H-14TRANSFER_EQUIPMENT_DELAY_CERTIFICATION 1 .pdf

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Attached to
Amendment 01 to Production and Delivery of Bulk Liquid Hydrogen (LH2)
Solicitation number
SPE601-13-R-0335
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H-14 TRANSPORT EQUIPMENT DELAY CERTIFICATE

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0335_Amend_01.pdf PDF
LH2_SOO_21_Jun_2013.doc DOC document
LH_FEDBIZ.pdf PDF
Aerospace_Clauses_13R0335.doc DOC document

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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. GBL/CBL NUMBER 9. SEAL NUMBER

10. LOADING/UNLOADING INFORMATION

DATE RECEIVED

TIME

DATE RECEIVED

TIME

A. ARRIVED

D. FINISH

ACCEPTED FOR

B.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 responsibility of carrier or consignee/consignor)

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

13. NOTE TO CARRIER: A copy of “Vehicle Delay Certificate” must accompany each detention invoice to provide documentation for invoice certification and payment.

Form H-14 ATTACHMENT 3

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