The vessel agent for any vessel loading or unloading cargo at the Alabama State Port Authority shall file a Berth Application Request Form with the individual Terminal Management at least forty eight (48) hours prior to the arrival of the vessel. Designation of Berth will be supplied by the terminal management prior to departure of the vessel from the Mobile Seabouy.

In requesting application for berth the vessel agent assumes responsibility for all charges assessable against the vessel and any additional charges resulting from services from the terminals where the vessel is either working or at layberth.

In making application for berth the vessel agent indicates a desire to use Port Facilities under the Jurisdiction of the Alabama State Port Authority and Berth Application Request shall constitute a consent to all the terms and conditions of any and all applicable tariffs of the Alabama State Port Authority and evidences and agreement on the part of the vessel agent to pay all charges assessable to the vessel.

Hazardous materials accepted only at designated berths, and only if in compliance with applicable governmental regulations.

All provisions of ASPA Tariff No. 1-E and the individual terminal tariffs are applicable (see item 212 Application for Berth).

Vessel:

S/S Line:

Call Letters:

Flag:

Lloyds Number:

ISPS #:

Length:

Beam:

ETA:

Arrival Draft:

Departure Draft:

Vessel Will Load/Discharge:     Commodity:

Tons:

Stevedore:

Remarks:

Last Port:

Next Port:

In accordance with USCG 33 CFR 105.270 (b) (2), advance notification of vessel stores or bunkers delivery is required:

Vessel Agent:

Berth Requested:

By:

Date:

First Name:

Last Name:

Company Name:

Phone Number:

Fax Number:

Email address:

Re-enter Email address:

File Attachment: