Authorization to Transmit Information
The undersigned represents that it is an Independent Contract Owner-Operator that is engaged in, or desires to engage in, the business and profession of transporting freight in interstate commerce through the use of a commercial motor vehicle (the "CMV") leased by the undersigned from Schneider Finance, Inc. ("SFI"). Further, the undersigned has contracted with, or desires to contract with, a Federal Motor Carrier Safety Administration and Department of Transportation authorized motor carrier (the "Carrier") in order to transport such Carrier's freight under such Carrier's motor carrier operating authority. In connection therewith, it may be necessary or convenient for SFI and such Carrier to exchange certain information pertaining to the undersigned's business and operations which each of SFI and/or Carrier may have, but which is not in the possession of the other party.
The undersigned hereby expressly authorizes SFI, and any Carrier designated by the undersigned on this Authorization (or as may be designated from time to time, in writing, by Carrier), to share and provide, with the other, financial, tax, operational, and business information that is relevant to the lease of a CMV from SFI and/or the operation of a CMV under the motor carrier authority of the Carrier (the "Information"). Such Information that is authorized to be shared between SFI and the Carrier includes, without limitation, the undersigned's Independent Contractor Operating Agreement, including exhibits and addendums (or similar agreement governing the relationship between the undersigned and Carrier), heavy-vehicle use tax information, tax information (e.g., form SS-4, Form W-9, etc.), information pertaining to insurance maintained by the undersigned, organizational documents of the undersigned (e.g., Articles of Organization or Incorporation, Operating Agreements, Certificates of Good Standing, etc.), notice of termination of the business relationship between the undersigned and the Carrier, and any other documents which may be beneficial, necessary, or convenient for SFI and/or the Carrier to engage in a business relationship with the undersigned. The Information may be used solely for the purposes identified under this Authorization.
The undersigned Independent Contractor hereby knowingly and voluntarily exercises this Authorization.