Wisconsin In-Network Transportation Provider Checklist

$10 per calendar day or part thereof that a non-compliant vehicle with an administrativediscrepancy is in service from the date of discovery, not to exceed $100 per month peroccurrence.Requirement:Maintain types and levels of insurance coverage as required in this Agreement and operate onlythose vehicles registered with LGTC and covered under Provider’s applicable insurance policies.This provision includes failure to include LGTC and Client as “Additional Insured” and LGTCas a “Certificate Holder”.Liquidated Damages:$100 per calendar day or part thereof that Provider operates in violation of this requirement, oroperates a vehicle in violation of this requirement, not to exceed $2,500 per month peroccurrence.Requirement:Any driver who is found not to be in compliance with the terms of this Agreement or the ClientContract, or who is not registered with LGTC must be immediately removed from driving underthis contract.Liquidated Damages:$100 per calendar day or any part thereof in which a driver who is non-compliant with terms ofthis Agreement and/or the Brokerage Contract is allowed to drive under this Agreement, not toexceed $2,500 per month per occurrence.Requirement:Any driver who receives two substantiated complaints in a 90-day period must be removed fromdriving under this Agreement or enter a retraining program. If a driver receives foursubstantiated complaints within a twelve-month time period, he/she must be permanentlyremoved from driving under this Agreement.Liquidated Damages:$100 dollars per calendar day or any part thereof in which such a driver is allowed to drive underthis contract before retraining or dismissal, not to exceed $2,500 per month per occurrence.Requirement:Provider must perform trips assigned on a daily basis and shall reroute no more than 15% of theirtrips on a monthly basis.Liquidated Damages:$200 for each percent above 15% on any given month.Requirement:Provider must submit reroutes within 24 hours of receipt for advance notice trip reservations(i.e., received by Provider at least 36 hours prior to the scheduled pick up time).Liquidated Damages:$25 for each advance notice trip that is rerouted less than 24 hours before the scheduled pick-uptime, not to exceed $2,000 per month.Wisconsin NET ProgramVersion: March 25 2011Page 26