atl@eglusainc.

com
3235 Satellite Blvd, Building 400 Suite 260
Dulut, GA 30096
770-854-1616

EGL Logistics welcomes your interest in becoming an approved carrier for us. We are confident
that you will find EGL Logistics an easy company to do business with. The attached Carrier Sign
On Packet contains information on EGL Logistics as well as the various forms we need
completed for your company to become an approved carrier for EGL Logistics.
In order, the packet contents are:

1. Carrier Profile Form

2. Carrier Quick Pay Sign-up Sheet
3. Carrier Insurance Information Sheet
4. Carrier Transportation Contract
5. W-9 Tax Form

A valid insurance certificate listing EGL USA, Inc. as a certificate holder and showing current
coverage with minimum amounts of $100,000 cargo coverage and $1,000,000 auto liability must
be sent with this forms.
If you have any question feel free to reach out to us at 770-854-1616

Thank you

Ivy Yoo

Carrier Administrator
EGL USA Inc
 atl@eglusainc.com
3235 Satellite Blvd, Building 400 Suite 260
Dulut, GA 30096
770-854-1616

Carrier Profile
General
Company Name: SCAC Code:
Physical Address: Main Phone:
City, St Zip: Secondary Phone:
Mailing Address: Contact:
City, St Zip: Email:
Remit Payment To: Communicate by: Fax Email
Miscellaneous
Federal ID #: Email Address:
Motor Carrier #: Web Address:
US DOT #:
Additional Contacts
Primary Contact: Email:
Phone: Fax:
Accounting Contact: Email:
Phone: Fax:
Claims Contact: Email:
Phone: Fax:
Dispatch Contact: Email:
Phone: Fax:
Dispatch Contact: Email:
Phone: Fax:
Information
Type # Type # Type #
Vans Stepdecks Trailers
Refrigerated Vans Dropdecks Containers
Flatbeds
Services ;Yes Services ;Yes Services ;Yes
Bonded Team Drivers Air Ride
Hazmat Certified Solo Drivers Pallet Exchange
Intermodal Equipment Less Than Truckload Curtain Side
Smartway Partner Logistics Trailers Liftgate
TWIC Card Drayage Services
Org & Dest Zone ;Yes Org & Dest Zone ;Yes Org & Dest Zone ;Yes
All States Z5 (IA,MN,MT,ND,SD,WI) Mexico
ZO (CT,ME,MA,NJ,NH,RI,VT) Z6 (IL,KS,MO,NE) CANADA
Z1 (DE,NY,PA) Z7 (AR,LA,OK,TX) List Provinces
Z2 (MD,NC,SC,VA,WV) Z8 (AZ,CO,ID,NV,NM,UT,WY)
Z3 (AL,FL,GA,MS,TN) Z9 (CA,OR,WA)
Z4 (IN,KY,MI,OH) Intercontinental
 atl@eglusainc.com
3235 Satellite Blvd, Building 400 Suite 260
Duluth, GA 30096
770-854-1616

Quick Pay Sign-up (Optional)

EGL Logistics Accounting Contact Information
Mailing Address 3235 Satellite blvd building 400 Email Address: atl@eglusainc.com
STE 260 Duluth, GA 30096 ivy@eglusainc.com
Phone: 770-854-1616 Phone2: (470) 908-9126
Terms
Prompt Pay released within 30 Days of receipt of invoice and required paperwork.
Check Mailed
Quick Pay released within 2 Days of receipt of invoice and required paperwork
2.5% Fee charged to carrier. Check one method of delivery below.
Check Mailed
Wire Transfer (Voided Check Required at Setup)
Quick Pay
1. Payments to carriers will be released within 48 hours of receipt of their invoice and required delivery paperwork.
2. Carriers may electronically send legible copies of paperwork to expedite payment processing.
3. Quick pay charge is 2 ½% (two and one half percent) of invoiced amount for the service. The amount is deducted from
invoiced amount at time of settlement.
4. With EGL Logistics Quick Pay there are no minimum charges or other hidden service fees. Many programs have minimum
charges ranging from $25 to $50. For example, a carrier invoicing $800 under the EGL Quick Pay, charges would be $20
versus $25 or 3.1% of invoiced amount by programs with a $25 minimum.
5. EGL Logistics offers Wire Transfer to carriers on the Quick Pay Program at no extra charge. Wire Transfer provides carriers
access to their money even faster. No more overnight courier charges or waiting for the check to arrive via the mail.
Company Information
Company Name: Motor Carrier #:
Contact: Email:
Phone: Fax:
Agreement
I certify that the information provided is correct and that I have the authority to make requests on the part of the named carrier. I
hereby request that EGL Logistics remit payments for all invoices due to the named carrier by way of electronic funds transfer
directly into the account number provided on the voided company check attached. It is further understood that requests to
terminate this agreement must be in writing and received by EGL Logistics ten (10) working days prior to terminating electronic
funds transfers.

Carrier Representative Signature: Date:

If you do not sign up with the Quick Pay option above all payments will be paid 28 days from receipt of paperwork and sent out
via US Mail.
 atl@eglusainc.com
3235 Satellite Blvd, Building 400 Suite 260
Duluth, GA 30096
770-854-1616

Carrier Insurance Information Sheet

Overage Shortage & Damaged
Do you have a person in charge of OS&D? If yes, provide the contact information. Yes No
OS&D Contact: Email:
Phone: Fax:
Insurance
Check the covered property exclusions.
No Exclusions
Reefer Breakdown
Reefer Breakdown after certain age
TV’s, VCR’s, DVD Players, Stereos, etc
Garments, Shoes or other Apparel
Geographical exclusion, please indicate territory:
Liquor
Tobacco Products
Computers
Computer Peripherals
Textiles
Other:
Form
(Rev. October 2007)
W-9 Request for Taxpayer Give form to the
requester. Do not
Department of the Treasury
Identification Number and Certification send to the IRS.
Internal Revenue Service
Name (as shown on your income tax return)
See Specific Instructions on page 2.

Business name, if different from above

Print or type

Check appropriate box: Individual/Sole proprietor Corporation Partnership

Exempt
Limited liability company. Enter the tax classification (D=disregarded entity, C=corporation, P=partnership) ©
payee
Other (see instructions) ©

Address (number, street, and apt. or suite no.) Requester’s name and address (optional)

City, state, and ZIP code

List account number(s) here (optional)

Part I Taxpayer Identification Number (TIN)

Enter your TIN in the appropriate box. The TIN provided must match the name given on Line 1 to avoid Social security number
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. or
Note. If the account is in more than one name, see the chart on page 4 for guidelines on whose Employer identification number
number to enter.
Part II Certification
Under penalties of perjury, I certify that:
1. 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).
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 4.

Sign Signature of
Here U.S. person © Date ©

General Instructions Definition of a U.S. person. For federal tax purposes, you are
considered a U.S. person if you are:
Section references are to the Internal Revenue Code unless
otherwise noted. ● An individual who is a U.S. citizen or U.S. resident alien,
● A partnership, corporation, company, or association created or
Purpose of Form organized in the United States or under the laws of the United
A person who is required to file an information return with the States,
IRS must obtain your correct taxpayer identification number (TIN) ● An estate (other than a foreign estate), or
to report, for example, income paid to you, real estate ● A domestic trust (as defined in Regulations section
transactions, mortgage interest you paid, acquisition or 301.7701-7).
abandonment of secured property, cancellation of debt, or
Special rules for partnerships. Partnerships that conduct a
contributions you made to an IRA.
trade or business in the United States are generally required to
Use Form W-9 only if you are a U.S. person (including a pay a withholding tax on any foreign partners’ share of income
resident alien), to provide your correct TIN to the person from such business. Further, in certain cases where a Form W-9
requesting it (the requester) and, when applicable, to: has not been received, a partnership is required to presume that
1. Certify that the TIN you are giving is correct (or you are a partner is a foreign person, and pay the withholding tax.
waiting for a number to be issued), Therefore, if you are a U.S. person that is a partner in a
partnership conducting a trade or business in the United States,
2. Certify that you are not subject to backup withholding, or provide Form W-9 to the partnership to establish your U.S.
3. Claim exemption from backup withholding if you are a U.S. status and avoid withholding on your share of partnership
exempt payee. If applicable, you are also certifying that as a income.
U.S. person, your allocable share of any partnership income from The person who gives Form W-9 to the partnership for
a U.S. trade or business is not subject to the withholding tax on purposes of establishing its U.S. status and avoiding withholding
foreign partners’ share of effectively connected income. on its allocable share of net income from the partnership
Note. If a requester gives you a form other than Form W-9 to conducting a trade or business in the United States is in the
request your TIN, you must use the requester’s form if it is following cases:
substantially similar to this Form W-9.
● The U.S. owner of a disregarded entity and not the entity,
Cat. No. 10231X Form W-9 (Rev. 10-2007)