Carriers - Evolve Global Logistics

Contact Name*

Carrier Name*

Mailing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Physical Address

Physical Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

MC#*

PUCO#

USDOT#*

Equipment Owned:

Equipment – Please specify

Please specify the number of each type of equipment you own.

Preferred Region

Restrictions

Restrictions – Please specify

Certification

Does this business fall into one of these categories:

Business – Please specify

Please specify if self-certified or certified by third party.

What lanes do you typically run?

One year of Active Authority
Valid MC#
No FreightGuard reports containing hostage loads, double brokering, unresolved claims issues
Active US DOT #
Signed Broker – Carrier Agreement
Copy of carrier operating authority
Signed W-9 Form
Insurance certificate with contract specified limits
Proof of Workers’ Compensation Coverage
Satisfactory or Unrated Safety Rating Verification from: https://safer.fmcsa.dot.gov/CompanySnapshot.aspx

Comments

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