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Desk Front Security Officer

Location:
Miami, FL
Posted:
November 19, 2022

Contact this candidate

Resume:

Ryder Integrated Logistics, Inc.

DOT#******

***** ** ***** ******

Miami, FL 33178

**-**-**** *:42:21AM CDT

IntelliApp

Personal Information

Name Abed-nego Lubin, Sr.

Current Address ***** ** **nd Street

Address 2 18551 Nw 22nd Street

City, State/Province Zip/Postal Pembroke Pines, FL 33029 Country United States

Residence 3 years or longer (If No,

previous addresses shown below)

Yes

SSN/SIN 2205

Date of Birth

Primary Phone 786-***-****

Cell Phone 786-***-****

Preferred method of contact Primary Phone

Best time to contact you Any

Email ****************@*****.***

Yes, I agree to receive information

concerning future opportunities or

promotions from Ryder Integrated

Logistics, Inc. DOT#165420 by email or

other commercial electronic

communications.

Yes

Would you like to receive communication

from Ryder Integrated Logistics, Inc.

DOT#165420 via text message?

By participating, you consent to receive

text messages sent by an automatic

telephone dialing system, which may

contain recruiting/advertising messages.

Consent to these terms is not a condition

of being hired, contracted, or leased. You

may opt out at any time by texting STOP to

unsubscribe. You also agree that Ryder

Integrated Logistics, Inc. DOT#165420's

service provider receives in real time and

logs your text messages with Ryder

Integrated Logistics, Inc. DOT#165420.

Yes

1

Company Questions

GENERAL INFORMATION

Are you currently authorized to work in the

United States on a full-time basis for any

employer?

No

If you answered YES to the question

above, will you require now or in the near

future employment visa sponsorship (i.e.,

H-1B visa)?

Are you currently employed? Yes

What date did your last employment end?

Do you read, write, and speak English? Yes

Are you currently employed with Ryder

Integrated?

No

Have you ever worked for this company

before?

No

Enter start and end dates, location,

position, and reason for leaving:

Do you have a current TWIC card? No

Expiration date:

Have you ever been known by any other

name?

No

Enter name:

Please enter the names of any relatives

employed here:

Abed lubin

DRIVING EXPERIENCE

For each class of equipment, enter type of equipment (van, reefer, tank, etc.), start and end dates, and approximate number of total miles. If no experience in a class, enter

"NONE".

Straight Truck None

Tractor and Semi-Trailer None

Tractor - Two Trailers Tractor trailer

Other None

Which safe driving awards do you hold and

from whom?

None

EQUIPMENT (OWNER/OPERATORS ONLY)

Equipment Description (Tractor):

Type: Tractor trailer

Year: None

2

Make: Freightliner

Model: None

Color: Silver

VIN: None

Weight None

Mileage 52,000

Fifth Wheel Height

EDUCATION

List highest grade completed: Grade 9

List last school attended (name, city, and

state):

Metropolitan CDL training and testing.

PERSONAL REFERENCES

List name, address, city, state, phone number, and relationship: First Reference: None

Second Reference: None

Have you completed your registration for

the FMCSA Drug & Alcohol

Clearinghouse?

Yes

Applicant Workflow ID 2336806

Person ID 1620990

System ID 2336806

Licenses

License Number 680

State/Province FL

Country US

License Class Class A

License Expiration Date 10-08-2029

Physical Expiration Date 09-08-2023

Current License Yes

Commercial Driver License Yes

Endorsements None

3

Employment / Unemployment

MSA LLC group

PLEASE DO NOT CONTACT

Company MSA LLC group

Contact / Supervisor Name

Start Date 06-2022

End Date 07-2022

Address 2646 Highway ave

Address 2 2646 highway ave

City, State/Province Zip/Postal Highland, IL 46322 Country United States

Phone 708-***-****

Position Held Driver

Reason for leaving? Better opportunity

Were you terminated/discharged/laid off? No

Is this your current employer? No

May we contact this employer at this time? No

Did you operate a commercial motor

vehicle?

No

Were you subject to the Federal Motor

Carrier or Transport Canada Safety

Regulations while employed/contracted by

this employer/contractor?

Did you perform any safety sensitive

functions in this job subject to drug and

alcohol testing?

Areas Driven

Miles driven weekly

Pay Range (cents/mile)

Most common truck driven

Most common trailer

Trailer length

MSA LLC

Company MSA LLC

Contact / Supervisor Name

Start Date 05-2022

4

End Date 07-2022

Address 4801 Franklin Ave RM 205D

Address 2 Des Moines,IA

City, State/Province Zip/Postal Des Moines Ia, IL 50310 Country United States

Phone 305-***-****

Position Held Driver

Reason for leaving? Better opportunity

Were you terminated/discharged/laid off? No

Is this your current employer? Yes

May we contact this employer at this time? Yes

Did you operate a commercial motor

vehicle?

Yes

Were you subject to the Federal Motor

Carrier or Transport Canada Safety

Regulations while employed/contracted by

this employer/contractor?

No

Did you perform any safety sensitive

functions in this job, regulated by DOT,

and subject to drug and alcohol testing?

Yes

Areas Driven Overtheraod

Miles driven weekly 3500+

Pay Range (cents/mile)

Most common truck driven Tractor Trailer

Most common trailer Van

Trailer length 53 feet or more

Walker Delivery Services Inc

PLEASE DO NOT CONTACT

Company Walker Delivery Services Inc

Contact / Supervisor Name

Start Date 06-2022

End Date 06-2022

Address PO Box 1133

City, State/Province Zip/Postal Goshen, IN 46527

Country United States

Phone 561-***-****

5

Position Held Casier

Reason for leaving? Better jobs

Were you terminated/discharged/laid off? No

Is this your current employer? No

May we contact this employer at this time? No

Did you operate a commercial motor

vehicle?

No

Were you subject to the Federal Motor

Carrier or Transport Canada Safety

Regulations while employed/contracted by

this employer/contractor?

Did you perform any safety sensitive

functions in this job, regulated by DOT,

and subject to drug and alcohol testing?

Areas Driven

Miles driven weekly

Pay Range (cents/mile)

Most common truck driven

Most common trailer

Trailer length

No company name

Company No company name

Contact / Supervisor Name

Start Date 04-2022

End Date 05-2022

Address 4903 Oakbrook Dr

City, State/Province Zip/Postal Louisville, KY 40245 Country United States

Phone 786-***-****

Position Held Technicien

Reason for leaving? Better jobs

Were you terminated/discharged/laid off? No

Is this your current employer? No

May we contact this employer at this time? Yes

Did you operate a commercial motor No

6

vehicle?

Were you subject to the Federal Motor

Carrier or Transport Canada Safety

Regulations while employed/contracted by

this employer/contractor?

Did you perform any safety sensitive

functions in this job, regulated by DOT,

and subject to drug and alcohol testing?

Areas Driven

Miles driven weekly

Pay Range (cents/mile)

Most common truck driven

Most common trailer

Trailer length

Vamar trucking

PLEASE DO NOT CONTACT

Company Vamar trucking

Contact / Supervisor Name

Start Date 04-2022

End Date 05-2022

Address XERODOC LLC

Address 2 4155 nw 100th ave

City, State/Province Zip/Postal Coral Springs Fl,, FL 33065 Country United States

Phone 786-***-****

Position Held Desk front

Reason for leaving? Better jobs

Were you terminated/discharged/laid off? No

Is this your current employer? No

May we contact this employer at this time? No

Did you operate a commercial motor

vehicle?

No

Were you subject to the Federal Motor

Carrier or Transport Canada Safety

Regulations while employed/contracted by

this employer/contractor?

7

Did you perform any safety sensitive

functions in this job, regulated by DOT,

and subject to drug and alcohol testing?

Areas Driven

Miles driven weekly

Pay Range (cents/mile)

Most common truck driven

Most common trailer

Trailer length

Vamar trucking

Company Vamar trucking

Contact / Supervisor Name

Start Date 03-2022

End Date 05-2022

Address XERODOC LLC

Address 2 4155 nw 100th ave

City, State/Province Zip/Postal Coral Springs Fl,, FL 33065 Country United States

Phone 786-***-****

Position Held Desk front

Reason for leaving? Better jobs

Were you terminated/discharged/laid off? No

Is this your current employer? No

May we contact this employer at this time? Yes

Did you operate a commercial motor

vehicle?

No

Were you subject to the Federal Motor

Carrier or Transport Canada Safety

Regulations while employed/contracted by

this employer/contractor?

Did you perform any safety sensitive

functions in this job, regulated by DOT,

and subject to drug and alcohol testing?

Areas Driven

Miles driven weekly

Pay Range (cents/mile)

8

Most common truck driven

Most common trailer

Trailer length

DK Max Trucking

Company DK Max Trucking

Contact / Supervisor Name

Start Date 01-2022

End Date 03-2022

Address 1005 Sharon Park

Address 2 LN Cincinnati, Ho,USA

City, State/Province Zip/Postal Cincinnati, OH 45241 Country United States

Phone 305-***-****

Position Held Company Driver

Reason for leaving? Still Employed

Were you terminated/discharged/laid off? No

Is this your current employer? No

May we contact this employer at this time? Yes

Did you operate a commercial motor

vehicle?

Yes

Were you subject to the Federal Motor

Carrier or Transport Canada Safety

Regulations while employed/contracted by

this employer/contractor?

Yes

Did you perform any safety sensitive

functions in this job, regulated by DOT,

and subject to drug and alcohol testing?

Yes

Areas Driven

Miles driven weekly 3500+

Pay Range (cents/mile)

Most common truck driven Conventional Tractor

Most common trailer Van

Trailer length 53 feet or more

Lykins Transportation

PLEASE DO NOT CONTACT

Company Lykins Transportation

9

Contact / Supervisor Name

Start Date 02-2022

End Date 03-2022

Address 5163 Wolfpen-Pleasant Hill Rd.

City, State/Province Zip/Postal Milford, OH 45150

Country United States

Phone 561-***-****

Fax 513-***-****

Position Held Driver

Reason for leaving? Better opportunity

Were you terminated/discharged/laid off? No

Is this your current employer? No

May we contact this employer at this time? No

Did you operate a commercial motor

vehicle?

Yes

Were you subject to the Federal Motor

Carrier or Transport Canada Safety

Regulations while employed/contracted by

this employer/contractor?

No

Did you perform any safety sensitive

functions in this job, regulated by DOT,

and subject to drug and alcohol testing?

No

Areas Driven OTR

Miles driven weekly 3500+

Pay Range (cents/mile)

Most common truck driven Tractor-Trailer

Most common trailer Van

Trailer length 53 feet or more

SPI Security

Company SPI Security

Contact / Supervisor Name

Start Date 10-2018

End Date 12-2021

Address 1771 N Flamingo Rd,

City, State/Province Zip/Postal Pembroke Pines, FL 33028 Country United States

10

Phone 561-***-****

Position Held supervisor

Reason for leaving? Resigned

Were you terminated/discharged/laid off? No

Is this your current employer? No

May we contact this employer at this time? Yes

Did you operate a commercial motor

vehicle?

No

Were you subject to the Federal Motor

Carrier or Transport Canada Safety

Regulations while employed/contracted by

this employer/contractor?

Did you perform any safety sensitive

functions in this job, regulated by DOT,

and subject to drug and alcohol testing?

Areas Driven

Miles driven weekly

Pay Range (cents/mile)

Most common truck driven

Most common trailer

Trailer length

Walmart (DOT)

PLEASE DO NOT CONTACT

Company Walmart (DOT)

Contact / Supervisor Name

Start Date 07-2021

End Date 11-2021

Address 12800 pines blvd

City, State/Province Zip/Postal Pembroke Pines, FL 33027 Country United States

Phone 561-***-****

Fax 877-***-****

Position Held Casier

Reason for leaving? Better job

Were you terminated/discharged/laid off? No

Is this your current employer? No

11

May we contact this employer at this time? No

Did you operate a commercial motor

vehicle?

No

Were you subject to the Federal Motor

Carrier or Transport Canada Safety

Regulations while employed/contracted by

this employer/contractor?

Did you perform any safety sensitive

functions in this job, regulated by DOT,

and subject to drug and alcohol testing?

Areas Driven

Miles driven weekly

Pay Range (cents/mile)

Most common truck driven

Most common trailer

Trailer length

Delta bureau

Company Delta bureau

Contact / Supervisor Name

Start Date 09-2019

End Date 10-2021

Address 1771 N flamingo Rd, Pembroke P

Address 2 1771 N Flamingo Rd, Pembroke P

City, State/Province Zip/Postal Pembroke Pines, FL 33028 Country United States

Phone 561-***-****

Position Held Security officer

Reason for leaving? Looking Job for a truck driver Were you terminated/discharged/laid off? No

Is this your current employer? No

May we contact this employer at this time? Yes

Did you operate a commercial motor

vehicle?

No

Were you subject to the Federal Motor

Carrier or Transport Canada Safety

Regulations while employed/contracted by

this employer/contractor?

12

Did you perform any safety sensitive

functions in this job, regulated by DOT,

and subject to drug and alcohol testing?

Areas Driven

Miles driven weekly

Pay Range (cents/mile)

Most common truck driven

Most common trailer

Trailer length

FPI Security

Company FPI Security

Contact / Supervisor Name

Start Date 10-2019

End Date 10-2021

Address 1771 N flamingo Rd,pembroke p

Address 2 1771 N Flamingo Rd,pembroke pi

City, State/Province Zip/Postal Pembroke Pines, FL 33028 Country United States

Phone 561-***-****

Position Held Supervisor

Reason for leaving? Personal

Were you terminated/discharged/laid off? No

Is this your current employer? No

May we contact this employer at this time? Yes

Did you operate a commercial motor

vehicle?

No

Were you subject to the Federal Motor

Carrier or Transport Canada Safety

Regulations while employed/contracted by

this employer/contractor?

Did you perform any safety sensitive

functions in this job, regulated by DOT,

and subject to drug and alcohol testing?

Areas Driven

Miles driven weekly

Pay Range (cents/mile)

13

Most common truck driven

Most common trailer

Trailer length

Unemployment

Start Date 12-2016

End Date 09-2018

Comment Out of the country and was visiting family in Haiti.

Conventon security

Company Conventon security

Contact / Supervisor Name

Start Date 07-2012

End Date 11-2016

Address Delmas 18

Address 2 Delmas 18#3

City, State/Province Zip/Postal Port-au-prince, HAITI 34567 Country Haiti

Phone 097-***-****

Position Held Security officer

Reason for leaving? Better opportunity

Were you terminated/discharged/laid off? No

Is this your current employer? No

May we contact this employer at this time? Yes

Did you operate a commercial motor

vehicle?

No

Were you subject to the Federal Motor

Carrier or Transport Canada Safety

Regulations while employed/contracted by

this employer/contractor?

Did you perform any safety sensitive

functions in this job, regulated by DOT,

and subject to drug and alcohol testing?

Areas Driven

Miles driven weekly

Pay Range (cents/mile)

Most common truck driven

14

Most common trailer

Trailer length

Education

School Name Bwoward colleges

Start Date 01-2022

End Date 05-2022

City, State/Province Pembroke Pines, FL

Country US

What did you study? Anglais

Phone 786-***-****

Graduation Date 04-2022

Education

School Name FPI security school

Start Date 01-2022

End Date 04-2022

City, State/Province Pembroke Pines, FL

Country US

What did you study? Security study

Phone 786-***-****

Graduation Date 04-2022

Education

School Name Sheridan Technical Colleges

Start Date 09-2021

End Date 12-2021

City, State/Province Hollywood, FL

Country US

What did you study? English

Phone 786-***-****

Graduation Date 04-2021

15

FMCSR

Under FMCSR 391.15, are you currently

disqualified from driving a commercial

motor vehicle? [49 CFR 391.15]

No

Has your license, permit or privilege to

drive ever been suspended or revoked for

any reason? [49 CFR 391.21(b)(9)]

No

Have you ever been denied a license,

permit, or privilege to operate a motor

vehicle?[49 CFR 391.21(b)(9)]

No

Within the past two years, have you tested

positive, or refused to test, on a

pre-employment drug or alcohol test by an

employer to whom you applied, but did not

obtain, safety-sensitive transportation work

covered by DOT agency drug and alcohol

testing rules? [49 CFR 40.25(j)]

No

In the past three(3) years, have you ever

been convicted of any of the following

offenses: [49 CFR 391.15]:

Driving a commercial motor vehicle

with a blood alcohol concentration

("BAC") of .04 percent or more

Driving under the influence of

alcohol, as prescribed by state law

Refusal to undergo drug and

alcohol testing as required by any

jurisdiction for the enforcement of

Federal Motor Carrier Safety Act

regulations

Driving a commercial motor vehicle

under the influence of any 21

C.F.R. 1308.11 Schedule I

identified controlled substance, an

amphetamine, a narcotic drug, a

formulation of an amphetamine, or

a derivative of a narcotic drug

Transportation, possession, or

unlawful use of a 21 C.F.R.

1308.11 Schedule I identified

controlled substance,

amphetamines, narcotic drugs,

formulations of an amphetamine, or

derivatives of narcotic drugs while

you were on duty driving for a

motor carrier

Leaving the scene of an accident

while operating a commercial motor

vehicle

Or any other felony involving the

use of a commercial motor vehicle

No

16

Vehicle Accident Record

Were you involved in any accidents/incidents with any vehicle in the last 3 years (even if not at fault)?

Type of Accident / Incident Non-Injury

Date of Accident / Incident 04-2020

Hazmat Accident / Incident No

Was the vehicle towed away? No

City Miami

State/Province FL

Were you in a commercial vehicle? No

If yes, was this a Department of

Transportation recordable accident?

Were you at fault? No

Were you ticketed? No

Description Somebody Hit the back off my car, I was not at fault.

Traffic Convictions \ Violations

Have you had any moving violations or traffic convictions in the past 3 years? No Violations

Criminal Record

Have you ever been convicted of a crime? No

Do you have any deferred prosecutions? No

Do you have criminal charges pending? No

Have you ever pled "guilty" to, been

convicted of, or pled "no contest" to a

felony?

No

If you have any felony convictions, do you

currently hold a minister's permit to enter

or exit Canada?

No

Have you, within the last five years, pled

"guilty" to, been convicted of, had

prosecution deferred in connection with, or

pled "no contest" to a misdemeanor?

No

17

Signature

Full Name Abed-nego Lubin, Sr.

IP Address 2600:387:15:1516

Signature Date/Time 07-21-2022 9:42 AM

By signing my application below, I agree to use an electronic signature to demonstrate my consent. An electronic signature is as legally binding as an ink signature. 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.

Signed Date: 07-21-2022 9:42 AM

Signed:

Federal FCRA Summary of Rights Acknowledgment

By checking this box, I (a) acknowledge

that I have read and understand the

federal FCRA Summary of Rights and

have been given the opportunity to

copy/print the Summary of Rights and (b)

agree to use an electronic signature to

demonstrate my consent. An electronic

signature is as legally binding as an ink

signature.

Yes

PSP Disclosure and Authorization

By checking the box, I (a) acknowledge

that I have read and understand the PSP

Disclosure and Authorization and also

have been given the opportunity to

copy/print it, and (b) agree to use an

electronic signature to demonstrate my

consent. An electronic signature is as

legally binding as an ink signature.

Yes

FCRA Disclosure

By checking the box, I (a) acknowledge

that I have read and understand the above

and also have been given the opportunity

to copy/print it, and (b) agree to use an

Yes

18

electronic signature to demonstrate my

consent. An electronic signature is as

legally binding as an ink signature.

FCRA Authorization

By checking the box, I (a) acknowledge

that I have read and understand the above

and also have been given the opportunity

to copy/print it, and (b) agree to use an

electronic signature to demonstrate my

consent. An electronic signature is as

legally binding as an ink signature.

Yes

Employment Verification Acknowledgment and Release (DOT Drug and Alcohol) By checking the box, I (a) acknowledge

that I have read and understand the above

and also have been given the opportunity

to copy/print it, and (b) agree to use an

electronic signature to demonstrate my

consent. An electronic signature is as

legally binding as an ink signature.

Yes

Summary of Rights Under 15 U.S.C. Section 1681m(a) By checking the box, I (a) acknowledge

that I have read and understand the

Summary of Rights Under 15 U.S.C.

Section 1681m(a) and have been given

the opportunity to copy/print the 1681m

Summary of Rights and (b) agree to use

an electronic signature to demonstrate my

consent. An electronic signature is as

legally binding as an ink signature.

Yes

INVESTIGATIVE CONSUMER REPORT DISCLOSURE

By checking this box, I represent that I

understand and agree to the above

Investigative Consumer Report

Disclosure.

Yes

User Requested Copy

User requested a copy to be sent to this

email address

****************@*****.***.

Yes

19

DISCLOSURE AND AUTHORIZATION TO REQUEST CONSUMER REPORTS & INVESTIGATIVE DISCLOSURE

Ryder System Inc. ('COMPANY') will obtain a consumer report and/or investigative consumer report ("Report") that contains background information about you from First Advantage Enterprise Screening Corporation ("First Advantage"), 1 Concourse Parkway NE Suite 200 Atlanta, GA 30328 (http://www.FADV.com), 1-866-***-****, as part of the hiring process for this position and for any future position for which you are considered. If you are hired, to the extent permitted by law, COMPANY may obtain further Reports from First Advantage throughout your employment for an employment purpose without providing further disclosure or obtaining additional consent. The Reports may include, but are not limited to, information regarding your character, general reputation, personal characteristics and standard of living, educational and employment history, drug/alcohol test results, OFAC/terrorist watch list, sex offender search, Social Security verification and address history, driving record and criminal record and accident history as required by the Federal Motor Carrier Safety Act, subject to any limitations imposed by applicable federal and state law. This information may be obtained through direct or indirect contact with public and private sources, including former employers, schools and public agencies or other sources. If an investigative consumer report is requested, in addition to the description above, the nature and scope of any such report will be employment verifications and references, or personal references.

The specific type of report most often requested is criminal record, driving record, accident history, and employment history. You have the right to request a complete disclosure of the nature and scope of the consumer report requested and/or prepared.

AUTHORIZATION

I have carefully read the foregoing Disclosure and this Authorization. By signing below, I consent to and authorize the COMPANY to obtain from First Advantage the Reports described above relating to me for employment purposes. I acknowledge receipt of a copy of the "A Summary of Your Rights Under the Fair Credit Reporting Act." Printed Name:

Abed-nego Lubin, Sr.

Social Security #:

2205

Signed Date: 07-21-2022

Abed-nego Lubin, Sr.

18551 Nw 22nd Street

18551 Nw 22nd Street

Pembroke Pines, FL 33029

786-***-****

Gender:

20

DISCLOSURE & AUTHORIZATION FOR BACKGROUND INVESTIGATION The Company will utilize the services of a third-party agency or consumer reporting agency to obtain a consumer report for purposes of evaluating your application, appointment and/or contract terms at the time of application and throughout your affiliation with the Company. The term "consumer report" includes communications by a third-party agency or consumer reporting agency bearing on your criminal background, driving record, education, prior employment, credit history, character or mode of living. Credit history will only be requested where such information is substantially related to the duties and responsibilities of the position for which you are applying or are employed in. Pursuant to the Fair Credit Reporting Act, the Company is required to obtain your permission prior to procuring the consumer report. By signing below, you hereby authorize the Company to procure report(s) on your background as described above from any third-party or consumer reporting agency contacted by the Company. You further authorize ongoing procurement of the above-mentioned report(s) at any time that you are considered for another position with the Company or at any time during your association with the Company. Printed Name:

Abed-nego Lubin, Sr.

Social Security #:

2205

Signed Date: 07-21-2022

Abed-nego Lubin, Sr.

18551 Nw 22nd Street

18551 Nw 22nd Street

Pembroke Pines, FL 33029

786-***-****

Gender:

21

IMPORTANT DISCLOSURE

REGARDING BACKGROUND REPORTS FROM THE PSP Online Service In connection with your application for employment with Ryder Integrated Logistics, Inc. DOT#165420 ("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 Ryder Integrated Logistics, Inc. DOT#165420 ("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



Contact this candidate