VP: ________________ 3024 ____________________ Consignment No.:________________
do not fill in / for internal purpose only
Consignor:
Company:
Address:
17111 TRANSIT TRANSPORT &
LOGISTIK GmbH & Co. KG
August-Borsig-Str. 11, 24783 Osterrönfeld
E-Mail: welcome@17111.com
Phone: +49 4331/8095-17111
Fax: +49 4331/8095-299
Name:
Phone:
Date:
Pick-up Order No.:
Please pick-up the following consignment fix
Sign/No..
No./Packaging
starting
Commodity
: (Date)
Weight kg
dim. (lxwxh)
(Packaging: FP=EuroPal, EP=disposable Pal, HP=Half Pal, KT=carton, KI=box, VG=crate, UV=bulk/loose, GP=DB-iron-barred box, FA=barrel,
BU=Bundle, KB=customer’s own container, ST=piece IP=Industrial palette)
Dangerous goods
no
Freight payer:
Sender
Provide insurance of goods in transit?
Value of goods
EUR
yes
class:
Addressee
yes
packaging group:
Consignor
no
UN:
Other
(If no value is mentioned, we will assume a gross value of EUR 30,00 per kg)
Delivery as: (please choose only 1)
Groupage (standard run time)
Express System Plus
Fixed date
Sender’s order no.:
Pick-up address
(sender)
Company:
Street:
Postal Code/Location:
Contact person:
Phone:
Loading time
Advise pick-up:
Adressee:
Company:
Street:
Postal Code/Location:
Attn.:
Advise delivery:
Lifting ramp:
Deadline delivery until:
Lifting ramp
Phone:
agreed freight: EUR
Specialties:
We operate exclusively in accordance with the latest version of the Allgemeinen Deutschen Spediteurbedingungen - ADSp - (German Forwarders' General Terms and Conditions of Trading). These limit in paragraph 23 ADSp the legal liability for damage to goods in the case of damage to goods
whilst in the care of a forwarder to ? 5/kg, in accordance with § 431 of the German Commercial Code (HGB); in the case of multimodal transports, including sea transport to 2 SDR (special drawing rights)/kg plus, in addition, per damage or event to 1 Million or 2 Millions respectively, or 2 SDR/kg
whichever is the greater.
The parties agree subsidiary that(1) clause 27 ADSp does neither extend. The liabilitiy nor the responsibility of the forwarder for agents, servants, employees or Crewmembers beyond legal regulations as Art. 507 HGB. Art.25 MC, Art 36 CIM. Art 20,21 CMNI for the benefit of the principal, (2) the
freight forwarder as a sea carrier is only liable four fault of his own part in case of risks provided in Art.512 paragraph 2 no. 1 HGB such as default in navigation of the ship or fire on board and (3) the freight forwarder as a carrier defined in CMNI is relieved of liability in compliance with the
requirements provided in Art. 25 paragraph 2 CMNI such as default in navigation of the ship, fire on board or defects of vessel.
as per July 31, 2014 sgu