I {dispatcherFull} (carrier/owner operator), of Truck # blanks , Trailer # . Motor Carrier Number (MCN): , and Department of Transportation (DOT) Number: .Hereb grants authorization and/or permission to SIMPLY SELOIS, LLC. to act as my DISPATCHER/LOGISTICS MANAGER for the sole purpose of searching for and booking loads, processing all brokerage paperwork and obtaining and/or submitting all necessary documents required in order to expedite loads and dispatch via telephone fax and/or email for my truck(s), in the State of Type a label.All billing, invoicing, and collections of revenue from shippers, brokers, and/or factoring companies are the sole responsibility of the carrier/trucking company, unless SIMPLY SELOIS, LLC., and carrier/trucking company have arranged and agreed upon additional services provided to the carrier/trucking company by SIMPLY SELOIS, LLC. if revenue for a shipment or shipments is uncollectible, SIMPLY SELOIS, LLC. will be held harmless and no penalty or deduction of fees will be made.SIMPLY SELOIS, LLC. will be held harmless in the event of any and all claims, and the carrier/trucking company will still be obligated to pay for services rendered by SIMPLY SELOIS, LLC. The Service Fee for SIMPLY SELOIS WILL BE: Please Select 8% 10% 12% 15% 30% PER LOAD or $ FLAT RATE per week.NOTE: THIS FEE FOR DISPATCHING SERVICES INCLUDES, CONTRACTING DEDICATED FREIGHT (LANES) FOR THE CARRIER.As loads/freight/cargo gets picked up and delivered the Carrier/Trucking Company is paid FIRST, an amount equal to the above-stated percentage or flat rate payable to SIMPLY SELOIS, LLC.Either party has the right to terminate this agreement without cause, by providing a seven (7) day notice via written or emailed notification. This is not an exclusive agreement/contract. By signing this agreement, the terms of this agreement are fully understood.Carrier Printed Name: First Name Last Name Carrier Signature: Signature Date NOTE: When returning the Dispatcher Packet, which includes the completed Dispatcher Service Agreement, Carrier Profile, and Limited Power of Attorney. Please include copies of your MC Authority Letter (Certificate), Certificate of Insurance (COI), and W9. If you are working with a factoring company, please also include a copy of the factoring company's credit application so that they can run the credit on the brokers and send a Notice of Assignment (NOA) if the credit is favorable.Dispatcher/Dispatch Company Name: SIMPLY SELOIS, LLC. Dispatcher/Dispatch Company Signature: Signature Date