Docs 107 4360

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Driver Qualifications Policy
*Refernces are made within these policies that refer to regulations outlines in the Feferal Motor Carrier Safety
Regulations. You have been provided a copy of these regulations for your reference. If you did not receive a copy or need
an additional copy,please let management know.
The following are company policies in regards to Driver Qualifications:
1. Is at least 21 years old.

2. Can read and speak the English language sufficiently to converse with the general public, to
understand highway traffic signs and signals in the English language, to respond to official inquiries,
and to make entries on reports and records.
3. Can, by reason of experience, training, or both, safety operate the type of commercial motor
vehicle he/she drives;
4. Is physically qualified to drive a commercial motor vehicle in accordance with subpart E-Physical
Qualifications and Examinations of this part;
5. Has a currently valid commercial motor vehicle operator's license issued only by one State or
jurisdiction;
6. Has prepared and furnished the Company with the list of violations or the certificate as required
by 391.27
7. Is not disqualified to drive a commercial motor vehicle under the rules 391 and 383
8. Has successfully completed a drive's road test and has been issued a certificate of driver's road test
in accordance with 391.31, or has presented an operator's license.
9. Can, by reason of experience, training, or both, determine wheather the cargo he/she transports
has been properly located, distributed, and secured in or on the commercial motor vehicle he/she
drives;
10. Is familiar with methods and procedures for securing cargo in or on the commerical motor
vehicle he/she drives.
Regulation violations that disqualify you from operating a commercial vehicle and can subject you to
immediate termination are:
1. Driving a commercial motor vehicle while the person's alcohol concentration is 0.04 percent
or more;
2. Driving under the influence of alcohol, as prescribed by State law;
3. Refusal to undergo such testing as is required by any State or jurisdiction in the enforcement
of 391.15(c)(2) (A) or (B), or 392.5(a)(2);
4. Driving a commercial motor vehicle under the influence of a 21 CFR 1308.11 Schedule I
identified controlled substance, an amphetamine, a narcotic drug, a formulation of an
amphetamine, or a derivative of a narcotic drug;
5. Transportation, possesion, or unlawful use of a 21 CFR1308.11 Schedule I identified
controlled substanc, amphetamines, narcotic drugs, fromulations of an amphetamine, or
derivatives of narcotic drugs while the driver is on duty, as the term on-duty time is defined in
395.2 of this subchapter;
6. Leaving the scene of an accident while operating a commercial motor vehicle;
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7. A felony involving the use of a commercial motor vehicle
I have read the company policies regarding driver qualifications and certify that I meet the standards
outlined. In addition, I understand that receiving any of the violations stated in the Driver Qualification
policies can subject me to immediate termination.
Applicant Signature Date
Applicant Signature
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Driver's Receipt
This issue of the FMCSR Pocketbook includes all revisions issued on or before
March 1, 2016
I acknowledge receipt of this FEDERAL MOTOR SAFETY REGULATIONS

POCKETBOOK (347). In addition, I agree to familiarize myself with the Federal
Motor Carrier Safety Regulations (FMCSR) of use U.S Department of
Transportation, Part 40, 380, 382, 383, 387, 390-397, 399 Subchapter B, Chapter 3,
Title 49 of the Code of Federal Regulations, as continued therin.
Applicant's Signature Date
Applicant's Name
Company Name
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Hours of Service Policy

Federal Motor Carrier Safety Regulations (FMCSR) Prohibit motor carriers from allowing or requiring a
driver to operate a commercial motor vehicle in violation of the FMCSR Part 395 Hours of Service
Regulations. In addition, it is the responsibility, duty, and corperate policy of AHA YOURS INC to establish
policies and procedures that are consistent with government regulations and our civic duty to promote motor
carrier and highway safety. It is the purpose of this Hours of Service Policy to accomplish these goals. This
policy applies equally and without prejudice to all commercial motor vehicle drivers who are dispatched by
and/or represent AHA YOURS INC in the transportation of goals.
All drivers must adhere to the 30-minutes break rule, the 11-hours, 14-hours, 60hour/7day/8day and all other
applicable rules as described in the current FMCSR Part 392 and Part 395. This includes accurately
recording hours of service using paper logs if allowed, an FMCSA approved Electronic Recording Device
(ELD) or Automatic On Board Recording Device as defined in Part 395.
For those required to use an ELD, accurately recording hours includes:
1. Driving a commercial motor vehicle while the person's alcohol concentration is 0.04 percent or
more;
2. Driving under the influence of alcohol, as prescribed by State law;
3. Refusal to undergo such testing as is required by any State or jurisdiction in the enforcement of
391.15(c)(2) (A) or (B), or 392.5(a)(2);
4. Driving a commercial motor vehicle under the influence of a 21 CFR 1308.11 Schedule I identified
controlled substance, an amphetamine, a narcotic drug, a formulation of an amphetamine, or a
derivative of a narcotic drug;
5. Transportation, possesion, or unlawful use of a 21 CFR1308.11 Schedule I identified controlled
substanc, amphetamines, narcotic drugs, fromulations of an amphetamine, or derivatives of narcotic
drugs while the driver is on duty, as the term on-duty time is defined in 395.2 of this subchapter;
6. Leaving the scene of an accident while operating a commercial motor vehicle;
Applicant's Name
Company Name
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when in its judgement there is sufficent reason to believe that the driver is driving without following this company policy or regard for publi
safety.
Applicant's Name
1598 EDITH WAY FL 1,CROWN
JETT LOGISTIC INC POINT,Indiana-46307
DRIVER EMPLOYMENT APPLICATION
Name: Gauravmeet Singh Toor Application Date: 06-03-2023
Address: 581 Cistus CT,MANTECA,California,95337

You must list all previous
addresses for 3 years
Address:
Phone Number: (661) 703-3488 Date of Birth: 10-29-1990 Social Security Number: 894-92-5666
Are you legally authorized to work in the U.S.? Yes
Emergency Contact Name: WISH Relation: WIFE
Addresss: 581 Cistus CT,MANTECA,California,95337 Phone Number: 317-779-9330
DRIVER LICENSE INFORMATION
Driver License Number: Y5722748 State: California Type: Class A Expiration Date: 05-24-2024
DRIVER EXPERIENCE
Type of Equipment: From (Date): To (Date): Approx # of Miles:
Tractor / Trailer 11-26-2019 06-03-2023 486000

REQUIRED QUESTIONS
Have you ever been denied a license, permit or privilege to operate a motor vehicle? No
Has any license, permit or privilege ever been suspended or revoked? No
Have you ever been convicted of any criminal act involving the use of a CMV or while driving a CMV? No
Have you ever been convicted of any serious crime? (Include any plea of “Guilty” or “No Contest” except for
No
minor traffic violation)
If you answered yes to any of the above 4 questions, you must attach a statement of explanation.
TICKETS / ACCIDENTS/ ETC.
Accident Record for Past 3 Years
Date: Description: # of Injuries / Fatalities:
06-03-2023 NO ACCIDENT N/A

Traffic Convictions & Forfeitures for Past 3 Years
Date: Location: Change: Penalty:
06-03-2023 N/A NO CITATIONS N/A

EMPLOYMENT RECORD applicant must include 10 years of any\all employment
Employer: Gtb Freight Solutions Inc From: 04/21 To: 05/23 Reason for Leaving:
Address: 8937 Hosta Way, CAMBY,Indiana-46221 Phone: (661) 616-7455 Position: CDL Driver
Were you subject to the FMCSRs while employed? Yes
Was your job designated as a safety sensitive function in any DOT regulated mode subject to the drug &
Yes
alcohol testing requirements of 49 CFR part 40?
Employer: Shana Usa Inc From: 01/21 To: 04/21 Reason for Leaving:
Address: 2947 Hearthside Dr Phone: (917) 807-0304 Position: CDL Driver
Yes
Employer: Trust Trans Inc From: 10/20 To: 01/21 Reason for Leaving:
Address: 2990 Seasons Drive Phone: 317-617-7000 Position: CDL Driver
Was your job designated as a safety sensitive function in any

DOT regulated mode subject to the drug & alcohol testing Yes
requirements of 49 CFR part 40?
Employer: United Safeway Inc From: 02/20 To: 10/20 Reason for Leaving:
Address: 9846 Ponton Pl Phone: (219) 302-0868 Position: CDL Driver
Yes
DECLARATION OF EMPLOYMENT STATUS (GAPS IN HISTORY)
If you were driving a CMV, you must provide complete employment history for the past 10 years.
Any gaps in employment longer than 1 month are explained as follows:
Activity During Break: WAITING FOR WORK AUTHORIZATION From: 07-20-2018 To: 11-01-2019
In Addition, I was not employed by any company or individual
Activity During Break: Study in India From: 01-14-2013 To: 07-01-2018
Activity During Break: From: To:

EMPLOYMENT RECORD applicant must include 10 years of any\all employment
Employer: Essar Logistics Llc From: 11/19 To: 02/20 Reason for Leaving:
Address: 180 Promenade Circle Suite 300 Phone: (916) 426-6340 Position: CDL Driver
Yes
Employer: From: To: Reason for Leaving:
Address: 180 Promenade Circle Suite 300 Phone: Position:
Yes
Address: Phone: Position:
Yes
Address: Phone: Position:
Was your job designated as a safety sensitive function in any DOT regulated mode subject to the drug & alcohol testing
Yes
requirements of 49 CFR part 40?
DECLARATION OF EMPLOYMENT STATUS (GAPS IN HISTORY)
If you were driving a CMV, you must provide complete employment history for the past 10 years.
Any gaps in employment longer than 1 month are explained as follows:
In Addition, I was not employed by any company or individual To: >
In Addition, I was not employed by any company or individual To:

TO BE READ AND SIGNED BY APPLICANT
I authorize you JETT LOGISTIC INC to make such investigations and inquiries of my personal, employment, financial or medical
history and other related matters as may be necessary in arriving at an employment decision. (Generally, inquiries regarding
medical history will be made only if and after a conditional offer of employment has been extended.) I hereby release employers,
schools, health care providers and other persons from all liability in responding to inquiries and releasing information in
connection with my application.
In the event of employment, I understand that false or misleading information given in my application or interviews may result in
discharge. I understand, also, that I am required to abide by all rules and regulations of the Company, as well as the FMCSRs.
I understand information I provide regarding current and/or previous employers may be used, and those employers will be
contacted, for the purpose of investigating my safety performance history as required by 49 CFR 391.23 (d) and (e). I understand
that I have the right to:
? Review information provided by the previous employers.
? Have errors in the information corrected by previous employers and for those previous employers to re-send the corrected
information to the prospective employer? and
? Have a rebuttal statement attached to the alleged erroneous information, if the previous employer(s) and I cannot agree on the
accuracy of the information.
This certifies this application was completed by me, and that all entries on it and information in it are true and complete to the best
of my knowledge
Applicant Signature:
Date: 06-03-2023
Print Name: Gauravmeet Singh Toor

ALCOHOL & CONTROLLED SUBSTANCE CONSENT AND RELEASE – applicant MUST answer:
Have you ever refused to be tested for drugs or alcohol? No
Have you ever tested positive for drugs or alcohol? No
Have you ever tested positive for any pre-employment drug or alcohol test for a job which you applied for
No
but did not obtain?
*If applicant answered 'Yes' to any of the above questions,

attach a statement of explanation AND provide proof of the Return to Duty Process.
*If applicant answered 'Yes' to any of the above questions,

attach a statement of explanation AND provide proof of the Return to Duty Process.
I understand that, as required by the Federal Motor Carrier Safety Regulations or company policy, all drivers must submit to
alcohol and controlled substance testing as a condition of employment. I also understand that any offer of employment will be
contingent upon the results of an alcohol and controlled substance test.
Applicants for positions that require driving a commercial motor vehicle (CMV) requiring a CDL at any time will be required to
undergo controlled substances and at our discretion, alcohol testing prior to employment and will be subject to further testing
throughout their period of employment.
JETT LOGISTIC INC policy is that if a person has ever been in violation of the rules in part 40 (DOT) or 382 (FMCSA) they will
NOT be considered eligible for any job which includes operation of a CMV (Greater than 10,000 GVWR) unless they have
completed the return to duty process.
CDL drivers will be subject to random and reasonable suspicion drug testing each day they report for work.
Therefore, I agree to submit to the following alcohol and controlled substance tests in accordance and as defined by the Federal
Motor Carrier Safety Regulation and this company’s policies:
Pre-employment, to determine employment eligibility
Random
Reasonable Suspicion
Post Accident
Follow Up (see company policy)
Return-to-duty (see company policy)
I certify that I have read, understand, and agree to abide by the condition of this consent and release form. Failure to sign will
prevent this employer from using you as a CMV driver
Applicant Signature:
Date: 06-03-2023
Print Name: Gauravmeet Singh Toor Social Security Number: 894-92-5666
Employer Witness: Title:

CERTIFICATION OF COMPLIANCE WITH DRIVER LICENSE REQUIREMENTS – PART 383
MOTOR CARRIER INSTRUCTIONS: The requirements in Part 383 apply to every driver who operates in intrastate, interstate, or
foreign commerce and operates a vehicle weighing 26,001 pounds or more, can transport more than 15 people, or transports
hazardous materials that require placarding.
The requirements in Part 391 apply to every driver who operates in interstate commerce and operates a vehicle weighing 10,001
pounds or more, can transport more than 15 people, or transports hazardous materials that require placarding.
DRIVER REQUIREMENTS: Parts 383 and 391 of the Federal Motor Carrier Safety Regulations contain some requirements that
you as a driver must comply with. These requirements are in effect as of July 1, 1987. They are as follows:
1. You, as a commercial vehicle driver, may not possess more than one license.
2. If you currently have more than one license, you should keep the license from your state of residence, and return the additional
licenses to the states that issued them. Destroying a license does not close the record in the state that issued it? you must notify
the state. If a multiple license has been lost, stolen or destroyed. You should close your record by notifying the state of issuance
that you no longer want to be licensed by that state.
3. Sections 392.42 and 383.33 of the Federal Motor Carrier Safety Regulations require that you notify your employer the NEXT
BUSINESS DAY of any revocation or suspension of your driver’s license. In addition, Section 383.31 requires that any time you
violate a state or local traffic law (other than parking), you must report it to your employing motor carrier and the state that issued
your license within 30 days.
DRIVER CERTIFICATION: I certify that I have read and understand the above requirements.
The following license is the only one I will possess:
Driver License Number: Y5722748 State: California Expiration: 05-24-2024
Driver Signature:
Date: 06-03-2023
SAFETY PERFORMANCE HISTORY RECORDS REQUEST

PART 1: TO BE COMPLETED BY PROSPECTIVE EMPLOYEE
I, (Print Name) Gauravmeet Singh Toor 894-92-5666
Social Security
Number
Hereby authorize: 10-29-1990
Date of Birth
Previous Employer: Gtb Freight Solutions Inc [email protected]
Email:
Street: 8937 Hosta Way, CAMBY,Indiana-46221 Telephone: (661) 616-7455
City, State, Zip: CAMBY,Indiana-46221 Fax No.:
To release and forward the information requested by section 3 of this document concerning my Alcohol and Controlled Substances
Testing records within the previous 3 years from 04-16-2021 To 05-31-2023
(employment application date)
Prospective Employer: JETT LOGISTIC INC
Attention: Mann Simran Sandhu Telephone: (219) 308-7000
To:
Street: 1598 EDITH WAY FL 1,CROWN POINT,Indiana-46307
City, State, Zip: CROWN POINT,Indiana-46307
In compliance with §40.25(g) and 391.23(h), release of this information must be made in a written form that ensures confidentiality,
such as fax, email, or letter
Prospective employer’s fax number:
Prospective employer’s email address:
Driver Signature:
06-03-2023
Applicant’s Signature Date

This information is being requested in compliance with §40.25(g) and 391.23.
PART 2: TO BE COMPLETED BY PREVIOUS EMPLOYER

ACCIDENT HISTORY
The applicant named above was employed by us. Yes No ☐
☐
Employed as__________________from (m/y)_______________to (m/y)
1. Did he/she drive motor vehicle for you? Yes ☐ No ☐ If yes, what type? Straight Truck ☐ Tractor-Semitrailer ☐Bus ☐ Cargo Tank ☐
Doubles/Triples ☐ Other (Specify)_____________
2. Reason for leaving your employ: Discharged ☐ Resignation ☐ Lay Off ☐ Military Duty If there is no safety performance history to
report, check here ☐, sign below and return
ACCIDENTS: Complete the following for any accidents included on your accident register (§390.15(b)) that involved the applicant in
the 3 years prior to the application date shown above, or check ☐ here if there is no accident register data for this driver.
Date Location # Injuries # Fatalities Hazmat Spill
1.
2.
3.
Please provide information concerning any other accidents involving the applicant that were reported to government agencies or insurers or
retained under internal company policies:__________________________________________
Any other remarks:
Signature:
Title: Date: 06-03-2023

Social Security
Number
Date of Birth
Previous Employer: Shana Usa Inc [email protected]
Email:
Street: 2947 Hearthside Dr, GREENWOOD,Indiana-46143 Telephone: (917) 807-0304
To:
Driver Signature:
06-03-2023


ACCIDENT HISTORY
☐
1.
2.
3.
Any other remarks:
Signature:
Title: Date: 06-03-2023

Social Security
Number
Date of Birth
Previous Employer: Trust Trans Inc [email protected]
Email:
Street: 2990 Seasons Drive, Greenwood,Indiana-46143 Telephone: 317-617-7000
To:
Driver Signature:
06-03-2023


ACCIDENT HISTORY
☐
1.
2.
3.
Any other remarks:
Signature:
Title: Date: 06-03-2023

Social Security
Number
Date of Birth
Previous Employer: United Safeway Inc Email: [email protected]
Street: 9846 Ponton Pl, St John,Indiana-46373 Telephone: (219) 302-0868
To:
Driver Signature:
06-03-2023


ACCIDENT HISTORY
☐
1.
2.
3.
Any other remarks:
Signature:
Title: Date: 06-03-2023

Social Security
Number
Date of Birth
Previous Employer: Essar Logistics Llc [email protected]
Email:
Street: 180 Promenade Circle Suite 300, Sacramento,Indiana-95834 Telephone: (916) 426-6340
To:
Driver Signature:
06-03-2023


ACCIDENT HISTORY
☐
1.
2.
3.
Any other remarks:
Signature:
Title: Date: 06-03-2023
THE BELOW DISCLOSURE AND AUTHORIZATION LANGUAGE IS FOR MANDATORY USE BY
ALL ACCOUNT HOLDERS
IMPORTANT DISCLOSURE
REGARDING BACKGROUND REPORTS FROM THE PSP Online Service
In connection with your application for employment with JETT LOGISTIC INC (“Prospective Employer”), Prospective
Employer, its employees, agents or contractors may obtain one or more reports regarding your driving, and safety inspection
history from the Federal Motor Carrier Safety Administration (FMCSA).
When the application for employment is submitted in person, if the Prospective Employer uses any information it obtains from
FMCSA in a decision to not hire you or to make any other adverse employment decision regarding you, the Prospective Employer
will provide you with a copy of the report upon which its decision was based and a written summary of your rights under the Fair
Credit Reporting Act before taking any final adverse action. If any final adverse action is taken against you based upon your
driving history or safety report, the Prospective Employer will notify you that the action has been taken and that the action was
based in part or in whole on this report.
When the application for employment is submitted by mail, telephone, computer, or other similar means, if the Prospective
Employer uses any information it obtains from FMCSA in a decision to not hire you or to make any other adverse employment
decision regarding you, the Prospective Employer must provide you within three business days of taking adverse action oral,
written or electronic notification: that adverse action has been taken based in whole or in part on information obtained from
FMCSA; the name, address, and the toll free telephone number of FMCSA; that the FMCSA did not make the decision to take the
adverse action and is unable to provide you the specific reasons why the adverse action was taken; and that you may, upon
providing proper identification, request a free copy of the report and may dispute with the FMCSA the accuracy or completeness
of any information or report. If you request a copy of a driver record from the Prospective Employer who procured the report, then,
within 3 business days of receiving your request, together with proper identification, the Prospective Employer must send or
provide to you a copy of your report and a summary of your rights under the Fair Credit Reporting Act.
Neither the Prospective Employer nor the FMCSA contractor supplying the crash and safety information has the capability to
correct any safety data that appears to be incorrect. You may challenge the accuracy of the data by submitting a request to
https://dataqs.fmcsa.dot.gov. If you challenge crash or inspection information reported by a State, FMCSA cannot change or
correct this data. Your request will be forwarded by the DataQs system to the appropriate State for adjudication.
Any crash or inspection in which you were involved will display on your PSP report. Since the PSP report does not report, or
assign, or imply fault, it will include all Commercial Motor Vehicle (CMV) crashes where you were a driver or co-driver and
where those crashes were reported to FMCSA, regardless of fault. Similarly, all inspections, with or without violations, appear on
the PSP report. State citations associated with Federal Motor Carrier Safety Regulations (FMCSR) violations that have been
adjudicated by a court of law will also appear, and remain, on a PSP report.
The Prospective Employer cannot obtain background reports from FMCSA without your authorization.
AUTHORIZATION
If you agree that the Prospective Employer may obtain such background reports, please read the following and sign below:
I authorize JETT LOGISTIC INC (“Prospective Employer”) to access the FMCSA Pre-Employment Screening Program (PSP)
system to seek information regarding my commercial driving safety record and information regarding my safety inspection history.
I understand that I am authorizing the release of safety performance information including crash data from the previous five (5)
years and inspection history from the previous three (3) years. I understand and acknowledge that this release of information may
assist the Prospective Employer to make a determination regarding my suitability as an employee.
I further understand that neither the Prospective Employer nor the FMCSA contractor supplying the crash and safety information
has the capability to correct any safety data that appears to be incorrect. I understand I may challenge the accuracy of the data by
submitting a request to https://dataqs.fmcsa.dot.gov. If I challenge crash or inspection information reported by a State, FMCSA
cannot change or correct this data. I understand my request will be forwarded by the DataQs system to the appropriate State for
adjudication.
I understand that any crash or inspection in which I was involved will display on my PSP report. Since the PSP report does not
report, or assign, or imply fault, I acknowledge it will include all CMV crashes where I was a driver or co-driver and where those
crashes were reported to FMCSA, regardless of fault. Similarly, I understand all inspections, with or without violations, will
appear on my PSP report, and State citations associated with FMCSR violations that have been adjudicated by a court of law will
also appear, and remain, on my PSP report.
I have read the above Disclosure Regarding Background Reports provided to me by Prospective Employer and I understand that if
I sign this Disclosure and Authorization, Prospective Employer may obtain a report of my crash and inspection history. I hereby
authorize Prospective Employer and its employees, authorized agents, and/or affiliates to obtain the information authorized above.
Date: 06-03-2023
Signature
Gauravmeet Singh Toor
Name (Please Print)
NOTICE: This form is made available to monthly account holders by NIC on behalf of the U.S. Department of Transportation,
Federal Motor Carrier Safety Administration (FMCSA). Account holders are required by federal law to obtain an Applicant’s
written or electronic consent prior to accessing the Applicant’s PSP report. Further, account holders are required by FMCSA to use
the language contained in this Disclosure and Authorization form to obtain an Applicant’s consent. The language must be used in
whole, exactly as provided. Further, the language on this form must exist as one stand-alone document. The language may NOT be
included with other consent forms or any other language.
NOTICE: The prospective employment concept referenced in this form contemplates the definition of “employee” contained at 49
C.F.R. 383.5.
Inquiry to State Agency for Drivers's Record
Drivers's name: Gauravmeet Singh Toor

Driver's/operator's license number: Y5722748
Driver's Social Security number: 894-92-5666
the above listed individual has made application with us for employement as a driver. The applicant
has indicated that the above numbered operator's license or permit has been issued by your state
to the applicant and it is in good standing.
In according with section 391.23(a)and(b) Federal Motor Carrier Safety Regulations, we are required
to make inquiry into the driving record during the preceding three years of every state in which an
applicant-driver has held a mototr vehicle operator's license or permiot during those three years.
Therefore, please certify to us what the individual's driving record is for the preceding three years,
or certify that no record exists if that be the case.
In the event that this inquiry does not satisfy you requirements for making such inquiries, please
send us the necessary forms to complete our inquiry into the driving record of this individual.
Respectfully yours,
Signature of individiual making inquiry
Gauravmeet Singh Toor

Printed name of person making inquiry
Safety Manager
Title of person making inquiry
JETT LOGISTIC INC

Motor carrier name
581 Cistus CT,MANTECA,California,95337 MANTECA California 95337

Address City State Zip
Motor Vehicle Record Disclosure and Release Form
in connection with my on going employment or my application for employment, should I have or secure a position
with, I understand that the motor vehicle record, which contains public record information, may be requested. I
further understand that such report(s) will contain personal information and public record information concerning
my driving record from federal, state and other agencies that maintain such records, as well as independent services
that provide driving record information.
I authorize, without reservation, any party or agencies contacted to finish the above-mentioned information
to GDI Insurance Agency,Inc. or its agent
I herby authorize procurement of my motor vehicle report. If hired, this authorization shall remain on file and shall
serve as ongoing authorization for you to procure such reports at any time during my employment's commercial
auto insurer and agent will also use this information in conjuction with loss control and safety review efforts
Gauravmeet Singh Toor 894-92-5666

Full legal name (include middle initial) Social Security Number
Y5722748 California
Driver's License Name State of issuance
10-29-1990
Date of birth
06-03-2023
Signature Date
Company: JETT LOGISTIC INC
UNIFORM DRUG AND ALCOHOL TESTING POLICY FMCSA

It is the policy of JETT LOGISTIC INC referred to hereafter as the "Company" to act in compliance with the Department of
Transportation Procedures for Transportation Workplace Drug Testing Program (49 CFRPart 382 and 49 CFR Part 40). From
F49CFR382.601
PROCEDURE
Any employee candidate wishing to obtain a position with this company that requires the performance of a safety-sensitive
position including the driving of a commercial vehicle on a public roadway shall be tested for drug use in accordance with the
Federal Department of Transportation Regulations and the Company's Uniform Drug Testing Policy.
Any employee candidate not in conformance with this policy will not be employed by the Company.
Any current employee that is required to operate a commercial vehicle on a public roadway is subject to testing for drugs and/or
alcohol in accordance with the Federal Department of Transportation Regulations and the Company's Uniform Drug and Alcohol
Testing Policy.
Any current employee found not to be in conformance to this policy or refuses to submit to testing in accordance with this policy,
will be subject to dismissal.
The Company may authorize inspections, investigations, and searches for alcoholic beverages, illegal drugs, and/or controlled
substances at any time, with or without prior notice. Such action may involve some or all employees. If an employee is reasonably
available during a search and it becomes necessary to open a locker or other personal container secured by a lock, the employee
will be requested to open the locker or personal container before any other means of access are used. If the employee refuses or is
not reasonably available, measures will be taken to open the locker or personal container as required.
All drug screen results will be reported to the Company DER (Designated Employer Representative).
DRUG AND ALCOHOL TESTING POLICY STATEMENT

The Company recognizes the significant problems caused by drug and/or alcohol use in the transportation industry and is
committed to maintaining a drug and alcohol-free driver workforce. Drug and/or Alcohol use jeopardizes the safety and
productivity of drivers as well as the safety and well-being of the general public. Accordingly, in compliance with the Federal
Department of Transportation ("DOT") regulations, the Company adopts the following Uniform Drug and Alcohol Screening
Program for Company employee Drivers ("Drivers"). As part of their orientation to the company, all new hires to whom the
alcohol and drug abuse policy applies are required to read and acknowledge receipt of the Company’s alcohol and drug policy.
This program will also be required of all current employees, until all covered employees have read and acknowledged receipt of
the policy.
This policy identifies:
A. Major classes of drugs (amphetamines, cocaine, cannabinoids (marijuana), opiates, and phencyclidine (PCP), which
can have profound effects on their individual health, psychological well-being, work habits, and personal life.
B. Chemical dependency as a terminating offense.
C. That alcohol and drug usage is a major safety issue, which increases insurance cost and can cause legal
complications.
D. Refusal to submit to a test as: inability to provide sufficient quantities of breath, saliva, or urine to be tested without
a valid medical explanation; tampering with or attempting to adulterate the specimen, interfering with the collection
procedure, not immediately reporting to the collection site; failing to remain at the collection site until the collection
process is completed or failing to conduct a post accident test without a valid reason.
E. Part 382.205 which states that a driver must not consume alcohol while on-duty, part 382.207 which states that a
driver may not consume alcohol four hours prior to on-duty time and part 382.209 which states that a driver may not
consume alcohol up to eight hours following a recordable accident or until the driver undergoes a post-accident test,
whichever occurs first.
F. No driver who is found to have an alcohol concentration of 0.02 or greater but less than 0.04 shall perform or
continue to perform safety-sensitive functions, including driving a commercial motor vehicle, until the start of the driver's
next regularly scheduled duty period, but not less than 24 hours
following administration of the test
G. Testing Procedures
a. Controlled substances tests will be performed, including split specimen collection and analysis for
controlled substances.
b. Alcohol tests will be performed, including breath or saliva screening tests.
c. Privacy of the employee will be protected.
d. Integrity of the test process will be maintained.
e. Test results will be attributed to the correct driver.
f. Post-accident testing will be conducted including instructions to the driver.
Supervisors
A training program for all supervisors will be conducted for which attendance is mandatory. The purpose of this session is to
familiarize supervisors and management personnel with the company policy and program and to facilitate their effective and
efficient use of it. This program includes:
A. Identification of controlled substances and paraphernalia.
B. Symptomatology of the worker unfit for duty with guidelines for decisions, documentations, legalities, and
liabilities.
C. Symptomatology of the troubled employee on the job, particularly substance abusers.
D. As an employer, when an employee has a verified positive, adulterated, or substituted test result, or has otherwise
violated a DOT agency drug and alcohol regulation, you must not return the employee to the performance of safety-
sensitive functions until or unless the employee successfully completes the return-to-duty process of Subpart O of this
part.
E. Monitoring behavior, documentation, and evaluation.
Enforcement and Monitoring

A liaison will be established with law enforcement agencies. These agencies will be informed of the Company’s drug and alcohol
abuse program and will be solicited to share any information indicating inappropriate involvement with alcohol or drugs by
company employees. Procedures will be developed with these agencies for their cooperation, in event of alcohol or drug abuse
situations. The behavior of employees outside of work is relevant to their job performance at work: those who abuse drugs or
alcohol off the job pose an unacceptably high risk of performing in an impaired manner on the job.
Additional monitoring is provided in random screening of employees for evidence of alcohol or drug usage. All employees, as a
condition of employment, are required to consent to providing blood, breath, sputum, and/or urine specimens on demand by a
trained supervisor. The sample will be submitted for definitive scientific analysis to determine if prohibited substances are present.
The obvious purpose of this is deterrence in that employees are less likely to use these prohibited substances if they perceive a real
chance that they will be tested at random without warning.
The following information should be reported to the Clearinghouse:

(i) A verified positive, adulterated, or substituted drug test result (Reported by MRO).
(ii) An alcohol confirmation test with a concentration of 0.04 or higher.
(iii) A refusal to submit to any test (See regulations- some reported by MRO, some by employer).
(iv) An employer’s report of actual knowledge of the following:
A. On-duty alcohol use
B. Pre-duty alcohol use
C. Alcohol use following an accident
D. Controlled substance use
(v) A substance abuse professional (SAP) must report the successful completion of the
return-to-duty process.
(vi) A negative return-to-duty test.
(vii) An employer’s report of completion of follow-up testing.
UNIFORM DRUG AND ALCOHOL TESTING PROGRAM

Pre-Employment Testing
The FMCSA requires that an employee must be tested for controlled substances and receive a negative result before he/she can be
put in a driving position. A positive test result will result in withdrawal of employment offer.
A significant part of the alcohol and drug abuse program is the background investigation conducted on each applicant prior to hire.
One aspect of this investigation is the applicant’s written permission to references and former employers to release to the Company
or its agent any pertinent information regarding the applicant, including previous involvement with alcohol or other mind-altering
chemicals. Refusal to grant this permission will terminate the application process.
The investigation includes a detailed check with the former employers. Pertinent information, including alcohol and drug use
information, is solicited in this process. All courts within the areas of residence and employment of the applicant are also
consulted, to determine the existence of any prior history or outstanding warrants. This part of the application process is to identify
those individuals whose past behavior indicates involvement with illegal drugs or alcohol, either of which eliminates these high-
risk persons from further consideration for employment, unless evidence of stable recovery is developed, which is a condition of
employment with the Company.
Applicants whose background investigation is satisfactory will receive a physical examination prior to hire. The examining
physician will review carefully the applicant’s history and physical condition to detect any abnormalities, including those
indicative of alcohol or drug abuse. This examination will disqualify those candidates from consideration of employment where
information is developed indicating a high risk for alcohol or drug use, current physical condition, and the physician’s interview.
Reasonable Cause Testing

In cases in which a Driver is acting in an abnormal manner, and a Company supervisor has reasonable cause to believe the Driver
is under the influence of a controlled substance or alcohol, the Company may require the Driver to go directly to a medical clinic
to provide a urine specimen for laboratory testing for controlled substances or a breath specimen for alcohol testing. The Company
supervisor must have received training in the signs of drug and/or alcohol intoxication in a prescribed training program which is
endorsed by the Company.
Reasonable cause means suspicion based on the specific personal observation that the Company representative can describe
concerning the appearance, behavior, speech or breath odor of the Driver.
The Company supervisor must make a written statement of these observations within twenty-four (24) hours of the observed
behavior. Reasonable cause is not a basis for testing if it is based solely on third-party observation and reports.
In the event that a Driver is directed to go to the collection site to provide a urine and/or breath specimen on either a reasonable
cause basis or under the Post- Accident Section of this Program, the Driver may be suspended, at the discretion of the Company,
until the results of the drug test are received from the Medical Review Officer ("MRO") or the Alcohol Screen results are returned
from the Breath Alcohol Technician ("BAT"), then the Driver shall be terminated in the case of a positive result. However, if
notice of a negative test result is received from the Medical Review Officer or Breath Alcohol Technician, then the Driver shall be
immediately reinstated in full force and effect.
Post-Accident Testing
A Driver shall provide a urine specimen to be tested for presence of controlled substance and a breath specimen for alcohol testing
as soon as possible after a reportable accident and the Driver is cited for a moving traffic violation, but in any case, no later than
thirty- two (32) hours after the accident for the controlled substance testing and two to eight hours for a breath alcohol test.
For purposes of this Section, a "reportable accident" defined:
CITATION ISSUED TO THE TEST MUST BE
TYPE OF ACCIDENT INVOLVED
CMV DRIVER PERFORMED
Yes Yes
Human Fatality
No Yes
Yes Yes
Bodily injury with immediate medical treatment
away from the scene
No No
Yes Yes
Disabling damage to any motor vehicle requiring
tow away
No No
The term "reportable accident" does not include:

An accident involving only boarding or alighting from a stationary motor vehicle or; An accident involving only the loading or
unloading of cargo.
Random Testing
The FMCSA requires that 50% of the annual average number of drivers be tested for substance abuse and 10% for alcohol abuse.
Return-to-Duty
The FMCSA requires a return-to-duty on any driver that had a positive test, and for whom the company received a letter of
approval from a Substance Abuse Program (SAP) stating that he/she may return to duty. (This only applies if management agrees
to continue the driver’s employment with the Company.)
Follow-Up
The FMCSA requires a minimum of six follow-up tests within the 12 months after a driver returns to duty after a positive test.
(SAP can require more than the minimum.)
Chain of Custody Procedures

All chain of custody procedures shall be in accordance with applicable DOT regulations (49 CFR Part 40). A copy of those
regulations is on file and available for inspection by all Company Drivers.
Medical Review Officer (MRO) and Breath Alcohol Technician (BAT)

The Company shall retain a qualified Medical Review Officer to perform the responsibilities of reviewing all drug screen
laboratory results as required under applicable DOT regulations. (49 CFR Part 40) All breath alcohol screen shall be performed by
a qualified Breath Alcohol Technician on equipment specified in the Federal Register that i properly calibrated.
Laboratory Accreditation
All laboratories used to perform urine testing pursuant to this program will be accredited by SAMSHA.
Laboratory Testing Methodology

Drug Screening
Drug screens will be conducted to screen the presence of the following drugs and/or their metabolites:
* Marijuana
* Cocaine
* Opioids(Codeine, Morphine, Hydrocodone, Hydromorphone, Oxycodone, Oxymorphone)
* Amphetamines (Amphetamines, Methamphetamines, MDA, MDMA)
* Phencyclidine (PCP)
Urine Testing
All urine testing procedures will be performed in accordance with applicable DOT regulations. A copy of those regulations is on
file and available for inspection by all Company Drivers.
Disciplinary Action Based on Positive Test Results

A Driver who tests positive for the use of a controlled substance and/or alcohol test as reported to the Company by the Medical
Review Officer or Breath Alcohol Technician is medically unqualified to operate a commercial motor vehicle and shall not drive
for the Company. Further, a positive test result shall be grounds for the immediate termination of the employment of the Driver.
The possession, transfer, or sale of controlled substances/alcohol while on duty will also result in termination.
This policy does not apply to medications prescribed by a licensed physician, provided that the employee’s job performance is not
adversely affected by such use and thatsupervisory personnel are informed of such use.
Disciplinary action Based on Refusal to Submit to Testing A Driver who refuses to be tested under any of the provisions of this
Uniform Drug Testing Program shall not be permitted to operate a commercial motor vehicle for the Company. Such refusal shall
be treated as a positive test and shall result in the immediate termination of the Driver.
Any employee who reports personal abuse of alcohol, drugs, or other controlled substances to supervision before it is observed on
the job will be provided with counseling. In such cases, the employee should understand that a reassignment of duties may be
necessary and that continued employment with the Company may be in jeopardy.
An acknowledgment of receipt and agreement to abide by this Program is attached hereto as Appendix
A and is incorporated herein by reference. Pursuant to applicable DOT regulations, the Driver must sign
Appendix A and return the original to the Company.
Effective Date
The Uniform drug and Alcohol Testing Program shall be effective JETT LOGISTIC INC
Company: JETT LOGISTIC INC
ACKNOWLEDGMENT OF RECEIPT OF UNIFORM DRUG AND ALCOHOL SCREENING

PROGRAM AND AGREEMENT TO ABIDE BY PROGRAM.
I, Gauravmeet Singh Toor , hereby acknowledge that I have

received a copy of the Company's Uniform Drug and Alcohol Screening Program, which has been
developed pursuant to Federal Department of Transportation Regulations.
In conjunction with my receiving a copy of the Company's Uniform Drug and Alcohol Screening
Program, I further acknowledge the following:
I have read the program and fully understand the terms contained therein, and the consequences for
violating any terms of this Program.
I understand that compliance with all terms of the Program is a condition of my employment with the
Company, and I agree to abide by all terms of the Program.
I authorize the lab, Medical Review Officer and Breath Alcohol Technician retained by the Company to
release screen result information to the Company as provided in the applicable Federal Department of
Transportation regulations.
Driver's Signature: -
06-03-2023
Date:
USCIS Form
Employment Eligibility Verification
I•9 OMB No.
Department of Homeland Security
1615•0047
U.S. Citizenship and Immigration Services
Expires
START HERE xcjkhklvjck: Read instructions carefully before completing this form. The instructions must be available, either in
paper or electronically,during completion of this form. Employers are liable for errors in the completion of this form.
ANTI-DISCRIMINATION NOTICE: It is illegal to discriminate against work-authorized individuals. Employers CANNOT specify which
document(s) an employee may present to establish employment authorization and identity. The refusal to hire or continue to employ an
individual because the documentation presented has a future expiration date may also constitute illegal discrimination.
Section 1. Employee Information and Attestation (Employees must complete and sign Section 1 of Form I-9 no later than the
first day of employment, but not before accepting a job offer.)
Last Name (Family
First Name (Given Name)
Name) Middle Initial Other Last Names Used (if any)
Gauravmeet Singh
Toor
Address: (Street Number and Name) City or Town State ZIP Code
Apt. Number
581 Cistus CT MANTECA CA 95337
Date of Birth (mm/dd/yyyy) U.S. Social Security Number Employee's E-mail Address Employee's Telephone Number
10-29-1990 894-92-5666 [email protected] (661) 703-3488
I am aware that federal law provides for imprisonment and/or fines for false statements or use of false documents in connection with
the completion of this form. I attest, under penalty of perjury, that I am (check one of the following boxes):
1. A citizen of the United States

2. A noncitizen national of the United States (See instructions)
3. A lawful permanent resident (Alien Registration Number/USCIS Number):
4. An alien authorized to work until (expiration date, if applicable, mm/dd/yyyy):05-24-2024
Some aliens may write "N/A" in the expiration date field. (See instructions)
Aliens authorized to work must provide only one of the following document numbers to
complete Form I-9:
QR Code - Section 1 Do Not Write in
An Alien Registration Number/USCIS Number OR Form I-94 Admission Number OR This Space
Foreign Passport Number.
1. Alien Registration Number/USCIS Number:201-659-964
or 2. Form I-94 Admission Number:
or 3. Foreign Passport Number: Country of Issuance:

Signature of Employee
Today's Date (mm/dd/yyyy) 06-03-2023
Preparer and/or Translator Certification (check one):

☐ did not use a preparer or translator A preparer(s) and/or translator(s) assisted the employee in completing Section 1.
(Fields below must be completed and signed when preparers and/or translators assist an employee in completing Section 1.)
I attest, under penalty of perjury, that I have assisted in the completion of Section 1 of this form and that to the best of my
knowledge the information is true and correct.
Today's Date (mm/dd/yyyy)
Signature of Preparer or Translator
06-03-2023
Last Name (Family Name) First Name (Given Name)
Address (Street Number and Name) City or Town State ZIP Code
USCIS Form
Employment Eligibility Verification
I•9 OMB No.
Department of Homeland Security
1615•0047
U.S. Citizenship and Immigration Services
Expires
Section 2. Employer or Authorized Representative Review and Verification (Employers or their authorized representative must
complete and sign Section 2 within 3 business days of the employee's first day of employment. You must physically examine one document from
List A OR a combination of one document from List B and one document from List C as listed on the "Lists of Acceptable Documents.")
Employee Info from Section Last Name (Family Name) First Name (Given Name) Citizenship/Immigration
M.I
1 Toor Gauravmeet Singh Status
List A List B List C
OR AND
Identity and Employment Authorization Identity Employment Authorization
Document Title Document Title Document Title
Issuing Authority Issuing Authority Issuing Authority
Document Number Document Number Document Number
Expiration Date (if any) (mm/dd/yyyy) Expiration Date (if any) (mm/dd/yyyy) Expiration Date (if any) (mm/dd/yyyy)
Document Title
Issuing Authority Additional Information QR Code • Sections 2 & 3

Do Not Write In This Space
Document Numbery
Expiration Date (if any) (mm/dd/yyyy)
Document Title
Issuing Authority
Document Number
Expiration Date (if any) (mm/dd/yyyy)
Certification: I attest, under penalty of perjury, that (1) I have examined the document(s) presented by the above•named employee, (2)
the above•listed document(s) appear to be genuine and to relate to the employee named, and (3) to the best of my knowledge the
employee is authorized to work in the United States.
The employee's first day of employment (mm/dd/yyyy): 06-03-2023 (See instructions for exemptions)
Signature of Employer or Authorized Representative Today's
Title of Employer or Authorized
Date(mm/dd/yyyy)
Representative
06-03-2023
First Name of Employer or Authorized Employer's Business or Organization Name
Last Name of Employer or Authorized Representative
Representative JETT LOGISTIC INC
Sandhu
Mann Simran
Employer's Business or Organization Address (Street
City or Town State
Number and Name) ZIP Code
CROWN POINT Indiana
1598 EDITH WAY FL 1
Section 3. Reverification and Rehires (To be completed and signed by employer or authorized representative.)
A. New Name (if applicable) B. Date of Rehire (if applicable)
Last Name (Family Name) First Name (Given Name) Middle Initial Date (mm/dd/yyyy)
C. If the employee's previous grant of employment authorization has expired, provide the information for the document or receipt that establishes continuing
employment authorization in the space provided below.
Document Title Document Number Expiration Date (if any) (mm/dd/yyyy)
I attest, under penalty of perjury, that to the best of my knowledge, this employee is authorized to work in the United States, and if the
employee presented document(s), the document(s) I have examined appear to be genuine and to relate to the individual.
C. If the employee's previous grant of employment authorization has expired, provide the information for the document or receipt that establishes continuing
employment authorization in the space provided below.
Signature of Employer or Authorized Representative Name Name of Employer or Authorized
Today's Today's Date (mm/dd/yyyy)
Representative
06-03-2023
JETT LOGISTIC INC
Employee’s Withholding Certificate OMB No. 1545-0074
Form W-4 Complete Form W-4 so that your employer can withhold the correct
Department of the Treasury Internal Revenue Service

federal income tax from your pay. Give Form W-4 to your employer.
Your withholding is subject to review by the IRS.
2023
(a) First name and middle initial (b) Social security number
Last name Toor
Gauravmeet Singh 894-92-5666
Step Address 581 Cistus CT,MANTECA,California,95337 Does your name match the name on your
1:Enter social security card? If not, to ensure you get credit
City or town, state, and ZIP code for your earnings, contact SSA at 800-772-1213 or go
Personal MANTECA,California,95337 to www.ssa.gov
Information
(c) ☑Single or Married filing separately
☐Married filing jointly or Qualifying surviving spouse
☐Head of household (Check only if you’re unmarried and pay more than half the costs of keeping up a home for yourself and a qualifying individual.)
Complete Steps 2–4 ONLY if they apply to you; otherwise, skip to Step 5. See page 2 for more information on each step, who can claim
exemption from withholding, other details, and privacy.
Complete this step if you (1) hold more than one job at a time, or (2) are married filing jointly and your spouse also works.
The correct amount of withholding depends on income earned from all of these jobs.
Step 2: Do only one of the following.
Multiple (a) Reserved for future use.
Jobs or (b) Use the Multiple Jobs Worksheet on page 3 and enter the result in Step 4(c) below; or
Spouse (c) (c) If there are only two jobs total, you may check this box. Do the same on Form W-4 for the other job. This option is
Works generally more accurate than (b) if pay at the lower paying job is more than half of the pay at the higher paying job.
Otherwise, (b) is more accurate . . . . . . . . . . . . . . . . . . ☐
TIP: If you have self-employment income, see page 2.
Complete Steps 3–4(b) on Form W-4 for only ONE of these jobs. Leave those steps blank for the other jobs. (Your withholding will be
most accurate if you complete Steps 3–4(b) on the Form W-4 for the highest paying job.)
If your total income will be $200,000 or less ($400,000
Step or less if married filing jointly): Multiply the number
of qualifying children under age 17 by $2,000 $
3:Claim
Multiply the number of other dependents by
Dependent $500.......... $
3 $
and Other Add the amounts above for qualifying children and
Credits other dependents. You may add to this the amount of
any other credits. Enter the total here . . . . . . . . . .
(a) Other income (not from jobs). If you want tax

withheld for other income you expect this year that
won’t have withholding, enter the amount of other 4(a) $
income here. This may include interest, dividends, and
Step retirement income . . . . . . . .
4(optional):
(b) Deductions. If you expect to claim deductions other
Other than the standard deduction and want to reduce your
Adjustments withholding, use the Deductions Worksheet on page 3 4(b) $
and enter the result here . . . . . . . . . . . . . . . . . . . . . . .
(c) Extra withholding. Enter any additional tax you

4(c) $
want withheld each pay period . .
Under penalties of perjury, I declare that this

Step 5: Sign Here certificate, to the best of my knowledge and belief, is
true, correct, and complete
06-03-2023
Employee’s signature (This form is not valid
Date
unless you sign it.)
Employer’s name and address First date of Employer identification
Employers employment number (EIN)
JETT LOGISTIC INC , 1598 EDITH WAY FL 1,CROWN
Only POINT,Indiana-46307 06-03-2023 87-3692329
For Privacy Act and Paperwork Reduction Act Notice, see page 3. Cat. No. 10220Q Form W-4 (2023)
ELECTRONIC EQUIPMENT USE WHILE DRIVING
Policy
It is the policy of JETT LOGISTIC INC, that employees will not use any type of handheld electronic device while operating a
company vehicle or while driving their personal vehicle on company business.
This includes, but is not limited to, cell phones, laptops, tablets, GPS systems, and calculators.
Purpose
It is the intention of the company to make sure our drivers always operate as safe as possible. Not paying attention to the road or
other drivers is dangerous and potentially deadly: each day, approximately 1,000 people are injured and 9 people killed in crashes
that are reported to involve a distracted driver.
Responsibility
It is the responsibility of the safety department to inform each employee of this policy during new-hire orientation. It is the
responsibility of all management and supervisory staff to always ensure compliance with this policy by all employees.
It is the drivers responsibility to make sure they always follow the policy.
Disciplinary action
Failure to follow this policy will result in:
.1st Offense - $50 fine for each incident recorded. (i.e. 3 recorded incidents equal a $150 fine).
.2nd Offense – One week suspension without pay to be served when the driver returns to their home base.
.3rd Offense – Termination of employment
Receiving a citation from law enforcement for electronics use while driving:
.1st Offense – One week suspension without pay to be served when the driver returns to their home base
.2nd Offense – Termination of employment
The driver is responsible for paying the citation and must report it to the Safety department within 24 hours.
Drivers's name Gauravmeet Singh Toor
Driver Signature
Date 06-03-2023
Seat Belt Policy
JETT LOGISTIC INC recognizes that safety belt use helps to protect our driver & Independent
Contractors, reduces injuries, and controls operating cost. Studies have shown that sixty percent of all
passengers killed in traffic crashes were unrestrained. If you are not wearing a safety belt, your chances of
being killed are twenty•five percent higher if you are thrown from your vehicle.
Reducing these costly injuries and deaths protect our Independent Contractors and driver who can strengthen
our effectiveness as a company. Moreover, safety belt use in Commercial Motor Vehicles (CMV) is required
by Federal Law.
Seat belt violations are used in the Unsafe Driving Basic found in the Comprehensive Safety Accountability
(CSA) Program. This category is most strongly associated with crashes so violations, like failure to wear a seat
belt while operating a CMV, are very high in severity. Seat belts must always be used, no matter how far the
dispatch.
By abiding to this policy, you will protect yourself in the event of an accident first and foremost.Always
wearing a seat belt will also prevent the Unsafe Driving CSA Score from growing to an unacceptable level for
yourself and the JETT LOGISTIC INC
Please be aware that if you receive a violation (392.16) for failure to wear a seatbelt while operating a CMV,
you will be immediately suspended and required to participate in a training course prior to returning to active
status, at which time you will be placed on probation for one year. You will also be required to use a
company•issued seat belt cover.
Receiving a second seat belt violation is grounds for termination of your driver services and/or motor carrier
lease agreement.
Company will charge the CDL driver $500 fine to impact company safety score and getting the violation.
Driver Name & Signature Date 06-03-2023
Please sign the Company Policy Receipt form to acknowledge that you have been notified regarding this policy
and that you understand the company’s policy regarding seat belt use.
DRIVERS SAFETY POLICY
JETT LOGISTIC INC
We deeply value the safety and well-being of all employees. Due to the risk of motor vehicle accidents resulting from traffic
congestion, unsafe driving habits,road conditions and distraction, JETT LOGISTIC INC is instituting a safety driving policy
and rules. this safety policy applies to all employees who operate a motor vehicle on company business and or company time,
whether operating a company vehicle or personal vehicle
Safety Rules:
1. Inspect vehicles prior to use to ensure that they are in safe operating condition.
a. If a vehicle does not pass inspection, DO NOT DRIVE IT .
b. Vehicles are not to be operated unless in a safe operating condition.
2. Drivers must be physically and mentally able to drive safely. Fatigue, medications and physical injuries can affect an
employee’s ability to safely operate a vehicle.
3. Drivers must conform to all traffic laws and make allowances for adverse weather and traffic conditions. Speeding and
aggressive behavior will not be tolerated.
4. Seat belts must be worn whenever a vehicle is in motion.
5. Cell phone usage, including texting, is prohibited while driving for company purposes.
6. Hitchhikers and passengers other than company employees are not permitted.
7. Cargo should be secured and all doors should be locked, both when the vehicle is en route and when it is parked. 8.
Respect the rights of other drivers and pedestrians.
9. Drivers may not be under the influence of drugs or alcohol while operating a vehicle for company purposes. Driver found
under influence will be terminated immediately
10. All traffic violations, whether on company or personal time, must be reported to the manager within 24 hours or by the
next business day. CDL drivers will also be required to complete a violation review form.
11. If an employee has a change in license status, including a renewal, he or she must give a copy of his or her new license
to the supervisor for the employee’s file.
12. Employees are responsible for maintaining a valid driver’s license.
Safety Rules Enforcement:

Employees will be subject to disciplinary action up to, and including termination for violating any of the above rules.
Accidents:
Any employee who is involved in an accident while driving for company purposes will be required to complete an accident
report. Including the details of accident, circumstances, weather condition etc. . He or she must return the report to his or
her supervisor on the same
day to review the information to make sure it is complete. The employee must go for his or her post- accident drug and
alcohol analysis at one of our designated facilities. The employee may also be required to discuss the accident with Human
Resources or the safety manager. Management will review all accidents and determine whether they were preventable or
non-preventable. A preventable accident is defined as an accident in which the driver failed to do everything reasonably
possible to prevent it from occurring.
I have read, understand and agree to the terms set forth in this Driving and Traffic Violation Policy.
Employee Signature Date 06-03-2023

DRIVER PROFICIENCY (CAC 13, 1229) and
AUTHORIZED VEHICLES (CAC 12, 1234 (b)
has demonstrated to
Gauravmeet Singh Toor Mann Simran Sandhu/President
me
That he/she can safely operate the below named vehicles/equipment

as was trained for the following:
Straight truck
Tractor & trailer Informed on who to report
combination safety concerns to
Doubles/triples Trained on how to secure a
Tank vehicle load, Tie down procedure
Vehicles less than 10,000 Trained on spotting an
pounds GVWR improperly loaded vehicle
Vehicles 10,000 pounds to Trained on safe use of
26,000 pounds GVWR mirrors & blind spots
Vehicles 26,001 pounds Standard shift transmission
and more GVWR Automatic transmission
Properly hook up a trailer only
Safely operate a dump Air brakes endorsement
vehicle Hazardous materials
Trained to perform a walk endorsement
around inspection
Special equipment
(specify)
Employee
Date 06-03-2023
Signature
CLEARINGHOUSE CONSENT
General Consent for Limited Queries of the Federal

Motor Carrier Safety Administration (FMCSA)
Drug and Alcohol Clearinghouse
I, Gauravmeet Singh Toor , hereby provide consent to JETT LOGISTIC

INC to conduct a limited query of the FMCSA Commercial Driver’s License
Drug and Alcohol Clearinghouse to determine whether drug or alcohol violation
information about me exists in the Clearinghouse. This consent will be valid for
the duration of my employment for any limited query of the Clearinghouse.
I understand that if the limited query conducted by the Company indicates that
drug or alcohol violation information about me exists in the Clearinghouse,
FMCSA will not disclose that information tothe Company without first obtaining
additional specific consent from me. I further understand that if I refuse to provide
consent for the Company to conduct a limited query of the Clearinghouse, the
Company must prohibit me from performing safety-sensitive functions, including
driving a commercial motor vehicle, as required by FMCSA’s drug and alcohol
program regulations.
06-03-2023
Employee Signature Date
PASSENGER RELEASE OF LIABILITY
This document constitutes authority by JETT LOGISTIC INC For any "Passenger" to
be transported as the passenger with any "Driver".
Passenger is not authorized to operate the unit or associated trailer (collectively

"Equipment") or to perform any labor associated with the shipment or load at any time.
By signing below, Driver acknowledges and agrees that Passenger is not an employee
of JETT LOGISTIC INC or an independent contractor providing goods or services to
Driver further acknowledges and understands that of JETT LOGISTIC INC will not
pay any amount for any accident, injury, loss, or damage arising out of or related to
Passenger riding in the Equipment, nor will of JETT LOGISTIC INC provide a policy
of Insurance that provides coverage, including workers' compensation coverage for
Passenger or Passenger's party.
In consideration for of JETT LOGISTIC INC authorization to allow Driver's spouse,
son, daughter or any other passenger to ride in the Equipment, Driver, by signing
below, hereby releases of JETT LOGISTIC INC from all claims, liability, rights,
actions, suits and demands, including any rights under a claim of loss of affection or of
consortium, whether in law or inequity, that Driver may have against of JETT
LOGISTIC INC , including its affiliates, employees, agents, officers, directors or
successors. Moreover, this signed Release may be pleaded by JETT LOGISTIC INC
as a counterclaim to or as a defense in bar or abatement of any action and whatsoever
brought, instituted, or taken by or on behalf of Driver. Driver also agrees that this
Release shall be governed by the laws of (State).
Gauravmeet Singh
06-03-2023
Toor
Employee Signature Driver’s Printed Name Date
STATEMENT OF ON-DUTY HOURS
INSTRUCTIONS: Motor carriers, when using a driver for the first time, must obtain from the driver a
signed statement giving the total on-duty during the immediately preceding 7days and the time at
which the driver was last relieved from duty prior to beginning work for the carrier, as required by
section 395.8 (j)(2) of the Federal Motor Carrier Safety Regulations. NOTE: Hours for any work
during the presiding 7 days, including any compensated work for a non-motor carrier, must be
recorded on this form.
This form should be completed on the day the driver is scheduled to begin driving a commercial
motor vehicle, and must be kept on file for at least 6 months.
Driver Name: Gauravmeet Singh Toor
1
Day 2 3 4 5 6 7
(yesterday)
05-
Date 06-02-2023 06-01-2023 05-31-2023 05-30-2023 05-29-2023 05-28-2023 27-
2023
TOTAL
HOURS HOURS
WORKED
dw dw dw dw dw dw dw 0
I hereby certify that the information given above is correct to the best of my knowledge and belief.
Driver’s signature:
Date: 06-03-2023
Driver's Log And Off Duty Hours JETT LOGISTIC INC
Instructions For Logging Down
Time
The following explains how to properly log "Off Duty Hours":
It is the employers choice whether the driver shall record stops made during a tour of duty
Stopping for Meals: as off-duty time. However, employers may permit drivers to make the decision as to how the
time will be recorded. (Official Guidance 395.2)
The time that a driver is free from obligations to the employer and is able to use that time to
secure appropriate rest may be recorded as off-duty time. The fact that a driver must also be
Waiting to be
Dispatched: available to receive a call in the event the driver is needed at work, even under the threat of
discipline for non-availability, does not by itself impair the ability of the driver to use this
time for rest. (Official Guidance 395.2)
The following requirements must be met in order to log off duty hours for the items above:
Pursuant to Part392, of the Federal Motor Carner Safety Regulations, tho vohicle must bo
Waiting to be
Dispatched: stoppod, moaning tho vehiclo is to be parked on a lot, street, or truck parking area, with the
brakes applied to prevent any movement
During such time, as the above requirements have been met, the driver is no longer responsible for the vehicle, its
accessonies, or such cargo as may be loaded at that time. The driver is free to leave the vehicle for personal activities
for the duration of the stop.
Note: Off Duty Release From Responsibility does not relieve a driver of the duties brought about by transporting
hazardous materals pursuant to the Federal Motor Carrier Safety Regulations Part 397.
By signing below, I acknowiedge that I understand the guidelines above and will not construe them beyond their
intent. Ifurther agree to know and comply with the Federal Motor Carrier Safety Regulations. particularly Parts
391. 392. 396 and 397. I have been provided a copy of the above instructons to keep while driving.
06-03-2023
Driver's Signature Date
JETT LOGISTIC INC Safety Manager

Company Representative Title
This form is an example only. Requirements for the annual driver’s certification of violations can be found in49 CFR 391.27.
ANNUAL DRIVER’S CERTIFICATION OF VIOLATIONS

MOTOR CARRIER INSTRUCTIONS: Each motor carrier must at least once every 12 months, require each driver to prepare a
list of all violations of motor vehicle traffic laws and ordinances (other than violations involving only parking) of which the
driver has been convicted, or of which he/she has forfeited bond or collateral during the preceding 12 months (49 CFR 391.27).
Drivers who have provided information required by 49 CFR 383.31 need not repeat that information on this form.
DRIVER REQUIREMENTS: Each driver will provide the list as required by the motor carrier above. If the driver has not been
convicted of, or forfeited bond or collateral on account of, any violation which must be listed, he/she shall so certify (49 CFR
391.27).
COMPLETED BY DRIVER - CERTIFICATION OF VIOLATIONS

Gauravmeet Singh Toor 894-92-5666 06-03-2023
DRIVER NAME: SOCIAL SECURITY NUMBER DATE OF EMPLOYMENT
Y5722748 California 05-24-2024

HOME TERMINAL (CITY AND
DRIVER’S LICENSE NUMBER STATE EXPIRATION DATE
STATE)
I certify that the following is a true and complete list of traffic violations required to be listed (other than those I have provided
under 49 CFR 383) for which I have been convicted orforfeited bond or collateral during the past 12 months.
☐ Check this box if you have had no violations in the past 12 months.
TYPE OF VEHICLE
Date OFFENCE LOCATION
OPERATED
If no violations are listed above, I certify that I have not been convicted or forfeited bond or collateral on account of any
violation required to be listed during the past 12months.
06-03-2023
Date DRIVER’S SIGNATURE

JETT LOGISTIC INC 1598 EDITH WAY FL 1,CROWN POINT,Indiana-46307
MOTOR CARRIER NAME MOTOR CARRIER ADDRESS
MEDICAL EXAMINER’S NATIONAL REGISTRY VERIFICATION
MOTOR CARRIER INSTRUCTIONS: The requirement to include verification of the

medical examiner’s National Registry listing in the driver’s qualification files was published in the
Federal Register April 20, 2012. Beginning May 21, 2014, motor carriers must certify that the
medical examiner who signed the driver’s medical card is listed on the National Registry. This
requirement is prescribed in §391.23 and §391.51.
§391.23 Investigation and inquiries. (m)(1) The motor carrier must obtain an original or
copy of the medical examiner’s certificate issued in accordance with §391.43, and any medical
variance on which the certification is based, and, beginning on or after May 21, 2014, verify the
driver was certified by an medical examiner listed on the National Registry of Certified Medical
Examiners as of the date of issuance of the medical examiner’s certificate, and place the records in
the driver qualification file, before allowing the driver to operate a CMV. (§391.23(m)(l))
§391.51 General requirements for driver qualification files. (b)(9) A note relating to
verification of medical examiner listing on the National Registry of Certified Medical Examiners
required by §391.23(m). (§391.51(b)(9))
MOTOR CARRIER VERIFICATION: The following medical examiner has been verified
as being listed on the National Registry of Certified Medical Examiners as of the date of issuance of
the medical examiner’s certificate for the named driver.
Driver’s Name: Gauravmeet Singh Toor CDL Number: Y5722748
Company JETT LOGISTIC INC

Name:
Driver Sign: Date: 06-03-2023
Sign IP Sign Location

107.77.209.34 United States, Columbia

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page 1

Driver Qualifications Policy

The following are company policies in regards to Driver Qualifications:

1. Is at least 21 years old.

7. A felony involving the use of a commercial motor vehicle

Applicant Signature Date

I acknowledge receipt of this FEDERAL MOTOR SAFETY REGULATIONS

Applicant's Signature Date

Hours of Service Policy

For those required to use an ELD, accurately recording hours includes:

Applicant's Signature Date

Applicant's Signature Date

DRIVER EMPLOYMENT APPLICATION

Name: Gauravmeet Singh Toor Application Date: 06-03-2023

Address: 581 Cistus CT,MANTECA,California,95337

Are you legally authorized to work in the U.S.? Yes

Emergency Contact Name: WISH Relation: WIFE

Addresss: 581 Cistus CT,MANTECA,California,95337 Phone Number: 317-779-9330

DRIVER LICENSE INFORMATION

Type of Equipment: From (Date): To (Date): Approx # of Miles:

Tractor / Trailer 11-26-2019 06-03-2023 486000

Has any license, permit or privilege ever been suspended or revoked? No

TICKETS / ACCIDENTS/ ETC.

Accident Record for Past 3 Years

Date: Description: # of Injuries / Fatalities:

06-03-2023 NO ACCIDENT N/A

Date: Location: Change: Penalty:

06-03-2023 N/A NO CITATIONS N/A

EMPLOYMENT RECORD applicant must include 10 years of any\all employment

Were you subject to the FMCSRs while employed? Yes

Address: 2947 Hearthside Dr Phone: (917) 807-0304 Position: CDL Driver

Were you subject to the FMCSRs while employed? Yes

Address: 2990 Seasons Drive Phone: 317-617-7000 Position: CDL Driver

Were you subject to the FMCSRs while employed? Yes

Was your job designated as a safety sensitive function in any

Address: 9846 Ponton Pl Phone: (219) 302-0868 Position: CDL Driver

Were you subject to the FMCSRs while employed? Yes

DECLARATION OF EMPLOYMENT STATUS (GAPS IN HISTORY)

In Addition, I was not employed by any company or individual

Activity During Break: Study in India From: 01-14-2013 To: 07-01-2018

In Addition, I was not employed by any company or individual

Activity During Break: From: To:

In Addition, I was not employed by any company or individual

Activity During Break: From: To:

In Addition, I was not employed by any company or individual

EMPLOYMENT RECORD applicant must include 10 years of any\all employment

Were you subject to the FMCSRs while employed? Yes

Employer: From: To: Reason for Leaving:

Address: 180 Promenade Circle Suite 300 Phone: Position:

Were you subject to the FMCSRs while employed? Yes

Employer: From: To: Reason for Leaving:

Address: Phone: Position:

Were you subject to the FMCSRs while employed? Yes

Employer: From: To: Reason for Leaving:

Address: Phone: Position:

Were you subject to the FMCSRs while employed? Yes

DECLARATION OF EMPLOYMENT STATUS (GAPS IN HISTORY)

Activity During Break: From: To:

In Addition, I was not employed by any company or individual To: >