• Freight Forwarder Enrollment Packet

    Thank you for your interest in LoadStar Customs Inspection Insurance.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Freight Forwarder Statement of Understanding

    Freight Forwarder Agrees to the following:
    1. Read and agree with terms in the Customs Inspection Insurance Policy and Underwriting Guidelines
    2. K2 Claims Services, LLC is the third-party administrator on behalf of QBE Specialty Insurance Company a Pennsylvania Corporation (QBE) for processing claims. The Freight Forwarded agrees to utilize the Loadstar
      Website to submit Customs Inspection Insurance applications and claims for processing (https://www.loadstarins.com)
    3. Submit to an OFAC Check upon set-up in LoadStar System
    4. Provide list of all Company “Users” for set-up in Loadstar System
    5. Provide initial top customer “Importer” list for pre-setup in Loadstar System
    6. Obtain from each “Importer” an executed Inspection Fee Waiver transferring the insurable interest to you the “Insured”. The Inspection Fee Waiver document is available in Addendum #1 this document
    7. All insurance applications are to be paid at the time of submission. No policies will be issued prior to payment verification.
    8. Provide EFT Banking Information for Claims Reimbursement so K2 Claims Services, LLC on behalf of QBE Specialty Insurance Corporation a Pennsylvania Corporation (QBE) may issue reimbursements for settled claims and, if desired, sweep your account electronically for premiums.
    9. Provide credit card information and authorization if this method is the desired for payment of policies.
    10. Provide all data fields required to initiate policy issuance

    Claims Submission

    1. Submit claim through LoadStar Freight Forwarder Portal (https://www.loadstarins.com) which will provide initial claim notification to K2 Claims Services, LLC.
    2. Upload CBP Inspection Invoice
    3. Upload Entry Summary - CBP Form 7501
  • Users at this location

    For pre-set up in LoadStar system
  • Your Top Importers (Regular Customers)

    Importers must be set up in the LoadStar system prior to ordering insurance. Please provide your regular customer information so we can take care of this for you in advance.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Your Top Importers (Regular Customers), cont.

    Importers must be set up in the LoadStar system prior to ordering insurance. Please provide your regular customer information so we can take care of this for you in advance.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Your Top Importers (Regular Customers), cont.

    Importers must be set up in the LoadStar system prior to ordering insurance. Please provide your regular customer information so we can take care of this for you in advance.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Your Top Importers (Regular Customers), cont.

    Importers must be set up in the LoadStar system prior to ordering insurance. Please provide your regular customer information so we can take care of this for you in advance.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Your Top Importers (Regular Customers), cont.

    Importers must be set up in the LoadStar system prior to ordering insurance. Please provide your regular customer information so we can take care of this for you in advance.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Your Top Importers (Regular Customers), cont.

    Importers must be set up in the LoadStar system prior to ordering insurance. Please provide your regular customer information so we can take care of this for you in advance.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Your Top Importers (Regular Customers), cont.

    Importers must be set up in the LoadStar system prior to ordering insurance. Please provide your regular customer information so we can take care of this for you in advance.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Your Top Importers (Regular Customers), cont.

    Importers must be set up in the LoadStar system prior to ordering insurance. Please provide your regular customer information so we can take care of this for you in advance.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Your Top Importers (Regular Customers), cont.

    Importers must be set up in the LoadStar system prior to ordering insurance. Please provide your regular customer information so we can take care of this for you in advance.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Your Top Importers (Regular Customers), cont.

    Importers must be set up in the LoadStar system prior to ordering insurance. Please provide your regular customer information so we can take care of this for you in advance.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
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  • To receive the CTPAT discount, you will need to show verification of your membership. A screen shot of your membership number when logged into CTPAT website will suffice.

  • Freight Forwarder Agreement

  • This Freight Forwarder Agreement (the “Agreement”) is entered into, to be performed, and is between LoadStar  Insurance Services LLC (hereinafter referred to as “LoadStar”, “we”, “us” or “our”) and the Freight Forwarder signing this Agreement (hereinafter referred to as “Freight Forwarder,” “you” or “your”), and is comprised of  this Freight Forwarder Agreement (hereinafter “Agreement”), all Addenda or amendments hereto, and all  written modifications to the Agreement made in accordance with the terms and conditions herein, and is  effective upon receipt of a Freight Forwarder Code and system credentials issued to you by LoadStar. This  Agreement shall remain in force and effect until terminated as provided for herein. 

    Whereas Freight Forwarder desires to obtain insurance coverage for its clients (hereinafter referred to as  “Importer” or “Insured”) provided under the “Customs Inspection Insurance” program (“Program”) available  through insurance companies (hereinafter referred to as “Insurers”) represented by LoadStar, and  

    Whereas LoadStar desires to provide insurance for Importers that meet the qualifications of the  aforementioned Programs.  

    NOW, THEREFORE, in consideration of the foregoing facts, the mutual covenants and agreements contained herein  and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the  Loadstar and Freight Forwarder agree as follows: 

    ARTICLE I. AUTHORITY

    A. You are hereby given the authority to submit applications and collect, receive, and provide receipts for  premiums for insurance products in accordance with this Agreement, the Program(s) described in any  Addenda attached hereto, and the Program Guidelines containing underwriting and rate information and  guides (hereinafter collectively referred to as “Program Guidelines”), if any, we may provide to you. In  doing so, you acknowledge and agree that you are not acting in the capacity of an insurance agent or  broker and are not providing insurance advice to Importers. Freight Forwarder shall receive no  compensation of any kind for any services provided under this Agreement. 

    B. You are an independent contractor. You are not our agent nor shall you hold yourself out as such, and you  shall not conduct or purport to conduct any activities on our behalf other than as specifically set forth in this  Agreement. You shall manage your own time and nothing in this Agreement is intended to create the  relationship of employer/employee, partnership or joint venture between you and us. 

    C. You have no authority to revise or in any way alter the provisions of any insurance policy.  

    D. You have no authority to accept service of any lawsuit or legal process on our behalf or on behalf of any of  our Insurers, nor any authority to authorize any claim settlement or to bind us or our Insurers in any claim  matter. 

    E. You shall not use our name or logo, nor those of any of our Insurers, for marketing purposes, in or on any  advertisement, publication, circular, website, paper, producer stationary or marketing products, or any  other printed, electronic, or other visual format without our prior written approval. 

    F. You may not assign, or attempt to assign, your rights under this Agreement without our prior written  consent. Any attempted or purported assignment made without our written consent may, at our option, be  cause for termination of this Agreement.

    G. We shall have the authority to: 

    1. Contact, personally or through third parties, any person or organization insured through our Programs, or anyone who has applied for insurance, including for purposes of, but not limited to, the following reasons: 

    a. provide customer service; 

    b. request, receive, or verify information; 

    c. notify the Insured of, and collect premium due, on any policy; 

    d. notify the Insured of changes in the terms of any policy. 

    2. Provide Insureds’ information to Insurers and their servicing and administrative agents for the  purpose of providing, replacing or renewing coverage and administering policies. 

    H. You acknowledge and agree that our Insurers are third-party beneficiaries of this Agreement.

    ARTICLE II. DUTIES

    A. It is your responsibility to: 

    1. Keep a true and complete record of and account for all business transacted, and forward promptly all  applications for insurance and premiums to us or whomever we may designate in writing, in any  reasonable manner we may specify including, but not limited to, electronic transmission of applications  or transfer of funds; 

    2. Pay all your operating expenses, including but not limited to, personal license fees and taxes and  business or municipal fees and taxes; 

    3. Provide to us any information in your possession or under your control that we may require in exercising  our authority under this Agreement, including but not limited to, a copy of all or any part of a file  concerning any person insured under, or who applied for, a policy through our Programs; 

    4. Make no misrepresentations or omissions of material facts to applicants or Insureds concerning their  policies or insurance coverage. 

    B. It is our responsibility to: 

    1. Issue all policies, endorsements, cancellation notices, filings, certificates, and other required  documentation of coverage; 

    2. Promptly inform you of any material change to a policy. 

    C. Notwithstanding the termination of this Agreement, the duties of this Agreement shall continue to apply to  all unfinished business to the end that all obligations and liabilities incurred by each party pursuant to this  Agreement shall be fully performed and discharged. 

    ARTICLE III. COLLECTION AND DISTRIBUTION OF FUNDS

    You agree to promptly remit to us, when due, all deposit premiums and applicable taxes and fees with all applications in accordance with the Program, and you shall abide by the Program’s premium payment requirements and our credit and collection policies.

    ARTICLE IV. TERMINATION

    A. This Agreement may be terminated by either party for convenience without cause upon thirty (30) days’  written notice to the other and immediately for cause; provided, however, that at our election and in our  sole discretion, we may, if confirmed in writing to you, give you an opportunity to cure any breach or failure  to perform on your part. In the event the breach or failure to perform is not cured to our satisfaction within  the time-period we may specify in writing, the Agreement will be terminated at the end of such period.  Effective immediately upon termination, your authority submit applications, shall cease.  

    B. This Agreement will terminate automatically on the effective date of any sale, transfer or merger of your  business, except where you have received our written consent pursuant to Article I, subdivision (G). 

    ARTICLE V. RIGHTS AFTER EXPIRATION OR TERMINATION

    A. Upon and after termination of this Agreement: 

    1. All your authority under this Agreement ends; 

    2. We may notify Insureds of the expiration or termination of thisAgreement; 

    3. All in-force policies will continue to their normal expiration, subject to their terms.  

    ARTICLE VI. INDEMNIFICATION 

    You agree to indemnify, defend, and hold harmless Loadstar Insurance Services and its Insurers, claims  administrators and service companies (hereinafter, “affiliates”) from and against any and all liabilities, losses,  damages, judgments, actions and expenses, including reasonable attorneys’ fees, incurred by us or our  affiliates resulting from or arising out of your negligence, any acts, errors or omissions, misrepresentations, or  your material breach of this Agreement including, but not limited to, allegations of violation of law or  governmental regulation, including privacy and consumer protection laws. 

    A. We agree to indemnify, defend and hold you harmless from and against any and all liabilities, losses,  damages, judgments, actions and expenses, including reasonable attorneys’ fees, incurred by you resulting  from or arising out of our negligence, any acts, errors or omissions, or our material breach of thisAgreement  including, but not limited to violations of law or governmental regulation, including privacy and consumer  protection laws. 

    B. The party seeking indemnification (“Indemnitee”) shall promptly notify the party fromwhom indemnification is sought (“Indemnitor”) of any claim, demand, assessment, allegation of negligence or any  other matter as to which the obligation to indemnify hereunder may apply and shall give the Indemnitor a  reasonable opportunity to defend, including the engagement of legal counsel as may be necessary. The  

    Indemnitee shall, at its option, have the right, but not the obligation, to fully participate in such defense at  its own expense. If, within a reasonable time after notice of a claim and request for defense, the Indemnitor  fails or refuses to provide for such defense, the Indemnitee shall have the right, but not the obligation, to 

    undertake its own defense, and to conclusively compromise or settle the claim or other matter and may  thereafter exercise its right to recover all costs, including payment of the claim and defense costs and legal  fees, from the Indemnitor. If the Indemnitor assumes the defense, it shall not thereafter be liable to the  Indemnitee for any costs of litigation including, but not limited to, court costs and attorney fees, incurred  subsequent to such decision to assume the defense of any such action.

    ARTICLE VII. MISCELLANEOUS

    A. All supplies, products, intellectual property, or other proprietary information furnished to you by us  shall remain our property and shall be returned to us promptly upon demand. 

    B. If any provision of this Agreement is held in whole or in part to be unenforceable for any reason, the  remainder of that provision and of the entire Agreement will be severable and remain in effect. 

    C. The waiver by one party of any breach of this Agreement by the other party will not be deemed a waiverof  any subsequent breach, a waiver of the particular provision breached, or a waiver of any other provision of  this Agreement. 

    D. This Agreement may not be altered or modified by either party except in writing signed by bothparties. 

    E. This Agreement shall be governed by and construed in accordance with the laws of the State of California,  without reference to the choice of law provisions thereof. The parties hereto hereby consent to the  exclusive jurisdiction and venue of the State of California, for any action that may be brought in connection  with this Agreement. 

    F. You expressly acknowledge and agree that we and our affiliates may, from time to time, notify you in  writing, via U.S. Postal Service, commercial courier, electronic mail, or facsimile transmission, of  information and advertisements about any and/or all Program(s) managed by or available through us or  our Insurers. Requests for additional information about risks submitted to us, quotes on such risks, and  general correspondence about such risks may also be communicated to you in thismanner. 

    G. In conducting business under this Agreement, it is understood between the parties they may share with  each other confidential information, including non-public information relating to their respective clients and  to each other, and may use this information in order to provide the products and services contemplated  under this Agreement. The parties hereby agree to maintain the confidentiality of such information  including, but not limited to, compliance with requirements of the Gramm-Leach-Bliley Act of 2000 (15USC §1701 et seq.), and applicable state and local privacy laws. 

    H. You acknowledge and agree that we make no warranties or representations, express or implied, as to the  financial strength, stability, or condition of any Insurer we represent under this Agreement. You assume full  responsibility for the investigation into and disclosure of all material facts related thereto to your customer(s). You hereby hold us harmless, to the fullest extent permissible by law, from any and all  liability arising out of any liquidation, rehabilitation, conservatorship, or receivership proceedings of an  Insurer. 

    I. Except as expressly provided otherwise in this Agreement, all notices required or provided for under this  Agreement may be made by service by First Class U.S. Mail, nationally recognized commercial courier,  facsimile or electronic transmission (i.e., “email”). Such notice shall be effective five (5) business days after  deposit with the U.S. Postal Service, Return Receipt Requested, one (1) business day after deposit with a commercial courier with instructions for overnight delivery, or upon confirmation of successful facsimile or  electronic transmission.

    By my signature below, I assent to all the terms and conditions set forth above, including any Addenda attached  hereto, and understand that this Agreement shall not take effect until such time as I receive a freight forwarder  code from Loadstar affirming their mutual assent to this Agreement. 

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