Complete every field below. This form is required before any load is tendered.
Legal Company Name
Copper State Carriers, LLC
MC Number
MC-887210
DOT Number
DOT-2203871
Federal Tax ID (EIN)
••-•••4471
Authority Type
Common / Contract Carrier
Physical Address
2210 Papago St, Phoenix, AZ 85034
Remit-To / Billing Address
Same as physical address
Primary Dispatch Contact
Renata Ford
Dispatch Phone / Email
(623) 555-0142 · ap@copperstatecarriers.com
Equipment Types Operated
Dry Van, 53' Reefer
Fleet Size (Power Units)
18
Preferred Lanes
Southwest ↔ Midwest
Factoring Company (if any)
None on file
Packet Contents
Page 1 — Carrier Profile (this page)
Page 2 — W-9 Request
Page 3 — Insurance Requirements
Page 4 — Broker-Carrier Agreement Summary
Page 5 — Notice of Assignment Acknowledgment (banking/factoring)
Page 6 — Safety Attestation & Signatures
Ridgeline Freight Partners
Onboarding — Page 2 of 6
W-9 Request
Required for 1099 reporting before the first payment is issued.
Per IRS reporting requirements, Ridgeline Freight Partners must have a completed Form W-9 (or equivalent, e.g. W-8BEN for non-US entities) on file for every carrier before payment is released. Please attach a current, signed IRS Form W-9 to your onboarding email, or complete the summary fields below and attach the original signed form.
Name (as shown on income tax return)
Copper State Carriers, LLC
Business Entity Type
LLC — Partnership
TIN Type
EIN
Taxpayer Identification Number
••-•••4471
Address for 1099 Mailing
2210 Papago St, Phoenix, AZ 85034
Note: This summary does not replace the official IRS Form W-9. Ridgeline Freight Partners requires the signed original form (PDF or physical) on file — this page is a quick-reference for our records only.
How to Submit
Email signed W-9 to ap@ridgelinefreight.com, subject: "W-9 — [Company Name]"
Or upload at carrierportal.ridgelinefreight.com/onboarding
Payments will not be released until the W-9 is confirmed on file
Ridgeline Freight Partners
Onboarding — Page 3 of 6
Insurance Requirements
Certificates of insurance must be current and on file before the first dispatch, and kept current for the life of the relationship.
Auto Liability
Minimum $1,000,000 combined single limit, covering all owned/leased/non-owned vehicles used to transport Broker freight
Motor Truck Cargo
Minimum $100,000 per occurrence, naming Ridgeline Freight Partners as certificate holder / loss payee where applicable
Workers' Compensation
Statutory limits per state of domicile, or valid owner-operator exemption on file if applicable
General Liability
Recommended minimum $1,000,000 per occurrence (not required for dispatch, but preferred for drop-yard/dock access)
Certificate Holder
Ridgeline Freight Partners, 4400 Newport Ave, Suite 220, San Jose, CA 95118
Cancellation Notice
30 days' written notice to Broker required before any policy cancellation or material change takes effect
1. Certificate Submission
Carrier's insurance agent should email the Certificate of Insurance (COI) directly to insurance@ridgelinefreight.com, with Ridgeline Freight Partners listed as certificate holder. Self-submitted certificates are accepted but subject to verification with the issuing carrier.
2. Ongoing Compliance
Carrier is responsible for submitting a renewed COI at least 5 business days before any listed policy expires. Lapsed coverage suspends load tenders automatically until a current certificate is received and verified.
Ridgeline Freight Partners
Onboarding — Page 4 of 6
Broker-Carrier Agreement — Summary
Key terms of the full agreement. The complete Broker-Carrier Agreement, executed separately, governs in the event of any conflict.
1. Relationship
Carrier is an independent contractor, not an employee or agent of Broker. Carrier retains full control over the manner and means of transportation, subject to shipper/consignee delivery windows and applicable law.
2. Rate & Payment
Each load is governed by its individually issued Rate Confirmation, which sets the agreed rate and is incorporated into this Agreement by reference. Standard payment terms are Net 30 from receipt of a complete, clean paperwork packet (signed BOL + POD); QuickPay at a 2% fee is available on request.
3. No Double-Brokering
Carrier may not re-broker, interline, or subcontract any load tendered under this Agreement to another motor carrier without Broker's prior written consent. Violation is grounds for immediate termination and forfeiture of payment on the load in question.
4. Claims & Liability
Carrier is liable for loss or damage to cargo while in its care, custody, and control, subject to the Carmack Amendment and the cargo insurance limits stated in Page 3. Claims must be reported within 24 hours of discovery.
5. Term & Termination
This Agreement remains in effect until terminated by either party with 30 days' written notice, or immediately for cause (safety violation, insurance lapse, double-brokering, repeated service failure).
This is a summary only. The full Broker-Carrier Agreement, including governing law, indemnification, dispute resolution, and confidentiality clauses, is executed as a separate document and should be reviewed by counsel before signing.
Ridgeline Freight Partners
Onboarding — Page 5 of 6
Banking & Notice of Assignment
Complete this page only if Carrier uses a factoring company. Skip to Page 6 if paid directly.
Payment Method
Direct to Carrier (no factoring)
Factoring Company Name
N/A
Bank Name
Desert Ridge Community Bank
Account Holder Name
Copper State Carriers, LLC
Account Number
••••7215
Routing Number
••••0091
1. Notice of Assignment (if factoring)
If Carrier has assigned its right to payment to a factoring company, an original, signed Notice of Assignment (NOA) on the factoring company's letterhead must be received and verified before that assignment takes effect. Until a valid NOA is on file, payment will be issued directly to Carrier per the banking details above.
2. Conflicting Instructions
If Broker receives conflicting payment instructions from Carrier and a factoring company, Broker will withhold payment and request written clarification signed by an authorized representative of Carrier before releasing funds. This protects Carrier against fraudulent factoring takeovers, a common scheme in freight brokerage.
Acknowledgment
I confirm the banking details above are accurate and current
I understand any change to payment instructions must be submitted in writing on company letterhead
I understand factoring changes require a new, verified NOA before taking effect
Ridgeline Freight Partners
Onboarding — Page 6 of 6
Safety Attestation
Carrier certifies the following as a condition of receiving load tenders from Broker.
Carrier Certifies That:
Carrier holds active, valid FMCSA operating authority in good standing, with no active out-of-service order
All drivers dispatched on Broker loads hold valid commercial driver's licenses appropriate to the equipment operated
Carrier maintains a satisfactory or unrated FMCSA safety rating (not "conditional" or "unsatisfactory")
All equipment used meets FMCSA safety standards and is maintained per DOT inspection requirements
Carrier will notify Broker within 24 hours of any change in operating authority, insurance, or safety rating status
Carrier has reviewed and agrees to the Insurance Requirements (Page 3) and Agreement Summary (Page 4) in this packet
By signing below, the undersigned certifies that the information provided throughout this Carrier Onboarding Packet is true and accurate, and authorizes Ridgeline Freight Partners to verify this information against FMCSA SAFER records and other public safety databases.