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H&N Logistics, LLC2014US Carrier Set-Up RequirementsTo speed up the set-up process, please see below for the requirements.Documents need to be filled out in their entirety:1. Carrier Profile2. References Page3. Automatic Direct Deposit Form4. W-9 Form *If your company is an LLC must enter tax classification on W-9*5. Brokerage Info (if you want H&N to find backhauls for you)6. Trailer Inspection Form signed7. Factoring Letter (if you use a factoring company)8. Broker/Carrier Contract9. Trailer Interchange Agreement (if going to pull H&N Trailers)10. Copy of Carrier Authority11. Certificate of Insurance naming H&N Logistics LLC as additional insured.Insurance coverage requirements:-Automobile Liability - minimum 1,000,000 coverage-Cargo - minimum 100,000 coverage-If pulling H&N trailers, must have Non-Owned Equipment coverage- minimum 50,000 coverage requiredEmail all information to: HNMADISONWI@HARTUNGBROTHERS.COMOr fax to: 608-829-5161Or mail to: H&N Logistics, LLC708 Heartland Trail, Suite, 2000Madison, WI 53717-2099

H&N Transport, IncH&N Logistics, LLCParent Company: Hartung Brothers, Inc.708 Heartland Trail, Suite 2000Madison WI, 53717-2099Toll Free: 800-362-2522Ph: 608-829-6000Fax: 608-829-6001www.hartungbrothers.com708 Heartland Trail, Suite 2000Madison, WI 53717-2099Toll Free: 800-558-2676Ph: 608-829-5100Fax: 608-829-5161Email: lc.comDaniel Hartung - PresidentJohn Hartung – PresidentIn Business since: January, 1979Type of Business: Agricultural/TransportationBusiness Operations Manager - Phillip SestonSCAC: HNNQMC # 145944MC # 433057Insurance Agency/Contact:General Liability Ins. Name:Amount:Cargo Ins. Name:Amount:Liability Ins. Name:Amount:Workers Comp. Name:Amount:DOT # 168557DOT # 2229313JW AssociatesCatlin Ins. Co 1,000,000.00Underwriters at Lloyds 150,000.00Underwriters at Lloyds 1,000,000.00Middlesex Ins Co 1,000,000.00Dun & Bradstreet037843679Bank Reference:M& I BankKirk Soukup1 W, MainMadison, WI 53703Federal ID # 39-1314918Federal ID # 32-0012213Telephone: 920-699-5025Policy #: PRA455934001Expires: 09/21/14Policy #: PRA455934001Expires: 09/21/14Policy#: PRA455934001Expires: 09/21/14Policy#: 8943409010200131Expires: 03/01/15608-252-5917608-283-5713 Fax (Use for Credit Inquiries)Trade References:Trinity TrailerCal Robinson8200 Eisenman RdBoise, ID 83716208-336-3666208-336-3741 FAXMidwest Trailer SalesBob Zurbuchen4107 Terminal RoadMcFarland, WI 53558608-838-4164608-838-8755 FAXER TrailerBob Hessling20186 Lincoln HighwayMiddle Point, OH 45863419-968-2115419-968-2712 FAXCarrier References:Ludwig Transport LimitedMichael Ludwig817 Norfolk Street SouthSimcoe, ON N3Y 4K1519-426-4870Mike Rood TransportMike Rood0577 S Dixie HwyPortage, OH 43451419-409-6114Uphoff CompanyKendall Uphoff4142 Ridge RdDeerfield, WI 53531608-839-4945Equipment Type:Reefer:Flatbeds:Open Top:Tankers:Dry Vans:921912762Tarped Open Top:Belted Trailers:Hopper TrailersRGN Trailers612133

Welcome to H & N Logistics LLC!We would like to know how you heard about our organization. Please check one (ormore) of the options below:Load posting on TransCore 3sixty or Internet TruckstopHartung Brothers/H & N Logistics LLC websiteThrough a friend/family member who has hauled for H & NSeeing an H & N trailer on the roadProspected by an H & N employeeOtherWe appreciate your response!

H&N Logistics, LLCCarrier Profile708 Heartland Trail, Suite 2000, Madison, WI 53717-2099Phone: 608-829-6060 Fax: 608-829-5161Please print clearly filling out the following information. Read over all the information and fax back to us at608-829-5161 or email us at HNDistribution@hartungbrothers.com. Please include your certificateinsurance with H&N as Certificate Holder and a copy of your authority when returning this form.Trucking Company:Contact (s):Address:City: State:Phone:Zip Code:Business: Cell:Fax:Email Address (required for trucker portal & direct deposit):US DOT #MC#Tax Payer Identification Number:(Federal ID Number or Social Security Number)Types of Equipment:QualificationsCheck types of movements you have done or can doNumber of Power Units: Number of Trailers:(Write # of trailers next to the type you have)48’ Reefer53’ ReeferReefer TridemVanVented VanOpen TopBeltHopperHopper Multi AxleWalking FloorWalking Floor Multi AxleDumpDump Multi AxleTankerFlatbedStep DeckLowboyRGNTrainA TrainB TrainOtherCheck commodities you have hauled or can haulBulk/Floor LoadedField LoadsHopper/BeltMachineryPower OnlyRefrigeratedTankerTWIC certifiedBeetsBrined StockCarrotsMeatCucumbersFertilizerLima BeansOnionsPeasPeppersPumpkinsSeed CornSnapbeansSweet CornOther (list below)Additional Information or Trailer Sizes:

States of OperationALL USAOntario, CanadaQuebec, CanadaManitoba, ecticutDelawareDistrict of daNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth est VirginiaWisconsinWyomingOtherORIGSo INuthSo Eaut st (hMM ( Uv y akidw ald kaese,CMt(TX ityidG,F)wL)es oldMt ( enidw Wil Citesdy,RCos MOan t (B)ad ow e,WlinaI(-O gnt Gr Ceenario en, tra(CO lWha H)I))tham&PortBurwell)Lanes – Check those of interestDESTINATIONPacific West (CA, OR, WA)West (AZ, CO, ID, MT, NE, NV, NM, ND, SD, UT, WY)South (AR, LA, MS, OK, TX)South East (AL, FL, GA, NC, SC)Midwest (IL, IN, IA, MI, MN, MO, OH, WI)East (DE, DC, MD, NJ, PA, VA, WV)North East (CT, ME, MA, NH, NY, RI, VT)Canada (Ontario)Canada (Quebec)Canada (Manitoba)Specific Lanes (ex: Uvalde, TX – Green Bay, WI):

List of Drivers and Cell Numbers:

ReferencesTo complete your carrier set up, please fill out this form with at least three references. Ifyou already have this written on another sheet, please attach the sheet to our carrier setup packet.Reference #1Name:Address:Phone:Email Address (if available):Reference #2Name:Address:Phone:Email Address (if available):Reference #3Name:Address:Phone:Email Address (if available):

W-9Form(Rev. August 2013)Department of the TreasuryInternal Revenue ServiceRequest for TaxpayerIdentification Number and CertificationGive Form to therequester. Do notsend to the IRS.Print or typeSee Specific Instructions on page 2.Name (as shown on your income tax return)Business name/disregarded entity name, if different from aboveExemptions (see instructions):Check appropriate box for federal tax classification:Individual/sole proprietorC CorporationS CorporationPartnershipTrust/estateExempt payee code (if any)Limited liability company. Enter the tax classification (C C corporation, S S corporation, P partnership) Other (see instructions) Address (number, street, and apt. or suite no.)Exemption from FATCA reportingcode (if any)Requester’s name and address (optional)City, state, and ZIP codeList account number(s) here (optional)Part ITaxpayer Identification Number (TIN)Enter your TIN in the appropriate box. The TIN provided must match the name given on the “Name” lineto avoid backup withholding. For individuals, this is your social security number (SSN). However, for aresident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For otherentities, it is your employer identification number (EIN). If you do not have a number, see How to get aTIN on page 3.Social security numberNote. If the account is in more than one name, see the chart on page 4 for guidelines on whosenumber to enter.Employer identification numberPart II–––CertificationUnder 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), and2. 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 RevenueService (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 amno longer subject to backup withholding, and3. I am a U.S. citizen or other U.S. person (defined below), and4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholdingbecause you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgageinterest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), andgenerally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See theinstructions on page 3.SignHereSignature ofU.S. person Date General Instructionswithholding tax on foreign partners’ share of effectively connected income, andSection references are to the Internal Revenue Code unless otherwise noted.Future developments. The IRS has created a page on IRS.gov for informationabout Form W-9, at www.irs.gov/w9. Information about any future developmentsaffecting Form W-9 (such as legislation enacted after we release it) will be postedon that page.Purpose of FormA person who is required to file an information return with the IRS must obtain yourcorrect taxpayer identification number (TIN) to report, for example, income paid toyou, payments made to you in settlement of payment card and third party networktransactions, real estate transactions, mortgage interest you paid, acquisition orabandonment of secured property, cancellation of debt, or contributions you madeto an IRA.Use Form W-9 only if you are a U.S. person (including a resident alien), toprovide your correct TIN to the person requesting it (the requester) and, whenapplicable, to:1. Certify that the TIN you are giving is correct (or you are waiting for a numberto be issued),2. Certify that you are not subject to backup withholding, or3. Claim exemption from backup withholding if you are a U.S. exempt payee. Ifapplicable, you are also certifying that as a U.S. person, your allocable share ofany partnership income from a U.S. trade or business is not subject to the4. Certify that FATCA code(s) entered on this form (if any) indicating that you areexempt from the FATCA reporting, is correct.Note. If you are a U.S. person and a requester gives you a form other than FormW-9 to request your TIN, you must use the requester’s form if it is substantiallysimilar to this Form W-9.Definition of a U.S. person. For federal tax purposes, you are considered a U.S.person if you are: An individual who is a U.S. citizen or U.S. resident alien, A partnership, corporation, company, or association created or organized in theUnited States or under the laws of the United States, An estate (other than a foreign estate), or A domestic trust (as defined in Regulations section 301.7701-7).Special rules for partnerships. Partnerships that conduct a trade or business inthe United States are generally required to pay a withholding tax under section1446 on any foreign partners’ share of effectively connected taxable income fromsuch business. Further, in certain cases where a Form W-9 has not been received,the rules under section 1446 require a partnership to presume that a partner is aforeign person, and pay the section 1446 withholding tax. Therefore, if you are aU.S. person that is a partner in a partnership conducting a trade or business in theUnited States, provide Form W-9 to the partnership to establish your U.S. statusand avoid section 1446 withholding on your share of partnership income.Cat. No. 10231XForm W-9 (Rev. 8-2013)