HANDLING H/U PKG.
UNITS (H/U) TYPE

1

CRT

PIECES HM

(X)

1

WEIGHT IN LBS. NMFC ITEM #
(subject to correction)

KIND OF PACKAGE, DESCRIPTION OF ARTICLES, SPECIAL MARKS AND EXCEPTIONS
(subject to correction)

UN3480, LITHIUM ION BATTERIES, 9.11, EMERGENCY GUIDE #147 1513.0 LBS

CUBE

CLASS

0606680-01

(optional)

70

Hazardous Material Package Type: Box
STEEL BOX DIMS: 63 x 87 x 33 in.
Part Number:
DANGERIOUS GOODS
DO NOT STACK PALLETS
TOTAL H/U: 1

H

MARK “X” OR “RQ” IN THE HM COLUMN TO DESIGNATE HAZARDOUS MATERIALS OR REPORTABLE QUANTITY AS DEFINED IN DOT REGULATIONS.
area code
FOR INTERNATIONAL SHIPMENTS INDICATE BROKER NAME, FAX AND PHONE NUMBERS.

800 ______________________
535-5053
HM EMERGENCY CONTACT PHONE NUMBER (_______)

AREA CODE

CUSTOMER REGISTERED W/EMERGENCY RESPONSE INFO. PROVIDER or CONTRACT #
Volvo Car USA LLC - MIS0004316
___________________________________________________________________

EEI/SED Number or Exception_____________________________ Phone # (_______) ___________________

NOTE (1) Where the rate and carrier’s liability for loss or damage may be dependent on value, shippers
must state specifically in writing the agreed or declared value of the property as follows: “The agreed
50
or declared value of the property is specifically stated by the shipper to be not exceeding________
lb
per_________.”
Note (2) liability limitation for loss or damage on this shipment shall be applicable as provided by
contract or in the current NMFC or this carrier’s governing tariffs. See FXF 100 Series Rules Tariff
for complete limited liability provisions. Carrier’s maximum standard liability is limited to $25 per pound
per package for NEW articles and $.50 per pound per package (or its equivalent in Mexican Pesos (MXN)
or Canadian Dollars (CAD), at the rate of exchange which is in effect at the place and on the date of
shipment) for USED or RECONDITIONED articles. In no case shall carrier liability exceed $100,000 per occurrence
(or its equivalent in MXN or CAD at the rate of exchange which is in effect at the place and on the date
of shipment) for NEW articles or $10,000 per occurrence (or its equivalent in MXN or CAD at the rate of
exchange which is in effect at the place and on the date of shipment) for USED or RECONDITIONED articles.
For availability and limits of excess liability coverage and applicable rates and charges, please refer to FXF 100
Series Rules Tariff. Not selecting an additional coverage option is considered to be a waiver of same and standard
liability coverage will apply.
 Articles are NEW, and require Excess Liability Coverage in the amount of _______________
oUSD o CAD oMXN per olb. or okg. Additional charges will apply.
 Articles are USED or RECONDITIONED and require Excess Liability Coverage. Additional charges will apply.
NOTE (3) Commodities requiring special or additional care or attention in handling or stowing must be so
marked and packaged as to ensure safe transportation with ordinary care. See Sec. 2(e) of NMFC Item 360.

FOR FREIGHT COLLECT SHIPMENTS

Create your next Bill of Lading online at fedex.com/us/freight/main/

AREA CODE

Broker Name__________________________________________ Fax # (_______) _____________________

Subject to Section 7 of conditions of applicable Bill of Lading. If this shipment is to be delivered to the consignee,
without recourse on the consignor, the consignor shall sign the following statement. The carrier may decline to
make delivery of this shipment without payment of freight and all other lawful charges.
Consignor Signature________________________________________________________________________

SHIPPER CERTIFICATION

I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping
name, and are classified, packaged, marked and labeled/placarded, and are in all respects in proper condition for transport
according to applicable international and national governmental regulations.
Shipper Signature____________________________________________________ Date_________________

CARRIER CERTIFICATION
Carrier acknowledges receipt of packages and required placards. Carrier certifies emergency response information
was made available and/or carrier has the DOT emergency response guidebook or equivalent document in the vehicle.
DATE

DRIVER/EMPLOYEE NUMBER

FedEx Freight

PIECE COUNT

TRAILER #

CO202/616-FXF

0023776PM

UNIFORM STRAIGHT BILL OF LADING
Terms & Conditions
Sec. 1. (a) The carrier or the party in possession of any of the property
described in this Bill of Lading shall be liable as at common law for any loss thereof or
damage thereto, except as hereinafter provided.
(b) No carrier shall be liable for any loss or damage to a shipment
or for any delay caused by an Act of God, the public enemy, the authority of law, or
the act or default of shipper. Except in the case of negligence of the carrier or party in
possession, the carrier or party in possession shall not be liable for loss, damage or
delay which results: when the property is stopped and held in transit upon request of
the shipper, owner or party entitled to make such requests; or from faulty or impassible
highway, or by lack of capacity of a highway bridge or ferry; or from a defect or vice in
the property; or from riots or strikes. The burden to prove freedom from negligence is
on the carrier or the party in possession.
Sec. 2. Unless arranged or agreed upon, in writing, prior to shipment, carrier
is not bound to transport a shipment by a particular schedule or in time for a particular
market, but is responsible to transport with reasonable dispatch. In case of physical
necessity, carrier may forward a shipment via another carrier.
Sec. 3. (a) As a condition precedent to recovery, claims must be filed in
writing with: any participating carrier having sufficient information to identify the
shipment.
(b) Claims for loss or damage must be filed within nine months after
the delivery of the property (or, in the case of export traffic, within nine months after
delivery at the port of export), except that claims for failure to make delivery must be
filed within nine months after a reasonable time for delivery has elapsed.
(c) Suits for loss, damage, injury or delay shall be instituted against
any carrier no later than two years and one day from the day when written notice is
given by the carrier to the claimant that the carrier has disallowed the claim or any
part or parts of the claim specified in the notice. Where claims are not filed or suits are
not instituted thereon in accordance with the foregoing provisions, no carrier shall be
liable, and such claims will not be paid.
(d) Any carrier or party liable for loss of or damage to any of said
property shall have the full benefit of any insurance that may have been effected, upon
or on account of said property, so far as this shall not avoid the policies or contracts
of insurance, PROVIDED, that the carrier receiving the benefit of such insurance will
reimburse the claimant for the premium paid on the insurance policy or contract.
Sec. 4. (a) If the consignee refuses the shipment tendered for delivery
by carrier or if carrier is unable to deliver the shipment, because of fault or mistake
of the consignor or consignee, the carrier’s liability shall then become that of a
warehouseman. Carrier shall promptly attempt to provide notice, by telephonic or
electronic communication as provided on the face of the Bill of Lading, if so indicated,
to the shipper or the party, if any, designated to receive notice on this Bill of Lading.
Storage charges, based on carrier’s tariff, shall start no sooner than the next business
day following the attempted notification. Storage may be, at the carrier’s option, in
any location that provides reasonable protection against loss or damage. The carrier
may place the shipment in public storage at the owner’s expense and without liability
to the carrier.
(b) If the carrier does not receive disposition instructions within 48
hours of the time of carrier’s attempted first notification, carrier will attempt to issue a
second and final confirmed notification. Such notice shall advise that if carrier does not
receive disposition instructions within 10 days of that notification, carrier may offer the
shipment for sale at a public auction and the carrier has the right to offer the shipment
for sale. The amount of sale will be applied to the carrier’s invoice for transportation,
storage and other lawful charges. The owner will be responsible for the balance of
charges not covered by the sale of the goods. If there is a balance remaining after all
charges and expenses are paid, such balance will be paid to the owner of the property
sold hereunder, upon claim and proof of ownership.

(c) Where carrier has attempted to follow the procedure set forth
in subsections 4(a) and (b) above and the procedure provided in this section is not
possible, nothing in this section shall be construed to abridge the right of the carrier
at its option to sell the property under such circumstances and in such manner as may
be authorized by law. When perishable goods cannot be delivered and disposition is
not given within a reasonable time, the carrier may dispose of property to the best
advantage.
(d) Where a carrier is directed by consignee or consignor to unload
or deliver property at a particular location where consignor, consignee, or the agent of
either, is not regularly located, the risk after unloading or delivery shall not be that of
the carrier.
Sec. 5. (a) In all cases not prohibited by law, where a lower value than the
actual value of the said property has been stated in writing by the shipper or has been
agreed upon in writing as the released value of the property as determined by the
classification or tariffs upon which the rate is based, such lower value plus freight
charges if paid shall be the maximum recoverable amount for loss or damage, whether
or not such loss or damage occurs from negligence.
(b) No carrier hereunder will carry or be liable in any way for any
documents, coin money, or for any articles of extraordinary value not specifically rated
in the published classification or tariffs unless a special agreement to do so and a
stipulated value of the articles are endorsed on this bill of lading.
Sec. 6. Every party, whether principal or agent, who ships explosives or
dangerous goods, without previous full written disclosure to the carrier of their nature,
shall be liable for and indemnify the carrier against all loss or damage caused by such
goods. Such goods may be warehoused at owner’s risk and expense or destroyed
without compensation.
Sec. 7. (a) The consignor or consignee shall be liable for the freight and
other lawful charges accruing on the shipment, as billed or corrected, except that
collect shipments may move without recourse to the consignor when the consignor
so stipulates by signature or endorsement in the space provided on the face of the Bill
of Lading. Nevertheless, the consignor shall remain liable for transportation charges
where there has been an erroneous determination of the freight charges assessed,
based upon incomplete or incorrect information provided by the consignor.
(b) Notwithstanding the provisions of subsection (a) above, the
consignee’s liability for payment of additional charges that may be found to be due after
delivery shall be as specified by 49 U.S.C. §13706, except that the consignee need not
provide the specified written notice to the delivering carrier if the consignee is a for-hire
carrier.
(c) Nothing in this Bill of Lading shall limit the right of the carrier to
require the prepayment or guarantee of the charges at the time of shipment or prior to
delivery. If the description of articles or other information on this Bill of Lading is found
to be incorrect or incomplete, the freight charges must be paid based upon the articles
actually shipped.
Sec. 8. If this Bill of Lading is issued on the order of the shipper, or his agent,
in exchange or in substitution for another Bill of Lading, the shipper’s signature on the
prior Bill of Lading or in connection with the prior Bill of Lading as to the statement of
value or otherwise, or as to the election of common law or Bill of Lading liability shall
be considered a part of this Bill of Lading as fully as if the same were written on or made
in connection with this Bill of Lading.
Sec. 9. If all or any part of said property is carried by water over any part of
said route, such water carriage shall be performed subject to the terms and provisions
and limitations of liability specified by the “Carriage of Goods By Sea Act” and any
other pertinent laws applicable to water carriers.

COMMERCIAL INVOICE

This invoice must be completed in English.
EXPORTER:

1
1
Page _______
of _______

Ship Date:

Tax ID#: EIN
Contact Name:

105557987RM0001
Air Waybill No. / Tracking No.:

Telephone No.:
E-Mail:

Invoice No.:

Purchase Order No.:

Payment Terms:

Bill of Lading:

Company Name/Address:

PREPAID FedEx Acct 466499900
Purpose of Shipment:
OTHER (PLEASE SPECIFY)

Used Defective Auto Part.

Country/Territory: Canada
Parties to Transaction:

✔

Related

Non-Related
SOLD TO
TO /(ifIMPORTER
different from
Consignee):
SOLD
(if different
from Consignee):

CONSIGNEE:
Tax ID#: EIN
Contact Name: Stacy Trott
Telephone No.: 866-327-0318

47-490375000

Same as CONSIGNEE:
Tax ID#:

E-Mail: [email protected]
Company Name/Address:

Company Name/Address:

Volvo Car USA LLC
Global Battery Solutions (GBS)
581 Ottawa Ave, Suite 100
Holland, MI 49423
Country/Territory: United States

Country/Territory:

If there is a designated broker for this shipment, please provide contact information.

[email protected]
Expeditors
734-229-1758
Name of Broker ____________________________________________________
Tel. No. __________________________
Contact Name ____________________________________________
___
Duties and Taxes Payable by

Exporter

No. of
Packages

No. of
Units

Net Weight

Unit of
Measure

1

1

1513.0

(LBS / KGS)

Total
Pkgs

Total
Units

Total Net
Weight

1

1

1,513

LBS

(Indicate
LBS/KGS)

LBS

Consignee

✔

Other

Volvo Car US c/o Williams & Associates ACCT# 466499900
If Other, please specify _______________________________________________________________________

Description of Goods

UN 3480, Lithium Ion Batteries, 9.11
DANGEROUS GOODS
Emergency Guide #147, CLASS 9
Dimensions: 68" L X 81" W X 32" H

Total Gross
Weight

1513

(Indicate
LBS/KGS)

Terms
of Sale:

Harmonized
Tariff Number

8538.90

Country of
Manufacture

KR

FCA=Free Carrier

Total
Value

Unit
Value

22,939.00

22,939.00

0.00

0.00

0.00

0.00

0.00

0.00

Subtotal:

LBS

Special Instructions:

22,939.00

Insurance:

0.00

Freight:

0.00

Packing:

0.00

Handling:

0.00

EMERGENCY PHONE NUMBER - CONTACT: CHEMTREC - 800-424-9300

Declaration Statement(s):

Other:

0.00
I declare that all the information contained in this invoice to be true and correct.

Invoice Total:

Originator or Name of Company Representative if the invoice is being completed on behalf of a company or individual:

Currency Code:

22,939.00
USD

Date:
Signature / Title / Date:
REV. 04.10.13-1.08

1234569
CUSTOMER #: 1234569

WARRANTY

SAMPLE REPAIR ORDER
HOME:
BUS:

COLOR

YEAR

PAGE 2

CONT:N/A
CELL:

SERVICE ADVISOR: 56 John Wayne