Attachment J - H14 Transport Equipment Delay Certificate.pdf

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Attached to
Carbon Dioxide (CO2) China Lake, CA Federal contract opportunity
Solicitation number
SPE60124R0305
Issued by
Defense Logistics Agency Energy

About this file

This solicitation requests proposals for the delivery of liquid carbon dioxide to the Naval Air Warfare Center Weapons Division in China Lake, California. The Defense Logistics Agency Energy intends to award a firm-fixed price requirements contract from October 2024 to September 2029 for liquid carbon dioxide that meets CGA specification G-6.2 as well as services including expedited delivery, detention, fill line restriction orifices, and tank hot fill. Proposals are due by March 11, 2024 and the agency will use lowest price technically acceptable source selection procedures. Offerors must comply with instructions for proposal format and content and proposals will be evaluated in accordance with instructions for commercial items.

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Text version

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

SPE601-24-R-0305

Sheet1

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