Port of Alaska Standard Berthing Application – All Vessels ESTIMATED ARRIVAL DATE: ESTIMATED ARRIVAL TIME (Alaska Time): 01:0002:0003:0004:0005:0006:0007:0008:0009:0010:0011:0012:0013:0014:0015:0016:0017:0018:0019:0020:0021:0022:0023:0024:00 ESTIMATED DEPARTURE DATE: ESTIMATED DEPARTURE TIME (Alaska Time): 01:0002:0003:0004:0005:0006:0007:0008:0009:0010:0011:0012:0013:0014:0015:0016:0017:0018:0019:0020:0021:0022:0023:0024:00 CONTACT TELEPHONE NUMBER: DESIRED BERTH (Assume No Guarantee): No PreferencePOL/Cement Terminal 1POL Terminal 2Cargo Terminal 2Cargo Terminal 3 PORT CHARGES DOCKAGE WHARFAGE WHARFAGE - CLICK BOX IF NOT APPLICABLE MAIL AND EMAIL SAME AS DOCKAGE SECURITY SECURITY - CLICK BOX IF NOT APPLICABLE MAIL AND EMAIL SAME AS DOCKAGE EQUIPMENT RENTAL EQUIPMENT RENTAL - CLICK BOX IF NOT APPLICABLE MAIL AND EMAIL SAME AS DOCKAGE WATER WATER - CLICK BOX IF NOT APPLICABLE MAIL AND EMAIL SAME AS DOCKAGE MAN BASKET MAN BASKET - CLICK BOX IF NOT APPLICABLE MAIL AND EMAIL SAME AS DOCKAGE DUMPSTER DUMPSTER - CLICK BOX IF NOT APPLICABLE MAIL AND EMAIL SAME AS DOCKAGE OTHER OTHER - CLICK BOX IF NOT APPLICABLE MAIL AND EMAIL SAME AS DOCKAGE FOR APPLICANT I have read and fully understand the restrictions and cautions associated with the use of the Port of Alaska terminal facilities as published in POA Terminal Tariff No. 8.1, Section 1, Item 120. ACCEPTANCE OF FINANCIAL RESPONSIBILITY FOR PAYMENT In connection with this Vessel Berthing Application, the undersigned hereby accepts responsibility, on its own behalf, for payment of the port charges as listed above by line item, or one hundred percent (100 percent) of such other sum as the Port, after review and revision of such estimates, has provided to the undersigned in writing in which latter case a copy of such writing is physically attached hereto. Further, IAW POA Terminal Tariff No. 8.1, Section 1, Part 6, Paragraph 3(b), Terms of payment for all applicable Port charges shall be cash-in-advance. In all instances where the party responsible for payment has not established credit worthiness with the Port and where responsibility for Port charges has not been accepted by another credit worthy entity, cash deposit or acceptable security in an amount equal to 125 percent of the estimated applicable charges shall be required to be posted with the Port, four days prior to the vessel's scheduled arrival, or at such other time as may be authorized or directed by the Port, but in all cases in advance of actual services rendered. Wherever a cash deposit has been posted, any excess thereof, after satisfaction of all applicable Port charges, shall be promptly refunded by the Port to the posting party. I agree with financial responsibility outlined above. A confirmation email will be sent to the applicant email address. If you do not receive, please check your spam folder.