OLIVER BROKERAGE LLC – CARRIER PACKET

OLIVER BROKERAGE LLC – CARRIER PACKET

Complete this packet to onboard as a carrier with Oliver Brokerage LLC. Please fill all required sections and upload the necessary documents.
Company Name: Oliver Brokerage LLC
MC #: 01801150
DOT #: 4539396

Contacts:
Malcolm Oliver – Managing Director
Phone: 943-262-2121
Email: Malcolm@oliverbrokeragellc.com

Terika Mostella – Operations Director
Phone: 706-386-0778
Email: Terika@oliverbrokeragellc.com
Carrier Profile
Legal Business Name*
DBA (if applicable)
MC Number*
DOT Number*
EIN/SSN*
Business Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Primary Contact
Name*
Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Dry VanReeferFlatbedPower OnlyBox TruckHotshotOther
Insurance Requirements
Carrier must maintain:
- $1,000,000 Auto Liability
- $100,000 Cargo Insurance
Required Documents:
- Certificate of Insurance (COI)
- W-9 Form
Certificate of Insurance (COI)*

Cancelof
W-9 Form*

Cancelof
Broker-Carrier Agreement
- Maintain active operating authority with FMCSA
- Maintain required insurance at all times
- Comply with all federal and state regulations
- Transport freight safely and on time
- Notify broker immediately of delays, issues, or incidents
- Accept all rate confirmations as legally binding agreements
Payment Terms
Standard Terms: Net 30
Quick Pay (if offered): Subject to approval.
Compliance & Liability
Carrier assumes full responsibility for:
- Cargo safety while in transit
- Damages caused during transport
- Proper documentation and communication
Signature
Carrier Name*
Authorized Signature*
Date*

MonthDayYear
Date
Should be Empty:

OLIVER BROKERAGE LLC – CARRIER PACKET

Carrier Profile

Primary Contact

Insurance Requirements

Broker-Carrier Agreement

Payment Terms

Compliance & Liability

Signature