Attachment 3 - Bill of Lading Template.docx

DOCX document 56 KB Posted

Attached to
9930--Off-Site Manufacture of W1 Blank Granite Markers for Nationwide Distribution
Solicitation number
36C78626Q0018
Issued by

About this file

This is a VA Commercial Bill of Lading (VCBL) template document used for recording freight shipments by the Department of Veterans Affairs National Cemetery Administration. The form serves as a standardized shipping document for government freight and is not specific to the solicitation for off-site manufacture of W1 blank granite markers.

The template captures essential shipping information including carrier details, origin and destination addresses, consignee and shipper information, and itemized cargo descriptions with weight, mass, and cubic volume measurements. The document designates the U.S. Department of Veterans Affairs, National Cemetery Administration at 5105 Russell Road, Quantico, VA as the billing entity and includes fields for purchase order numbers, freight estimates, and special handling requirements such as pallet specifications, lift gate services, blanket wrap, and inside delivery. The bill of lading references VA General Freight Standard Tender of Service (VA-1) and incorporates terms and conditions from 41 CFR 102-117 and 102-118, with provisions for prepaid or collect charges and requires certification of delivery with an original SF1113 form and driver signature. The template provides contact information for addressing delivery problems and damaged freight inquiries at the Memorial Product Services Program Support Unit.

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Text version

VA Commercial Bill of Lading (VCBL)

Carrier’s Name / TSP’s Name SCAC Order Date VA CBL Reference Number

DESTINATION Name & Address ORIGIN Name & Address

Consignee’s Name & AddressShipper’s Name & Address
DEPARTMENT OF VETERANS AFFAIRS/NCA
810 VERMONT AVENUE, NW ROOM415V
WASHINGTON, DC 20005
Appropriation ChargeableBill-Charges-To Name & Address
U.S. Department of Veterans Affairs - NCA

Syncada from VISA P. O. Box 3001 PO / REQN NUMBER TSP’s PRO NUMBER Naperville, IL 60566

MARKS / COMMENTS ______________________________________________________________________________________________________________________ In case of delivery problems, contact the DVA Memorial Product Services, Program Support Unit at (202) 501-2695. For damaged freight, e-mail disposition request to: MPSProgSupport@va.gov.

DOCK: PALLETS: STACKABLE PALLETS: LIFT GATE: BLANKET WRAP: INSIDE DELIVERY: EXTRA LABOR:

QUANTITY Hz MAT ITEM DESCRIPTION WEIGHT (lbs) MASS (kg) CUBIC VOLUME (ft3)

Estimated Shipment Value: $

RATE AUTHORITY / TENDER REFERENCE

FREIGHT ESTIMATEThis U. S. Government shipment is subject to the terms and conditions of 41 CFR 102-117 & 41 CFR 102-118 and the
VA General Freight Standard Tender of Service (No. VA-1) on the web at http://www.va.gov/oa&mm/freight/index.htm
Freight charges are PREPAID unless marked collect.VCBL Section 7
VA CBL ISSUING OFFICECheck box if charges are COLLECT.Non-Recourse

U.S. Department of Veterans Affairs

Pickup Driver’s Signature Date

TSP Representative’s Certification of Delivery Date

National Cemetery Administration 5105 Russell Road Quantico, VA 22134

PURCHASE ORDER:

FOB:

Obligation Number

U.S. GOVERNMENT SHIPMENT

U.S. GOVERNMENT SHIPMENT

VA Commercial Bill of Lading (VCBL)U.S. GOVERNMENT SHIPMENT

IMPORTANT: Present billing with an original SF1113 & original signature on the above Certification of Delivery VA Form 0742 MAR 2002 VA Commercial Bill of Lading (VCBL)

VA Form 0742 MAR 2002 VA Commercial Bill of Lading (VCBL) image1.png

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