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Carrier Package Federal and State

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Carrier Package Federal and State Package Price: $899 for most but not all states* Industry Professionals will file and Obtain: The Federal Required: MC Number DOT Number BOC-3 Processing Agent Your States Required: IFTA IRP UCR* Simple Permits (NY, NM, KY,OR)** *UCR filing for first year available upon customer request. **Several States have higher filing fees and/or additional requirements. Please call for a specific quote. Two months complimentary Truckstop.com ® Carrier Pro Package (a $298 value) The industry’s largest load board includes: Unlimited Truck Posting Unlimited Lane Posting Unlimited Freight Searching Bid Request Searching Instant Notification Match My Posted Truck Access to F.M.C.S.A. CreditStop Broker CreditStop Broker Watch List FuelDesk Plus Fuel Stops on Route Fuel Tax Industry Alerts Interactive Online Training Load Densities Loads to Trucks Ratio Mileage Calculation Missing/Stolen Alerts Negotiation Strength Pastwatch ProMiles Routing Quick Post Rate Index Rate Trending Weather Conditions Carrier Package Federal Only Package Price: $695, all filing fees included Industry Professionals will file and Obtain: The Federal Required: MC Number DOT Number BOC-3 Processing Agent Two months complimentary Truckstop.com ® Carrier Pro Package (a $298 value) Same package of benefits as outlined above Ask about Cargo and Liability insurance with monthly billing through our partners at McGriff, Siebels and Williams. For more information call 866-812-9675, option 2 or e-mail pamelavasquez@itsfs.com COMPLETE – ON TIME – THE FIRST TIME
Transcript

Carrier Package Federal and State Package Price: $899 for most but not all states*

Industry Professionals will file and Obtain: The Federal Required:

• MC Number• DOT Number• BOC-3 Processing Agent

Your States Required: • IFTA• IRP• UCR*• Simple Permits (NY, NM, KY,OR)**

*UCR filing for first year available upon customer request.**Several States have higher filing fees and/or additional requirements. Please call for a specific quote.

Two months complimentary Truckstop.com® Carrier Pro Package (a $298 value) The industry’s largest load board includes:

Unlimited Truck Posting Unlimited Lane Posting Unlimited Freight Searching Bid Request Searching Instant Notification Match My Posted Truck Access to F.M.C.S.A. Credit Alerts

CreditStop Broker CreditStop Broker Watch List FuelDesk Plus Fuel Stops on Route Fuel Tax Industry Alerts

Interactive Online Training Load DensitiesLoads to Trucks Ratio Mileage Calculation Missing/Stolen Alerts Negotiation Strength Pastwatch

ProMiles Routing Quick Post Rate Index Rate Trending Weather Conditions

Carrier Package Federal Only Package Price: $695, all filing fees included

Industry Professionals will file and Obtain: The Federal Required:

• MC Number• DOT Number• BOC-3 Processing Agent

Two months complimentary Truckstop.com® Carrier Pro Package (a $298 value) Same package of benefits as outlined above

Ask about Cargo and Liability insurance with monthly billing through our partners at McGriff, Siebels and Williams.

For more information call 866-812-9675, option 2 or e-mail [email protected]

COMPLETE – ON TIME – THE FIRST TIME

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CARRIER AUTHORITY APPLICATION Applicant Information

Application Date: Legal Name: DBA Name ( i f appl icable) : Principal Physical Address (No PO Box) : City: St: Zip: County: Mailing Address ( i f d i f feren t from Physical) : City: St: Zip: County: Business Phone Number (Publ ished on FMCSA) Business Fax Number (Publ ished on FMCSA) Applicant Name: Title: Applicant Contact Phone Number ( ITSFS Use Only) Email:

To be able to set up an account with the FMCSA, there are 3 security questions-(remember your answers so you may log in to the FMCSA in the future .) 1. Most disliked Vegetable?2. Make of 1st vehicle?3. City you were born?

Organization Information Employer Identification Number (EIN): *Sole Propr ietor who do no t have an EIN may submit their Social Secur i ty Number

Type of Business: Sole Proprietor Partnership Corporation Limited Liability Company (LLC) Limited Liability Partnership (LLP)

Principle/Partner/Officer Full Name: Title: Principle/Partner/Officer Full Name: Title: Mexico or Canada Only: Country of Domicile/Principle Place of Business- RFC#: NSC#: Affiliations: The FMCSA requires that you disclose any relationship you have had with any other FMCSA regulated entity ( including entities l icensed by the FHWA, OMCS, or ICC) within the last three years. Examples include, but are not limited to, a percentage of stock ownership, a loan, or a management position. If this applies to you, provide the companies MC/FF number and their USDOT number. MC/FF: MC/FF: MC/FF:

DOT: DOT: DOT: Operation Classification & Information

Please contact our office at 866.812.9675 option 2 if you need assistance in answering questions in this section Operation Classification: Hazardous Materials Household Goods Exempt Commodities Other Non-Hazardous Freight Type of Operation: Interstate (non-hazardous) Interstate (hazardous) Intrastate (non-hazardous) Intrastate (hazardous)

Number of Vehicles with Gross Vehicle Weight rating Greater than 10,000 Pounds: _____ Owned _____ Leased Number of Drivers who will operate : _____ Within 100 Air-Mile Radius _____ Beyond 100 Air-Mile Radius _____ Total Drivers Please check all classifications of cargo that applicant transports or handles below:

a. General Freightb. Household Goodsc. Metal: Sheets, Coils, Rollsd. Motor Vehiclese. Driveaway / Towawayf. Logs, Poles, Beams, Lumberg. Building Materialsh. Mobile Homes achinery, Large Objectsi. Fresh Produce

j. Liquids / Gasesk. Intermodal Containersl. Oil Field Equipmentm. Livestockn. Grain, Feed, Hayo. Coal / Cokep. Meatq. Garbage, Refuse, Trashr. U.S. Mails. Chemicals

t. Commodities (Dry), in Bulku. Refrigerated Foodv. Beveragesw. Paper Productsx. Utility Servicey. Farm Suppliesz. Water Wellaa. Constructionbb. Other (specify): ____________________

ITSFS Use Only- Date filed: User#: Password: Login: Login Password:

Operating trucks(s) with a gross vehicle weight rating (GVWR) of: Number of Vehicle with GVWR Greater than 10,000 pounds (most common)

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CARRIER AUTHORITY REPRESENTATION

Non-hazardous commodities ($750,000 U.S.) Hazardous materials referenced in the FMCSA regulations at 49 CFR 387.303(b)(2)(c) ($1,000,000 U.S.) Hazardous materials referenced in the FMCSA regulations at 49 CFR 387.303(b)(2)(b) ($5,000,000 U.S.)

Applicants Oath (A-18/N-46): This oath applies to all Supplemental Filings to this application.

(The signature must be that of an authorized official of the applicant, not the legal representative.)

I, ___________________________, certify that I am familiar with the Federal Motor Carrier Safety Regulations and, if applicable, the Federal (p lease type or pr in t name)

Hazardous Materials Regulations, and the Federal Motor Carrier Commercial Regulations. Under penalties of perjury, under the laws of the United States of America, I certify that all information supplied on this form or relating to this application is true and correct. Further, I certify that I am qualified and authorized to file this application. I know that willful misstatements or omissions of material facts constitute Federal criminal violations punishable under 18 U.S.C. § 1001 by imprisonment up to 5 years and fines up to $250,000 for each offense. Additionally, these statements are punishable as perjury under 18 U.S.C. § 1621, which provides for fines up to $250,000 or imprisonment up to 5 years for each offense.

I further certify under penalty of perjury, under the laws of the United States, that I have not been convicted, after September 1, 1989, of any Federal or State offense involving the distribution or possession of a controlled substance, or that if I have been so convicted, I am not ineligible to receive Federal benefits, either by court order or operation of law, pursuant to Section 5301 of the Anti-Drug Abuse Act of 1988, formerly Pub. L. 100-690, Title V, Section 5301, Nov.18, 1988, 102 Stat. 4310, renumbered and amended Pub. L. 101-647, Title X, Section 1002(d), Nov. 29,1990, 104 Stat. 4827 (21 U.S.C. § 826).

Signature: Date: Title:

Compliance Certifications (M-45) By signing these certifications, the certifying official is on notice that the representations made herein are subject to verification through the

United States and through the request for examination of records and documents. Failure to support the representations contained in this application could form the basis of proceeding to assess Civil Penalties and/or lead to the revocation of the authority granted.

1. Applicant is willing and able to provide the proposed operations or service and to comply with all pertinent statutoryand regulatory requirements and regulations issued or administered by the U.S. Department of Transportation,including operational regulations, safety fitness requirements, motor vehicle safety standards and minimumfinancial responsibility and designation of process agent requirements.

2. Applicant is willing and able to produce for review or inspection documents which are requested for thepurpose of determining compliance with applicable statutes and regulations administered by the Department ofTransportation, including the Federal Motor Carrier Safety Regulations, Federal Motor Vehicle Safety Standards,Commercial Regulations, Hazardous Materials Regulations, and Americans With Disabilities Act regulations within48 hours of any written request. Applicant understands that the written request for documents may be served onthe contact person identified on Page 4 (Section A, Item No. 18), or the designated process agent.

3. Is applicant presently disqualified from operating commercial motor vehicles in the United States?

4. Applicant understands that the agent(s) for service of process designated on FMCSA Form BOC-3 will be deemedapplicant’s official representative(s) in the United States for receipt of fil ings and notices in administrativeproceedings under 49 U.S.C. § 13303, and for receipt of fil ings and notices issued in connection with theenforcement of any Federal statutes or regulations.

5. Applicant is not prohibited from filing this application because its FMCSA registration is currently undersuspension, or was revoked less than 30 days before the filing of this application.

Signature: Date: Title:

All motor carriers operating within the United States, including foreign-domici led motor carriers applying for USDOT registration by this form, must comply wi th al l appl icable Federal, State, local, and tr ibal statutory and regulatory requirements when operating within the United States. Such requirements inc lude, but are not l imited to, al l appl icable statutory and regulatory requirements adminis tered by the U.S. Department of Labor , or by an OSHA State plan agency pursuant to section 18 of the Occupational Safety and Health Act of 1970. Such requirements also include al l appl icable s tatutory and regulatory environmental standards and requirements administered by the U.S. Environmental Protection Agency or a State, local or tr ibal environmental protection agency. Compliance with these statutory and regulatory requirements may require motor carriers and/or individual operators to produce documents for review and inspection for the purpose of determining compliance with such statutes and regulations.

Yes No

Yes No

Yes No

Yes No

Yes No

Applicant will operate motor vehicles having a gross vehicle weight rating (GVWR) or gross combination weight rating (GCWR) of 10,001 pounds (4,536 kg) or more to transport:

3

CARRIER AUTHORITY AGREEMENT

ITS Financial Services, LLC agrees to fulfil l the following requirements for the purpose of obtaining applicant’s motor carrier operating authority. Applicant authorizes ITS Financial Services to act as its representative for this purpose. ITS Financial Services further agrees to fulfil l these requirements in a complete and timely manner.

These Federal Requirements: MC Number US DOT Number BOC-Process Agent

These State Requirements for your base State: IFTA-International Fuel Tax Agreement IRP-International Registration Plan (apportioned tags) UCR-Unified Carrier Registration (fil ing fee not included) Simple Permits- NY, NM, KY, OR (on your behalf)

Once the Carrier’s authority is active, Truckstop.com® will provide access to the complete Carrier Package of services for a period of sixty (60) days. The services and benefits include the following: Unlimited Truck Posting Unlimited Lane Posting Unlimited Freight Searching Bid Request Searching Instant Notification Match My Posted Truck Access to F.M.C.S.A. Credit Alerts

CreditStop Broker CreditStop Broker Watch List File Check FuelDesk Plus Fuel Stops on Route Fuel Tax Industry Alerts Interactive Online Training

IT Magazine Load Densities Mileage Calculation Missing/Stolen Alerts Negotiation Strength Pastwatch Pintac ProMiles Routing

Quick Post Rate Index Rate Trending Road Conditions Truckstop Directory Weather Conditions

I, ________________________________, agrees to provide the requested information and signatures in an accurate and timely manner. (Company or App l icants Name Here)

Applicant will provide evidence of payment of the Federal Heavy Highway Vehicle Use Tax and be responsible for obtaining the required cargo and liability insurance. Principal/Applicants Signature: Date: ITS Financial Services, LLC Signature: Date:

Payment Authorization Company Name: Applicants Name: Applicants Email: Please select which payment option you would like:

1. Charge my card $899 (Federal and State fil ing)2. Charge my card $695 (Federal Filing only)3. ___________________unique State Charges.

I authorize ITS Financial to use my card to pay the first year’s UCR Fee. Credit Card Information: Visa Mastercard American Express Discover Card Number : Card Expiration Date: (month /year) Security Code: (3or4 dig i ts)

Name of Card Owner: (name on card)

Card Billing Address: City: St: Zip:

What Happens Next? Once payment is received we will obtain your new MC Number, as well as, your new USDOT number and your BOC-3 the same day. In one to four business days your application will be published in the daily Federal Registry. At this point we will wait for the fil ing of your insurance. **Remember, the process can go no further until the insurance filing is complete and proof of payment for the Heavy Highway Vehicle Use Tax is available. Once your insurance is filed we will schedule a phone appointment to cover information specific to your base State. Following this we will begin your base State’s fil ing requirements. The entire process takes between five and seven weeks for most States at this time. We will keep you informed, by e-mail, as we progress through each stage of the application. As always, we encourage you to call us of you have questions or concerns. Once you authority is active and you are ready a representative with Truckstop.com will contact you to set up your trial account. At this point you will have access to freight and be in business!

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Useful Links to Safety Certification Compliance (save access to these links in your records as part of your safety compliance)

The internet link below connects with the Federal Motor Carrier Safety Regulations (FMCSR’s) at 49 CFR, (Parts 300-399):

https://www.fmcsa.dot.gov/regulations/title49/b/5/3

The internet link below connects with the Federal Motor Carrier Safety Administrations Hazardous Materials Transportation Regulations:

https://www.fmcsa.dot.gov/regulations/title49/b/5/3/list?filter=HazMat

The internet link below connects with the Federal Motor Carrier Safety Administrations regulations regarding an accident register (49 CFR Part 390.15):

https://www.fmcsa.dot.gov/regulations/title49/section/390.15

The internet link below connects with the U.S. Department of Transportation’s regulations regarding overseeing driver qualifications (49 CFR Part 391):

https://www.fmcsa.dot.gov/regulations/title49/part/391

The internet link below connects with the U.S. Department of Transportation’s regulations governing alcohol and controlled substances testing requirements (49 CFR Part 382):

https://www.fmcsa.dot.gov/regulations/title49/part/382

The internet link below connects with the U.S. Department of Transportation’s regulations governing alcohol and controlled substances testing requirements (49 CFR Part 40):

https://www.transportation.gov/odapc/part40

The internet link below connects with the U.S. Department of Transportation’s regulations governing driving and operational safety of motor vehicles (49 CFR Parts 392, 395, and 396):

DRIVING OF COMMERCIAL MOTOR VEHICLES https://www.fmcsa.dot.gov/regulations/title49/part/392

HOURS OF SERVICE OF DRIVERS https://www.fmcsa.dot.gov/regulations/title49/part/395

INSPECTION, REPAIR, AND MAINTENANCE https://www.fmcsa.dot.gov/regulations/title49/part/396


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