Booking Note Part I_omb

Food Donation Programs (Food for Progress & Section 416(b)) and McGovern-Dole International Food for Education and Child Nutrition Program

Booking Note Part I_omb

OMB: 0551-0035

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U.S. FOOD AID BOOKING NOTE For Packaged Commodities Part I

Revised November 1, 2004


OMB Control No. 0551-0035


Shipper

Carrier

Date


Contract No.


Invitation


Program


Agreement


Country


Freight Forwarder / Shipping Agent

Carrier’s Broker / Agent

Receiver / Consignee

Shape1 Shipment Particulars See U.S. FOOD AID BOOKING NOTE For Packaged Commodities Part II (All dates shown in format mm/dd/yy)

No. F.A.S. No. Commodity Load Terms LDA (Y/N) Discharge Terms DDA (Y/N) Vessel / Voyage Total Rate One Way KCCO.Req.No. Packaging POO Available Discharge Port ETA Booking Number Ocean Dom. Inland

F.F. Ref. No. Net MT POL ETA Final Delivery * ETA * Vsl Flag/Cargo Pref. Priority Fumigation For. Inland

1



2



3



4



5



6



Applicable Delay Assessment(s)

(See Part II Clause 15) Exceptions to Standard LDA/DDA Terms / Additional Terms and Conditions

Shape2


Applicable Fumigation Requirement

(See Part II Clause 16)

Applicable Dispute Resolution

(See Part II Clause 27)

16.(A) EOD-83 (specify): 27.(A) Arbitration

16.(B) Other (specify): 27.(B) Federal Acquisition Regulations

27.(C) Mediation


Special Requirements or Exceptions to standard terms and conditions of U.S. FOOD AID BOOKING NOTE For Packaged Commodities Part II:







Commissions:


Notwithstanding any provisions in the on-board ocean bill of lading and/or any other document evidencing or relating to the agreement between the carrier and the shipper, the terms and conditions of this Booking Note shall govern the terms of carriage of this shipment, and any provisions in documents other than this Booking Note which adds to, diminishes, or otherwise varies the rights, responsibilities or immunities of the parties shall be void and of no effect unless otherwise provided in this contract. Except as specifically modified herein, the standard terms and conditions as described in U.S. FOOD AID BOOKING NOTE For Packaged Commodities Part II are deemed to be fully incorporated herein and form a part of this contract, whether incorporated by reference or as an attachment to this document.



Signature (Shipper)


Date


Signature (Carrier)


Date

Print Name & Title:




Print Name & Title:






Shape3


The public reporting burden for this information collection is estimated to be 10 minutes. This burden estimate includes time for reviewing instructions, researching existing data sources, gathering and maintaining the needed data, and completing and submitting the information. Send comments regarding the accuracy of this burden estimate and any suggestions for reducing the burden to: U.S. Department of Agriculture, Foreign Agricultural Service, Office of Capacity Building and Development, Food Assistance Division, Attn: OMB Number (0551-0035), 1400 Independence Avenue., S.W., Washington, DC 20250-1034. You are not required to respond to this collection of information unless a valid OMB control number is displayed.


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