NEw RaM Express, LLC 9563S 60" St Franklin, WI 53132 Telit 414 529 3600 Faxi 414 529 3626 newramexpress@gmail.com mc: 729143 DoT: 2057147 SCAC: NREC Dispatch Contacts: Alex, Milo, Jake, Rake, Zach, Dennis Accout Melissa, Maja Safety: Melissa REFERENCES XPO; Ryan K 704 665 0692 Complete Logistics; Steve 262 754 6060 Advantage Transportation; Bil, Angie, Wendy; 262 790 1110 ‘Transplace; Casey 479 770 7705 Coyote; Kris 773 365 6167 REMIT TO Capital LLC PO Box 98504 Las Vegas, NV 89193 800 705 1500ares rar, at, ara oF aS FO) Fear end adress opts [9563 S éoth st © Gi, dal, nd AP ode leranktin wi 53132 "FU account nana OTT rom W-9 Request for Taxpayer Gino Form tothe, ev omar 219 Identification Number and Certification remester Dono peerenne SS Be a SF RT a RE So a OT ew am express Lc # Nowa exes uc 15 wat npopie bor res deo oso aa a ng or Be Epa IER 5} Ci ndsiuatoot proprietor ar] CCorporaton (-] S Corporation [e] Parnes — Cl Tustesite | wesons an pare Sf a8] irre 7 Exempt pe cose a), BE) TTT Say caw nesarcontcnten Oconee, 6Scapantin.Popataney® _P | Note res enemy hepa, ont chen LC cack eta baxter | BMHoD HON FATA epoca Se) panrasauees acne cero cman EE | Coarse mtveion ‘ea ct ETRY “Taxpayer Identification Number (TIN) Emeryou TH te apron box. 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Clam exempt tom backup winhotng you ae a. exempt payee soptcable, you re ko caring al sae. person, our acaba shore of ‘iy putsep care fam a US, bade orbsrese et abject toe ‘ehvldng tc ong petnare’ share of eect} connects ream, rd 4. Carty hat FATOA odo atared on this orm ry nde you ae concn ie the FTCA esang fe eoract Sate PATCA reporting? 08 page 20° fener noma Form W-9 fv. 12018)U.S. Department of Transportation 1200 New Jersey Ave., SE, Federal Motor Carter Ssely Administration Weshingion, 0c 20599 SERVICE DATE November 18, 2010 PERNT wie-729143.p NEW RAM EXPRESS LLC FRANKLIN, Wi Wo 6 Arecs + Jefrey L. Seorist, Chiet 'nformation Techriclogy Operations Division PMO) ACORD CERTIFICATE OF LIABILITY INSURANCE ee "This CERTIFICATE I6 ISSUED AS A NATTER 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 cerficate holders an ADDITIONAL INSURED, the policyios) must be endorsed, if SUBROGATION 15 WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsamont. A statement on this cetiicate does not confer rights to the cartfcate holder in eu of such endorsement(s). PRODUCE in Risk Services i PO Box 510187 (Re DOD T- S000 AE ny 260.700.6108 ee cetseinl com ey et nen ron cove mee sea Grea West fart ~ se Ra Express, LEQ ce Tie -les668-—— 410700 W. Venture Drive ween Suite 14 aun Frenklin wi_s3is2 une COVERAGES CERTIFICATE NUMBER: REVISION NUMBETE THis 18 TO CERTIFY THAT THE POLICIES OF NGURANGE LISTED BELOW RAVE BEEN IGSUED TO THE NEURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT Of OTHER DOCUMENT WIT RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR NAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREN IS SUBJECT TO ALL THE TERMS, | prousions TIONS OF SUCH POLIGES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAD CLAWS. ff eaeenrecrenmeee ines we PoUicy NawsER aon |eabon| rs coor merecsmmees [eaten A [7x] commencit Geena LASEITY McPos774c_ {11/01/2015)/11/01/2016] premises escronence) |S. cvuce [se60 ies [3 3.000, a rewonc amar [6 0365 g————— oonticmcuee [3a [dra [BS [Joe vet eee MGPOB774C_ Ht 10120181 1012016 Eeees 10-00 _. ara fatima {t [_Jangser ie ‘BOOEY RUA (Pr aon] nines auros [x | Stas"? Fees = 7 waa Toca paces Te [eo [_[neremons SEE A eee eee ep cae [ovo ov LSAT cperaeees "Touma Soccer [an [eceacee canal oa on sonst erootierse —— Q7-660-9612L230-TIL-AS |11/01201911/0112016] Lint ‘$150,000 51,000, 8 | soar Truck cargo rod For Sects SIFTING GPERATONS TCOONTONS /VENNGLES (ach AGORD 18, Aaaonl Ram Bt, av spa WIA CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE JHE EXPRATION DATE THEREOF, NOTICE WILL BE DELWERED IN ‘SAMPLE ACCORDANCE WITH THE POLICY PROVISIONS, OEE ‘© 1988-2070 GORD CORPORATION. Allright reserved.