Apply With Triple R - Triple R Logistics

* PLEASE CHECK THIS BOX.--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------POLICIES, DISCLAIMERS AND OTHERS SECTION.

* BY CHECKING THIS BOX, YOU UNDERSTAND THE FOLLOWING: YOU MUST FILL OUT EVERY FIELD AND CHECK EVERY APPROPRIATE BOX TO BE ABLE TO SUBMIT THIS FORM. IF YOU NEED HELP OR HAVE QUESTIONS, FEEL FREE TO CALL US AT 302 300 0660————————---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

* BY CHECKING THIS BOX, YOU AGREE TO THE FOLLOWING: Fill in the blanks. You must account for any gaps in employment in the EMPLOYMENT HISTORY information. Employment history will be verified as per FMCSA requirements.---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

* BY CHECKING THIS BOX YOU UNDERSTAND THE FOLLOWING: * Triple R Logistics is an Equal Opportunity Employer. It always has been and continues to be the policy of Triple R Logistics that employees should be able to enjoy a work environment free from all forms of unlawful employment discrimination. All decisions regarding recruiting, hiring, promotion, assignment, training termination, and other terms and conditions of employment will be made without unlawful discrimination on the basis of race, color, national origin, work-related injury, covered veteran status, political ideology, genetic information, marital status, or any other factor that the law protects from employment discrimination. Individuals will be selected for promotion based on skill and ability. Where skill and ability are equal, then length of continuous employment will be the determining factor. Additionally, Triple R Logistics prohibits unlawful harassment of its employees, applicants, or independent contractors in any form. Complaints of unlawful employment discrimination or harassment should be reported to the U.S. Equal Employment Opportunity Commission. In cases where investigation confirms the allegations, appropriate corrective action will be taken, regardless of whether the inappropriate conduct rises to the level of any violation of the law. No employee will suffer retaliation for reporting, in good faith, any violation o f Company policy o r unlawful discrimination, harassment, or retaliation.-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

* EMPLOYMENT ELIGIBILITY MINIMUM QUALIFICATIONS: 2 years of CDL-A experience. Current D.O.T. physical. Ability to successfully complete drug screen and be willing to participate in our random drug testing program. Ability to successfully pass a Road Test. Ability to successfully deliver on-time and be reliable. No DUI convictions or other major violations. Meets all DOT regulations pertaining to driver qualifications and must have reasonable, comprehensive knowledge of FMCSA regulations pertaining to driver actions and responsibilities. MAJOR DUTIES: Operate assigned vehicle safely and legally, in compliance with all applicable local, state, and federal regulations, and all company policies and procedures. Complete driver log book and other DOT documents in an accurate and timely fashion. Complete all paperwork necessary for the customer records in an accurate and timely fashion and turn in to the customer at the end of your assignment. Complete vehicle pre and post inspections. Inspect for safe and efficient operation while on the road. Represent Triple R Logistics, LLC. in a professional and courteous manner at all times. Secure cargo loads to ensure traffic, product, and vehicle safety. Other duties as assigned. COMPENSATION: Drivers will receive pay bi-weekly based upon the loads delivered and the miles driven. Paychecks will include all loads thatwere delivered and those i n which the shipping bill o f ladings were turned in by the Monday prior.PLEASE CHECK THIS BOX, SHOWING THAT YOU UNDERSTAND:-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

* ROADSIDE INSPECTIONS: REPORTING OF ROADSIDE INSPECTIONS AND VIOLATIONS: All drivers are required to contact the safety department within 2 4 hours when you have received a roadside inspection or citation from any local, state, or federal enforcement officer. OUT OF SERVICE VIOLATIONS MUST BE REPORTED IMMEDIATELY. Drivers are required, under FMCSR part 396.9 (d), to submit the inspection report or copy of the citation to thesafety department within 24 hours of the occurrence along with a copy of their log and DVIR. In accordancewith FMCSR Part 396 (d) (1) and (2). The safety department is required to review the inspection or citation, certify the repairs have been completed, and sign and return to the state agency which issued the inspection. If the safety department receives a non-compliance notification from the issuing agency, and Packard's internal records do not reflect the report of inspection or citation from the driver the driver will be found in NON-COMPLIANCE and subject to corrective action and possible termination of the lease in accordance with the independent contractor corrective action policy. PLEASE CHECK THIS BOX, SHOWING THAT YOU UNDERSTAND:--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

* PERIODIC INSPECTIONS: Annual Inspections- CMVs shall have an annual inspection in accordance with FMCSA Part 396.17. Inspections are required under FMCSR to be completed annually by a certified inspector. Per 396.19, Motor Carriers must ensure that individuals performing annual inspections are qualified, and the motor carrier is responsible for obtaining and maintaining evidence of the inspectors qualifications. Under the FMCSR, the carrier and the driver are the 2 parties responsible to ensure the CMV meets all of the safety regulations and is road-worthy to be operated. PLEASE CHECK THIS BOX, SHOWING THAT YOU UNDERSTAND:--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

* MOVING VIOLATIONS: In accordance with FMCSR 383.31, all drivers who receive a violation (regardless of offense) must call the Safety Department at the time of occurrence (if during office hours) or first thing in the morning (if occurred after office hours) to report the violation. The violation will then be recorded and maintained in the Driver's Personnel file. This regulation must be followed even if the violation is under appeal. All violations reports/forms are to be sent to the Safety department within 24 hours of the offense. LOAD SECUREMENTS: In accordance with FMCSR 393.102, violations of load securements is an acute violation for the carrier. Driver isresponsible to have loads secure with straps, tarps, and all applicable to the specific load. PLEASE CHECK THIS BOX, SHOWING THAT YOU UNDERSTAND:------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

* OUT OF SERVICE VIOLATIONS: Triple R Logistics LLC requires the driver of the CMV who has been placed OUT to immediately contact the Safety department to report the OUT OF SERVICE status. The Safety Department (if repairs have been completed and verified) will provide the Operator/Driver with a release to continue operation of the CMV. Anytime a Commercial Motor Vehicle is placed OOS during a roadside inspection due to equipment violations the driver of the Commercial Motor Vehicle MUST repair and provide proof the repairs have been made BEFORE the CMV can be moved. The Driver/Operator is required to fax to the Safety Department a statement of repairs along with any receipts BEFORE moving the CMV. These repairs are required to be listed on the Driver's DVIR and monthly maintenance report for that time period. NON OUT OF SERVICE VIOLATIONS: Triple R Logistics LLC requires notification of NON OOS roadside inspections within 24 hours of the time of the inspection. Anytime a Commercial Motor Vehicle is cited for NON OOS violations during a roadside inspection the items cited MUST be corrected BEFORE the CMV receives another dispatch. In addition, the driver/operator MUST provide a copy of the roadside inspection, the LOGS FOR THE DAY OF THE INSPECTION AND THE DVIR within 24 hours to the Safety Department. If a statement of repair and receipts for parts/service are not received the driver and vehicle will be placed out of service until such time when the driver/vehicle is brought back into compliance. Drivers are not allowed to operate their equipment while OUT OF SERVICE. If the vehicle is towed, a tow receipt is required. ANY DRIVER OR OPERATOR WHO VIOLATES AN OUT OF SERVICE ORDER SHALL BE SUBJECT TO IMMEDIATE TERMINATION OF THE LEASE AGREEMENT. Repairs made to correct roadside inspection violations MUST be listed on the Monthly Maintenance and driver's DVIR for that time period. PLEASE CHECK THIS BOX, SHOWING THAT YOU UNDERSTAND:----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

* HOURS OF SERVICE: Fatigued and drowsy drivers are more likely to be involved in accidents. The number of hours commercial drivers are allowed to drive is regulated by the Federal Motor Carrier Safety Administration (FMCSA), which updated hours of service regulations in 2003. Every employee will receive a copy of FMCSA Section 395 (Hours of Service Drivers) regulations and law. Compliance with the hours of service regulations includes following the limits and maintaining a current and legal record of duty status (log book). The limits: The hours of service regulations located in Part 395 of the Federal Motor Carrier Safety Regulations (FMCSRs) include three maximum limits: 11 hour driving rule 14 consecutive hour duty rule 60-hour/7 day and 70-hour/8 day rules. 11 hour driving rule: All time spent behind the wheel of your commercial motor vehicle (CMV) is considered driving time. After 11 hours of driving time, you must have at least 10 consecutive hours off duty before you can drive again. 14 consecutive hour duty rule You cannot drive beyond the 14 consecutive hour after coming on duty. After the 14'h hour you must have at least 10hours off duty before you may drive again. This rule gives you a set period of time, a "window" so to speak, in which you may drive your CMV. Lunch breaks or other off duty time cannot extend this 14 hour period. Keep in mind that you may work after the 14 hour, but you may not drive. 60 hour/ 7 day and 7 0 hours/8 day limits: This rule is based on the amount of on duty time you have in a "rolling" 7 day or 8 day period. The oldest days hours drop off at the end of each day when you calculate the total on duty time for the past 7 or 8 days. Even if you do not operate vehicles every day of the week, you must still follow the 60 hour/7 day limit. If you do operate your vehicle every day of the week, you may follow either of the two limits. Under the 60 hour/ 7 day limit, you may not drive a CMV after having been on duty for 60 hours in any period of 7 consecutive days.Under the 70 hour/8 day limit, you may not drive a CMV after having been on duty for 70 hours in any period of 8 consecutive days. The regulations include an optional "restart" provision. The 34 hour restart allows you to "restart" your 60 or 70 hour clock by going off duty for at least 34 consecutive hours. What is on duty time? On duty time is all time from the time you begin work or are required to be ready for work until you are relieved from all work and responsibility for work. On duty time includes time spent: Waiting to be dispatched• Inspecting, servicing, or conditioning a CMV,• Driving• In or on your vehicle (except sleeper-berth time)• Loading or unloading your vehicle• Repairing, obtaining assistance, or attending a disable vehicle• Performing any other work for a motor carrier• Complying with drug or alcohol requirements• Performing compensated work for any other employer. Log Books: A record of duty status or driver's daily log is used to track your compliance with the hours of service regulations. You must fill it out in duplicate for each 24-hour period. The log must be legible. The log must include a graph grid with lines for off-duty, sleeper-berth, driving, and on duty not driving time. In addition, it must include the following 11 pieces of information• Date• Total miles driven today• Truck or tractor and trailer number,Carrier's name• 24 hour period starting time• Driver's signature/certification• Main office address• Remarks• Co-driver's name (if applicable)• Total hours in each dusty status (at end of grid)• Shipping document numbers) or shipper name and commodity. Falsification of records of duty status will not be tolerated and will result in an individual's loss of employment. Carrier officials will randomly use numerous documents, i.e. bill of lading, trip reports, toll receipts, and fuel reports t oensure accuracy of the driver's record of duty status Ill or fatigued operator: According to the rules of the Federal Motor Carrier Safety Administration (FMCSA) under 392.3 no driver shall operate a commercial motor vehicle, and a motor carrier shall not require or permit a driver to operate a commercial motor vehicle while the driver's ability or alertness is so impaired, or so likely to become impaired, through fatigue, illness, or any other cause, as to make it unsafe for him/her to begin or continue to operate the commercial motor vehicle. However, in a case of grave emergency where the hazard to occupants of the commercial motor vehicle or other users of the highway would be increased by compliance with this section, the driver may continue to operate the commercial motor vehicle to the nearest place at which that hazard is removed. You must contact your dispatcher if you become impaired. Safety of the driver and the general motoring pubic is the top priority of Triple R Logistics LLC. PLEASE CHECK THIS BOX, SHOWING THAT YOU UNDERSTAND:-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

* TRAFFIC LAWS: Drivers must abide by the federal, state, and local motor vehicle regulations, laws, and ordinances at all times. No load is worth placing yourself or anyone else at risk. PLEASE CHECK THIS BOX, SHOWING THAT YOU UNDERSTAND:------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

* LOAD SECUREMENTS: In accordance with FMCSR 393.102, violations of load securements is an acute violation for the carrier. Driver isresponsible to have loads secure with straps, tarps, and all applicable to the specific load. PLEASE CHECK THIS BOX, SHOWING THAT YOU UNDERSTAND:--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

* DRUG/ ALCOHOL POLICY In compliance with the DOT Regulations, Triple R Logistics LLC has a commitment to providing a safe, quality oriented and productive work environment consistent with the standards of the community in which we operate. Triple RLogistics is a drug-free workplace. Policy: This policy complies Title 49 CFR Part 382, as amended, and Title 49 CFR Part 40, as amended. All covered employees are required to submit to drug and alcohol tests as a condition of employment. The consumption, purchase, sale or use of alcohol by any employee or sub hauler during work hours or on any project or work site is STRICTLY PROHIBITED. Workplace Expectations: Whenever employees are working, are operating any company vehicle are present on premises, or are conducting Company related work off site, they are prohibited from: Using, possessing, buying, selling, manufacturing or dispensing an illegal drug, Being under the influence of alcohol or an illegal drug as defined in this policy, and possessing or consuming alcohol. The presence of any detectable amount of any illegal drug or illegal controlled substance in an employee’s body system, while performing company business or while in a company facility, is prohibited. Triple R Logistics, LLC will also not allow any employee to preform their duties while taking prescribed drugs that are adversely affecting the employees ability to safely and affectively perform their job duties. Employees taking a prescribed medication must carry it in the container labeled by a licensed pharmacist or be prepared to produce this if asked. Any illegal drugs or drug paraphernalia will be turned over to an appropriate law enforcement agency and may result in a criminal persecution. Required Testing: Pre-employment: All applicants must pass a drug test before beginning work or receiving an offer of employment. Refusal to submit to testing will result in disqualification of further employment consideration. Random Testing: Triple R Logistics LLC will randomly test employees for compliance with its drug free workplacepolicy. As used in this Policy, "random testing" means a method of selection of employees for testing. If an employee is selected, refusal to submit to testing will result in loss of employment. Reasonable Suspicion: Employees are subject to testing based upon (but not limited to) observations by the supervision of apparent workplace use, possession or impairment. Supervisors can direct you to be drug or alcohol tested whenever you exhibit signs of drug or alcohol abuse. The decision must be based on observations concerning the appearance, behavior, speech or body odors of the driver. Testing: Testing may include urine, blood, sweat, hair, or breathalyzer tests. Post-Accident: Employees are subject to testing when they cause or contribute to accidents that seriously damage a Triple R Logistics vehicle, machinery, equipment, or property and/or result in an injury to themselves or another employee requiring off-site medical attention. A probable belief circumstance will be presumed to arise in any instance involving a work-related accident or injury in which an employee who was operating a motorized vehicle (including, but not limited to, tractor, tractor trailer) is found to be responsible for causing the accident. In any of these instances, the investigation and subsequent testing must take place within two (2) hours following the accident, if not sooner. Under no circumstances will the employee be allowed to drive himself or herself to the testing facility. Return to Work: Any employee who has missed work due to positive drug test must pass a drug and alcohol test before they are allowed back to work. If the test results are positive, then the employee will be terminated. The re-test shall be completed at the employee’s expense. Consequences: Applicants who refuse to cooperate in a drug test or who test positive will not be hired and will not be allowed to re-apply/re-test in the future. Employees who refuse to cooperate in required tests or who use, possess, buy, sell, manufacture or dispense an illegal drug in violation of this policy will be terminated. Confidentiality Information and records relating to positive test results, drug and alcohol dependencies and legitimate medical explanations provided to the MRO shall be kept confidential to the extent required by law and maintained in secure files separate from normal personnel files. Such records and information may be disclosed among managers and supervisors on a need-to-know basis and may also b e disclosed where relevant to a grievance, charge, claim, or other legal proceeding initiated by or on behalf of an employee or applicant. Inspections: Triple R Logistics LLC, reserves the right to inspect all portions of its premises for drugs, alcohol or other contraband. Affected employees may have union representation involved in this process. All employees, contract employees and visitors may be asked to cooperate in inspections of their persons, work areas, and property that might conceal a drug, alcohol, or other contraband. Employees who possess such contraband or refuse to cooperate in such inspections are subject to appropriate discipline, up to and including discharge. Testing Procedures: Once notified to report for testing, a CDL driver must report to the collection site immediately. (To familiarize yourself with the collection process and any of the other aspects of the DOT drug and alcohol testing program, please refer to: www.dot.gov/ost/dapc• The DOT drug testing program tests for 5-panels of controlled substances covering the following classes -Marijuana, Cocaine, Opiates (Opium and codeine derivatives), Amphetamines and Methamphetamines, and Phencyclidine (PCP)• Once tested, the laboratory will report the analysis to a medical review officer (MRO). If the analysis indicates a positive result, the MRO will contact the driver to determine whether there are circumstances that would explain the positive result. If there are none, the MRO will report a positive result to the employer. The DOT drug and alcohol testing regulations for commercial driver licensed (CL) Part 382, and 49 CFR Part 40. These regulations can be found at: www.fmcsa.dot.gov PLEASE CHECK THIS BOX, SHOWING THAT YOU UNDERSTAND:-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

* SAFETY BELT USE: Triple R Logistics LLC recognizes that safety belt use helps to protect or employees, reduce injuries, and control operating costs. Studies show conclusively that failure to use safety belts (lap and shoulder belts) results in increased deaths and injuries. Reducing these costly injuries and deaths protects our employees and can strengthen oureffectiveness as a company. Moreover, safety belt use in commercial motor vehicles is required by Federal law. Therefore, we are implementing the following policy: Safety belts must be used at all times while driving or riding in any company vehicle on company or personal business, or in any other vehicle while on official company business. This policy applies to all employes. PLEASE CHECK THIS BOX, SHOWING THAT YOU UNDERSTAND:-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

* DRIVER CELL PHONE USE: According to the rules of the Federal Motor Carrier Safety Administration (FMCSA) under 49 CFR Parts 177, 383, 384,390, 391 & 392, effective December 23, 2011, drivers are prohibited from using cell phones unless the use of the cellphone is with hands free technology. Already, the FMCSA has prohibited commercial drivers from texting while driving, and now the FMCSA has prohibited commercial drivers from talking on a cell phone while driving down the road with the cell phone directly next to the driver's ear. Therefore, it is the written policy of Triple R Logistics LLC to comply with FMCSA rules as set forth above and to further prohibit any and all drivers operating for Triple R Logistics LLC to talk or text on a cell phone while driving a commercial vehicle. Any driver who wishes to use hands free technology to communicate on a cell phone must obtain the necessary hands free technology in order to be compliant with the FMCSA cell phone communication restrictions. Triple R Logistics LLC will not tolerate or condone any violation by any commercial driver of the FMCSA cell phone communication restrictions.PLEASE CHECK THIS BOX, SHOWING THAT YOU UNDERSTAND:----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

* RADAR DETECTORS: Per DOT Regulation 392.71: No driver shall use a radar detector in a commercial motor vehicle, or operate a commercial vehicle that is equipped with or contains any radar detector. Triple R Logistics LLC prohibits the use or possession of radar detectors.PLEASE CHECK THIS BOX, SHOWING THAT YOU UNDERSTAND:---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

* VEHICLE MAINTENANCE POLICY Systematic maintenance o f equipment i s a n essential element o f our transport operation. Part 396 o f the Federal Motor Carrier Safety Regulations (FMCSRs) requires motor carriers to "inspect, repair, and maintain all motor vehicles" under their control. Even if there were no federal regulations in place, however, it makes excellent business sense to have an organized maintenance program in place. At Triple R Logistics LLC., i t is our policy to keep all company transportation equipment well maintained and in safe and efficient operating condition a t all times. It is further the policy o f Triple R Logistics LLC, to use the "preventive maintenance." The specifics o f that approach will b e detailed in the procedures t o follow: Vehicle Maintenance Procedures Sec. 396.3(b) of the FMCSRs specifies the requirement that vehicle records be kept on each vehicle controlled for 30 consecutive days o r more b y a motor carrier. These records include: • A vehicle identification including a company number Make • Serial number • Year • Tire size Triple R Logistics keeps maintenance records on file for a one year period and for six months after the equipment is out of the fleet The company will keep each vehicle subject to its control properly lubricated, and free of oil and grease leaks, per the provisions o f the FMCSRs. Preventative Maintenance Preventative maintenance is an attitude and a commitment by Triple R Logistics LLC. t o get the most out o f transport equipment by investing in its maintenance on a regular basis, according to a planned schedule. The preventative maintenance policy that Triple R Logistics has adopted as company i s widely used in the transportation industry. Our preventative maintenance policy reflects a very modern attitude of conservation and of wise asset utilization. Without a doubt, it also saves money for a company that is committed to its principles. The preventative maintenance philosophy would say: "if it's scheduled t o be replaced, replace it whether or not it has failed." Maintenance is part of the cost of doing business and every fleet has a major investment in its equipment. Whether or not that equipment operates efficiently and reliably has a major impact on corporate profitability. Making certain that equipment operates well i s where preventative maintenance comes into the picture. Triple R Logistics LLC. has implemented a preventative maintenance program because of the positive impact it has in the following areas: • Preventative maintenance is a major factor in promoting highway safety: A well-maintained truck is a safer truck. PM alerts all personnel to potentially hazardous conditions, e.g., equipment failure. It also facilitates record-keeping. Safer trucks promote high driver morale, are involved in fewer accidents, create a favorable public image for Triple R Logistics and the trucking industry in general, have fewer breakdowns and delays, and may play a role i n determining better insurance rates. • Preventative maintenance prolongs useful life of equipment. Component replacement in older vehicles is more difficult to schedule, so PM and its careful monitoring o f vehicles is a big help. • Preventative maintenance reduces unscheduled downtime and unscheduled repairs and the higher cost related to them. Drivers are responsible for knowing the mechanical condition of their vehicles at all times, and for operating those vehicles correctly and efficiently. 8 Drivers are expected to do complete an careful pre-trip and post-trip inspections of their vehicles. Drivers are expected to treat company vehicles as their own. Observable vehicle abuse will not b e tolerated. Discovery o f unauthorized modifications or tampering with any company vehicle will be reported to President and Owner. Drivers are expected to report any problems they find accurately and in detail. Problems should be reported promptly. Triple R Logistics LLC. is not responsible for loss or damage to personal effects left in vehicles when maintenance work is being performed. On the road, drivers are expected t o spot and report potential maintenance problems: • LISTEN for unusual or abnormal sounds. Thumps, rattles, squeaks, bumps, squeals, and hisses all can signal the beginning of trouble. If things don't sound right, they should be reported to maintenance. • SMELL for unusual odors that may signal trouble. Burning rubber, insulation, wood, scorched fabric, hot oil or other fluids can all mean problems. Diagnosis can be made early with a good sense of smell. • FEEL changes i n the vehicle's response. Steering, braking, shifting, and other handling operations all have unique "feels" in a particular vehicle. If the vehicle doesn't seem t o behave the way i t should, i t should b e reported promptly. Little problems cost much less t o fix and cause less downtime. • OBSERVE the equipment carefully when you make required routine inspections. Defects in wiring, lights, ables, tires, splash guards, locks, air lines, coupling devices, fifth wheels, tarps and fasteners, landing gear, breaks and various accessories should all be carefully noted and reported to the maintenance department of Triple R Logistics driver has an unexpected breakdown while on the road, he/she should stay calm and use common sense. Report the problem and follow prescribed procedures. (See Vehicle Breakdown and Road Repair Policy). If a Triple R Logistics vehicle is put out of service during a roadside inspection, the driver must notify his/her driver supervisor a s soon as possible to receive instructions. Triple R Logistics strictly forbids the operations of an out o service vehicle until required repairs are completed. A driver who violates this policy will be subject to disciplinal action. PLEASE CHECK THIS BOX, SHOWING THAT YOU UNDERSTAND:-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

* POLICY: Drivers and operators of equipment will complete inspections on a regular basis to identify potential problems before they become safety concerns or require major repairs. Equipment will be inspected by qualified mechanics periodically to conduct necessary repairs and replacements. All drivers shall be responsible for documenting and reporting discoveries. PLEASE CHECK THIS BOX, SHOWING THAT YOU UNDERSTAND:-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

* PROCEDURE: Prior to starting any truck, the driver shall conduct an inspection in accordance to the Pre-Trip Inspection Report.The operator shall report any problems or potential problems to his/her supervisor, who shall determine whether it is safe to drive the vehicle and what priority level to place on repairing the problem or performing preventative maintenance. Equipment shall be taken to qualified mechanics for Preventative Maintenance Inspections. If any problems are reported by the mechanic, they shall be addressed immediately or at the next maintenance to prevent larger costs and unsafe vehicles on the road. In summary, a good preventative maintenance program lowers repair frequency and lowers overall maintenance cost.PLEASE CHECK THIS BOX, SHOWING THAT YOU UNDERSTAND:-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

* VEHICLE BREAKDOWN AND ROAD REPAIR POLICY: The goal of this policy is to minimize on the road equipment breakdowns by having strong vehicle inspection and preventative maintenance programs in place. When an equipment breakdown does occur, the safety of the drver andthe general motoring public is top priority. With this in mind, Triple R Logistics LLC. has implemented the following vehicle breakdown and road repair procedures that all drivers will be trained in, and are expected to follow. Vehicle Breakdown and Road Repair Procedures: These vehicle breakdown procedures have been developed to insure the safety of drivers and the motoring public, securement of the equipment and its cargo, timely customer notification of any shipment delay, and facilitation of expedient equipment repair. All drivers are expected to follow these procedures in the event of a breakdown. Before beginning any work assignment or trip, the driver should perform a complete pre-trip inspection on all assigned equipment. That means the driver will check service brakes, brake hose connections, parking brake, steering, all lights and reflectors, tires, horn, windshield wipers, all mirrors, and coupling devices for road readiness.The driver is required to make certain that the vehicle is equipped with required emergency gear. All Triple R Logistics vehicles, leased vehicles, or vehicles contracted by the company, will be equipped with a fully charged fire extinguisher, fuses, and warning signals. If any of these items are missing or is in need of charging, the driver must get the situation corrected immediately. Drivers should not begin any trip or work assignment unless the vehicle has all the required emergency gear. In the event of a minor vehicle breakdown, drivers are authorized by the company to perform some small repairs. The company defines minor breakdown as those that simply require replacing a headlamp, a fuse, a trailer reflector, etc. When a Breakdown Occurs: When an equipment breakdown occurs that requires road repair assistance, the following procedures must be implemented:• Safely stop and secure the vehicle. No Triple R Logistics vehicle should be left unattended until the parkingbrake has been properly set, and the driver is confident that the vehice is secure from moving. If a breakdown occurs while the vehicle is in motion, the driver should activate the emergency hazard warning signal flashers, and park as far out of traffic as possible.• Safely place warning devices within 10 minutes of the breakdown. Once these warning devices have been placed, the driver should deactivate the emergency hazard warning signal flashers. The driver may leave the vehicle and call for assistance only after the vehicle has been secured and warning devices put in place. When calling for assistance, the driver should give the exact location, information of the vehicle, including road or highway route number, nearest mile marker or exit, direction of travel, state and nearest city, current location of driver if different from vehicle, and a phone number where driver can be reached. The driver should be as specific as possible and should also provide a suggested diagnosis of the cause of the breakdown. If the cause is a blown tire the driver should have tire size and location information available.Once the breakdown has been reported to dispatch, the driver's call will be forwarded to the Maintenance Department. Triple R Logistics' maintenance department will determine the appropriate course of action. If a road service call is necessary, the maintenance department will locate and contact a repair vendor to facilitate repairs. Once repairs have been made, the driver shall notify dispatch, turn on the emergency hazard warning flashers, and safely remove the warning devices. All paperwork for the repairs will be forwarded to the Maintenance Department where it will be on file in that unit's maintenance file for a period of 1 2 months from date of receipt. Breakdown Responsibilities: Driver's responsibilities when a breakdown happens include:• Safely stopping and securing the vehicle and load10• Safely placing the warning devices• Diagnosing and calling in the breakdown• Notifying dispatch when repairs have been made• Safely removing the warning devices• Forwarding all repair paperwork to the Maintenance Department Dispatch responsibilities include:• Forwarding the driver's call to maintenance, Notifying the customer of any delays• Following up with maintenance to ensure repairs are being made, Keeping the driver update• Rescheduling any customer appointments when driver is moving again Breakdown Resource Number(s): If a breakdown occurs during normal business hours, drivers are instructed to contact their immediate supervisor for assistance. If the immediate supervisor cannot be reached, (302)300 0660 should be used as an alternate number for reporting breakdowns. For breakdowns that occur after normal business hours or on the weekends drivers should contact Milenko Radovanovic at (302)300-0660. ACCIDENTS: If you are involved in an accident be sure to get the following information: Names, addresses, and phone numbers of other parties involved. License number and state of the other vehicles involved. As many witnesses a s possible: Get names, addresses, and phone numbers Investigating Officer's name and where he can be located. Accident report number and where it can be obtained. Take pictures. You must report ALL accidents IMMEDIATELY and make an accident report. PLEASE CHECK THIS BOX, SHOWING THAT YOU UNDERSTAND:--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

* FUEL POLICY: Drivers are required to maintain a log of fuel purchases and receipts to be submitted to the office as these are required for IFTA taxes and company records. PLEASE CHECK THIS BOX, SHOWING THAT YOU UNDERSTAND:-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

* CHECK THIS BOX————————-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ACKNOWLEDGEMENT FORM SECTION.

* ACKNOWLEDGEMENT FORM This is t o acknowledge that I have received a copy o f the Triple R Logistics LLC. Driver's Handbook. I understand that I a m responsible for familiarizing myself with the information i n the handbook that generally describes the personnel policies/procedures o f Triple R Logistics LLC. Since the information, policies, and procedure described i n the handbook are subject to change, I understand and agree that any changes can be made by Triple R Logistics and that these changes can be made without advance notice. Non-compliance o f Triple R Logistics policies and procedures may result i n disciplinary action up t o an including discharge. PLEASE CHECK THIS BOX, SHOWING THAT YOU UNDERSTAND:-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

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* TRIPLE R LOGISTICS, LLC (SIGN HERE)_________________________:

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* CHECK THIS BOX————————-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------DRUG AND ALCOHOL POLICY SECTION.

* DRUG AND ALCOHOL POLICY I have read and received a legible copy o f Triple R Logistics LLC, Drug and Alcohol Policy. I understand that my employment with Triple R Logistics LLC. i s conditioned upon full adherence t o this policy. I agree t o follow the rules in the policy. PLEASE CHECK THIS BOX, SHOWING THAT YOU UNDERSTAND:----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

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* CHECK THIS BOX————————------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------FAIR CREDIT REPORTING ACT DISCLOSURE STATEMENT SECTION.

* FAIR CREDIT REPORTING ACT DISCLOSURE STATEMENT In accordance with the provisions of Section 604(b) (2)(A) of the Fair Credit Reporting Act, Public Law 91-508, as amended by the Consumer Credit Reporting Reform Act of 1996 (Title II, Subtitle D, Chapter 1, of Public Law 104208), you are being informed that reports verifying your previous employment, previous drug and alcohol test results, and your driving record may be obtained on you for employment purposes. These reports are required by Sections 382.413, 391.23, and 391.25 of the Federal Motor Carrier Safety. PLEASE CHECK THIS BOX, SHOWING THAT YOU UNDERSTAND:-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

* DATE:

* CHECK THIS BOX————————-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ANNUAL REVIEW OF DRIVING RECORDS SECTION.

* EXPIRATION DATE:

* CHECK THIS BOX:---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ANNUAL REVIEW: In accordance with Department o f Transportation Section 391.25, a motor carrier shall, at least once every 12 months, review the driving record of each driver it employs to determine whether that driver meets minimum requirements for safe driving or is disqualified to drive a motor vehicle pursuant of Section 391.15. In reviewing a driving record, the motor carrier must consider any evidence that the driver has violated applicable provisions of the Federal Motor Carrier Safety Regulations. The motor carrier must also consider the driver's accident record and any evidence that the driver has violated laws governing the operation of motor vehicles, and must give great weight to violations, such as speeding, reckless driving, and operating while under the influence of alcohol and drugs, that indicate that the driver has exhibited a disregard for the safety of the public. The following named person has made application with us for employment as a driver. The applicant has indicated that the below numbered operator's licenses has been issued by your State to applicant and that it is in good standing. In accordance with Section 391.23 (a) (1) and (b) of the Federal Motor Carrier Safety Regulations, we are require to make inquiry into the driving record during the preceding three (3) years of every State in which an applicant-driver has held a motor vehicle operator's license during those three (3) years. Therefore, please certify to us what the individual's driving record is for the preceding three (3) years, or certify that no record exists if that be the case. I hereby authorize you to release the following information to Triple R Logistics LLC, for the purposes of investigation as required by Section 391.25 or 391.23 of the Federal Motor Carrier Safety Regulations. PLEASE CHECK THIS BOX, SHOWING THAT YOU UNDERSTAND:----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

* DATE:

* TRIPLE R LOGISTICS, LLC (SIGN HERE)_________________________:

* DATE:

* CHECK THIS BOX:---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------SAFETY BELT PLEDGE: I have received a copy of the safety belt policy. I have read Triple R Logistics' company policy and have had the opportunity to ask questions. I fully understand the company's penalty for violation of this policy. I hereby pledge that I will use safety belts whenever driving or riding a vehicle. I also pledge that passengers of vehicles that I am driving will wear safety belts. PLEASE CHECK THIS BOX, SHOWING THAT YOU UNDERSTAND:-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

* DATE:

* TRIPLE R LOGISTICS, LLC (SIGN HERE)_________________________:

* DATE:

* CHECK THIS BOX:------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------THE BELOW DISCLOSURE AND AUTHORIZATION LANGUAGE IS FOR MANDATORY USE BY ALL ACCOUNT HOLDERS IMPORTANT DISCLOSURE REGARDING BACKGROUND REPORTS FROM THE PSP Online Service Triple R Logistics, LLC In connection with your application for employment with ("Prospective Employer"), Prospective Employer, its employees, agents or contractors may obtain one or more reports regarding your driving, and safety inspection history from the Federal Motor Carrier Safety Administration (FMCSA). When the application for employment is submitted in person, if the Prospective Employer uses any information it obtains from FMCSA in a decision to not hire you or to make any other adverse employment decision regarding you, the Prospective Employer will provide you with a copy of the report upon which its decision was based and a written summary of your rights under the Fair Credit Reporting Act before taking any final adverse action. If any final adverse action is taken against you based upon your driving history or safety report, the Prospective Employer will notify you that the action has been taken and that the action was based in part or in whole on this report. When the application for employment is submitted by mail, telephone, computer, or other similar means, if the Prospective Employer uses any information it obtains from FMCSA in a decision to not hire you or to make any other adverse employment decision regarding you, the Prospective Employer must provide you within three business days of taking adverse action oral, written or electronic notification: that adverse action has been taken based in whole or in part on information obtained from FMCSA the name, address, and the toll free telephone number of FMCSA that the FMCSA did not make the decision to take the adverse action and is unable to provide you the specific reasons why the adverse action was taken and that you may, upon providing proper identification, request a free copy of the report and may dispute with the FMCSA the accuracy or completeness of any information or report. If you request a copy of a driver record from the Prospective Employer who procured the report, then, within 3 business days of receiving your request, together with proper identification, the Prospective Employer must send or provide to you a copy of your report and a summary of your rights under the Fair Credit Reporting Act. Neither the Prospective Employer nor the FMCSA contractor supplying the crash and safety information has the capability to correct any safety data that appears to be incorrect. You may challenge the accuracy of the data by submitting a request to https://dataqs.fmcsa.dot.gov. If you challenge crash or inspection information reported by a State, FMCSA cannot change or correct this data. Your request will be forwarded by the DataQs system to the appropriate State for adjudication. Any crash or inspection in which you were involved will display on your PSP report. Since the PSP report does not report, or assign, or imply fault, it will include all Commercial Motor Vehicle (CMV) crashes where you were a driver or co-driver and where those crashes were reported to FMCSA, regardless of fault. Similarly, all inspections, with or without violations, appear on the PSP report. State citations associated with Federal Motor Carrier Safety Regulations (FMCS) violations that have been adjudicated by a court of law will also appear, and remain, on a PSP report. The Prospective Employer cannot obtain background reports from FMCSA without your authorization. AUTHORIZATION If you agree that the Prospective Employer may obtain such background reports, please read the following and sign below: Triple R Logistics, LLC I authorize (Prospective Employer") to access the FMCSA Pre-Employment Screening Program (PSP) system to seek information regarding my commercial driving safety record and information regarding my safety inspection history. I understand that I am authorizing the release of safety performance information including crash data from the previous five (5) years and inspection history from the previous three (3) years. I understand and acknowledge that this release of information may assist the Prospective Employer to make a determination regarding my suitability as an employee. I further understand that neither the Prospective Employer nor the FMCSA contractor supplying the crash and safety information has the capability to correct any safety data that appears to be incorrect. I understand I may challenge the accuracy of the data by submitting a request to https://dataqs.fmcsa.dot.gov. If I challenge crash or inspection information reported by a State, FMCSA cannot change or correct this data. I understand my request will be forwarded by the DataQs system to the appropriate State for adjudication. I understand that any crash or inspection in which I was involved will display on my PSP report. Since the PSP report does not report, or assign, or imply fault, I acknowledge it will include all CMV crashes where I was a driver or co-driver and where those crashes were reported to FMCSA, regardless of fault. Similarly, I understand all inspections, with or without violations, will appear on my PSP report, and State citations associated with FMCSR violations that have been adjudicated by a court of law will also appear, and remain, on my PSP report. I have read the above Disclosure Regarding Background Reports provided to me by Prospective Employer and I understand that if I sign this Disclosure and Authorization, Prospective Employer may obtain a report of my crash and inspection history. I hereby authorize Prospective Employer and its employees, authorized agents, and/or affiliates to obtain the information authorized above. PLEASE CHECK THIS BOX, SHOWING THAT YOU UNDERSTAND:------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

* DATE:

* CHECK THIS BOX:------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------NOTICE: THIS FORM IS MADE AVAILABLE TO MONTHLY ACCOUNT HOLDERS BY NIC ON BEHALF OF THE U.S. DEPARTMENT OF TRANSPORTATION, FEDERAL MOTOR CARRIER SAFETY ADMINISTRATION (FMCSA). ACCOUNT HOLDERS ARE REQUIRED BY FEDERAL LAW TO OBTAIN AN APPLICANTS WRITEN OR ELECTRONIC CONSENT PRIOR TO ACCESSING THE APPLICANTS PSP REPORT. FURTHER, ACCOUNT HOLDERS ARE REQUIRED BY FMCSA TO USE THE LANGUAGE CONTAINED IN THIS DISCLOSURE AND AUTHORIZATION TO OBTAIN AN APPLICANTS CONSENT. THE LANGUAGE MUST BE USED IN WHOLE, EXACTLY AS PROVIDED. FURTHER, THE LANGUAGE ON THIS FORM MUST EXIST AS ONE STAND-ALLONE DOCUMENT. THE LANGUAGE MAY NOT BE INCLUDED WITH OTHER CONSENT FORMS OR ANY OTHER LANGUAGE. NOTICE: THE PROSPECTIVE EMPLOYMENT CONCEPT REFERENCED IN THIS FORM CONTEMPLATES THE DEFINITION OF "EMPLOYEE" CONTAINED AT 49C.F.R. 383.5.

* CHECK THIS BOX:-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------EMPLOYMENT CONDITIONS SECTION.

* Correct Use and Understanding Of ELD Logbook: All workers are responsible to have knowledge and understanding on how to operate a ELD. This is not only a requirement by Triple R Logistics but is a federal law that states all commercial drivers must use a ELD. In the circumstance that an employee does not have knowledge or understanding on how to use a ELD, training will be provided by Triple R Logistics on how to use the ELD that is provided to you in the operating vehicle. Leadership is always available to answer any questions you have during your employment with Triple R Logistics. AT Triple R Logistics we take all federal laws very seriously, in the case a driver does not follow the above noted ELD laws, the driver will be fined and possibly terminated for logbook violations. 1st Violation = $100 Fine 2nd Violation = $200 Fine 3rd Violation = $ 300.00 & disciplinary action. PLEASE CHECK THIS BOX, SHOWING THAT YOU UNDERSTAND:-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

* Pre-Employment Drug Testing Costs: All potential employees are required to take a drug test. Negative drug tests are required to begin employment with Triple R Logistics. All Drug Test costs will be covered by Triple R Logistics, however, if an employee decides to voluntarily quit or gets terminated by Triple R Logistics prior to 90 days of employment, a $150 fee will be deducted from the employees final paycheck to cover all hiring fees. PLEASE CHECK THIS BOX, SHOWING THAT YOU UNDERSTAND:--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

* Equipment Return Condition: All employees that are assigned a vehicle owned or leased by Triple R Logistics must return said vehicle in the same condition in which it was received. Vehicles that are not returned in the condition that they were received are subject to a $250.00 cleaning & detailing fee which will be deducted from the employees final paycheck. PLEASE CHECK THIS BOX, SHOWING THAT YOU UNDERSTAND:--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

* EQUIPMENT DAMAGE AND REPORTING: All Employees must agree to report any damages of equipment (truck or trailer) to Triple R Logistics as soon as it is safe to do so. Failure in reporting damages in a timely manner will result in an inspection of the truck in which all repairs will be deducted from the employees final paycheck. Triple R Logistics understands damage can happen outside of the employees control, in circumstances in which the employee reports damages in a timely manner the employee will not be charged for any repairs. PLEASE CHECK THIS BOX, SHOWING THAT YOU UNDERSTAND:------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

* I have read and understand the employment conditions that have been presented to me above. PLEASE CHECK THIS BOX, SHOWING THAT YOU UNDERSTAND:-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

* DATE:

* RIDER POLICY: Triple R Logistics, LLC prohibits anyone other than a current Triple R Logistics, LLC employee to ride as a passenger in a Triple R Logistics, LLC Truck. Triple R Logistics will not make any exceptions to this rule. If an employee of Triple R Logistics, LLC allows anyone other than a current employee of Triple R Logistics, LLC to ride as a passenger in a company owned truck, the employee will face consequences up to immediate termination. I have read and understood Triple R Logistics, LLC Rider Policy. PLEASE CHECK THIS BOX, SHOWING THAT YOU AGREE:------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

* DATE:

* CHECK THIS BOX:-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------APPLICANT INFORMATION SECTION.

* DATE:

* DATE AVAILABLE:

* DATE LAST WORKED:

* CHECK THIS BOX:------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------EDUCATION INFORMATION SECTION.

* CHECK THIS BOX:---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------REFERENCES SECTION. THIS IS REFERENCE NUMBER 1.

* CHECK THIS BOX:---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------REFERENCE NUMBER 2.

* CHECK THIS BOX:---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------REFERENCE NUMBER 3.

* CHECK THIS BOX:---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------PREVIOUS EMPLOYMENT: Applicants that desire to drive in intrastate/interstate commerce must provide the following information on all employers during the previous three years. You must give the same information for all employers you have driven a commercial motor vehicle for the seven years prior to the initial three years (total of ten years employment record). PLEASE CHECK THIS BOX, SHOWING THAT YOU UNDERSTAND:

* CHECK THIS BOX:---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------WORK EXPERIENCE NUMBER 1.

* Was the previous job position designated as a safety sensitive function in any DOT regulated mode subject t o alcohol and controlled substances testing requirements a s required by 49 CFR Part 40? PLEASE CHECK THIS BOX TO CONTINUE AND THEN ANSWER THE QUESTION BELOW:

* CHECK THIS BOX:---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------WORK EXPERIENCE NUMBER 2.

* Was the previous job position designated as a safety sensitive function in any DOT regulated mode subject t o alcohol and controlled substances testing requirements a s required by 49 CFR Part 40? PLEASE CHECK THIS BOX TO CONTINUE AND THEN ANSWER THE QUESTION BELOW:

* CHECK THIS BOX:---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------WORK EXPERIENCE NUMBER 3.

* Was the previous job position designated as a safety sensitive function in any DOT regulated mode subject t o alcohol and controlled substances testing requirements a s required by 49 CFR Part 40? PLEASE CHECK THIS BOX TO CONTINUE AND THEN ANSWER THE QUESTION BELOW:

* CHECK THIS BOX:----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------MILITARY SERVICE SECTION.

* CHECK THIS BOX:---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------DISCLAIMER AND SIGNATURE: I authorize you to make sure investigations and inquiries to my personal, employment, financial or medical history and other related matters as may be necessary in arriving at an employment decision. (Generally, inquiries regarding medical history will be made only if and after a conditional offer of employment has been extended). I hereby release employers, schools, health care providers and other persons from all liability in responding to inquiries and releasing information in connection with my application. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. I understand, also, that I am required to abide by all rules and regulations of the Company. I understand that information I provide regarding current and/or previous employers may be used, and those employer(s) will be contacted, for the purpose of investigating my safety performance history as required by 49CFR 391.23(d) and (e). I understand that I have the right to: Review information provided by current/previous employers Have errors in the information corrected by previous employers and for those previous employers t o re- send the corrected information to the prospective employer and Have a rebuttal statement attached to the alleged erroneous information, if the previous employer(s) and I cannot agree on the accuracy of the information. PLEASE CHECK THIS BOX:

* DATE:

* This certifies that I completed this application, and that all entries on it and information in it are true and complete to the best of my knowledge. PLEASE CHECK THIS BOX:

* DATE:

* CHECK THIS BOX:---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------A motor carrier may require an applicant to provide information in addition to the information required by the Federal Motor Safety Regulations.

* ACCIDENT RECORD FOR PAST 3 YEARS OR MORE (EMAIL SHEET IF MORE SPACE IS NEEDED) IF NONE, WRITE NONE. PLEASE CHECK THIS BOX:

* CHECK THIS BOX:---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------TRAFFIC CONVICTIONS AND FORFEITURES FOR PAST 3 YEARS (OTHER THAN PARKING VIOLATIONS) IF NONE, WRITE NONE.

* CHECK THIS BOX:---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------List all driver licenses or permits held in the past 3 years.

* CHECK THIS BOX TO CONTINUE: -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

* THIS CERTIFIES THAT THIS APPLICATION WAS COMPLETED BY ME, AND THAT ALL ENTRIES ON IT AND INFORMATION IN IT ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE:-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

* DATE: