View
360
Download
5
Category
Preview:
Citation preview
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 – Page 10 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 – timgray@jnbtrucking.com Accounts Receivable: Lauri Simrin Phone – 541-344-4930 E-mail – ap@jnbtrucking.com
Revision Date: 8/16 JNB Logistics - Page 2 of 12
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
Revision Date: 8/16 JNB Logistics - Page 3 of 12
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
Revision Date: 8/16 JNB Logistics - Page 4 of 12
Revision Date: 8/16 JNB Logistics - Page 5 of 12
Revision Date: 8/16 JNB Logistics - Page 6 of 12
Revision Date: 8/16 JNB Logistics - Page 7 of 12
Revision Date: 8/16 JNB Logistics - Page 8 of 12
Revision Date: 8/16 JNB Logistics - Page 9 of 12
Revision Date: 8/16 JNB Logistics - Page 10 of 12
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
Revision Date: 8/16 JNB Logistics - Page 11 of 12
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
Revision Date: 8/16 JNB Logistics - Page 12 of 12
Recommended