US Carrier Set-Up Requirements

1 H&N Logistics, LLC 2014 US Carrier Set-Up Requirements To speed up the Set-Up process, please see below for the Requirements . Documents need to be filled out in their entirety: 1. Carrier Profile 2. References Page 3. Automatic Direct Deposit Form 4. 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 signed 7. Factoring Letter (if you use a factoring company) 8. Broker/ Carrier Contract 9. Trailer Interchange Agreement (if going to pull H&N Trailers) 10. Copy of Carrier Authority 11. 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 required Email all information to: Or fax to: 608-829-5161 Or mail to: H&N Logistics, LLC 708 Heartland Trail, Suite, 2000 Madison, WI 53717-2099 H&N Transport, Inc Parent Company: Hartung Brothers, Inc.

2 H&N Logistics, LLC 708 Heartland Trail, Suite 2000 708 Heartland Trail, Suite 2000 Madison WI, 53717-2099 Madison, WI 53717-2099 Toll Free: 800-362-2522 Toll Free: 800-558-2676 Ph: 608-829-6000 Ph: 608-829-5100 Fax: 608-829-6001 Fax: 608-829-5161 Email: Daniel Hartung - President John Hartung President In Business since: January, 1979 Type of Business: Agricultural/Transportation Business Operations Manager - Phillip Seston SCAC: HNNQ MC # 145944 DOT # 168557 Federal ID # 39-1314918 MC # 433057 DOT # 2229313 Federal ID # 32-0012213 Insurance Agency/Contact: JW Associates Telephone: 920-699-5025 General Liability Ins. Name: Catlin Ins.

3 Co Policy #: PRA455934001 Amount: $1,000, Expires: 09/21/14 Cargo Ins. Name: Underwriters at Lloyds Policy #: PRA455934001 Amount: $150, Expires: 09/21/14 Liability Ins. Name: Underwriters at Lloyds Policy#: PRA455934001 Amount: $1,000, Expires: 09/21/14 Workers Comp. Name: Middlesex Ins Co Policy#: 8943409010200131 Amount: $1,000, Expires: 03/01/15 Dun & Bradstreet 037843679 Bank Reference: M& I Bank Kirk Soukup 608-252-5917 1 W, Main 608-283-5713 Fax (Use for Credit Inquiries) Madison, WI 53703 Trade References: Trinity Trailer Midwest Trailer Sales ER Trailer Cal Robinson Bob Zurbuchen Bob Hessling 8200 Eisenman Rd 4107 Terminal Road 20186 Lincoln Highway Boise, ID 83716 McFarland, WI 53558 Middle Point, OH 45863 208-336-3666 608-838-4164 419-968-2115 208-336-3741 FAX 608-838-8755 FAX 419-968-2712 FAX Carrier References: Ludwig Transport Limited Mike Rood Transport Uphoff Company Michael Ludwig Mike Rood Kendall Uphoff 817 Norfolk Street South 0577 S Dixie Hwy 4142 Ridge Rd Simcoe, ON N3Y 4K1 Portage, OH 43451 Deerfield, WI 53531 519-426-4870 419-409-6114 608-839-4945 Equipment Type: Reefer: 92 Tarped Open Top: 6 Flatbeds.

4 19 Belted Trailers: 12 Open Top: 127 Hopper Trailers 13 Tankers: _6 RGN Trailers 3 Dry Vans: __2 Welcome to H & N Logistics LLC! We would like to know how you heard about our organization. Please check one (or more) of the options below: ___ Load posting on TransCore 3sixty or Internet Truckstop ___ Hartung Brothers/H & N Logistics LLC website ___ Through a friend/family member who has hauled for H & N ___ Seeing an H & N trailer on the road ___ Prospected by an H & N employee ___ Other We appreciate your response! H&N Logistics, LLC Carrier Profile 708 Heartland Trail, Suite 2000, Madison, WI 53717-2099 Phone: 608-829-6060 Fax: 608-829-5161 Please print clearly filling out the following information.

5 Read over all the information and fax back to us at 608-829-5161 or email us at Please include your certificate insurance with H&N as Certificate Holder and a copy of your authority when returning this form. Trucking Company: _____ Contact (s): _____ Address: _____ City: _____ State: _____ Zip Code: _____ Phone: 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: Qualifications Check types of movements you have done or can do Number of Power Units: _____ Number of Trailers.

6 _____ Check commodities you have hauled or can haul (Write # of trailers next to the type you have) Additional Information or Trailer Sizes: _____ Bulk/Floor Loaded Cucumbers Field Loads Fertilizer Hopper/Belt Lima Beans Machinery Onions Power Only Peas Refrigerated Peppers Tanker Pumpkins TWIC certified Seed Corn Beets Snapbeans Brined Stock Sweet Corn Carrots Other (list below) Meat 48 Reefer Dump 53 Reefer Dump Multi Axle Reefer Tridem Tanker Van Flatbed Vented Van Step Deck Open Top Lowboy Belt RGN Hopper Train Hopper Multi Axle A Train Walking Floor B Train Walking Floor Multi Axle Other States of Operation ALL USA Ontario, Canada Quebec, Canada Manitoba, Canada Alabama Kansas New Jersey Utah Arizona Kentucky New Mexico Vermont Arkansas Louisiana New York Virginia California Maine North Carolina Washington Colorado Maryland North Dakota West Virginia Connecticut Massachusetts Ohio Wisconsin Delaware Michigan Oklahoma Wyoming District of Columbia Minnesota Oregon Other Florida Mississippi Pennsylvania Georgia Missouri Rhode Island Idaho Montana South Carolina Illinois Nebraska South Dakota Indiana Nevada Tennessee Iowa New Hampshire Texas Lanes Check those of interest ORIGINS outh East (Myakka City, FL)South (Uvalde, TX)Midwest (Golden City, MO)Midwest (Wild Rose, WI (Central WI))Midwest (Bowling Green, OH)

7 Canada - Ontario (Chatham & Port Burwell)DESTINATIONP acific 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: _____ References To complete your Carrier set up, please fill out this form with at least three references. If you already have this written on another sheet, please attach the sheet to our Carrier set up packet. Reference #1 Name: _____ Address: _____ Phone: _____ Email Address (if available): _____ Reference #2 Name: _____ Address: _____ Phone: _____ Email Address (if available): _____ Reference #3 Name: _____ Address: _____ Phone: _____ Email Address (if available): _____ Form W-9(Rev.)

8 August 2013)Department of the Treasury Internal Revenue Service Request for Taxpayer Identification Number and CertificationGive Form to the requester. Do not send to the or type See Specific instructions on page (as shown on your income tax return)Business name/disregarded entity name, if different from aboveCheck appropriate box for federal tax classification: Individual/sole proprietor C CorporationS CorporationPartnershipTrust/estateLimite d liability company. Enter the tax classification (C=C corporation, S=S corporation, P=partnership) Other (see instructions ) Exemptions (see instructions ):Exempt payee code (if any)Exemption from FATCA reporting code (if any)Address (number, street, and apt. or suite no.)City, state, and ZIP codeRequester s name and address (optional)List account number(s) here (optional)Part ITaxpayer Identification Number (TIN)Enter your TIN in the appropriate box.

9 The TIN provided must match the name given on the Name line to avoid 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 If the account is in more than one name, see the chart on page 4 for guidelines on whose number to security number Employer identification number Part IICertificationUnder 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 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, and3.

10 I am a citizen or other person (defined below), and4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is 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 HereSignature of person Date General InstructionsSection references are to the Internal Revenue Code unless otherwise developments.