4. Fax Completed packet to +1(561) 800-3529 WWW.CSLLOGISTICSGROUP.COM We allowinvoices and billsof ladingto be sent via fax,email, or mobiledevice scanning. Sendingpaperwork via one of these methods will ensurewe receive your documents the same day and will help you get paid faster.Fax invoices to 561-800-3529 or email them to csllogisticsgroup@hotmail.com for 28 day pay. Fax invoices to 561-800-3526 or email them to csllogisticsgroup@hotmail.com for all oneday and seven day quick pays.Before sending paperwork electronically,pleasecheck your CSL Logistics RateConfirmation to be sure that original paperwork is notneeded. This information can be found in the “Invoice Information” section of the Rate Confirmation.If the box is checked, then original documents are required and you must mail your paperwork to receive payment. All paperwork submittedmust be complete and legible andinclude: - Invoice withyourcompanyname andaddress,andwithyourpaymenttermsclearlyindicated. CSL LogisticsRate Confirmationcanserve asyourinvoice.Paymentwill be made accordingtotermsprinted on the Rate Confirmation,unlessyouindicateadifferenttermonyourinvoice orRate Confirmation - Original B.O.L./P.O.D.signedbythe receiver. - Anyunloadingorpalletreceiptswith CSLLogistics authorizationnumberprintedonthem. Direct Deposit Agreement, Change, and/or Cancellation Form and Authorization Agreement CompanyauthorizesCSLLogisticsGroup,LLC (CSL) to initiate automaticdepositstoCompany’saccount at the financial institutionnamedbelow.CompanyalsoauthorizesandpermitsCSLLogisticstomake withdrawalsfromthisaccountif a creditentryismade in error or to payany amountthat Companymay owe to CSL Logistics. Companyagreestodefend,indemnify,andholdCSLLogisticsharmlessfromandagainstanydelayor lossof fundsdue to incorrector incomplete informationsuppliedbyCompanyorCompany’sfinancial institutionordue toan error onthe part of Company’sfinancial institutionindepositingfundsto Company’saccount.CompanyagreesthatCSL Logisticscannotbe heldresponsible orliable for overdraftsoroverdraftfeesincurredbeforefundsare deposited. NewSetup: Name of Financial Institution:_______________________________________________ AccountNumber:___________________________ RoutingNumber:___________________________ Checking_____ Savings_____ E-mail AddressorFax NumberforRemittance Advices:_______________________________________ If RequestingChange: NewAccountInformation Name of Financial Institution:__________________ AccountNumber:____________________________ RoutingNumber:___________________________ Checking_____ Savings_____
  • 5. Fax Completed packet to +1(561) 800-3529 WWW.CSLLOGISTICSGROUP.COM If RequestingCancellationofDirect Deposit _____ I herebyrequestCSLLogisticstocancel my directdepositaccount. Payment Terms (Please selectonlyone) ____ 1 Day at 5%. Please write ortype “One-dayQuickPayviadirectdeposit”oneveryinvoice sentin. ____ 7 Day at 3%. Please write ortype “QuickPay”oneveryinvoice sentin. ____ 28 Day.No additional fees. MC # or DOT# (Required)________________________ COMPANYNAME ______________________ TITLE ________________________ SIGNATURE ______________________ *Onlyavailable oncontinentalUnitedStatesbankaccountandmay notbe available on initial loads due to bank account set up time
  • 6. Fax Completed packet to +1(561) 800-3529 WWW.CSLLOGISTICSGROUP.COM For UnitedStates Carriers Only FORM W-9 CSL Logistics FormW-9 is usedto determinewhetherornot CSL Logistics shouldfile Form1099-MISC annuallyfora specificpayee.The IRSrequires CSLLogistics tosupplyourpayeeswitheitherthe standardfederal W-9form or our substitute W- 9 formto holdinthe payee’sfile.Pleasecomplete CSL LogisticsSubstitute FormW-9and returnitwithyour contract carrierapproval paperwork.Shouldyou have any questions,pleasefeel free tocontactus 305-389-1218. Please be sure tosupplyyour“DoingBusinessAs”information,if applicable.YourDBA isimportant informationforpropertax reporting.If yourcompanyisregisteredas“Inc.”or “LLC,” youwill not receive a1099 for tax purposes. CORPORATIONS Company Name________________________________________________________________________ Doing Business As, Trade Name or Alias (If applicable) _________________________________________ State of Incorporation________________ Federal Tax ID#______________________________________ INDIVIDUALS, SOLE PROPRIETORS, PARTNERSHIPS Companyor IndividualName______________________________________________________________ DoingBusinessAs,Trade Name,orAlias(If applicable)_________________________________________ Federal Tax ID #________________________________________________________________________ Social Security#________________________________________________________________________ Name:______________________________________________ Title:____________________________ Address:___________________________________City: __________________State: ____ Zip:___________ CERTIFICATION Under penaltyof perjury,I(we) certifythat:(1) the numbershownonthisformismy correct taxpayer identificationnumber(orIam waitingfora numbertobe issuedtome),and(2) I am notsubjectto backupwithholdingbecause (a) Iamexemptfrombackupwithholding,(b) Ihave notbeennotifiedby the IRS that I am subjecttobackup withholdingasaresultof a failure toreportall interestordividends, or (c) the IRS hasnotifiedme thatIam nolongersubjecttobackup withholding.I(we) agree to the termsand conditionsinthe CSLLogistics CarrierFormconsistingof the previous5pagesand including thispage,and that all informationprovidedto CSL Logistics istrue and accurate and is communicatedso that CSL Logistics may,and will infact, reasonablyrelyuponit. Signature:_______________________________________________ Date: _______________
  • 7. Fax Completed packet to +1(561) 800-3529 WWW.CSLLOGISTICSGROUP.COM BROKER/CARRIER AGREEMENT ThisBROKER/CARRIERAGREEMENT (“Agreement”) ismade byandbetweenCSLLogisticsGroup,LLC (“BROKER”or “CSL Logistics”),aFloridalimitedliabilitycompanywhosemainoffice islocatedinPort SaintLucie,Florida,andthe motorcarrier identifiedbelow(“CARRIER”) (BROKERandCARRIERare collectivelyreferredtoas the “Parties”or individuallyas“Party”),andiseffectiveonthe date onwhich thisAgreementissignedbyCARRIER(“EffectiveDate”). CARRIERLegal Name: CARRIERState of Incorporation/EntityType: CARRIERCityand State of Main Office: CARRIERFMCSA OperatingAuthority(“OperatingAuthority”):MC#: DOT#: RECITALS: a) CARRIERis a motor carrierunder49 USC 13102(12), isdulyregisteredwiththe USDOTpursuant to 49 USC 13902 and 13905 witha Motor CarrierSafetyRatingas indicatedabove;itownsandoperates equipmentsuitabletotransportgoodsshippedandreceivedbyBROKER;andit isfullyequippedto renderpromptand uninterruptedservice toBROKER; b) BROKER isauthorizedandqualifiedasalicensedPropertyBroker,hasthe opportunitytoroute shipmentswithvariousCustomers,andhasworkingcontrol overcarrierselection,rate negotiation, paymentof freightcharges,andBROKERrequirescarrierservices. THE PARTIES AGREE: TransportationService andInsurance a) BROKER will tenderfreighttoCARRIERfor transportationasdescribedinAddendum“A”and BROKER agreestopay to Carrierthe ratesstatedinAddendum“A”to thisAgreement. b) CARRIERshall obtainandmaintainineffect; i. personal injuryandpropertydamage liabilityinsuranceincompliancewiththe regulationsof the FMCSA and the U. S. Departmentof Transportation;
  • 8. Fax Completed packet to +1(561) 800-3529 WWW.CSLLOGISTICSGROUP.COM ii. Workers'Compensationinsurance asrequiredunderthe lawsof the statesinwhichthe transportationservicesshallbe performed,protectingandcoveringCARRIERandits employeesinsuch amountsas are requiredbysuchlaws; iii. and (c) cargo insurance inthe amountsufficienttocoveritspotential liabilitypursuantto paragraph 2 of thisAgreemententitled"CargoLoss". CARRIERshall cause itsinsurance carrierto furnish BROKER witha certificate attestingtothe personal injury,propertydamage,workers'compensation, and cargo insurance inforce,whichcertificate shallinclude aprovisionthatthe insurance carriershall notifyBROKERat leastthirty(30) daysin advance of any reductionorcancellationof suchinsurance. Upon BROKER's request,CARRIERshall alsocause itsinsurance carriertofurnishnotice toBROKER and/orits designeesatleastthirty(30) daysin advance of any reductionorcancellationof such insurance. Cargo Loss CARRIERshall be liable toBROKERfor the full actual value of any loss,damage orinjuryto shipments tenderedtoitfor transportation,exceptinsofarandto the extentthatsuchloss,damage or injuryshall have resultedfrom the causesexceptedinthe straightBill of Ladingpublishedinthe NationalMotor FreightClassification,the termsof whichare incorporatedbyreference. BROKERshall file anyclaim arisingunderthisparagraphwithCARRIERwithinnine (9) monthsof the deliveryorlossof the shipment and bringsuitwithintwo(2) yearsfromthe date of any claim'sdeclination. Inthe eventBROKERshall fail to complywiththese time limits,the claimthatisnot timelyfiledshallbe barredandCARRIERshall have no liabilitytoBROKERfor the lossalleged. Status of Carrier CARRIERshall performthe transportationcontemplatedbythisAgreementasan independent contractor, andneitheritsemployeesnoritsagentsshall be deemedtobe those of the BROKER. CARRIERshall be responsibleforthe procuringandoperatingthe vehiclesandthe employment,hiring, training,supervisingandcontrollingitsdriversandhelpers. CARRIERshall be responsibleforthe safe and lawful operationof the vehiclesusedinthe performanceof the transportationcontemplatedbythis Agreementandshall holdBROKERharmlessforanypenalties,fines,assessments,claimsorjudgments resultingfromthe operationof the vehicles. Expenses CARRIERshall bearthe costsand expensesof furnishingall fuel,oil,tires,andanyotherparts,supplies and equipment,necessaryorrequiredforthe safe operationandmaintenance of the equipment. CARRIERshall bearall expenses,includingthe expense of roadservice andrepairinconnectionwiththe use and operationof the equipmentandshall bearthe costand expense of maintainingthe equipment ingood repairand mechanical condition.
  • 9. Fax Completed packet to +1(561) 800-3529 WWW.CSLLOGISTICSGROUP.COM FreightDocumentation The UniformFreightDocumentationformsetforthasAddendum“B”may be utilizedbythe Parties. The terms andconditionsof thisAgreementshall prevail overthose appearingonthatformor any other form(s) usedbythe Partiesforthe deliveryof freight. Anyform(s) usedbythe Partiesshall onlybe used for the purpose of documentingthe pick-upanddeliveryof freight. EitherParty,atitsoption,may supplyanydocumentrequiredbyorreferencedinthisAgreementineitherpaperorelectronicform (including,butnotlimitedto,anelectronicallyimaged,faxed,photocopied,oronline postedversion), and anysuch versionshall be sufficientforall purposesunderthisAgreement. Unlessspecifically agreedto bythe Parties,anyjointmovementinvolvinganothertransportationentitytoorfrom a point outside the U.S.shall notbe consideredasmovingona "through"bill of lading. Carrieragreesnotto subcontract,broker,interline,ortouse "substitutedservices"byrail or motorcarrier withoutthe specificapproval of Shipper. If forany reasonthisisdone withoutpermission,Carriershall be liable to Shipperforanycargo loss,damage,orinjurytothe same extentasif Carrierperformedthe service. Prepaid/CollectShipments BROKER shall specifywhetherthe termsforany shipmentunderthiscontractshall be "prepaid"tobe paidby the consignor,ormarked"collect"tobe paidby the consignee. Non-Recourse Shipments BROKER mayspecifywhetherthe collectionof chargesfromanyconsignee shallbe withoutrecourseto the BROKER as the consignor,inaccordance withthose provisionsof Section7of the UniformBill of Ladingas in effectonthe date of this Agreement. ShipmentsUnderContract Whetheror notCARRIER isauthorizedtooperate,ordoesoperate asa commonmotorcarrier, eachand everyshipmenttenderedbyBROKER to CARRIERon or afterthe date of thisAgreementshall be deemed to be a tendertoCARRIERas a motorcontract carrierand shall be subjectonlytothe termsof this Agreementandthe provisionsof lawapplicable tomotorcontract carriers. Overchargesand Undercharges (a) Anyactionat lawby CARRIERto recoverunderchargespursuanttoservicesprovidedunderthis Agreement,orbyBROKERto recoveroverchargesclaimedagainstCARRIERforservicesrenderedunder thisAgreement,shallbe commencednotmore thanone (1) yearafterCARRIER's receiptof the shipmentwithrespecttowhichsuchundercharge or overcharge isclaimedtobe due. (b) The provisionsof thissectionshall survive the cancellation,terminationorexpirationof this Agreement.
  • 10. Fax Completed packet to +1(561) 800-3529 WWW.CSLLOGISTICSGROUP.COM Assignment ThisAgreementmaynotbe assigned,inwhole orinpart,by eitherparty,withoutthe writtenconsentof the otherparty. Confidentiality (a) Exceptas requiredbylawor otherprovisionsof thisAgreement,the termsandconditionsof this AgreementandinformationpertainingtoanyshipmenttransportedunderthisAgreementshallnotbe disclosedbyeitherpartyto personsotherthanitsowndirectors,officers,employees,agents,attorneys, accountantsand auditors. (b) BROKER shall have the rightto disclose anysuchterms,conditionsorinformationtoitsvendors, vendeesorthe consigneesof the individual shipmentsmovingbetweenBROKERandthe applicable vendor,vendeeorconsignee. (c) The provisionsof thissectionshall survive the cancellation,terminationorexpirationof this Agreement. Indemnification CARRIERagreesto indemnify,save harmlessanddefendBROKERfromandagainstany and all claimsfor loss,damage or injuryandfromand againstany suits,actionsandlegal proceedingsbroughtagainst BROKER foror onaccount of anylossor damage to the tangible propertyof thirdparties,orforor on account of any injuriesreceivedorsustainedbyanyperson,includingbutnotlimitedto,employeesof CARRIER,and employeesandagentsof BROKERcausedby,or growingout of,any intentional or negligentactoromissionof CARRIERor itsemployeesinperformingthe servicesprovidedforunderthis Agreement. Thisindemnificationisinapplicable andof noforce or effectif the damage or injurytoany personiscausedsolelybythe intentional ornegligentactor omissionof BROKER'semployees,agents, or thirdpartieswithwhomCARRIERcomesintocontact. Force Majeure Exceptas otherwise provided,the obligationof CARRIERtofurnishandof BROKER to use the transportationservicesprovidedforinthisAgreementshall be suspendedtemporarilyduringany period(s) inwhicheitherof the partiesisunable tocomplywiththe requirementsof thisAgreementby reasonof the acts of God or the publicenemy,fire,flood,labordisorder,civilcommotion,closingof the publichighway(s),governmentinterferenceorregulations,orothercontingenciessimilartothe foregoingbeyondthe reasonablecontrol of the affectedparty. The partyexperiencinganeventof Force Majeure shall notifyotherpartiesof the eventassoonas possible,take reasonableactionto eliminatethe cause forthe Force Majeure and resume normal operationsassoonaspossible.
  • 11. Fax Completed packet to +1(561) 800-3529 WWW.CSLLOGISTICSGROUP.COM Term and Termination Provision The term of thisAgreementshall be foraninitial periodof one (1) year. Followingterminationof such initial period,thisAgreementshall continue inforce fromyeartoyear until terminationbyeitherparty withor withoutcause,uponnotlessthanthirty(30) day’sprior writtennotice inaccordance with Section"Notices". Thisprovisionshallapplyfromthe effective date of thisAgreement. Default If in the opinionof eitherpartythe financial responsibilityof the otherpartyisimpaired,orif either party shouldpersistentlyorrepeatedlyrefuse orfail toperformanyduty,obligationorresponsibility requiredbythe termsof thisAgreement,orpersistentlydisregardlawsorregulationsapplicable to performance underthe termsof thisAgreement,either partymayterminate thisAgreementwithout prejudice toanyotherrightor remedy,aftergivingthe otherpartyat leastthirty(30) days'prior written notice of such termination. Notices (a) Anyand all noticesrequiredorpermittedtobe givenunder thisAgreementshall be inwriting and shall be deliveredtothe partyentitledtoreceive the same byhandor byU. S. CertifiedMail,return receiptrequested,addressedasindicatedinthe headingtothisAgreement,ortosuch otheraddresses as a party shall fromtime to time advise the otherparty. Anynotice givenunderthisAgreementshall be effective,if sentbymail,onthe date of placingthe same in the UnitedStatesMail,and if by personal delivery,the date of suchdelivery. (b) Alternatively,anysuchnotice maybe givenbyfacsimile tothe telephonenumberof the other party as disclosedandindicatedinthe headingtothisAgreement. Anynotice givenbyfacsimile shallbe effectiveonthe date itis sentprovidedthe receivingpartygivesevidenceof receiptorthe sendingparty obtainsevidenceof receiptbymachine confirmation. No Back SolicitationAgreement CARRIERshall not solicittrafficfromanyconsignor,consignee,orCustomerof BROKER(collectively referredtoas "CUSTOMERS") where either(1) the availabilityof suchtrafficfirstbecame knownto CARRIERas a resultof BROKER's efforts,or(2) the trafficof the BROKER,consignor,consignee or customerof the BROKERwas firsttenderedtothe CARRIERbythe BROKER. If CARRIERbreachesthis Agreementand"back-solicits"the BROKER'scustomers,andobtainstrafficfromsuchcustomer,BROKER thenisentitled,foraperiodof fifteen(15) monthsafterthe involvedtrafficfirstbeginstomove,toa commissionfromthe CARRIERequal toFifteen(15%) Percentof the transportationrevenuereceivedon the movementof the traffic. CARRIERfurtheragreesthatBROKER maypubliclyreportthisbreachof the Agreement,if itoccurs,toany trade associationorpublication,andthatthe facts of the breach may be published.
  • 12. Fax Completed packet to +1(561) 800-3529 WWW.CSLLOGISTICSGROUP.COM Miscellaneous (a) ThisAgreementcontainsthe entireunderstandingbetweenthe partieswithrespecttothe subjectmattertreatedherein. (b) ThisAgreementsupersedesandcancelsall priorlettersof intent, agreements,understandings, offersandassurances,oral or written,of anyparty,and shall be the sole agreementwithrespecttothe mattersinvolved,exceptasmaybe agreedtoin writingbysubsequentamendments. (c) ThisAgreementisbeingdeliveredandisintendedtobe performedinthe State of Floridaand subjecttothe provisionsof Title 49of the UnitedStatesCode (49 USC) andthe RulesandRegulationsof the FMCSA, USDOT, or theirsuccessors,whichmaygovernbysubjectmatterandjurisdictional supremacy,shall be construedandenforcedinaccordance withthe lawsof Illinois.Byexecutionof the Agreement,the BROKERandCARRIERagree and consentthatany actionbroughtto enforce the terms of thisAgreement,ortocollectany moniesdue under thisAgreement,oranylitigationregardingthe transportationservicesorothermattersrelatingtothisAgreementshall be broughtinthe courtsin UnitedStates,Florida (d) ThisAgreementshall be bindinguponandshall inure tothe benefitof the partieshereto,their personal representatives,heirs,successorsandassigns. (e) No modificationof thisAgreementshallbe validunlessinwritingandexecutedbyall the parties. Nobreachof any provisionof thisAgreementshallbe deemedwaivedunless specifically waivedinwritingbythe non-breachingparty. The waiverof anybreachof any termor conditionhereof shall notbe deemedawaiverof anyotheror subsequentbreach,whetherof like orof differentnature. (f) ThisAgreementmaybe executed simultaneouslyinone ormore counterparts,eachof which shall be deemedtobe an original,butall of whichtogethershall constitute one andthe same instrument. (g) BROKER and CARRIERwill discussanyperceiveddeficiencyinperformance byeitherof them, and will promptlyattempttoresolveall disputesingoodfaith. (h) In the eventthatthe FMCSA, or anyother federal agencyordepartment,oranystate government,agencyordepartmentshall byregulation,orderorstatute,directlyorindirectly,require or prescribe the establishmentof anyrulesorprovisionsinconsistentwiththe termsof thisAgreement, CARRIERshall promptlynotifyBROKERandBROKER or CARRIERmay, withoutprejudice toanyother rightor remedy,terminate thisAgreementaftergivingatleastfive (5) days'priorwrittennotice of such termination. (i) The partiesagree that signaturesonthe Agreement,aswell asanyotherdocumentstobe executedunderthe Agreement,maybe deliveredbyfacsimile inlieuof anoriginal signature,andthe partiesagree totreat facsimile signaturesasoriginal signaturesandagree tobe boundbythisprovision (j) The Recitalsto the Agreementare incorporatedintothe Agreement.
  • 13. Fax Completed packet to +1(561) 800-3529 WWW.CSLLOGISTICSGROUP.COM Carrier Your Company Signature:_____________________________________ Signature: Title:_________________________________________ Title: Dated:_______________,200________ Dated: