ACTION EXPRESS INC / DBA ACEX 100 E Campus View Blvd, Ste 250 Columbus, OH 43235 MC: 27790 DOT: 3008470 SCAC: AXEH Phone: (718) 360-9258 Fax: (718) 717-8515 hr@action-express.org Before you proceed with this packet, make sure you meet the following requirements: YOU SPEAK ENGLISH. YOU ARE OVER 21 YEARS OLD. MINIMUM OF 6 MONTHS OF EXPERIENCE IN EXPEDITING NO HISTORY OF DUI.YOU OWN A 2008 OR NEWER VEHICLE. YOUR VEHICLE DOESN’T HAVE TEMPORARY PLATES YOU OWN A SMART PHONE WITHINTERNET. Please complete and sign each document attached, make copies of the listed documents below and send everything back together. Doing so will speed up your hiring process. Once everything is received,allow 2-4 business days for process. Thank you and we look forward to working with you. Checklist: Completed and signed INDEPENDENT OWNER/OPERATOR AGREEMENT. Completed INFORMATION SHEET. Completed and signed W-9 FORM. Completed and signed both lines of the DRIVER’S APPLICATION (2 PAGES). Copy of COMMERCIAL INSURANCE SHOWING ACTION EXPRESS INC DBA ACEX AS ADDITONALINSURED INCLUDING A REQUIRED COVERAGE. Copy of VEHICLE REGISTRATION.Copy of SOCIAL SECURITY CARD. Copy of current DRIVER’S LICENSE. Copy of a VOID CHECK FOR DIRECT DEPOSIT. 4 PICTURES OF YOUR VEHICLE (RIGHT/LEFT SIDE AND CARGO SPACE). RECENT COPY OF YOUR DRIVING RECORD (5 years). Please keep in mind all required documents must be sent together for the hiring process to begin. Everything must be emailed to hr@action-express.org *INCOMPLETE PACKETS WILL NOT BE ACCEPTED* Initials INDEPENDENT OWNER/OPERATOR AGREEMENT This agreement made this day of 2022, between ACTION EXPRESS INC / DBA ACEX 100 E Campus View Blvd, Suite 250 Columbus, OH 43235 (COMPANY) and (OWNER/OPERATOR). It is expressly agreed that Owner/Operator shall always be acting as an independent contractor in performing any services for ACTION EXPRESS INC DBA ACEX. ACTION EXPRESS INC / DBA ACEX shall carry no worker’s compensation insurance, or any health or accident insurance to cover Owner/Operator, or any of his drivers. ACTION EXPRESS INC DBA ACEX shall not pay any contribution to social security, unemployment insurance, federal or state withholding taxes, nor provide any other contributions which might be expected in an employer-employee relationship. Owner/Operator agrees to report and pay any necessary amounts for worker’s compensation, taxes, unemployment insurance, social security, health insurance and other benefits for himself and his drivers, and indemnify, defend and hold harmless ACTION EXPRESS INC DBA ACEX. All Owner/Operators agree that as to any work obtained through ACTION EXPRESS INC DBA ACEX he will not discriminate against any driver or applicant for employment by reason of race, creed, color, sex or national origin, or any protected group. In this agreement you are not held obligated to work exclusively for ACTION EXPRESS INC DBA ACEX. However, if you choose to, you will be provided additional agreement to sign. I. BASIC REQUIREMENTS: A. YOU AND YOUR DRIVERS ARE NOT EMPLOYEES OF ACTION EXPRESS INC DBA ACEX. B. YOU MUST PROVIDE A CERTIFICATE OF INSURANCE SHOWING ACTION EXPRESS INC DBA ACEX AS ADDITIONAL INSURED Must be an Accord form. Commercial Auto Coverage: Trucking for Hire Operations. $1,000,000 Primary Liability Commercial Auto CSL. $100,000 Broad from Cargo with $1,000 deductible maximum. Unlimited Radius of Operations (Full time with NO radius coverage restrictions) 200, 300 or 500 miles radius with a few runs outside this radius per year is NOT acceptable. Certificate must also show listed Vehicles (Year, Make, VIN #) as well as all listed drivers. C. YOU AND YOUR DRIVER(S) MUST ALL BE OVER THE AGE OF 21. D. ALL DRIVERS MUST BE APPROVED AND REGISTERED WITH ACTION EXPRESS INC DBA ACEX PRIOR TO ACCEPTING A LOAD. E. YOU AND YOUR DRIVER(S) MUST NOT HAVE A DUI IN THE PAST 10 YEARS. F. YOU MUST PROVIDE A DRIVING RECORD FOR 10 YEARS. G. MUST HAVE A VALID DRIVER LICENSE FROM STATE OF RESIDENCE. H. MINIMUM OF 6 MONTHS OVER THE ROAD DRIVING EXPERIENCE FOR ALL CARGO VANS, SPRINTER VANS AND SMALL STRAIGHT BOX TRUCKS (UNDER 10,000 GVW). I. MUST OWN A NATIONWIDE COVERAGE SMARTPHONE (iOS <iPhone> OR ANDROID) AND KNOW HOW TO OPERATE IT. J. MUST OWN AND KNOW HOW TO OPERATE A GPS SYSTEM. Initials II. A. B. C. D. E. F. G. H. I. J. VEHICLE REQUIREMENTS: ALL VEHICLES MUST BE YEAR 2008 OR NEWER. MAINTENANCE MUST BE DONE REGULARLY. VEHICLES WITH PAPER PLATES ARE NOT ACCEPTED. MUST HAVE “FOR HIRE” OR “COMMERCIAL” PLATE. TEMPORARY REGISTRATION WILL NOT BE ACCEPTED. ALL VEHICLES MUST HAVE A MINIMUM OF 4 STRAPS. ALL DECALS MUST BE REMOVED UNLESS THE COMPANY IS UNDER YOUR AUTHORITY. IF YOU CHANGE THE VEHICLE YOU ARE SET UP WITH, YOU MUST LET THE COMPANY KNOW PRIOR TO PUTTING THE VEHICLE ON THE ROAD. YOU MUST SEND NEW REGISTRATION AND INSURANCE FOR THAT VEHICLE. IF AT ANY REASON YOUR TRUCK HAS ANY SIGN WITH LOGO OF ANOTHER COMPANIES THAT WILL CAUSE IMIDDIATE $300 FINE AND TERMINATION UNTILL PROBLEM IS RESOLVED. III. GENERAL INFORMATION: A. ACTION EXPRESS INC DBA ACEX RATE PER LOADED MILE (BASE PRICE) AS FOLLOWS Cargo Van $0.75-$0.80. Sprinter/Cube Van $0.80-$0.85. Small Straight $0.90-$1.00. Large Straight $1.25-$1.50. The distance is measured form zip to zip, not from address to address. Empty Miles are paid after 100 miles, rate per mile will be negotiated at the time of initial offer, not after. Rates are negotiable. B. PRICE MUST BE DISCUSSED BEFORE YOU AGREE FOR A BID TO BE PLACED ON THE LOAD, WHICH INCLUDE BUT IS NOT LIMITED TO Extra pay for tolls. Extra cents per mile due to the load exceeding your weight limit. Short distance. C. ACTION EXPRESS INC DBA ACEX WILL NOT PAY MORE IF EXTRA PALLETS/SKIDS ARE ADDED AT THE SHIPPER AND IF FITS IN THE VEHICLE. YOUR EARNINGS ARE PER MILE, NOT PER POUND. THEREFORE, IF THE SHIPMENT WAS CHANGED AND THE NEW WEIGHT OR VOLUME FITS IN THE VEHICLE (AND CORRESPONDS TO THE PAYLOAD PROVIDED IN THE INITIAL AGREEMENT) - THE UNIT MUST TAKE THE SHIPMENT. OTHERWISE IT RISKS TERMINATION OF RELATIONSHIP WITH ACTION EXPRESSINC. D. DRIVERS AND OWNERS ARE RESTRICTED FROM DISCUSSING PRICING WITH SHIPPERS OR RECEIVERS. ANY LINE OF QUESTIONING TO EITHER, SHARE THE DRIVER PAY WITH SHIPPER/RECEIVER OR TO INQUIRE HOW MUCH THIS LOAD WAS BOOKED FOR, WILL RESULT IN IMMEDIATE CONTRACT TERMINATION. E. SUBJECT TO CASE-BY-CASE NEGOTIATION AND APPROVAL BY CUSTOMER. Initials F. YOU MUST CHECK IN EVERY MORNING MONDAY-SATURDAY BETWEEN 06:00am – 08:00am EASTERN TIME You can CALL or TEXT our main office number 718 360-9258 to provide your available location and time for the day. You will also receive a text message between 06:00am – 08:00am to provide an update. If you are not available that day you are also required to check in and let the dispatch know you are off service that day. If you are going to be off for a period of time (2-3 days, 1 week to a month), let the dispatcher know and we will not ask you to provide updates during that time. G. IF YOU WORK WITH OTHER COMPANIES AND YOU RECEIVE A LOAD FROM THEM, CALL OUR OFFICE IMMEDIATELY AFTER RECEIVING THE LOAD TO PUT YOURSELF OFF SERVICE. H. CALL OFFICE BEFORE YOU CHANGE YOUR LOCATION. I. IF DISPATCHER FINDS YOU A LOAD, HE WILL CALL AND OFFER IT TO YOU. IT IS IN YOUR BEST INTEREST TO LET THE DISPATCHER KNOW AS FAST AS YOU CAN IF YOU ACCEPT THE LOAD. IF YOU AGREE TO THE BID, YOU WILL BE OBLIGATED TO KEEP YOURSELF RESERVED FOR THIS OFFER FOR A MINIMUM TIME OF 15 MINUTES. IF THE BID IS AWARDED, YOU WILL BE NOTIFIED BY THE DISPATCHER. HE WILL THEN TEXT YOU PICK UP AND DELIVERY INFORMATION. YOU ARE TO CALL THE OFFICE NUMBER OR TEXT BACK THAT SAME NUMBER TO CONFIRM YOU RECEIVED THE INFORMATION. J. WHEN UNDER ACTION EXPRESS INC DBA ACEX LOAD Call upon arrival for pick up (as soon as you arrive to the building). Make sure your bed is rolled up and belongings are picked up and stored neatly. If unable to roll up the bed, cover the sleeping area with dropdown curtain. Call once loaded (number of pallets, total weight, BOL number). Do not leave the shipper until you have called the office and the dispatcher confirmed the pickup information and gave you an GOOD TO GO to leave. Freight must be strapped. Call upon arrival for drop off (as soon as you arrive to the building). Call once dropped off with POD (first and last name of the person who signed for the freight). If you are running late, you must let the dispatcher know as soon as you see you will be late, not when you are already late. If the shipper tells you to hand load/unload the freight, you are required to call the office and let the dispatcher know before you start doing anything. In order to get paid for the labor, dispatcher has to give you an OK from the broker to do the job. If you load or unload the freight without letting the dispatcher know, you will not get paid for the labor. Your delivery time is what is set by a DISPATCHER, not a SHIPPER. If the shipper tells you the load has been canceled you are to call the dispatcher and ask him whether it is truly canceled before you can leave. If the shipper tells you to unload elsewhere, you are to call the dispatcher before you can move. NEVER leave anything of yours at the shipper that includes throwing away any trash especially tires in their dumpsters. NEVER put anything on top of the pallets/boxes that you are loaded with. All expenses caused by printing and faxing paperwork are not refundable. You are not allowed to cancel any load got from ACTION EXPRESS INC DBA ACEX after text or verbal approval. That will follow with $200-$600 fine. Initials You are not allowed for any partial loads. Personal staffs are count as partial load, if toy have not advised us before booking load with pictures of those ataffs. It will cause 100% reduction for load made for ACTION EXPRESS INC DBA ACEX and termination. You are material responsible for load since get loaded till the very delivery (getting signed pod by reciever). K. 10%-25% REDUCTION WILL BE APPLIED FOR ANY PICK UP/DELIVERY FAILURE L. BILLS OF LADING MUST BE CLEAN AND FREE OF ANY NOTATIONS FROM RECEIVER SUCH AS: “DAMAGED FREIGHT”, “SUBJECT TO INSPECTION”, ETC. YOU ARE REQUIRED TO NOTIFY ACTION EXPRESS DBA ACEX IMMEDIATELY IF ANY NOTATIONS ARE WRITTEN ON THE BOL BY THE RECEIVER PRIOR TO LEAVING THE FACILITY. IV. PAYMENT: A. ALL BILL OF LADINGS MUST BE EMAILED TO: accounting@action-express.org VIA CS APP (CAMSCANNER) RIGHT AFTER DELIVERY. BOLs MUST BE IN PDF FORMAT ONLY. B. ALWAYS WRITE YOUR TRUCK # and a PRO NUMBER ON BOLs. INCLUDE YOUR TRUCK # IN EMAIL OR SUBJECT LINE. C. PAPERWORK MUST BE SENT IN A TIMELY MANNER. PAPERWORK RECEIVED MORE THAN 15 DAYS PAST THE DATE THE LOAD WAS COMPLETED ON WILL BE ASSESSED A 15% PENALTY PER 30 DAYS LATE. D. YOU MUST SEND POD IN A GOOD QUALITY WITHIN 2 HOURS AFTER DROP. OTHERVISE THAT WOULD BE $100 PENALTY. E. ALL ORIGINAL BILL OF LADINGS MUST BE SEND TO THE ACTION EXPRESS INC DBA ACEX ADRESS AFTER THE DAY OF DELIVERY AND THEN DISCARDED. DIRECT DEPOSIT IS EVERY FRIDAY IF ALL PAPERWORK IS RECEIVED MIDNIGHT EST OF THE BUSINESS DAY SUNDAY EACH WEEK. Payment Option You can always choose payment option. Just let us know once freight is delivered. 1)pay Quick payment (1-5 working days) 2% 1) Quick (1-3(1-2 working days) -3% 1)Quick Pay working days)-3% 2) Standard payment 2) Standard (10(every working days) (10-14 working days) 2) Regular Friday)-0% BY SIGNING THIS AGREEMENT, I ACKNOWLEDGE THAT I FULLY ACCEPT AND UNDERSTAND ALL OF THE ABOVE REQUIREMENTS OF AN OWNER/OPERATOR FOR ACTION EXPRESS INC / DBA ACEX. ACTION EXPRESS INC DBA ACEX OWNER/OPERATOR SIGNATURE SIGNATURE --------------------- PRINT NAME PRINT NAME -------------------- TITLE------------------------------- TITLE DATE DATE ------------------------------Initials Request for CERTIFICATE OF INSURANCE Additional Insured: ACTION EXPRESS INC / DBA ACEX 100 E Campus View Blvd Suite 250 Columbus, OH 43235 Insurance coverage and limits required: Commercial Auto Coverage: Trucking for Hire Operations. $1,000,000 Primary Liability Commercial Auto CSL. $100,000 Broad Form Cargo with $1,000 deductible max. Unlimited Radius of Operations. Certificates must also show listed Vehicles (Year, Make, VIN #) as well as all listed drivers. !!!!!!!!!! Insurance of cargo is necessary, In case of damage to the cargo, if the owner/operator does not have insurance of cargo, she/he would take 100% responsibility !!!!!!!!! Initials Accessorial Charges: • Detention - waiting time to be loaded/unloaded: first 2 hours from the time indicated on the rate confirmation - free, other time - $15/hour for sprinter, $20/hour for small straight, $25/hour for large straight. • Layover – waiting till morning to be loaded/unloaded - $75 for sprinter, $100 for small straight, $150 for large straight. • Hand load/unload – depends on weight: under 500 lbs. - $50, 500-1000 lbs. - $75, other cases shall be discussed with the dispatcher. • Document’s printing – please add that charge to the rate before going to the pickup (Canada shipments, airport pickups). • TONU – cancel of shipment. If the TONU occurs more than 2 hours prior to pick – no payment shall apply. Otherwise - $75 for sprinter, $100 for small straight, $150 for large straight. Initials DRIVER INFORMATION FIRST & LAST NAME ADDRESS CELL EMERGENCY CONTACT E-MAIL BIRTH DATE DRIVER'S LICENSE AND STATE LICENSE`S CLASS DRIVER'S LIC. EXPIRES CAN CROSS US/CAN BORDER HAZMAT CERTIFIED TSA CERTIFIED TWIC CERTIFIED TYPE OF ID (passport, green card, work permit) Initials TRUCK INFORMATION MAKE MODEL VIN NUMBER LICENCE PLATE YEAR STATE PAYLOAD (lbs) CARGO LENGTH (IN) CARGO WIDTH (IN) CARGO HEIGHT (IN) DOOR WIDTH (IN) DOOR HEIGHT (IN) DOCK HIGH (YES/NO) AIR RIDE (YES/NO) TEMPERATURE CONTROL (YES/NO) LIFT GATE (YES/NO) PALLET JACK (YES/NO) CAN CROSS US/CANADA BORDER (YES/NO) TEAM (YES/NO) Initials ACTION EXPRESS INC / DBA ACEX & Owner/Operator Payroll Electronic Funds Transfer Authorization and Remittance Address Form (EFT/ACH) The Action's Electronic Funds Transfer Authorization and Remittance Address Form (EFT/ACH) must be completed in its entirety in order to settle transactions for payment. Transmission will be initiated on the due date as determined by the terms and conditions of your agreement with Action Express INC DBA ACEX. You must verify that your bank will provide you with these payment details and also that your account accepts EFT. IMPORTANT INSTRUCTION: The remittance address field must contain the address where the payment information will be sent. The Physical address field must contain the address where the 1099 will be sent at the end of the year. The EIN or SSN provided must match the number that the bank account was opened with. The 1099 will be sent to that individual with his or her name as the recipient. If you there is a change to your bank account, address, name of recipient EIN/SSN, etc. it is your responsibility to notify Accounts Payable and you must complete another form of authorization. REQUIRED - Payee / Company Information Company Name/Adress: _ Owner Name/Adress: SSN: or EIN: Phone Number: E-mail Address: City: State: Zip Code: REQUIRED - Current Financial Institution Information Bank Name: Checking Account Number: Checking Routing Number: City: State: Zip Code: Initials Form Request for Taxpayer Identification Number and Certification W-9 (Rev. October 2018) Department of the Treasury Internal Revenue Service ▶ Give Form to the requester. Do not send to the IRS. Go to www.irs.gov/FormW9 for instructions and the latest information. 1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank. Print or type. See Specific Instructions on page 3. 2 Business name/disregarded entity name, if different from above 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the following seven boxes. Individual/sole proprietor or single-member LLC C Corporation S Corporation Partnership 4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3): Trust/estate Exempt payee code (if any) ▶ Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) Note: Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single-member LLC that is disregarded from the owner should check the appropriate box for the tax classification of its owner. Other (see instructions) ▶ 5 Address (number, street, and apt. or suite no.) See instructions. Exemption from FATCA reporting code (if any) (Applies to accounts maintained outside the U.S.) Requester’s name and address (optional) 6 City, state, and ZIP code 7 List account number(s) here (optional) Part I Taxpayer Identification Number (TIN) Social security number Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter. – – or Employer identification number – Part II Certification Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. I am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later. Sign Here Signature of U.S. person ▶ Date General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Future developments. For the latest information about developments related to Form W -9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9. Purpose of Form An individual or entity (Form W -9 requester) who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns include, but are not limited to, the following. • Form 1099-INT (interest earned or paid) Cat. No. 10231X ▶ • Form 1099-DIV (dividends, including those from stocks or mutual funds) • Form 1099-MISC (various types of income, prizes, awards, or gross proceeds) • Form 1099-B (stock or mutual fund sales and certain other transactions by brokers) • Form 1099-S (proceeds from real estate transactions) • Form 1099-K (merchant card and third party network transactions) • Form 1098 (home mortgage interest), 1098-E (student loan interest), 1098-T (tuition) • Form 1099-C (canceled debt) • Form 1099-A (acquisition or abandonment of secured property) Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN. If you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later. Form W-9 (Rev. 10-2018)