NOTE (1) Where the rate is dependent on value, shippers are required to state specically in writing the agreed or declared value of the property as follows:

Subject to section 7 of conditions, if the shipment is to be delivered to the consignee without recourse on the consignor shall sign the following statement:

"The agreed or declared value of the property is specically stated by the shipper to be not exceeding

The carrier shall not make delivery of the shipment without payment of freight and all other changes.

CORLETT EXPRESS TRUCKING, Inc., Liability for loss or damage to any shipment or any part

theory , is limited to the actual value of the article(s) lost, damaged or destroyed or $5.00 per

This is to certify that the above named

articles are properly classied, described,

packaged, marked and labeled, and are in

proper condition for transportation,

according to the applicable regulation of

the Department of Transportation.