Estes Express Bill Of Lading PDF Form

TO:

SHIPPER’S #

P.O. #

CONSIGNEE

CoNSIGNEE PhONE #

CoNSIGNEE EmAIL

STREET

STREET

FOR PAYMENT BILL TO

CITY, STATE, ZIP

FROM:

SPECIAL INSTRUCTIONS

SHIPPER

STREET

Hazardous Materials Emergency

STREET

Response Phone Number:

NOTE: Liability Limitation for loss or damage on this shipment may be

CITY, STATE, ZIP

applicable. See 49 U.S.C. § 14706 (c)(1)(A) and (B).

# Packages

HM†

Kind of Package, Description of Articles, Special Marks and Exceptions

*Weight (Sub. to Corr.)

Cl. or Rate

Ck. Column

Collect On Delivery

$

C.O.D. Amount

Cash or Certified Check

Consignee Check Accepted

C.O.D. fee to

Shipper

be paid by

{Consignee

Freight charges are PREPAID

unless marked collect.

Full Value

WARNING: Additional and/or maximum liability limitations or other restrictions may apply. Refer to Estes Rules

CHECK BOX IF COLLECT

Coverage

Tariff EXLA 105 for further details.

NOTES: 1. Commodities requiring special or additional care or attention in handling or

The Shipper may request Full

Subject to Section 7 of Conditions, if this shipment is to

CHARGES ADVANCED

$

Value Coverage by

indicating

care. See Sec. 2(e) of NMFC Item 360. 2. The fiber boxes used for this shipment conform

be delivered to the consignee without recourse on

the

stowing must be so marked and packaged as to ensure safe transportation with ordinary

the total amount requested here:

to the specifications set forth in the box maker’s certificate thereon, and all other

consignor, the consignor shall sign the following statement:

Shipper hereby requests Full Value

The carrier shall not make delivery of the shipment without

requirements of Consolidated Uniform or National Motor Freight Classification. 3. If the

Coverage in the total amount of:

payment of freight and all other lawful charges.

Received $

to apply

shipment moves between two ports by a carrier by water, the law requires that the Bill of

$_______________________________

Lading state whether it is “carrier’s or shipper’s weight.”

in the prepayment of the charges on the

Refer to Estes Rules Tariff EXLA 105

RELEASED VALUE: $________________________; See Item 350, Section 4,

property described hereof.

for further details.

Estes Rules Tariff EXLA 105.

(Signature of consignor)

RECEIVED, subject to individually determined rates or contracts that have been agreed upon in writing between

carrier of all or any of said property over all or any portion of said route to destination and as to each party at

the carrier and shipper, if applicable, otherwise the rates, classifications and rules (See Estes Rules Tariff

any time interested in all or any of said property, that every service to be performed thereunder shall be subject

EXLA 105) that have been established by the carrier and are available to the shipper, on request; The property

to all the terms and conditions of the Uniform Bill of Lading set forth in the National Motor Freight Classification

described above, in apparent good order, except as noted (contents and condition of contents of packages

100-X and successive issues. Note: It is also agreed that the carrier will not be liable for any consequential

unknown) marked, consigned, and destined as shown above, which said carrier agrees to carry to destination, if

damages arising from the delay of delivery and carrier makes no guarantees concerning the delivery dates or

on its route, otherwise to deliver to another carrier on the route to destination. It is mutually agreed, as to each

times (Subject to terms and conditions of any applicable Guaranteed Service agreement).

SHIPPER CERTIFICATION

CARRIER CERTIFICATION

Shipper certifies by its signature, its agreement to all of the foregoing terms and conditions, and further

Carrier acknowledges receipt of packages and required placards. Carrier certifies emergency response

certifies that the above named materials are properly classified, described, packaged, marked and labeled,

information was made available and/or carrier has the DOT emergency response guidebook or equivalent

and are in proper condition for transportation according to the applicable regulations of the DOT.

document in the vehicle.

SHIPPER

Estes Express Lines-EXLA

AUTHORIZED SIGNATURE

DATE

AUTHORIZED SIGNATURE

DATE