Dispatcher - Carrier Agreement

2631 S 48th Ct, Cicero, IL 60804

(224) 387-6872

This Dispatcher - Carrier Agreement (the "Agreement") is entered into on this day by and between Dispatched LLC (hereinafter referred to as "Carrier").

MC Number

DL#

DOT Number

Agreed Upon Rate %

Carrier Full Name

Carrier Email

PURPOSE

The purpose of this Agreement is to define the terms under which DISPATCHER will provide freight dispatch services to CARRIER to secure and coordinate freight loads.

Services Provided by DISPATCHER

DISPATCHER agrees to handle paperwork, phone, fax calls to - from the BROKER to tender commodities shipments to CARRIER fro transportation in interstate commerce by CARRIER between points and places within the scope of CARRIER'S operating authoirty.

DISPATCHER beers no financial or legal responsibility in the transaction between the BROKER, CARRIER agreement.

RESPONSIBILITIES OF CARRIER

CARRIER agrees to compensate DISPATCHER at the rate % of the face value of the contract between the BROKER, CARRIER as stated on the load confirmation sheet. This rate is indicated at the top of this form. CARRIER further agrees to pay DISPATCHER at teh time of securing cargo.

CARRIER will comply with all applicable state and federal regulations pertaining to the operation of a motor CARRIER.

Payment shall be made on a weekly/bi-weekly basis via ACH, direct deposit, or another agreed-upon method.

If a load is not completed, DISPATCHER will not be entitled to payment for that load.

What we need to do business and get you a load.

Copy of MC Authority
Copy of your insurance certificate and a phone number for your insurance company.
Signed W-9 form.
Signed Contract for services.
Company profile completed.
Your factoring company's name, address, and contacts phone number.
Copy of a signed of direct deposit form.

Please complete the following information so that we may better serve you.

You will receive an invoice faxed to the location you selected; you pay only the amount of the invoice - no hidden charges.

Company's Name

Company's Address

Company's Phone

Company's Cell Phone

Fax Number

Insurance Company's Name

Insurance Company's Phone

Insurance Company's Contact

Factoring Company's Name

Address

Phone

Contact Name

LIMITED POWER OF ATTORNEY

I hereby make, constitute, and appoint DISPATCHOD LLC, as my true and lawful attorney in fact for me and in my name, place, and stead; for the following purposes only:

To transfer documents - Accept loads - Discuss my accounts and invoice customers
Modes of communication for requesting and receiving information may include telephone, email, fax or mail.

Independent Contractor Relationship

Both parties acknowledge that DISPATCHER and CARRIER are independent contractors. Nothing in the Agreement shall be interpreted as creating an employer-employee relationship.

Liability Disclaimer

DISPATCHER shall not be liable for CARRIER's delays, accidents, cargo loss, or any claims related to freight transportation. CARRIER assumes full responsibility for all loads transported under this Agreement.

Governing Law

This Agreement shall be governed and interpreted in accordance with the laws of the IL. Any disputes arising under this agreement shall be resolved in a court of competent jurisdiction in that state.

Entire Agreement

This Agreement represents the full understanding between the parties and supersedes any prior agreements, whether verbal or written. Any modifications must be made in writing and signed by both parties.

If you agree to the terms outlined in this Agreement, please check this box and sign below.

Signature