NuVi Express, LLC D+C Agreement

NUVI EXPRESS, LLC

NV Carrier's Base Preference Profile.
Date*

MonthDayYear
Date
Company Name*
Phone Number*

Area CodePhone Number
Contacts E-mail*
example@example.com
Contact's Name*

First NameLast Name
Website
company website if you have one, you can also use your social media account
D.O.T. No.
MC No.
SSN/EIN No.
Hazmat Certified
TWIC Certified
No. of Trucks & Trailers
CARRIERS' PROFILE

Please provide as much information about your trucks and drivers as possible, so that we can provide you with the most accurately personalized loads/service.
Instructions: Please complete this form giving us all the information that pertains to you and your company. The better informed we are, the better we will be able to assist you. This form can be updated at any time by notifying us. This information is for our use only and will not be released to any third party without your express written permission.
Equipment Section

Trailer & Driver Information Section
CARRIER HAS MORE THAN ONE TRUCK

Yes
Hotshot trailer
Do you have a hotshot ?
Box Truck
Do you have a Box Truck?
E-Track
Truck Operations Section. (Swipe to the left to complete the entire section)
Preferred Commodities
Trailer Operations Section. (Swipe to the left to complete the entire section)
Commodities you will not haul
Specialty Equipment Add-ons
Please add any additional notes you'd like us to know
Does the assigned driver have the right to make load decisions on your behalf?*
Additional Specialty Add-on Equipment
Does the driver need to have a copy of the load confirmation?*
Do we need to do the initial dispatch of the driver, or will you?*
Service Areas of Operation (Select the Region(s), or Specify States Preferences Below)
Preference Details
Here, you can provide any additional information that may help us to specially procure the load you prefer. You can put your deal breakers, preferred and additional requirements.
Minimum Rate per Mile*
Please give us your minimum rate. We understand that many factors will change this information, but it gives us a starting point.
Goal Rate per Mile*
Please give us the rate you want us to find for you. We understand that many factors will change this information, but it gives us a starting point.
Driver Touch*
Type Preferred Distance Runs: *
Haul Information*
TFR
Touch-Freight Rate
Factoring Information

If you use a factoring service, please provide us the following information. This will ensure that we only use brokers that are approved by your factoring company Information
Factoring Company
Name of factoring Company
Contacts Name

First NameLast Name
Phone Number

Area CodePhone Number
Fax Number

Area CodePhone Number
Website
www.example.com
Billing Address

Street Address

Street Address Line 2

CityState

Zip Code
Insurance Information
Insurance Company*
Title
Policy Number*
Agents Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Fax Number

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Additional Information

Please use the following section to better describe your company with any information that we have not already asked for.
✍️ Add Info Here
Credentials & Documents Section

We must have the following documents to start working for you. Please upload them here, email, or fax them to us separately. A completed W9 Form. (If you don't have one, you can download one from our website).
If you haven't already, Please upload a copy of each of your Required Credentials & Documents Here

Browse Files

Cancelof
W-9 PDF
Choose the Option(s) you will opt to pay via
DateTime
This authorization is to remain in full force and effect until the ending date listed above. I understand that I will be notified via email when PROCURATOR debits my account each week work service is performed. I understand that if the load is tendered and accepted by me, but for any reason, whether is due to carrier, shipper, or broker, the load gets reschedule or cancelled, I am still responsible for paying PROCURATOR as set-out above. Any revocation shall not be effective until PROCURATOR is notified by CARRIER in writing to cancel this automatic payment authorization, in such time and in such a manner as to afford PROCURATOR a reasonable opportunity to act on it. Authorized Signature,*
Limited Power of Attorney

Please fill this form out so that we can perform the agreed upon duties According to your Preferences, on your behalf
This Limited Power of Attorney AGREEMENT is made effective on
This agreement is between: NUVI Express, LLC. hereinafter called PROCURATOR, A Bona-fide Agent established under the laws of the State of Michigan and *
Name of Carrier
called CARRIER, motor carrier company with MC #
Name of Carrier
CARRIER hereby appoints PROCURATOR as my Attorney-in-Fact (AGENT). PROCURATOR'S agents shall have adequate power and authority to act on my behalf. This power and authority shall authorize PROCURATOR to manage and conduct affairs and to adequately exercise of those of my legal rights and powers, including all rights and powers that I may acquire in the future. PROCURATOR powers shall include, but not be limited to, the power to: Professional dispatch services, including contact drivers, shippers and brokers on my behalf for Cargo, transfer of paperwork (Carrier Packet, Rate Confirmations, Insurance Certificates, Invoices and all necessary Paperwork) to shippers/brokers. Sign and execute rate confirmations for freight, and collect all payment dues on my behalf, correspond on your behalf with brokers, shippers, and business you deem appropriate and acceptable.

This Power of Attorney shall be construed broadly as a General Power of Attorney. The listing of specific powers is not intended to limit or restrict the general powers granted in this Power of Attorney in any manner. PROCURATOR shall not be liable for any loss that results from a judgment error that was made in good faith. However, PROCURATOR shall be liable for willful misconduct or the failure to act in good faith, while acting under the authority of this Power of Attorney. I authorize PROCURATOR to indemnify and hold harmless any third party who accepts and acts under this document. This Power of Attorney shall become effective immediately and shall remain in full force and effect until revoked by me in writing. Such revocation is to be send via e-mail 10 days in advance to PROCURATOR to procurators@nuviexpress.com

IN WITNESS WHEREOF, the parties hereto have executed this Agreement on the date below.
Signature

Clear
Fill out the entire Agreement, Form, & provide the Required Documents. Print a Copy and Email copy to procurators@nuviexpress.com
Should be Empty:

NUVI EXPRESS, LLC

CARRIERS' PROFILE

Equipment Section

Factoring Information

Insurance Information

Additional Information

Credentials & Documents Section

Limited Power of Attorney