New Sales Reps and New Helper Drivers

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1 New Sales Reps and New Helper Drivers 1. Certification of Violations/Annual Review of Driving Record 2. MVR Release/Request Form 3. Certificate of Compliance 4. Driver Certificate of Other Compensated Work 5. Regulatory Agency compliance Policy Statement 6. Drivers Statement of on Duty Hours 7. Drivers Application for Employment (4 pages) must be filled out completely 8. Alcohol/Drug Consent Form 9. FMCSA safety record (PSP online) 10. Safety history from previous employers ( one per employer for previous 3 years) 11. Training outline/record and certificate of road test 12. Receipt of FMCSR Handbook 13. Legible copy of current drivers' license (photo from phone is great) 14. Medical Examiners Certificate (Medical Card) and long form 15. Results of Drug screen must be in Safety office before being approved to drive The safety office must have received all forms correctly completed prior to issuance of certification to drive a Bonnie truck. Stephen D. Harmon Safety Director

2 MOTOR VEHICLE DRIVER'S Certification of Violations/Annual Review of Driving Record MOTOR CARRIER INSTRUCTIONS: Each motor carrier shall at least once every 12 months, require each driver it employs to prepare and furnish it with 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 on account of which he/she has forfeited bond or collateral during the preceding 12 months (Section ). Drivers who have provided information required by Section need not repeat that information on this form. DRIVER REQUIREMENTS: Each driver shall furnish 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 (Section ). COMPLETED BY DRIVER - CERTIFICATION OF VIOLATIONS NAME OF DRIVER: (PRINT) ID NUMBER DATE OF EMPLOYMENT HOME TERMINAL (CITY AND STATE) DRIVER'S LICENSE NUMBE:R STATE EXPIRATION DATE 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 part 383) for which I have been convicted or forfeited bond or collateral during the last 12 months. (If you have had no violations, check the following box - [ None.) DATE OFFENSE LOCATION TYPE OF VEHICLE 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 (other than those I have provided under Part 383) required to be listed during the past 12 months. Date nf Certification Driver's Sianature COMPLETED BY MOTOR CARRIER - ANNUAL REVIEW OF DRIVING RECORD MOTOR CARRIER INSTRUCTIONS: Review the Certification of Violations listed above and other information described in Section of the Federal Motor Carrier Safety Regulations. Complete the information requested below. I have hereby reviewed the driving record of the above named driver in accordance with Section and find that he/she (check one): [ Meets minimum requirements for safe driving I I Is disqualified to drive a motor vehicle pursuant to Section I Does not adequately meet satisfactory safe driving performance Action taken with driver Reviewed by: Signature Printed Name Bonnie Plants, Inc. Motor Carrier Name Jamie Padgett Date Transportation Compliance Officer Title 1727 Hwy 223, Union Springs, AL Motor Carrier Address MAINTAIN THIS DOCUMENT IN THE DRIVER'S QUALIFICATION FILE. THIS DOCUMENT MAY BE PURGED AFTER 3 YEARS FROM DATE OF EXECUTION. Copyright 2008 J.J. KELLER & ASSOCIATES. INC., Neenah, Wl USA (800) F 3685 (11/08)

3 BONNIE PLANTS, INC. Motor Vehicle Record ( MVR ) Release / Request Form I understand that as a condition of operating any Bonnie Plants, Inc. Insured Vehicle, my Motor Vehicle Record will be requested. This information is used to ensure the safety of employees and the general public. I hereby authorize Bonnie Plant Inc. to access and evaluate my Motor Vehicle record. I agree to provide whatever information is required in order to facilitate access. Printed Name:_ Date: Date of Birth: Social Security Number:_ Drivers License Number and State of Issuance: Date of Hire: Signature: Phone Number: Alternate Phone Number: Supervisor:

4 Motor Vehicle Driver's CERTIFICATION OF COMPLIANCE WITH DRIVER LICENSE REQUIREMENTS 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 certain driver licensing requirements that you as a driver must comply with, including the following: 1) POSSESS ONLY ONE LICENSE: You, as a commerical vehicle driver, may not possess more than one motor vehicle operator's license. 2) NOTIFICATION OF LICENSE SUSPENSION, REVOCATION OR CANCELLATION: Sections (b)(2) and of the Federal Motor Carrier Safely Regulations require that you notify your employer the NEXT BUSINESS DAY of any revocation or suspension of your driver's license. In addition, Section requires that any time you violate a state or local traffic law (other than parking), you must report it within 30 days to: 1) your employing motor carrier, and 2) the state that issued your license (If the violation occurs in a state other than the one which issued your license). The notification to both the employer and the state must be in writing. 3) CDL DOMICILE REQUIREMENT: Section (a)(2) requires that your commercial driver's license be issued by your legal state of domicile, where you have your true, fixed, and permanent home and principal residence and to which you have the intention of returning whenever you are absent. If you establish a new domicile in another state, you must apply to transfer your CDL within 30 days. The following license is the only one I will possess: Driver's License No. State Exp. Date DRIVER CERTIFICATION: I certify that I have read and understood the above requirements. Driver's Name (Printed): Driver's Signature: Date Notes: (This form is not required for DOT compliance) 90-F 1617 Copyright 2008 J.J. KELLER & ASSOCIATES, INC., Neenah, Wl USA (800) Printed in the United States (REV 3/08)

5 DRIVER CERTIFICATION FOR OTHER COMPENSATED WORK INSTRUCTIONS: When employed by a motor carrier, a driver must report to the carrier all on-duty time including time working for other employers. The definition of on-duty time found in Section 392 paragraphs (8) and (9) of the Federal Motor Carrier Safety Regulations includes time performing any other work in the capacity of, or in the employ or service of, a common, contact or private motor carrier, also performing any compensated work for any non-motor carrier entity. Are you currently working for another employer? NO At this time do you intend to work for another employer while NO still employed by this company: YES YES I hereby certify that the information given above is true and I understand that once I become employed with this company, if I begin working for any additional employer(s) for compensation that I must inform this company immediately of such employment activity. Driver's Signature Date Witness: Company Representative Date

6 OUR ROOTS RUN DEEP/ REGULATORY AGENCY COMPLIANCE POLICY STATEMENT Bonnie Plants is committed to a policy of strict adherence to all local, state, and federal laws. As an associate of Bonnie Plants, I understand that I am expected and required to adhere to all local, state, and federal laws and those specifically outlined in the Federal Motor Carrier Safety Regulations of the U. S. Department of Transportation. I further understand that any deviation from the above policy will not be tolerated and could result in disciplinary action up to and including termination. I,, acknowledge receipt and understand the above policy statement. Date: Associate: Witness:

7 DRIVER STATEMENT OF ON-DUTY HOURS (For Newly Hired Drivers) INSTRUCTIONS: Motor Carriers when using a driver for the first time shall obtain from the driver a signed statement giving the total time on-duty during the immediately precending? days and time at which such driver was last relieved from duty prior to beginning work for such carrier. Rule 395.8(j)(2) Federal Motor Carrier Safety Regulations NOTE: Hours for any compensated work during the preceding 7 days, including work for a non-moor carrier entity must be recorded on this form. Driver Name (Print) Social Security Number Driver's License: State_ Class Endorsement(s) Number Restrictions(s) DAY DATE 1 yesterday HOURS WORKED Total Hours I hereby certify that the information given above is correct to the best of my knowledge and belief, and that I was last relived from work at A.M. P.M. On Time Day Month Year Drivers Signature Date

8 DRIVER'S APPLICATION FOR EMPLOYMENT Applicant Name Date of Application Company Address City State Zip In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, veteran status, non-job related disability, or any other protected group status. TO BE READ AND SIGNED BY APPLICANT I authorize you 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, 1 understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the Company. 1 understand that information I provide regarding current and/or previous employers may be used, and those employer(s) will be contacted, for the purpose of investigating my safety performance history as required by 49 CFR (d) and (e). I understand I have the right to: Review information provided by 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. Signature Date _ FOR COMPANY USE PROCESS RECORD APPLICANT HIRED DATE EMPLOYED DEPARTMENT (IF REJECTED, SUMMARY REPORT OF REASONS SHOULD BE PLACED IN FILE) REJECTED POINT EMPLOYED CLASSIFICATION SIGNATURE OF INTERVIEWING OFFICER TERMINATION OF EMPLOYMENT DATE TERMINATED DEPARTMENT RELEASED FROM DISMISSED VOLUNTARILY QUIT OTHER TERMINATION REPORT PLACED IN FILE SUPERVISOR This form is made available with the understanding that J. J. Keller & Associates, Inc. is not engaged in rendering legal, accounting, or other professional services. J. J. Keller & Associates, Inc. assumes no responsibility for the use of this form or any decision made by an employer which may violate local, state or federal law. " CopynghtlOlI JJ KELLER & ASSOCIATES. INC.. Neenah, WI - USA ]5F (Rev I'll) 691 (800) vvwwijkdlcr com Printed in the United States

9 APPLICANT TO COMPLETE (answer all questions - please print) Position(s) Applied for Name Last First Middle List your addresses of residency for the past 3 years. Current Address Street Social Security No. Phone How Long? State Z'P c de yr./mo. Previous How Long? Addresses Street City State & Zip Code yr./mo. How Long? Street City State & Zip Code yr./mo. How Long? Street City State & Zip Code yr./mo. City Do you have the legal right to work in the United States? Date of Birth (Required for Commerical Drivers) Have you worked for this company before? Can you provide proof of age? Where? Dates: From To Rate of Pay Position Reason for leaving Are you now employed? Who referred you? Have you ever been bonded? (Answer only if a job requirement) If not, how long since leaving last employment? Rate of pay expected Name of bonding company Is there any reason you might be unable to perform the functions of the job for which you have applied [as described in the attached job description]? If yes, explain if you wish. EMPLOYMENT HISTORY All driver applicants to drive in interstate commerce must provide the following information on all employers during the preceeding 3 years. List complete mailing address, street number, city, state, and zip code. Applicants to drive a commercial motor vehicle* in intrastate or interstate commerce shall also provide an additional 7 years' information on those employers for whom the applicant operated such vehicle. (NOTE: List employers in reverse order starting with the most recent. Add another sheet as necessary.) NAME ADDRESS CITY CONTACT PERSON STATE EMPLOYER WERE YOU SUBJECT TO THE FMCSRst WHILE EMPLOYED? WAS YOUR JOB DESIGNATED AS A SAFETY-SENSITIVE FUNCTION AND ALCOHOL TESTING REQUIREMENTS OF 49 CFR PART 40? ZIP PHONE NUMBER n YES n NO DATE FROM TO MO. YR. MO. YR. POSITION HELD SALARY/WAGE REASON FOR LEAVING IN ANY DOT-REGULATED MODE SUBJECT TO THE DRUG n YES D NO PAGE 2 15F (Rev 1/11) 691

10 NAME ADDRESS CITY CONTACT PERSON STATE EMPLOYMENT HISTORY (continued) EMPLOYER WERE YOU SUBJECT TO THE FMCSRst WHILE EMPLOYED? WAS YOUR JOB DESIGNATED AS A SAFETY-SENSITIVE FUNCTIONIN ANY DOT-REGULATED MODE SUBJECT TO THE DRUG AND ALCOHOL TESTING REQUIREMENTS OF 49 CFR PART 40? NAME ADDRESS CITY CONTACT PERSON STATE EMPLOYER ZIP PHONE NUMBER n YES n NO n YES n NO DATE FROM TO MO YR MO YR. POSITION HELD SALARY/WAGE REASON FOR LEAVING WERE YOU SUBJECT TO THE FMCSRst WHILE EMPLOYED? WAS YOUR JOB DESIGNATED AS A SAFETY-SENSITIVE FUNCTIONIN ANY DOT-REGULATED MODE SUBJECT TO THE DRUG AND ALCOHOL TESTING REQUIREMENTS OF 49 CFR PART 40? NAME ADDRESS CITY CONTACT PERSON STATE EMPLOYER WERE YOU SUBJECT TO THE FMCSRst WHILE EMPLOYED? WAS YOUR JOB DESIGNATED AS A SAFETY-SENSITIVE FUNCTION AND ALCOHOL TESTING REQUIREMENTS OF 49 CFR PART 40? NAME ADDRESS CITY CONTACT PERSON STATE EMPLOYER WERE YOU SUBJECT TO THE FMCSRst WHILE EMPLOYED? WAS YOUR JOB DESIGNATED AS A SAFETY-SENSITIVE FUNCTION AND ALCOHOL TESTING REQUIREMENTS OF 49 CFR PART 40? NAME ADDRESS CITY CONTACT PERSON STATE EMPLOYER ZIP PHONE NUMBER n YES n YES ZIP PHONE NUMBER n YES n NO n NO n NO DATE FROM TO MO. YR MO YR POSITION HELD SALARY/WAGE REASON FOR LEAVING DATE FROM TO MO YR. MO YR POSITION HELD SALARY/WAGE REASON FOR LEAVING IN ANY DOT-REGULATED MODE SUBJECT TO THE DRUG Q YES n N ZIP PHONE NUMBER DATE FROM TO MO. YR MO YR POSITION HELD SALARY/WAGE REASON FOR LEAVING D YES D NO IN ANY DOT-REGULATED MODE SUBJECT TO THE DRUG n YES n NO WERE YOU SUBJECT TO THE FMCSRst WHILE EMPLOYED? D YES D NO WAS YOUR JOB DESIGNATED AS A SAFETY-SENSITIVE FUNCTIONIN ANY DOT-REGULATED MODE SUBJECT TO THE DRUG AND ALCOHOL TESTING REQUIREMENTS OF 49 CFR PART 40? ZIP PHONE NUMBER n YES Q NO DATE FROM TO MO. YR. MO YR POSITION HELD SALARY/WAGE * Includes vehicles having a GVWR of 26,001 Ibs. or more, vehicles designed to transport 16 or more passengers (including the driver), or any size vehicle used to transport hazardous materials in a quantity requiring placarding. REASON FOR LEAVING t The Federal Motor Carrier Safety Regulations (FMCSRs) apply to anyone operating a motor vehicle on a highway in interstate commerce to transport passengers or property when the vehicle: (1) weighs or has a GVWR of 10,001 pounds or more, (2) is designed or used to transport 8 or more passengers (including the driver), OR (3) is of any size and is used to transport hazardous materials in a quantity requiring placarding. PAGE 3 15F (Rev 1/11) 691

11 ACCIDENT RECORD FOR PAST 3 YEARS OR MORE (ATTACH SHEET IF MORE SPACE IS NEEDED) IF NONE, WRITE NONE DATES NATURE OF ACCIDENT (HEAD-ON, REAR-END, UPSET, ETC.) FATALITIES INJURIES HAZARDOUS MATERIAL SPILL LAST ACCIDENT NEXT PREVIOUS NEXT PREVIOUS TRAFFIC CONVICTIONS AND FORFEITURES FOR THE PAST 3 YEARS (OTHER THAN PARKING VIOLATIONS) IF NONE, WRITE NONE LOCATION DATE CHARGE PENALTY (ATTACH SHEET IF MORE SPACE IS NEEDED) EXPERIENCE AND QUALIFICATIONS - DRIVER Driver licenses or permits held in the past 3 years STATE LICENSE NO. CLASS ENDORSEMENT(S) EXPIRATION DATE A. Have you ever been denied a license, permit, or privilege to operate a motor vehicle? B. Has any license, permit, or privilege ever been suspended or revoked? IF THE ANSWER TO EITHER A OR B IS YES, GIVE DETAILS YES YES NO NO DRIVING EXPERIENCE CHECK YES OR NO CLASS OF EQUIPMENT CIRCLE TYPE OF EQUIPMENT DATES FROM(M/Y) TO(M/Y) APPROX. NO. OF MILES (TOTAL) STRAIGHT TRUCK TRACTOR AND SEMI-TRAILER TRACTOR - TWO TRAILERS TRACTOR - THREE TRAILERS MOTORCOACH - SCHOOL BUS DYES QNO Q YES Q NO d YES Q NO DYES QNO DYES D NO ^* (VAN,TANK,FLAT,DUMP,REFER) (VAN,TANK,FLAT,DUMP,REFER) (VAN,TANK,FLAT,DUMP,REFER) (VAN,TANK,FLAT,DUMP,REFER) MOTORCOACH - SCHOOL BUS OTHER DYES D NO Moretha"15 passengers LIST STATES OPERATED IN FOR THE LAST FIVE YEARS: SHOW SPECIAL COURSES OR TRAINING THAT WILL HELP YOU AS A DRIVER: WHICH SAFE DRIVING AWARDS DO YOU HOLD AND FROM WHOM? EXPERIENCE AND QUALIFICATIONS - OTHER SHOW ANY TRUCKING, TRANSPORTATION OR OTHER EXPERIENCE THAT MAY HELP IN YOUR WORK FOR THIS COMPANY LIST COURSES AND TRAINING OTHER THAN SHOWN ELSEWHERE IN THIS APPLICATION LIST SPECIAL EQUIPMENT OR TECHNICAL MATERIALS YOU CAN WORK WITH (OTHER THAN THOSE ALREADY SHOWN) EDUCATION CIRCLE HIGHEST GRADE COMPLETED: LAST SCHOOL ATTENDED (NAME) HIGH SCHOOL: (CITY, STATE) COLLEGE: TO BE READ AND SIGNED BY APPLICANT This certifies that 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. Signature: PAGE 4 15F (Rev. 1/11) 691 Date:

12 BONNIE PLANT, INC HIGHWAY 223 UNION SPRINGS, ALABAMA ALCOHOL /DRUG SCREEN CONSENT I,, hereby authorize Bonnie Plant Farm to conduct breath/blood alcohol test, hair test, and/or urine drug test. I understand, without waiving any right I may have to challenge the test or the test result, that the results of that test(s) may be used for decisions determining my employment. Employee Social Security Number Date Witness

13 THE BELOW DISCLOSURE AND A UTHORIZA TION LANGUA GE IS FOR MANDA TOR Y USE BY ALL A CCOUNT HOLDERS IMPORTANT DISCLOSURE REGARDING BACKGROUND REPORTS FROM THE PSP Online Service In connection with your application for employment with j'ooofv ra/n!? -KtL. ("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 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 ODOf))-^ HflLpHj 4/X ("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 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. 1 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.

14 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: Signature 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. LAST UPDATED 12/22/2015

15 Safety Performance History Records Request SECTION 1: TO BE COMPLETED BY PROSPECTIVE EMPLOYEE I, (Print Name) Hereby authorize that: Previous Employer Street City,State, Zip First, M.I., Last Social Security # Phone:_ Fax May release and forward information requested below concerning my job verification/drug & alcohol controlled substances testing records to: Bonnie Plant Farm Attn: Cathy Thomas 1727 HWY 223 Union Springs, AL (334) I further understand that Bonnie will request from all employers covering the previous three years of employment whether or not the employer listed is the current employer, regardless of whether or not consent was given on the employment application. This information is being requested in compliance with Department of Transportation Regulations 40.25(g) and (f) and (h), release of this information must be made in a written form that ensures confidentially, such as fax, or letter. Confidential FAX Number (334) or cathv.thomas@bonnieplants.com Applicant's Signature Date SECTION 2: DRUG & ALCOHOL INQUIRY TO BE COMPLETED BY PREVIOUS EMPLOYER If driver was NOT subject to Department of Transportation testing requirements while employed, please check here CI, sign below, and return or complete as required. Under Department of Transportation testing requirements: YES NO 1. Has this person had an alcohol test with the result of.04 or higher Alcohol concentration? 2. Has this person had a verified positive drug test? 3. Has this person refused to be tested (including verified adulterated or substituted drug test results? 4. Has this person committed other violations of DOT agency drug and alcohol testing regulations? 5. If applicable and the person violated DOT drug/alcohol regulations, do you have documentation of this person's successful completion of DOT return to duty requirements? If YES, please provide details. 6. Have you received information from a previous employer that this individual violated DOT drug and alcohol regulations? (Please send documentation back with this form is applicable.) 7. If applicable, after successful completion of a SAP program, has this individual subsequently had a refusal or a verified positive breath alcohol or drug test? Name: Company: Street: City, State, Zip:_ Phone: Section 2 & 3 completed by: DATE: Signature SECTION 3: JOB VERIFICATION - TO BE COMPLETED BY PREVIOUS EMPLOYER: 1. Dates of employment with your company: FROM TO 2. Position Held? If Driver: Tractor Trailer Straight Truck Twins _Other (Specify) 3. (List other details pertaining to the data below on a separate sheet) # of reported accidents Date of Accident City/Town & State Accident Occurred #of Injuries #of Fatalities List Any Haz- Mat Spilled 4. Was this person's driver's license suspended while in your employment? 5. Why did this employee leave your company? Resigned Discharged 6. Is this person eligible for rehire/ YES NO Laid Off OTHER: SECTION 4: TO BE COMPLETED BY PROSEPCTIVE EMPLOYER OR AGENT This form was (check one) CI Faxed to Previous Employer CI Mailed (Date) 1st Attempt: 2nd Attempt: 3rd Attempt_ Sent to Previous Employer By:

16 TRAINING OUTLINE List Below Is A Training Outline Schedule. Circumstances May force Some Alterations, But The Outline Must Be Followed As Close As Possible. Dayl: A. Get to know each other and tell the trainee what to expect. B. Stress the importance of performing a pre-trip inspection. C. Stress the importance of performing a post-trip inspection. D Stress the importance of defensive driving and safety. E. Have trainee familiarize themselves with the truck. 1. Use of Jake Brake and Hand Brake 2. Importance of correct use of the clutch 3. How to check the tires 4. How to check the oil 5. Correct RPM for the gear 6. Use of Brake and Engine to slow vehicle rather than use of brake all the time. Day 2: Add these to above: A. Trainee to begin driving B. Stress the importance of hours of service Logs C. Stress trainee on easy backing situations D. Stress to trainee to favor the center line. Day 3: Add these to above A. Increase trainee's driving time B. Explain to trainee accident reporting C. Allow trainee accident reporting D. Stress to trainee safety in turning and mirror use E. Explain to trainee the equipment maintenance program Day 4: Add these to above A. Increase trainee's driving time to include driving B. Stress to trainee safety habits to use when backing C. Re-stress the importance of paperwork and procedures to the trainee If further training beyond the 4 DAYS is necessary, notify the Station Manager so that the trainee's future status can be determined. Trainer Signature Trainee Signature Date Training Began Date of Training Completion

17 RECORD OF ROAD TEST Driver's Name Address License No. State Equipment Driven: Truck Tractor Trailer Checked From To Date For those items that apply, checkmark ( P ) if driver's performance is satisfactory, mark with an X if driver's performance is unsatisfactory. Explain unsatisfactory items under Remarks. Use not applicable (NA) for items that do not apply. PART 1 - PRE-TRIP INSPECTION AND EMERGENCY EQUIPMENT Checks general condition approaching unit Looks for leakage of coolants, fuel, lubricants Checks under hood - oil, water, general condition of engine compartment, steering Checks around unit - tires, lights, trailer hookup, brake and light lines, body, doors, horn, windshield wipers Tests brake action, tractor protection valve, and parking (hand) brake Checks horn, windshield wipers, mirrors, emergency equipment, reflectors, flares, fuses, tire chains (if necessary), fire extinguisher Checks instruments for nonnal readings Checks dashboard warning lights for proper functioning Cleans windshield, windows, mirrors, lights, reflectors Reviews and signs previous report PART 2 - COUPLING AND UNCOUPLING Lines up units Connects glad hands to trailer to apply trailer brakes before coupling Connects glad hands and light line properly Couples without difficulty Raises landing gear fully after coupling Visually checks king pin assembly to be certain of proper coupling Checks coupling by applying hand valve or tractor-protection valve (trailer air supply valve) and gently applying pressure by trying to pull away from trailer Assure that surface will support trailer before uncoupling PART 3 - PLACING VEHICLE IN MOTION AND USE OF CONTROLS A. ENGINE Places transmission in neutral before starting engine Starts engine without difficulty Allows proper warm-up Understands gauges on instrument panel Maintains proper engine speed (rpm) while driving Does not abuse motor B. CLUTCH AND TRANSMISSION Starts loaded unit smoothly Uses clutch properly Times gearshifts properly Shifts gears smoothly Uses proper gear sequence C. BRAKES Knows proper use of tractor protection valve Understands low air warning Tests service breaks Builds full air pressure before moving D. STEERING Controls steering wheel Good driving posture and good grip on wheel E. LIGHTS Knows lighting regulations Uses proper headlight beam Dim lights when meeting or following other traffic Adjusts speed to range of headlights Proper use of auxiliary lights PART 4 - BACKING AND PARKING A. BACKING Gets out and checks before backing Looks back as well as uses mirror Gets out and rechecks conditions on long back Avoids backing from blind side Signals when backing Controls speed and direction properly while backing C. PARKING (City) Does not hit nearby vehicles or stationary objects Parks proper distance from curb Sets parking brake, puts in gear, chocks wheels, shuts off motor Checks traffic conditions and signals when pulling out from parked position Parks in legal and safe location C. PARKING (Road) Parks off pavement Avoids parking on soft shoulder Uses emergency warning signals when required Secures unit properly 13F 652 (Rev. 5/02)

18 PART 5 - SLOWING AM) STOPPING Uses gears properly ascending Gears down properly descending Stops and restarts without rolling back Tests brakes before descending grades Uses brakes properly on grades Uses mirrors to check traffic to rear Signals following traffic Avoids sudden stops Stops smoothly without excessive fanning Stops before crossing sidewalk when coming out of driveway or alley Stops clear of pedestrian crosswalks PART 6 - OPERATING IN TRAFFIC PASSING AND TURNING A. TURNING Signals intention to turn well in advance Gets into proper lane well in advance of rum Checks traffic conditions and turns only when intersection is clear Restricts traffic from passing on right when preparing to complete right hand rum Completes turn promply and safely and does not impede other traffic B. TRAFFIC SIGNS AND SIGNALS Approaches signal prepared to stop if necessary Obeys traffic signal Uses good judgement on yellow light Starts smoothly on green Notices and heeds traffic signs Obeys "Stop" signs C. INTERSECTIONS Adjusts speed to permit stopping if necessary Checks for cross traffic regardless of traffic controls Yields right-of-way for safety D. GRADE CROSSINGS Adjusts speed to conditions Makes safe stop, if required Selects proper gear and does not shift gears while crossing Knows and understands federal and state rules governing grade crossing E. PASSING Passes with sufficient clear space ahead Does not pass in unsafe location: hill, curve, intersection Signals change of lanes Warns driver being passed Pulls out and back with certainty Does not tailgate Does not block traffic with slow pass Allows enough room when returning to right lane F. SPEED Speed consistent with basic ability Adjusts speed properly to road, weather, traffic conditions, legal limits Slows down for rough roads Slows down in advance of curves, intersections, etc. Maintains consistent speed G. COURTESY AND SAFETY Uses defensive driving techniques Yields right-of-way for safety Goes ahead when given right-of-way by others Does not crowd other drivers or force way through traffic Allows faster traffic to pass Keeps right and in own lane Uses horn only when necessary Generally courteous and uses proper conduct PART 7 - MISCELLANEOUS A. GENERAL DRIVING ABILITY AND HABITS Consistently alert and attentive Adjusts driving to meet changing conditions Performs routing functions without taking eyes from road Checks instruments regularly while driving Willing to take instructions and suggestions Adequate self-confidence in driving Is not easily angered Positive attitude Good personal appearance, manner, cleanliness Good physical stamina B. HANDLING OF FREIGHT Checks freight properly Handles and loads freight properly Handles bills properly Breaks down load as required C. RULES AND REGULATIONS Knowledge of company rules Knowledge of regulations: federal, state, local Knowledge of special truck routes D. USE OF SPECIAL EQUIPMENT (Specify) REMARKS: GENERAL PERFORMANCE: QUALIFIED FOR: Truck Satisfactory Needs Training Unsatisfactory Tractor-Semitrailer Other Signature of Examiner CERTIFICATION OF ROAD TEST (Specify) Instructions to Carrier: If the road test is successfully completed, the person who gave it must complete the following certification in duplicate. The or signed road test form and the original of the Certification of Road Test shall be retained in the driver qualification file of the person who was examined, and copies provided to the person examined. Section (e)(f)(g)(l)(2) of the Federal Motor Carrier Safety Regulations Driver's Name Social Security No. Operator's or Chauffeur's Lie. No. Type of Power Unit Type of Trailer(s) State If Passenger Carrier, Type of Bus 13F652 (REV. 5/02) This is to certify that the above-named driver was given a road test under my supervision on _ 20 consisting of approximately miles of driving. It is my considered opinion that this driver possesses sufficient driving skill to operate safely the type of commercial motor vehicle listed above. Signature of examiner Organization Title Address of examiner Copyright 2002 J.J. KELLER & ASSOCIATES, INC., Neenah, Wl - USA (800) Printed in the United Sta 6B 278(rev. 5/02)

19 **Driver's Receipt** This issue of the FMCSR Pocketbook includes all revisions on or before June 8, 2015 I acknowledge receipt of this FEDERAL MOTOR CARRIER SAFETY REGULATIONS POCKETBOOK (347). In addition, I agree to familiarize myself with the Federal Motor Carrier Regulations (FMCSR) of the U.S, Department of Transportation, Parts 40, 380, 382, 383, 387, , 399 Subchapter B, Chapter 3, Title 79 of the code of Federal Regulations, as contained therein. DRIVER'S NAME (PLEASE PRINT) DATE DRIVER'S SIGNATURE SUPERVISOR OR CARRIER REPRESENTATIVE SIGNATURE 7/15 Note: This receipt shall be read and signed by the driver. A responsible company supervisor or carrier representative shall countersign the receipt and place in the drive's qualification file.

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