Post on 23-Feb-2022
transcript
BINDING ESTIMATE OF COST
MILBURN PRINTING • 800-999-6690 • www.milburnprinting.com FORM # 983 Rev. 4/12
Remarks:
NOTE TO CUSTOMER: Packing containers and materials are your property. The unpacking service includes removal of these items unless you direct otherwise. An additional charge may be assessed for disposal of packing materials from items unpacked by shipper or carrier on a date other than at delivery time.
MILBURN PRINTING • 800-999-6690 • www.milburnprinting.com
Packing Date Requested Loading Date Requested Delivery Date or Daily Allowanceperiod of time requested
(SIGNATURE & TITLE OF ESTIMATOR)
DATE ________________________________________________
Name of shipper ______________________________________________________________________________ Phone No. ____________________________________________
Address of shipper ____________________________________________________________________________ Zip code ______________________________________________
Shipment moving from ______________________________________________to ________________________________________________________________________________
Shipper's destination contact ____________________________________________________________________Phone No. ____________________________________________
TOTAL COST
SERVICES (AS APPLICABLE) CHARGESTransportation FROM TO
Origin/Destination Fee
Fuel Surcharge
Containers, Packing & Unpacking
Storage-In-Transit at Location_____________
Date In_____________ Date Out___________
SIT Pickup and Delivery
Extra Pickups or Deliveries No.____________ at ______________
Extra Labor, Special Services or Waiting Time
Bulky Articles
Additional Weight Additives
Advanced Charges
Shuttle Service
Self-Storage/Mini-Warehouse Pickups or Deliveries
Overtime Pickups or Deliveries
Other Additional Services
DISH PACKS
CARTONS Less Than 3 cft.
CARTONS 3 cft.
CARTONS 4.5
CARTONS 6
CARTONS 6.5
WARDROBE, CTN.
CRIB MATTRESS CTN.
MATTRESS CTN., TWIN/TWIN LONG
MATTRESS CTN., DOUBLE (NOT EXCEEDING 54" X 75")
MATTRESS CTN., KING/QU. (EXCEEDING 54" X 75")
HEAVY DUTY
OTHER
OTHER
TOTAL CONTAINERS & PACKING $ TOTAL UNPACKING $
FULL SERVICE CONTAINERS & PACKING $ UNPACKING $
CUSTOM SERVICE CONTAINERS & PACKING UNPACKING
CARTON DESCRIPTION QUANTITY QUANTITY
FULL AND CUSTOM CONTAINER SERVICE (AS APPLICABLE)
Warning: If a moving company loses or damages your goods, there are 2 different standards for the company’s liability based on the types of rates youpay. BY FEDERAL LAW, THIS FORM MUST CONTAIN A FILLED-IN ESTIMATE OF THE COST OF A MOVE FOR WHICH THE MOVING COMPANY IS LIABLEFOR THE FULL (REPLACEMENT) VALUE OF YOUR GOODS in the event of loss of, or damage to, the goods. This form may also contain an estimate of thecost of a move in which the moving company is liable for FAR LESS than the replacement value of your goods, typically at a lower cost to you. You willselect the liability level later, on the bill of lading (contract) for your move. Before selecting a liability level, please read “Your Rights and ResponsibilitiesWhen You Move,” provided by the moving company, and seek further information at the government website “www.protectyourmove.gov.”NOTE: For shipments with origin/destination in California; Customer agrees that title to all packing materials and other property sold to customer passes to customer prior to the transportation of such property tothe customer by carrier. The sale price of the containers and container material is $_____________. This sale price is included in the total packing service charge.
FOR BINDING ESTIMATES: This binding estimate represents the charges for only those serviceslisted hereon. Charges for any additional services will be added to the binding estimate price. You maybe billed for these additional charges 30 days after delivery. The total amount to be paid at delivery
is $___________. Payment to be made C.O.D. in cash, certified check or money order. (SIGNATURE OF SHIPPER OR HIS REPRESENTATIVE) DATE
This cost estimate includes Full Value Protection based on a valuation amount equal to $6.00 multiplied by the weight (in pounds) of your shipment, sub-ject to a minimum valuation amount of $6000. If you wish to declare a higher value for your shipment than the minimum amounts, that amount mustbe shown here:
The Value of my Shipment is $ ________________________________ and the cost of Full (Replacement) Value Protection based on the value I have declared will be included in my total charges.
If you wish to waive Full Value Protection and choose a lower level of protection, the estimated cost of your move will be less. This is the estimated costof your move WITHOUT Full Value Protection: $ _________________________
TABLE OF MEASUREMENTS
(CARBON MUST BE REMOVED BEFORE STARTING TABLE OF MEASUREMENTS)
LIVING ROOM
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Bar, Portable 15Bench, Frsd/Piano 5Bookcase 20Bookshelves, Sect. 5Cabinet, Curio 10Chair, Straight 5Chair, Arm 10Chair, Rocker 12Chair, Occasional 15Chair, Overstuffed 25Chest, Cedar 15Clock, Grandfather 20Day Bed 30Desk, SM/Winthrop 22Desk, Secretary 35Fireplace Equip. 5Footstool 2Hall Tree Rack 2Hall Tree Large 12Lamp, Floor 3Lamp, Pole 3Magazine Rack 2Music Cabinet 10Piano, Baby Gr/Upr 70Piano, Parlor Gr. 80Piano, Spinet/Console 60Radio, Table 2Rec. Player, Port. 2Rugs, Lg. Roll/Pad 10Rugs, Sm. Roll/Pad 3Sofa, Rattan/Wicker 10Sofa, Sec., Per Sec. 30Sofa, Loveseat 35Sofa, 3 Cushion 50Sofa, Hide, 4 Cush. 60Stereo Component 8Stereo, Console 15Tables, Dropl/Occas 12Tables, Coffee 5Tables, End 5Telephone Stand 5TV, Bigscreen 40TV, Portable 5TV, Table Model 10TV, Console 15TV, Combination 25TV, Stand 3Trunk 5
Bench, Harvest 10Buffet (Base) 30Hutch (Top) 20Cabinet, Corner 20Dining Table 30Dining Chair 5Server 15Tea Cart 10Rugs, Large or Pad 10Rugs, Small or Pad 3
Bed Incl Sp/MattBed Rollaway 20Bed, Single/Hollywood 40Bed, Std/Dbl. 60Bed, Queen 65Bed, King 70Bed, Bunk (Set 2) 70Bookshelves, Sect. 5Chair, Boudoir 10Chair, Str/Rocker 5Chaise Lounge 25Chest, Bachelor 12Chest, Cedar 15Chest, Armoire 30Desk, SM/Winthrop 22Dresser/Vanity Bch 3Dresser, Vanity 20Dresser, Single 30Dresser, Double 40Dresser, Triple 50Exercise Bike 10Lamp, Floor 3Night Table 5Rug, Large or Pad 10Rug, Small or Pad 3Wardrobe, Small 20Wardrobe, Large 40Waterbed 20
Bathinette 5Bed, Youth 30Chair, Childs 3Chair, High 5Chest 12Chest, Toy 5Crib, Baby 10Table, Childs 5Playpen 10Rug, Large or Pad 10Rug, Small or Pad 3
AirCond/Wind. Sm. 15AirCond/Wind. Lg. 20Dehumidifier 10Dishwasher 20FreezerFreezer 10 or less 30Freezer 11 to 15 45Freezer 16 or Over 60Range 20” Wide 10Range 30” Wide 15Range 36” Wide 30Refrigerator (CuCp)Ref. 6 cu. ft. or less 30Ref. 7 to 10 cu. ft. 45Ref. 11 cu. ft./over 60Trash Compactor 15Vacuum Cleaner 5Washing Machine 25Dryer 25
Bkft. Suite, Chairs 5Breakfast Table 10Chair, High 5Ironing Board 2Kitchen Cabinet 30Microwave Oven 10Serving Cart 15Stool 3Table 5Utility Cabinet 10
BBQ Grill, Small 2BBQ Grill, Large 10Chairs, Aluminum 1Chairs, Metal 3Chairs, Wood 5Gard. Hose & Tools 10Glider or Settee 20Ladder, 6’ Step 3Ladder, 8’ Metal 2Ladder, Extension 8Lawn Mower, Hand 5Lawn Mower, Power 15Lawn Mower, Riding (HP) 35Lawn Edger 3Leaf Sweeper 5Outdoor Child Slide 10Outdoor Child Gym 20Outdoor Dry. Racks 5Outdoor Swings 30Picnic Table 20Picnic Bench 5Roller, Lawn 15Rug, Large 7Rug, Small 3Sand box 10Spreader 2Table, Small 2Table, Large 4Umbrella 5Wheelbarrow 8
Baby Carriage 4Barbells lbs.Basket (Clothes) 5Bicycle 5Tricycle 2Bowling Ball/Bag 3Card Table 2Folding Chairs 1Clothes Hamper 5Cot, Folding 10Desk, Office 10Fan 5Fern/Plant Stands 2Filing Cab. Crdbd. 3Filing Cab. 2 door 10Filing Cab. 4 door 20Footlockers 5Game Table 15Golf Bag 4Heater, Gas/Elec. 5Metal Shelves 5Personal Computer 4Monitor 4Printer 3Ping Pong Table 40Pool Table Comp. 40Pool Table Slate 100Power Tool Hand Ea. 3Power Tool Stand 15Sewing Mach., Port 10Sewing Mach., Console 10Sewing Mach., w/Cabinet 20Sled 2Suitcase 5Table, Utility 5Tackle Box 1Tire 3Tire w/Rim 5Toolchest, Small 5Toolchest, Medium 10Toolchest, Large 15Trash Can 7Wagon, Child’s 5Wastepaper Basket 2Work Bench 20
Total Col. 1
Total Col. 2
WEIGHT ADDITIVE
Total
PCS CUBE
Total This Column
Total Col 1
Total Col 2
Total Cartons
Total
Carr. Own. Tot. TotCarton Pack. Pack. Ctn. Cb. Cb.
Dish-pack 101010
Carton 1.5 1.51.51.5
Carton 3.0 3.03.03.0
Carton 4.5 4.54.54.5
Carton 6.0 6.06.06.0
Wardrobe 10Crib MattressSingle MattressDbl. MattressQn/Kg. MattressMirror CartonCrates
Enter item and cube under “Miscellaneous” inaddition to completing below:
Boat Linear Ft. x 115 = lbs.
Boat Trlr. Lin. Ft. x 75 = lbs.
Sailboat Lin. Ft. x 125 = lbs.
Total Wt. Additive
Only the items listed are included in the Total Cost.Any items or additional services added may result inadditional cost.
Shipper Date
Carrier’s Representative
Wt. Factor (lbs/cu. ft.)
Computed Est. Wt.
Total Wt. Additive
Total Est. Weight
KITCHEN
MISC.
Porch & OutdoorBEDROOM
NURSERY
DINING ROOM
APPLIANCES