Note: No Limitation of carrier liability applies to this shipment, unless set forth in the Transportation Agreement between the parties.
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Received, subject to individually determined rates or contracts that have been agreed upon in writing between the carrier and shipper, if applicable, otherwise to the rates, classifications, and rules that have been established by the carrier and are available to the shipper, on request, and to all applicable state and federal regulations.
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The carrier shall not make delivery of this shipment without payment of charges and all other lawful fees. If a motor carrier, freight forwarder, broker or other transportation service provider accepts this shipment from anyone other than the shipper listed hereon, it agrees to seek payment of its charges exclusively from the entity from which it accepted the shipment (e.g. the broker) and expressly waives any other collection rights or remedies otherwise available to it, including any right to seek payment of the transportation charges from the consignor or consignee.
Shipper Signature ________________________________________________
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Shipper Signature/Date
_______________________________________________
This is to certify that the above named materials are properly classified, packaged, marked, and labeled, and are in proper condition for transportation according to the applicable regulations of the DOT.
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Trailer
Loaded:
By
shipper
By driver
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Freight Counted:
By shipper
By
driver/pallets
said to contain
By
driver/pieces
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Carrier Signature/Pickup Date
_______________________________________________
Carrier acknowledges receipt of packages and required placards. Carrier certifies emergency response information was made available and/or carrier has the DOT emergency response guidebook or equivalent documentation in the vehicle. Property described above is received in good order, except as noted.
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US DOT SP 16413
URL:
http://d38s2wg9eh65pi.cloudfront.net/SP16413.pdf
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