"MGD" Freight Dispatch Agreement
Thanks for choosing Mountain Goat Dispatching as your freight dispatcher and logistics assistant. Fill out this form in it's entirety so we can start finding your loads right away.
Name
*
First Name
Last Name
Trucking Company Name
*
Trucking Company Info
*
MC#, DOT#, Truck#, and Trailer#
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Terms & Conditions
Owner-Operator / Carrier hereby grants authorization to Mountain Goat Dispatching to act as its agent for sole purpose of searching for and securing freight loads, processing all broker paperwork and obtaining / submitting all necessary documents required in order to secure loads and dispatch via telephone, email, or fax.All invoicing, billing, and collections of revenue of customers, brokers, shippers, consignees, and any other entity involved in the supply chain -is the sole responsibility of the carrier / owner-operator unless otherwise specified. If revenue for a shipment(s) is found uncollectible, Mountain Goat Dispatching will be held harmless and no penalty or reduction in fees will be made.The owner-operator / carrier agrees to maintain all proper licenses and permits to conduct business as a motor carrier in the area of intended operation. Additionally, owner-operator / carrier agrees to maintain general liability and cargo insurance at the amounts set forth by the home state of the carrier. Mountain Goat Dispatching will be held harmless in the event of any and all claims.Mountain Goat Dispatching will invoice CARRIER to pay for the freight dispatch service performed based on the rate of of gross revenue per truck per week. Payment to Mountain Goat Dispatching by Owner-Operator / Carrier shall be complete and final without recourse. Owner-Operator / Carrier will pay each Wednesday for the previous Monday through Sunday work week.As loads are picked, hauled, delivered, and invoiced and the owner-operator / carrier is paid first, an amount equal to the agreed upon percentage value will be payable to Mountain Goat Dispatching. Payments for dispatching/logistics office services will be invoiced to the Owner-Operator / Carrier (if not paid directly to dispatcher by factoring company) and conveniently payable via credit or debit card, Zelle, PayPal, or any other payment method agreed upon in writing.Failure to pay within 3 days will result in Mountain Goat Dispatching ceasing to book loads. Mountain Goat Dispatching shall resume booking loads when the invoice is satisfied.Either party has the right to terminate this agreement without cause at any time with 7 days notice in writing.
Date
*
-
Month
-
Day
Year
Consent
*
I authorize MGD to complete and sign broker carrier packets and rate confirmations on my behalf.
Documents Needed
*
Browse Files
Drag and drop files here
Choose a file
W-9, MC Authority Letter, and Certificate of Insurance, Drivers License
Cancel
of
Signature
*
Submit
Submit
Should be Empty: