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JNB Broker/Shipper Packet

CONTENTS:

For your records�

• Company & Contact Information – Page 2

• Trade & Reference Information – Page 3

• Insurance – Page 4

• Bond – Page 5

• License – Page 9

• W-9 – 0 What we need in return please�

• Broker/Shipper Agreement -please see our standard 1-pg agreement, review, initial box in lower right-hand corner & return. – Page 11

• Credit Application -please complete & return or provide a document with your business references and your A/P contact info. – Page 12

Thank you & we look forward to safely moving your valued freight!

Revision Date: 8/16 JNB Logistics - Page 1 of 12

8/16

Company & Contact Information

JNB Logistics, Inc. PO Box 41088 Eugene, OR 97404 MC# 794118 Fed ID # 46-0596732 SCAC – JNBL USDOT – 2331142 Office – 541-344-4930 Fax – 541-344-4337 Dispatch – 541-246-1007

Sales – Cell Phone – 541-915-2098 Email – [email protected] Accounts Receivable: Lauri Simrin Phone – 541-344-4930 E-mail – [email protected]

Revision Date: 8/16 JNB Logistics - of 12

Kyle Richard

Typewritten Text

x9

Trade & Reference Information

JNB Logistics, Inc.

MC 794118

USDOT 2331142

CORPORATE INFORMATION:

Established July 18, 2012

Fed ID 46-0596732

President – Lauri Simrin

Vice President – Kirk Simrin

BANK INFORMATION:

Wells Fargo Bank

99 E. Broadway

Eugene, OR 97401

Business Relationship Mgr – Nicole Nelson

541.465.5508

CREDIT REFERENCES: CUSTOMER REFERENCES:

Optimus Logistics Group Inc.

3623 Harris Ave.

Centralia, WA 98531

Contact – Jim McAuley

360.807.0800

K T Charboneau Trucking

PO Box 728

Tenino, WA 98589

Contact – Glen Colburn

360.273.9500

Superstar Trans Inc.

1807 S. 24th Place

Ridgefield, WA 98642

Contact – Manjit Singh

360.909.2264

8/16

Simplot Grower Solutions

27617 OR-99E

Halsey, OR 97348

Contact – Rich Borrelli

541.369.2826

Ninkasi Brewing Company

272 Van Buren St

Eugene, OR 97402

Contact – John Schlea

541.344.2739

Scotts Miracle-Gro

6500 Hanna Rd

Independence, OR 97351

Contact – Ann Cisneros

503.606.3243


The ACORD name and logo are registered marks of ACORD

CERTIFICATE HOLDER

© 1988-2014 ACORD CORPORATION. All rights reserved.ACORD 25 (2014/01)

AUTHORIZED REPRESENTATIVE

CANCELLATION

DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE

LOCJECTPRO-POLICY

GEN'L AGGREGATE LIMIT APPLIES PER:

OCCURCLAIMS-MADE

COMMERCIAL GENERAL LIABILITY

PREMISES (Ea occurrence) $DAMAGE TO RENTEDEACH OCCURRENCE $

MED EXP (Any one person) $

PERSONAL & ADV INJURY $

GENERAL AGGREGATE $

PRODUCTS - COMP/OP AGG $

$RETENTIONDED

CLAIMS-MADE

OCCUR

$

AGGREGATE $

EACH OCCURRENCE $UMBRELLA LIAB

EXCESS LIAB

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

INSRLTR TYPE OF INSURANCE POLICY NUMBER

POLICY EFF(MM/DD/YYYY)

POLICY EXP(MM/DD/YYYY) LIMITS

PERSTATUTE

OTH-ER

E.L. EACH ACCIDENT

E.L. DISEASE - EA EMPLOYEE

E.L. DISEASE - POLICY LIMIT

$

$

$

ANY PROPRIETOR/PARTNER/EXECUTIVE

If yes, describe underDESCRIPTION OF OPERATIONS below

(Mandatory in NH)OFFICER/MEMBER EXCLUDED?

WORKERS COMPENSATIONAND EMPLOYERS' LIABILITY Y / N

AUTOMOBILE LIABILITY

ANY AUTOALL OWNED SCHEDULED

HIRED AUTOSNON-OWNED

AUTOS AUTOS

AUTOS

COMBINED SINGLE LIMIT

BODILY INJURY (Per person)

BODILY INJURY (Per accident)PROPERTY DAMAGE $

$

$

$

THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.

INSDADDL

WVDSUBR

N / A

$

$

(Ea accident)

(Per accident)

OTHER:

THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEDREPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject tothe terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to thecertificate holder in lieu of such endorsement(s).

COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:

INSURED

PHONE(A/C, No, Ext):

PRODUCER

ADDRESS:E-MAIL

FAX(A/C, No):

CONTACTNAME:

NAIC #

INSURER A :

INSURER B :

INSURER C :

INSURER D :

INSURER E :

INSURER F :

INSURER(S) AFFORDING COVERAGE

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED INACCORDANCE WITH THE POLICY PROVISIONS.

8/17/2016

KPD Insurance, Inc.PO Box 784Springfield OR 97477

JNB Logistics, Inc.PO Box 41088Eugene OR 97404

Ohio SecurityContinental Casualty Ins Co

2408220443

541-741-0550 541-741-1674

JNBL01C

1972204159

A Y BLS55244434 8/17/2016 8/17/2017 1,000,000

1,000,000

15,000

1,000,000

2,000,000

2,000,000

X

X

X

Lmtd Contractual

A Y

X X

BAS55244434 8/17/2016 8/17/2017 1,000,000

B Contingent CargoACV

5091290925 8/17/2016 8/17/2017 250,000 LimitCargoReefer

$1,000 Deductible$2,500 Deductible

Information Only

Sample CertificateInsured InfoEugene OR 97404


Rev. 8/16 Initials _________

BROKER SHIPPER AGREEMENT AND CONDITIONS

Payment and Charges – Shipper shall tender certain shipments, from time to time, to Broker. The charges and rates for each shipment shall be provided in the Broker Shipper Rate Agreement that will be on a load by load basis. The Broker Shipper Rate Agreement can be supplemented or revised by written agreement signed by both parties, or, prior to transportation, by facsimile or e-mail from Broker to Shipper, if not objected to by Shipper, in writing, within one (1) business day from the date and time faxed or e-mailed. In the event Brokerage services are provided and it is subsequently discovered that there exists no applicable or understood rate in the Broker Shipper Rate Agreement, the parties agree that the charges invoiced by Broker shall be the agreed upon contract rate of the parties for services provided, unless such payment is objected to by Shipper within ten (10) days of the invoice date.

Shipper agrees to pay Broker within thirty (30) days of the date of the invoice. In the event Shipper fails to pay any invoice in a timely manner, Shipper agrees to pay to Broker late fees of 1% per month (12%APR) on all sums not paid when due. In addition, Shipper shall also be liable for any expenses incurred by Broker in the collection of any past due sums, specifically including attorney fees and legal costs.

Indemnification – Broker shall defend, indemnify and hold harmless Shipper from any loss or damage, including loss, damage or injury to persons or property that Shipper may incur as a direct result of Broker’s negligent acts or omissions. However, it is understood and agreed that Broker assumes no liability for bodily injury, property damage or public liability arising out of, or in any manner related to the shipping or involved transportation. Shipper shall defend, indemnify and hold harmless Broker from any and all loss or damage, including loss, damage or injury to persons or property that Broker may incur as a direct result of Shipper’s negligent acts or omissions.

Independent Contractor – Broker represents and warrants that it is an independent contractor under this agreement; that its employees are under Broker’s exclusive management and control, and that Shipper neither exercises nor retains any control over Broker, its operations, agents or employees in any manner whatsoever.

Contract Carriers – Broker shall make reasonable efforts to place Shipper’s loads with responsible carriers for the purposes of transporting the loads with reasonable dispatch under the direction of Shipper. However, the parties understand and agree that concerning delivery time or the locating of a carrier to provide the transportation services requested by Shipper, Broker shall assume no liability for delays or damage to the shipments provided such reasonable efforts have been made.

Cargo Loss, Damage, or Shortage – In the event of a cargo loss, damage or shortage claim, Shipper agrees to notify Broker immediately by phone and to subsequently submit to Broker a written claim, fully supported by all relevant documentation, including but not limited to the signed delivery receipt, listing the nature and cause of the claim for cargo damage within ten (10) days following the date of delivery. No claims or allowances for shortages, damage or delay will be considered unless clearly noted on the delivery receipt or bill of lading signed by the consignee at delivery. Broker assumes no liability for cargo loss, damage or shortage. However, Broker agrees to submit, negotiate and settle all cargo claims with the responsible carrier and to keep Shipper advised of the status of all such claims. Upon request by Shipper, Broker shall assign its rights against the carrier to Shipper. Nothing herein shall be constructed to restrict any right or cause of action Shipper may have against any carrier involved with the transportation of Shipper’s shipment.

Shipping Documents – Unless otherwise agreed in writing, all shipments tendered shall be accepted on a bill of lading acceptable to Shipper as the shipping document. In the event of a conflict between the bill of lading terms and the terms and provisions of this agreement, the terms and provisions of this agreement shall control. Upon request of Shipper, Broker shall require all carriers to obtain a delivery receipt from the consignee, showing: (i) the products delivered; (ii) the condition of the shipment; and (iii) the date and time of such delivery.

Notification of Accidents or Delays – Broker agrees to notify Shipper of any accident or other event which prevents carrier from making a timely or safe delivery.

Assignment – No party may assign this agreement without the prior written consent of the other party.

JNB Logistics Inc

P.O. BOX 41088, EUGENE, OR 97404 Phone: 541-246-1007 Fax: 541-344-4337


CREDIT APPLICATION

BUSINESS CONTACT INFORMATION

Legal Company Name:

DBA (if applicable):

Phone: Fax: E-mail:

Billing Address:

City: State: ZIP Code:

Date Business Established: Fed Tax ID#:

Sole proprietorship: Partnership: Corporation: Limited Liability Company:

AP INFORMATION

Person Responsible for Accounts Payable: Phone:

E-mail: Purchase Order Required: _____yes _____no

PLEASE PROVIDE THE FOLLOWING INFORMATION FOR PARTNERS, CORPORATE OFFICERS, SOLE

PROPRIETORSHIP, MEMBERS (LLC)

Name: Title

Name: Title

LIST TWO MAJOR TRADE REFERENCES

Company Name:

Address:

City/State: Phone: Fax:

Company Name:

Address:

City/State: Phone: Fax:

BANK REFERENCES

Bank Name:

Branch: City/State:

Bank Contact: Phone:

PAYMENT TERMS

All accounts are due and payable within 30 days of invoice date. A late charge of 1 1/2% per month will be charged on past due accounts. Customer agrees to pay collection agency fees and all attorneys’ fees in the event of legal action. I have made the statements above for the purpose of obtaining credit. I certify that the statements are true and I authorize you to make a credit investigation.

SIGNATURE

Authorized Signature of Owner or Officer

Date

Print Name Title

Rev. 8/16

JNB Logistics Inc. PO Box 41088, Eugene, OR 97404

Phone: 541-246-1007 Fax: 541-344-4337
