Dispatcher - Carrier Agreement




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

  1. MC Authority.
  2. Insurance certificate.
  3. Signed W-9 form.
  4. NOA.
  5. Void cheque (if not factor).

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

Company’s Name:

Address:

City:

State:

Zip:

Company’s Phone Number:

Cell Phone Number:




***All service fees are collected at time of completed transactions. Dispatcher –Carrier Agreement

This Agreement is made on day of , 20 , by and between “Secure Haul Dispatch”, hereafter referred to as

DISPATCHER, and , Hereinafter

referred to as CARRIER. WHEREAS, DISPATCHER is a transportation dispatcher handling the necessary paperwork between a SHIPPERS and the CARRIER in order to secure “CARGO” for said CARRIER

WHEREAS, CARRIER is a Motor CONTRACT Carrier subject to the jurisdiction of the ICC: NOW, THEREFORE, in consideration of the promises and convents hereinafter contained it is mutually agreed by and between parties hereto as follows:

OBLIGATIONS OF DISPATCHER

1. DISPATCHER agrees to handle paperwork, phone, fax calls to, from the SHIPPER to tender commodities shipments to CARRIER for transportation in interstate commerce by CARRIER between points and places within the scope of CARRIER’S operating authority.

2. DISPATCHER bears no financial or legal responsibility in the transaction between the SHIPPER, CARRIER agreement.

OBLIGATIONS OF CARRIER

1. CARRIER agrees to pay DISPATCHER percent ( %) of the face value of the contract between the SHIPPER, CARRIER as stated on the load confirmation sheet.

2. CARRIER gives DISPATCHER authority to provide his signature for rate confirmation sheets, invoices and associated paperwork necessary for securing cargo and billing purposes.

3. CARRIER shall be liable for loss, damage, or liability occasioned by the transportation of property arranged by DISPATCHER, SHIPPER while in the possession of carrier.

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

Secure Haul Dispatch BY:

Ahmad

TITLE: Operations Manager

DATE:


CARRIER:


BY:

TITLE:

DATE:




LIMITED POWER OF ATTORNEY


KNOW ALL MEN BY THESE PRESENTS that I of , hereby make, constitute, and appoint Secure Haul Dispatch, as my true and lawful

attorney in fact for me and in my name, place, and stead; for the following purposes only:

Name:

Select Signature Method:



Date:

MC#:

Secure Haul Dispatch LLC
Secure Haul Dispatch LLC
Secure Haul Dispatch LLC
Secure Haul Dispatch LLC