Vendor On-Boarding

Vendor On-Boarding
All Vendors
- Contact Information
- W-9
  - Completed and executed by vendor representative
- ACH/Wire Requested Information Form
Carriers Only
- Validate Safety Rating and Authority Status
  - Provide a Company Snapshot from the SAFER Web portal
- Certificate of Insurance
  - Agmark Logistics, LLC named as Additional Insured
  - General Liability $1,000,000
  - Motor Vehicle (including hired and non-owned vehicles:
    
    $1,000,000 (Non-hazardous)
    
    $5,000,000 (If transporting hazardous materials including environmental damages due to release or discharge of hazardous substances)
  - Trailer Interchange $ 45,000
  - Cargo damage/loss, $ 100,000
  - Workers’ compensation with limits required by law
- Broker Carrier Agreement
  - Completed and executed by carrier representative

Certificate of Insurance
Please provide a Certificate of Insurance. You can either upload it below or email it to VendorOnboarding@agmark.com.
How will you provide a Certificate of Insurance?*

I will upload Certificate of Insurance hereI will email Certificate of Insurance to VendorOnboarding@agmark.com
Certificate of Insurance Upload (PDF only)*

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Company Snapshot from the SAFER Web portal
Please provide your Company Snapshot. You can either upload it below or email it to VendorOnboarding@agmark.com.
How will you provide your company snapshot?*

I will upload Company Snapshot hereI will email Company Snapshot to VendorOnboarding@agmark.com
Company Snapshot Upload (PDF only)*

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Broker - Carrier Agreement
Broker - Carrier Agreement

Click the link above to view the agreement
Broker - Carrier Agreement

I agree to the terms of the Broker - Carrier Agreement
Printed Name
Title
Phone Number

Country CodeArea CodePhone Number
Email
example@example.com

ACH and Wire Payments

Agmark is pleased to offer additional options for our payments. We would like to offer you the option of ACH or Wire payments. If you are interested, please provide the following.
Preferred method of payment*

US - ACH*International - Wire*
*ACH Requirements
- Prior to the initial ACH payment, we will contact you by phone to verbally verify your bank account information. Payments will be made via check until verbal confirmation is obtained.
- ACH payments can only be issued between US domestic banks.
*Wire Requirements
- Prior to the initial payment, we will contact you by phone to verbally verify your wire payment information. Payments will be made via check until verbal confirmation is obtained.
ACH INFORMATION

* ACH payments can only be issued between US domestic banks.
Company Name*
Beneficiary Name*
Bank Name*
Bank Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Account Number*
ACH Routing Number*
WIRE INFORMATION
Account Name*
Beneficiary Name*
Bank Name*
old.Swift Code*
Swift Code*
Bank Code*
Transit*
Beneficiary Account Number*
Remittance Advice Email

Same as Primary Contact Email
Email payment remittance advice to*
example@example.com
Please note that all correspondence for Accounts Payable should be sent to:

Email:

EquipmentControl@amark.com - Equipment Repair/Maintenance

AP@agmark.com - All other vendors and carriers

Physical Address:

222 2nd Ave North, Suite 311

Nashville, TN 37201

If you have any questions or require more information, please do not hesitate to contact us.

Request for Taxpayer Identification Number and Certification
Please download a W-9 from the IRS, and complete it. You can either upload it below or email it to VendorOnboarding@agmark.com.

https://www.irs.gov/pub/irs-pdf/fw9.pdf
How will you provide a W-9?*

I will upload W-9 hereI will email W-9 to VendorOnboarding@agmark.com
W-9 Upload (PDF only)*

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Type a question

Type option 1Type option 2Type option 3Type option 4
Should be Empty:

Vendor On-Boarding

Contact Information

Certificate of Insurance

Company Snapshot from the SAFER Web portal

Broker - Carrier Agreement

ACH and Wire Payments

*ACH Requirements

*Wire Requirements

Request for Taxpayer Identification Number and Certification