adica logistics llc

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ADICA Logistics LLC Minimum Insurance Requirements ADICA Logistics requires all insurance certificates to list actual and complete name of companies affording coverage. Company affording the automobile liability coverage, must be rated “A” or better by A.M. Best rating guide. A CERT HOLDER COPY WITH ADICA LOGISTICS, LLC - TAYLOR MI LISTED AS A CERT HOLDER IS REQUIRED Our required coverage - AUTOMOBILE LIABILITY $1,000,000 Combined Single Limit. If limit is less, include evidence of umbrella cover. CARGO LEGAL LIABILITY In an amount, not less than $100,000 any one occurrence in addition to cargo insurance required by applicable State or Federal Laws. COMMERCIAL GENERAL LIABILITY Endorsed to include Contractual Liability, and in amount not less than $1,000,000 any one occurrence. WORKERS COMPENSATION & EMPLOYER’S LIABILITY The Motor Carrier shall maintain Workers Compensation insurance coverage as provided for by state and/or Federal Law and Employer’s Liability insurance, in an amount not less than $500,000 each accident. IN THE EVENT NO W/COMP OR OCC ACC INSURANCE IS PROVIDED A COMPLETED ADICA LOGISTICS W/ COMP WAIVER IS REQUIRED TO BE COMPLETED AND SIGNED

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Page 1: ADICA Logistics LLC

ADICA Logistics LLC Minimum Insurance Requirements

ADICA Logistics requires all insurance certificates to list actual and complete name of companies affording coverage. Company affording the automobile liability coverage, must be rated “A” or better by A.M. Best rating guide. A CERT HOLDER COPY WITH ADICA LOGISTICS, LLC - TAYLOR MI LISTED AS A CERT HOLDER IS REQUIRED

Our required coverage -

• AUTOMOBILE LIABILITY$1,000,000 Combined Single Limit. If limit is less, include evidence of umbrella cover.

• CARGO LEGAL LIABILITYIn an amount, not less than $100,000 any one occurrence in addition to cargo insurance required by applicable State or Federal Laws.

• COMMERCIAL GENERAL LIABILITYEndorsed to include Contractual Liability, and in amount not less than $1,000,000 any one occurrence.

• WORKERS COMPENSATION & EMPLOYER’S LIABILITYThe Motor Carrier shall maintain Workers Compensation insurance coverage as provided for by state and/or Federal Law and Employer’s Liability insurance, in an amount not less than $500,000 each accident. IN THE EVENT NO W/COMP OR OCC ACC INSURANCE IS PROVIDED A COMPLETED ADICA LOGISTICS W/COMP WAIVER IS REQUIRED TO BE COMPLETED AND SIGNED

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To become an approved Carrier for ADICA Logistics, LLC we need the following items in order to complete our files:

Carrier Profile

Partner Carrier Expectations

Signed Master Assault Carrier Agreement

Operating Authority

Original Insurance Certificate(s) Cert Holder Copy

General Liability (1 million)

Cargo Insurance ($100,000) Workers Comp Insurance ($500,000) or a Completed W/Comp Waiver

W‐9 Filled out US/ W‐8BEN‐E Canada (Most Current copy, as issued by the IRS)

Equipment/PPE Requirements Form Signed

Billing Expectations completed

Factoring Letter ‐ Notice of Assignment (if applicable)

Please return completed to Logistics Group

[email protected] Or

Via Fax: 313‐429‐2099

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Carrier Profile Outline Company Name Owner

Physical Address

Street City

State Zip

Terminal Address

Street City

State Zip

Terminal Address

Street City

State Zip

Contact Informa on

Local Phone Toll Free

Fax Emergency Contact

Group Email A er Hours Phone

Key Contact Work Phone Mobile Email

Dispatch Contact Work Phone Mobile Email

Accoun ng Contact Work Phone Mobile Email

Factoring Informa on

Do you Factor? Company Name

Address City, State, Zip

Contact Phone Contact Email

Company Informa on

MC# or Permit DOT #

Year Founded US SCAC

# of Drivers # of Teams

# of Power Units # of Trailers

ISO Cer fied HazMat Cer fied

ELD Type CSA

FAST # C‐TPATSVI#

CATT# MX SCAC

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Services Provided Drayage ELD Par al

LTL Over Dimensional Overweight

Expedite HazMat Permit

Power # Asset or Broker

Equipment Types # of

Units HazMat

Tarp Sizes Length # of Units HazMat Length

Lowboy Dry Van

RGN Hot Shot

Conestoga Reefer

Flatbed Straight Truck

Step Deck Sprinter

Double Drop Cargo

Backhaul Needs Origin City State Final City State Equipment Frequency (Daily/Weekly) Target Rate

Insurance Coverage Amounts Insurance Required Your Coverage Insurance Required Your Coverage

Auto Liability $1,000,000 Cargo $100,000

General Liability $1,000,000 Workers

Comp $500,000 OR

Workers Comp Waiver

Page 3 of 11 Ini als: ______

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Verification of freight and paperwork before leaving the shipper (by notifying Assault Logistics before leaving via phone or email).

Status Updates of in‐transit shipments every 4 hours by phone, email, or our website update. MACROPOINT REQUIRED must offer satisfactory In‐ Transit updates

** Driver Failure to Comply with accepting Macropoint tracking while in transit will result in $100 fine/deduction from payment

Macro‐Point/Satellite tracking of driver. (Driver name and cell is required).

Exclusive use of truck/trailer, unless otherwise advised and approved

24‐hour operations support are preferred!

ADICA Logistics, LLC personnel are available to assist with any issues you may encounter, please use our main phone number for any urgent need and email as secondary 313‐429‐2100 [email protected]).

Any time change from the tender must be approved through ADICA Logistics personnel, No exceptions. Failure to follow stated expectations & tender instructions will result in fines.

If there is anything, we can do to help your group become more successful working with ADICA Logistics we welcome your input.

Please call or email us directly [email protected]. 313‐429‐2104

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The equipment and safety standards to haul loads for ADICA Logistics, LLC include, but are not limited to:

Manufacturer date of the trailer must be let than 10 years old (this applies to dry van trailers) All trailers must be maintained and meet DOT standards including but not limited to:

No holes in trailer floor, walls, or ceiling ICC bumpers that are visually intact, secure Working taillights Annual DOT inspection must be completed and updated

Use of a bulk head to secure freight.

Use of Coil Racks when needed.

Protective Personal Equipment (PPE) needed at loading and unloading

Carrier Name

Signature of Authorized Personnel:

Print Name: Date:

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PHONE: 313-429-2100 FAX: 313-429-2099

This Agreement shall govern the services provided by a licensed and authorized motor carrier pursuant to USDOT # & Docket No. MC# (hereinafter referred to as "Carrier") and ADICA Logistics, LLC; (hereinafter referred to as "Broker"), a licensed property broker pursuant to Docket No. MC# 503906.

1. Broker Status. Broker is a freight broker which arranges for motor carriers to provide cargo transportation for itscustomers, in accordance with its role as legally defined under 49 U.S.C.

§ 13102 Definitions (2), and 49 C.F.R. §371.2, Broker and Carrier wish for this Contract to govern Carrier'sperformance of motor transportation services for freight tendered to Carrier by Broker.

1.1. Carrier Status, Rights and Responsibility. Carrier will perform its Transportation Services for Broker and its Customers as an independent contractor and will not for any purpose be the agent of Broker or Broker's Customers. Carrier has exclusive control and direction of the work Carrier performs pursuant to this Agreement. Carrier will not contract or take other action in Broker' name without Brokers prior written consent.

Carrier agrees to assume full responsibility for the payment of all local, state, federal and Inter provincial payroll taxes, and contributions or taxes for unemployment insurance, worker's compensation insurance, pensions, and other social security or related protection with respect to the persons engaged by Carrier for Carrier's performance of the transportation and related services, and Carrier shall indemnify, defend and hold Broker, and its Customer harmless there from. Carrier shall provide Broker, with Carrier's Federal Tax ID number and a copy of Carrier's IRS Form W‐9 prior to commencing any transportation or related services for Broker, under this Agreement.

1.2. No Right to Lien or Delay Release of Cargo or Equipment. Carrier will not assert any lien or make an claim on any cargo or equipment, and no lien will attach against Broker, its Customers or any cargo or equipment, for failure of Broker, the Customer or any other third party to pay Carrier for charges due to Carrier

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1.3. Carrier shall, notwithstanding any other terms of this Agreement, expressly waive all rights and rem‐edies under Title 49 U.S.C., Subtitle IV, Part B to the extent they conflict with this Agreement.

2. Booking Confirmation. Carrier shall transport shipments arranged by Broker pursuant to carrier load or Booking confirmation sheet(s) included herewith or subsequently incorporated by reference (See Schedule A annexed hereto, also known as Rate Confirmation ).

2.1 Re‐Broker. Carrier will not re‐broker, assign or interline the shipments hereunder without prior written consent of the Broker. If Carrier breaches this provision, Broker shall have the right of paying the monies it owes Carrier directly to the delivering Carrier, in lieu of payment to Carrier. Upon Broker's payment to delivering Carrier, Carrier shall not be released from any liability to Broker under this agreement. In addition to the indemnity obligation reflected in this agreement the Carrier will be liable for consequential damages for violation of this clause of the agreement.

3. Compensation. Broker shall pay Carrier for services rendered in an amount equal to the rates and ac‐ cessorial charges agreed to on the Broker/Carrier Rate Confirmation Sheet or other signed writing. Carrier must submit proof of delivery with invoices to Broker as agent for the shipper. Payment terms shall be thirty (30) days from legible receipt of necessary supporting documentation.

3.1 Payment of Invoices. Carrier agrees that Broker is the sole party responsible for payment of Carriers invoices and that, under no circumstance, will Carrier seek payment from the shipper or consignee.

4. Insurance Evidence. Carrier agrees to provide any insurance coverages required by any government body for the types of transportation and related services specified in load confirmation communica‐ tions received from Broker. All insurance required by this Agreement must be written by an insurance company having a Best's rating of "A" VII or better and must be authorized to do business under the laws of the state(s) or province(s) in which Carrier provides the transportation and related services as specified in load confirmation communications received from Broker. Carrier's insurance shall be primary and required to respond and pay prior to any other available coverage. Carrier agrees that Carrier, Carrier's insurer(s), and anyone claiming by, through or under Carrier shall have no claim, right of action, or right of subrogation against Broker, its affiliates, or its Customer based on any loss or liability insured under the insurance stipulated herein. Carrier represents and warrants that it will continuously fulfill the require‐ments of this Section throughout the duration of this Agreement. Broker shall be notified in writing by Carriers insurance company at least thirty (30) days prior to the cancellation, change or non‐renewal of the submitted Insurance policies.

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Carrier shall always during the term of this agreement have and maintain in full force and effect, at its expense: (i) Motor Truck Cargo insurance with limits of not less than US$100,000 per shipment, a deductible

no greater than US$5,000 per shipment and includes at least the same coverage limit and deductibleper shipment while in storage or at a storage facility and/or terminal en‐route to the consignee forthe entire period the cargo is held at storage facility or terminal. Carrier warrants that Motor TruckCargo insurance limits are enough to cover the full replacement value of the load transported.

(ii) Commercial Automobile Liability insurance with a combined single limit of not less thanUS$1,000,000 per occurrence and without aggregate limits. For Carriers transporting Hazardoussubstances as defined in the MCS‐90, Commercial Auto Liability insurance with combined single limit ofnot less than US$5,000,000.

(iii) Commercial General Liability insurance, In a limit of not less than US$1,000,000 per occurrence(iv) Workers Compensation insurance in the amounts required by statute, and Employers Liability

insurance with limits not less than US$500,000 per occurrence. If a motor carrier hires/uses owneroperators or independent contractors, motor carrier is required to maintain proof of work injurycoverage. Coverage may be in the form of Workers Compensation or Occupational Accidentcoverage. Broker reserves the right to request copies of proof of coverage at anytime; and the Carrier shall, prior to providing transportation and any related servicespursuant to this Agreement, name, Broker, as a Certificate Holder

When Carrier provides Transportation Services that involve origins and destinations solely within Cana‐da, Carrier shall be current in its remittances to the appropriate Worker's Compensation Board of the Carrier's province, shall provide a certificate issued by the appropriate Worker's Compensation Board of the Carrier's province certifying that the Carrier is not delinquent and is current in its remittances to that authority, and shall have such other insurance or higher coverage limits required by applicable Canadian national or provincial law or regulation.

If Carrier is self‐insured, a certificate of the state in which the transportation services are to be performed must be furnished by such state agencies directly to Broker. Insurance will meet or exceed the requirements of federal, state and/or provincial regulatory bodies having jurisdiction over Carrier's performances pursuant to this agreement.

During this Contract's term, the Commercial Auto Liability and Commercial General Liability insurance policies required hereunder, and any replacement policies will:

(i) Name Broker as Certificate Holder(ii) Cover all drivers and equipment(iii) Provide environmental restoration per the CA 9948 or equivalent(iv) Not contain any exclusions or restrictions as to designated premises or project, or for a particular

radius of operation.

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During this Contract's term, the Motor Truck Cargo insurance policy required hereunder, and any re‐ placement policy will not contain any exclusions or restrictions pertaining to unattended equipment or employee fraud or infidelity. Carrier warrants there are no exclusions for commodities transported for all shipments contracted with this broker.

5. Carrier Moving Perishables. Carrier warrants that the carrier will inspect or hire a service repre‐ sentative to inspect a vehicle's refrigeration or heating unit at least once each month. Carrier warrants thatthey shall maintain a record of each inspection of refrigeration or heating unit and retain the rec‐ords of theinspection for a least one year. Copies of these records must be provided upon request to the carrier'sinsurance company and Broker

Carrier warrants that they will maintain adequate fuel levels for the refrigeration or heating unit and assume full liability for claims and expenses incurred by the Broker or the shipper for failure to do so.

Carrier will provide their cargo insurance carrier:

(i) Prompt notice of the loss or damage including a description of the property involved.(ii) A detailed sworn proof of loss within ninety (90) days following the loss or damage.(iii) All records that relate to a loss and permit copies and abstracts to be made from them upon request.

6. Shipping Document Execution. Carriers are to be named on the bill of lading as the "carrier of record." Brokershall be shown as the third‐party payer of all freight charges.INDEMNIFICATION. CARRIER WILL INDEMNIFY, DEFEND AND HOLD HARMLESS BROKER, ITS AFFILIATES AND ITSCUSTOMERS (AS INTENDED THIRD PARTY BENEFICIARIES) FROM ANY AND AGAINST ALL LOSSES (as defined below)ARISING OUT OF OR IN CONNECTION WITH THE TRANSPORTATION SERVICES PROVIDED UNDER THIS CONTRACT,INCLUDING THE LOADING, UNLOADING, HANDLING, TRANSPORTA‐TION, POSSESSION, CUSTODY, USE ORMAINTENANCE OF CARGO OR EQUIPMENT OR PERFORMANCE OF THIS CONTRACT (INCLUDING BREACH HEREOF)BY CARRIER OR ANY CARRIER REPRESENTATIVE. CARRIER'S OBLIGATION TO INDEMNIFY AND DEFEND SHALL NOTBE AFFECTED BY ALLEGED NEGLIGENCEOR WILLFUL MISCONDUCT OF BROKER, ITS AFFILIATES OR CUSTOMERS. IT IS THE INTENT OF THE PARTIES THATTHIS PROVISION BE CONSTRUED TO PROVIDE INDEMNIFICATION TO BROKER, ITS AFFILIATES AND CUSTOMERS TOTHE MAXIMUM EXTENT PERMITTED BY LAW. IF THIS PROVISION IS FOUND IN ANY WAY TO BE OVERBROAD, IT ISTHE PARTIES INTENT THAT THIS PROVISION BE ENFORCED TO AL‐LOW INDEMNIFICATION TO THE MAXIMUMEXTENT PERMISSABLE. "Losses" mean any and all losses, liabilities, obligations, personal injury, bodily injury,property damage, environmental restoration, lossor theft of property, damages, penalties, actions, causes of action, claims, suits, demands, costs and expenses ofany nature whatsoever, including reasonable attorneys' and paralegals' fees and other costs of defense,investigation and settlement, costs of containment, cleanup and remediation of spills, releases or otherenvironmental contamination and costs of enforcement of indemnity obligations.

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8. Carrier's Cargo Liability. Carrier assumes full liability for the greater of replacement cost or invoice value forloss, damage or destruction of any and all goods or property tendered to Carrier by Broker, while underCarrier's care, custody or control. Carrier shall inspect each load at the time it is tendered to Carrier to assure itscondition. If Carrier is tendered a load which is not in suitable condition, it shall notify Broker, immediately. Cargowhich has been tendered to Carrier intact and released by Carrier in a damaged condition or lost or destroyedsubsequent to such tender to Carrier, shall be conclusively presumed to have been lost, damaged ordestroyed by Carrier unless Carrier can establish otherwise by clear and convincing evidence. Carrier shalleither pay Broker, directly or allow Broker, to deduct from the amount Broker, owes Carrier, Customer's fullactual loss, or the amount determined by Broker, and Carrier to be Carrier's responsibility. Carrier agreesthat it will assert no lien against cargo transported hereunder. Broker shall deduct from the amount Brokerotherwise owes Carrier, the Customer's full actual loss of all claims that are not resolved within ninety (90)days of the date of the claim. Carrier agrees to indemnify Broker, for any payments made hereunder. Inthe event of an accident, Carrier shall notify Broker immediately for further instructions. Carrier shall return alldamaged shipments at its expense to the point of origin or to other points as instructed by Broker.

8.1 Salvage Claims. Carrier shall waive any and all right of salvage or resale of any of Customer's damaged goods and shall, at Broker's reasonable request and direction, promptly return or dispose, at Carrier's cost, any and all of Customer's damaged and goods shipped by Carrier. Carrier shall not under any circumstance allow Customer's goods to be sold or made available for sale or otherwise disposed of in any salvage markets, employee stores, or any other secondary outlets. In the event that damaged goods are returned to Customer and salvaged by Customer, Carrier shall receive a credit for the actual salvage value of such goods.

9. Law and Integration. This written Agreement, together with any load confirmation, contains the en‐ tireagreement between the parties and may only be modified by signed written agreement. State law, venue andjurisdiction shall apply in the state of corporate domicile.

9.1 Safety Rating. Carrier shall maintain a satisfactory U.S. DOT safety rating. Carrier shall notify bro‐ker immediately of any change of DOT safety rating.

10. Confidentiality Obligations. Carrier acknowledges that in carrying out this Contract, it will learnproprietary information about Broker and its business, including its rates, services, personnel, computersystems, Customers, traffic volumes, origins and destinations, commodity types, shipment informationand business practices (the "Information"). During this Contract's term and for 12 months after itstermination, Carrier will hold the Contract provisions and Information in confidence, restrict disclosureto those Carrier Representatives with a need to know, and not use the Information to Broker'scompetitive detriment or for any purpose except as contemplated hereby. Carrier may discloseInformation to the extent required by a governmental agency or under a court order, provided that the Carriernotifies the Broker of such requirements before disclosure.

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10.1 Nonsolicitation of Customers. During this Contract's term and for 9 months after its termination, Carrier will not, and will cause the Carrier Representatives not, to directly or indirectly solicit or provide transportation services to any Customer without Broker's prior written consent if (a) that Custom‐er first became known to Carrier as a result of Broker's engagement of Carrier, (b) the type of trans‐portation services, such as the origins and destinations served or commodity types, provided to that Customer first became known to Carrier as a result of Broker's engagement of Carrier or (c) the first shipment transported by Carrier for that Customer was tendered to Carrier by Broker. If Carrier or any Carrier Representative solicits a Customer in violation of this Section, Carrier shall pay to Broker as a commission 10% of the total charges, with a maximum of US$200 per shipment, for transportation services provided by Carrier to such Customer.

11. Savings Clause. If any provision of this Agreement or any Transportation Schedule is held to be invalid, the remainder of the Agreement or the Transportation Schedule shall remain in force and effect with the offensive term or condition being stricken to the extent necessary to comply with any conflicting law.

12. This Agreement shall be for the period of one (1) year and shall be automatically renewed unless cancelled; either party may terminate this Agreement upon fifteen (15) days written notice.

ADICA Logistics, LLC BROKER CARRIER

Name: Name:

Title: Title:

Signature: Signature:

Date: Date:

Witness: Witness:

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Carrier Carrier MC# State

Contractor, Consultant, Vendor, Licensee, Tenant

Contact Name Phone

Contact Title Carrier Email

Is this an exception to the Insurance Requirements as noted in the Carrier Agreement? Yes No

Waiver of Insurance Requirements

Acknowledgement Insurance Waiver by Carrier/s

Workers Compensation Waiver

□ Accept Waiver of Subrogation as Request by ADICA Logistics LLC: Workers Compensation Insurance (As indicated above)

Explanation:Brief explanation of why there is no Workers Compensation Insurance coverage (as requested)

(Print Name) (Sign Name) Carrier Representative

Date

This Waiver will be valid for One (1) year from Signed Date or until Proof of Workers Compensation Insurance for the indicated Vendor/Carrier is provided.

Request for Waiver of Subrogation and Liability:

Workers Compensation: Request to Hold - H armless ADICA Logistics, LLC & a ll l o f their affiliates with a Waiver of Subrogation Liability.

Explanation: Carrier has indicated Workers Compensation Insurance is not Applicable to their business plan

Digitally signd by Kevin J Dowd DN: cn=Kevin J Dowd, o, ou,[email protected], c=US

Kevin J Dowd (Print Name) Sign Name ADICA Logistics Representative

Date: 2018.10.03 12:05:04 -04'00'

Date

Waiver of Insurance Requirements (fillable form) Vers.date. 10/15/2020 Page 1 of 1

Kevin J Dowd

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HOW TO INVOICE ADICA LOGISTICS

ADICA Logistics has implemented a Secure Website for all CARRIER BILLING FUNCTIONS:

To request a new User ID and Password (If you do not already have an ADICA‐Trak Login) please follow this link https://im.adicalogistics.com/im/contactus to submit a request for a Web Login and Password, please include your groups MC#

Web User ID’s are Carrier MC # and Email Specific

Through our ADICA-Trak Website your group can: • Upload Carrier Invoices right to the Delivered Order• Upload required supporting records/Proof of Delivery, Bill of Lading• View Scheduled Payment Status for delivered orders

ADICATrak website home page https://im.adicalogistics.com/im/home

ADICA Logistics is no longer accepting invoices and supporting records via email for carriers with reoccuring shipments

It is very important to also complete the ADICA Billing Questionnaire included in the ADICA Logistics Carrier Agreement to clearly identify the best method of payment that fits your organization, such as identifying your Factoring Contacts, as well as selecting ACH or Paper Check payment.

To ensure payments without delays:

1. Submit invoices that match your issued ADICA Logistics Load Tender and make sure the ADICA Ordernumber and the Supplier Bill Lading Number is referenced on the Invoice

2. Submit clean, legible scanned Signed Bill of Ladings (All pages are required) supporting records shouldblack and white in PDF, TIF format

FCD‐50056‐1

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Completed by Name: Title:

ADICA LOGISTICS CARRIER PAYMENT QUESTIONNAIRE

Please complete this document to insure accurate and timely payments

1. CARRIER BILLNG INFORMATION:

Carrier MC#:

Email: Phone:

Carrier Name:

A/R Contact:

2. FACTORING:

Does your Company Factor their Freight Invoices? Yes No

If Yes, Factoring Company Name: Phone:

Does your Factoring Service also Invoice on your Company’s behalf Yes No If yes, please provide you Factoring point of contact for Billing Support:

Name: Email: Phone:

Please send your current Letter/Notice of Assignment Letter from your Factoring Partner

3. ELECTING ADICA QUICK PAY: YES NO

ADICA Logistics offers a Quick Pay option, ADICA Quick Pay is paid within 5 business days of receiving the invoice and required legible supporting records, proof of delivery; payments to carriers will be discounted 4% of the Grosse Pay ADICA quick pay is a PAYMENT OPTION if you do not already Factor your Freight Bills, please review and complete the ADICA Logistics Quick Pay Agreement Form, which included in the ADICA Carrier Agreement and return it along with the supporting forms

4. ACH / DIRECT DEPOSIT:

Your company must set up ADICA Logistics payments as ACH-Direct Deposit Please complete the ADICA Logistics ELECTRONIC FUNDS PAYMENT FORM included in the ADICA Carrier Agreement and return completed ALONG WITH A VOIDED CHECK

FCD‐50055‐2

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ADICA Logistics ACH Authorization

Company Name:

Company Address:

Phone: Email:

Tax ID#:

I hereby authorize ADICA Logistics, LLC to initiate payments by electronic funds transfers (credit entries) utilizing the following account information. I also authorize ADICA Logistics, LLC to reclaim any funds credited in error to this account by ADICA Logistics, LLC.

Bank Name:

Bank Address:

Bank Phone:

Bank Routing #: Bank Acct #:

(Please include a voided check or Savings deposit slip)

This authorization is to remain in effect until ADICA Logistics, LLC has received written notification of termination or change of account information in such time as to allow ADICA Logistics, LLC a reasonable time to act on it.

Authorized Signature:

Print Name and Title: Date:

Return to Accounts Payable via email: [email protected]

2 FCD-00019-4

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1 FCD-50028-5

ADICA Logistics Quick Pay Agreement (THIS IS OPTIONAL)

Dear Quick Pay Carrier:

Thank you for your continued business with ADICA Logistics, LLC. As a first-class logistics provider, ADICA Logistics, LLC understands the cash flow issues that are taking their toll on hard working Carriers. ADICA Logistics, LLC is here to provide you with some relief.

With ADICA Logistics’ Quick Pay program, you can receive payments in 5 business days (much faster than the normal pay cycle of 30 days). The current discount is 4% off of the gross amount owed for the applicable shipment at the time of payment. Currently, Electronic Funds Transfer is the only method of payment under Quick Pay

To ensure prompt payment, please follow the instructions below:

1. Upload all necessary documentation (invoice, signed BOL, rate tender sheet, etc.) through ADICA-Trak. Go to https://im.adicalogistics.com/im/contactus to request a login.

2. Amount on invoice must match rate tender sheet. 3. All paperwork must be legible. 4. Images must be BLACK and WHITE scans in TIF, JPG, or PDF format.

When do I get paid?

Once ADICA Logistics, LLC receives your paperwork, payment will be submitted within 5 business days (not on Saturday, Sunday, or certain Holidays). Paperwork received after 3:00 PM EST will be considered received on the next business day. Each bank has their own processing procedure as to when funds become available. Please contact your bank for details. Payments are typically available the next business day in the AM.

If you currently use a factoring company, we will need a release letter from your factoring company.

To get started, email the complete forms on the following pages to [email protected]. The initial setup process can take up to 5 business days.

If you have questions, please feel free to call ADICA Logistics, LLC at 800-527-3851 for more details.

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ADICA Logistics Quick Pay Agreement (This is Optional)

By executing this Quick Pay Agreement, Carrier is requesting that ADICA Logistics, LLC make early payment of freight charges in exchange for a discount of 4% off the gross amount owed for the applicable shipment at the time of payment

Upon final completion of the load, and after providing the necessary documents to confirm completion of Carrier’s responsibilities without loss or damage, ADICA Logistics, LLC agrees to pay to Carrier the amount of the freight bill as confirmed by ADICA Logistics, LLC, less a discount of 4% (minimum of $25) of the gross freight bill amount. Upon receiving the necessary documents (and after allowing for a reasonable processing time), ADICA Logistics, LLC will release payment within five business days, by depositing the amount via electronic funds transfer (“EFT”) into Carrier’s bank account.

Carrier shall provide ADICA Logistics, LLC with written payment instructions (on a form provided by ADICA Logistics, LLC), and agrees to hold ADICA Logistics, LLC harmless from any claims or damages that may arise from payment by ADICA Logistics, LLC according to Carrier’s instructions. Carrier understands and agrees that it may take up to 5 business days from the execution of this Quick Pay Discount Agreement to begin processing of the initial Quick Pay Payment Program.

If Carrier has previously instructed Broker to pay a factoring company, a Release Letter will need to be provided by the factoring company waiving any rights to future payments for the Carrier. Until such release letter is obtained, this contract will not be effective.

Legal Carrier Name:

DBA Name:

Motor Carrier Number:

Authorized Signature:

Title:

Date:

2 FCD-50028-5