THIS AGREEMENT is made and entered into on / / , by and between Prologix Solutions, a Maryland limited liability company (“LOGISTICS”) and (“CARRIER”), collectively, the “PARTIES”.
NOW THEREFORE, intending to be legally bound, LOGISTICS and CARRIER agree as follows:
IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed in their respective names by their duly authorized representatives as of the date first above written.
Carrier Initial
USDOT#
MC#
1578141
Broker
Prologix Solutions, LLC
Title
CEO
Phone: 410222222
Email: carriers@prolgixsolution.net
Date 10/15/2023
I, [ Name listed above], hereby authorize Prologix Solutions, hereinafter referred to as the "Service Provider," to initiate credit entries on the Company's account.The credit entries will be initiated by the Service Provider to fulfill financial transactions or for any other purpose as authorized by the Company. These credit entries may include but are not limited to payroll deposits, vendor payments, reimbursements, or any other financial transactions required by the Company. The Company and the Service Provider shall adhere to all relevant federal and state laws, regulations, and guidelines governing credit entries, including but not limited to the Electronic Fund Transfer Act (EFTA). The Company agrees to promptly notify the Service Provider in writing of any changes to the account information, authorized credit entry instructions, or any other relevant details. This authorization for credit entries may be terminated by the Company upon written notice to the Service Provider. In the event of termination, the Company remains responsible for any outstanding and future payment obligations.The Company agrees to indemnify and hold the Service Provider harmless from any losses, liabilities, costs, or expenses incurred as a result of credit entries authorized under this agreement. This Agreement is governed by and shall be construed in accordance with the laws of the United States and the state of Maryland, without regard to its conflict of law principles.Payments are scheduled to be made on the following dates: Recurring Payment Dates, If any of these dates fall on a weekend or a holiday, the payment will be made on the next business day.
This Agreement constitutes the entire agreement between the Parties and supersedes all prior or contemporaneous agreements, representations, and understandings.
IN WITNESS WHEREOF, the Company and the Service Provider have executed this Credit Entry Authorization Form as of the date first above written.