Customer Information Packet - The Match Maker, Inc.
Customer Information PacketThe Match Maker, IncAddress: P.O. Box 13259 Florence, SC 29504Mailing: 2736 TV Road Florence, SC 29501Email: admin@mhmk.comWeb: www.mhmk.comPhone: (800) 226 - 3696Fax: (877) 236 - 8985
Company OutlineOur CompanyThe Match Maker, Inc. is a transportation brokerage firm in Florence, SC. The company wasfounded in 1981 by Bert Belk. The company was one of the first transportation brokers inAmerica after industry deregulation. Our mission is to provide reliable and experiencedbrokerage and consultation services to motor carriers and shippers in North America. Since itsinception in 1981, The Match Maker, Inc. has assisted over 35,000 carriers and shippers withtheir freight.Company Credentials:The Match Maker Inc.MC 161546BOND#: 13248FED ID#: 57-1073415D.U.N.S.#: 05-729-9310http://www.mhmk.comAdditional DocumentationPlease complete and submit the Application for Credit & Agreement of Terms found on thefollowing page. You will also find IRS form W-9 for your records. Additional documentation suchas Authority, Surety Bond, and a sample Insurance Certificate can be found at our websitehttp://www.mhmk.com/index.php/shippers. Once your credit has been approved, you will bemade a certificate holder for insurance purposes.Thank you!Thank you for this opportunity to provide for your transportation and logistics needs. We look forwardto a long and successful relationship.The Match Maker, IncAddress: P.O. Box 13259 Florence, SC 29504Mailing: 2736 TV Road Florence, SC 29501Email: admin@mhmk.comWeb: www.mhmk.comPhone: (800) 226 - 3696Fax: (877) 236 - 8985
Application for Credit & Agreement of TermsDEBTOR INFORMATIONLegal Name of Company Liable for Debt:dba or Other Names:DUNS #:Physical ompany Website Address:REMITTANCE – Please provide an email address or fax number to which freight bills should be submitted.Email:Fax:Only complete mailing address below if email or fax is not desirable for freight bill remittanceBilling Name:Address:City:PostalCode:State:ACCOUNTS PAYABLE CONTACTName:Email:Phone:Fax:BILLING REQUIREMENTSProof-of-Delivery Required?What commodities do you ship?Pallet Exchange?Pallet Cost:Do you reimburse handing charges?Maximum Value of Cargo?Average Value of Cargo?Special Billing or Invoice Instructions:Printed:The Match Maker, IncAddress: P.O. Box 13259 Florence, SC 29504Mailing: 2736 TV Road Florence, SC 29501Email: admin@mhmk.comWeb: www.mhmk.comDate:Phone: (800) 226 - 3696Fax: (877) 236 - 8985
STANDARD SHIPPER-BROKER AGREEMENTThis contract made this day of , 20 , by and between ,located at, a domestic corporation, hereinafter called "SHIPPER", and THE MATCH MAKER, INC.,located at 2736 TV Road, Florence, SC 29504, a domestic corporation, hereinafter called "FREIGHT BROKER".Whereas, Freight Broker is engaged in the business of placing loads, tendered to it by shipper, for transportation with carriersby motor vehicle, regulated by the Federal Motor Carrier Safety Administration, under contract with such carriers; andWhereas, Freight Broker represents that it is duly authorized to perform such services for compensation under a licenseissuedto it by the Federal Motor Carrier Safety Administration (FMCSA) in Docket No. MC-161546; and that it holds an effectiveSurety Bond or Trust Fund Agreement under 49 U.S.C. 10927(b) and 49 C.F.R. 1045; and that it shall employ only the services ofmotor carriers duly authorized by the Interstate Commerce Commission and insured in accordance with the laws andregulations of the appropriate federal and/or state regulatory agencies including but not limited to the Federal Motor CarrierSafety Administration and the United States Department of Transportation.Whereas, Freight Broker desires to provide its transportation services on behalf of the Shipper for the interstate, intrastate andforeign transportation of commodities as more specifically described hereinafter; andWhereas, Shipper desires to avail itself of such service.Now, therefore, in consideration of the mutual agreements herein contained, and the compensation that the Freight Broker willreceive from the monies that are paid for the transportation, the parties agree as follows:1. Shipper agrees to tender certain loads, from time to time, to Freight Broker. The charges as to each shipment shall be agreedto, either orally or in writing, by the parties, prior to the movement of the shipment.2. Freight Broker agrees to make every reasonable effort to place such loads with contract carriers for the purpose oftransporting the loads with reasonable dispatch under the direction of the Shipper.3. Freight Broker agrees to provide Shipper with adequate proof of acceptance and delivery of such loads in the form of afreight bill, and Shipper understands that the Freight Broker will be compensated by the carrier for the moves on which theShipper pays the Freight Broker the transportation charges.4. Except as may otherwise appear herein (including appendices), the rights and obligations existing between the parties heretoshall be those defined in the Interstate Commerce Act as to the conduct of Freight Brokerage in interstate and foreigncommerce.5. The terms of this Agreement shall commence on the above stated date and shall continue in effect until terminated by eitherparty upon not less than fifteen (15) days written notice, either hand delivered or mailed to the address shown above.6. The parties agree that in the event Shipper determines it has a claim for cargo loss or damage against any carrier transportinga load tendered to it by Freight Broker, the Freight Broker will act as administrator for the claim and insure that all claims arefiled and processed in accordance with 49 C.F.R. 1005. All matters pertaining to rates and charges should be solely betweenShipper and Freight Broker.7. Freight Broker represents that the carriers that it uses will hold effective cargo insurance for all loads placed fortransportation with them, and that the benefits of such insurance shall insure to the Shipper.8. Freight Broker agrees that it shall treat all sensitive business information as confidential and shall not release same withoutthe written consent of the Shipper.9. It is understood between the parties that Freight Broker shall remain an independent contractor under this contract and thatits agents and/or employees are under its exclusive management and control and that Shipper neither exercises nor retains anycontrol or supervision of or over Freight Broker, or its operations, agents or employees in any manner whatsoever.10. It is understood between the parties that each shall conduct its operations and activities in accordance with all Federal,State and Municipal laws, regulations, rules and ordinance affecting or regulating the transportation of the commoditiesinvolved.
11. Freight Broker agrees that in each of the contracts it has with contract carriers that the following clause shall be included:"Carrier authorizes Freight Broker to invoice Shipper, receiver, consignor or consignee for freight charges as agent for and onbehalf of Carrier. Payment of the freight charges to Freight Broker shall relieve Shipper, receiver, consignor or consignee of anyliability to the Carrier for non-payment of charges."12. Freight Broker agrees to indemnify Shipper and hold it harmless from any claims which arise from the use of carriers notmeeting the above stated requirements.13. This instrument constitutes the entire agreement of the parties with reference to the subject matter hereof, and may notbe changed, waived, or modified except in writing signed by both parties. This contract shall be construed in accordance withthe laws of the State of .14. If any dispute arises about any matter covered by the terms of this Motor Contract Carrier Agreement, the dispute must besubmitted, by the party who alleges a violation filing a complaint with the Federal Motor Carrier Safety Administration. Thecomplaint shall contain specific references to pertinent statutory provisions and regulations of the Commission, and the termsof this contract that the complainant believes have been violated.Such a complaint shall be submitted in accordance with all the provisions of 49 C.F.R. 1111.No court action can be taken by either party prior to the decision of the Commission, and the decision of the Commission shallbe a binding, final and non-appeal able decision. If for any reason the Commission refuses to accept the complaint, or refuses tomake a ruling on the subject matter of the complaint, then the parties' recourse shall be to the judicial system, either state orfederal.IN WITNESS WHEREOF, the parties have caused this Contract to be executed as of the day and year first written above.The Match MakerSHIPPER:FREIGHT BROKER:BY:BY:TITLE:TITLE:ADDRESS:ADDRESS:CITY, STATE, ZIPCITY, STATE, ZIPPHONE:PHONE:843-665-4968FAX:FAX:877-236-8985The Match Maker, IncAddress: P.O. Box 13259 Florence, SC 29504Mailing: 2736 TV Road Florence, SC 29501Email: admin@mhmk.comWeb: www.mhmk.comEric BelkVice PresidentP.O. Box 13259Florence, SC 29504Phone: (800) 226 - 3696Fax: (877) 236 - 8985
Arizona19thOctober2012
19thOctober2012
Valid through October 19, 2013 - Bond 13248, with a limit of 75,000.00The Match Maker, Inc.
DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE4/11/2016THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEDREPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject tothe terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to thecertificate holder in lieu of such endorsement(s).CONTACTNicole DahleNAME:PHONE(A/C, No, Ext): 952-947-9700E-MAILADDRESS: ndahle@rja.comPRODUCERAhmann-Martin7555 Market Place DriveEden Prairie MN 55344FAX(A/C, No):952-947-9793INSURER(S) AFFORDING COVERAGENAIC #INSURER A : AcadiaInsurance CompanyINSURER B : Berkley National Ins CompanyMATCH-1INSUREDThe Match Maker, Inc.P.O. Box 13259Florence SC 29504INSURER C :INSURER D :INSURER E :INSURER F :CERTIFICATE NUMBER: 1812213503COVERAGESREVISION NUMBER:THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.INSRLTRAADDL SUBRINSD WVDTYPE OF INSURANCEXCOMMERCIAL GENERAL LIABILITYCLAIMS-MADEXPOLICY NUMBERCPA3056193-23POLICY EFFPOLICY EXP(MM/DD/YYYY) (MM/DD/YYYY)3/31/20163/31/2017OCCURGEN'L AGGREGATE LIMIT APPLIES PER:PROPOLICYLOCJECTLIMITSEACH OCCURRENCEDAMAGE TO RENTEDPREMISES (Ea occurrence)MED EXP (Any one person) 5,000PERSONAL & ADV INJURY 1,000,000GENERAL AGGREGATE 2,000,000PRODUCTS - COMP/OP AGGAUTOMOBILE LIABILITYCPA3056193-233/31/20163/31/2017ANY AUTOALL OWNEDAUTOSXHIRED AUTOS 2,000,000 OTHER:A 1,000,000 300,000XSCHEDULEDAUTOSNON-OWNEDAUTOSCOMBINED SINGLE LIMIT(Ea accident)BODILY INJURY (Per person) 1,000,000 BODILY INJURY (Per accident) PROPERTY DAMAGE(Per accident) UMBRELLA LIABOCCUREACH OCCURRENCE EXCESS LIABCLAIMS-MADEAGGREGATE DEDRETENTION WORKERS COMPENSATIONAND EMPLOYERS' LIABILITYANY PROPRIETOR/PARTNER/EXECUTIVEOFFICER/MEMBER EXCLUDED?(Mandatory in NH)If yes, describe underDESCRIPTION OF OPERATIONS belowB PERSTATUTEY/NContingent CargoOTHERE.L. EACH ACCIDENTN/A E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT10004683/31/20163/31/2017Per TruckPer LossDeductible 100,000 200,000 1,000DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)Additional Limit: 100,000 per Railcar, subject to 1,000 deductible.CERTIFICATE HOLDERTHE MATCH MAKER, INCPO BOX 13259FLORENCE SC 29504ACORD 25 (2014/01)CANCELLATIONSHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED INACCORDANCE WITH THE POLICY PROVISIONS.AUTHORIZED REPRESENTATIVE 1988-2014 ACORD CORPORATION. All rights reserved.The ACORD name and logo are registered marks of ACORD
SUNBLIN-01HOWELLDDATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE1/25/2016THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEDREPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject tothe terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to thecertificate holder in lieu of such endorsement(s).CONTACTTeresa BrownNAME:PHONE(A/C, No, Ext): (888) 326-4498E-MAILADDRESS: Teresa.Brown@ioausa.comPRODUCERInsurance Office of America, Inc.1221 Bower ParkwaySuite 101Columbia, SC 29212-3732FAX(A/C, No):(803) 957-4945INSURER(S) AFFORDING COVERAGEINSURER A : FHMINSUREDNAIC #Insurance Company10699INSURER B :Sun Belt Line Incc/o Signum LLC4715 Sunset Blvd, Ste ALexington, SC 29072INSURER C :INSURER D :INSURER E :INSURER F :COVERAGESCERTIFICATE NUMBER:REVISION NUMBER:THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.INSRLTRTYPE OF INSURANCEADDL SUBRINSD WVDPOLICY NUMBERPOLICY EFFPOLICY EXP(MM/DD/YYYY) (MM/DD/YYYY)COMMERCIAL GENERAL LIABILITYCLAIMS-MADEOCCURGEN'L AGGREGATE LIMIT APPLIES PER:PROPOLICYLOCJECTLIMITSEACH OCCURRENCEDAMAGE TO RENTEDPREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG OTHER:COMBINED SINGLE LIMIT(Ea accident)BODILY INJURY (Per person)AUTOMOBILE LIABILITYANY AUTOALL OWNEDAUTOSHIRED AUTOS SCHEDULEDAUTOSNON-OWNEDAUTOS BODILY INJURY (Per accident) PROPERTY DAMAGE(Per accident) AUMBRELLA LIABOCCUREACH OCCURRENCE EXCESS LIABCLAIMS-MADEAGGREGATE DEDRETENTION WORKERS COMPENSATIONAND EMPLOYERS' LIABILITYY/NANY PROPRIETOR/PARTNER/EXECUTIVENOFFICER/MEMBER EXCLUDED?(Mandatory in NH)If yes, describe underDESCRIPTION OF OPERATIONS below XN/AWC306-0024350-2016A01/01/2016 01/01/2017PERSTATUTEOTHERE.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT 500,000500,000500,000DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)CERTIFICATE HOLDERCANCELLATIONSHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED INACCORDANCE WITH THE POLICY PROVISIONS.AUTHORIZED REPRESENTATIVEFor Inmformation OnlyACORD 25 (2014/01) 1988-2014 ACORD CORPORATION. All rights reserved.The ACORD name and logo are registered marks of ACORD
The Match Maker, Inc Phone: (800) 226 - 3696 . Phone Toll-Free: Fax: Company Website Address: . "Carrier authorizes Freight Broker to invoice Shipper, receiver, consignor or consignee for freight charges as agent for and on behalf of Carrier. Payment of the freight charges to Freight
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