Delivery Instructions Form

DELIVERY INSTRUCTIONS FORM

This Delivery Instructions Agreement is entered into by and between the parties identified below for the provision of transportation, handling and delivery of goods in accordance with the terms set forth herein.

Shipper Name:    Consignee Name:

Carrier Name:    Effective Date:

WHEREAS

WHEREAS, Shipper intends to engage Carrier to collect, transport and deliver certain goods described in this form; and

WHEREAS, Carrier has represented that it is duly licensed, equipped and capable of performing the transportation and delivery services in accordance with applicable law and these instructions; and

WHEREAS, the parties desire to set forth the terms, payment, liability allocation and delivery instructions applicable to the shipment identified below.

SCOPE OF WORK

Carrier shall pick up, transport, store (if applicable) and deliver the goods described below in accordance with the schedules and special handling requirements set forth in this form. Carrier shall perform all services with due care, using appropriately trained personnel and equipment, and in compliance with applicable laws and regulations.

SHIPMENT DETAILS

Hazardous Materials Declared: Yes    If yes, UN Number / Class:

PICK-UP INFORMATION

Requested Pick-Up Date:    Earliest Pick-Up Time:    Latest Pick-Up Time:

DELIVERY INSTRUCTIONS

Requested Delivery Date:    Delivery Window:

PAYMENT TERMS

Shipper shall pay Carrier for the services described in this form in accordance with the following terms. All amounts are USD unless otherwise stated.

Late Payment Fee:    Minimum Late Fee:

TERM AND TERMINATION

This Agreement commences on the Effective Date specified above and continues until the completion of the services for the shipment identified herein, unless earlier terminated in accordance with this section.

Start Date:    End Date:

Either party may terminate for material breach if the breaching party fails to cure within the notice period specified above. Termination shall not relieve either party of obligations accrued prior to termination, including payment for services rendered.

CONFIDENTIALITY

Each party agrees that information disclosed by one party to the other in connection with this Agreement that is marked confidential or that reasonably should be understood to be confidential shall be used solely for the performance of this Agreement and shall not be disclosed to third parties except as required by law. Confidential information does not include information that is or becomes generally known to the public other than by breach of this clause.

Confidential Materials Included: Yes

LIABILITY AND INDEMNITY

Carrier shall be responsible for loss or damage to goods occurring while in Carrier's custody, subject to any limits of liability agreed by the parties or applicable law. Each party shall indemnify, defend and hold harmless the other party from third-party claims arising from the indemnifying party's negligence or willful misconduct in connection with the services.

GOVERNING LAW

This Agreement shall be governed by and construed in accordance with the laws of the State of without regard to conflict of law principles.

ENTIRE AGREEMENT

This form, together with any attachments or schedules expressly incorporated herein, constitutes the entire agreement between the parties regarding the subject matter hereof and supersedes all prior or contemporaneous agreements, representations and understandings, whether written or oral.

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