CARRIER REGISTRATION

CARRIER PROFILE

Company Information:

Physical Address

Mailing Address

Contact Information:

Insurance Information

Carrier References

CARRIER PAYMENT TERMS AGREEMENT FORM

Normal Rate: (Mailed Check)
Agreed upon rate will be paid 15 days after receiving the signed Proof of Delivery (POD), Invoice and a signed copy of the carrier’s rate confirmation. Original signed bills maybe required for payment.Quick Pay: (5%) Same Day
Payments will be issued the same day after the load is completed and after dispatch receives the signed Proof of Delivery (POD), Invoice and a signed copy of the carrier’s rate confirmation BEFORE 12:00 pm (PST). Please note that if the required paperwork is not submitted for payment by 12:00 pm (PST) payment may not be marked same day but will be processed next business day. Original signed bills may be required for payment.

PLEASE NOTE:

CARRIER MUST MENTION ON EACH INVOICE WHAT PAY TERMS THEY ARE SEEKING. IF NO QUICK PAY TERMS ARE REQUESTED ON INVOICE THEN THE INVOICE WILL BE PAID AFTER 15 DAYS (REGULAR PAY).

Bank Information:

By signing below, you hereby authorize PDX Freight Logistics, LLC to initiate automatic deposits to my account at the financial institution listed above. You also authorize PDX Freight Logistics, LLC to make withdrawals from your account in the event that a credit is made in error; you agree not to hold PDX Freight Logistics, LLC responsible for any delay or loss of funds due to incorrect or incomplete information supplied by you or by your financial institution or due to an error on the part of your financial institution in depositing funds into your account.

FACTORING

If you have a factoring company, please fill out this section below. If you don’t, please leave it blank.

Required Documents

● Insurance Certificate showing PDX Freight Logistics, LLC as the Certificate Holder
● Signed pages of the Broker/Carrier Agreement
● Completed W9 Form
● MCPermit

⇒ PLEASE READ CAREFULLY BROKER CARRIER TRANSPORTATION AGREEMENT

I agree with terms and conditions

Submit

BROKER CARRIER TRANSPORTATION AGREEMENT

Now, therefore, broker and carrier desire to enter the agreement in order for the carrier to transport freight arranged by The broker and in consideration of the mutual covenants and agreements contained herein, the parties agree as set forth herein.

RECITALS

1.1 Service needed. Broker controls and arranges for the transportation of shipments of property with unique and individualized characteristics, including required type and quality of motor vehicle equipment, short-notice schedules for pickup and delivery, transit time schedules from the consignor to the consignee and intermediate stop-off points, care with and the safety of the property, adequate security for payment of claims due to loss, damage or delay, secure handling of salvage, weekend operation and other district needs for the satisfactory handling of these shipments from pickup to delivery. 1.2 contract carrier service, contract carrier is desirous of performing service as a contract carrier for broker, and contract carrier is willing to tailor its operations and equipment to fulfill the unique and distinct needs of broker with respect of this transportation. Contract carrier represents to broker, and acknowledges broker’s material reliance thereon, that it will provide all service under this agreement as a contract carrier as defined by federal and state laws. Contract carrier shall at times be an independent contractor. This agreement does not create any other relationships whatsoever.

AGREEMENT

2.1 Term. The term of this agreement is for one year from the date listed on the top of this agreement. This agreement will automatically be renewed from year to year. The carrier must provide an updated insurance certificate to broker in order to keep this agreement renewed and for compliance. The carrier may terminate this agreement after thirty (30) days of written notice. 2.2 broker agrees to offer for carriage, as available, a series of shipments of property over the terms of this agreement and contract carrier agrees to promptly and safely transport such shipments as a contract carrier by motor vehicle. Each shipment which broker tenders to, and is transported by, contract carrier is subject to the terms and conditions of this agreement. Motor vehicles and other equipment furnished by contract carrier will be clean and free of defects. Shipments shall be transported by contract carrier according to schedules, equipment, cleanliness, service, and other requirements established by broker. 2.3 contract carrier agrees to perform its operation under this agreement in complete compliance with all applicable laws, rules, regulations and ordinances.