S1812163

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Shipment
Number:
S1812163
3PL Rate Agreement
Date:
12/11/2018
Commodity and John Deere Cab doors
Freight Class: Freight Class: 125
Value:
Rate:
1225 Mid Valley Drive
Jessup, PA 18434
Consignee Name:
John Needles
52x42x2 20lbs
1PLT
Consignee Address:
12 Warren Circle Glenmoore PA
19343
PAWES
Destination
Consignee Phone
Number:
4849850681
$167.80
Consignee Email:
[email protected]
$300.00
Dimensions and
weight:
Payment to be
Collected at:
Fastenal Northeast Third
Party Logistics
Phone: 570-307-0992
x131, x155, x205
Fax: 507-494-9680
[email protected]
**FASTENAL DOES NOT GUARANTEE TRANSIT TIMES**
Section 1
Origin: IAGRM
Origin: PAWES
Address: 10892 Douglas Ave. Urbandale, IA 50322
Address: 429 South Bolmar Street West Chester, PA 19382
Phone: 515-987-3514
Phone: 610-430-0605
Drop-off and Pick-Up Hours: M-F 8am to 4pm
Drop-off and Pick-Up Hours: M-F 8am to 4pm
Contact Information of Shipping Party
Section 2
Contact Information of Receiving Party
Scott Schwaller
Name: ______________________________
John Needles
Name: ____________________________
484 985 0681
Phone Number: _______________________
484 985 0681
Phone Number: _____________________
Shipment Density (in cubic feet)
(Length x Width x Height / 1728) / wgt
Greater
Than or And Less
Equal to
Than
0.00
1.00
1.00
2.00
2.00
3.00
3.00
4.00
4.00
5.00
5.00
6.00
6.00
7.00
7.00
8.00
8.00
9.00
9.00
10.50
10.50
12.00
12.00
13.50
13.50
15.00
15.00
22.50
22.50
30.00
30.00
35.00
35.00
50.00
50.00
500.00
Freight
Class
500
400
300
250
200
175
150
125
110
100
92.5
85
77.5
70
65
60
55
50
ALL DAMAGE/LOSS CLAIMS MUST BE
SUBMITTED WITHIN 24 HOURS
Section 4
Requirements For Acceptance of Transportation
•
•
•
•
•
•
•
•
•
•
•
•
•
In order to receive insurance, shipments must be FULLY enclosed within a wooden or metal crate. If
damage occurs, Fastenal will pay the following based off of Density Class: cl 50 = $2 per lb.// cl 55 = $2.50
per lb.//cl 60 = $3 per lb.// cl 65 = $4 per lb.// cl 70 - 100 = $5 per lb.// cl 110 - 200 = $7 per lb.// cl 250 =
$15 per lb.// cl 300 = $20 per lb.// cl 400=$25 per lb.// cl500= $25 per lb.
Insurance is void if crate and/or pallet is faulty
Shipments must be completely packaged prior to dropping off at the store unless arrangements have
been made, these will be only confirmed by email.
$100 Fee will be assessed if shipment is not pallet jack/forklift accessible (unless it is parcel shipment)
A storage fee of $5 per day will be charged beginning 2 business days after being notified of the
shipment's arrival at its destination. Shipment must be picked up within 30 days of notification or
Fastenal will place the shipment into the nearest Fastenal Distribution Center and will dispose of the
shipment.
All shipments must be secured to a pallet with NO hangover (unless it is a parcel shipment)
Must be drained of all fluids and all batteries must be diconnected, if fluids are not drained , a cleanup
fee of up to $150 will be assessed.
NO HAZMAT or GLASS
Fastenal reserves the right to deny a shipment at any given time.
quotes are valid for 30 days after being issued
By Signing below customer acknowledges that declared shipment dimensions, weight and
value are correct. A fee will be assessed proportionate to the actual dimensions and
weight.
For additional terms and conditions, please follow the link below
https://www.fastenal.com/content/documents/2018/Appendix_B.pdf
Section 3
Is your shipment fully enclosed within a wooden or metal crate?
x YES

 NO (shipment will not be insured)
Please sign below to agree to the rate and the above terms and conditions:
PROOF OF DELIVERY (Do not sign until picked up at end destination)
Customer Signature: ________________________________________________
Fastenal Company® — Corporate Headquarters — 2001 Theurer Blvd. — Winona, MN 55987
Date: ________________
11:22 AM 12/11/2018
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