W911SA-21-Q-3010 MS PC - Attachment 2 - Figures.docx

ATTACHMENT 2 FIGURES

The following pages contain the figures referenced in this part.

12 SF 1103, Personal Property Government Bill Of Lading/Bill of Lading (PPGBL/BL)..G2-14 13 Exception Sheet…………………………………………………………………………G2-15 14 DD Form 1796, Receipt of Unaccompanied Baggage…………………………………G2-16

G2-1

Figure 1. Household Goods Descriptive Inventory

*The HHG descriptive inventory form must be similar to Household Goods Descriptive Inventory shown on Figure 1 and be in accordance with this PWS and industry standards.

Figure 2. Packing List of Household Goods

USE NO HOOKS STORE UNDER COVER

U.S. PROPERTY SDDC-APPROVEDDPM EXPEDITE

DPM EXPEDITE

FORKLIFT HERE LIFT HERELIFT HERE CENTER OF BALANCE

FORLIFT HERE

CENTER OF BALANCE FORKLIFT HERE

Figure 3. Location of Permanent Markings on ASTM-D4169-14 Wood HHG Box

MILITARY SHIPPING LABEL

MILITARY SHIPPING LABEL

DPM EXPEDITE

FORKLIFT HERE

FORKLIFT HERE

Figure 4. Container Marking for Household GoodsMIL SHI L

DPM PEDITE

Figure 5. Military Shipping Label, Personal Property

MILITARY

LABEL

Figure 6. Markings of Unaccompanied Baggage

Figure 7. DD Form 1840, Joint Statement of Loss and Damage at Delivery

Figure 8. DD Form 1840R, Notice of Loss or Damage

Figure 9. DD Form 1384, Transportation Control and Movement Document (TCMD)

Figure 11. DD Form 1844, List of Property and Claims Analysis Chart

Figure 11. DD Form 1299, Application for Shipment and/or Storage of Personal Property

Figure 11. DD Form 1299, Application for Shipment and/or Storage of Personal Property (Back) (Cont’d)

G2-16

Figure 12 U.S Government Bill of Lading – Privately Owned Personal Property

*The Contractor will be issued a BL/PPGBL from the TO/PPSO for every ordered shipment.

Figure 13 Exception Sheet

RECEIPT FOR UNACCOMPANIED BAGGAGE

1. DELIVERED TO

2. RECEIVED FROM

a. NAME (Last, First, Middle Initial)

3. RECEIPT OF THE FOLLOWING ARTICLES IS ACKNOWLEDGED

a. BOX

b. DUFFLE BAG/SEA BAG

c. SUITCASE

d. CARTON

e. FOOT LOCKER

f. TRUNK

g. TOOL BOX

h. OTHER (Describe)

4. NAME AND ADDRESS OF RESPONSIBLE ITO AT DESTINATION

7. ACTIVITY ADDRESS

Figure 14 DD Form 1796, Receipt of Unaccompanied Baggage image3.png image3.emf

PACKING LIST OF HHGs.pdf

PACKING LIST OF HOUSEHOLD GOODS Page 1 of

SHIPPING ACTIVITY OWNER (Name) (Rank or rate)

PACKED BY LOT NO. DATE

CONSIGNED TO (Name and complete address)

METHOD OF SHIPMENT

Rail (LCL) Air Freight Motor Freight Water Other___________ (Specify)

Inv Cubic No. feet

FOR TYPE OF CONTAINER:

NW - Nailed Wood BR - Broken F - Faded R - Rubbed B - Bottom RT - Right FB - Fiber Board BU - Burned G - Gouged SC - Scratched C - Corner S - Side OC - Open Crate CH - Chipped GC - Good Condition SO - Soiled F - Front TOP - Top BRL - Barrel CU - Contents and L - Loose T - Torn LEF - Left LG - Leg HGCC - Household Goods Conditions Unknown M - Marred Z - Cracked RE - Rear V - Veneer Consolidated Crate D - Dented NW - Normal Wear OR - Owner's Risk

Contents Wt.

(Lbs.)

LOCATION SYMBOLS

*ABBREVIATIONS

Packing List of Household Goods

EXCEPTION SYMBOLS

Condition

Location ofContainer

Container No.

*Type of image4.png image50.png image5.jpeg image6.jpeg image8.jpeg image9.jpeg image7.png image10.jpeg image11.jpeg image13.jpeg image14.jpeg image12.png image13.png image14.emf

DD 1840R.pdf

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image15.png image16.emf

DD Form 1384.pdf

TRANSPORTATION CONTROL AND MOVEMENT DOCUMENT PAGE NO.

1. DOC ID 2. TRLR CTR 3. CONSIGNOR 4. COMMODITY SPECIAL HANDLING 5. AIR DIM 6. POE 7. POD

8. MODE 9. PACK 10. TRANSPORTATION CONTROL NO. 11. CONSIGNEE 12. PRI 13. RDD 14. PROJ 15. DATE SHPD 16. ETA 17. TR ACCT

18. CARRIER 19. FLIGHT-TRUCK-VOY-DOC NO. 20. REF 21. REMARKS 22. PIECES 23. WEIGHT 24. CUBE

a. Transship Point b. Date Rec c. Bay Whse d. Date Shpd e. Mode Carrier f. Flight-Truck-Voy Doc No. g. Ref h. Stow Loc i. Split j. Cond k. Signature-Remarks

25.

26.

27.

28. CONSIGNEE 29. DATE RECEIVED/OFFERED (Sign) 30. CONDITION 31. REMARKS

32.

DOC

ID

33.

TRAILER -

CON-

TAINER

34.

CONSIGNOR

COMM ABBR

OTHER

35.

COMMODITY

SPECIAL

HANDLING

36.VOY NO 37.

POD

38.

M O D E

39.

TYPE

PACK

40.

TRANSPORTATION

CONTROL NUMBER

41.

CONSIGNEE

42.

P R I

43. REMARKS AND/OR 44. ADDITIONAL REMARKS OR

RDD

a.

Proj b.

Stow Loc Tac e.

Air Dim

POE

Pieces

Weight

Cube c.

Shpd c.

ETA

d.

DD FORM 1384, OCT 2000 PREVIOUS EDITIONS MAY BE USED.

PAGE_NO:

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appl: Adobe Professional 7.0 image17.jpeg image18.emf

DD Form 1844.pdf

AMOUNT

ALLOWED

1. NAME OF CLAIMANT (Last, First, Middle Initial) 3. PICK-UP DATE

(YYYYMMDD) LIST OF PROPERTY AND CLAIMS ANALYSIS CHART

(Items 14 through 31 to be filled out by Claims Office)

2. CLAIMANT'S INSURANCE COMPANY (If applicable)

a. NAME b. POLICY NO.

4. DELIVERY DATE

(YYYYMMDD)

14. ORIGIN CONTRACTOR 17. 2ND CONTRACTOR 21. CLAIM NUMBER 22. NET WT/MAX CAR

15. INVENTORY DATE

(YYYYMMDD)

18. EXCEPTION SHEET

DATE (YYYYMMDD)

23. GBL NUMBER 24. LOT NUMBER5.

LINE

NO.

6.

QTY

7. LOST OR DAMAGED ITEMS

(Describe the item fully, including brand name, model and size. List the nature and extent of damage. If missing, state "MISSING.")

8.

INV

9. ORIGINAL

COST

11. AMOUNT

CLAIMED

a. Repair Cost

10.

MM/YYYY

PURCHASED

(or)

Replace-ment Cost

16.

EXCEPTIONS

19.

INV

20.

EXCEPTIONS

25.

ADJUDICATOR'S

REMARKS

26.

ITEM

WT

27.

HOUSE

LIABILITY

28.

CARRIER

29.

12. REMARKS 13. TOTAL

$ 30. TOTAL

AMOUNT

ALLOWED

$ 31. THIRD

PARTY

DD FORM 1844, MAY 2000 PREVIOUS EDITION IS OBSOLETE. Page of Pages

1_NAME_OF_CLAIMANT_Last_F:

a_NAME:

b_POLICY_NO:

FillText7:

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6_QTY:

7_LOST_OR_DAMAGED_ITEMS_D:

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22_NET_WTMAX_CAR:

23_GBL_NUMBER:

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25_AMOUNT_ALLOWED:

26_ADJUDICATORS_REMARKS:

27_ITEM_WT:

28_HOUSE_LIABILITY:

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image19.png image20.emf

DD Form 1299.pdf

APPLICATION FOR SHIPMENT AND/OR

STORAGE OF PERSONAL PROPERTY

(Read Privacy Act Statement on back before completing form.)

1. DATE PREPARED (YYYYMMDD) 2. SHIPMENT NUMBER

3. NAME OF PREPARING OFFICE 4. TO (Responsible Origin Personal Property Shipping Office)

a. NAME

b. ADDRESS (Street, Suite Number, City, State, ZIP Code)5. NAME OF DESTINATION PERSONAL PROPERTY SHIPPING OFFICE

6. MEMBER OR EMPLOYEE INFORMATION

a. NAME (Last, First, Middle Initial) b. RANK/GRADE c. SSN d. AGENCY

7. REQUEST ACTION BE TAKEN TO TRANSPORT OR STORE THE FOLLOWING:

a. HOUSEHOLD GOODS/UNACCOMPANIED BAGGAGE/ITEMS/NO. OF CONTAINERS (Enter quantity estimate)

(1) POUNDS (2) POUNDS OF PROFESSIONAL BOOKS, PAPERS, AND EQUIPMENT

(PBP&E) (Enter "NONE" if not applicable)

(3) EXPENSIVE AND VALUABLE ITEMS (Number of cartons)

b. MOBILE HOME INFORMATION (Enter dimensions in feet and inches)

(1) SERIAL NUMBER (2) LENGTH (3) WIDTH (4) HEIGHT (5) TYPE EXPANDO (Describe)

c. MOBILE HOME SERVICES REQUESTED (X as applicable)

CONTENTS PACKED MOBILE HOME BLOCKED MOBILE HOME UNBLOCKED STORED AT ORIGIN STORED AT DESTINATION

8. THIS SHIPMENT/STORAGE IS REQUIRED INCIDENT TO THE FOLLOWING CHANGE OF STATION ORDERS:

a. TYPE ORDERS (X one)

PERMANENT TEMPORARY

b. ISSUED BY c. NEW DUTY ASSIGNMENT

d. DATE OF ORDERS (YYYYMMDD) e. ORDERS NUMBER f. PARAGRAPH NO. g. IN TRANSIT TELEPHONE NO. (Include Area Code)

h. IN TRANSIT ADDRESS (Street, Apartment Number, City, State, ZIP Code)

9. PICKUP (ORIGIN) INFORMATION

a. ADDRESS (Street, Apartment Number, City, County, State, ZIP Code) (If a mobile home park, include mobile home court name)

b. TELEPHONE NUMBER (Include Area Code)

10. DESTINATION INFORMATION

a. ADDRESS (Street, Apartment Number, City, County, State, ZIP Code) (If a mobile home park, include mobile home court name)

b. AGENT DESIGNATED TO RECEIVE PROPERTY

11. EXTRA PICKUP/DELIVERY ADDRESS (If applicable) 12. SCHEDULED DATE FOR (YYYYMMDD)

a. PACK b. PICKUP c. DELIVERY

13. REMARKS

14. I CERTIFY THAT NO OTHER SHIPMENTS AND/OR NONTEMPORARY STORAGE HAVE BEEN MADE UNDER THESE ORDERS EXCEPT AS INDICATED BELOW (If none, indicate "NONE.")

a. FROM b. TO c. NET POUNDS (Actual or estimated)

d. POUNDS OF PBP&E (Actual or estimated)

15. CERTIFICATION OF SHIPMENT RESPONSIBILITIES/STORAGE CONDITIONS

I certify that I have read and understand my shipping responsibilities and storage conditions printed on the back side of this form.

a. SIGNATURE OF MEMBER/EMPLOYEE b. DATE SIGNED c. ADDRESS OF CONTRACTOR (Street, Suite No., City, State, ZIP Code)

d. NAME OF CONTRACTOR (Origin DPM or non-temporary storage)

16. CERTIFICATE IN LIEU OF SIGNATURE ON THIS FORM IS REQUIRED WHEN REGULATIONS SO AUTHORIZE. Property is baggage, household goods, mobile home, and/or professional books, papers and equipment authorized to be shipped at government expense.

a. REASON FOR NONAVAILABILITY OF SIGNATURE b. CERTIFIED BY (Signature)

c. TITLE

DD FORM 1299, SEP 1998 PREVIOUS EDITION IS OBSOLETE.

DD FORM 1299 (BACK), SEP 1998

PRIVACY ACT STATEMENT

AUTHORITY: 37 USC 406, 5 USC 5726; and E.O. 9397.

PRINCIPAL PURPOSE(S): Primarily used for evaluating requests submitted by Service members and eligible individuals for shipment and/or storage of personal property. Also used to prepare the Government bill of lading and other shipping documents (as applicable) to move the personal property. Used by the Finance Office for collection from the member in case goods to be shipped exceed Government entitlement limits.

ROUTINE USE(S): DD Form 1299 is provided to commercial carriers and shipping agents as the official shipping and storage order.

DISCLOSURE: Voluntary; however, failure to provide the requested information may delay shipping dates and impede storage arrangements.

CERTIFICATION OF SHIPMENT RESPONSIBILITIES

In consideration of said household goods or mobile homes being shipped at Government expense, I hereby agree that:

1. This shipment/storage lot consists of my property or the property awarded to my ex-spouse incident to a divorce which was acquired by me prior to the effective date of my orders.

2. If my orders are modified or cancelled and affect this shipment, I will immediately notify the shipping office at point of origin (or port, if any) and destination.

3. I will remit the proper amount or consent to the collection from my pay as may be necessary to cover all excess costs occasioned by this shipment.

4. I agree, prior to shipment and at my expense to place my mobile home in condition to withstand transportation.

5. I understand that transportation of my mobile home and shipment of baggage and household goods within the United States are provided in Chapter 10, JTR.

6. I understand the Government will not be responsible for goods remaining in storage after the expiration of the authorized period.

7. Professional books, papers and equipment are or were necessary in the performance of official duties.

CONDITION FOR STORAGE

In consideration of said household goods being stored at Government expense, I hereby agree as follows:

1. I will notify the transportation office responsible for storing my nontemporary storage account of any changes in my storage entitlement.

2. The Government is authorized to enter into any agreement and to do all acts and things which may be convenient or necessary to store the household goods.

Storage of the household goods is furnished subject to such applicable laws and regulations as are now or may hereafter be in effect.

3. The Government may store the household goods in Government facilities or in commercial storage under a Government contract.

4. The Government may move or transfer by any appropriate means the household goods from their present location to Government or commercial storage facilities and from such facilities to an appropriate destination upon termination of storage.

5. When the household goods are stored in Government facilities and the authorized period for storage at Govern-ment expense expires, the Government may require me to remove the household goods from their place of storage.

In the event, after 30 days notice, I fail to remove the household goods, or if, after diligent effort, notice to me cannot be effected, the Government may proceed as follows: (a) place and store the household goods in commercial storage at my expense, or (b) if a commercial warehouse will not accept the household goods for commercial storage at my expense, the Government is hereby authorized to take whatever action in accordance with law and regulation may be deemed appropriate to effect disposition of the household goods.

6. When the household goods are stored in commercial facilities and the authorized period of storage at Government expense expires, all storage and incidental charges accruing after the last day of the authorized period of storage shall be at my expense.

7. The Government shall not be liable for charges incident to storage or services in connection with the household goods (1) not authorized by law or regulation to be at Government expense, (2) in excess of weight limitations imposed by law or regulation, or (3) after the expiration of the period of which storage at Government expense is authorized.

8. Government contracts for the storage of household goods limit the liability of the warehouseperson to $50 per article or package as listed on the warehouse receipt.

Applicants are advised to consider obtaining insurance on their household goods while such goods are in storage.

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DD Form 1796.pdf

RECEIPT FOR UNACCOMPANIED BAGGAGE

1. DELIVERED TO

2. RECEIVED FROM

a. NAME (Last, First, Middle Initial)

b. RANK c. BRANCH OF SERVICE d. SSN

3. RECEIPT OF THE FOLLOWING ARTICLES IS ACKNOWLEDGED

DESCRIPTION (1) NUMBER OF PIECES (2)

a. BOX

b. DUFFLE BAG/SEA BAG

c. SUITCASE

d. CARTON

e. FOOT LOCKER

f. TRUNK

g. TOOL BOX

h. OTHER (Describe)

4. NAME AND ADDRESS OF RESPONSIBLE ITO AT DESTINATION

5. RECEIVED BY 6. DATE (YYYYMMDD)

a. NAME (Last, First, Middle Initial) b. RANK

7. ACTIVITY ADDRESS

DD FORM 1796, SEP 1998 Reset

Figure 14 DD Form 1796, Receipt of Unaccompanied Baggage image1.png image2.png