Contract[WLD1] for Pilot Car Assignment
For the
protection of both contracting agent and Pilot Car contractor, this pre-run
agreement for the contracting of Acorn Pilot Car Service to provide it's
services to __________________ must be completed and returned via, Fax before
said agreement can be accepted.
Company
requesting Pilot Car:_____________________________
Person
requesting: Name:________________________________
Company
is a (check one): ( ) Trucking Company ( ) Broker
Company
Phone:_________________ Fax:
_________________
Truck
driver phone:_________________ Name:_______________
Pick-up
location:______________________Date:____Time:_____
Destination:___________________________________________
Load
type: ( ) Mini
( ) Oversize (
) Superload ( ) Other
(If
other, explain:_______________________________________)
Pilot
Car Service contractor agrees to provide it's services as follows:
Cars
required:____ ; ___ Lead, ___ Chase, ___
Pole, ___ Survey
Height_________
Weight____________ Length ___________
plus
(check) ( ) Motel: $60.00, and/or Weekends $75.00
( ) Deadhead: $00.65 per mile
___________________________
Other:_______________________________________________
Terms:
Contracting agent agrees to pay Acorn Pilot Car in full within 15
days of receipt of faxed, or mailed invoice.
If
payment is not received as agreed, agent agrees to pay a Ten percent (10%) late
fee for any outstanding balance, see invoice for other conditions.
Payments
not made within 30 days shall be considered in default, and subject to legal
action or arbritation to resolve any conflicts.
*Method Of Payment: Company check { } Comcheck { } Cash {
} Other ____
Signed:______________________________
Date:____________
Acorn Pilot Car
(contractor)
Signed:______________________________
Date:____________
(Hiring agent for
trucking
Fax completed form
before dispatch of Escort to 256 232 5667