2019

Q SHIP USA CORP.

Broker Shipper Packet

1
 Q Ship USA Corp.

Legal Proposal

The enclosed documentation includes our company’s Federal Motor

Carrier Number, Certificate of Insurance, and Brokerage Agreement.

These documents are presented to legally inform you of our authority to

engage in operations as a broker arranging for transportation of freight.

This legal proposal is to authorize that the authority granted is effective,

legal and binding, and is accepted in accordance to the Department of
Transportation.

Charles Kohn
President and Founder
 DATE (MM/DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE 02/05/2019
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
CONTACT
PRODUCER PFA Transportation Insurance NAME: Kaylin Williams, ACSR Producer
PHONE FAX
& Surety Services (A/C, No, Ext): (800)595-2615 (A/C, No):(623)209-2626
22601 N. 19th Avenue, Suite 202 E-MAIL
ADDRESS: kwilliams@pfaprotects.com
Phoenix AZ 85027- INSURER(S) AFFORDING COVERAGE NAIC #

INSURER A :Underwriters at Lloyds of London

INSURED INSURER B :
Q Ship USA Corp. INSURER C :
860 Bedford Ave INSURER D :
Brooklyn NY 11205- INSURER E :

INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
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.
INSR ADDL SUBR POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
DAMAGE TO RENTED
CLAIMS-MADE OCCUR PREMISES (Ea occurrence) $

MED EXP (Any one person) $

PERSONAL & ADV INJURY $

GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $

PRO-
POLICY JECT LOC PRODUCTS - COMP/OP AGG $

OTHER: $

AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $

(Ea accident)
ANY AUTO BODILY INJURY (Per person) $
OWNED SCHEDULED BODILY INJURY (Per accident) $
AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY (Per accident)
$

UMBRELLA LIAB OCCUR EACH OCCURRENCE $

EXCESS LIAB CLAIMS-MADE AGGREGATE $

DED RETENTION $ $
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS' LIABILITY STATUTE ER
Y/N
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? N/A
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $
If yes, describe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $
A Freight Broker Cargo Legal Liability 18GU306160-218 01/31/2019 01/31/2020 any one occ / acc 100,000

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Domestic Freight Broker

All in accordance with Lloyds of London Insurance Cover wording

CERTIFICATE HOLDER CANCELLATION AI 000255

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
MASTER CERTIFICATE
-
AUTHORIZED REPRESENTATIVE

© 1988-2015 ACORD CORPORATION. All rights reserved.

ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
 Q Ship USA Corp.

STANDARD SHIPPER-BROKER AGREEMENT

This contract made this _____ day of ________________________, 20 , by and between _______________________,
located at ________________________________,a domestic corporation, hereinafter called "SHIPPER", and Q SHIP USA
Corp. located at 860 Bedford Avenue Brooklyn, New York 11205, a domestic corporation, hereinafter called "FREIGHT
BROKER".

Whereas, Freight Broker is engaged in the business of placing loads, tendered to it by shipper, for transportation with carriers by
motor vehicle, regulated by the Federal Motor Carrier Safety Administration, under contract with such carriers; and whereas, Freight
Broker represents that it is duly authorized to perform such services for compensation under a license issued to it by the Federal Motor
Carrier Safety Administration (FMCSA) in Docket No. MC-853756; and that it holds an effective Surety Bond or Trust Fund
Agreement under 49 U.S.C. 10927(b) and 49 C.F.R. 1045; and that it shall employ only the services of motor carriers duly authorized
by the Interstate Commerce Commission and insured in accordance with the laws and regulations of the appropriate federal and/or
state regulatory agencies including but not limited to the Federal Motor Carrier Safety Administration and the United States
Department of Transportation.

Whereas, Freight Broker desires to provide its transportation services on behalf of the Shipper for the interstate, intrastate and foreign
transportation of commodities as more specifically described hereinafter; and

Whereas, Shipper desires to avail itself of such service.

Now, therefore, in consideration of the mutual agreements herein contained, and the compensation that the Freight Broker will receive
from the monies that are paid for the transportation, the parties agree as follows:

1. Shipper agrees to tender certain loads, from time to time, to Freight Broker. The charges as to each shipment shall be agreed to,
either orally or in writing, by the parties, prior to the movement of the shipment.

2. Freight Broker agrees to make every reasonable effort to place such loads with contract carriers for the purpose of transporting the
loads with reasonable dispatch under the direction of the Shipper.

3. Freight Broker agrees to provide Shipper with adequate proof of acceptance and delivery of such loads in the form of a freight bill,
and Shipper understands that the Freight Broker will be compensated by the carrier for the moves on which the Shipper pays the
Freight Broker the transportation charges.

4. Except as may otherwise appear herein (including appendices), the rights and obligations existing between the parties hereto shall
be those defined in the Interstate Commerce Act as to the conduct of Freight Brokerage in interstate and foreign commerce.

5. The terms of this Agreement shall commence on the above stated date and shall continue in effect until terminated by either party
upon not less than fifteen (15) days written notice, either hand delivered or mailed to the address shown above.

6. The parties agree that in the event Shipper determines it has a claim for cargo loss or damage against any carrier transporting a load
tendered to it by Freight Broker, the Freight Broker will act as administrator for the claim and insure that all claims are filed and
processed in accordance with 49 C.F.R. 1005. All matters pertaining to rates and charges should be solely between Shipper and
Freight Broker.

7. Freight Broker represents that the carriers that it uses will hold effective cargo insurance for all loads placed for transportation with
them, and that the benefits of such insurance shall insure to the Shipper.

8. Freight Broker agrees that it shall treat all sensitive business information as confidential and shall not release same without the
written consent of the Shipper.

9. It is understood between the parties that Freight Broker shall remain an independent contractor under this contract and that its

Q SHIP USA CORP. Shipper Contract 1

agents and/or employees are under its exclusive management and control and that Shipper neither exercises nor retains any control or
supervision of or over Freight Broker, or its operations, agents or employees in any manner whatsoever.

10. It is understood between the parties that each shall conduct its operations and activities in accordance with all Federal, State and
Municipal laws, regulations, rules and ordinance affecting or regulating the transportation of the commodities involved.

11. Freight Broker agrees that in each of the contracts it has with contract carriers that the following clause shall be included:

"Carrier authorizes Freight Broker to invoice Shipper, receiver, consignor or consignee for freight charges as agent for and on
behalf of Carrier. Payment of the freight charges to Freight Broker shall relieve Shipper, receiver, consignor or consignee of
any liability to the Carrier for non-payment of
charges."

12. Freight Broker agrees to indemnify Shipper and hold it harmless from any claims which arise from the use of carriers not meeting
the above stated requirements.

13. This instrument constitutes the entire agreement of the parties with reference to the subject matter hereof, and may not be
changed, waived, or modified except in writing signed by both parties. This contract shall be construed in accordance with the laws of
the State of New York.

14. If any dispute arises about any matter covered by the terms of this Motor Contract Carrier Agreement, the dispute must be
submitted, by the party who alleges a violation filing a complaint with the Federal Motor Carrier Safety Administration. The
complaint shall contain specific references to pertinent statutory provisions and regulations of the Commission, and the terms of this
contract that the complainant believes have been violated.

Such a complaint shall be submitted in accordance with all the provisions of 49 C.F.R. 1111.

No court action can be taken by either party prior to the decision of the Commission, and the decision of the Commission shall be a
binding, final and non-appeal able decision. If for any reason the Commission refuses to accept the complaint, or refuses to make a
ruling on the subject matter of the complaint, then the parties' recourse shall be to the judicial system, either state or federal.

IN WITNESS WHEREOF, the parties have caused this Contract to be executed as of the day and year first written above.

SHIPPER: FREIGHT BROKER:

Q SHIP USA CORP.

BY: BY: Jay Kohn

TITLE: TITLE: Operations Manager

ADDRESS: ADDRESS: 860 Bedford Avenue

CITY, STATE, ZIP: CITY, STATE, ZIP: Brooklyn, NY 11205

PHONE #: PHONE #: 844-774-4787

FAX #: FAX #: 646-650-5477

Q SHIP USA CORP. Shipper Contract 2

 Q Ship USA Corp.
*Please fill out the following Master Credit Application

COMPANY NAME: __________________________________________________________________________________________

STREET ADDRESS: __________________________________________________________________________________________

CITY: ____________________________________PROV/STATE: _________________POSTAL ZIP _________________________

PHONE: ____________________________ FAX: _________________________ OTHER: __________________________________

E-MAIL: ____________________________________________________________________________________________________

DATE OF INCORPORATION/PARTNERSHIP: ____________________________________________________________________

NAMES OF PRINCIPALS OFFICERS: 1. _________________________________ TITLE: ______________________________

2. _________________________________ TITLE: ______________________________

ESTIMATED MONTHLY REQUIREMENT: ______________________________________________________________________

SPECIAL BILLING INSTRUCTIONS: ___________________________________________________________________________

BANK: ______________________________________ ADDRESS: ________________________________ ACCT# _____________

BRANCH: ___________________________________ PHONE: ________________ CONTACT:_____________________________

CREDIT REFERENCE

1) NAME: _________________________________________ PHONE: __________________________________

ADDRESS: ______________________________________ FAX: ____________________________________

2) NAME: _________________________________________ PHONE: __________________________________

ADDRESS: ______________________________________ FAX: ____________________________________

3) NAME: _________________________________________ PHONE: __________________________________

ADDRESS: ______________________________________ FAX: ____________________________________

COMPANY ACCOUNTING CONTACT

Name: Phone #: Email:

Application continues on the following page.

 Q Ship USA Corp.

*Customer agrees to pay for all Services as actually provided, including any accessorial charges and adjustments
to the original rate issued by the carrier. Liability for freight loss and damage resides exclusively with the motor
carrier transporting the freight. Customer agrees that payment of freight charges may not be postponed or
setoff due to alleged loss, damage or delay to freight. Customer agrees to pay these freight charges in full, and if
necessary submit to broker a written claim. Broker agrees to submit, negotiate and settle all claims with the
responsible carrier and to keep Customer advised of the status of all such claims.

My signature below indicates my agreement to the above and my permission to obtain credit information from the sources
referenced and attests financial responsibility to pay invoices in accordance with terms.

CREDIT LIMITS ARE 15 DAYS

SIGNATURE: __________________________________________ DATE: _______________________________

POSITION: ____________________________________________
 Q Ship USA Corp.

Credit Card Application

Name:

Company:

Address:

City: State: Zip:

Phone #: Fax:
Accounting Contact:
Name: Phone # Email:
Credit Card Type: Master Card Visa Card Amex Other:

Credit Card#: Expiration Date:

Security Code: (Three digit security code found on the back of the card)

*Customer agrees to pay for all Services as actually provided, including any accessorial charges and adjustments
to the original rate issued by the carrier. Liability for freight loss and damage resides exclusively with the motor
carrier transporting the freight. Customer agrees that payment of freight charges may not be postponed or
setoff due to alleged loss, damage or delay to freight. Customer agrees to pay these freight charges in full, and if
necessary submit to broker a written claim. Broker agrees to submit, negotiate and settle all claims with the
responsible carrier and to keep Customer advised of the status of all such claims.

By signing this form you are agreeing to the above terms and authorizing Q SHIP
USA Corp. to charge your credit card or debit your account to pay for the freight
charges.