VEHICLE

Year *   Make *  
Last 6 of the VIN# *   Model *  
ADDITIONAL FEES AND CHARGES: VALUE OF VEHICLE * $
INSURANCE: 2.0% or $200 whichever is lower ACCEPT

SHIPPER
US citizen / business
Tax-ID / Social Security#
Company Name
First Name *
Last Name *
Address *
City *
State (US only)
Province
Country *
Zip
Email *
Phone *
Fax

CONSIGNEE
First Name *
Last Name *
Passport Number
Address *
City *
State (US only)
Province
Country *
Zip
Email *
Phone *
Fax

SEND TITLE / BOL TO: (FEDEX FEE WILL BE ADDED)
Bill of Lading
First Name *
Last Name *
Address *
City *
State (US only)
Province
Country *
Zip

NOTIFY PARTY
Notify Party
First Name *
Last Name *
Address *
City *
State (US only)
Province
Country *
Zip

COMMENTS
HOLD HARMLESS FORM
I HAVE BEEN ADVISED OF THE AVAILABILITY OF ADDITIONAL
INSURANCE. I DO NOT WANT TO PURCHASE THIS INSURANCE. IF THERE IS NO INSURANCE
PURCHASED, I ACKNOWLEGE THAT WEST COAST SHIPPING HAS THE LIMIT OF LIABILITY ONLY FOR $400.00 PER VEHICLE.

RULES & REGULATIONS
AND
POWER OF ATTORNEY FOR PREPARATION OF EXPORT DOCUMENTATION
THE EXPORTER AUTHORIZES THE ABOVE NAMED FORWARDER TO ACT AS A FORWARDING AGENT FOR EXPORT CONTROL AND CUSTOMS PURPOSES.
I CERTIFY THAT ALL STATEMENTS MADE AND ALL INFORMATION CONTAINED IN THE EXOPRT DOCUMENTS IS TRUE AND CORRECT. I UNDERSTAND THAT CIVIL AND CRIMINAL PENALTIES, INCLUDING FORFEITURE AND SALE MAY BE IMPOSED FOR MAKING FALSE OR FRAUDULENT STATEMENTS HEREIN, FAILING TO PROVIDE THE REQUESTED INFORMATION OR FOR VIOLATION OF U.S. LAWS ON EXPORTATION. (13 U.S.C. SEC 305; 22 U.S.C. SEC 401; 18 U.S.C. SEC 1002: 50 U.S.C. APP 2410)
ALL EXPORT SHIPMENTS ARE SUBJECT TO INSPECTION BY U.S. CUSTOMS SERVICE AND OR OFFICE OF EXPORT ENFORCEMENT. IT IS THE RESPONSIBILITY OF THE EXPORTER TO MAKE THE CARGO AVAILABLE AND TO BEAR THE COSTS EXPORT EXAMINATION PERFORMED BY U.S. CUSTOMS.

CUSTOMER SHOULD EXAMINE ALL DOCUMENTS AT THE TIME OF RECEIPT. West Coast Shipping IS NOT RESSPONSIBLE FOR THE POSSIBLE CONSEQUENCES OF MISTAKES OR INCORRECT INFORMATION.
CUSTOMER IS NOT ALLOWED IN THE WAREHOUSE WITHOUT OBTAINING AUTORIZATION.
ONCE SHIPMENT HAS BEED RECEIVED, CUSTOMER WILL NOT BE ALLOWED TO REMOVE THE GOODS WITHOUT PAYING IN AND OUT CHARGES OF $75 PER CAR OR $25 CUBIC METER FOR ALL OTHER CARGO.
STORAGE:
STORAGE IN West Coast Shipping IS FREE FOR ONE WEEK PERIOD AND ONLY AS LONG AS West Coast Shipping WILL BE THE SHIPPING COMPANY FOR YOUR CARGO. IF NOT:
AUTOS STORED INSIDE WAREHOUSE $15 PER DAY (EFFECTIVE FROM DELIVERY)
AUTOS STORED OUTSIDE WAREHOUSE $10 PER DAY (EFFECTIVE FROM DELIVERY)
ALL NON DRIVABLE VEHICLES OR NO KEYS $50 PER VEHICLE
IF STORAGE IS NOT PAID FOR, West Coast Shipping WILL HAVE THE GOODS DISPOSED OF ACCORDING TO CALIFORNIA LAW AND HOLD THE SHIPPER RESPONSIBLE FOR ALL EXPENSES.
West Coast Shipping IS NOT RESPONSIBLE FOR LOSS OR DAMAGE TO YOUR CARGO WHILE AT TRANSIT AND UPON ARRIVAL AT PORT OF DESTINATION. West Coast Shipping WILL NOT BE HELD RESPONSIBLE FOR LOSS OF ANY ITEMS AND ANY DAMAGES TO YOUR CARGO AT DESTINATION AGENT’S WAREHOUSE OR PORT OF UNLOADING. AT THE TIME OF LOADING West Coast Shipping OFFERS THE SHIPPER MARINE INSURANCE TO COVER LOSS OR DAMAGE WHILE CARGO IS IN TRANSIT. SHOULD LOSS OR DAMAGE OCCUR, SHIPPER ONLY HAS RECOURSE AGAINST THE INSURANCE CARRIER AND NOT West Coast Shipping.
PRICES OF SHIPPING ARE SUBJECT TO CHANGE WITHOUT NOTICE DEPENDING ON CARIER RATE INCREASES OR DIFFERENCES IN CUSTOMER INFORMATION AND ACTUAL CARGO; CUSTOMER MUST CONFIRM THE SHIPPING RATE WITH West Coast Shipping AT THE TIME OF CONTAINER BOOKING. West Coast Shipping REQUIRES A FULL PAYMENT AT THE TIME OF LOADING OR AT LATEST WHEN SHIP SAILS. IF THE PAYMENT IS NOT RECEIVED IN TIME, SHIPMENT WILL BE HELD AND THE SHIPPER WILL BE HELD RESPONSIBLE FOR ALL DEMURRAGE, STORAGE AND DETENTION CHARGES. WCS WILL NOT BE HELD RESPONSIBLE FOR ANY DELAYS IN TRANSIT TIME. BY SIGNING THIS FORM, SHIPPER AGREES TO TERMS OF THE West Coast Shipping INVOICE AND BILL OF LADING OR AIRWAY BILL.
I HAVE READ AND AGREE WITH ALL OF THE ABOVE.
   1065 Broadway Avenue, San Pablo, CA 94806  |   ph. 510.236.3008  |   fax. 510.236.1660  |   e-mail. contactus@wcshipping.com