Application

Type of Authority *

Type of Business *

Legal Business Name *

DBA

Business Address (Physical Address) *

City *

State *

Zip *

Business Address (Mailing Address) *

City *

State *

Zip *

Business Phone *

Business Fax

Email Address *

The Company is Owned/Controlled By *

EIN#

I intend to operate in Mexico or Canada *

Yes

No

Owners, Officers, & Partners 1

Full Name *

Title

SSN#

Driver License # *

Issuing State of DL *

Date of Birth *

Street Address

City

State

Zip

Owners, Officers, & Partners 2 (if necessary)

Full Name

Title

SSN#

Driver License #

Issuing State of DL

Date of Birth

Street Address

City

State

Zip

Power of Attorney

The undersigned, does hereby designate and appoint Power of Attorney to People’s Bank of Commerce to act as Attorney-in-Fact to prepare, sign and submit documents pertaining to obtaining financial products, offered by People’s Bank of Commerce.

This Power of Attorney is canceled 90 days after the below date.

Signed (please type your full legal name) *

Date *

Additional Company Info

# of Tractors *

# of Trailers *

# of Straight Trucks (ie. Box Truck) *

# of Hot Shots (ie. F-350)

Heaviest Vehicle (GVW includes truck, trailer, & load) *

Over 10,000 lbs

Under 10,000 lbs

# of Vehicles Leased *

# of Vehicles Owned *

# of Drivers *

With CDL *

Without CDL *

Affiliations

please list MC/FF Number and USDOT Number of any FMCSA regulated entity you have had ownership in or a management position in within the last 3 years

MC

USDOT

Company Name

Expedite Authority Certificate (Option) *

Yes, please expedite my certificate once my authority is active ($50 charge will be applied)

No, I can wait for my certificate to come by mail

(With Expedited service, you will receive your certificate the day it is granted rather than waiting 7 - 10 days to receive it by mail)

Cargo Classification (mark all that apply)

-

Truck Info

Unit Number

Year

Make

Model

Title #

Purchase Date

Purchase Price

Plate #

Lease/Own

Lease

Own

Plate State/Province

Unladen Weight

GVW (lbs)

NM Weight Distance #

(if applicable)

NYHUT #

(if applicable)

Color

Axles

VIN

Additional Information Request

I would like additional information on:

Factoring my invoices to get paid faster

Insurance quotes to get the best price and policy

Financing (truck/trailer)

Dispatching to find more loads

Safety Certification (for vehicle-operating applicants only)

APPLICANTS SUBJECT TO FEDERAL MOTOR CARRIER SAFETY REGULATIONS

If you will operate vehicles of more than 10,000 pounds GVWR and are, thus, subject to pertinent portions of the U.S. DOT’s Federal Motor Carrier Safety Regulations (FMCSRs) at 49 CFR, Chapter 3, Subchapter B (Parts 350-399), you must certify as follows:

Applicant has access to and is familiar with all applicable U.S. DOT regulations relating to the safe operation of commercial vehicles and the safe transportation of hazardous materials and it will comply with these regulations. In so certifying, applicant is verifying that, at a minimum, it:

Has in place a system and an individual responsible for ensuring overall compliance with FMCSRs;
Can produce a copy of the FMCSRs and the Hazardous Materials Transportation Regulations;
Has in place a driver safety training/orientation program;
Has prepared and maintains an accident register (49 CFR Part 390.15);
Is familiar with DOT regulations governing driver qualifications and has in place a system for overseeing driver qualification requirements (49 CFR Part 391);
Has in place policies and procedures consistent with DOT regulations governing driving and operational safety of motor vehicles, including drivers’ hours of service and vehicle inspection, repair, and maintenance (49 CFR Parts 392, 395, and 396);
Is familiar with and will have in place on the appropriate effective date, a system for complying with U.S. DOT regulations governing alcohol and controlled substances testing requirements (49 CFR Part 382 and 49 CFR Part 40).

I have received, read and agree to the Terms & Conditions for Turnkey Authority and Steelhead Factoring, Power of Attorney of TurnKey Authority and certify all the above statements to be true *

Yes

Signed (please type your full legal name) *

Date *

Terms and Conditions of Turnkey Authority

1. Proprietary Rights
All works of authorship, information, content, and material provided by TurnKey Authority or appearing on or contained in their website (“TurnKey Materials”) are the property of TurnKey Authority. Information provided by TurnKey Authority may be used solely for internal business purposes. Any reproduction, distribution or commercial use of any or all TurnKey Materials, in whole or in part, without the prior written consent of TurnKey Authority is prohibited. All names, trademarks, service marks, symbols, slogans, and logos appearing on TurnKey Materials are proprietary to TurnKey Authority. Use or misuse of these is expressly prohibited and may violate federal and state law.

2. Information Accuracy
You certify that the information supplied, entered onto forms and or entered on this website is, to the best of your knowledge and belief, true, correct, and complete. Further, you certify that you are qualified and authorized to file this application.

3. Corrections and Changes
These Terms and Conditions may be changed at any time, with or without notice; you agree that we can make changes in our sole and independent discretion and by Accepting these Terms and Conditions it signifies your understanding of and intention and agreement to be bound by such change. It is your responsibility to monitor these Terms and Conditions for changes on our website at www.TurnKeyAuthority.com.

4. Nature of Relationship
You agree that TurnKey Authority and you are independent contractors and no partnership, joint venture, agency, employer/employee, franchisor/franchisee, or any other relationship exists or is intended to be created by our Applications or your use of our website and or TurnKey Authority’s services except with respect to the specific services you authorize us to undertake on your behalf.

5. Disclaimer of Warranty and Liability
THE TURNKEY MATERIALS, INCLUDING THOSE ON AND IN AND MADE AVAILABLE THROUGH OUR WEBSITE, OUR SERVICES, INFORMATION, AND PRODUCTS OFFERED IN CONNECTION THEREWITH ARE MADE AVAILABLE “AS IS” AND “WITH ALL FAULTS.”

TURNKEY AUTHORITY MAKES NO REPRESENTATIONS OR WARRANTIES, AND DISCLAIMS ALL REPRESENTATIONS AND WARRANTIES, WITH RESPECT TO THE TURNKEY MATERIALS, INCLUDING THOSE ON AND IN AND MADE AVAILABLE THROUGH OUR WEBSITE, AND THE SERVICES, INFORMATION, AND PRODUCTS OFFERED IN CONNECTION THEREWITH, EXPRESS OR IMPLIED, WRITTEN OR ORAL, ARISING FROM COURSE OF DEALING, COURSE OF PERFORMANCE, USAGE OF TRADE, OR OTHERWISE, INCLUDING, BUT NOT LIMITED TO, THE IMPLIED WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, ACCURACY, SYSTEMS INTEGRATION, NON-INTERFERENCE, QUALITY, TITLE, AND NON-INFRINGEMENT. THE ENTIRE RISK AS TO SATISFACTORY QUALITY, PERFORMANCE, ACCURACY, AND EFFORT WITH REGARD TO ANY AND ALL TURNKEY MATERIALS IS WITH YOU.

TURNKEY AUTHORITY SHALL NOT BE LIABLE FOR ANY DIRECT, SPECIAL, INDIRECT, INCIDENTAL, CONSEQUENTIAL, EXEMPLARY, EXTRA-CONTRACTUAL, OR PUNITIVE DAMAGES OF ANY KIND WHATEVER, INCLUDING, WITHOUT LIMITATION, LOST REVENUES OR LOST PROFITS, WHICH MAY OR DOES RESULT FROM THE USE OF, ACCESS TO, OR INABILITY TO USE TURNKEY MATERIALS, INCLUDING THOSE ON AND IN AND MADE AVAILABLE THROUGH OUR WEBSITE, OR THE SERVICES, INFORMATION, AND PRODUCTS OFFERED IN CONNECTION THEREWITH, REGARDLESS OF LEGAL THEORY, WHETHER OR NOT ANY PARTY HAD BEEN ADVISED OF THE POSSIBILITY OR PROBABILITY OF SUCH DAMAGES, AND EVEN IF THE REMEDIES OTHERWISE AVAILABLE FAIL OF THEIR ESSENTIAL PURPOSE. UNDER NO CIRCUMSTANCES WILL THE TOTAL LIABILITY OF TURNKEY AUTHORITY TO YOU OR ANY OTHER PERSON OR PERSONS IN CONNECTION WITH TURNKEY MATERIALS, INCLUDING THOSE ON AND IN AND MADE AVAILABLE THROUGH OUR WEBSITE, OR THE SERVICES, INFORMATION, OR PRODUCTS OFFERED IN CONNECTION THEREWITH EXCEED THE LESSOR OF A) THE AMOUNT OF FEES YOU PAY TO US IN ANY ONE MONTH, OR B) $100.

6. Indemnification
You agree to defend, indemnify, and hold harmless TurnKey Authority, its affiliates, its contractors, and all of their respective directors, officers, employees, representatives, proprietors, partners, shareholders, servants, principals, agents, predecessors, successors, assigns, accountants, and attorneys from and against any and all suits, actions, claims, proceedings, damages, settlements, judgments, injuries, liabilities, obligations, losses, risks, costs, and expenses (including without limitation attorneys’ fees and litigation expenses) relating to or arising from our services, our website, your use of our website, your fraud, violation of law, or willful misconduct, and any breach by you of these Terms and Conditions.

7. Use of the Internet
Use of the Internet is solely at your own risk and is subject to all applicable local, state, national, and international laws and regulations. Without limiting anything else in these Terms and Conditions or otherwise, neither TurnKey Authority nor its contractors will be liable for any loss resulting from failure of electronic or mechanical equipment or communication lines, telephone or other interconnect problems, computer viruses, unauthorized access, theft, operator errors, severe weather, earthquakes, natural disasters, strikes or other labor problems, wars, or governmental restrictions.

8. Use of Information
You hereby grant to TurnKey Authority the right to use in connection with the provision, maintenance, operation, and administration of our services, whether in conjunction with information provided by TurnKey Authority or third parties or otherwise, and in whatever form or format TurnKey Authority chooses, the information you provide to TurnKey Authority, whether directly online or otherwise. You warrant that the information you provide is true and correct.

9. Governing Law and Jurisdiction
These Terms and Conditions will be governed by and construed in accordance with the laws of the State of Oregon, without reference to its conflict of law rules; PROVIDED, HOWEVER, THAT THE TERMS OF ANY APPLICABLE LAW NOW OR HEREAFTER ENACTED THAT IS BASED ON, DERIVED FROM, SIMILAR TO, OR CONNECTED WITH THE UNIFORM COMPUTER INFORMATION TRANSACTIONS ACT DRAFTED BY THE NATIONAL CONFERENCE OF COMMISSIONERS ON UNIFORM STATE LAWS SHALL NOT APPLY EXCEPT TO THE EXTENT THAT THE LAW EXPRESSLY PROHIBITS ALTERATION BY THESE TERMS AND CONDITIONS OF THE APPLICABILITY OF ONE OR MORE SECTIONS OF THE LAW.

10. Miscellany
By accessing, viewing, or using the works, content, or materials on this Site, you consent to the exclusive jurisdiction of the federal and state courts presiding in Jackson County, Oregon, and agree to accept service of process by personal delivery or mail and hereby waive any and all jurisdictional and venue defenses otherwise available. Our website is controlled and operated by TurnKey Authority from its offices within the United States. Without limiting anything else, TurnKey Authority makes no representation that the works, content, materials, services, information, or products available on, in, or through our website are appropriate or available for use in other locations, and access to them from territories where they are illegal is prohibited. Those who choose to access our website from other locations do so on their own volition and are responsible for compliance with applicable laws. The waiver or failure of TurnKey Authority to exercise in any respect any right provided hereunder shall not be deemed a waiver of such right in the future or a waiver of any of other rights established under these Terms and Conditions. Headings used in these Terms and Conditions are for reference only and shall not affect the interpretation of these Terms and Conditions.

TurnKey Authority reserves the right to terminate its services to you in the event that you violate these Terms and Conditions or for any reason whatever or no reason, with or without notice, in addition to any and all other remedies available at law or in equity.

I/We have been told and do understand that the submission of an application for Financial Services with Steelhead Factoring ("Steelhead") does not mean that Steelhead will provide any financial services whatsoever.
I/We further have been told and do understand that approval may come only after the management of Steelhead approves said application and the financial services offered are approved in accordance with the terms of Steelhead's Agreement with Client.

The information supplied in this Application and all forms and documents submitted to Steelhead in connection herewith are true and correct to the best of my/our knowledge and belief.

I/We understand that I/We may be responsible for any hard costs associated with processing this application. In support of this Application, Steelhead is hereby authorized to obtain personal and business credit and/or financial information from my/our bank(s), insurance company, accountant, and other financial institutions or commercial firms with whom I/We have done business as well as credit reporting agencies. It is understood that any such credit and/or financial information will be held in strict confidence and used only in consideration of this Application. As inducement for Steelhead to process this application, Applicant grants to Steelhead a security interest in their accounts receivables.