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| Broker | Carrier |
|---|---|
|
My Trucking Company MC# MC 890123 USDOT# DOT 1234567 Email: dispatch@mycompany.com Address: 123 Main Street, Suite 100, Anywhere, USA 12345 |
USDOT/MC: Phone: Agreement Date: |
Broker shall pay CARRIER for services rendered according to Load Confirmation(s).
CARRIER must comply with all laws and provide proof of delivery.
Carrier shall make a security deposit of $700 via . This fee is refundable upon first delivery.
2% Quick Pay (same‑day) or standard 24‑hour deposit. Factoring available.
90‑day term, auto‑renewal. 30‑day written notice for termination.
| BROKER | CARRIER |
|---|---|
Signature: ![]() Print: David James Title: Logistics Manager Date: June 2, 2026 |
Signature: Print: Title: Date: |