800 THOMAS DRIVE UNIT 8]9
BfilJJSEN\fILL__L, IL~ 60] 06 TEL: 84 7-257=7540 FA_X: 847=262-5984
CUSTOMERSER\flCE@PORR£<GAFR£16HT~<GOM
Payment Remittance:
P .0. Box 1352
Elk Grove Village, IL. 60007
EIN 36-4215518 USDOT # 80434
MC#384557
PORRECA
FREIGHt==
PORRECA EREIGH.--·
COMPA!W CONTACT LIST
Trisha Porreca, President trisha p@porrecafreight.com
Tracy Picazo, Operations Manager custom e rse rvi ce@ po rrecaf re ig ht . com
Honorata Myrda , Customer Service custom e rse rvi ce@po rrecaf re ight. com
Tom Bezdon, International Operations tom@porrecafreight.com
Accounts Receivable
accou nt i ng@porrecafreight.com
EFFECTIVE : JANUARY 1, 2020 TARIFFS:
AREA MIN 100-1000
A $16.50 $9.80
B
$17.25 $9.90
C $20.50 $10.50
D $28.00 $12.97
y
SPECIAL CHARGES:
AREA MON-FRI 0000-0759
A $45.00
B
$55.00
C $65.00
D $75.00
y
SPECIAL CHARGES:
AREA SATURDAY
A $60.00
B
$85.00
C $100.00
D $110.00
y
1001-2000 2001-3000 3001-5000 5001-
$8.40 $7.20 $6.40 $4.50
$8.50 $7.20 $6.80 $4.50
$8.60 $7.75 $7.75 $5.50
$11.05 $9.86 $9.86 $7.64 QUOTE
MON-FRI 0800-1800 MON-FRI 1701-2359
$30.00 $45.00
$40.00 $55.00
$45.00 $75.00
$55.00 $75.00
QUOTE
SUNDAY HOLIDAYS
$80.00
$95.00
$115.00 QUOTE
$120.00
QUOTE
AIRPORT
EFFECTIVE: JANUARY, 1 2020 TRANSFER:
MINIMUM(LBS) $30.00 + FUEL (23%) (350-1000) .08/LB + FUEL (1001-3000) .06/LB + FUEL (3001 -5000) .OS/LB+ FUEL
ACCESORIAL:
AIRWAY BILL PREP ONHAND
PICTURE HAZMAT
MOW- SPECIAL $50.00
$25.00
$5.00
$5.00
$75.00
**15 MINUTES FREE**
$SO/HOUR
ACCESORIAL CHARGE: MIN RATE
APPOINTMENT $15.00 FLAT
ARENA $25.00 FLAT
ATTEMPT QUOTE
CASINO $25.00 FLAT
COD $15.00 FLAT
COi $15.00 FLAT
CONSTRUCTION $15.00 FLAT
CONVENTION $40.00 FLAT
DETENTION $50.00 HOUR
DOCK TRANSFER $25.00 $0.05 POUND
EXTRA MAN $60.00 1 HOUR
HAZMAT $75.00 FLAT
HOSPITAL $15.00 FLAT
HOTEL $15.00 FLAT
INSIDE $15.00 $0.02 POUND
LIFTGATE $25.00 FLAT
MALL $15.00 FLAT
MOW RECOVERY/DROP $50.00 FLAT
MILITARY/GOV. $15.00 FLAT
ONHAND $5.00 FLAT
PICTURE $5.00 FLAT
RESIDENTIAL $15.00 FLAT
SCHOOL $15.00 FLAT
UNPACK/DEBRIS REMOVAL QUOTE
PALLETIZING:
SKID $25.00
SKID W/ SHRINK $35.00 SKID W/BANDING $45.00
DETENTION:
l1s MINUTES FREE THEREAFTER $SO/HOUR
CURRENT FUEL SURCHARGE:
123%
I
'EIGH .----·
IINTERMODAL RATES
40' $490.00
20' $390.00
SPLIT $50.00
PRE-PULL $125.00
CHASSIS /DAY $30.00
DROP $150.00
YARD STORAGE /DAY $25.00 LOADING 20' $300.00 LOADING 40' $400.00
CN HARVEY $75.00
NS $50.00
ALL RATES INCLUDE CURRENT FUEL SURCHARGE
EFFECTIVE: JANUARY 1, 2020
ZIP CITY STATE ZONE
60101 ADDISON IL A
60102 ALGONQUIN IL D
60803 ALSIP IL D
60002 ANTIOCH IL y
60501 ARGO IL D
60439 ARGONNE IL A
60004 ARLINGTON HEIGHTS IL A 60005 ARLINGTON HEIGHTS IL A 60006 ARLINGTON HEIGHTS IL A
60503 AURORA IL C
60504 AURORA IL C
60505 AURORA IL C
60506 AURORA IL C
60507 AURORA IL C
60015 BANNOCKBURN IL D
60010 BARRINGTON HILLS IL B
60011 BARRINGTON IL B
60103 BARTLETT IL B
60510 BATAVIA IL C
60539 BATAVIA IL C
60499 BEDFORD PARK IL B
60104 BELLWOOD IL A
61008 BELVIDERE IL y
60106 BENSENVILLE IL A
60163 BERKELEY IL A
60402 BERWYN IL A
60108 BLOOMINGDALE IL B
60406 BLUE ISLAND IL D
60440 BOLINGBROOK IL D
60490 BOLINGBROOK IL D
60455 BRIDGEVIEW IL C
60153 BROADVIEW IL B
60513 BROOKFIELD IL B
60089 BUFFALO GROVE IL B
60459 BURBANK IL D
60633 BURNHAM IL y
60521 BURR RIDGE IL B
PORRECA
FRE/Gff __ •
60525'
BURR RIDGE IL B60409
CALMUET CITY IL D60188
CAROL STREAM IL B60110
CARPENTERSVILLE IL C60013
CARY IL D60411
CHICAGO HEIGHTS IL D60415
CHICAGO RIDGE IL D60290
CHICAGO IL B60601
CHICAGO IL B60602
CHICAGO IL B60603
CHICAGO IL B60604
CHICAGO IL B60605
CHICAGO IL B60606
CHICAGO IL B60607
CHICAGO IL B60608
CHICAGO IL C60609
CHICAGO IL C60610
CHICAGO IL B60611
CHICAGO IL B60612
CHICAGO IL B60613
CHICAGO IL B60614
CHICAGO IL B60615
CHICAGO IL C60616
CHICAGO IL C60617
CHICAGO IL D60618
CHICAGO IL B60619
CHICAGO IL C60620
CHICAGO IL C60621
CHICAGO IL C60622
CHICAGO IL B60623
CHICAGO IL C60624
CHICAGO IL B60625
CHICAGO IL B60626
CHICAGO IL B60628
CHICAGO IL D60629
CHICAGO IL C60630
CHICAGO IL B60631
CHICAGO IL B60632
CHICAGO IL C60633
CHICAGO IL D60634
CHICAGO IL B60636
CHICAGO IL D60637
CHICAGO IL C60638
CHICAGO IL C60639
CHICAGO IL B60640
CHICAGO IL D60641
CHICAGO IL B60642'
CHICAGO IL B60643
CHICAGO IL D60644
CHICAGO IL C60645
CHICAGO IL B60646
CHICAGO IL B60647
CHICAGO IL B60649
CHICAGO IL D60651
CHICAGO IL C60652
CHICAGO IL D60653
CHICAGO IL D60654
CHICAGO IL B60655
CHICAGO IL D60656
CHICAGO IL B60657
CHICAGO IL B60659
CHICAGO IL B60660
CHICAGO IL B60661
CHICAGO IL B60063
CHICAGO IL B60664
CHICAGO IL B60666
CHICAGO IL B60668
CHICAGO IL B60669
CHICAGO IL B60670
CHICAGO IL B60673
CHICAGO IL B60675
CHICAGO IL B60677
CHICAGO IL B60678
CHICAGO IL B60679
CHICAGO IL B60680
CHICAGO IL B60681
CHICAGO IL B60682
CHICAGO IL B60682
CHICAGO IL B60684
CHICAGO IL B60685
CHICAGO IL B60687
CHICAGO IL B60688
CHICAGO IL B60690
CHICAGO IL B60691
CHICAGO IL B60693
CHICAGO IL B60694
CHICAGO IL B60695
CHICAGO IL B60697
CHICAGO IL B60699
CHICAGO IL B60701
CHICAGO IL A60804
CICERO IL B60514
CLAREDON HILLS IL B60638
CLEARING IL B60103 '
CLOVERDALE IL B60478
COUNTRY CLUB HILLS IL D60525
COUNTRYSIDE IL B60431
CREST HILL IL D60432
CREST HILL IL D60433
CREST HILL IL D60434
CREST HILL IL D60435
CREST HILL IL D60436
CREST HILL IL D60445
CRESTWOOD IL D60417
CRETE IL y60012
CRYSTAL LAKE IL D60014
CRYTSAL LAKE IL D60561
DARIEN IL B60015
DEERFIELD IL C60016
DES PLAINES IL A60018
DES PLAINES IL A60019
DES PLAINES IL A60426
DIXMOOR IL D60419
DOLTON IL D60515
DOWNERS GROVE IL B60516
DOWNERS GROVE IL B60517
DOWNERS GROVE IL B60118
DUNDEE IL B60429
EAST HAZEL CREST IL D60120
ELGIN IL C60121
ELGIN IL C60123
ELGIN IL C60124
ELGIN IL C60007
ELK GROVE VILLAGE IL A60126
ELMHURST IL A60707
ELMWOOD PARK IL B60621
ENGLEWOOD IL C60201
EVANSTON IL B60202
EVANSTON IL B60203
EVANSTON IL B60204
EVANSTON IL B60208
EVANSTON IL B60209
EVANSTON IL B60642
EVERGREEN IL B60422
FLOSSMOOR IL D60411
FORD HEIGHTS IL D60411
FOREST HEIGHTS IL D60130
FOREST PARK IL B60402
FORESTVIEW IL B60037
FORT SHERIDAN IL C60021
FOX RIVER GROVE IL D62480
FRANKFORT IL y60131
FRANKLIN PARK IL A60134
GENEVA IL D60137
GLEN ELLYN IL B60138
GLEN ELLYN IL B60022
GLENCOE IL C60139
GLEDALE HEIGHTS IL B60026
GLENVIEW IL B60025
GLENVIEW IL B60425
GLENWOOD IL D60030
GRAYSLAKE IL D60088
GREAT LAKES IL D60048
GREEN OAKS IL D60031
GURNEE IL D60069
HALF DAY IL D60103
HANOVER PARK IL B60426
HARVEY IL D60656
HARWOOD HEIGHTS IL A60047
HAWTHORN WOODS IL D60429
HAZEL CREST IL D60457
HICKORY HILLS IL C60060
HIGHLAND HILLS IL D60148
HIGHLAND HILLS IL D61801
HIGHLAND HILLS IL D60035
HIGHLAND PARK IL D60037
HIGHLAND PARK IL D60040
HIGHWOOD IL D60162
HILLSIDE IL B60163
HILLSIDE IL B60141
HINES IL B60521
HINSDALE IL B60522
HINSDALE IL B60525
HODGKINS IL C60194
HOFFMAN ESTATES IL B60491
HOMER GLEN IL D60456
HOMETOWN IL D60430
HOMEWOOD IL D60605
HYDE PARK IL B60061
INDIAN CREEK IL C60041
INGLESDIE IL F60042
ISLAND LAKE IL D60143
ITASCA IL A60440
IVANHOE IL D60431
JOLIET IL D60432
JOLIET IL D60433
JOLIET IL D60434
JOLIET IL D60435 "
JOLIET IL D60436
JOLIET IL D60458
JUSTICE IL B60043
KENLIWORTH IL C60047
KILDEER IL C60525
LAGRANGE HILLANDS IL B60526
LAGRANGE PARK IL B60010
LAKE BARRINGTON IL D60044
LAKE BLUFF IL D60045
LAKE FOREST IL D60156
LAKE IN THE FOREST IL D60046
LAKE VILLA IL D60050
LAKEMOOR IL D60438
LANSING IL D60439
LEMONT IL D60048
LIBERTYVILLE IL D60069
LINCOLNSHIRE IL D60645
LINCOLNWOOD IL B60646
LINCOLNWOOD IL B60659
LINCOLNWOOD IL B60046
LINDENHURST IL D60532
LISLE IL B60441
LOCKPORT IL D60442
LOCKPORT IL D60443
LOCKPORT IL D60444
LOCKPORT IL D60445
LOCKPORT IL D60148
LOMBARD IL A60047
LONG GROVE IL B60049
LONG GROVE IL B60060
LONG GROVE IL B60041
LONG LAKE IL D60411
LYNWOOD IL F60534
LYNONS IL B60426
MARKHAM IL D60443
MATTESON IL D60153
MAYWOOD PARK IL B60525
MCCOOK IL B60085
MCGRAW PARK IL D60058
MCHENRY IL y60160
MELROSE PARK IL A60161
MELROSE PARK IL A60164
MELROSE PARK IL A60165
MELROSE PARK IL A60445
MIDELOTHIAN IL D60083
MILBURN IL D60448
MOKENA IL D60538 '
MONTGOMERY IL D60539
MOOSEHEART IL D60053
MORTON GROVE IL A60056
MOUNT PROSPECT IL A60060
MUDELEIN IL D60540
NAPERVILLE IL D60563
NAPERVILLE IL D60565
NAPERVILLE IL C60566
NAPERVILLE IL C60451
NEW LENOX IL D60714
NILES IL A60634
NORRIDGE IL A60656
NORRIDGE IL A60706
NORRIDGE IL A60542
NORTH AURORA IL C60064
NORTH CHICAGO IL D60086
NORTH CHICAGO IL D60088
NORTH CHICAGO IL D60062
NORTHBROOK IL B60065
NORTHBROOK IL B60093
NORTHFIELD IL A60164
NORTHLAKE IL A60631
NORWOOD PARK IL A60521
OAK BROOK IL B60452
OAK FOREST IL D60453
OAK LAWN IL D60454
OAK LAWN IL D60455
OAK LAWN IL D60456
OAK LAWN IL D60457
OAK LAWN IL D60458
OAK LAWN IL D60459
OAK LAWN IL D60301
OAK PARK IL B60302
OAK PARK IL B60303
OAK PARK IL B60304
OAK PARK IL B60181
OAKBROOK TERRANCE IL B60636
OGDEN PARK IL C60083
OLD MILL CREEK IL D60461
OLYMPIA FIELDS IL D60462
ORALND PARK IL D60543
OSWEGO IL D60067
PALATINE IL B60074
PALATINE IL B60078
PALATINE IL B60463
PALOS HEIGHTS IL D60465
PALOS HILLS IL D60464
PALOS PARK IL D60466
PARK FOREST IL D60068
PARK RIDGE IL A60544
PLAN FIELD IL D60469
POSEN IL D60050
PRAIRE GROVE IL D60070
PROSPECT HEIGHTS IL A60035
RAVINA PARK IL D60471
RICHTON PARK IL y60072
RINGWOOD IL y60305
RIVER FOREST IL A60171
RIVER GROVE IL A60827
RIVERDALE IL D60546
RIVERSIDE IL B60436
ROCKDALE IL y61101
ROCKFORD IL y61102
ROCKFORD IL y61103
ROCKFORD IL y61104
ROCKFORD IL y61105
ROCKFORD IL y61106
ROCKFORD IL y61107
ROCKFORD IL y60008
ROLLING MEADOWS IL A60441
ROMEOVILLE IL D60044
RONDOUT IL C60473
RONDOUT IL C60172
ROSELL IL B60018
ROSEMONT IL A60019
ROSEMONT IL A60073
ROUND LAKE BEACH IL D60174
SAINT CHARLES IL C60411
SAUK VILLAGE IL D60159
SCHAMBURG IL A60168
SCHAMBURG IL A60173
SCHAMBURG IL A60192
SCHAMBURG IL A60193
SCHAMBURG IL A60194
SCHAMBURG IL A60195
SCHAMBURG IL A60196
SCHAMBURG IL A60176
SCHILLER PARK IL A60435
SHOREWOOD IL D60076
SKOKIE IL B60077
SKOKIE IL B60411
SOUTH CHICAGO HEIGH" IL D60473
SOUTH HOLLAND IL D60435
STATVILLE IL D60475 '
STEGER IL y60402
STICKNEY IL C60165
STONE PARK IL A60107
STREAMWOOD IL B60501
SUMMIT IL B60082
TECHNY IL D60046
THIRD LAKE IL D60476
THORTON IL D60477
TINLEY PARK IL D60010
TOWER LAKES IL D60466
UNIVERSITY PARK IL y60046
VENETIAN VILLAGE IL y60061
VERNON HILLS IL C60181
VILLA PARK IL A60083
WADSWORTH IL D60555
WARRENVILLE IL C60084
WAUCONDA IL D60079
WAUKEGAN IL D60085
WAUKEGAN IL D60087
WAUKEGAN IL D60184
WAYNE IL B60185
WEST CHICAGO IL B60118
WEST DUNDEE IL B60154
WESTCHESTER IL A60558
WESTERN SPRINGS IL A60559
WESTMONT IL B61726
WESTON IL B60187
WHEATON IL B60090
WHEELING IL B60480
WILLOW SPRINGS IL B60514
WILLOWBROOK IL B60091
WILMETTE IL A60190
WINFIELD IL B60093
WINNETKA IL A60096
WINTHROP HARBOR IL D60097
WONDER LAKE IL y60191
WOOD DALE IL A60517
WOODRIDGE IL B60098
WOODSTOCK IL y60482
WORTH IL BACORD® CERTIFICATE OF LIABILITY INSURANCE I
DATE (MM/DD/YYYY)~ -
4/2/2019THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S). AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(lcs) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER ~~~~CT K_!!rrl Stef)'1ens
JJ Doorhy and Associates
-
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FAX - -101 Burr Ridge Parkway r.JJg_NJo, Ext): 630-861-7959 ____ - - - (AIC, No): 844-361-2986 JiD~~~= c~r\!!i_~_at~ @jjg_Q_qr!lY..~om
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INSURED POllRFRE·O \
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Porreca Freight Forwarding Inc -- - - , . _ --- ·- T - --
800 Thomas Drive Unit 819 INSURER C: ---- .. -- - -
Bensenville IL 60106 IN_§UREf! D: - - - -- -
_INSURERE: ______
- -
---·- -- --- -----INSURER F:
COVERAGES CERTIFICATE NUMBER: 1879712478 REVISION NUMBER·
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT Tu WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO All THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
1NSR ---· ADOL SUBR --•--"--- --- -POLICY EFF ' POLICY EXP --- - - -· - -- - --
LTR TYPE OF INSURANCE ,.,en W\ln POLICY NUMBER fMM/OD/YYYYl fMM/DO/YYYYI LIMITS
A -X COMMERCIAL GENERAL LIABILITY S2353144 3/15/2019 3/15/2020 EACH OCCURRENCE s 1.000.o_o_o
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A AUTOMOBILE LIABILITY S2353144 3/15/2019 3/15/2020 CUMUINEIJ SINGLJ; LIMIT Is 1,000,000
(Eo ar.cicfr.nlL. ·- -·
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--·--·- -DESCRIPTION OF OPERATIONS below E.L. DISEASE· POLICY LIMIT s
A Motor Truck Cnrgu S2353144 3/15/2019 3/15/2020 limit 250,000
A Trailer l11tcrclm11uo S2353144 3/15/2019 3/15/2020 llmil 75,000
DESCRIPTION OF OPERATIONS/ LOCATIONS/ VElllCLES (ACORD 101, Addlllonol Romorko Schedule, moy be oltachcd If more space io required) Proof of Insurance
CERTIFICATE HOLDER
I
ACORD 25 (2016/03)
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
© 1988-2015 ACORD CORPORATION. All rights reserved. Tllo ACORD name and logo are registered marks of ACORD
ACORD® CERTIFICATE OF LIABILITY INSURANCE I
DATE {MMIDD/YYYY)~ -
11/11/2019THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain pollcles may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER NAME: CONTACT RYAN SMITH
J
11~g~Jo, Ext): 314-243-9434 _________ jJ~,_No): 636-395-7487 ----· - ·----FOCUS INSURANCE _E-MAIL I\D_DfilSS: RYANSMITHINSURANCE@GMAIL.COM - ---- - - - ---- -- - . - -
557 MADISON ST INSURER(S) ~FFORDING COVERAGE l~AIC 11 ____
-
-
SAINT CHARLES MO 63301 INSURER A: CAROLINA CASUAL TY INSURANCE CO 11746
- - - --- --- - ---- - -- -
INSURED lNSURER_B: - - - - - - -- -
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-PORRECA FREIGHT FOWARDING INC _INSUR~ D:
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- - - · -800 THOMAS DR #118 INSURE~ :
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--- ---- - - -- -.BENSENVILLE IL 60106 INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER·
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED N1\MED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADD[ SUBR ·- - - - - POLICY lfFF - --- - -- - - -
TYPE OF INSURANCE POLICY EXP
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LOC s ---AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
- _(En nccid£n!) . ---- - _s - -
/\NY /\UTO BODILY INJURY (Par parson) s
-
/\LL OWNED - SCHEDULED - - -IJODIL y INJURY (Per n·--cc,de·---nl) s ·-- AUTOS
-
AUTOS NON-OWNED P-ROPEITTY DI\MIIGE - -- -HIRED AUTOS AUlOS (Pm m:cklnnt) _ _ _ _ _ _ s
-
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--UMBRELLA LIAB
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OCCUR EACH OCCUl~HENCE _ ~- EXCESS LIAB CLAIMS-MADE - - - ---· AGGREGATE s -- - -· -·• --
OED
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HETENTION s sWORKERS COMPENSATION . I WC ST/ITU- I IOTH·
AND EMPLOYERS' LIABILITY YIN _ _ J.9Jl'LL!MIJS ___ ER -· . ·--
/\NY PROPRIETOR/PARTNER/EXECUTIVE
□
BNUC0144660 07/27/2019 07/27/2020 E.L. EACH /\CCI DENT _L _____ 500,000A OFFICER/MEMBER EXCLUDED? N/A ·--- - - - · - -
(Mandalory In NH) E.L. DISEASE • Ell EMPLOYEE ~ 500,000
- - · - - ~-- -··
-
- -If yo~, cJo$cribo under
E.L. DISEASE · POLICY LIMIT s 500,000
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES (Atlach ACORD 101, Addltlonal Remarko Schedule, If more opace lo required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
I
ACORD 25 {2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
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Form
W•9 Request for Taxpayer
Identification Nt!mber and Certification
Give Form to the requester. Do not send to the IRS.(llcv. November 2017) Depc1rlmc11t of Ilic Trcn!jury
Internal Revenue Service ► Go to www.irs.gov/FormW9 for instructions and the latest information.
1 Name (as shown on your income tax retum). Name is required on this line; do not leave this line blank.
Porreca Freiaht Forwardinq Inc
2 Business n;nne/di5re11ardecl entity narne, if different from above
C".il-:--:::---:----:-:-:--:--:----:---:--:---:---:::----:----:---.---
n, 3 Check appropriate box for federal tax ck1ssificatior1 of the person whose 11mm, is cnlcrcd on line 1. Cl1ed< only one of thu 4 Exemptions (caries apply only to certain entities. not individuals; see instructions on page 3):
g, followin[J seven boxu~.
0.
C 0
• U)
0
lnclividual/r.oln rroprietor or single-member I I.C0
C Corr,orntion0
S Corporation0
Partncrst1ip 0 Trust/estatel:xnmpt rayee r:odn (ii an\')
- - - -
QI C 0. 0
~
:g O
Limited liability company. Enter the tax clnssilication (C=C corporation, S=S corporution, P=Partnersh1p) ►----a
2 Note: Check tho anp1opriatP. box in tho lino above for the tax classification ol the single-member owner. Do not cl1eck Exemption from F /\ rC/\ mpnrtinu code (ii any)-~ ]i
LLC if the LLC is dassificd as a single-member LLC that is disregarded from the owner unless the owner of the LLC is ... - another LLC that is not disregnrdecJ from tlm owner for U.S. federal tax purposes. Otherwise. a single-member LLC that a.,g
is clisrr.rJarded from the owner sl10ultl checl< the anpropriate box for the tax classification ol its owner.·~ 0 Other (sec instructions) ► Mv,11u1S' 10 .,ccocr11s-111Jmr:1111d 0t115"'" ,11., 11 :. ,
/l; tr.'5'=/\fd;;:,:;:Jr::Hr:::,s~· (;::11:-;:un;:::,:;:IJ::m;--__ :::s,::re;::e::.1-:. a;::11;::d;-'.a::p::.t-:. o=r::s::-:u;;-itc;:-:-no=-.') ;:;se=-e=-i"'11:::st;:::ru::c::.ti'=o=ns=-.---.--:R::-e-q_u_e--=s1-rn-=-··s-na-n-,c__[an_d.:..:__nc-,-ld7r--es __ s:..:(,-o--pt7io __ n_a:_I).=,: ______ .:.__.:....:.__
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.,
800 Thomas Dr# 819 6 City. stain, and ZIP code Bensenville, IL 601067 Li~I account nu111bcr(3) here (opt ionaO
Taxpayer Identification Number (TIN)
I Social security number I
Enter your: TIN in_ the app!opriate box. The TIN provided must_match t~e name given on line 1 to avoid b,tcl<up w1tl1llold1ng. For 1nd1v1Chmls. th,s ,s generally your sacral security number (SSN). I lowever, for a resident alien. sole proprietor. or disregarded entity, see the instructions for Part I, later. For other entities. it is your employer identification number (EIN). If you do not have a number, see How to get a
TIN, lattir.
[II] -DJ -I I I I I
or Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give I/re Requester for guidelines on whose number to enter.
I
Employer identification number 3 6 - 4 2 1 5 5 8Certification
Under penultiez of perjury, I certify that:
I. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and
2. I am not subject to backup withholding because: (a) I nm exempt from backup withholding, or (b) I hnve not been notified by the lntern,11 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 lon{Jer subject to bnckup withholding; and
3. I am n U.S. citizen or other U.S. person (defined below); and
,t, The FATCA code(s) entered on this form (ii any) indicating that I am exempt from FATCA reporting is correct.
Certification instructions. You IJllls' cross out item 2 above if you have bee11 notified by the IRS that you are currently subject to backup withholding because you have failed to report all int (est nd dividends on your tax return. Fof'eal estate trar,sactions, item 2 does not apply. For mortgage interest paid.
3cquis1tion or abandonment f sec red property, cancellation of debt, ontributions to an individual retirement arrangement (IRA), and generally, payments other than interest and divi ends you are not required to sign th ce · ication, but you must provide your correc1 TIN. See the instructions for Part II. later.
Sign
Here Signature of U.S. person
General lnstructidns
Section references are to the Internal Revenue Code unless otherwise noted.
Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they wAre published, ~JO to www.irs.gov/FormW9.
Purpose of Form
An individual or entity (Form W-9 requester) who is required to lile an information return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN). or employer identification number (EIM), to report 011 an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns include. but are not limited to, the following.
• Form 1099-INT (interest earned or paid)
Gal. No. 1023IX
Date ►
• Form 1099-DIV (dividends, including those from stocks or mutual funds)
• Form 1099-MISC (various types of income, prizes. awards, or gross proceeds)
• Form I 099-8 (stock or mutual fund sales and certain other transactions by brokers)
• Form 1099-S (proceeds from real estate transactions)
• Form 1099-K (merchan1 card and third party network transnctions)
• Form t 098 (home mortgage interest), I 098-E (student lonn interest), 1098-T (tuition)
• Form 1099-C (canceled debt)
• Fr,rm I 099-A (acquisition or abandonment of secured property) Use Form W-9 only if you are a U.S. person (including a resident alitn). to provide your correct TIN.
If }'Ot: do not return Form W-9 to the requester with a TIN, you mighf he subject to backup with/Jo/ding. See What is backup withholding, later.
Form W-9 (Rav. 11-20'171
Direct Deposit Agreement Form
Porreca Freight Forwarding is pleased to offer electronic ACH (Automated Clearing House) payments.
ACH payments provide an alternative to paper checks, allowing faster processing.
Please send all payment remittances to customerservice@porrecafreight.com.
Thank you for being a valued customer!
Account Information
