Booking Note Part I_omb

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

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

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:

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