WA-470-6 Addendum to the Provider Agreement to Electronically Fie

WA-470-6
(04-01-02)

U.S. DEPARTMENT OF AGRICULTURE

Form Approved - OMB No. 0560-0120

Farm Service Agency
United States Warehouse Act

FARM SERVICE AGENCY
ADDENDUM TO THE PROVIDER AGREEMENT
TO ELECTRONICALLY FILE AND MAINTAIN UNITED STATES
WAREHOUSE ACT DRY EDIBLE BEAN INSPECTION AND/OR WEIGHT CERTIFICATES

This Addendum between _______________________________________________________
(hereafter "Provider") and the Farm Service Agency (hereafter "FSA") authorizes the Provider to establish
and maintain a database and system for the purpose of electronically filing dry edible bean inspection and
weight certificates issued under the United States Warehouse Act (hereafter "USWA") in a central data filing
system (hereafter "central filing system" or "CFS"). Such electronically filed certificates are hereafter referred
to herein as "electronic dry edible bean inspection and/or weight certificates (EBIWCs)."
This Addendum sets forth the Provider's minimum requirements for EBIWC record formatting, reporting
requirements, and the protocols to be used in the transmission of such information.
I.

Document Record Data Requirements
FSA, in administration of the USWA, the regulations found at 7 CFR Part 735, the Provider Agreement
To Electronically File And Maintain Electronic Warehouse Receipts and United States Warehouse Act
Documents and this Addendum, may at any time require the Provider to furnish information beyond the
minimum requirements shown in this Addendum.
A. Required Information
The Provider shall, at a minimum make the elements listed below available to every USWA warehouse
operator issuing EBIWCs in the CFS. The Provider shall ensure that all of these fields are completed
by all warehouse operators. It is each individual warehouse operator's responsibility to supply the
necessary data to complete each element. This Addendum does not restrict the number of fields that
may be made available to warehouse operators.
License number
Certificate number
Issuance date
Name of warehouse
Location of warehouse (City)
Location of warehouse (State)
Type of certificate (inspection, weight or combination certificate)
In or out of warehouse
Variety of beans
Grade, dockage, or pick and condition of the beans
The location of the beans at time of this service

WA-470-6 (04-01-02)

The identification of the beans if identity preserved
Remarks on condition of beans
Net weight (weight or combination certificate)
Name of person authorized to sign certificate
Terms and conditions (These terms and conditions that apply to each EBIWC must be furnished by
the individual warehouse operator issuing the EBIWCs. Refer to Item III for required statements).
B. Additional Information
The Provider shall, at a minimum make the elements listed below available to every USWA warehouse
operator issuing EBIWCs in the CFS. The Provider shall ensure that all of these fields are completed
by all warehouse operators. It is each individual warehouse operator's responsibility to supply the
necessary data to complete each element. This Addendum does not restrict the number of fields that
may be made available to warehouse operators. FSA may allow a user of the Provider’s system to
modify the elements listed below without being the holder of the certificate. The Provider shall notify
the current holder of the certificate of any changes.
Holder
Warehouse Code
Paper certificate number (if applicable)
License Type, US if Federally Licensed, NL if not licensed and the two letter Postal abbreviation if
state licensed, will precede or follow the certificate number
C. Converting Electronic to paper
When converting from an electronic to a paper certificate, the Provider shall advise the warehouse
operator to print on the face of the paper certificate the EBIWC number.
II. Transmission of Data
Upon request by FSA, all transmissions of data shall be secured and transmitted via telecommunications
hardware and software according to the requirements described in Attachment I Provider Specifications
for interfacing with Warehouse Examiners’ Communications Software (WECS).

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WA-470-6 (04-01-02)

III. Terms and Conditions for USWA Licensed Warehouse Operators
The following information must be shown on all EBIWCs.
The statements:
“United States Warehouse Act, Dry Edible Bean Inspection and/or Weight Certificate”
“Certificate issued by an inspector/weigher licensed under the United States Warehouse Act and
regulations thereunder”

_______________________________________________________________
Provider
_______________________________________________________________
Signature
_______________________________________________________________
Title
_______________________________________________________________
Date
_______________________________________________________________
Director, Kansas City Commodity Office, FSA
_______________________________________________________________
Date

___________________________________________________________________________________
The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, gender, religion, age, disability, political
beliefs, sexual orientation, and martial or family status. (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means for communication of
program information (Braille, large print, audiotape, etc.) should contact USDA’s TARGET Center at (202) 720-2600 (voice and TDD). To file a complaint of discrimination, write USDA,
Office of Civil Rights, Room 326-W, Whitten Building, 14th and Independence Avenue, SW, Washington, D.C. 20250-9410 or call (202) 720-5964 (voice or TDD). USDA is an equal
opportunity provider and employer.
The following statement is made in accordance with the Privacy Act of 1974 (5 U.S.C. 552a) and the Paperwork Reduction Act of 1995, as amended. The authority for requesting the
following information is the regulations at 7 CFR 735. The information will be used to complete the terms of a license and contract between the warehouse operator and the Deputy
Administrator Commodity Operations. Furnishing the requested information is voluntary, however, without it, eligibility to become a provider under the United States Warehouse Act and the
decision as to the applicant’s eligibility for a provider agreement must be made in part on the basis of the information provided. This information may be provided to other agencies, IRS,
Department of Justice, or other State and Federal law enforcement agencies, and in response to a court magistrate or administrative tribunal. The provisions of criminal and civil fraud
statutes, including 18 U.S.C. 286, 287, 371, 641, 651, 1001; 1014, and 31 U.S.C. 3729, may be applicable to the information provided.
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays an OMB
control number. The valid OMB control number of this information collection is 0560-0120. The time required to complete this information collection is estimated to average 30 minutes per
response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information. RETURN THIS COMPLETED FORM TO THE KANSAS CITY COMMODITY OFFICE, POST OFFICE BOX 419205, KANSAS CITY, MO 64141-6205.

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