Step 1
The Client should only respond to verified contacts from the Company or the following trusted dispatch partners:
Dispatch Company Name:
Select Dispatch Company
QUARTERBACK TRANSPORTATION INC
Service Provider Representative
QUARTERBACK TRANSPORTATION INC
Date: May 25, 2026
Step 2
Please fill out the details for step 2.
Carrier Full Name:
Company Name (if applicable):
MC Number:
DOT Number:
Phone Number:
Purpose of Agreement
This Agreement outlines the terms and conditions under which the Company provides setup and logistics services to the Client, including but not limited to:
Dedicated freight lanes
Dispatch assistance
Trailer rental
TWIC card application support
Commercial insurance setup
Factoring registration
Access to high-paying loads through partnered shippers including Amazon & government contracts
Service Provider Representative
QUARTERBACK TRANSPORTATION INC
Date: May 25, 2026
Step 3
Please fill out the details for step 3.
Payment Terms
Payment is due prior to service activation
Payments may be processed via third-party accounts to enable same-day service
A digital receipt will be issued upon payment
Refund Policy
The $450 dedicated lane setup fee is refundable after the Client completes their first delivery arranged by the Company
Other service fees are non-refundable once service begins, as these are time-sensitive administrative tasks.
Refunds will be issued via the original payment method within 5-7 business days, if applicable
Client Responsibilities
The Client agrees to:
Provide accurate legal business and driver information
Maintain active authority (MC/DOT) and valid insurance, unless
Company is assisting with setup
Communicate in a timely and professional manner
Not engage in fraud, chargebacks, or misrepresentation
No Employer-Employee Relationship
This Agreement does not create an employment relationship. The Client is an independent carrier and assumes all responsibility for tax, insurance, regulatory compliance, and FMCSA obligations.
Authorized Communication Only
If contacted by any unauthorized third party, the Client must verify with the Company before sending payments or documents.
Limitation of Liability
The Company is not liable for:
Any loss of income due to delays, market rates, or missed loads
Legal or regulatory penalties due to false or missing information provided by the Client
Broker cancellations or third-party payment processing delays
Service Provider Representative
QUARTERBACK TRANSPORTATION INC
Date: May 25, 2026
Final Submission
Please fill out the details for step 4.
Term and Termination
This agreement becomes effective upon payment and remains active until the completion of the contracted services. Either party may terminate in writing at any time. Refund terms apply as per Section 4.
Entire Agreement
This Agreement contains the entire understanding between both parties and supersedes all prior agreements, written or oral.
Signature:
Print Name:
Date:
Your Email:
Service Provider Representative
QUARTERBACK TRANSPORTATION INC
Date: May 25, 2026
Submit Agreement
