,the Owner & or the Driver of Truck#

of (the carrier) a licensed Motor

Carrier, MC# ,

and/or DOT#,

;hereby grants authorization to Mecca

Logistics, LLC. to act as my agent for the sole purpose of searching for and booking shipments, processing all brokerage
paperwork and obtaining Certificates of Insurance as required in order to expedite shipments and dispatch via telephone, fax
or e-mail for my truck, Unit#

License Plate#,

in the state of,

All billing, invoicing and collections of revenue from customers, brokers,

shippers, consignees, etc- are the sole responsibility of the carrier. If revenue for a shipment or shipments are uncollectible, Mecca Logistics, LLC will be held harmless and no penalty or deduction of fees will be made. The carrier agrees to maintain all proper licenses and permits to conduct business as a motor carrier in the area of intended operation. Additionally, carrier agrees to maintain liability and cargo insurance at the amounts set forth by the home state of the carrier. Mecca Logistics, LLC will be held harmless in the event of any and all claims. The carrier agrees to maintain an account with a ( load board service), in the name of the carrier, with Mecca Logistics, LLC. as the point of contact for dispatching purposes.

The fee for dispatch services will be

% of the gross revenue of each shipment with no minimum

charge. Loads are picked up, an amount equal to the above stated percentage will be payable to Mecca Logistics, LLC. Payments can be made via: Paypal, Debit / Credit Card or Invoice App. Processed by Paypal Invoices.
Please provide your Cell Phone #:

Email:

Either party has the right to end this agreement without cause at any time with seven (7) days’ notice by written request. Upon cancellation, any unused funds remaining in the deposit account will be refunded to the carrier within two (2) business days without penalty.
By signing below, I fully understand the terms of this agreement.
Company:
Signature:



Date:

Print name:

Consent*

1. I authorize Mecca Logistics, LLC to complete all broker Carrier Packets and Rate Confirmations on my behalf
2. I consent to having the Carrier Packets and Rate Confirmations completed by Mecca Logistics,
LLC on my behalf.

OTHER DOCUMENTS NEEDED

Please email copies of your W9, MC Authority letter and Certificate of Insurance to
steven@meccalogisticsllcusa.com.

Thank you.

Dispatcher Mecca Logistics, LLC