A3_TRANSPORT EQUIPMENT DELAY CERT.pdf

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Attached to
Aviator Breathing Oxygen for Gowen Field, ID
Solicitation number
SPE60126Q0301_Aviator_Breathing_Oxygen_Gowen_Field_ID
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About this file

This is a template form for documenting transportation equipment delays, designated as Form H-14 and referenced as Attachment 3 to federal solicitation SPE601-26-Q-0301.

The form captures essential shipment and delay information across thirteen numbered sections. Section 1-9 collect shipment details including consignor, consignee, product description, carrier name, trailer number, date shipped, freight bill number, CBL number, and seal number. Section 10 documents loading and unloading timeline data with fields for arrival date and time, acceptance date and time, start date and time, finish date and time, unit release date and time, and total hours held. Section 11 requires a detailed written statement explaining each delay segment, the duration of each delay period, and whether responsibility for the delay rests with the carrier or the consignee/consignor. Section 12 contains a certification statement with signature lines for the consignee, shipper, and driver affirming the accuracy of the provided information. Section 13 instructs carriers that a completed copy of this certificate must accompany each detention invoice to support invoice certification and payment documentation.

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TRANSPORT EQUIPMENT DELAY CERTIFICATE

1. CONSIGNOR 2. CONSIGNEE 3. PRODUCT

4. CARRIER 5. TRAILER NUMBER 6. DATE SHIPPED

7. FREIGHT BILL NUMBER 8. CBL NUMBER 9. SEAL NUMBER

10. LOADING/UNLOADING INFORMATION

DATE RECEIVED TIME DATE RECEIVED TIME

A. ARRIVED D. FINISH

B. ACCEPTED FOR

LOADING/UNLOADING E. UNIT RELEASED

C. START F. TOTAL HOUR HELD

11. REASON FOR DELAY (Make a complete statement adequately describing each segment of delay, amount of time on each delay, and whether delay was the responsibility of carrier or consignee/consignor)

12. DETENTION CERTIFICATION STATEMENT : I certify that the above information is true and correct to the best of my knowledge.

SIGNATURE AND TITLE OF CONSIGNEE SIGNATURE AND TITLE OF SHIPPER SIGNATURE OF DRIVER

13. NOTE TO CARRIER: A copy of "TRANSPORT EQUIPMENT DELAY CERTIFICATE" must accompany each detention invoice to provide documentation for invoice certification and payment.

FORM H-14

Attachment 3 - Transport Equipment Delay Certificate

SPE601-26-Q-0301

File details come from the government source that posted it. Updated .