DISPATCH SERVICE AGREEMENT FORM

I   First Name*   Last Name*   , The Owner of &/or The Driver of Truck# blank* of (the carrier) a licensed Motor Carrier, MC#,   Number*   and/or DOT#   Number*; hereby grants authorization to A&K Constant Logistics, LLC. to act as my agent for the sole purpose of searching for and booking shipments, processing all brokerage paperwork, and obtaining Certificates of Insurance as required in order to expedite shipments and dispatch via telephone, fax or e-mail for my truck, Unit#   Number*, License Plate#,   Number*, in the state of,   *   All billing, invoicing and collections of revenue from customers, brokers, shippers, consignees, etc- are the sole responsibility of the carrier. If revenue for a shipment or shipments is uncollectible, A&K Constant Logistics, LLC will be held harmless and no penalty or deduction of fees will be made. The carrier agrees to maintain all proper licenses and permits to conduct business as a motor carrier in the area of intended operation. Additionally, the carrier agrees to maintain liability and cargo insurance at the amounts set forth by the home state of the carrier. A&K Constant Logistics, LLC will be held harmless in the event of any and all claims. The carrier agrees to maintain an account with (an internet load board service), in the name of the carrier, with A&K Constant Logistics, LLC. as the point of contact for dispatching purposes. The fee for dispatch services will be 10 % of the gross revenue of each shipment with no minimum charge.

As loads are picked up, an amount equal to the above-stated percentage will be payable to A&K Constant Logistics, LLC. Payments are to be conveniently paid with any Debit or Credit Card via Text or Email Invoice App. Processed by Paypal Invoices.

Please provide your Cell Phone Number for text messages   Country Code*   Area Code*   Phone Number*   and Your Email;   Email*. Both parties have the right to end this agreement without cause at any time with seven (7) days’ notice by written request. Upon cancellation, any unused funds remaining in the deposit account will be refunded to the carrier within two (2) business days without penalty.

By signing below, I fully understand the terms of this agreement.

Company:   *   
Signature:   Signature*   
Print Name:   First Name*   Last Name*   
Date:Date*   

Consent*
I authorize A&K ConstantLogistics, LLC to complete all broker Carrier Packets and Rate
Confirmations on my behalf. I consent to have the Carrier Packets and Rate Confirmations completed by A&K Constant Logistics, LLC on my behalf.

OTHER DOCUMENTS NEEDED
Please email copies of your W9, MC Authority letter, and Certificate of Insurance to
info@akclogistics.com. Thank you.