Carrier PACKET

    BIG STAR BROKERAGE, INC
    PLEASE FILL OUT AND SEND US THE FOLLOWING INFO:
    • A COPY OF YOUR W9
    • CARRIER PROFILE FORM FILLED OUT (INCLUDED)
    • OUR BIG STAR BROKERAGE PACKET SIGNED AND FILLED OUT (INCLUDED)
    • A COPY OF YOUR OPERATING AUTHORITY (MC# CERTIFICATE)
    • CARGO INSURANCE MINIMUM OF $100,000.00
    • GENERAL LIABILITY INSURANCE MINIMUM OF
    • AUTOMOTIVE LIABILITY INSURANCE MINIMUM OF
    • A CERTIFICATE OF INSURANCE WITH BIG STAR BROKERAGE AS A CERTIFICATE HOLDER BIG STAR BROKERAGE INC 2311 Touhy Ave. Elk Grove Village, IL 60007
    A LEGIBLE COPY OF YOUR INVOICE, OUR RATE CONFIRMATION (SIGNED) ALONG WITH PROOF OF DELIVERIES AND ALL THE ACCESSORIAL CHARGES MUST BE SUBMITTED TO : ACC@BIGSTARBROKERAGE.COM.
    PLEASE DO NOT MAIL UNTIL REQUESTED STANDARD PAYMENT TERMS ARE 25 DAYS FROM THE DAY WE RECEIVE YOUR INVOICE. WE MUST HAVE A CLEAR COPY OF YOUR PROOF OF DELIVERY AND INVOICE.
    DO YOU USE A FACTORING COMPANY? IF SO, PLEASE PROVIDE INFORMATION.

    You need to fill form to recive pdf, all fields with "*" are required




    CARRIER PROFILE FORM

    The information provided on this Carrier Profile Form is referred to and integrated into the attached Contract Carrier Agreement.
    Carrier Information (all fields are required or must be marked “N/A”):



    Additional Dispatch Contacts:




    Accounting information:



    Questions About Your Company:





    Signature*
    To sign use your mouse or electric pen
    Initials*
    To sign use your mouse or electric pen

    AUTHORIZATION AGREEMENT FOR VENDOR PAYMENTS (ACH CREDITS)

    I (we) hereby authorize Big Star Brokerage hereinafter COMPANY, to initiate credit entries and to initiate, if necessary, debit entries and adjustments for any credit entries in error to my (our) Account as indicated below and the depository name below, hereinafter called DEPOSITORY, to credit and/or debit the same to such account.

    MARK ONE !!!




    This authority is to remailn in full force and effect until Big Star Brokerage has recived written notification from me (or either of us) of its termination in such time in such manner as to afford Big Star Brokerage and DEPOSITORY a reasonble opportunity to act on it.


    Signature*
    To sign use your mouse or electric pen

    Three Day Pay Program

    (OPTIONAL. Please only complete if you are interested in receiving Two Day Pay by ACH/Direct Deposit. There is a 5% fee associated with this program.)

    Our Three Day Pay Program allows you to receive faster payment than our standard terms in exchange for a 5% discount.
    5% discount will be taken from invoice total and all charges are subject to applicable discount. Invoices for Three Day Pay including all required backup documenta on must be emailed to acc@bigstarbrokerage.com . Invoices that are mailed or sent to an email address other than acc@bigstarbrokerage.com will s ll be processed for quickp ay but payment may be delayed. In some cases, Big Star Brokerage reserves the right to require original paperwork before payment by any method. If there is a rate discrepancy, Big Star Brokerage reserves the right to process payment for only the por on that was agreed upon per the rate confirma on and research the difference. Please note that it may take 48 - 72 business hours for payment to be deposited into your account and it could take up to three business days for your ini al setup in the Three Day Pay Program. All accoun ng related inquiries and past due invoices should be sent to acc@bigstarbrokerage.com for handling.
    Three Day Pay is NOT available for:

    (OPTIONAL. Please only complete if you are interested in receiving Two Day Pay by ACH/Direct Deposit. There is a 5% fee associated with this program.)

    Please fill out this form in full & return with a copy of a voided check. Forms submi ed without a voided check or a le er from the bank with corporate rou ng & account numbers will be rejected.

    I (we) hereby authorize Big Star Brokerage to ini ate credit entries to my (our) bank account indicated below at the depository financial ins tu on
    named below and to credit the same to such account. I (we) acknowledge that the origina on of ACH transac ons to my (our) account must comply
    with the provisions of U.S. Law.






    Remittance & No fica on Email(s): Please print clearly & legibly. List as many email addresses as needed.

    By signing below I authorize Big Star Brokerage to deduct the applicable discount and fees from my Company’s invoice. I understand the amount deducted is NOT refundable under any circumstances. I also understand should my Company wish to alter or discon nue par cipa on in the Three Day Pay Program, it will be necessary to make this request in wri ng by sending an email to acc@bigstarbrokerage.com The undersigned hereby affirms that they are authorized to sign on behalf of the Company and they have the full knowledge and consent of the other business principals in execu ng this agreement.



    *** Please send this form & a copy of VOIDED CHECK to acc@bigstarbrokerage.com
    To sign use your mouse or electric pen

    The user is required to add the following files (insurance, MC, W-9) in order to enter into a contract.
    Otherwise, we will contact you to send these files.

    Please attach files- max size 30mb
    A COPY OF YOUR W9 FORM
    A COPY OF YOUR OPERATING AUTHORITY (MC# CERTIFICATE)*
    CERTIFICATE OF INSURANCE*
    NOTICE OF ASSIGNMENT (IF USING A FACTORING COMPANY)