TOTAL QUALITY LOGISTICS CARRIER FORM

Welcome to Total Quality Logistics. We will need the following items in arder far us to setup your company with TQL and process yourpayments in a timely manner.

1) Signed Broker/Carrier Agreement (included in this packet); 6) This form, completed with your information; 2) Copy of certificate of insurance or policy of both 7) Factoring company address and phone number, if applicable;

CARGO and LIABILllY insurance; 8) A voided invoice from your company; 3) W9 (included in this packet); 9) Copy of broker authority from FMCSA, if applicable;

1 O) HazMat Certificate, if applicable; and 4) Copy of certificate of insurance or policy of yourWORKERS' COMPENSATION insurance;

5) Operating Authority issued by the FMCSA;

Carrier Name: l..j ti (,q)1 �\;es L L (_Dispatchers: An¿,e,¡ AA fa>\V\'lk,rC\,Y\.V

11) Fax completad packet to (513) 248-5347, or email tocarrierservices@tgl.com

PhysicalAddress: t'':/-IS Nw 0/ó s+ '1-42..9 RemitToAddress: _____________ _1) '219 s

(lfDifferentfromPhysical) City, State, Zip: Mi.ctwú 'PL ::>o> City, State, Zip: ___ ����-���---

Phone (Local): �S-2,o :>- of. 1.0 WATIS: --------- Fax: �:¡.�K�ro�--l�/0�9_-_S�:>�·=f,_'\ __ _Email Address: G Mg {¡C\ �q) ¡ 6 +i e S · C:Om Web Site: _________________ _

Does your company use a dispatch service? Yes __ No ..2'.::__ (11 yes, please complete line below)

Name of Dispatch Service _______________ _ Phone of Dispatch Service ___________ _

Is your company a SmarlWay partner? Yes_ No X

Is your company a certified diverse-owned business (under a federal, state, or local diversity contracting program based upon the diversity of its

ownership)? lf so, please select the category below and senda copy of your certification to carrierservices@tgl.com. _ Minority (Minority-Owned Business - MOB) _ Female (Women-Owned Small Business - WOSB)_ Economically Disadvantaged _ Service-Disabled Veteran-Owned Small Business (SDVOSB)

Other

Claims Contact: --=W{=(O-=-=(;.c.'M=_.:.../11.e_,,..:x:&"""--------------------------SCAC Code ____ _ Ooes your company broker out extra freight? Yes NoJ'.<C. Number of Tractors: 1-1NumberofTrailers: Reefers ___ Vans Z VenledVans ___ Flats 1 4'Tarps ___ 6'Tarps ___ 8' Tarps ___ Step Deck ___ Removable Goose Neck ___ Drop Deck ___ Other: __________ _Is your company Hazmat Certi fied?How do you !rack your drivers? GPS

Yes_ No K._ (lf yes, forward a copy of your Certification and fill out Appendix A of !he contract)

X Cell Phone X Other: 11 GPS, can TQL have access online? Yes No y

As a benefit to members of our Carrier Network, TQL has created a secure, carrier-specific website that serves as a one-stop­shop far drivers and dispatchers. By creating a free account at www.TQL.com, you can:

• Search far available TQL loads by origin, destination, trailer type, or pick-up date• Post your empty truck(s) • Quote on loads submitting a rate directly through the web site• Check on your payment status• Receive available load notifications via email with our Lane Watcher tool

To sign-up, visit our www.TOL.com/register and fill-in the required information.

TQL is available to assist drivers and dispatchers with any problems 24/7/365 al 800-580-3101. infom1ation far your company.

In return, we ask far after-hours

Monday - Friday: From 'balM until S:€""- Phone # 95l-lU05,9/1,3 Fax# _____ Contact name: A,,,cke.,,'iw, �mbr,:,,..oSaturday: From 10C.M until Wf>"' Phone # 954UOSS'bp Fax# Contact name: bd&'10.. &,..,,,t, ,O,,"'<)Sunday: From ___ until __ _ Phone # _____ Fax# _____ Contact name: _________ _

Rev: 5/25116 TOTAL QUAL/TYLOGISTICS ISAVAILABLE 24HOURS A DAY, 7 DAYSA WEEK, 365DAYSA YEAR.

Fax completed packet to (513) 248-5347 WWW. TQL.COM

Payment Terms

Please indicate which of the following payment terms you would like to use. Your selection will remain as your permanent payment term until TQL Carrier Services is notified in writing that you would like your terms changed. lf this form isnot filled out, sianed, and returned, then your payment terms will default to 28 DAYS.

**AII pay terms are calculated from the day TQL receives your complete and legible paperwork**

Payment Terms: Please select ONE payment term as your regular payment term.

_X 28-Day Pay No fees - check mailed or payment direct depositad within 28 days of TQL receiving completeand legible paperwork. Please see the lnvoice Informa/ion section of the Rate Confirmation far paperwork submission instructions. lf original documents are required, please mail them. lf originals are not required, please fax paperwork to 513-688-8782 or e-mail to cinvoices@tgl.com.

7-Day Quick Pay - A 3% service charge will be deducted from the gross truck rate. This is issued througheither check or direct deposit. Please see the lnvoice Informa/ion section of the Rate Confirmation farpaperwork submission instructions. lf original documents are required, please mail them. lf originals are notrequired, please fax paperwork to 513-688-8895 or e-mail to guickpay@tql.com and be sure to write or type"Quick Pay" on your invoice and/or the Rate Confirmation. Payment will be issued within 7 days of TQLreceiving complete and legible paperwork.

1-Day Quick Pay - A 5% service charge will be deducted from the gross truck rate. Payment is made witheither a Comchek, which includes a $25 dallar per invoice Comchek fee, or direct deposit with no Comchek fee.To use this option you must mark "1-Day Quick Pay" clearly on both your envelope and invoice/RateConfirmatian. A Comchek will be issued in the amount owed ene business day after TQL receives completeand legible paperwork. Please see the lnvoice Informa/ion section of the Rate Confirmation far paperworksubmission instructions. lf original documents are required, please mail them. lf originals are not required,please fax paperwork to 513-688-8895 or e-mail to guickpay@tgl.com and be sure to write or type "1-Day QuickPay" on your envelope and invoice/Rate Confirmation.

**lf we receive your paperwork on Friday, you wi/1 receive your Comchek on Monday (1-Day Quick Pay and 7-Day Quick Pay wi/1 not be guaranteed if there are any problems with /he load overages, shortages, late delivery, temperature issues, etc.).

***You can select 1-Day Quick Pay on a per invoice basis if you have selected either 28-Day ar 7-Day. To use this option "1-Day Quick Pay" mus/ be marked clearly on both your envelope and invoice/Rate Confirma/ion.

Direct Deposit Select if you want direct deposit (available on all payment terms). Fill out Agreement Formand fax to 513-965-5492.

We allow invoices and bilis of lading to be sen/ via fax, email, mobile device scanning, ar TransF/o scanning. Sending paperwork via one of these methods wi/1 ensure we receive your documents the same day and will help you gel paid faster. Fax invoices to (513) 688-8782 ar email them to cinvoices@tql.com far 28-Day pay. Fax invoices to (513) 688-8895 ar email them to quickpay@tql.com far ali 1-Day and 7-Day Quick Pays. Our TransF/o code is TQYL far TransFlo Express truck stop scans, ar TQYLV far scans using TransFlo Velocity downloadable software. Befare sending paperwork electronical/y, please check your TQL Rate Confirma/ion to be sure that original paperwork is no/ needed. This informa/ion can be found in /he "lnvoice Informa/ion" section of the Rate Confirma/ion. lf /he box is checked, then original documents are required and you mus/ mail your paperwork to receive payment.

AII paperwork submitted mus! be complete and legible and include: lnvoice with your company name and address, and with your payment terms clearly indicated. TQL's Rate Confirmation can serve as your invoice. Payment will be made according to terms printed on !he Rate Confirmation, unless you indicate a difieren! term on your invoice or Rate Confirmation. Original B.0.L./P.0.D. signed by the receiver. Any unloading or palle! receipts with TQL authorization number printed on thel.ll.l-,-�

CARRIER:

Date: Q(o (1 0 / ZOi 1 (Date Signed)

Signature:

Signed By: fQfO��tt /!1¿ za_(Printed Name of Authorized Representativa)

Rev: 5 / 25 / 16 TOTAL QUAL/TY LOG/ST/CS IS AVAILABLE 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS AYEAR.

Fax completed packet to (513) 248-5347 WWW. TQL.COM

Comchek Authorization

Comcheks are available only after freight has been loaded. lf you would like to limit who at your company is permitted to receive Comchecks, please mark the appropriate "No" box below. lf the "No" box is not selected, that category of persons are permitted to receive Comchecks. lf nothing is marked below, then you are indicating that Comcheks may be given to any person representing you or your company. TQL will not be responsible for unauthorized persons obtaining Comcheks on behalf of your company. Due to business concerns, all drivers, dispatchers, and other representatives of your company are eligible to receive unloading {lumper) Comcheks. TQL must be notified separately in writing if you do not want anyone at your company to be able to receive unloading (lumper) Comcheks. There is a $25 fee for each Comchek issued. The amount permitted for fuel advance Comchecks is limited to the lesser of 40% of the gross truck pay or $2,000.

Yes No >( Drivers are permitted to receive fuel advance Comcheks.

Dispatchers are permitted to receive fuel advance Comcheks.

Anyone al our company is permitted to receive fuel advance Comchecks.

Yes XNo_

Yes_No-4

***TQL After-Hours and Weekend/Holiday Comchek Procedure*** TQL after-hours personnel can only issue a fuel advance Comchek upon confirmation from !he shipper that !he truck has been loaded. In !he event that we are unable to reach a shipper, we may request a fax copy of each and every bill of lading befare issuing !he fuel advance Comchek. Furthermore, to ensure that we are giving the fuel advance Comchek to !he corree! carrier, it is imperative that ali drivers be able to recite their company's MC number. TQL after-hours personnel cannot issue an advance for more !han 40% of !he total rate to !he truck up to a $2,000.00 maximum advance. This policy will be in effect after 5 P.M. EST every weekday and throughout each weekend and holiday.

By signing below, CARRIER acknowledges that CARRIER has read, understands, and agrees to !he terms in this Comcheck Authorization.

CARRIER: Ll.C

Representative)

Title:

Date: 0& (1G/2o1+ (Date Signed)

CARRIER MC#: 9 f S 1_ S (.-(,éC'cA�RR"'l""ER"""�s M°'c"'°)fí"'¡'"ro-m�F�M=c�SA�)�----

CARRIER DOT#: 2.2::,9o/ 0 5 i-(CARRIER"s DOT# from FMCSA)

CARRIER EIN#: (CARRIER"s Employer ldentification #)

Rev: 5/ 25/16 TOTAL QUAL/TYLOG/ST/CS ISAVAILABLE 24 HOURSA DAY, 7 DAYSA WEEK, 365DAYSA YEAR.

Fax completed packet to (513) 248-5347 WWW. TQL.COM

TQL TOTAL QUALITY LOGISTICS

Phone: 1-800-580-3101 Fax: 513-965-5492 Email: achrequests@tql.com Please fax agreement and voided checkAllow 24 hours for Processing

Direct Deposit Agreement, Change, and/or Cancellation Form and Authorization Agreement*

CARRIER authorizes Total Quality Logistics, LLC ("TQL") to initiate automatic deposits to CARRIER's account al the financia! institution named below. CARRIER also authorizes and permits TQL to make withdrawals from this account if a credit entry is made in error or to pay any amount that CARRIER may owe to TQL.

CARRIER agrees to release, defend, indemnify, and hold TQL harmless from and against any delay or loss of funds dueto incorrect or incompleta information supplied by CARRIER or CARRIER's financia! institution or due to an error on the part of CARRIER's financia! institution in depositing funds to CARRIER's account. CARRIER agrees that TQL cannot be held responsible or liable for overdrafts or overdraft lees incurred before funds are depositad. This agreement and authorization will remain in effect until TQL receives a written notice of cancellation or changas from CARRIER or CARRIER's financia! instilulion.

New Setup

CARRIER Name (as it appears on bank account records): _L¡�\\ __ L_<?J__,..,'�, 1:>�-h_-�C.-'>��L�L�C�-----------Name of Financia! lnstitution: _____________________ _ Account Number: ____________ _ Routing Number: ------,,---,-------Checking __ Savings __ E-mail Address or Fax Number for Remittance Advices: _____________________ _

lf Requestinq Change

Old Account lnformation CARRIER Name (on account): __________ _ Name of Financia! lnstitution: ___________ _ Account Number: ____________ _ Routing Number: -----=---------Checking __ Savings __ lf Requesting Cancellation of Direct Deposit

New Account lnformation CARRIER Name (on account): _________ _ Name of Financia! lnstitution: Account Number:

-----------

Routing Number: -----=----,--------Checking __ Savings __

__ 1 hereby request TQL to cancel my direct deposit account.

Payment Terms (P/ease select only one)

1-Day Quick Pay (5% service charge). Please write or type "1-Day Quick Pay via direct deposit" on every invoicesent in OR write or type "1-Day Quick Pay via Comchek" if you need a Comchek, for which you will be charged $25per invoice in addition to the service charge.

7-Day Quick Pay (3% service charge). Please write or type "7-Day Quick Pay" on every invoice sent in.

_X 28 Day. No additional fees.

CARRIER: lHI- �; sJ� e" LL( CARRIER MC#: .9=ts 1.SC, (Legal Na!Tle Carrier) (CARRIER's MC# from FMCSA)

Signed By: //1.a,a CARRIER DOT#: Z'!;/)9651 Authorized Representative) (CARRIER's DOT# from FMCSA)

Signature: CARRIER EIN#: '1-=i - if>Ot-f-13{; (CARRIER's Employer ldentification #)

Tille: �q .\..; Orú Mi!mf!<§M Date: 00 /1 & ! 7{)1-=\ (Titl ofAÜthorized Representative) (Date Signed)

·only available on continental United States bank accounts and may not be available on initial loads dueto bank account setup time.

Rev: 5/25/16 TOTAL QUALITYLOGISTICS IS AVAILABLE 24HOURSA DAY, 7 DAYSA WEEK, 365DAYSA YEAR.

Fax completed packet to (513) 248-5347 WWW. TQL.COM

For United States Carriers Onty

SUBSTITUTE FORM W-9

TQL's Form W-9 is used to determine whether TQL should file Form 1099-MISC annually for a specific payee. The IRS requires TQL to supply our payees with either the standard federal W-9 form or our substitute W-9 form to hold in the payee's file. Please complete TQL's substituta Form W-9 and return it with your contrae! carrier approval paperwork. Should you have any questions, please feel free to contact us at 800-580-3101 ext. 69310.

Please be sure to supply your "Doing Business As" information, if applicable. Your DBA is important information for proper tax reporting. lf your company is registered as "lnc." or "LLC," you will not receive a 1099 for tax purposes.

CORPORATIONS and LIMITED LIABILITY COMPANIES

Company Name l4 ti: h2<¡)1:>:\:1<' .S L L..C. Doing Business As, Trade Name or Alias (lf applicable) __________________ _ State of lncorporation --:f" L Federal Tax ID# ;:i+-1.f,O L.¡ 4 S0

INDIVIDUALS, SOLE PROPRIETORS, and PARTNERSHIPS

Company or Individual Name ____________________________ _ Doing Business As, Trade Name, or Alias (lf applicable) __________________ _ Federal Tax ID# ________________________________ _ Social Security # ________________________________ _

CERTIFICATION Under penalties of perjury, I, as the individual above or as an authorized representative of the entity above, certifythat: (1) the number shown on this form is the correct taxpayer identification number (or the individuallentity is waiting for a number to be issued); (2) the individual/entity is not subject to backup withholding because (a} the "ndividual/entity is exempt from backup withholding, (b) the individual/entity has not been notified by the IRS that the individual/entity is subject to backup withholding as a result of a failure to report ali interest or dividends, or (e)the IRS has notified the individual/entity that the individual/entity is no longer subject to backup withholding; and (3)

am a U.S. citizen or other U.S. erson as defined in the instructions to IRS Form W-9 .

Tille: '0//LS fi1ctM U (Titl of Authorized Representati

Date: Q(? /1 ú,/ Za/ t(Date stgned)

Company Address: f:,"Y--/ 5 /JW (o 6 $ i +t:J 23

City, State, Zip: Mi C¡VV/,; P L :i 313 5

Rev: 5/25/16 TOTAL QUALITYLOGISTICS IS AVAILABLE 24 HOURSA DAY, 7 DAYSA WEEK, 365 DAYSA YEAR.

Fax completed packet to (513) 248-5347 WWW. TQL.COM

(e) CARRIER shall continuously maintain the temperature noted on BROKER's Rate Confirmation from pickup atshipper until delivery at receiver. CARRIER shall not, at any time, set reefer on start/stop, cycle, or any other non­continuous temperatura setting unless otherwise notified in writing by BROKER. CARRIER shall contact BROKERimmediately in the event of any problems including, without limitation, out-of-temperature condition, equipmentmalfunction, accident, or delay.

24. SURVIVAL. The terms and conditions of this Agreement which contemplate the need for performance after theexpiration or termination of this Agreement, which includes, without limitation, provisions regarding indemnification,solicitation of CUSTOMERS, attorneys' fees, cargo liability, claims processing, and compensation for Services performedprior to termination, shall survive any such expiration or termination of this Agreement.

25. RECITAL PARAGRAPHS / HEADINGS. The statements in the recital paragraphs at the beginning of this Agreementare true and corree! and may be relied upan in this Agreement. However, the Section headings in this Agreement are forconvenience only and shall not be used to interpret this Agreement.

26. COUNTERPARTS. This Agreement may be executed in any number of counterparts and by the Parties in separatecounterparts, and may be exchanged by Electronic Communications. Each executed counterpart shall be deemed to bean original and all of which together shall constitute one and the same agreement. CARRIER's execution of thesignature page and return of that page to BROKER, shall be evidence that CARRIER has agreed to all of the terms andconditions of this Agreement without change or modification.

IN WITNESS WHEREOF, the Parties have, through their duly authorized representatives, executed this Agreement, and bysigning below, the Parties acknowledge that they have read this Agreement in its entirety; understand the terms and conditions of this Agreement; have had the opportunity to consult with legal counsel regarding terms and conditions of this Agreement; and knowingly, voluntarily, and willfully enter into this Agreement without any duress or coercion of any kind.

CARRIER:

Date: QC, /1 fe fW1 "'.\(Date Signed)

Entity Type: l l.- (_,

Lle.,_

(Ex: LLC, Corporation, Sole Proprietor)

BROKER: TOTAL QUALITY LOGISTICS, LLC (Legal Name of BROKER)

Signed By: MARC BOSTWICK (Printed Name of Authorized Representative)

Signature: n1¡· tr" p-<.t" (-� . .<,.··,tt..-.�·vJk (Signature of Authorized Representative)

Title: Operational Sales Manager

(Title of Authorized Representative)

State of lncorporation: '::f='. --�-�-��--�--

(No t Applicable for Sole Proprietor)

City and State of Office: (CARRIER's Home City and State)

CARRIER MC#: 9::i.51S(, (CARRIER's MC# from FMCSA)

CARRIER DOT#: 2Z '9 9ft; S 1-(CARRIER's DOT# from FMCSA)

CARRIER EIN#: 2,i-1. Wl-14) ¡,; (CARRIER's Employer ldentification #)

FORM REVISED 5 / 25 / 16

Rev: 5125/16 TOTAL QUALITYLOG/STICS IS AVAILABLE 24 HOURSA DAY, 7 DAYSA WEEK, 365 DAYS AYEAR.

Fax comp/eted packet to (513) 248-5347 www. TQL.COM

TQL9 TOTAL QUALITY LOGISTICS

Appendix A Extra Requirements for Hazardous Materials Shipments

For any shipment arranged by BROKER to be transported by CARRIER involving the transportation of hazardous materials or waste requiring vehicle placarding under 49 C.F.R Par! 172, et. seq., or any amendment, revision, or other applicable Laws, !he Parties agree !he foliowing provisions shali apply and shall be included in !he Agreement by this reference, in addition to provisions already in the Agreement, to which this Appendix A is attached. Any terms defined in the Agreement have the same meaning in this Appendix.

1. CARRIER represents and warrants that it holds ali Federal and/or state permits and registrations necessary totransport hazardous materials or waste and CARRIER shali promptly provide BROKER copies of ali documentsvalidating its authority to transport such materials u pon BROKER's request.

2. CARRIER represents and warrants that ali CARRIER's drivers who transport hazardous materials or waste are: (a)properly trained and qualified under ali applicable Laws, including, without limitation, 49 C.F.R. §§ 172.000 and177.800; and (b) have !he proper endorsements on their Commercial Driver's License to transport such materials.

3. CARRIER shall comply with ali applicable Laws relating to the transportation of hazardous materials as defined in 49C.F.R. §§ 172.800, 173, and 397, et seq. (including any amendments), including, without limitation, ali applicablesecurity plan requirements and training required by the Department of Homeland Security, the DOT, and ali relatedLaws. CARRIER shali be solely responsible for any violation of any applicable Laws, and shali defend, indemnify,and hold BROKER and its CUSTOMERS harmless from, and pay BROKER on demand for any claims, losses,damages, or liability incurred, including, without limitation, reasonable attorneys' fees arising from non-compliance.

4. lf CARRIER is requested to transport hazardous materials or waste for which CARRIER must maintain $5 million(U.S.) liability coverage under49 C.F.R. § 387.9 or any other Laws, CARRIER shall procure and maintain, at its soleexpense, public liability and property damage insurance from an insurance company authorized to do business in alicontinental states, Ganada, and Mexico, if applicable, insuring CARRIER for al leas! $5 million (U.S.) per occurrence.Such insurance shall name BROKER as certificate holder and, if requested by BROKER, BROKER and BROKER'sCUSTOMER, each as additional insured and loss payees for any and ali liabilities for ali bodily injuries (includingdeath) and property damage, including environmental damage due to !he release or discharge of a hazardoussubstance and cost of remediation, arising out of or in any way related to CARRIER's Services.

By signing below CARRIER acknowledges CARRIER has read this Appendix A in its entirety; understands the terms and conditions of this Appendix A; has had !he opportunity to consult with legal counsel regarding terms and conditions of this Appendix A; and knowingly, voluntarily, and willfuliy enters into this Appendix A without any duress or coercion of any kind.

CARRIER: 41-1 � s-b' e 5(Legal Name�RIER)

Date: oG / 1 (;, / W1+(Date Signed)

llC

CARRIER MC#: ;) :'.f-515 h (CARRIERºs MC# from FMCSA)

CARRIER DOT#: 2_9,99-& :Í l(CARRIER's DOT# from FMCSA)

CARRIER EIN# ) -J, - 1.. t, OLJ {_f 3 0(CARRIER's Employer ldentification #)

Rev: 5/25/16 TOTAL QUALITYLOGIST/CS IS AVA/LABLE 24HOURSA DAY, 7 DAYSA WEEK, 365DAYSA YEAR.

Fax completed packel to (513) 248-5347 WWW. TQL.COM