Information Form For Certain Agreements By Or Among Ocean Common Carriers (United States)
This is an information form for agreements by or among ocean common carriers. The form provided here is simply a sample of what the actual form looks like.
INFORMATION FORM FOR CLASS C AGREEMENTS AND INSTRUCTIONS
FEDERAL MARITIME COMMISSION
Information Form For Certain Agreements By Or Among Ocean Common Carriers
Agreement Number ____________________________ (Assigned by FMC)
Part I Agreement Name: ____________________________
Part II Other Agreements
List all effective agreements covering all or part of the geographic scope of this agreement, whose parties include one or more of the parties to this agreement.
Part III Port Service
For each port within the entire geographic scope of the agreement, state the number
of port calls by each of the parties over the most recent 12-month period for which complete data are available. The information should be provided in the format below.
Time Period
Carrier A
Port ____________________________
Port ____________________________
Port ____________________________
Carrier B
Port ____________________________
Port ____________________________
Port ____________________________
Carrier C
Port ____________________________
Port ____________________________
Port ____________________________
Etc. . .
Also, for each party, indicate any planned change in the nature or type of service (such as base port designation, frequency of vessel calls, use of indirect rather than direct service, etc.) to be effected at any port within the entire geographic scope of the agreement after the effective date of the agreement.
Part IV
(A) Identification of Person(s) to Contact Regarding the Information Form
(1) Name ____________________________
(2) Title ____________________________
(3) Firm Name and Business ____________________________
(4) Business Telephone Number ____________________________
(5) Cable Address, Telex or Fax Number ____________________________
(B) Identification of an Individual Located in the United States Designated for the Limited Purpose of Receiving Notice of an Issuance of a Request for Additional Information or Documents (see 46 CFR 572.606).
(1) Name ____________________________
(2) Title ____________________________
(3) Firm Name and Business ____________________________
(4) Business Telephone Number ____________________________
(5) Cable Address, Telex or Fax Number ____________________________
(C) Certification
This Information Form, together with any and all appendices and attachments thereto, was prepared and assembled in accordance with instructions issued by the Federal Maritime Commission. The information is, to the best of my knowledge, true, correct, and complete.
Name (please print or type) ____________________________
Title ____________________________
Relationship with parties to agreement ____________________________
Signature ____________________________
Date ____________________________
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INSTRUCTIONS FOR FILLING OUT THIS FORM
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INFORMATION FORM FOR CLASS C AGREEMENTS AND INSTRUCTIONS
All agreements between or among ocean common carriers that are Class C agreements as defined in 46 CFR 572.502(b) must be accompanied by a completed Information Form for such agreements. A complete response must be supplied to the Form. Where the filing party is unable to supply a complete response, that party shall provide either estimated data (with an explanation of why precise data are not available) or a detailed statement of reasons for noncompliance and the efforts made to obtain the required information. For purposes of the requirements of this Form, if one of the agreement signatories is a joint service operating under an effective agreement, that signatory shall respond to the Form as a single agreement party. All sources must be identified.
Part I
Part I requires a statement of the full name of the agreement as also provided under 46 CFR 572.403.
Part II
Part II requires a list of all effective agreements covering all or part of the geographic scope of the filed agreement, whose parties include one or more of the parties to the filed agreement.
Part III
Part III is concerned with the level of service at each port within the entire geographic scope of the agreement. Each agreement line is required to state the number of calls it made at each port over the most recent 12-month period for which complete data are available, and also to indicate any immediate change it plans to make in the nature or type of service at a particular port after the agreement goes into effect.
Part IV(A)
Part IV(A) requires the name, title, address, telephone number and cable address, telex or fax number of a person the Commission may contact regarding the Information Form and any information provided therein.
Part IV(B)
Part IV(B) requires the name, title, address, telephone number and cable address, telex or fax number of a person the Commission may contact regarding a request for additional information or documents.
Part IV(C)
Part IV(C) requires that a representative of the agreement lines sign the Information Form and certify that the information in the Form and all attachments and appendices are, to the best of his or her knowledge, true, correct and complete. The representative is also required to indicate his or her relationship with the parties to the agreement.