moving - south carolina

XMS TARIFF NO. 1

MOVING

XTREME MOVING & STORAGE, LLC d/b/a XTREME MOVING

MOTOR FREIGHT TARIFF NO. 1

INTRASTATE AND LOCAL RATES

APPLYING ON

HOUSEHOLD GOODS

TRAFFIC HAVING ORIGIN, DESTINATION AND ENTIRE TRANSPORTATIONWITHIN THE STATE OF SOUTH CAROLINA

HOUSEHOLD GOODS TARIFF

EFFECTIVE" TBD

ISSUED BY:

XTREME MOVING & STORAGE, LLCd/b/a XTREME MOVING

RICK HOOKER GENERAL MANAGER

PHYSICAL ADDRESS:

5295 CHESNEE HIGHWAY, CHESNEE, SC 29323

MAILING ADDRESS

PO BOX 752 HOSCHTON, GA 30548

PHONE 864-461-2566 EMAIL: [email protected]

Communication and questions regarding this tariff should be addressed to Xtreme Moving & Storage, LLC General Manager at theaddress listed above.

XMS TARIFF NO. 1

XTREME MOVING 8 STORAGE, LLC d/b/a XTREME MOVING

MOTOR FREIGHT TARIFF NO. 1

INTRASTATE AND LOCAL RATES

APPLYING ON

HOUSEHOLD GOODS

TRAFFIC HAVING ORIGIN, DESTINATION AND ENTIRE TRANSPORTATIONWITHIN THE STATE OF SOUTH CAROLINA

HOUSEHOLD GOODS TARIFF

EFFECTIVE: TBD

ISSUED BY:

XTREME MOVING 8 STORAGE, LLCd/b/a XTREME MOVING

RICK HOOKER GENERAL MANAGER

PHYSICAL ADDRESS:5295 CHESNEE HIGHWAY, CHESNEE, SC 29323

MAILING ADDRESSPO BOX?52 HOSCHTON, GA 30548

PHONE 864-46 I-2566 EMAIL."[email protected]

Communication and questions regarding this tariff should be addressed to Xtretne Moving & Storage, LLC General Manager at the

address listed above.

XMS TARIFF NO. 1TABLE OF CONTENTS

TABLE OF CONTENTS PAGE 2

ABBREVIATIONS PAGE 3

RULES & REGULATIONS RULE PAGES 4 - 9

MILE & TIME CALCULATION FOR INTRASTATE SERVICE RULE 1EXTRA PICK-UP OR DELIVERY RULE 2CONSOLIDATED SHIPMENTS RULE 3LOADING AND UNLOADING RULE 4VALUATION CHARGE RULE 5MARKING AND PACKING RULE 6COMPLETE ARTICLE RULE 7ARTICLES OF HIGH OR EXTRAORDINARY VALUE RULE 8ARTICLES LIABLE TO CAUSE DAMAGE RULE 9INSPECTION OF ARTICLES RULE 10HANDLING OF HEAVY ARTICLES RULE 11STORAGE-IN-TRANSIT RULE 12ATTEMPTED DELIVERY RULE 13CLAIMS RULE 14PAYMENTS RULE 15HOURLY RATES RULE 16MINIMUM CHARGE FOR INTRASTATE MOVES RULE 17REISSUED ITEMS OR PAGES RULE 18SERVICING SPECIAL ARTICLES RULE 19IMPRACTICAL PICK-UP OR DELIVERY AND AUXILIARY SERVICES RULE 20HOISTING OR LOWERING RULE 21RIGGING SERVICE RULE 22COMMODITY DESCRIPTION RULE 23LIMITATION OF LIABILITY ON READY TO ASSEMBLE FURNITURE RULE 24HOILDAYS RULE 25XTREME MOVING DOES NOT MOVE RULE 26SENIOR CITIZEN & MILITARY DISCOUNT RULE 27FUEL SURCHARGE RULE 28ADDITIONAL CHARGES RULE 29

PAGE 4PAGE 4PAGE 4PAGE 4PAGE 4PAGE 5PAGE 5PAGE 5PAGE 5PAGE 5PAGE 5PAGE 5PAGE 6PAGE 7PAGE 7PAGE 7PAGE 7PAGE 8PAGE 8PAGE 8PAGE 8PAGE 8PAGE 9PAGE 9PAGE 9PAGE 9PAGE 9PAGE 9PAGE 9

RATES AND CHARGES PAGE 10

ACCESSORIAL SERVICES PAGE 11

SUPPORTING PAPERWORK PAGES 12 - 20

•HOUSEHOLD GOODS HOURLY ESTIMATE COST OF SERVICESHOUSEHOLD GOODS INTRASTATE ESTIMATE COST OF SERVICESCOMBINED UNIFORM HOUSEHOLD GOODS BILL OF LADING & FREIGHT BILLADDENDUM TO UNIFORM HOUSEHOLD GOODS BILL OF LADING - APREVIOUS DAMAGE NOTIFICATIONDESCRIPTIVE INVENTORYADDENDUM TO UNIFORM HOUSEHOLD GOODS BILL OF LADING - B

CHANGE OF SERVICEDAMAGE REPORT

PAGE 12PAGE 13PAGE 14PAGE 15PAGE 16PAGE 17PAGE 18PAGE 19PAGE 20

XMS Tariff# 1, Effective: TBD

2

XMS TARIFF NO. 1

TABLE OF CONTENTS

TABLE OF CONTENTS PAGE 2

ABBREVIATIONS PAGE 3

RULES 8 REGULATIONS RULE PAGES 4 - 9

MILE & TIME CALCULATION FOR INTRASTATE SERVICEEXTRA PICK-UP OR DELIVERYCONSOLIDATED SHIPMENTSLOADING AND UNLOADINGVALUATION CHARGEMARKING AND PACKINGCOMPLETE ARTICLEARTICLES OF HIGH OR EXTRAORDINARY VALUEARTICLES LIABLE TO CAUSE DAMAGEINSPECTION OF ARTICLESHANDLING OF HEAVY ARTICLESSTORAGE-IN-TRANSITATTEMPTED DELIVERYCLAIMSPAYMENTSHOURLY RATESMINIMUM CHARGE FOR INTRASTATE MOVESREISSUED ITEMS OR PAGESSERVICING SPECIAL ARTICLESIMPRACTICAL PICK-UP OR DELIVERY AND AUXILIARY SERVICESHOISTING OR LOWERINGRIGGING SERVICECOMMODITY DESCRIPTIONLIMITATION OF LIABILITY ON READY TO ASSEMBLE FURNITUREHOIL DAYSXTREME MOVING DOES NOT MOVESENIOR CITIZEN & MILITARY DISCOUNTFUEL SURCHARGEADDITIONAL CHARGES

RULE 1

RULE 2RULE 3RULE 4RULE 5RULE 6RULE 7RULE 8RULE 9RULE 10RULE 11

RULE 12RULE 13RULE 14RULE 15RULE 16RULE 17RULE 18RULE 19RULE 20RULE 21RULE 22RULE 23RULE 24RULE 25RULE 26RULE 27RULE 28RULE 29

PAGE 4PAGE 4PAGE 4PAGE 4PAGE 4PAGE 5PAGE 5PAGE 5PAGE 5PAGE 5PAGE 5PAGE 5PAGE 6PAGE 7PAGE 7PAGE 7PAGE 7PAGE 8PAGE 8PAGE 8PAGE 8PAGE 8PAGE 9PAGE 9PAGE 9PAGE 9PAGE 9PAGE 9PAGE 9

RATES AND CHARGES PAGE 10

ACCESSORIAL SERVICES PAGE 11

SUPPORTING PAPERWORK PAGES 12 - 20

HOUSEHOLD GOODS HOURLY ESTIMATE COST OF SERVICESHOUSEHOLD GOODS INTRASTATE ESTIMATE COST OF SERVICESCOMBINED UNIFORM HOUSEHOLD GOODS BILL OF LADING & FREIGHT BILL

ADDENDUM TO UNIFORM HOUSEHOLD GOODS BILL OF LADING — A

PREVIOUS DAMAGE NOTIFICATIONDESCRIPTIVE INVENTORYADDENDUM TO UNIFORM HOUSEHOLD GOODS BILI OF LADING — B

CHANGE OF SERVICEDAMAGE REPORT

PAGE 12PAGE 13PAGE 14PAGE 15PAGE 16PAGE 17PAGE 18PAGE 19PAGE 20

XMS Tariff ¹ I, Effective: TBD

XMS TARIFF NO. 1ABBREVIATIONS AND REFERENCES

Abbreviation or Reference

AAA

A/C

ADD or ADD'IAM or am

Chg.COD

CU.

CWT

d/b/a

EA

EAN

EX.P/D

Ft.

Incl.

Lb.MF

Min.

MQNO.

O/T

P/D

PK

PM or pmPRO

SCSCPSC

SIT

TBD

W/T

XMS

Explanation

Automobile Association of America

Actual ChargeAdditional

Ante Meridian

Charge

Collect on DeliveryCubic

Per hundred Pounds

Doing Business AsEach

Except as Noted

Extra Pickup or DeliveryFoot/FeetInclusive

Pounds

Motor FreightMinimum

MapQuestNumber

Over Time

Pickup or Delivery

Packing or UnpackingPost Meridian

Promotional Rate

South CarolinaSouth Carolina Public Service Commission

Storage in TransitTo be determined

Waiting time

Xtreme Moving & Storage, LLC

d/b/a Xtreme Moving


XMS TARIFF NO. 1

ABBREVIATIONS AND REFERENCES

Abbreviation or Reference Ex ianation

AAAA/CADD or ADD'IAM or amChg.CODCu.CWTd/b/aEAEANEX.P/DFt.Incl.Lb.MFMin.MQNO.0/TP/DPKPM or pmPROSCSCPSCSITTBDW/TXMS

Automobile Association of AmericaActual ChargeAdditionalAnte MeridianChargeCollect on DeliveryCubicPer hundred PoundsDoing Business AsEachExcept as NotedExtra Pickup or DeliveryFoot/FeetInclusivePoundsMotor FreightMinimumMapQuestNumberOver TimePickup or DeliveryPacking or UnpackingPost MeridianPromotional RateSouth CarolinaSouth Carolina Public Service CommissionStorage in TransitTo be determinedWaiting timeXtreme Moving & Storage, LLCd/b/a Xtreme Moving

XMS Tariff// I, Effective: TBD

XMS TARIFF NO. 1

General Rules and Requlations

Governs all sections of this tariff unless otherwise provided within individual sections. Except as otherwise provided hereinthe rates named in this tariff include one pick-up and loading at point of origin and on delivery and unloading at point ofdestination.

Rule 1 MILEAGE AND TIME CALCULATION FOR INTRASTATE SERVICE

Calculation as otherwise provided herein by:www.mapquest.com provides calculations of mileage and time. Any dispute as to distance and time shall bereferred to the South Carolina Public Service Commission for determination.

Rule 2 EXTRA PICK-UP OR DELIVERY

Subject to Rule 3 portions of a shipment may be picked-up at one or more places en-route between origin anddestination. Charges will be for the total hours of service and transportation (if not a local shipment) or entireshipment for total distance from farthest point origin to ultimate destination. The total charges for picked-up ordelivered portions shall not, in any case exceed the total charges as would apply if computed to each portion asa separate shipment. A charge for each extra pick-up or delivery will apply (see Item 2 for application).

Rule 3 CONSOLIDATED SHIPMENTS

a, Property of two or more families or establishments located at different addresses will not be accepted fortransportation as a single shipment. Such property must be handled from each address as a separate shipmenton a separate Bill of Lading.

b. The name of only one shipper and one consignee shall appear on one Bill of Lading, but the Bill of Lading mayalso specify the name of a party to notify of the arrival of the shipment at destination.

Rule 4 LOADING AND UNLOADING

Except as otherwise provided herein, if shipment is delivered to or picked-up at a warehouse, the rates fortransportation include only the unloading or loading at door, platform, or other point convenient or accessible tothe vehicle.

Rule 5 VALUATION CHARGES

On all shipments moving under the provisions as provided for in this tariff, there are twooptions available to cover loss and/or damages.

OPTION 1: VALUATION CHARGES provided for in this item, WILL APPLY UNLESSSHIPPER EXPRESSLY RELEASES THE SHIPMENT TO A VALUE NOT TO EXCEED

SIXTY (60) CENTS PER POUND PER ARTICLE.

OPTION 2: Full value protection. This option provides coverage based on currentReplacement value at the time of loss or damage, up to the dollar amount of valuationdeclared. The additional cost is based on the actual value declared and the deductible, if

any, declared.

DECLARATIONPrior to the move, the shipper must select one of the options by completing theaddendum made a part of the shipping order and be evidenced by theirsignature and date. Should the shipper refuse to select one of the options, thecarrier will not be required to perform the move.

OPTION 1: Depreciated Value - $0.60 Per Pound No additional charge

OPTION 2: (a) Replacement Value (See NOTE A & B) - No deductible- Additional charge of $11.30 per one thousand ($1000.00) dollars of

declared value.(b) Replacement Value (See NOTE A & B) - $300.00 deductible

-Additional charge of $3.75 per one thousand ($1000.00)dollars of declared value.

Should carrier fail to secure the shipper's declaration completed and signed prior to anymovement, the shipper will be considered to have chosen Option 2 (a) at no charge to theshipper.

NOTE A - Declared value per room must be an amount equal to or exceeding $5,000.00 per room excluding halls,attics, garage, closets and baths. A self-storage unit up to size 10 X 10 shall constitute one room for thepurpose of valuation.

NOTE B - Some items will be deemed out of the control of the carrier per shipper's request or condition ofcraftsmanship of items requested to be moved. When these items arise a general release will be required toperform action releasing XMS from liability. Refer to page 18 for addendum to the uniform household goods billof lading - B, itemizing releases and limitation of liability.

4


XMS TARIFF NO. 1

General Rules and Re ulations

Governs all sections of this tariff unless otherwise provided within individual sections. Except as otherwise provided hereinthe rates named in this tariff include one pick-up and loading at point of origin and on delivery and unloading at point ofdestination.

Rule 1 MILEAGE AND TIIVIE CALCULATION FOR INTRASTATE SERVICE

Calculation as otherwise provided herein by:www.mapquest.corn provides calculations of mileage and time. Any dispute as to distance and time shall bereferred to the South Carolina Public Service Commission for determination.

Rule 2 EXTRA PICK-UP OR DELIVERY

Subject to Rule 3 portions of a shipment may be picked-up at one or more places en-route between origin anddestination. Charges will be for the total hours of service and transportation {if not a local shipment) or entireshipment for total distance from farthest point origin to ultimate destination. The total charges for picked-up ordelivered portions shall not, in any case exceed the total charges as would apply if computed to each portion asa separate shipment. A charge for each extra pick-up or delivery will apply (see Item 2 for application).

Rule 3 CONSOLIDATED SHIPMENTS

a. Property of two or more families or establishments located at different addresses will not be accepted fortransportation as a single shipment. Such property must be handled from each address as a separate shipmenton a separate Bill of Lading.

b. The name of only one shipper and one consignee shall appear on one Bill of Lading, but the Bill of Lading mayalso specify the name of a party to notify of the arrival of the shipment at destination.

Rule 4 LOADING AND UNLOADING

Except as otherwise provided herein, if shipment is delivered to or picked-up at a warehouse, the rates fortransportation include only the unloading or loading at door, platform, or other point convenient or accessible tothe vehicle.

Rule 5 VALUATION CHARGES

On all shipments moving under the provisions as provided for in this tariff, there are twooptions available to cover loss and/or damages.

OPTION 1; VALUATION CHARGES provided for in this item, WILL APPLY UNI ESSSHIPPER EXPRESSLY RELEASES THE SHIPMENT TO A VALUE NOT TO EXCEEDSIXTY (60) CENTS PER POUND PER ARTICLE.

OPTION 2: Full value protection. This option provides coverage based on currentReplacement value at the time of loss or damage, up to the dollar amount of valuationdeclared. The additional cost is based on the actual value declared and the deductible, if

any, declared.

DECLARATIONPrior to the move, the shipper must select one of the options by completing theaddendum made a part of the shipping order and be evidenced by theirsignature and date. Should the shipper refuse to select one of the options, thecarrier will not be required to perform the move.

OPTION 1: Depreciated Value - $0.60 Per Pound No additional charge

OPTION 2: (a) Replacement Value (See NOTE A & B) - No deductible- Additional charge of $ 11.30 per one thousand ($ 1000.00) dollars of

declared value.(b) Replacement Value (See NOTE A & B) - $ 300.00 deductible

- Additional charge of $3.75 per one thousand ($ 1000.00) dollars of declared value.

Should carrier fail to secure the shipper's declaration completed and signed prior to anymovement, the shipper will be considered to have chosen Option 2 (a) at no charge to theshipper.

NOTE A - Declared value per room must be an amount equal to or exceeding $5,000.00 per room excluding halls,

attics, garage, closets and baths. A self-storage unit up to size 10 X 10 shall constitute one room for thepurpose of valuation.

NOTE B - Some items will be deemed out of the control of the carrier per shipper's request or condition of

craftsmanship of items requested to be moved. When these items arise a general release will be required to

perform action releasing XMS from liability, Refer to page 18 for addendum to the uniform household goods bill

of lading — B, itemizing releases and limitation of liability.

XMS Tariff ff I, Effective: TBD

Rule 6

a,

b.

C,

d,

Rule 7

Rule 8

Rule 9

Rule 10

Rule 11

Rule 12

,

.

.

XMS TARIFF NO. 1General Rules and Regulations

MARKING AND PACKING

Articles of fragile or breakable nature must be properly packed.

Packages containing fragile articles or articles consisting wholly or in part of glass when packed by the shipperor his agent, must be marked by plain and distinct letters, designating the fragile character or contents.

When the articles of furniture, consisting wholly or in part of glass is covered or wrapped by the shipper or hisagents, such articles shall be wrapped in a manner to clearly expose glass surfaces or glass portions, so it canbe identified by carrier.

When articles are improperly packed, crated or boxed and by reason thereof the contents are more susceptibleto damage. Carrier will arrange to have such articles properly packed at an additional charge, or carrier hasright to refuse shipment of article.

COMPLETE ARTICLE (Defined)

Each shipping piece or package and contents thereof shall constitute an article. The total component parts ofany article taken apart or knocked down for handling or loading in vehicle shall constitute an article.

ARTICLES OF HIGH OR EXTRAORDINARY VALUE

Unless otherwise provided, the following property will not be accepted for Shipment:Bank bills, coins or currency, deeds, notes, drafts or valuable papers of any kind, jewelry, postage stamps,stamp collections, revenue stamps, redeemable trading stamps, letters or packets of letters, precious stones, orarticle or peculiarly inherent or extraordinary value; precious metals or articles manufactured there from.Should such articles come into the possession of the carrier with or without his knowledge, responsibility forsafe delivery will not be assumed.

ARTICLES LIABLE TO CAUSE DAMAGE

1) Carrier will not accept for shipment property liable to impregnate or otherwise damage equipment or otherproperty.

2) The carrier will not accept for shipment articles, which cannot be taken from the premises without damageto the article or the premises.

3) No Appliances will be moved with food.

INSPECTION OF ARTICLES

When carrier or his agent believes it is necessary that the contents or packages be inspected; he shall make orcause such inspection to be made or require other sufficient evidence to determine the actual character of theproperty.

HANDLING OF HEAVY ARTICLES

Except as otherwise specifically provided in this tariff, or as amended, the services covered by this tariff do notinclude the handling, loading or unloading of any single article weighing 600 (six hundred) pounds or moreexcept pianos. The extra handling, loading, or unloading in every instance must be provided by the shipper or ifthe carrier has additional personnel and equipment available, such extra services upon such articles must besecurely braced and blocked, and when such bracing or blocking require material not forming part of the regularequipment of the vehicle, or extra labor, such material must be furnished by the shipper. (Subject to Item 3)

STORAGE-IN-TRANSIT

STORAGE-IN-TRANSIT of household goods is the holding of a shipment in the warehouse of carrier or carrier'sagent for storage pending further transportation. This service will be performed only upon request of shipperand subject to the following provisions:

a. Carrier may require payment of accumulated transportation and accessorial charges when transit shipmentis delivered to temporary storage warehouse.

Shipments moving under this rule may be stored in transit only once and for a period not to exceed 180 (onehundred eighty) days from date of delivery to warehouse. When instructions for further transportations are notgiven prior to the expiration of 180 (one hundred eighty) day period, the in-transit character of the shipment willcease and the warehouse shall be considered the final destination of the shipment. When shipment remains instorage after the expiration of the 180 (one hundred eighty) days all accumulated transportation or accessorialcharges must be paid unless previously collected in accordance with paragraph (a).

STORAGE-IN-TRANSIT within 50 (fifty) miles of origin and/or destination - no travel time will be accessed.Transportation charges shall be assessed upon the basis of applicable rate published in tariff from initial point ofpick-up to STORAGE-IN-TRANSIT warehouse, plus applicable rate in tariff from STORAGE-IN-TRANSITwarehouse to point of final destination.

STORAGE-IN-TRANSIT Over 50 (fifty) miles of origin and or destination - no travel time will be accessed for.

5


XMS TARIFF NO. 1


Rule 6 MARKING AND PACKING

a. Articles of fragile or breakable nature must be properly packed.

b. Packages containing fragile articles or articles consisting wholly or in part of glass when packed by the shipperor his agent, must be marked by plain and distinct letters, designating the fragile character or contents.

c. When the articles of furniture, consisting wholly or in part of glass is covered or wrapped by the shipper or hisagents, such articles shall be wrapped in a manner to clearly expose glass surfaces or glass portions, so it canbe identified by carrier.

d. When articles are improperly packed, crated or boxed and by reason thereof the contents are more susceptibleto damage, Carrier will arrange to have such articles properly packed at an additional charge, or carrier hasright to refuse shipment of article.

Rule 7 COMPLETE ARTICLE Defined

Each shipping piece or package and contents thereof shall constitute an article. The total component parts ofany article taken apart or knocked down for handling or loading in vehicle shall constitute an article.

Rule 8 ARTICLES OF HIGH OR EXTRAORDINARY VALUE

Unless otherwise provided, the following property will not be accepted for Shipment:Bank bills, coins or currency, deeds, notes, drafts or valuable papers of any kind, jewelry, postage stamps,stamp collections, revenue stamps, redeemable trading stamps, letters or packets of letters, precious stones, orarticle or peculiarly inherent or extraordinary value; precious metals or articles manufactured there from.Should such articles come into the possession of the carrier with or without his knowledge, responsibility forsafe delivery will not be assumed.

Rule 9 ARTICLES LIABLE TO CAUSE DAMAGE

1) Carrier will not accept for shipment property liable to impregnate or otherwise damage equipment or otherproperty.

2) The carrier will not accept for shipment articles, which cannot be taken from the premises without damageto the article or the premises.

3) No Appliances will be moved with food.

Rule 10 INSPECTION OF ARTICLES

When carrier or his agent believes it is necessary that the contents or packages be inspected, he shall make or

cause such inspection to be made or require other sufficient evidence to determine the actual character of theproperty.

Rule 11 HANDLING OF HEAVY ARTICLES

Except as otherwise specifically provided in this tariff, or as amended, the services covered by this tariff do notinclude the handling, loading or unloading of any single article weighing 600 (six hundred) pounds or moreexcept pianos. The extra handling, loading, or unloading in every instance must be provided by the shipper or if

the carrier has additional personnel and equipment available, such extra services upon such articles must besecurely braced and blocked, and when such bracing or blocking require material not forming part of the regularequipment of the vehicle, or extra labor, such material must be furnished by the shipper. (Subject to Item 3)

Rule 12 STORAGE-IN-TRANSIT

1. STORAGE-IN-TRANSIT of household goods is the holding of a shipment in the warehouse of earner or carrier'sagent for storage pending further transportation. This service will be performed only upon request of shipperand subject to the following provisions:

a. Carrier may require payment of accumulated transportation and accessorial charges when transit shipmentis delivered to temporary storage warehouse.

Shipments moving under this rule may be stored in transit only once and for a period not to exceed 180 (onehundred eighty) days from date of delivery to warehouse. When instructions for further transportations are notgiven prior to the expiration of 180 (one hundred eighty) day period, the in-transit character of the shipment will

cease and the warehouse shall be considered the final destination of the shipment. When shipment remains in

storage after the expiration of the 180 (one hundred eighty) days all accumulated transportation or accessorialcharges must be paid unless previously collected in accordance with paragraph (a).

STORAGE-IN-TRANSIT within 50 (fifty) miles of origin and/or destination - no travel time will be accessed.Transportation charges shall be assessed upon the basis of applicable rate published in tariff from initial point of

pick-up to STORAGE-IN-TRANSIT warehouse, plus applicable rate in tariff from STORAGE-IN-TRANSITwarehouse to point of final destination,

STORAGE-IN-TRANSIT Over 50 (fifty) miles of origin and or destination - no travel time will be accessed for.

5

XMS Tariff0 I, Effective; TBD

XMS TARIFF NO. 1

General Rules and Regulations

travel to our warehouse. Transportation charges shall be assessed upon the basis of applicable rate publishedin tariff from initial point of pick-up to final destination.

, In addition to applicable transportation rate and accessorial charges the following storage charges shall beassessed on shipments handled under the provision of this rule: $3.25 per 100 pounds for each 30 (thirty) daysor fraction thereof, subject to a minimum charge based on 2,000 (two thousand) pounds per shipment.

. Shipper or owner upon proper notice in writing to carrier before shipment is removed from STORAGE-IN-TRANSIT warehouse and prior to expiration of 180 (one hundred eighty) days storage period provided hereinwill apply applicable rate published in tariff.

6. When a shipment is stored in transit under the provisions of this rule the carrier shall promptly furnish theshipper:

a. An itemized list of all articles stored showing the conditions when received in the warehouse, such list tomake a reference by number or otherwise to the BILL OF LADING covering the shipment.

b. An itemized list of all articles stored showing condition when removed from the warehouse, such list tomake reference by number or otherwise to the BILL OF LADING covering said shipment.

c. The dates on which shipment was received at and removed from STORAGE-IN-TRANSIT warehouse.

d. The dates when all charges were paid.

. For Intrastate moves a warehouse handling charge of $3.00 per 100 pounds, subject to a minimum chargebased on 2,000 (two thousand) pounds per shipment, shall apply on all STORAGE-IN-TRANSIT shipments,such charges to be assessed only once except as noted in Rule 14. Additional charges shall be assessed uponthe basis of applicable rate published in tariff.

, For hourly moves a warehouse handling charge will be billed as follows:

I 2 Men 3 Men 4 Men Additional Man$44.00/hr $61.00/hr $93.00/hr $24.00/hr

Additional charges shall be assessed upon the basis of applicable rate published in tariff.

Rule 13

,

Holding Fee - $150.00 per day with a 5 day maximum

ON SHIPMENTS OR PORTIONS THEREOF WHICH ALSO INVOLVESTORAGE-IN-TRANSIT, the following additional valuation charges will apply:

a) FOR EACH STORAGE period of 30 (thirty) days or fraction thereof, the additional charge for SIT valuationwill be 10 (ten) percent of the Transportation valuation

NOTE: If the shipper wished to avoid these additional charges, he must agree that if any articles are lost ordamaged, the carrier's liability will not exceed 60 (sixty) cents per pound for the actual weight for any lost ordamaged article or articles in the shipment.

ATTEMPTED DELIVERY

Compensation to the carriers for attempted delivery to residence from STORAGE-IN-TRANSIT when failure todeliver is not the fault of carrier, will be as follows:

a. Mileage from warehouse to residence: If total mileage is 50 (fifty) miles or less, pick-up or deliverytransportation rates on STORAGE-IN-TRANSIT shipments will apply.

b. If total mileage is greater than 50 (fifty) miles, the transportation rate in the applicable line-haul rate tablewill apply.

c. Warehouse Handling: A second warehouse handling charge will apply if the shipment is again placed intoSTORAGE-IN-TRANSIT. NOTE: If the shipment remains on the vehicle until delivery, this additionalwarehouse handling charge will not apply.

d. Waiting Time: The provisions of Item 30 will apply if carrier is required to wait at residence.

e. STORAGE-IN-TRANSIT: If property is again placed into STORAGE-IN-TRANSIT, the same SIT controlnumber will apply. Storage charges will continue at the additional monthly rate.

XMS Tariff # 1, Effective: TBD

XMS TARIFF NO. 1

General Rules and Re ulatlons

travel to our warehouse. Transportation charges shall be assessed upon the basis of applicable rate publishedin tariff from initial point of pick-up to final destination.

4. In addition to applicable transportation rate and accessorial charges the following storage charges shall beassessed on shipments handled under the provision of this rule: $3.25 per 100 pounds for each 30 (thirty) daysor fraction thereof, subject to a minimum charge based on 2,000 (two thousand) pounds per shipment.

5. Shipper or owner upon proper notice in writing to carrier before shipment is removed from STORAGE-IN-TRANSIT warehouse and prior to expiration of 180 (one hundred eighty) days storage period provided hereinwill apply applicable rate published in tariff.

6. When a shipment is stored in transit under the provisions of this rule the carrier shall promptly furnish theshipper:

a. An itemized list of all articles stored showing the conditions when received in the warehouse, such list tomake a reference by number or otherwise to the BILL OF LADING covering the shipment,

b. An itemized list of all articles stored showing condition when removed from the warehouse, such list tomake reference by number or otherwise to the BILL OF LADING covering said shipment.

c. The dates on which shipment was received at and removed from STORAGE-IN-TRANSIT warehouse.

d, The dates when all charges were paid.

7. For intrastate moves a warehouse handling charge of $3.00 per 100 pounds, subject to a minimum chargebased on 2,000 (two thousand) pounds per shipment, shall apply on all STORAGE-IN-TRANSIT shipments,such charges to be assessed only once except as noted in Rule 14. Additional charges shall be assessed uponthe basis of applicable rate published in tariff.

8. For hourly moves a warehouse handling charge will be billed as follows:

Additional charges shall be assessed upon the basis of applicable rate published in tariff.

10. Holding Fee - $ 150.00 per day with a 5 day maximum

11. ON SHIPMENTS OR PORTIONS THEREOF WHICH ALSO INVOLVESTORAGE-IN-TRANSIT, the following additional valuation charges will apply:

a) FOR EACH STORAGE period of 30 (thirty) days or fraction thereof, the additional charge for SIT valuationwill be 10 (ten) percent of the Transportation valuation

NOTE: If the shipper wished to avoid these additional charges, he must agree that if any articles are lost or

damaged, the carrier's liability will not exceed 60 (sixty) cents per pound for the actual weight for any lost or

damaged article or articles in the shipment.

Rule 13 ATTEMPTED DELIVERY

1. Compensation to the carriers for attempted delivery to residence from STORAGE-IN-TRANSIT when failure to

deliver is not the fault of carrier, will be as follows:

a. Mileage from warehouse to residence; If total mileage is 50 (fifty) miles or less, pick-up or deliverytransportation rates on STORAGE-IN-TRANSIT shipments will apply.

b. If total mileage is greater than 50 (fifty) miles, the transportation rate in the applicable line-haul rate tablewill apply.

c. Warehouse Handling: A second warehouse handling charge will apply if the shipment is again placed intoSTORAGE-IN-TRANSIT. NOTE: If the shipment remains on the vehicle until delivery, this additionalwarehouse handling charge will not apply.

d. Waiting Time: The provisions of Item 30 will apply if carrier is required to wait at residence.

e. STORAGE-IN-TRANSIT: If property is again placed into STORAGE-IN-TRANSIT, the same SIT control

number will apply. Storage charges will continue at the additional monthly rate.

XMS Tariff ¹ l, Effective: TBD

Rule 14

Rule 15

CLAIMS

Section 1

XMS TARIFF NO. 1

General Rules and Regulations

a. Any claim for loss, damage, or overcharge shall be in writing and filed with the carrier within ninety (90)days after delivery. As a condition precedent to any claim adjustment or payment, said claim shall be

accompanied by the original paid Bill if not previously surrendered to the carrier. Carrier may requirecertified or sworn statement of claim.

b. Carrier shall be immediately notified for all claims for concealed and/or external damage and shall be given

reasonable opportunity to inspect alleged external damage or concealed damage in the original package. Itis incumbent upon the carrier or the designated agent of the carrier to inspect any and all reported damage

and to provide for repairs or compensation based in the level of liability selected. If damage is alleged to

have occurred to the shipper's dwelling or surrounding, for example but not limited to, damage to walls,floors, steps, ceilings, rails, doors, driveway, lawn, fence, patio or garage, it is the carrier's liability or that ofhis designated agent to inspect the alleged damage. If such damage is determined to be transit related, it is

the carrier's obligation to repair or restore to original condition or to otherwise make whole by

compensation, unless a release form has been signed by the shipper and or his agent to precede knowingdamage may occur to home and or freight. Transit related damage occurring to a shipper's dwelling or

surrounding area is not covered by the Shipper's Declaration of Value. Any claim for property loss and/ordamage must be reported within 48 hours of delivery/loading.

c. The carrier's liability shall not exceed the cost of repairing or replacing the lost or damaged property with

material of like kind and quality. It shall also not exceed the actual cash value of the property at the time andplace of loss, but in no event to exceed the released value as determined under Rule 5. Replacement or

repairing will be determined by the lesser of the two amounts.d. The carrier shall not be liable for loss or damage occurring after the property has been delivered to or

receipted for by the consignee or shipper or authorized agent of either. When the carrier is directed tounload or to deliver the property (or render any services) at a place at which the consignee or its agent is

not present, the property shall be at risk of the owner after unloading or delivery.e. Where the carrier is directed to load property from (or render any service at) a place or places at which the

consigner or its agent is not present, the property shall be at risk of the owner before loading.

f. The carrier's liability with regards to sets and matched pieces shall be limited to repair or depreciatedreplacement of the lost or damaged piece or pieces only and shall not extend to repair, replacement or

recovering of the entire set, but in no event to exceed the released value as determined under Rule 5.

Section 2

a,

b,

c,

d,

e.

Rule 16

a. Any carrier or party liable on account of loss or damage to any said property shall have the full benefit of any

insurance that may have been effected upon or account of said property so far as this shall not avoid thepolicies or contracts of insurance; provided that the carrier reimburse the claimant for the premium paid

thereon. Any claim for property loss and/or damage shall be filed in writing within 2 (two) business days afterdelivery.

PAYMENTS

The carrier will not deliver or relinquish possessions of any property transported by it until tariff rates and

charges thereon have been paid in cash, money order, or certified check, except where other satisfactoryarrangements have been made between the carrier and the consignor or consignee.

Nothing herein shall limit the right of the carrier to require, at time of or before shipment, the prepayment in part

or in full or guarantee of the charges.

Subject to the foregoing paragraphs, provision for payment of charges on STORAGE-IN-TRANSIT shipments iscontained in Rule 13.

All Shipments are COD unless otherwise agreed in writing.

Credit Card payments will be assessed a 5% charge for the use of the Credit Card. Shipper must be in good

standing to use a credit card for final payment.

HOURLY RATES

Charges based on time shall be computed by multiplying the hourly rate by the time involved. Fractions of an

hour will be disposed of as follows: Where the time involved is less than 15 (fifteen) minutes the charge shall be

for one quarter of an hour. When in excess of 15 (fifteen) minutes but not more than 30 (thirty) minutes chargefor one-half hour. When in excess of 30 (thirty) minutes but not more than 45 (forty five) minutes charge for

three-quarters of an hour. When in excess of 45 (forty-five) minutes charge for one hour. There will be a 3(three) hour minimum charge for hourly services, and 1 (one) hour travel time = to hourly rate

Rule 17 MINIMUM CHARGE FOR INTRASTATE MOVES

Except as may be otherwise specifically provided for in this tariff or as amended, a shipment labor time is lessthan 5 hours shall be accepted only at a labor time of 5 hours and at the applicable rate shown for 5 hours.

7

XMS Tariff# ], Effective: TBD

XMS TARIFF NO. 1


Rule 14 CLAIMS

Section 1

a. Any claim for loss, damage, or overcharge shall be in writing and filed with the earner within ninety (90)days after delivery, As a condition precedent to any claim adjustment or payment, said claim shall beaccompanied by the original paid Bill if not previously surrendered to the carrier. Carrier may requirecertified or sworn statement of claim.

b. Carrier shall be immediately notified for all claims for concealed and/or external damage and shall be givenreasonable opportunity to inspect alleged external damage or concealed damage in the original package. It

is incumbent upon the carrier or the designated agent of the carrier to inspect any and all reported damageand to provide for repairs or compensation based in the level of liability selected. If damage is alleged tohave occurred to the shipper's dwelling or surrounding, for example but not limited to, damage to walls,floors, steps, ceilings, rails, doors, driveway, lawn, fence, patio or garage, it is the carrier's liability or that ofhis designated agent to inspect the alleged damage. If such damage is determined to be transit related, it isthe carrier's obligation to repair or restore to onginal condition or to otherwise make whole bycompensation, unless a release form has been signed by the shipper and or his agent to precede knowingdamage may occur to home and or freight. Transit related damage occurring to a shipper's dwelling orsurrounding area is not covered by the Shipper's Declaration of Value. Any claim for property loss and/ordamage must be reported within 48 hours of delivery/loading.

c. The carrier's liability shall not exceed the cost of repairing or replacing the lost or damaged property withmaterial of like kind and quality. It shall also not exceed the actual cash value of the property at the time andplace of loss, but in no event to exceed the released value as determined under Rule 5. Replacement orrepairing will be determined by the lesser of the two amounts.

d The carrier shall not be liable for loss or damage occurring after the property has been delivered to orreceipted for by the consignee or shipper or authorized agent of either. When the carrier is directed tounload or to deliver the property (or render any services) at a place at which the consignee or its agent isnot present, the property shall be at risk of the owner after unloading or delivery.

e. Where the carrier is directed to load propertyfrom (or render any service at) a place or pieces at which theconsigner or its agent is not present, the property shall be at nsk of the owner before loading.

f. The carrier's liability with regards to sets and matched pieces shall be limited to repair or depreciatedreplacement of the lost or damaged piece or pieces only and shall not extend to repair, replacement orrecovering of the entire set, but in no event to exceed the released value as determined under Rule 5.

Section 2

a. Any carrier or party liable on account of loss or damage to any said property shall have the full benefit of anyinsurance that may have been effected upon or account of said property so far as this shall not avoid thepolicies or contracts of insurance; provided that the carrier reimburse the claimant for the premium paidthereon. Any claim for property loss and/or damage shall be filed in writing within 2 (two) business days afterdelivery.

Rule 15 PAYMENTS

a. The carrier will not deliver or relinquish possessions of any property transported by it until tariff rates andcharges thereon have been paid in cash, money order, or certified check, except where other satisfactoryarrangements have been made between the carrier and the consignor or consignee.

b. Nothing herein shall limit the right of the carrier to require, at time of or before shipment, the prepayment in partor in full or guarantee of the charges.

c. Subject to the foregoing paragraphs, provision for payment of charges on STORAGE-IN-TRANSIT shipments is

contained in Rule 13.

d. All Shipments are COD unless otherwise agreed in wnting.

e, Credit Card payments will be assessed a 5% charge for the use of the Credit Card. Shipper must be in goodstanding to use a credit card for final payment.

Rule 16 HOURLY RATES

Charges based on time shall be computed by multiplying the hourly rate by the time involved. Fractions of anhour will be disposed of as follows: Where the time involved is less than 15 (fifteen) minutes the charge shall befor one quarter of an hour. When in excess of 15 (fifteen) minutes but not more than 30 (thirty) minutes chargefor one-half hour. When in excess of 30 (thirty) minutes but not more than 45 (forty five) minutes charge forthree-quarters of an hour. When in excess of 45 (forty-five) minutes charge for one hour. There will be a 3

(three) hour minimum charge for hourly services, and 1 (one) hour travel time = to hourly rate

Rule 17 MINIMUM CHARGE FOR INTRASTATE MOVES

Except as may be otherwise specifically provided for in this tariff or as amended, a shipment labor time is lessthan 5 hours shall be accepted only at a labor time of 5 hours and at the applicable rate shown for 5 hours.

XMS Tariff ff l, Effective: TBD

Rule 18

Rule 19

,

Rule 20

a,

b,

c.

d,

e,

Rule 21

Rule 22


REISSUED ITEMS OR PAGES

Reference made herein to items or pages in this tariff include reference to reissue of such items or pages.Reference to other tariffs shall include reissues or amendments thereto.

SERVICING SPECIAL ARTICLES

The transportation rates in this tariff do not include servicing or de-servicing articles or appliances such asrefrigerators, deep freezers, cabinets, front loading washing machines, plasma television sets, air conditioners,pool tables, grandfather clocks, hot tubs and the like, which if not properly serviced, may be damaged in, orincident to, transit; nor is liability assumed for any such damage unless said articles or appliances are servicedand de-serviced as provided below.

a, If carrier does not possess the qualified personnel to properly service and de-service articles orappliances, carrier will upon request of shipper, owner, or consignee and as agent for them, engage thirdpersons to perform the servicing and de-servicing. When third persons are engaged by the carrier toperform any service, the carrier will not assume responsibility for their activities or conduct, amount oftheir charges, nor the quality or quantity of service furnished.

b. All charges of the third persons must be paid by the shipper and are in addition to all other charges in thistariff. Such charges will be advanced by the carrier and billed as an advanced charge.

IMPRACTICAL PICK-UP OR DELIVERY AND AUXILIARY SERVICES

It is the responsibility of the shipper to make shipment accessible to carrier or accept delivery from carrier at apoint at which the road haul vehicle may be safely operated.

When it is physically impossible for carrier to perform pick-up of shipment at origin address or to completedelivery of shipment at destination address with normally assigned road haul equipment, due to the structure ofthe building, its inaccessibility by highway, inadequate or unsafe public or private road, overhead obstructions,narrow gates, sharp turns, trees, shrubbery, the deterioration of roadway due to rain, flood, snow or nature of anarticle or articles included in the shipment, the carrier shall hold itself available at point of pick-up or tenderdelivery at destination at the nearest point of approach to the desired location where the road haul equipmentcan be made safely accessible.

Upon request of the shipper, consignee or owner of the goods, the carrier will use or engage smaller equipmentthan its normal road haul equipment or provide extra labor for the purpose, of accomplishing the job ortransferring the shipment between the residence and the nearest point of approach by the carrier's road haulequipment. Charges for this auxiliary service to cover labor and additional vehicle (if used) will be as provided inItem 1, 15 and 30 and shall be in additional to all other transportation or accessorial charges.

If the shipper does not accept the shipment at nearest point of safe approach by carrier's road haul equipmentto the destination address, the carrier may place the shipment, or any part thereof not reasonably possible fordelivery, in storage at the nearest available warehouse of the warehouse of the carrier, or, at the option of thecarrier, in a public warehouse, subject to a lien for all lawful charges. The liability on the part of the carrier willcease when the shipment shall be considered as having been delivered.

Transportation charges to cover the movement of shipment or part thereof from point which it was originallytendered to warehouse location shall be computed on basis of weight of shipment of that part of shipmentstored in warehouse, subject to applicable rate as provided in tariff from point at which it was originallytendered. All accrued charges on the shipment or any part thereof shall be due and payable upon delivery ofsame to the warehouse. Any subsequent movement from warehouse shall constitute a new shipment.

HOISTING OR LOWERING

Hoisting or lowering service will be performed only at points where carrier possesses necessary equipment andexperienced personnel to perform such service. Otherwise, upon request of shipper, consignee, or owner willendeavor to arrange for qualified service, if available, at the expense of the shipper, consignee or owner of thegoods. In such instances, the carrier will not be responsible for damage to shipment or property.

RIGGING SERVICE

When, because of the size of nature of the landing, it is necessary to utilize the services of a rigger, suchservice must be provided by the shipper, consignee or owner of the goods. If requested by shipper, consigneeor owner, carrier will, as agent for them and at their expense, arrange for such rigging service, if available, butcarrier assumes no responsibility for the activities or conduct of third persons, amount of their charges nor thequality or quantity of service furnished.


XMS TARIFF NO. 1


Rule 18 REISSUED ITEMS OR PAGES

Reference made herein to items or pages in this tariff include reference to reissue of such items or pages.Reference to other tariffs shall include reissues or amendments thereto.

Rule 19 SERVICING SPECIAL ARTICLES

The transportation rates in this tanff do not include servicing or de-servicing articles or appliances such asrefrigerators, deep freezers, cabinets, front loading washing machines, plasma television sets, air conditioners,pool tables, grandfather clocks, hot tubs and the like, which if not properly serviced, may be damaged in, orincident to, transit; nor is liability assumed for any such damage unless said articles or appliances are servicedand de-serviced as provided below.

a, If carrier does not possess the qualified personnel to properly service and de-service articles orappliances, carrier will upon request of shipper, owner, or consignee and as agent for them, engage thirdpersons to perform the servicing and de-servicing. When third persons are engaged by the carrier toperform any service, the carrier will not assume responsibility for their activities or conduct, amount oftheir charges, nor the quality or quantity of service furnished.

b. All charges of the third persons must be paid by the shipper and are in addition to all other charges in thistariff. Such charges will be advanced by the carrier and billed as an advanced charge.

Rule 20 IMPRACTICAL PICK-UP OR DELIVERY AND AUXILIARY SERVICES

It is the responsibility of the shipper to make shipment accessible to carrier or accept delivery from carrier at apoint at which the road haul vehicle may be safely operated.

b. When it is physically impossible for carrier to perform pick-up of shipment at origin address or to completedelivery of shipment at destination address with normally assigned road haul equipment, due to the structure ofthe building, its inaccessibility by highway, inadequate or unsafe public or private road, overhead obstructions,narrow gates, sharp turns, trees, shrubbery, the deterioration of roadway due to rain, flood, snow or nature of anarticle or articles included in the shipment, the carrier shall hold itself available at point of pick-up or tenderdelivery at destination at the nearest point of approach to the desired location where the road haul equipmentcan be made safely accessible.

Upon request of the shipper, consignee or owner of the goods, the carrier will use or engage smaller equipmentthan its normal road haul equipment or provide extra labor for the purpose, of accomplishing the job ortransferring the shipment between the residence and the nearest point of approach by the carrier's road haulequipment. Charges for this auxiliary service to cover labor and additional vehicle (if used) will be as provided in

Item 1, 15 and 30 and shall be in additional to all other transportation or accessorial charges.

If the shipper does not accept the shipment at nearest point of safe approach by carrier's road haul equipmentto the destination address, the carrier may place the shipment, or any part thereof not reasonably possible fordelivery, in storage at the nearest available warehouse of the warehouse of the carrier, or, at the option of thecarrier, in a public warehouse, subject to a lien for all lawful charges. The liability on the part of the carrier will

cease when the shipment shall be considered as having been delivered.

Transportation charges to cover the movement of shipment or part thereof from point which it was originallytendered to warehouse location shall be computed on basis of weight of shipment of that part of shipmentstored in warehouse, subject to applicable rate as prowded in tariff from point at which it was originallytendered. AII accrued charges on the shipment or any part thereof shall be due and payable upon delivery of

same to the warehouse. Any subsequent movement from warehouse shall constitute a new shipment.

Rule 21 HOISTING OR LOWERING

Hoisting or lowering service will be performed only at points where carrier possesses necessary equipment andexperienced personnel to perform such service. Otherwise, upon request of shipper, consignee, or owner will

endeavor to arrange for qualified service, if available, at the expense of the shipper, consignee or owner of thegoods. In such instances, the carrier will not be responsible for damage to shipment or property

Rule 22 RIGGING SERVICE

When, because of the size of nature of the landing, it is necessary to utilize the services of a rigger, suchservice must be provided by the shipper, consignee or owner of the goods. If requested by shipper, consigneeor owner, carrier will, as agent for them and at their expense, arrange for such rigging service, if available, butcarrier assumes no responsibility for the activities or conduct of third persons, amount of their charges nor thequality or quantity of service furnished.


Rule 23

Rule 24

Rule 25

Rule 26

Rule 27


COMMODITY DESCRIPTION

The classification of property to which rates, rules and regulations apply to that class of property as acommodity under the following description:

1. HOUSEHOLD GOODS. This group includes personal effects and property used or to be used in adwelling and similar property if the transportation of such effects or property is:

a) Arranged and paid for by the householder including transportation of property from a factory, or storewhen the property is purchased by the householder with intent to use in his or her dwelling, or

b) Arranged and paid for by another party.

All property transported under the commodity description as set forth above shall be subject to the minimumweights, rates and charges, as set forth in this tariff, or as amended.

LIMITATION OF LIABILITY ON READY TO ASSEMBLE FURNITURE

(Made from press board, particle board, engineered wood or ready to assemble)

Furniture manufactured from press board, particle board and/or engineered wood is designed to go into a boxfrom the manufacturer, to the retailer, and then to the customer unassembled. It is not constructed to withstandthe normal stress of a move as an assembled unit. Most is not designed with the extra wood structural pieces toadequately brace the unit for movement out of or into a residence, and may not withstand the normal truckvibration, even in air-ride trailers. Usually chips or dents are not repairable. Surface impressions can be madeon the furniture when writing on a single piece of paper. Assembly instructions frequently suggest thatconnecting hardware pieces be glued in place. This does not significantly improve the structural integrity of thepieces and makes disassembly impossible without creating substantial, un-repairable damage. When ashipper elects to ship an article as defined herein, and notwithstanding the language contained in thisNotice, in no case shall the liability of the carrier exceed $.30 per pound per article, up to $50.00 percomplete article. Shipper understands that any claim for damage to the press board, particle board,and/or engineered wood furniture may be denied due to inherent vice, based upon the fact that fullyassembled press board, particle board and/or engineered wood furniture is inherently susceptible todamage as outlined above.

HOLIDAYS

Additional fees will be subject for charge (see Item 15). The following holidays will be recognized: New Year'sDay, Easter, Fourth of July, Thanksgiving and Christmas.

XTREME MOVING DOES NOT MOVE

In addition to Rule 10; the following will not be moved: Baby Grand and or Grand Pianos over three steps, NoHot tubs over five feet (no steps), Slate Pool Tables, Subzero Refrigerators. XMS will at shipper's request makearrangement with 3rdparty. See Rule 20 for more detail.

SENIOR CITIZEN & MILITARY PROMOTIONAL RATE

Xtreme Moving has a promotional rate for senior citizens who are 65 years of age and older.

To qualify the senior citizen will need to provide proof of age. (i.e.: Driver's license or State ID

Card)Xtreme Moving has a promotional rate for military personnel who are either active or has

served. To qualify the military personnel will need to provide proof of service. (i.e.: Military ID

Card)

I Truck 2 Men 3 Men 4 Men Additional Man Additional Truck I

I

I$ 33.25 $ 60.80 $ 19.00 $ 26.60 $ 19.00 $ 20.90

Rule 28

Rule 29

FUELSURCHARGE

The fuel surcharge to be charged on shipments 50 (fifty) miles or less are subject to Accessorial Services ChartItem 12 and shipments over 51 (fifty-one) miles are subject to Item 11 on page 11. If the DOE fuel price pergallon exceeds $4.999, the fuel surcharge herein, will be increased by an additional one (1.0%) percent forevery fifteen ($0.15) cents (or fraction thereof), per gallon increase in the price above $4.999 per gallon.

ADDITIONALCHARGES

Other charges agreed upon in writing before the move in the form of an Estimate or an Order for Service issubject to additional charges above and beyond this tariff as seen needed to execute services as agreed bycarrier and shipper.


9

XMS TARIFF NO. 1


Rule 23 COMMODITY DESCRIPTION

The classification of property to which rates, rules and regulations apply to that class of property as acommodity under the following description:

1. HOUSEHOLD GOODS. This group includes personal effects and property used or to be used in adwelling and similar property if the transportation of such effects or property is:

a) Arranged and paid for by the householder including transportation of property from a factory, or storewhen the property is purchased by the householder with intent to use in his or her dwelling, or

b) Arranged and paid for by another party.

All property transported under the commodity description as set forth above shall be subject to the minimumweights, rates and charges, as set forth in this tariff, or as amended.

Rule 24 LIMITATION OF LIABILITY ON READY TO ASSEMBLE FURNITUREMade from ress board article board en ineered wood or read to assemble

Furniture manufactured from press board, particle board and/or engineered wood is designed to go into a boxfrom the manufacturer, to the retailer, and then to the customer unassembled. It is not constructed to withstandthe normal stress of a move as an assembled unit. Most is not designed with the extra wood structural pieces toadequately brace the unit for movement out of or into a residence, and may not withstand the normal truckvibration, even in air-ride trailers. Usually chips or dents are not repairable. Surface impressions can be madeon the furniture when writing on a single piece of paper. Assembly instructions frequently suggest thatconnecting hardware pieces be glued in place. This does not significantly improve the structural integrity of thepieces and makes disassembly impossible without creating substantial, un-repairable damage. When ashipper elects to ship an article as defined herein, and notwithstanding the language containedin thisNotice, in no case shall the liability of the carrier exceed $.30 per pound per article, up to $50.00 percomplete article. Shipper understands that any claim for damage to the press board, particle board,and/or engineered wood furniture may be denied due to inherent vice, based upon the fact that fullyassembled press board, particle board and/or engineered wood furnitureis inherently susceptible todamage as outlined above.

Rule 25 HOLIDAYS

Additional fees will be subject for charge (see Item 15). The following holidays will be recognized: New Year'

Day, Easter, Fourth of July, Thanksgiving and Christmas,

Rule 26 XTREME MOVING DOES NOT MOVE

In addition to Rule 10; the following will not be moved: Baby Grand and or Grand Pianos over three steps, NoHot tubs over five feet (no steps), Slate Pool Tables, Subzero Refrigerators. XMS will at shipper's request makearrangement with 3'arty. See Rule 20 for more detail.

Rule 27 SENIOR CITIZEN & MILITARY PROMOTIONAL RATE

Xtreme Moving has a promotional rate for senior citizens who are 65 years of age and older.To qualify the senior citizen will need to provide proof of age, (i.e 2 Driver's license or State ID

Card)Xtreme Moving has a promotional rate for military personnel who are either active or hasserved. To qualify the military personnel will need to provide proof of service. (i.e 2 Military ID

Card)

Truck 2 Men 3 Men 4 Men Additional Man Additional Truck

$ 33 25 $ 60 80 $ 19 00 $ 26 60 $ 19 00 $ 20 90

Rule 28 FUEL SURCHARGE

The fuel surcharge to be charged on shipments 50 (fifty) miles or less are subject to Accessorial Services ChartItem 12 and shipments over 51 (fifty-one) miles are subject to Item 11 on page 11. If the DOE fuel price pergallon exceeds $4.999, the fuel surcharge herein, will be increased by an additional one (1.0%) percent for

every fifteen ($0.15) cents (or fraction thereof), per gallon increase in the price above $4.999 per gallon.

Rule 29 ADDITIONAL CHARGES

Other charges agreed upon in writing before the move in the form of an Estimate or an Order for Service is

subject to additional charges above and beyond this tariff as seen needed to execute services as agreed bycarrier and shipper.


LOCAL RATES:

XMS TARIFF NO. 1

RATES AND CHARGES AND ACCESSORIAL SERVICES

I Truck 2 Men 3 Men 4 Men Additional Man Additional Truck II$ 35.00 $ 64.00 $ 20.00 $ 28.00 $ 20.00 $ 22.00

Note: Additional fees will apply according to accessorial services described in this tariff.

INTRASTATE RATES FOR MILEAGE AND OR TRANSPORTATION:

Flat Rate Mileage and or Transportation Rate

Mileage 1 Truck 2 Trucks 3 Trucks

51 120 $ 401.00

181 240 $ 797.00

301 360 $1,203.00

421 480 $1,599.00

$ 601.50

$ 1,195.50

$ 1,804.50

$ 2,398.50

$ 821.75

$1,514.75

$ 2,225.25

$ 2,91 &25

Note: Truck = a unit from 14' -35'. A Tractor & Trailer = 2 Trucks

INTRASTATE RATES FOR LABOR: LOADING & UNLOADING

(See accessorial rates for additional men.)

FLAT RATEIntrastate Hourly Labor RatesFor Loading and Unloading

# of Hours

7

9

11

13

15

17

19

21

23

Charge for 2 men

$486.00

$774.00

$1,062.00

$1,350.00

$1,638.00

$1,926.00

$2,214.00

$2,502.OO

$2,790.00

$3,078.00

$3,366.00

PROMOTIONAL OFFERS

Social media websites (i.e.: Groupon, Living Social, etc.) promotional rate we will use:

One truck and 2 men = $49.50 per hour for the first two hours. Standard fuel surcharge and all accessorialcharges will apply as written in this tariff.

Xtreme Moving will provide the South Carolina Office of Regulatory Staff as to the estimated run time ofpromotional offer and the exact run date, along with a copy of the promotion as it will appear in the socialmedia.

For auditing purposes a voucher will accompany the Bill of Lading.


10

XMS TARIFF NO. 5


LOCAL RATES:

Truck 2 Men 3 Men 4 Men Additional Man Additional Truck

$ 35.00 $ 64.00 $ 20.00 $ 28.00 $ 20.00 $ 22.00

Note: Additional fees will apply according to accessorial services described in this tariff.

INTRASTATE RATES FOR MILEAGE AND OR TRANSPORTATION:

Flat Rate Mileage and or Transportation RateMilea e 1 Truck 2 Trucks 3 Trucks

51 120 $ 401.00121',: .;180:.$ ; 599.00181 240 $ 797.00241' 300".:-:::;$ .1,005:00, 'v.'.'01

360 $ 1,203.00361.; ." 420,';:: '.$ '1,'401.0'0, '" .

421 480 $ 1,599.00

$ 601.50 $ 821.75$ '. 898.50; $ '1r168:25$ 1,195.50 $ 1,514.75$ , 1;507.50 '::$ '1,878,75.:;

$ 1,804.50 $ 2,225.25$r 2,1'01";50, -:,$

,.2,571.:75'2,398.50

$ 2,918.25

Note: Truck = a unit from 14'35'. A Tractor & Trailer = 2 Trucks

INTRASTATE RATES FOR LABOR: LOADING & UNLOADING(See accessorial rates for additional men.)

FLAT RATEIntrastate Hourly Labor RatesFor Loading and Unloading

¹ of Hours Charge for 2 men

2 '"" ",'.''., $ 342.00

3 $486.004-:-,"„.l': ':;-.,: '630.00,5 $774.00

,6',,;„ f.4,xr,,:, $91.8.00

7 $ 1,062.00'8;.;,';:;~,'","...,,', '"...'$'1,206:00

9 $ 1,350.00..,"1'0:.',:j'g ";!'"';.; -;:,"., -'$1 494:,00

11 $ 1,638.00

;.,'1 2!, .

r~"; I'":i,';,vi".::::,; 'l$ 1: 782 00:

13 $ 1,926,0014':,';,!::"„;j,": ';-'::,';;.~.';,'.,'~::!: l '$2,07:0:0.0

15 $2,214.00'"-:... 1:6';,':ll ';i'!!'. P",-."",„'':,"i:',:::;-','-$ 2, 358.00;

17 $2,502.00,,"':.,'1':8!.'".~ Pij'! /jib;..„!i;."-'0l,;$2;646:00r

19 $2,790.00

21 $3,078.00

;';.*, 22'„;,,;;~i .,':;,'':::l.:,::;; $3,222:.0'0'3

$ 3,366.00

PROMOTIONAL OFFERS

Social media websites (i.e.: Groupon, Living Social, etc.) promotional rate we will use:

One truck and 2 men = $49.50 per hour for the first two hours. Standard fuel surcharge and all accessorialcharges will apply as written in this tariff,

Xtreme Moving will provide the South Carolina Office of Regulatory Staff as to the estimated run time ofpromotional offer and the exact run date, along with a copy of the promotion as it will appear in the socialmedia.

For auditing purposes a voucher will accompany the Bill of Lading.

XMS Tariff ¹ 1, Effective: TBD

10

XMS TARIFF NO. 1RATES AND CHARGES AND ACCESSORIAL SERVICES

ACCESSORIAL SERVICES:

Xtreme Moving

Description of Charge Calculation

SC Item # I

IHourly Intra

Additiona Labor (per man)

Additional Stops

ATV's, campers, etc

Automobile (In State)

Boats

$50.00 each - 2

$100.00 each 4 4

I 595.00 each 5: 5

$95.00 each 6 6

Deck ng/VVa kway Fee 12'

Elevator on Intrastate

Fire Proof F leCab net or Safe over 300 Ibs

Floor Model Copiers

Fuel Surcharge Hourly

10% of Labor - 8

$40.00 each 10 10

7% of Job 12

Grandfather Clocks (moving only) $35.00 each

' I 0Ho day 15 Yo Job

14 14

$95.00 each 16 16

$50.00 each

, 10% of Transportation

$115.00 each

$75.00 each

Hot tub Under 5 ' / Jacuzzis

Large Flat Screen TV over 50"

Long Carry (over 75 feet)

Motorcycles

Organ :

Riding Mowers

Shuttle Service

Standard or Spinet Piano

Tanning Bed

Third (3rd) Party Charge

Tractors

Trailers

Waiting Time

$95.00 each

$65.00 each

A/C each

'$110.00 each

$58.25 each

18 18

20 20

21

22 22

24 24

26 26• . |

27 27

28 28

$99.00 each hour


11

XMS TARIFF NO. 1


ACCESSORIAL SERVICES:

Xtreme Moving

Description of Charge CalculationSC Item ¹

IntraHourly

Additional Labor (per man)Additional StopsAny single Item over 400 Ibs

ATV's, campers, etcAutomobile (In State)Boats

Decking/Walkway Fee

12'levatoron Intrastate

Fire Proof File Cabinet or Safe over

Floor Model CopiersFuel Surcharge Intrastate

Fuel Surcharge Hourly

Grand or Baby Grand Piano's

Grandfather Clocks (moving only)

Holiday

Hot tub Under 5 ' JacuzzisLarge Screen TV

Large Flat Screen TV over 50"

Long Carry (over 75 feet)Motorcycles

Organ

Riding Mowers

Shuttle Service

Standard or Spinet Piano

Tanning Bed

Third (3rd) Party ChargeTractorsTrailers

Waiting Time

300 Ibs

$33. 00

$ 50.00

$45.00

$ 100.00

$95.00

$95,00

$45.0010%

$95.00

$40. 00

15%

7%

$ 115.00

$35.00

15%

$95.00

$ 75. 00

$ 50. 00

10%

$ 115.00

$35.00

$75.00

$75.00

$95.00

$65.00A/C

$ 110.00

$58. 25

$99.00

Per hour

eacheacheacheacheacheachof Labor

eacheachof Transportationof JobeacheachJobeacheacheachof Transportation

eacheacheacheach hour of useeacheacheacheacheacheach hour

3

4

5

6

7

9

10

12

13

14

15

16

17

18

20

21

22

23

24

25

26

27

28

1

2

3

4

5

6

7

8

9

10

11

'314

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29


HOUSEHOLD GOODS HOURLY ESTIMATE COST OF SERVICES

ORIGIN "l

Issued at Xtreme Moving & Storage, LLC

From

Address

City

1st Add.

2nd Add.

Phone

Consigned to

Address

City

[Notify


5295 Chesnee Highway, Chesnee, SC 29323

864-461-2566 SCPSC No. 100-I

Case No.

Move Date

DESTINATION

1st Add.

2nd Add.

IMPORTANT NOTICES

A. This proposal is for listed items and services only. Additional items and services may result in additional costs.

Shipper shall be required to pay for all charges prior to unloading in cash or by certified check or money order, except as maybe otherwise agreed in writing between carrier andB. shipper

C. Canier's Liability for loss or damage IS LIMITED TO $0.60 CENTS PER POUND unless cartier and shipper agree in writing to a higher limit of cartier liability.

Cartier and Shipper agree that any additional items or services not included in tiffs proposal and the charges therefore may be set forth in an addendum hereto or aD.substitute proposal executed by cartier and shipper.

Description of Hourly Service

Van Men Hourly Rate Estimated Hours Estimated Charge

Additional Charges & Summary of Move

TOTAL PROPOSED MOVING CHARGES $o.oo

Estimator Date

Proposed charges set forth above are ESTIMA TED HOURLY RATES. Actual charges shall be determined after all services have been completed.SEE IMPORTANT NOTICE ABOVE.

Shipper: Date:


12

HOUSEHOLD GOODS HOURLY ESTIMATE COST OF SERVICES

Xtreme Moving Sg Storage, LLC5295 Chesnee Highway, Chesnee, SC 29323

864-461-2566 SCPSC No. 100-1

Case No.

Move Date

ORIGIN


From

DESTINATION

IConsigned to1

Address

Address

City

1st Add.

~ ' ~

Phone

City

~Nry1st Add

~2d Add.

IMPORTANT NOTTCES

nly. Addiuonal itmns and sources may result in additional costs.

ior to unloadmg m cash or by certitied check or money order, except as maybe otherwisc agreed in wn tin

TED TO 0.60 CENTS PER POUND unless camer and shipper agn:c in wrinng to a lugher limy

tcms or smviccs not included in this proposal and the charges therefon: may be set forth in an addepper.

Description of Hourly Service

M Hourly Rate

Additional Charges & Summary of Move

TOTAL PROPOSED MO VlfV G CHARGES

Estimator Date

Propnsed charges serforili above are ES TTYIA TED IIOURL Y RATES. Actual clrarges shag be delcrniined aPer all services lieve been completed.SEE IMPORTAiVT NOTICE ABOVE,

Shipper: Date:

12

XMS Tariff ff 1, Effective: TBD

HOUSEHOLD GOODS INTRASTATE ESTIMATE COST OF SERVICES



864-461-2566 SCPSC No. 100-I

Case No.

Move Date

ORIGIN I DESTINATION

Issued at Xtreme Moving & Storage, LLC Consigned to

From Address

Address City

City Notify

I st Add. 1 st Add.

2nd Add.

Phone

2nd Add.

IMPORTANT NOTICES

A. This proposal is for listed items and services only. Additional items and services may result in additional costs.

Shipper shall be required to pay for all charges prior to unloading in cash or by certified check or money order, except as maybe otherwise agreed in writing between carrier andB. shipper

C. Can'ier's Liability for loss or damage IS LIMITED TO $0.60 CENTS PER POUND unless can%r and shipper agree in writing to a higher limit of can'ier liability.

Can%r and Shipper agree that any additional iteins or services not included in this proposal and the charges therefore may be set forth in an addendum hereto or aD.substitute proposal executed by canier and shipper.

XMS- Tariff 1

No. Of Miles ] No. of Truck(s) [ No. of Men [ Estimated Charge# [

1Additional Charges

TOTAL PROPOSED MOVING CHARGES

Rick Hooker Date 10/21/2012

Proposed charges set forth above are ESTIMA TED RATES, Actual charges shall be determined after all services and weights have been computed,SEE IMPORTANT NOTICE ABOVE.

Shipper: Date l 0/21/2012


13

HOUSEHOLD GOODS INTRASTATE ESTIMATE COST OF SERVICES

ORIGIN


From

Address

City

1st Add

2nd Add

Consigned to

Address

City

Notify

1st Add

2nd Add

Xtreme Moving & Storage, LLC5295 Chesnee Highway, Chesnee, SC 29525

864-461-2566 SCPSC No, 100-I

Case No.

Move Date

DESTIN

IMPORTANT NOTICES

tvices only Additional items and setvices may result m addtttonai costs.

barges prior to unloadmg m cash or by certtfied check or money order, except as maybe othenvtse agreed m wt tttng bctwcen carrtw and

S LthffTED TO '0 60 CFVTS PFR POUND unless camcr and shtpper agn e m writing to a higher Inntt of camer habihtyitionai items or services not mc luded m tins pt oposal and the chargm therefore may be set fottlt m an addendum hereto or aand siupper.

No. Of Miles

XVIS - Tariff I

No. of Truck(s) r No. of Men Esti

Additional Charges

TOTAL PROPOSED MO VING CHARGES

Rick Hooker Date 10/21/2012

Proposed clrarges serforrlr above are ES TIMA TED RA TES. Actual charges shall be rlerermined after all services arrd weights hat'e been competed.SEE IMPORTANT NOTICE ABOVE.

Shipper: Date 10/21/2012

13

XMS Tariff ff 1, Effective: TBD

COMBINED UNIFORM HOUSEHOLD GOODS BILL OF LADING AND FREIGHT BILL:

Not Negotiable (to be issued to shipper at time goods are received by carrier)

Xtreme Moving & Storage, LLC 5295 Chesnee Highway, Chesnee, SC 29323 864-461-2566

SCPSC No. 100-I Case No. Date Issued

Received pursuant to Order of Service (if any) and subject to the classifications and tariffs, rules and regulations in effect on the date of the issue of this Bill of Lading.

[ ORIGIN [ DESTINATION

]Issued at Xtreme Moving & Storage, LLC ] Consigned to [

[From [ ]Address [

[Address I ]City [

[City I ]Notify [

IPhone [

IMPORTANT NOTICES

A. This proposal is for listed items and selwicesonly. Additional items and services may result in additional costs+

B, Shippershallbe requiredto pay forall chargespriorto unloadingin cashor bycertifiedcheck or moneyorder, exceptas maybeotherwiseagreed inwritingbetweencattier and shipper

C. Canier's Liability for loss or damage IS LIMITED TO $0.60 CENTS PER POUND unless can%r and shipper agree in writing to a higher limit of cartierliability.

D. Cartier and Shipper agree that any additional items or services not included hi this proposal and the charges therefore may be set forth in an addendum heretoor a substitute proposal executed by cattier and shipper.

NOTE: The property described below (contents and conditions of contents of packages unknown) consigned and described as shown below, which said company (the wordcompany being understood throughout this contract as meaning any person or corporation in possession of the property under the contract) agrees to carry to destination indicated

above. If within the scope of its lawful operations, otherwise to deliver to another carrier to deliver to said destination, it is mutually agreed, as to each carrier of all or any of said

property over all or any portion of route to destination, and to each party at any time interested in all or any of said property, that every service to be performed hereunder shall besubject to all conditions no prohibited by law, whether printed or written, herein contained, including the conditions agreed upon in Xtreme Moving & Storage, LLC Tariff (XMS

No. 1), which are hereby agreed to by shipper and accepted for himself and his assigns. Tariffis on file at any Xtreme Moving & Storage, LLC office in SC and Corporate office.

No. Of Miles No. of Truck(s)

I

INTRASTATE MOVES ONLY

No. of Men Estimated Charge

ADDITIONAL SERVICES PERFORMED - XMS Tariff No. 1

Service Quantity Rate CHARGE

HOURLY _Fime Started

TRANSPORTATION _ess Lunch (if any)Carrier to insert time loading

_Completed [

[ Rate [-

started & unloading completed, |

md time taken for lunch (if any). / Time[ Van ---I Men Hours] I

All advance or lawful charges must be paid in cash, certified check, traveler's check, or cashier's I TOTAL [

check heck (one drawn by a bank on itself and signed by an officer of the bank) upon completion of [ PAID TO APPLY [

all services, unless otherwise indicated by the carrier. PRE-PAID [] CHARGE [] [ BALANCE DUE [

On shipments moving on hourly or intrastate basis, the shipper expressly releases their shipment for movement as evidenced by theirsignature and declaration on the attached "Addendum to Uniform Household Goods Bill of Lading." Such document shall become a

permanent part of the bill of lading covering the movement as identified. Shipment received subject to term andconditions, and shipper's declaration. This bill of lading is a legal contract and subject to terms of the current Tariff is on file at Xtreme

Moving & Storage, LLC.

Xtreme Moving & Storage By

The above described shipment was received in good condition except as noted.

Date DeliveredConsignee


14

COMBINED UNIFORM HOUSEHOLD GOODS BILL OF LADING AND FREIGHT BILL:Not Negotiable (to be issued to shipper at time goods are received by carrier)

Xtreme Moving 4 Storage, LLC 5295 Chcsnee Highway, Chesnee, SC 29323 864-461-2566

SCPSC No. 100-1 Case No. Date IssuedReceived pursuant to Order ot'Service (if any) and sub)ect to the classifications and tanlfs, rulm and regulations m etTect on the date ol'Ihe issue of thts t)tit of Lading

0RIGIiV


From

Address

City

Phone

Consigned to

Address

City

Notify

INATION

IMPORTANT VOTICES

A This proposal is for hated items and services only Additional items and services may result in additional costs.

8, Shipper shall bc required to pay for ail charges piior tn unloading in cash or by certified check oi mnney order, except as maybe otherwise agreed m wnting betweencamer and shipper

C. Camer's Liabihty for loss or damage IS LlhIITED TO 0.60 CENTS PER POUND unless can ier and shipper agree in writing to a lugher lunit of camierliability.

D. Caniei and Shipper agree that any additional itena ot services not included in this proposal and tho charges thcrcforc may be set foiih in an addendum heretoor a substitute pmposal exmuted hy censer and shipper.

NOTE: The propeny dasm ibad below (contents and conditions of contents of packages unknown) consigned and described as shown below, which said company (Ihe wordcompany being understood throughout this contract as meamng any person or corporation in possession of the property under the contract) agrees to carry to destmation mdicatedabove If within the scope of its lawful operations, otheovtve ro deliver to another carrrer to deliver to said destination, it is mutually agreed, as to each camer of ail or any ol'saidproperty over all or any portion ol'route to destination, and io each pany at any tnne mterested in all or any et'said property, that every service to be perlbnned hereunder shall besub)ect to ali conditions no prohibited by law, whether punted or wn iten, harem contained, mcluding the conditions agreed upon m Xtreme Movmg & Storage, LLC Tan ff (XMSNo. I), which are hereby agreed to by shipper and accepted for himself and his assigns. Tariff is on file at any Xtreme Movmg gi Storage, LLC office m SC and Corporate office

INTRASTATE MOVES ONLY

No. Of Miles Estimated Charge

ADDITIONAL SERVICES PERFORMED - XMIS Tariff Vo. I

Service CHARGE

ompleted

Rate

Men Hours

TOTAIIAll advance or lawful charges must be paid in cash, certified check, traveler's check, or cashier'

check heck (one drawn by a bank on itself and signed by an officer of the bank) upon completion ofPAID TO APPLY Iall services, unless otherwise indicated by the carrier.

PRE-PAID 0 CHARGE 0 BALANCE DUE I

On shipments moving on hourly or intrastate basis, the shipper expressly releases their shipment for movement as evidenced by theirsignature and declaration on the attached "Addendum to Uniform Household Goods Bill of Lading." Such document shall become apermanent part of the bill of lading covering the movement as identified. Shipment received subject to term and

conditions, and shipper's declaration. This bill of lading is a legal contract and subject to terms of the current Tariff is on file at Xtreme

Moving & Storage, LLC.

Xtreme Moving & Storage By

The above described shipment was received in good condition except as noted.

ConsigneeDate Delivered


14

• ADDENDUM TO UNIFORM HOUSEHOLD GOODS BILL OF LADING - A •

IMPORTANT:

OPTION 1:

OPTION 2:

SHIPPER DECLARATION OF VALUE

There are two (2) options available to cover loss and/or damages:

VALUATION CHARGES WILL APPLY UNLESS SHIPPER EXPRESSLY RELEASES THE SHIPMENT TOA VALUE NOT TO EXCEED SIXTY (60) CENTS PER POUND PER ARTICLE.

Full value protection. This option provides coverage based on current replacement value at the time of lossor damage, up to the dollar amount of valuation declared. The additional cost is based on the actual valuedeclared and the deductible, if any, declared.

** DECLARATION **

Prior to the move the shipper must select one of the options by completing the addendum made a part of the shipping orderand be evidenced by their signature and date. Should the shipper refuse to select one of the options, the carrier will not berequired to perform the move.

Shipper hereby releases the entire shipment to a value not exceeding:

SIGNATURE OF SHIPPER DATE Option 1 - (DEPRECIATED VALUE) - $0.60 Per Pound N(

additional charge.

SIGNATURE OF SHIPPER DATE

Option 2(a) - (REPLACEMENT VALUE) - (See Note)

$ with no deductible at a charge of$11.30 t

thousand ($1,000) of declared value. This would result in an

additional charge of $


Option 2(b) - (REPLACEMENT VALUE) - (See Note)

$ with a $300.00 deductible at a charge of

$3.75 per thousand ($1,000) of declared value. This would

result in an additional charge of $

NOTE: Must be an amount equal to or exceeding $5,000 per room excluding halls, attics, garage, closets, and baths.

A self-storage unit of 10 x 10 will constitute a room.

This document shall be completed and signed PRIOR TO MOVE and made a permanent part of the Bill of Lading.

If Carrier fails to require shipper to choose one of the above Liability Options, the shipper will be considered to have chosen 2(a)

(Replacement Value, no deductible) at no charge to the shipper.

Some items will be deemed out of the control of the carrier per shipper's request or condition of craftsmanship of items requested to bemoved. When these items arise a general release will be required to perform action releasing XMS from liability. Refer to addendum tothe uniform household goods bill of lading- B, itemizing releases and limitation of liability.

CASE NO:

NAME OF SHIPPER:

( ) HOURLY RATED MOVE

DATE:

( ) WEIGHT & DISTANCE MOVE

CARRIER REPRESENTATIVESIGNATURE


15

~ ADDENDUM TO UNIFORM HOUSEHOLD GOODS BILL OF LADING - A ~

SHIPPER DECLARATION OF VALUE

IMPORTANT: There are two (2) options available to cover loss andtor damages:

OPTION I: VALUATION CHARGES WILL APPLY UNLESS SHIPPER EXPRESSLY RELEASES THE SHIPMENT TOA VALUE NOT TO EXCEED SIXTY (60) CENTS PER POUND PER ARTICLE.

OPTION 2: Full value protection. This option provides coverage based on current replacement value at the time of lossor damage, up to the dollar amount of valuation declared. The additional cost is based on the actual valuedeclared and the deductible, if any, declared.

** DECLARATION **

Prior to the move the shipper must select one of the options by completing the addendum made a part of the shipping orderand be evidenced by their signature and date. Should the shipper refuse to select one of the options, the carrier will not berequired to perform the move.

Shipper hereby releases the entire shipment to a value not exceeding;

SIGNATURE OF SHIPPER DATEOption 1 — (DEPRECIATED VALUE) - $0.60 Per Pound Ntadditional charge.

SIGNATURE OF SIIIPPER DATE

Option 2(a) - (REPLACEMENT VALUE) - (See Note)$ with no deductible at a charge of $ 11.30 Ithousand ($ 1,000) of declared value. This would result in anadditional charge of $


Option 2(b) - (REPLACEMENT VALUE) - (See Note)$ with a $ 300.00 deductible at a charge of$ 3.75 per thousand ($ 1,000) of declared value. This wouldresult in an additional charge of $

NOTE: Must be an amount equal to or exceeding $5,000 per room excluding halls, attics, garage, closets, and baths.A self-storage unit of 10 x 10 will constitute a room.

This document shall be completed and signed PRIOR TO MOVE and made a permanent part of the Bill of Lading.

If Carrier fails to require shipper to choose one of the above Liability Options, the slupper will be considered to have chosen 2(a)(Replacement Value, no deductible) at no charge to the shipper.

Some items will be deemed out of the control of tbe carrier per shipper's request or condition of craftsmanship of items requested to bemoved. When these items arise a general release will be required to perform action releasing XMS from liability. Refer to addendum tothe uniform household goods bill of lading — B, itemizing releases and limitation of liability.

CASE NO: DATE;

NAME OF SHIPPER:

( ) HOURLY RATED MOVE ( ) WEIGHT & DISTANCE MOVE

CARRIER REPRESENTATIVESIGNATURE


15

XTREME MOVING & STORAGE, LLC Previous Damage Notification

Case No.

The following items were noticed to have some sort of damage and are noted on this report before loading. On

local moves or intrastate moves that have same day delivery Xtreme Moving will use this foma. If requested a full

inventory can be made. Additional charges and or time may apply.

DESCRIPTIVE SYMBOLS

B/W - BLACK & WHITE TVDOB - D1ASSEMBLED BY OWNER

C- COLOR TVCP - CARRIER PACKED

PB - PROFESSIONAL BOOKS

PBO - PACKED BY OWNER

PE - PRO. EQUIPMENTCD - CARRIER DISASSEMBLED

PP - PRO. PAPERSSW - STRETCHED WRAPPED

MCU - MECHANCIAL CONDITION UNKNOWN

EXCEPTION SYMBOLS

BE - BENTMI - MILDEW

BR - BROKENMO - MOTH EATEN

BU - BURNEDP - PEELING

CH - CHIPPEDR - RUBBED

CU - CONT1ENT &RU - RUSTED

CONDITION UNKNOWNSC - SCRATCHED

D - DENTEDSH - SHORT

F - FADEDS - STREACHED

G - GOUGEDT - TORN

L - LOOSEW - BADLY WORN

SO - SOILEDZ - CRACKED

M - MARRED

LOCATION SYMBOLS

1 - ARM I i - VENEER2 - BOTTOM

12 - EDGE3 - CORNER

13 - CENTER4 - FRONT

14 - INSIDE5 - LEFT

15 - SEAT6 - LEGS

16 - DRAWER7 - REAR

i 7 - DOOR8 - RIGHT9 - SIDE 18 - SHELF

10 - TOP 19 - HARDWARE

Article Room Name Condition at Origin

i

I HAVE BEEN NOTIFIED THAT THE ABOVE LISTED ITEMS WERE DAMAGED PRIOR TO THE MOVE.

Name Shipper: Date:

Shipper/Shipper's Agent Signature:

(XMS) Representative Signature:


16

XTREME MOVING 46E STORAGE, LLC Previous Damage NotificationCase No.

The following items were noticed to have some sort of damage and are noted on this report before loading. Onlocal moves or intrastate moves that have same day delivery Xtreme Moving will use this form. If requested a fullinventory can be made. Additional charges and or time may apply.

DESCRIPTIVE SYMBOLS EXCEPTION SYMBOLS LOCATION SYMBOLS

B/W - BI.ACK a VVHITE TVDOB - DIASSEMBLED BY OWVCLRC- COLOR TVCP - CARRIER PACKEDPB - PROI ESSIONAL BOOKSPBO - PACKED BY OVY."IERPE - PRO. EQUIPMENTCD - CARRIFR DISASSFMBLEDPP-PRO, PAPERSSW - STRETCHED W RAP PFDMCU - MFCHA'NCIAL CONDITION UNKVOWN

BE-BENTBR-BROKENBU-BURNEDCH - CHIPPEDCU - COVTIENT ACOVDITION UNKVOWVD-DF.) TFDF-FADEDG-GOUGFDL - I,DOSESo - SOILEDM - MARRED

Ml - MILDEWMo - MOTH EATENP - PEELINGR-RUBBEDRL - RUSTEDSC-SCRATCHEDSH - SHORTS-STREACHEDT - TOR.'VW - BADLY WORVE-CRACKED

I - ARM2-BOTTOM3-CORNER4-FRO'NT6-LEFT6 - I.FGS7-REAR8 - RIGHT9 - SIDE10 - TOP

11- YENFER12- EDGE13-CENTER14 - INSIDE15-SEAT16 - DRAWER17- DOORIS - SI IL'LF19 - HARDWARE

I HAVE BEEN NOTIFIED THAT THE ABOVE LISTED ITEMS WERE DAMAGED PRIOR TO THE MOVE.

Name Shipper: Date:


(XMS) Representative Signature:



[From [

DESCRIPTIVE INVENTORY

Case No PAGE of

[Address [ ICity [

[Address [ [City [

DESCRIPTIVE SYMBOLS

B/W - BLACK & WHITE TVDOB - DIASSEMBLED BY OWNER

C- COLOR TV

CP - CARRIER PACKEDPB - PROFESSIONAL BOOKS

PBO - PACKED BY OWNER

PE - PRO. EQUIPMENTCD - CARRIER DISASSEMBLED

PP - PRO. PAPERSSW - STRETCHED WRAPPED

MCU - MECHANCIAL CONDITION UNKNOWN

EXCEPTION SYMBOLS

BE - BENTMI - MILDEW

BR - BROKENMO - MOTH EATEN

BU - BURNEDP - PEELING

CH - CHIPPEDR - RUBBED

CU - CONTIENT &RU - RUSTED

CONDITION UNKNOWNSC - SCRATCHED

D - DENTEDSH - SHORT

F - FADEDS - STREACHED

G - GOUGEDT - TORN

L - LOOSEW - BADLY WORN

SO - SOILEDZ - CRACKED

M - MARRED

LOCATION SYMBOLS

1 -ARM11 - VENEER

2 - BOTTOM12 - EDGE

3 - CORNER13 - CENTER

4 - FRONT14 - INSIDE

5 - LEFT15 - SEAT

6 - LEGS16 - DRAWER

7 - REAR17 - DOOR

8 - RIGHT18 - SHELF

9 - SIDE19 - HARDWARE

10 - TOP

NOTE: THE OMISSION OF THESES

ITEM # ARTICLES

1

[

I

ITEM #

SYMBOLS INDICATE GOOD CONDITION EXCEPT NORMAL WEAR.

CONDITION (IFCONDITION AT ORIGIN ANY) AT

DESTINATION

REMARKS/EXCEPTIONS:

I[[

_APE LOT NO. rAPE COLOR!"We have checked all the items listed and numbered 1 to

inclusive and acknowledge that this is a true and complete list of the[goods tendered and of the state of the goods received"i •

iWARNING >>>>> Before signing check shipment, count items

land describe loss or damage in the space on the right above.

IOS. FROM FHRU

AT

ORIGIN

Xtreme Moving

SHIPPER AND OR AGENT

Date

DateAT DESTINATION

Xtreme Moving Date

SHIPPER AND OR AGENTDate

XMS Tariff # 1, Effective: TBD

17

Xtreme Moving 8r. Storage, LLC

fFrom f

Address

~Address f

DESCRIPTIVE SYMBOI.S

DESCRIPTIVE INVENTORYCase No

lc y

fcity

EXCEPTION SYMBOLS

PAGE of

LOCATION SYMBOLS

B/W - BLACK 8c WH ITP. TVDOB - DIASSEMBLED BY OTVVERC- COLOR TVCP - CARRIER PACKEDPB - PROFESSIONAL BOOKSPBO - PACKED BY OWNERPL' PRO. EQUI PMEVTCD - CARRIER DISASSEMBLEDPP-PRO.PAPFRSSW - STRETCHED WRAPPEDMCU - MECHAVCIAL CONDITION UVKNOWN

BE - BENTBR-BROKENBU-BURVEDCH - CHIPPEDCU - CONTIENT 4CONDITION UNKNOWND-DENTFDF-FADEDG-GOUGEDI. - LOOSESO - SOILEDM - NIARRED

IVH - MILDEWMO - MOTH EATENP - PEELINGR-RUBBEDRU - RUSTEDSC - SCRATCHEDSH - SHORTS-STREACHEDT-TORNW — BADLY WORNZ- CRACKED

I -ARM2 — BOTTOIVI3 — CO RIVER4-FRONT5 - I.EFT6-I.EGS7- REAR8 - RIGHT9-SIDE10 - TOP

Il-VENFER12-FUGE13-CFRTFR14- INsmr.IS-SPAT16 - DRAWER17- DOOR18 - S HEI.F19- HARDWARE

NOTE: THE OMISSION OF THESES SYMBOLS INDICATE GOOD CONDITION EXCEPT NORMAL WEAR.

treme MovingAT

ORIGINSHIPPER AND OR AGENT

Date

AT DESTINATIONDate

Xtreme Moving ate

ate

XMS Tariff tt i, Effective: TBD

17

• ADDENDUM TO UNIFORM HOUSEHOLD GOODS BILL OF LADING - B •

PRESS BOARD / PARTICLE BOARD NOTICE

LIMITATION OF LIABILITY ON READY TO ASSEMBLE FURNITURE

MADE FROM PRESS BOARD, PARTICLE BOARD, AND ENGINEERED WOOD

Furniture manufactured from press board, particle board and/or engineered wood is designed to go into a box from the manufacturer, tothe retailer, and then to the customer unassembled. It is not constructed to withstand the normal stress of a move as an assembled unit.

Most is not designed with the extra wood structural pieces to adequately brace the unit for movement out of or into a residence, and may

not withstand the normal truck vibration, even in air-ride trailers. Usually chips or dents are not repairable. Surface impressions can bemade on the furniture when writing on a single piece of paper. Assembly instructions frequently suggest that connecting hardware

pieces be glued in place. This does not significantly improve the structural integrity of the pieces and makes disassembly impossible

without creating substantial, un-repairable damage. When a shipper elects to ship an article as defined herein, and notwithstanding the

language contained in this Notice, in no case shall the liability of the carrier exceed $0.30 (thirty cents) per pound per article or$50.00per article, whichever is greater. Shipper understand that any claim.for damage to the press board, particle board, andor

engineered wood.furniture may be denied due to inherent vice, based upon the fact that.fully assembled press board, particle board,andor engineered wood furniture is inherently susceptible to damage as outlined above.


RELEASE OF LIABILITY WAIVER

It is hereby acknowledged that Xtreme Moving & Storage has been employed by the Shipper to provide services (moving and/orpacking and/or unloading). Shipper or Shipper's Agent hereby acknowledges having been advised of the following risk of harm for

activities requested by or for Shipper.

(Shipper and Xtreme Moving & Storage Representative to initial appropriate paragraphs):

Outside/Exterior Risks. Xtreme Moving & Storage does not assume any liability for outside/exterior damage including, but

not limited to damage to lawn, cracks or other damage to driveways, sidewalks or curbs, loss of vegetation, underground sprinklerssystems, drain fields, electrical, phone, cable or any other wires that hang below 14 feet.

Storage, Loading/Unloading. Xtreme Moving & Storage does not assume liability for items after they are delivered to public

storage areas. IfXtreme Moving & Storage is providing Loading services for a Shipper's rental truck or other container/vehicle, ourliability will end when items are placed into/onto that vehicle/container. If Xtreme Moving & Storage is providing Unloading Services

for a Shipper's rental truck or other container/vehicle, our liability does not include any damage resulting from improper loading of

vehicle/container or from shifting of items during transport of said vehicle/container. It is the Shipper's responsibility to provide

padding (blanket, bedspreads, thick towels, padded paper, etc.) to protect their goods. Damage Claims must be made within 96 hours of

your move.

Weather. Xtreme Moving & Storage does not assume liability for any damages that may occur due to weather conditions.

Shipper Packing (PBO) Xtreme Moving & Storage does not assume any liability for items packed improperly. All fragile

items should be packed properly prior to the move date. Xtreme Moving & Storage will not disconnect any computer equipment orelectronics, or assume any liability for these items that have not been properly and completely disconnected prior to being moved.

Xtreme Moving & Storage is not liable for the mechanical or electrical condition of any appliance, stereo equipment, TV, piano,

computer, DVD, gaming equipment, clocks, etc.

High Value Items. Xtreme Moving & Storage does not assume any liability for jewelry, money, handguns, or firearms.

Unsafe/Unique Moving Circumstances. Xtreme Moving & Storage is not responsible for any direct or indirect damage to

items or surroundings, as a result of a specific Shipper request. The items (s) are:

Live Plants & Their Containers. Xtreme Moving & Storage will not be liable for any damages (including breakage,

freezing or burning due to weather conditions) to live plants and/or their containers.

Other:

Other:

ORIGIN WALKTHROUGH Xtreme Moving & Storage does not assume any liability for items left behind at origin. It

is the shipper's responsibility to execute a final walk through to determine that all items have been loaded/removed at origin and all pick

up locations. _ AM PM TIME

DESTINATION WALKTHROUGH Shipper has executed a walkthrough with the crew leader at the Destination. All items

were unloaded and all items were assembled to the shipper's satisfaction. All Items are in the shipper's desired location. Shipper has

viewed the truck and no freight remains. AM PM TIME

APPLIANCE ACKNOWLEDGEMENT Shipper & crew leader has inspected all appliances (Refrigerators, Washers, &

Dryers) and agree they have been installed properly and not leaking. __ AM PM TIME

Shipper hereby releases Xtreme Moving & Storage and all of its employees from liability associated with any of the activitiesdescribed above. Shipper assumes all liability for any damage resulting from any of the activities described above.

Shipper Name: Date: Case No.


18

~ ADDENDUM TO UNIFORM HOUSEHOLD GOODS BILL OF LADING - B ~

PRESS BOARD / PARTICLE BOARD NOTICE

LIMITATION OF LIABILITY ON READY TO ASSEMBLE FURNITUREMADE FROM PRESS BOARD, PARTICLE BOARD, AND ENGINEERED WOOD

Furniture manufactured from press board, particle board and/or engineered wood is designed to go into a box from the manufacturer, tothe retailer, and then to the customer unassembled. It is not constructed to withstand the normal stress of a move as an assembled unit.Most is not designed with the extra wood structural pieces to adequately brace the unit for movement out of or into a residence, and maynot withstand the normal truck vibration, even in air-ride trailers. Usually chips or dents are not repairable. Surface impressions can bemade on the furniture when writing on a single piece of paper. Assembly instructions frequently suggest that connecting hardwarepieces be glued in place. This does not significantly improve the structural integrity of the pieces and makes disassembly unpossiblewithout creating substantial, un-repairable damage. When a shipper elects tn sliip an article as defined herein, and nnt&vithstanding thelanguage contained in this Notice, in nn case shall the liability nf the carrier exceed $0.30 (thirty cents) per pound per article or$50 00per article, ivhi clrever is greater. Shipper understand that a&iy claim for damage tn the press board pa& ticle bnard, and/orengineered wood furniture &nay be denied due tn inherent vice, base&i upnn the fact tliat fully assembled press board, particle board,and&nr engineered &vend furniture is inherently susceptible tn damage as outlined above.


RELEASE OF LIABILITY WAIVER

It is hereby acknowledged that Xtreme Moving & Storage has been employed by the Shipper to provide services (moving and/orpacking and/or unloading). Shipper or Shipper's Agent hereby acknowledges having been advised of the following risk of harm foractivities requested by or for Shipper.

(Shipper and)(tree&e Moving & Sto&age Representative to initial appropriate paragraphs);

Outside/ Exterior Risks. Xtrenie Moving & Storage does not assume any liability for outside/exterior damage including, butnot limited to damage to lawn, cracks or other damage to driveways, sidewalks or curbs, loss of vegetation, underground sprinklerssystems, drain fields, electncal, phone, cable or any other wires that hang below 14 feet.

Storage, Loading/Unloading. Xtreme Moving & Storage does not assume liability for items after they are delivered to publicstorage areas, If Xtreme Moving & Storage is providing Loading services for a Shipper's rental truck or other container/vehicle, ourliability will end when items are placed into/onto that vehicle/container. If Xtreme Moving & Storage is providing Unloading Servicesfor a Shipper's rental truck or other contamer/vehicle, our liability does not include any damage resulting from improper loading ofvehicle/container or from shifting of items during transport of said vehicle/container, It is the Shipper's responsibility to providepadding (blanket, bedspreads, thick towels, padded paper, etc.) to protect their goods. Damage Claims must be made within 96 hours ofyour move.

Weather. Xtreme Moving & Storage does not assume liabihty for any damages that may occur due to weather conditions.

Shipper Packing (PBO) Xtreme Moving & Storage does not assume any liability for items packed improperly. All fragileitems should be packed properly prior to the move date. Xtreme Moving & Storage will not disconnect any computer equipment orelectronics, or assume any liability for these items that have not been properly and completely disconnected prior to being moved.Xtreme Moving & Storage is not liable for the mechanical or electrical condition of any appliance, stereo equipment, TV, piano,computer, DVD, gaming equipment, clocks, etc,

High Value Items, Xtreme Moving & Storage does not assume any liability for jewelry, money, handguns, or firearms.

Unsafe/Unique Moving Circumstances. Xtreme Moving & Storage is not responsible for any direct or indirect damage to

items or surroundings, as a result of a specific Shipper request. The items (s) are:

Live Plants & Their Containers, Xtreme Moving & Storage will not be liable for any damages (including breakage,freezing or burning due to weather conditions) to live plants and/or their containers.

Other:

Other:

ORIGIN WALKTHROUGH Xtreme Moving & Storage does not assume any liability for items left behind at ongin. It

is the shipper's responsibility to execute a final walk through to determine that all items have been loaded/removed at origin and all pick

up locations. AM PM TIME

DESTINATION WALKTHROUGH Shipper has executed a walktluough with the crew leader at the Destination. All items

were unloaded and all items were assembled to the shipper's satisfaction. All Items are in the shipper's desired location. Shipper has

viewed the truck and no freight remains. AM PM TIME

APPLIANCE ACKNOWLEDGEMENT Shipper & crew leader has inspected all appliances (Refrigerators, Washers, &

Dryers) and agree they have been installed properly and not leaking. AM PM TIME

Shipper hereby releases Xtreme Moving & Storage and all of its employees from liability associated with any of the activities

described above. Shipper assumes all liability for any damage resulting from any of the activities described above.

Shipper Name: Date: Case No.


XTREME MOVING & STORAGE, LLC Change of Service

Case No.

The undersigned states that the circumstafices of the shipment of the household goods have changed

since the original Estimated Cost of Services. The following changes need to be made to the originalEstimated Cost of Services.

Time/Date of change: DescriptiOn of Change:

Comments:

Additional Cost: Signature of Shipper or Agent:

Time/Date of change: Description of Change:

Comments:



Comments:

Additional Cost: ISignature of Shipper or Agent:


Comments:

Additional Cost: [Signature of Shipper or Agent:


Comments:


I have read this document and I agree to the changes noted herein as they affect my shipment.

Shipper and or Agent Date Time

XTREME Representative Date Time


19

Change of ServiceCase No.

The undersigned states that the circumstances of the shipment of the household goods have changedsince the original Estimated Cost of Services. The following changes need to be made to the originalEstimated Cost of Services.

Time/Date of change; Description of Change:

~Time/Date of change:

ments;

Additional Cost:

Time/Date of change:

~Sgn.t ~ f Sh pp. Ag. t:

Description of Change:

~AdChti t C t:

iD IDt fh g:mments;

Signature of Shipper or Agent:

~Dipd f Ch g:

|Additional Cost: igig t f Sh pp Ag»t:


I have read this document and I agree to the changes noted herein as they affect my shipment.

Shipper and or Agent

XTREME Representative

Date

Date

Time

Time


19

DAI£IAGE REPORT


Address where damage freight is located:


Case No. Date Issued

The Items described below are located at the address listed above unless otherwise noted.

Customer's New Telephone: (H) (W)

Damage Occurred to: Description of Damage

864-461-2566

Please gather the follow information Make/Model #, Manufacturer Name, Part # Needed, Color, Year

Purchased, Store Purchased From. This will aid in getting the claim completed faster. Additional information

may be required.

2)Please gather the follow information Make/Model #, Manufacturer Name, Part # Needed, Color, Year


may be required.



may be required.

4) •Please gather the follow information Make/Model #, Manufacturer Name, Part # Needed, Color, Year


may be required.



may be required.

Claims will be processed within 90 days.from the date claim is.filed in writing. A claim processor will be in

contact with any questions or additional information needed to process claim.

Shipper/Shipper's Agent Signature:Date:

(XMS) Representative Signature: Date:

20


DAMAGE REPORTXtreme Moving tent Storage, LLC

5295 Chesnee Highway, Chesnee, SC 29323 864-461-2566

Address where damage freight is located:

Case No. Date Issued

The Items described below are located at the address listed above unless otherwise noted.

Customer's New Telephone: (H) (W)

Damage Occurred to: n of Damage

Please gather the follow information Make/Model I/, Manufacturer Name, Part // Needed, Color, YearPurchased, Store Purchased From. This will aid in getting the claim completed faster. Additional informationmay be required.

Claims will be processed within 90 days from the date claim is filed in writing. A claim processor will be in

contact with any questions or additional information needed to process claim.

Shi er/Shi er's A ent Si nature: Date:

XMS Re resentative Si nature; Date:

XMS Tariff/I I, Effective: TBD

20

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