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Driver's Certification Of Violations

I certify that the following is a true and complete list of traffic violations (other than parking violations)
For which I have been convicted or forfeited bond or collateral during the past 12 months.

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 12 months.

General consent to limited queries (FMCSA) drug and Alcohol Clearing House

I, ____________________________ hereby provide consent to Freight Management Experts Inc. to conduct limited queries of
The FMCSA Commercial Drivers license Drug and Alcohol Clearing House. (clearinghouse) to determine if Drug and Alcohol information
about me exists in the clearing house. (Employers and employees may wish to include the terms of the consent, For example, is the
driver consenting to a single limited query, or multiple limited queries, if the driver consents to multiple limited queries, will those queries be
conducted over a fixed period of time or for the duration of employment? Is the number of queries specific or unlimited. This scope of queries
would determined by the employee and employer)
I understand that if the limited query by Freight Management Experts Inc Indicates that drug and alcohol information about me exists
in the clearinghouse the FMCSA will not disclose that information to Freight Management Experts Inc. without first obtaining additional specific
consent from me.
I further understand that if I refuse to provide consent to Freight Management Experts Inc. to conduct a limited query of the clearinghouse that
Freight Management Experts Inc. must prevent me from performing safety sensitive functions, including driving a commercial motor vehicle as
required the FMCSAs drug and alcohol program regulations