JASKO - Owner Operator Agreement Elections and Document Checklist

Owner Operator Agreement Elections and Document Checklist — OO-FRM-003

JASKO ENTERPRISES, INC. · FORM OO-FRM-003 · REV. 0 · EFFECTIVE NOVEMBER 1, 2026

Use this checklist with the current counsel-approved Independent Contractor Operating Agreement. Office-controlled financial values must be entered by JASKO and may not be changed by the contractor. This form does not create blanket deduction authority.

AGREEMENT AND ELECTIONS

☐ Independent Contractor Operating Agreement
☐ Compensation election
☐ Trailer use election
☐ Insurance election or schedule
☐ Plate and permit election
☐ Fuel card election
☐ ELD and camera acknowledgment
☐ Escrow election and complete funding schedule
☐ Transaction specific deduction authorization when needed
☐ ACH settlement authorization
☐ Property receipt
☐ Equipment return obligations

OFFICE CONTROLLED VALUES

No $10 card fee, cash-advance fee, percentage administrative fee or other charge is authorized unless expressly approved in the controlling agreement or a lawful transaction-specific authorization.

Your information

Authorized contractor signer printed name * Contractor entity * Agreement record ID Agreement revision Proposed activation date Authorized JASKO representative Office controlled — Compensation method and rate Office controlled — Trailer charge Office controlled — Insurance schedule reference Office controlled — Escrow amount Office controlled — Escrow funding schedule Office controlled — Settlement cutoff Office controlled — Settlement date Office controlled — Other authorized fixed term Agreement and elections — exceptions or notes JASKO approval Approval time Phoenix Email address * Phone number Date *

Signature

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