BROKER/CARRIER AGREEMENT

This Broker/Carrier Agreement is being entered into by and between

___________________
Truckstop 40 LLC (hereinafter referred to as
“BROKER” ), and _________________________________________, (hereinafter referred to
as “CARRIER”) as defined below, on this _____ day of ___________, 20__.

I. PARTIES

A. Truckstop 40 LLC ________________ is the “Broker” as that term is

defined under 49 U.S.C. § 13102(2) or any regulation, amendment or renumbered
law by which the United States or any agency thereof defines a freight broker and
any applicable federal or state regulations, statutes, decisional law or
administrative law. BROKER will arrange for the freight tendered by a shipper to
be transported by CARRIER under the means, manner, method, and terms
selected by the shipper or CARRIER, but BROKER is not engaged in the
business of and will not act as a “Carrier,” “Motor Carrier,” or “Freight
Forwarder,” as those terms are defined under 49 U.S.C. § 13102, and BROKER is
not engaged in the business of and will not act as a “Rail Carrier” as that term is
defined under 49 U.S.C. § 11706.

B. _________________________________is the “CARRIER,” and hereby agrees to

transport freight identified by BROKER as requiring transportation services.

C. BROKER and CARRIER will sometimes be referred to collectively as “The

Parties.”

II. RECITALS

1. Term- The term of this Agreement shall be one (1) year, commencing on the date
listed above. If not cancelled by one of The Parties, the Agreement shall
automatically renew itself for consecutive one year terms. The Agreement can be
terminated at any time by either of The Parties with thirty (30) days written or
electronic notice to the other party, provided all balances are settled, and the
termination can be with or without cause.

2. Broker Requirements- BROKER warrants that it is licensed to arrange for the

1494993
transportation of freight pursuant to license number MC-_____________ , but
that it does not transport freight, and that it will maintain such authority as
required by all applicable federal and state laws and regulations throughout the
course of this Agreement. BROKER also warrants that it will maintain a surety
bond or trust fund agreement as required by the Federal Motor Carrier Safety
Administration in the amount of $75,000.00 or in such amount as may be
amended from time to time and furnish CARRIER with proof of same upon
request.
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3. Broker Obligations- Broker shall pay CARRIER for services rendered in an
amount equal to the rates and charges agreed to as set forth on any Load
Confirmation(s) that is issued and that supplements and amends this Agreement to
the extent its terms conflict with those in this Agreement. This Agreement or the
Load Confirmation also governs all assessorial services which may be required or
performed. CARRIER shall not bill for any accessorial or other charge not
approved in this Agreement or in any Load Confirmation(s). Rates may be
amended orally but must be confirmed in writing within five working days of the
modification in order to remain binding between the PARTIES. As a condition
precedent to payment, CARRIER must submit proof of delivery with its invoices,
and the invoices must reflect that CARRIER delivered the freight to its final
destination.

a. BROKER agrees to arrange for the transportation of a shipper’s

freight with CARRIER pursuant to the terms of this Agreement,
and to comply with all federal, state, and local laws and regulations
pertaining to the brokerage services covered by this Agreement.

b. The Parties agree that BROKER’S responsibilities under this

Agreement are limited to arranging for the transportation of a
shipper’s freight with CARRIER, and not actually performing the
transportation services, possessing the freight, or controlling the
means or methods of the transportation.

4. Carrier Obligations - CARRIER warrants that at all times during this Agreement
it will act as a “motor carrier,” as that term is defined under 49 U.S.C. § 13102
and any applicable federal or state regulations, statutes, decisional law or
administrative law. CARRIER further warrants that at all times during this
Agreement it will remain licensed and authorized by the Federal Motor Carrier
Safety Administration to provide interstate transportation services or that it
provides only intrastate service and complies with all applicable state registration
requirements, and warrants that it will maintain insurance or otherwise
demonstrate financial responsibility in accordance with all applicable federal and
state regulations.

CARRIER is solely responsible for the operation of the equipment, actions of the
driver, any other persons associated with the operation of the equipment,
transportation of freight, securement or any other aspect of actions of a motor
carrier as that term is defined by law. CARRIER is solely responsible for the
safety and operation of the equipment, and the actions of all drivers and other
persons or entities responsible for the transportation of freight. Nothing in this
Agreement abrogates the responsibility of the CARRIER to operate safely and in
accordance with all law and good accepted best practices of a motor carrier.

2
 CARRIER represents that it is in compliance with and shall maintain, during the
terms of this Agreement, compliance with all applicable federal, state and local
laws relating to the provision of its services.

CARRIER will notify BROKER immediately if its federal Operating Authority is

revoked, suspended or rendered inactive for any reason; and/or if it is sold, or if
there is a change in control of ownership, and/or any insurance required hereunder
is threatened to be or is terminated, cancelled (whether by an insurer or surety
provider by CARRIER, or by any person or entity), suspended, or revoked for any
reason.

a. CARRIER agrees it will not have a U.S. DOT safety rating or

evaluation of unsatisfactory or conditional. Any change in
CARRIER’S safety rating requires immediate written notification
to BROKER. CARRIER may not have an unsatisfactory or
conditional rating under any rating system. If CARRIER’S rating
becomes conditional or unsatisfactory, CARRIER is no longer
authorized as a CARRIER under this Agreement.

b. Upon reasonable demand, CARRIER shall provide to BROKER

copies of its DOT Operating Authority, Policy of Insurance,
including all endorsements, Certificate of Insurance, surety, and
financial responsibility.

4a. Food Protocols.

All equipment provided for the transportation of food or food grade products will
comply with the requirements of The Sanitary Food Transportation Act, or, to the
extent that CARRIER performs services hereunder within, or to or from Canada,
the Food and Drug Acts and any/all other applicable statutes and regulations,
including, but not limited to the Ontario Food Safety and Quality Act, 2001, or
any other jurisdiction's equivalent, and none of the equipment so provided has
been or will be used for the transportation of any waste of any kind, garbage,
hazardous materials, poisons, pesticides, herbicides, or any other commodity that
might adulterate or contaminate food, food products or cosmetics.

Where a seal is placed on a trailer by consignor, shipper, CARRIER or other

party, CARRIER is responsible to maintain the seal intact until removed by an
authorized employee of consignee upon delivery. CARRIER is liable for any and
all claims, losses, or liabilities arising from or as a result of any unauthorized
removal of seal, broken seal, missing seal, tampered seal, or mismatched seal

3
 number. CARRIER is solely responsible for ensuring that cargo is maintained
according to any requirements stated on the bill of lading or load confirmation

CARRIER must ensure that all personnel transporting or handling freight subject
to the Food Safety Modernization Act of 2011 and its implementing regulations
(collectively the “Act”), receive training required by the Act. BROKER will
transmit to CARRIER, on the Load Confirmation or separately by email, the
shipper’s or consignee’s protocols and requirements for transporting food
shipments subject to the Act. CARRIER must strictly comply with all such
protocols and requirements. CARRIER’S failure to comply with such protocols
and requirements will permit the consignor, consignee, or broker to declare any
freight transported on a shipment on which noncompliance occurred to be rejected
and a total loss.

5. Shipper-Broker Relationship- The Parties agree that BROKER at all times will
be acting as an independent contractor, and not an employee, agent, or principal
of a shipper.

6. Broker-Carrier Relationship- CARRIER agrees and acknowledges that as the

motor carrier transporting a shipper’s freight pursuant to this Agreement,
CARRIER is an independent contractor, and not an employee, agent or principal
of BROKER. CARRIER further agrees and acknowledges that its employees and
agents, including the driver or drivers transporting freight, are not the employees
or agents of BROKER, and that BROKER does not control or have the right to
control the CARRIER, its employees, agents, drivers, or any person or entity
associated with the CARRIER.

CARRIER must give priority to compliance with all laws and regulations and
must not interpret any provision of this Agreement or request or communication
from any employee or agent of BROKER, shipper, consignor, or BROKER’s
customer(s) to authorize or encourage, directly or by implication, CARRIER to
deviate from any law or regulation applicable to CARRIER’s operations as a
motor carrier. BROKER will not coerce CARRIER, and any directions or
instructions given by BROKER to CARRIER for the transportation of the freight
shall be for information and convenience only, and CARRIER retains full control
of the details of transportation of freight assigned to it under this Agreement.
BROKER will not impose fines on CARRIER unless BROKER is instructed to
do so by the shipper.

7. No Broker Liability- CARRIER agrees and acknowledges that BROKER will

not be liable to a shipper for any act or omission of the CARRIER or any of its
“employees” which transport a shipper’s freight, as the term “employee” is
defined under 49 C.F.R. §390.5 or for any of Carrier’s Agents, Principals, Assigns
or Subcontractors. CARRIER thus agrees and acknowledges to indemnify and
hold harmless BROKER for any cargo loss or damage, or for delay in the delivery

4
 of a shipper’s freight, or for any actual or consequential damages resulting
therefrom.

To the extent permissible under applicable federal and state law, and subject to
the express monetary insurance limits in Paragraph 13 as to CARRIER and
BROKER’S applicable monetary insurance limits or such other amounts as
mutually agreed by the Parties in writing, CARRIER shall defend, indemnify and
hold BROKER and its shipper customer harmless from any claims, actions or
damages, arising out of its performance under this Agreement, including cargo
loss and damage, theft, delay, damage to property, and personal injury or death,
and BROKER shall defend, indemnify, and hold CARRIER harmless from any
claims, actions, or damages, including cargo loss and damage, theft, delay,
property damage, bodily injury or death, arising out of its performance hereunder.
Neither Party shall be liable to the other for any claims, actions or damages due to
the negligence, culpable conduct or intentional act of the other Party, or the
shipper. The obligation to defend shall include all costs of defense as they accrue.

Except for CARRIERS’S liability under Paragraph 10, unless otherwise agreed in
writing, and regardless of whether the Parties’ insurance as referred to in this
Agreement above is valid or provides coverage, the Parties’ indemnity obligations
shall not exceed the monetary insurance limits referred to in the paragraph above.

8. No Broker Control- The Parties agree that BROKER will not assert any control
nor have any right to exercise control over a shipper’s freight, including, but not
limited to, taking possession of a shipper’s freight, and BROKER shall not direct
or control the routes taken by CARRIER in the transportation of a shipper’s
freight.

9. Carrier Liability- CARRIER hereby assumes the liability of a motor carrier as

provided in §14706 of Title 49 of the United States Code (the Carmack
Amendment), and all claims for loss, damage and/or salvage will be handled and
processed in accordance with 49 C.F.R. Part 370.

10. Bills of Lading-

a. For each shipment tendered to CARRIER, CARRIER will provide to the

shipper a standard bill of lading that is in accordance with 49 C.F.R. §373,
listing the consignor and consignee, the origins and destinations, the
number of packages, the description of the freight, and the weight, volume
or measurement of the freight. The Parties agree that BROKER will not be
a party to the bill of lading.

b. CARRIER acknowledges that BROKER should not be listed on the bill of

lading and that if BROKER is listed on the Bill of Lading as the carrier
this will occur for the convenience of the shipper only and CARRIER at

5
 all times is the actual carrier of goods and BROKER’S role is limited to
arranging for transportation.In the event BROKER’S name is listed on the
bill of lading, shipping manifest or other similar document, as the carrier,
CARRIER shall cross-out or otherwise remove BROKER’S name and
enter CARRIER’S name as applicable.

c. CARRIER understands that re-brokering and double brokering may be

prohibited by law and will not re-broker, assign or interline the shipments
hereunder without the express written consent of BROKER prior to the
shipment being tendered to any other CARRIER. If CARRIER breaches
this provision, BROKER shall have the right of paying the monies it owes
CARRIER directly to the delivering carrier, in lieu of payment to
CARRIER, and BROKER shall thereby be released from any further
obligation to pay CARRIER. Upon Broker’s payment to delivering
carrier, CARRIER shall not be released from any liability to BROKER
under this Agreement. IN ADDITION TO THE INDEMNITY
OBLIGATION IN PARAGRAPH 7, CARRIER WILL BE LIABLE FOR
CONSEQUENTIAL DAMAGES FOR VIOLATION OF THIS
PARAGRAPH.

i. The Parties agree that the shipment of freight will move under the
terms and conditions listed in the bill of lading, except
where inconsistent with the terms of this Agreement.

ii. CARRIER agrees to list itself on the bill of lading as the

party in possession and control of the freight.

iii. The terms and conditions of the bill of lading shall not
operate to alter or modify the terms of this Agreement
between CARRIER and BROKER.

iv. CARRIER shall issue a bill of lading in compliance with 49

U.S.C. §80101 et seq., 49 C.F.R. §373.101 (and any
amendments thereto), for the property it receives for
transportation under this Agreement. Unless otherwise
agreed in writing, CARRIER shall become
responsible/liable for the freight when it takes/receives
possession thereof, and the trailer(s) is loaded, regardless of
whether a bill of lading has been issued, and/or delivered to
CARRIER, and which responsibility/liability shall continue
until delivery of the shipment to the consignee and the
consignee signs the bill of lading or delivery receipt. Any
terms of the bill of lading (including but not limited to
payment terms, released rates or released value)
inconsistent with the terms of this Agreement shall be

6
 ineffective. Failure to issue a bill of lading or sign a bill of
lading acknowledging receipt of the cargo by CARRIER
shall not affect the liability of CARRIER. Said Bills of
Lading are intended by the Parties to be Bills of Lading, as
that term is interpreted under the Carmack Amendment and
applicable law and not merely as “delivery receipts”,
“freight receipts” or any similar term.

11. Non-Solicitation of Shippers- CARRIER agrees that it will not directly or

indirectly conduct business with any shipper whose freight was transported
pursuant to this Agreement for a period of two (2) years beginning with the last
day such service was performed for that shipper. The Parties agree that a breach
of this provision shall entitle BROKER, as reasonable liquidated damages and not
as a penalty, to the full amount of commissions and/or compensation under the
terms set forth in this Agreement that would have been due to BROKER had it
arranged for the movement of said freight.

12. Assignment/Modifications of Agreement- Neither CARRIER or BROKER may

assign or transfer any rights under this Agreement, in whole or in part, without the
prior written consent of the other party. Further, neither CARRIER nor BROKER
may amend or modify the terms of this Agreement without the prior written
consent of an expressly authorized official of the other party. For BROKER, only
a company official with the title of Vice President or higher is authorized to agree
to amendments to this Agreement. Any amendments or modifications to this
Agreement not agreed to by both CARRIER and BROKER shall be null and void.

13. Insurance - CARRIER shall furnish BROKER with Certificate(s) of Insurance;

financial responsibility or insurance policies providing thirty (30) days advance
written notice of cancellation or termination; and unless otherwise agreed, subject
to the following minimum limits:

A. general liability $1,000,000;

B. commercial auto or commercial motor vehicle insurance
$1,000,000, ($5,000,000 if transporting hazardous materials including
environmental damages due to release or discharge of hazardous
substances; hazmat carriers must have endorsement CA9948, sudden and
accidental pollution coverage, and this endorsement must be shown on the
Certificate of Insurance provided to BROKER);
C. cargo damage/loss, $__100,000______ This coverage must be All
Risk Broad Form Motor Truck Cargo Legal Liability Coverage. The coverage
provided under the policy shall have no exclusions or restrictions of any type that
would foreseeably preclude coverage relating to cargo claims including, but not
limited to, exclusions of unattended or unattached trailers, unattended or unlocked

7
 vehicles, theft, or for any commodities transported under this Agreement,
refrigeration breakdown or lack of refrigerator fuel. Furthermore, if the
commodity being hauled is refrigerated, refrigeration breakdown coverage will be
provided and the CARRIER will honor and abide by the servicing requirements
set forth in the insurance policy or endorsement. Furthermore, if the commodity
being hauled is on a flatbed or similar open conveyance, that there be no
exclusion for wetness, rust, corrosion or moisture.
;
D. workers’ compensation with limits required by law.

Except for the higher coverage limits which may be specified above, the
insurance policies and financial responsibility shall comply with minimum
requirements of the Federal Motor Carrier Safety Administration and any other
applicable regulatory state agency. Nothing in this Agreement shall be construed
to avoid CARRIER’S liability due to any exclusion or deductible of any insurance
policy or to limit CARRIER’S liability for contribution and/or indemnification
and defense of the BROKER.

Coverage must be written with a CARRIER rated A- or better as rated by AM

Best Company. When an intrastate policy is issued, BROKER must be named as
an additional insured.

14. Miscellaneous

a. Non-Exclusive Agreement: CARRIER and BROKER

acknowledge and agree that this contract does not bind the
respective Parties to exclusive services to each other. Either party
may enter into similar agreements with other carriers, brokers, or
freight forwarders.

b. Waiver of Provisions:

i. Failure of either Party to enforce a breach of waiver of any

provision or term of this Agreement shall not be deemed to
constitute a waiver of any subsequent failure or breach, and
shall not affect or limit the right of either Party to thereafter
enforce such a term or provision.

ii. This Agreement is for specified services pursuant to 49

U.S.C.§14101(b). To the extent that terms and conditions
herein are inconsistent with Part (b), Subtitle IV, of Title 49
U.S.C. (ICC Termination Act of 1995), the Parties expressly
waive any or all rights and remedies they may have under
the Act.

8
15. Force Majeure - In the event that fire, flood, other natural disaster, war, embargo,
riot, or civil disobedience prevents the performance of either BROKER or
CARRIER’S obligations under this agreement, that party shall not be liable to the
other party for such failure to perform.

16. Choice of Law and Venue- All issues concerning the construction, interpretation,
validity, and enforceability of this Agreement, and any other dispute arising out of
this Agreement, whether in a court of law or in alternative dispute resolution,
shall be governed by and construed and enforced in accordance with the laws of
the State of _______________,
Oklahoma including the applicable statutes of limitations
under __________________
Oklahoma law, without giving effect to any choice of law
provision applying the laws of another jurisdiction.

17. Indemnification: CARRIER will indemnify and hold harmless BROKER, its
employees, officers, directors, agents, principals and assigns from any liability,
settlements, judgments, verdicts, attorney fees or expense or any nature
whatsoever arising out of any claims, demands or suits against BROKER which
in any way relate to a claim of BROKER’s liability or culpability for the actions
of CARRIER, including negligent or improper hiring or retention of the
CARRIER, its employees (statutory or otherwise) agents, principals, officers,
directors, assigns or anyone acting by or for CARRIER, for any aspect of the
transportation of freight, public liability, personal injury, bodily injury, emotional
or mental distress, wrongful death, loss of consortium, cargo liability or any claim
or cause of action recognized by any state, municipality, county or any
jurisdiction, Administrative Agency, or the Government of the United States.
CARRIER agrees to have insurance to cover its indemnification obligations under
this section, but CARRIER’s indemnification obligations are not capped by the
amount of any available insurance.

18. Entire Agreement- This Agreement, including all appendices and addenda,
constitutes the entire agreement intended by and between The Parties and
supersedes all prior agreements, representations, warranties, and understandings,
whether oral or in writing.

19. Modification of Agreement - This Agreement and Exhibit A et seq. attached

may not be amended, except by mutual written agreement, or the procedures set
forth above.

10
 20. Severability- If any portion or provision of this Agreement is determined by a
court of competent jurisdiction to be invalid or unenforceable, The Parties agree
that said portion or provision of the Agreement shall be severable, and that the
remaining provisions of the Agreement shall continue in full force and effect.

21. Notices- Any and all written or electronic notices required or permitted to be
given under this Agreement shall be addressed as follows:

(BROKER) (CARRIER)
Truckstop 40 LLC___________________________________________________
___BHF Express LLC
___
Gill Martin _______________ Attn: ________________________
Jay Jefferson
___
580-407-3534 ______________ _____________________________
___________________________ _____________________________
___________________________ _____________________________

IN WITNESS WHEREOF, The Parties have caused this Agreement to be executed on

the effective date listed above in their respective names by their fully authorized
representatives below:

[ CARRIER ]
[ BROKER ]

Truckstop 40 LLC Company name:

11558 N 1900 RD, Address :
SAYRE, OK, 73662
Printed name:
Gill martin Signature:

Date:

9
 Eligibility for Quick Pay Program

* Must have completed 3 loads with us

• Guaranteed funding within 72 hrs of receiving all paperwork
for the completed load
* Payments are processed by our factoring company ECAPITAL
It takes 24 hours to add carrier in there portal once load is completed

Payment Terms

Quick Pay [After 3 Completed loads]

Standard Pay terms (25 days)

Company Name:
Company Address:
MC#:
Bank Name:
Bank Account Number:
Bank Routing Number:
Company Email Address:
Carrier’s Signature:

* Factoring company

If yes Factoring name

 DATE (MM/DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE 04/11/2023
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT
NAME: GURVINDER S. SEKHON
All Solutions Insurance Agency, LLC PHONE FAX
(951)247-2003 (A/C, No): (951)247-7678
22364 Alessandro Blvd (A/C, No, Ext):
E-MAIL
GURVINDER@ALLSOLINS.COM
MORENO VALLEY, CA 92553 ADDRESS:

License #: 0C04291 INSURER(S) AFFORDING COVERAGE NAIC #

INSURER A : Great Lakes Insurance SE 134004

INSURED INSURER B : HISCOX INSURANCE COMPANY
TRUCK STOP 40 LLC INSURER C :
11561 N 1900 RD INSURER D :
SAYRE, OK 73662 INSURER E :

INSURER F :
COVERAGES CERTIFICATE NUMBER: 00020766-115487 REVISION NUMBER: 3
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE 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.
INSR ADDL SUBR POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
DAMAGE TO RENTED
CLAIMS-MADE OCCUR PREMISES (Ea occurrence) $
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
PRO-
POLICY JECT LOC PRODUCTS - COMP/OP AGG $

OTHER: $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
(Ea accident)
ANY AUTO BODILY INJURY (Per person) $
OWNED SCHEDULED BODILY INJURY (Per accident) $
AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY (Per accident)
$
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $

DED RETENTION $ $
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS' LIABILITY STATUTE ER
Y/N
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? N/A
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $
If yes, describe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $
A CONTINGENT CARGO MTC04062023 04/06/2023 04/06/2024 100,000 DED 1,000
B ERRORS & OMISSIONS 04062023 04/06/2023 04/06/2024 $1,000,000 DED: $1,000

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
INCLUDING REEFER BREAKDOWN. THE CERTIFICATE HOLDER IS LISTED AS ADDITIONAL INSURED.

CERTIFICATE HOLDER CANCELLATION

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
TO BE LISTED AS A CERTIFICATE HOLDER ACCORDANCE WITH THE POLICY PROVISIONS.
PLEASE EMAIL TRUCKING@ALLSOLINS.COM
AUTHORIZED REPRESENTATIVE

(GUR)
© 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Printed by GUR on 04/11/2023 at 10:12AM
 DATE (MM/DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE 04/28/2023
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT
NAME: SY NILAKOUT
All Solutions Insurance Agency, LLC PHONE FAX
(951)247-2003 (A/C, No): (951)247-7678
22364 Alessandro Blvd (A/C, No, Ext):
E-MAIL
Sy@allsolins.com
MORENO VALLEY, CA 92553 ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
License #: 0C04291
INSURER A : UNITED STATES FIRE INSURANCE CO
INSURED INSURER B :
TRUCK STOP 40 LLC INSURER C :
11561 N 1900 RD INSURER D :
SAYRE, OK 73662 INSURER E :

INSURER F :
COVERAGES CERTIFICATE NUMBER: 00020766-0 REVISION NUMBER: 1
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE 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.
INSR ADDL SUBR POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
DAMAGE TO RENTED
CLAIMS-MADE OCCUR PREMISES (Ea occurrence) $
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
PRO-
POLICY JECT LOC PRODUCTS - COMP/OP AGG $

OTHER: $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
(Ea accident)
ANY AUTO BODILY INJURY (Per person) $
OWNED SCHEDULED BODILY INJURY (Per accident) $
AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY (Per accident)
$
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $

DED RETENTION $ $
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS' LIABILITY STATUTE ER
Y/N
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? N/A
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $
If yes, describe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $
A BOND 615120882 04/26/2023 04/26/2024 $75,000

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

CERTIFICATE HOLDER CANCELLATION

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
TRUCK STOP 40 LLC ACCORDANCE WITH THE POLICY PROVISIONS.
11561 N 1900 RD
SAYRE, OK 73662 AUTHORIZED REPRESENTATIVE

(SYN)
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ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Printed by SYN on 04/28/2023 at 11:48AM