DESCRIPTION OF ARTICLES, KIND OF PACKAGE, SPECIAL MARKS AND EXCEPTIONS
(subject to correction)
WEIGHT IN LBS.
CLASS
CUBE
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,
the property described below, in apparent good order, except as noted (contents and condition of contents of packages unknown) marked, consigned and destined as shown hereon, which said carrier agrees to carry to destination, if on its route, or otherwise to deliver to another carrier on the route to destination. Every service to be
performed hereunder shall be subject to all the conditions not prohibited by law, whether printed or written, herein contained, including the conditions on the back hereof, and the conditions of the FXF 100 Series Rules Tariff, or otherwise referenced, which are hereby agreed to by the shipper and accepted for himself and his assigns.
HANDLING
UNITS (H/U)
Name FXF Acct. # Mailing Address
City State ZIP/Postal Code Country Area Code Phone Number
Freight charges are PREPAID unless
marked collect.
CHECK BOX IF COLLECT
1. The letters “C.O.D.” must appear in box before consignee’s name above.
2. C.O.D. funds to be collected as: Certified Funds Company Check Personal Check
3. C.O.D. fee to be paid by: Shipper Consignee
NMFC ITEM #
(subject to correction)
SHIPPER CERTIFICATION
This is to certify that the above named materials are properly classified, described, packaged, marked and labeled, and
are in proper condition for transportation according to the applicable regulations of the Department of Transportation.
Shipper Signature ___________________________________________________ Date ________________
HM
(X)
SHIPPER (from) Please provide ZIP codes and phone numbers. CONSIGNEE (to)
CARRIER CERTIFICATION
(optional)
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 document in the vehicle.
H/U PKG.
TYPE
PIECES
TOTAL H/U:
BILL FREIGHT CHARGES TO (if different than above):
REMIT C.O.D. TO (if different than shipper above):
Name Mailing Address
City State ZIP/Postal Code Country Country Code Area Code Phone Number
NOTE (1) Where the rate and carrier’s liability for loss or damage may be dependent on value, shippers
must state specifically in writing the agreed or declared value of the property as follows: “The agreed
or declared value of the property is specifically stated by the shipper to be not exceeding________
per_________.”
Note (2) liability limitation for loss or damage on this shipment shall be applicable as provided by
contract or in the current NMFC or this carrier’s governing tariffs. See FXF 100 Series Rules Tariff
for complete limited liability provisions. Carrier’s maximum standard liability is limited to $25 per pound
per package for NEW articles and $.50 per pound per package (or its equivalent in Mexican Pesos (MXN)
or Canadian Dollars (CAD), at the rate of exchange which is in effect at the place and on the date of
shipment) for USED or RECONDITIONED articles. In no case shall carrier liability exceed $100,000 per occurrence
(or its equivalent in MXN or CAD at the rate of exchange which is in effect at the place and on the date
of shipment) for NEW articles or $10,000 per occurrence (or its equivalent in MXN or CAD at the rate of
exchange which is in effect at the place and on the date of shipment) for USED or RECONDITIONED articles.
For availability and limits of excess liability coverage and applicable rates and charges, please refer to FXF 100
Series Rules Tariff. Not selecting an additional coverage option is considered to be a waiver of same and standard
liability coverage will apply.
Articles are NEW, and require Excess Liability Coverage in the amount of _______________
oUSD o CAD oMXN per olb. or okg. Additional charges will apply.
Articles are USED or RECONDITIONED and require Excess Liability Coverage. Additional charges will apply.
NOTE (3) Commodities requiring special or additional care or attention in handling or stowing must be so
marked and packaged as to ensure safe transportation with ordinary care. See Sec. 2(e) of NMFC Item 360.
HM EMERGENCY CONTACT PHONE NUMBER (_______) ______________________
HM EMERGENCY RESPONSE PROVIDER PERSON or CONTRACT #
___________________________________________________________________
area code
CO202/711-FXF
Consignee FXF Acct. #
Attn. to Area Code Phone Number
Address
Address (Store, Dept., Ste., Flr., Apt., Div.)
Address
City
State/Province ZIP/Postal Code Country
Accessorial Charges Liftgate Inside Delivery Limited Access
Custom Delivery Window:
AREA CODE
Phone # (_______) ___________________
AREA CODE
EEI/SED Number or Exception ____________________________
H MARK “X” OR “RQ” IN THE HM COLUMN TO DESIGNATE HAZARDOUS MATERIALS OR REPORTABLE QUANTITY AS DEFINED IN DOT REGULATIONS.
DATE DRIVER/EMPLOYEE NUMBER PIECE COUNT TRAILER #
Shipper FXF Acct. #
Attn. to Area Code Phone Number
Address
Address (Store, Dept., Ste., Flr., Apt., Div.)
Address
City
State/Province ZIP/Postal Code Country
Accessorial Charges Liftgate Inside Pickup Limited Access
Shipper Bill of Lading #
Special Instructions
FedEx Freight
Create your next Bill of Lading online at fedex.com/us/freight/main/
Date Purchase Order #
Shipper # Shipper #
OPTIONAL: You may select a money-back guarantee
delivery (charges and tariff limitations may apply).
q A.M. Delivery q Close of Business Delivery
REQUIRED: Please select a service type
q FedEx Freight
®
q FedEx Freight
®
Priority Economy
UNIFORM STRAIGHT BILL OF LADING ORIGINAL---NOT NEGOTIABLE
SUBJECT TO THE TERMS AND CONDITIONS OF THE UNIFORM BILL OF LADING --- QUESTIONS? CALL 1.866.393.4585
FOR FREIGHT COLLECT SHIPMENTS
Subject to Section 7 of conditions of applicable Bill of Lading. If this shipment is to be delivered to the consignee,
without recourse on the consignor, the consignor shall sign the following statement. The carrier may decline to
make delivery of this shipment without payment of freight and all other lawful charges.
Consignor Signature _______________________________________________________________________
Fax # (_______) _____________________
Broker Name _________________________________________
USD
CAD
C.O.D.
AMOUNT
Resume Templates 1210 Document(s)
