Customs Power Of Attorney/designation As Export Forwarding Agent Form And Acknowledgement Of Terms And Conditions (Page 2 of 6) in pdf

This power of attorney is to remain in full force and effect until revocation in writing is duly given to and received by the

District Director of Customs and Panalpina. (If the donor of this power of attorney is a partnership, the said power shall

in no case have any force or effect in the Territory after the expiration of two (2) years from the date of its execution);

Grantor hereby acknowledges that no “Insurance” coverage is effected except upon express instructions given in

writing by the customer and all insurances effected by Panalpina are subject to the usual exceptions and conditions of

the policies of the insurance company or underwriters taking the risk, and/or as stated on the insurance certificates.

Grantor hereby acknowledges and agrees that Panalpina has a perfected security interest in the assets of the Grantor

in an amount equal to all monies advanced by Panalpina on its behalf. Grantor further authorizes Panalpina to take all

steps necessary to execute all required documents, and to record this interest.

Appointment as Forwarding Agent: Grantor authorizes Panalpina to act within the Territory as lawful agent and sign or

endorse export documents (i.e., commercial invoices, bills of lading, insurance certificates, drafts and any other

document), necessary for the completion of an export on Grantor’s behalf as may be required under law and regulation

in the Territory and to appoint Forwarding Agents on Grantor’s behalf. Grantor authorizes Panalpina to endorse or

negotiate any draft, check, or warrant drawn to the order of the Grantor in connection with the exportation of any

commodity shipped, consigned or forwarded by the Grantor.

All shipments are handled pursuant to the Terms and Conditions of Service and the Panalpina applicable House

Ocean Bills of Lading and Air Waybills. The said Terms are incorporated herein and made part of this Agreement and

shall be binding upon the Customer.

Grantor acknowledges receipt of Panalpina’s Terms and Conditions of Service and the Panalpina applicable House

Ocean Bills of Lading and Air Waybill. If the Grantor is a Limited Liability Company, the signatory certifies that he/she

has full authority to execute this power on behalf of the Grantor.

IN WITNESS WHEREOF, the said

caused these presents to be sealed and signed.

Witness:

_____________________________

Signature:

Print Name:

Capacity:

Date:

If you are the importer of record, payment to the broker will not relieve you of liability for U.S. Customs charges

(duties, taxes or other debts owed Customs) in the event the charges are not paid by the broker. Therefore, if you

pay by check, Customs charges may be paid with a separate check payable to the “U.S. Customs Service” which

shall be delivered to Customs by the broker. Importers who wish to utilize this procedure must contact our office in

advance to arrange timely receipt of duty checks.

UN009 01/09

Customs Power Of Attorney/designation As Export Forwarding Agent Form And Acknowledgement Of Terms And Conditions Page 2