Established in 2006, serving US and Canada with TL, LTL. Our team working 24/7 to provide all the support that you need.
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1 Mailing Address :- PO Box 4 Syosset, NY, Phone : / Fax : Website :- Corporate HQ:- 68 S Service Suite #100, Melville, NY, (A freight broker with a commitment to Excellence, Individual Dignity and Service) Company information MC # SCAC Code # ALBG USDOT Number # Blue Book # Federal ID # DOS ID # Member of TIA, IANA, T & LC and Cargo net. Rating on ITS :- 32 Days/ A - Low/Minimal Risk (Highest Rating Possible) Company Facts Established in 2006, serving US and Canada with TL, LTL. Our team working 24/7 to provide all the support that you need. Insurance Details Account Details Commercial general liability : $ 2,000,000 - Aggregate Contingent cargo liability : $250,000 - Occurrence Contingent auto liability : $1,000,000 - Aggregate Errors & omissions : $250,000 - Aggregate Policy expiration date : 11/27/2015 Remittance address: PO Box New York, NY, ACH/ Wire details. Available on request.
2 Shipper Packet Contents Attention: New Customer/Shipper I. Freight Brokerage Services Agreement II. Credit Application Form III. TIA Certificate IV. Operating Authority V. Certificate Of Liability Insurance VI. W9 Form Important Contacts: Operations Manager: Mike Hopes X 116 Accounts Manager: Mac White X 105 Accounts Payables/Receivables: Austin Warner X 131 Accounts address: accounting@alg.us.com Please fax back signed agreement and Credit application to or it to concerned person. Thank You
3 FREIGHT BROKERAGE SERVICES AGREEMENT This Freight Brokerage Services Agreement, ("Agreement") dated 20 is made between American Executive Group, Inc. d/b/a American Logistics Group ("BROKER ") 68 South Service Road, Suite 100, Melville, NY and, having offices at ( SHIP PER ); individually Party and collectively, the Parties. RECITALS 1. Broker warrants that it is licensed as a Property Broker by the Federal Motor Carrier Safety Administration (FMCSA), Docket Number MC B, and as a licensed broker, arranges for freight transportation. A copy of Broker's authority is attached as Exhibit A, and a copy of Broker's Surety Bond or trust fund agreement is attached as Exhibit B; and 2. Shipper desires to utilize the services of property brokers to arrange for the transportation of Shipper's freight; 3. Broker desires to perform property brokerage services for Shipper, subject to the terms and conditions set forth below. Therefore, in consideration of the promises set forth below, the parties agree as follows: A. TERM. AGREEMENT The term of this Agreement shall be one (1) year, commencing on the date shown above, and shall automatically renew for successive one year periods; provided that either Party may terminate this Agreement on 30 days written notice to the other Party, with or without cause, or as otherwise provided in this Agreement. It is agreed among the Parties that this agreement voids all previous contracts/agreements among the parties as to the brokerage services or any related services contemplated herein. B. FREIGHT BROKERAGE SERVICE. Shipper shall, from time to time, tender to Broker freight for shipment. Broker agrees to arrange for transportation of Shipper's freight pursuant to the terms and conditions of this Agreement and in compliance in all material respects with all federal, state and local laws and regulations relating to the brokerage of the freight covered by this Agreement. Broker agrees that it has entered into contracts with all of its carriers prohibiting the co-brokerage or re-brokerage of any freight covered by this agreement without the express written permission of Shipper and Broker, respectively. Shipper agrees that Broker will not be held responsible for any damages or claims arising out of a carrier s violation of Broker-carrier agreements.
4 C. RATES AND PAYMENT. 1. It is agreed among the parties that Rates for the transportation of Shipper's goods will be established by confirmation and/or through the Load and Rate Confirmation Document provided by Broker. By tendering the load to the Broker, whether or not the Rate and Load Confirmation is signed by Shipper, Shipper agrees to be bound by that rate provided by the Broker. Shipper also agrees that it will be bound by the Terms of the Broker Shipper agreement which can be found at Broker shall invoice Shipper, for its services in accordance with the rates established herein. Shipper agrees to pay Broker invoice within thirty (30) days of receipt of Broker's invoice. 2. SHIPPER agrees to pay BROKER S face invoice within 30 days of receipt, despite any loss of cargo claims or other claims against carrier or any other party, including the invoice related to any claim. SHIPPER agrees there will be no set offs or deductions from BROKER S invoice and each invoice will remain independent of each other, despite an alleged claims. BROKER will charge and SHIPPER agrees to pay interest at one percent per month for delayed amount. SHIPPER also agrees to pay all collection fees expended by BROKER, including but not limited to the reasonable cost of attorney fees and all related court costs. D. VOLUME. 1. SHIPPER agrees to tender a minimum of three (3) shipments per year to BROKER, and BROKER agrees to arrange for the transportation of said shipments, as well as any other shipments offered by SHIPPER. SHIPPER is not restricted from tendering freight to other brokers, freight forwarders, third-party logistics providers, or directly to motor carriers. BROKER is not restricted from arranging transportation of freight for other parties. 2. SHIPPER shall be responsible to BROKER for: Timely and accurate Bill of Ladings, delivery specifications, delivery receipts, and description of the cargo, including, but not limited to, dimensions, weight, any special handling or security requirements, and employing reasonable security protocols to reduce the risk of cargo theft. SHIPPER agrees to indemnify, hold harmless and defend BROKER as a result of any claims made due to an inaccuracy in the Bill of Lading, delivery specifications and description of the cargo, including, but not limited to, dimensions, weight, any special handling or security requirements, and employing reasonable security protocols to reduce the risk of cargo theft. E. MOTOR CARRIER CONTRACTS. 1. Broker warrants that it has entered into, or will enter into, bilateral written contracts with each Carrier it utilizes in the performance of this Agreement. Broker further warrants that those contracts comply with all applicable federal and state regulations and shall include (but not be limited to) the substance of the following terms: a. Carrier shall comply with all applicable federal, state and local laws relating to the
5 provision of its services including, but not limited to: transportation of Hazardous Materials, (including the licensing and training of drivers), as defined in 49 C.F.R , 173, and 397 et seq. to the extent that any shipments hereunder constitute Hazardous materials; security regulations; owner/operator lease regulations; loading and securement of freight regulations; implementation and maintenance of driver safety regulations including, but not limited to, hiring, controlled substances, and hours of service regulations, sanitation, temperature, and contamination requirements for transporting food, perishable, and other products, qualifications and licensing and training of drivers; implementation and maintenance of equipment safety regulations; maintenance of control of the means and method of transportation including, but not limited to, performance of its drivers; and all applicable insurance laws and regulations, including, but not limited to, workers' compensation. b. Carrier will not re-broker, assign, or interline the shipments. 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 payments to the Carrier. Upon Broker's payment to delivering carrier, Carrier shall not be released from any liability to Broker under this Agreement. Shipper agrees that Broker will not be held responsible for any damages or claims arising out of a carrier s co-brokerage or re-brokerage in violation of Broker s agreements. c. Carrier shall agree to defend, indemnify and hold Broker and Shipper harmless from all damages, claims or losses arising out of its performance of the Agreement, including cargo loss and damage, theft, delay, damage to property, and personal injury or death. d. Carrier shall agree that its liability for cargo loss or damage shall be determined by 49 USC (the Carmack Amendment). Exclusions in carrier's insurance coverage shall not exonerate carrier from this liability. e. Carrier shall agree to maintain at all times during the term of the contract, insurance coverage with limits not less than the following: Auto Liability: $1 Million Cargo Liability: $100, Worker'sCompensation: As required by law. f. Carrier shall agree that the provisions contained in 49 CFR et seq. shall govern the processing of claims for loss, damage, injury or delay to property, with the exception of salvage. CARRIER MUST AGREE TO WAIVE ALL RIGHT OF SALVAGE. The value of any product salvaged by the Shipper will be credited to Carrier. g. If Broker has not paid Carrier's undisputed invoice as agreed, and Carrier has
6 complied with the terms of this Agreement, Carrier may seek payment from the Shipper or other party responsible for payment after giving Broker 30 (business days) advance written notice. Carrier shall not seek payment from Shipper or any other Party responsible for payment if Shipper or such other Party can prove payment to Broker. h. Carrier agrees that at no time during the term of this contract with Broker, shall it have an "Unsatisfactory" safety rating as determined by the Federal Motor Carrier Safety Administration (FMCSA), and that it has no knowledge of any threatened or pending interventions by FMCSA; if carrier receives an "Unsatisfactory" safety rating, or a rating has changed from "Satisfactory" to "Conditional", it shall immediately notify Broker and shall not transport any freight hereunder without Broker's prior written consent. The provisions of this paragraph are intended to include safety rating designations which may replace those above, which are subject to change by FMCSA at any time. i. Carrier shall agree that the terms and conditions of its contract with Broker shall apply on all shipments it handles for Broker. Any terms in a tariff that are referenced which are inconsistent with the contract shall be subordinate to the terms of the contract. j. Carrier shall expressly waive all rights and remedies under Title 49 U.S.C., Subtitle IV, Part B to the extent they conflict with the contract. F. RECEIPTS AND BILLS OF LADING. 1. If requested by SHIPPER, BROKER agrees to provide SHIPPER with proof of acceptance and delivery of shipments in the form of a signed Bill of Lading or Proof of Delivery via US Mail, courier, or electronically by fax or . BROKER will not be held responsible for CARRIER s failure to obtain any requested documentation regarding delivery. SHIPPER s insertion of BROKER s name on the bill of lading shall be for SHIPPER convenience only and shall not change BROKER s status as a property broker. 2. The terms and conditions of any freight documentation used by BROKER or carrier selected by BROKER may not supplement, aler, or modify the terms of this Agreement. Consignee cannot refuse Shipment unless it is claimed to be undervalued, damages shortage. If claim is going to be made as to this, review and documentation must be provided immediately. Shipper must follow law required to file said claim. G. CLAIMS. 1. SHIPPER must file all claims for cargo loss or damage directly with CARRIER for such loss, shortage or damage. Cargo liability for any one shipment shall not exceed $100,000, unless BROKER is notified by SHIPPER of the increased value prior to shipment pickup and with reasonable advance notice to allow the BROKER to advise carrier to procure additional insurance coverage. Broker, at its own discretion, may assist Shipper in the filing and/or processing of claims with the carrier. If payment of claim is made by Broker to Shipper, Shipper automatically assigns its rights and interest in the claim to Broker.
7 2. SHIPPER must file any civil action against BROKER within two (2) years from the date the SHIPPER or BROKER provides written notice to carrier and carrier has disallowed any part of the claim. H. INSURANCE. BROKER agrees to procure and maintain at its own expense, at all times during the term of this Agreement, the following insurance coverage amounts: A. Comprehensive general liability insurance $1,000, covering bodily injury and property damage B. Contingent Cargo Insurance $250, C. Errors and Omissions Insurance $250, D. Contingent Auto Liability or Hired and Non-owned Auto Liability Insurance $ Broker shall submit to Shipper a certificate of insurance as evidence of such coverage. I. SURETY BOND. Broker shall maintain a surety bond or trust fund agreement as required by the Federal Motor Carrier Safety Administration. J. DEFAULT. This Agreement and any and all rights of Broker and any and all obligations of Shipper shall immediately terminate without notice to Broker, upon occurrence of any of the following: (a) the cessation by Broker of its business, or unofficial or de facto cessation thereof, (b) the insolvency of Broker, (c) the filing by or against Broker of a voluntary or involuntary petition pursuant to any present or future act of the United States on the subject of bankruptcy, which petition is consented to by Broker or has not been dismissed within thirty (30) days after such filing, (d) the assignment of this Agreement to another party in violation of this Agreement, (e) the sale or transfer of substantially all of Broker's assets to another party, or (f) Broker's repeated quality or service deficiencies. Either party may immediately terminate this Agreement upon giving fifteen (15) days written notice to the breaching party identifying specifically the basis for such notice for breach of a material term of this Agreement, provided that the breaching party shall not have cured such breach within the applicable fifteen (15) day period. K. INDEMNIFICATION. Subject to and not beyond the monetary insurance limits contained in this agreement, BROKER and SHIPPER shall defend, indemnify and hold each other harmless from and against any claims actions or damages, including, but not limited to cargo loss, damage, or delay and payment of rates and/or accessorial charges to carriers, arising out of their own
8 respective performances under this Agreement. L. ASSIGNMENT/MODIFICATIONS OF AGREEMENT. Neither party may assign or transfer this Agreement, in whole or in part, without the prior written consent of the other party. No amendment or modification of the terms of this Agreement shall be binding unless in writing and signed by the Parties. M. SEVERABILITY/SURVIVABILITY. In the event that the operation of any portion of this Agreement results in a violation of any law, or any provision is determined by a court of competent jurisdiction to be invalid or unenforceable, the Parties agree that such portion or provision shall be severable and that the remaining provisions of the Agreement shall continue in full force and effect. The representations and obligations of the Parties shall survive the termination of this Agreement for any reason N. INDEPENDENT CONTRACTOR. It is understood between Broker and Shipper that Broker is not an agent for the carrier or Shipper and shall remain at all times an independent contractor. Shipper shall not exercise or retain any control or supervision over Broker, its operations, employees, or contracted carriers. Shipper is not restricted from tendering freight to other brokers, freight forwarders, third-party logistics providers, or directly to motor carriers. Broker is not restricted from arranging transportation of freight for other parties. This Agreement does not create a partnership, joint venture, or other similar business association between Broker and Shipper. O. WAIVER. The failure of either party at any time to require performance by the other party of any provision of this Agreement shall in no way affect the right to require such performance at any time thereafter, nor shall the waiver of either party of a breach of any provision of this Agreement constitute a waiver of any succeeding breach of the same or any other provision. P. NOTICES. Unless the Parties notify each other in writing of a change of address, any and all notices required or permitted to be given under this Agreement shall be in writing (or fax with machine imprint on paper acknowledging successful transmission) and shall be addressed as to Broker as follows: American Executive Group, Inc. d/b/a American Logistics Group, PO Box 4, Syosset, New York Upon tendering load to Broker s Carrier through Broker, Shipper agrees that Any and all terms identified on BROKERs website (the Website ) related to broker-shipper agreement are hereby incorporated by reference into this agreement. Anydiscrepancies between Website and this agreement, the Website will control.
9 Q. CHOICE OF LAW AND VENUE. All questions concerning the construction, interpretation, validity and enforceability of this Agreement shall be governed by, construed and enforced in accordance with the laws of the State of New York, without giving effect to any choice or conflict of law provision or rule that would cause the laws of any other jurisdiction to apply. The state courts of New York shall have exclusive jurisdiction of any dispute arising out of this Agreement. 17. CONFIDENTIALITY. It is understood and agreed that the contents of this Agreement and any other proprietary information or trade secrets of any party which may be made available from time to time and related thereto are confidential and shall not be divulged, except, as may be necessary, to the parties' affiliates or as required by applicable law or regulation. Broker will hold confidential and not disclose to any third party without written consent and not use for its own purposes outside the provision of Services under this Agreement, any information regarding Shipper or Shipper's business. Shipper will keep Broker's rates confidential and Broker agrees to keep confidential its rates to Shipper. The parties' obligations and duties hereunder shall survive any termination or expiration of this Agreement. 18. SOLICITATION. From the effective date of this Agreement and for the duration of any Shipper Agreement, Broker agrees not to solicit business directly from the Shipper. 19. INTERPRETATION. The language of this Agreement shall be construed according to its fair meaning and shall not be construed against the party or parties drafting it. 20. ENTIRE AGREEMENT. This Agreement and all Addenda constitute the entire Agreement between the parties with respect to the subject matter and supersede any prior or contemporaneous agreement, understanding or representation of the parties with respect to the subject matter. In witness of the above, the Parties have caused this Agreement to be executed in their respective names by their authorized representatives as of the dates first above written: BROKER SHIPPER American Executive Group, Inc. d/b/a American Logistics Group 68 South Service Road, Suite 100 Melville, New York Signed Bal winder Singh Printed Name CEO Title Signed Printed Name Title
10 EMPLOYEE NAME: DATE SUBMITTED: CREDIT APPLICATION COMPANY NAME: CREDIT CONTACT: ADDRESS: REMIT ADDRESS: CITY: CITY: STATE/ZIP: STATE/ZIP: WEBSITE: PHONE: PHONE: FAX: FAX: COMPANY CREDIT DETAILS # OF EMPLOYEES: D&B # YEAR ESTABLISHED: FED TAX ID NUMBER: D&B RATING: COMPANY TYPE: WHAT ARE REQUIRED BILLING DOCUMENTS? CORPORATE PRINCIPALS, PARTNERS, OWNERS NAME: TITLE: Ownership %age: ADDRESS: NAME: TITLE: Ownership %age: ADDRESS: OPEN ACCOUNTS TRADE REFERENCES CREDITOR: PHONE: CONTACT: CREDITOR: PHONE: CONTACT: BANK REFERENCES BANK NAME: PHONE: C ONTACT BANK NAME: PHONE: C ONTACT: Unless otherwise agreed, Carrier's maximum liability for cargo loss or damage shall be $2.50 per pound, subject to a $100,000 truckload maximum. Carriers selected by Broker shall be named on the bill of lading as the Carrier of record. AMERICAN LOGISTICS GROUP shall be shown as a third party bill to. General Principles of federal transportation law shall apply. I certify that I am an authorized representative and fully charged with the ability to sign, agree to and submit this application for credit. In addition, you authorize AMERICAN LOGISTICS GROUP to make any and all inquiries necessary to process this application. I understand that terms are 30 days upon receipt of invoice and that in the event that collection actions are necessary, the creditor reserves the right to designate the venue for any legal proceedings. I, hereby, also personally stand guarantee for the payments owe to American Executive Group, Inc. dba American Logistics Group. Unpaid balances over 45 dayscould be subject to interest charges. I hereby authorize the above references to provide desired account/credit information of our company to our vendor American Logistics Group. NAME: TITLE: SIGNATURE: DATE: Please provide copy of Driver s License and SSN of Guarantor.
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13 PRODUCER CERTIFICATE OF INSURANCE Integro Insurance Brokers Two Financial Center, 60 South St., Suite 800 Boston, MA Contact: Adam Green, Phone: , Fax: INSURED COVERAGES American Logistics Group 68 S Service Rd #100 Melville, NY DATE (MM/DD/YY) 11/20/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANY A COMPANIES AFFORDING COVERAGE Seneca Insurance Company COMPANY B Beazley Marine Insurance Syndicate 2623/623 COMPANY C COMPANY D 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. CO POLICY EFFECTIVE TYPE OF INSURANCE POLICY NUMBER LTR DATE -0b(MM/DD/YY) POLICY EXPIRATION DATE -0b(MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG. $ 1,000,000 A CLAIMS MADE X OCCUR. PERSONAL & ADV. INJURY $ CMP /27/ /27/2015 1,000,000 OWNER S & CONTRACTOR S PROT EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES $ 100,000 MED. EXPENSE (Any one person) $ 5,000 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIRED AUTOS NON-OWNED AUTOS BODILY INJURY (Per accident) $ LIMITS GARAGE LIABILITY AUTO ONLY EA ACCIDENT $ $ ANY AUTO OTHER THAN AUTO ONLY: B EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ WORKER S COMPENSATIONAND EMPLOYER S LIABILITY THE PROPRIETOR/ PARTNERS/EXECUTIVE OFFICERS ARE: OTHER ERRORS & OMISSIONS CONTINGENT CARGO LIABILITY CONTINGENT AUTO LIABILITY DESCRIPTIONS OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS WC STATU- TORY LIMITS OTH ER EACH ACCIDENT $ INCL DISEASE-POLICY LIMIT $ EXCL DISEASE-EACH EMPLOYEE $ W PNVE 11/27/ /27/2015 Limit: $250,000 Aggregate Limit: $250,000 Occurrence Limit: $1,000,000 Aggregate CERTIFICATE HOLDER American Logistics Group 68 S Service Rd #100 Melville, NY CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE
14 Form W-9 (Rev. August 2013) Department of the Treasury Internal Revenue Service Print or type See Specific Instructions on page 2. Name (as shown on your income tax return) American Executive Group, Inc. Business name/disregarded entity name, if different from above American Logistics Group Check appropriate box for federal tax classification: Request for Taxpayer Identification Number and Certification Individual/sole proprietor C Corporation S Corporation Partnership Trust/estate Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=partnership) Other (see instructions) Address (number, street, and apt. or suite no.) 68 S SERVICE RD 100 City, state, and ZIP code MELVILLE, NY List account number(s) here (optional) Give Form to the requester. Do not send to the IRS. Exemptions (see instructions): Exempt payee code (if any) Exemption from FATCA reporting code (if any) Requester s name and address (optional) Part I Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on the Name line to avoid backup withholding. For individuals, this is your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN on page 3. Note. If the account is in more than one name, see the chart on page 4 for guidelines on whose number to enter. Part II Certification Under penalties of perjury, I certify that: Social security number Employer identification number 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 on page 3. Sign Here Signature of U.S. person General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Future developments. The IRS has created a page on IRS.gov for information about Form W-9, at Information about any future developments affecting Form W-9 (such as legislation enacted after we release it) will be posted on that page. Purpose of Form A person who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) to report, for example, income paid to you, payments made to you in settlement of payment card and third party network transactions, real estate transactions, mortgage interest you paid, acquisition or abandonment of secured property, cancellation of debt, or contributions you made to an IRA. Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN to the person requesting it (the requester) and, when applicable, to: 1. Certify that the TIN you are giving is correct (or you are waiting for a number to be issued), 2. Certify that you are not subject to backup withholding, or 3. Claim exemption from backup withholding if you are a U.S. exempt payee. If applicable, you are also certifying that as a U.S. person, your allocable share of any partnership income from a U.S. trade or business is not subject to the Date 4/22/2015 withholding tax on foreign partners share of effectively connected income, and 4. Certify that FATCA code(s) entered on this form (if any) indicating that you are exempt from the FATCA reporting, is correct. Note. If you are a U.S. person and a requester gives you a form other than Form W-9 to request your TIN, you must use the requester s form if it is substantially similar to this Form W-9. Definition of a U.S. person. For federal tax purposes, you are considered a U.S. person if you are: An individual who is a U.S. citizen or U.S. resident alien, A partnership, corporation, company, or association created or organized in the United States or under the laws of the United States, An estate (other than a foreign estate), or A domestic trust (as defined in Regulations section ). Special rules for partnerships. Partnerships that conduct a trade or business in the United States are generally required to pay a withholding tax under section 1446 on any foreign partners share of effectively connected taxable income from such business. Further, in certain cases where a Form W-9 has not been received, the rules under section 1446 require a partnership to presume that a partner is a foreign person, and pay the section 1446 withholding tax. Therefore, if you are a U.S. person that is a partner in a partnership conducting a trade or business in the United States, provide Form W-9 to the partnership to establish your U.S. status and avoid section 1446 withholding on your share of partnership income. Cat. No X Form W-9 (Rev )
Established in 2006, serving US and Canada with TL, LTL. Our team working 24/7 to provide all the support that you need.
Mailing Address :- PO Box 4 Syosset, NY, 11791. Phone :- 716-337-5000/516-874-0909. Fax :- 716-772-3383 Website :- www.alg.us.com Corporate HQ:- 68 S Service Suite #100, Melville, NY, 11747. (A freight
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