Attachment D - Bill of Lading.pdf
PDF 1 MB Posted
- Attached to
- Emergency Standby Materials and Services State and local contract opportunity
- Solicitation number
- RFP-05620
- Issued by
- Leon County, Florida
About this file
This document is an Emergency Bill of Lading for a shipment of expedited emergency disaster relief materials from the State of Florida Division of Emergency Management Logistics Section. The shipment includes pallets of various commodities with detailed information on the quantity, type, weight, and hazardous materials classification for each handling unit and package. The Bill of Lading also lists the ship from and ship to information, carrier details, mission numbers, and additional shipper information.
The related state and local contract opportunity is for Emergency Standby Materials and Services contracts that the Florida Division of Emergency Management is issuing through a Request for Proposals. These contracts are intended to be used in preparation for or in response to emergencies or disasters within the state of Florida, specifically in the jurisdictions of Leon County and the City of Tallahassee. The contract term and any renewal options are not specified.
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Text version
OFFICIAL GOVERNMENT SHIPMENT OF EXPEDITED EMERGENCY DISASTER RELIEF MATERIALS
Attachment D - Bill of Lading
STATE OF FLORIDA
DIVISION OF EMERGENCY MANAGEMENT
LOGISTICS SECTION
Date: EMERGENCY SHIPMENT - BILL OF LADING Page 1 of 3
SHIP FROM
Name: Bill of Lading Number:
City/State/Zip:
DRIVER CELL PHONE
SHIP TO CARRIER NAME:
Name: Trailer number:
Address: Tractor number:
City/State/Zip: Seal number(s):
County: Satellite Transponder Number:
CUSTOMER ORDER INFORMATION
MISSION NUMBER # PALLETS WEIGHT PALLET/SLIP
(CIRCLE ONE)
ADDITIONAL SHIPPER INFO
Y N
Y N
GRAND TOTAL
CONTINUED NEXT PAGE
CARRIER INFORMATION
HANDLING UNIT PACKAGE
COMMODITY DESCRIPTION
QTY TYPE QTY TYPE WEIGHT
H.M.
(X)
CONTINUED NEXT PAGE
GRAND TOTAL
STATE REPRESENTATIVE SHIPPING SIGNATURE
_________________________________FREIGHT CARRIER Signature
DATE
This is to certify that the above named materials were received by our agency and agree to the quantity and contents listed. Any damages are so noted on this manifest
Trailer Loaded: Freight Counted:
CARRIER SIGNATURE / PICKUP
DATE
By Shipper
By Driver
By Shipper
By Driver pallets said to contain
Carrier acknowledges receipt of packages and required placards.
Carrier certifies emergency response information was made available and/or carrier has the U.S. DOT emergency response guidebook or equivalent documentation in the vehicle.
Received By (PRINTED NAME) DATE
Signature:
Trailer unloaded:
By Recipient
By Driver By Driver/Pieces
Property described above is received in good order, except as noted.
OFFICIAL GOVERNMENT SHIPMENT OF EXPEDITED EMERGENCY DISASTER RELIEF SUPPLIES
STATE OF FLORIDA
DIVISION OF EMERGENCY MANAGEMENT
LOGISTICS SECTION
Date: SUPPLEMENT TO THE EMERGENCY BILL OF LADING Page 2 of 3 Bill of Lading Number:
CUSTOMER ORDER INFORMATION
MISSION NUMBER # PKGS WEIGHT PALLET/SLIP
(CIRCLE ONE) ADDITIONAL SHIPPER INFO
Y N
Y N
Y N
Y N
Y N
Y N
Y N
PAGE SUBTOTAL
CARRIER INFORMATION
HANDLING UNIT PACKAGE COMMODITY DESCRIPTION LTL ONLY
QTY TYPE QTY TYPE WEIGHT
H.M.
(X)
Commodities requiring special or additional care or attention in handling or stowing must be so marked and packaged to ensure safe transportation with proper care. NMFC # CLASS
PAGE SUBTOTAL
OFFICIAL GOVERNMENT SHIPMENT OF EXPEDITED EMERGENCY DISASTER RELIEF SUPPLIES
STATE OF FLORIDA
DIVISION OF EMERGENCY MANAGEMENT
LOGISTICS SECTION
Bill of Lading Number:
ADDITIONAL NOTATIONS ON SHIPMENT: Page 3 of 3
Itemized load in shipment:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
ADDITIONAL NOTATIONS MADE BY: ORGANIZATION:
| QTYRow1: |
| TYPERow1: |
| QTYRow1_2: |
| TYPERow1_2: |
| WEIGHTRow1_2: |
| QTYRow2: |
| TYPERow2: |
| QTYRow2_2: |
| TYPERow2_2: |
| WEIGHTRow2_2: |
| HM XRow2: |
| QTYRow3: |
| TYPERow3: |
| QTYRow3_2: |
| TYPERow3_2: |
| WEIGHTRow3: |
| HM XRow3: |
| MISSION NUMBERRow1: |
| PKGSRow1: |
| WEIGHTRow1_3: |
| ADDITIONAL SHIPPER INFON: |
| MISSION NUMBERRow2: |
| PKGSRow2: |
| WEIGHTRow2_3: |
| ADDITIONAL SHIPPER INFON_2: |
| MISSION NUMBERRow3: |
| PKGSRow3: |
| WEIGHTRow3_2: |
| ADDITIONAL SHIPPER INFON_3: |
| MISSION NUMBERRow4: |
| PKGSRow4: |
| WEIGHTRow4: |
| ADDITIONAL SHIPPER INFON_4: |
| MISSION NUMBERRow5: |
| PKGSRow5: |
| WEIGHTRow5: |
| ADDITIONAL SHIPPER INFON_5: |
| MISSION NUMBERRow6: |
| PKGSRow6: |
| WEIGHTRow6: |
| ADDITIONAL SHIPPER INFON_6: |
| MISSION NUMBERRow7: |
| PKGSRow7: |
| WEIGHTRow7: |
| ADDITIONAL SHIPPER INFON_7: |
| PKGSPAGE SUBTOTAL: |
| WEIGHTPAGE SUBTOTAL: |
| QTYRow16: |
| QTYRow16_2: |
| WEIGHTRow16: |
| ADDITIONAL NOTATIONS ON SHIPMENT: |
| 1: |
| 2: |
| 3: |
| 4: |
| 5: |
| 6: |
| 7: |
| 8: |
| 9: |
| 10: |
| 11: |
| 12: |
| 13: |
| 14: |
| 15: |
| 16: |
| 17: |
| 18: |
| 19: |
| 20: |
| 21: |
| 22: |
| 23: |
| 24: |
| Ship From (Name): |
| City / State / Zip: |
| Ship To (Address): |
| Carrier Info (Name): |
| Trailer Number: |
| Tractor Number: |
| Seal Number(s): |
| Satellite Transponder Number: |
| Mission Number (1): |
| Mission Number (2): |
| Mission 1 Pallets: |
| Mission 1 Weight: |
| Mission 1 Additional Info: |
| Mission 2 Pallets: |
| Mission 2 Weight: |
| Mission 2 Additional Info: |
| Pallet/Slip 2: Off |
| Pallet/Slip 1: Off |
| Total Pallets: |
| Total Weight: |
| HM XRow1: |
| Carrier Desciption 1: |
| Carrier Desciption 2: |
| Carrier Desciption 3: |
| Package Quantity Total: |
| Handling Unit Quantity Total: |
| Weight Total: |
| Received By: |
| Date Received: |
| Trailer Loaded: Off |
| Freight Counted: Off |
| Trailer Unloaded: Off |
| CLASSRow1: |
| QTYRow1_3: |
| TYPERow1_3: |
| QTYRow1_4: |
| TYPERow1_4: |
| WEIGHTRow1_4: |
| HM XRow1_2: |
| Commodities requiring special or additional care or attention in handling or stowing must be so marked and packaged as to ensure safe transportation with ordinary care See Section 2e of NMFC Item 360Row1: |
| NMFC Row1: |
| BOL Number: XXXX2019-000X |
| AGENCY: |
| Notations: |
| Date: |
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