Vehicle Transportation Safety Agreement

In a society that is developing at an ever-increasing pace, agreements are needed in more and more places. Agreements have legal effect and establish certain legal relationships. I am sure that most people have a headache about drafting agreements. Below is a vehicle transportation safety agreement that I have collected for everyone. It is for reference only. Let’s take a look. Vehicle Transportation Safety Agreement 1

Party A: Helan County Xingsheng Water Conservancy Engineering Co., Ltd.

Party B: Transport vehicle personnel

In order to further strengthen construction site machinery Safety management, in accordance with the "Safety Production Law", "Construction Engineering Safety Production Management Regulations", "Safety Technical Work Procedures for Water Conservancy and Hydropower Construction Installation" and the safety training management system for special operations personnel, the following safety responsibility letter is signed:

1. Safety requirements for transport vehicles (drivers):

1. Vehicles that enter the construction site and undertake transportation tasks must have various certificates of compliance mandated by the state. In order to ensure that the vehicle can be transported safely Only under certain circumstances can we undertake the transportation task.

2. Comply with the national "Road Traffic Safety Management and Other Regulations" and drive in accordance with the regulations. It is strictly prohibited to drive without a license, drive after driving under the influence of alcohol, or drive without a warrant. Transport vehicles must pass annual inspections.

3. Drivers do not violate safety regulations. Drive safely and civilly on haul roads.

4. Under the arrangement of the material supplier of the project department, pull and transport materials in a planned manner. It is prohibited for individuals to make the decision to transport materials without authorization.

5. The speed of vehicles driving in the construction area shall not exceed 15KM, and the speed shall not exceed 3KM when passing vehicles, curves, or dangerous slopes.

6. It is strictly forbidden to mix passengers and goods in heavy-duty vehicles, and it is prohibited to carry people. No more people are allowed in the cabs of various vehicles in the construction area, and it is strictly prohibited to carry people outside the cabs.

7. Dump trucks entering the construction site must abide by the following regulations: when unloading materials in low-lying areas, keep an appropriate safe distance between the rear wheels and the edge of the pit to prevent collapse and rollover; unload in solid areas When loading and unloading materials, a firm vehicle blocking device must be set up, and a dedicated person must be assigned to direct the vehicle. A red light must be set up at night; the vehicle is not allowed to drive when it is reset after the vehicle is lowered; it is prohibited to unload materials on roads with cross slopes to prevent the vehicle from overturning due to deviation in the center of gravity.

8. Vehicles entering the construction area must obey the instructions of the construction workers and unload materials according to regulations or designated areas.

9. Vehicles entering the construction area must obey the command and management of the on-site safety officer. Before driving every day, you must take the initiative to report the vehicle status to the management personnel and fill out the daily motor vehicle inspection safety form

2. Safety requirements of the project department:

10. Failure to forcibly order transport vehicles violates national regulations Pulling materials.

11. When the vehicle cannot meet the safe transportation conditions, do not force the vehicle to carry out illegal operations.

12. Vehicles must not be forced to enter the construction site to wait for items to be inspected. Vehicles must be forcibly inspected when the vehicle inspection location cannot meet the conditions for safe vehicle inspection.

13. Transport vehicles are not required to be overloaded or overloaded with materials.

3. Safety Responsibilities:

14. The transaction location for hauling materials by both parties is the construction site material storage yard. All safety accidents that occur when a transport vehicle enters the construction site will be borne by the transport vehicle driver himself.

15. If a transport vehicle fails to meet safety requirements due to mechanical failure and conceals the accident, the accident shall be borne by the vehicle itself.

16. If a transport vehicle violates national regulations and is overloaded or transported beyond the limit during transportation, all consequences that occur will be borne by the transport vehicle itself.

17. When entering the construction site, the driver found that there were no safe conditions at the site and accidents might occur. However, the project department managers forcibly blocked the site, and the project department was responsible for the accident. 18. This contract is valid from the date of signature until the completion of the transportation task.

19. This letter of responsibility is made in duplicate, with Party A and Party B each holding one copy.

Party A: Helan County Xingsheng Water Conservancy Engineering Co., Ltd.

Responsible person: XX

Time: XXXX, XXXX, XXXX

< p> Party B: Transport vehicle personnel

Responsible person: XX

Time: Vehicle Transportation Safety Agreement 2 on XX, XX, XXXX

Party A: Taiyuan Yingxian Coking Group Co., Ltd. Gas Station

Party B: Shanxi Hotan Materials Trading Group Co., Ltd. Fleet

In order to effectively do a good job in safety production and further strengthen the leadership, management and supervision of safety production work, Ensure the smooth progress of all work and ensure that the work of relevant (responsible) parties in our company can be carried out safely and orderly. In accordance with the national policy of "safety first, prevention first, mass prevention and mass treatment", the "Work Safety Law of the People's Republic of China", the "Road Traffic Safety Law of the People's Republic of China" and other relevant regulations, combined with this The actual situation of the company’s safety work. Specifically signing this agreement:

1. The vehicle transportation work engaged by Party B must comply with the relevant requirements for the safe transportation of its vehicles. It must not only fully understand the safety characteristics and nature of the work, but also master its dangerous nature and major sources of danger.

2. When Party B’s vehicles enter Party A’s site, they must obey the command and dispatch of Party A’s operating personnel.

3. Pay attention to environmental protection and occupational health, reduce exhaust emissions as much as possible, and protect the health of workers. When unloading, unload and handle with care to minimize the noise generated during loading and unloading.

IV. Party B must provide Party A with all driver’s certificates. Drowsy driving is strictly prohibited, and the vehicle is strictly prohibited from being driven by unlicensed persons.

5. Party B must pay attention to safety work and abide by national laws and regulations during transportation. Party B shall be solely responsible for any accidents that occur during transportation.

6. Transport vehicles must strictly abide by the "Road Traffic Safety Law of the People's Republic of China" and other relevant national regulations during operation.

7. Transport vehicles must strictly abide by Party A’s relevant regulations during work. Vehicles must be cleaned when leaving the vehicle. It is strictly forbidden to leave mud on the wheels to pollute urban roads.

8. Party B must provide Party A with materials that meet Party A’s requirements in accordance with the requirements of the contract. Party A has the right to reject materials that do not meet Party A's requirements.

9. This agreement shall take effect from the date of signing and shall be terminated on the date of completion of transportation.

10. Matters not covered in this agreement shall be handled in accordance with relevant national laws and regulations.

This Agreement is made in two copies, with each party holding one copy.

Party A: Taiyuan Yingxian Coking Group Co., Ltd. Gas Station

Representative (signature): XX

January 1, 20xx

Party B: Shanxi Hotan Materials Trading Group Co., Ltd. Fleet

Representative (signature): XX

Vehicle Transportation Safety Agreement 3 on January 1, 20xx

Party A: XX

Party B: XX

According to the national regulations on safe transportation of dangerous goods and the relevant document requirements of Chongqing Municipality, Party A entrusts Party B to be responsible for the transportation of dangerous goods produced by Party A. Chemicals, in order to clarify the safety rights and obligations of both parties, the two parties reached the following agreement through friendly negotiation:

1. The performance period of this agreement is the same as the performance period of the transportation operation contract between the parties, and it is an annex to the transportation operation contract. 1. It has the same legal effect as a transportation operation contract.

2. Party A must issue safety technical instructions for the hazardous chemicals transported to Party B, and inform Party B of the safety characteristics and emergency handling matters of the hazardous chemicals transported.

3. Party B must have legal and valid qualifications for transporting hazardous chemicals, and Party B’s vehicles and employees must have corresponding legal and valid qualifications.

4. Party B is responsible for transportation safety, and Party A does not assume any responsibility.

5. Party B shall transport hazardous chemicals according to the route and time required by the state, and shall not stay in densely populated areas.

6. Party B’s transport vehicles entering Party A’s factory must follow the route specified by Party A, park according to the requirements specified by Party A, and must take fire and explosion prevention measures and set up warning signs.

7. Party B’s transportation vehicles shall not operate in violation of regulations in Party A’s factory. Party B will be responsible for the consequences of illegal operations. If losses are caused to Party A, Party B must compensate.

8. This Letter of Responsibility will take effect after it is signed (sealed) by Party A and Party B. This Letter of Responsibility is made in duplicate, with Party A and Party B each holding one copy.

Party A: XX

XXXX year XX month XX day

Party B: XX

XXXX year XX month XX day Vehicle transportation safety Agreement 4

Party A: _____

Party B: _____

In order to effectively do a good job in safe production, further strengthen the leadership, management and supervision of safe production work to ensure The smooth progress of all work ensures that the work of relevant (responsible) parties in our company can be carried out safely and orderly. In accordance with the national policy of "safety first, prevention first, mass prevention and mass treatment", the "Work Safety Law of the People's Republic of China", the "Road Traffic Safety Law of the People's Republic of China" and other relevant regulations, combined with this The actual situation of the company’s safety work. Specifically signing this agreement:

1. The vehicle transportation work engaged by Party B must comply with the relevant requirements for the safe transportation of its vehicles. It must not only fully understand the safety characteristics and nature of the work, but also master its dangerous nature and major sources of danger.

2. When Party B’s vehicles enter Party A’s site, they must obey the command and dispatch of Party A’s operating personnel.

3. Pay attention to environmental protection and occupational health, reduce exhaust emissions as much as possible, and protect the health of workers. When unloading, unload and handle with care to minimize the noise generated during loading and unloading.

IV. Party B must provide Party A with all driver’s certificates. Drowsy driving is strictly prohibited, and the vehicle is strictly prohibited from being driven by unlicensed persons.

5. Party B must pay attention to safety work and abide by national laws and regulations during transportation. Party B shall be responsible for any accidents that occur during transportation.

6. Transport vehicles must strictly abide by the "Road Traffic Safety Law of the People's Republic of China" and other relevant national regulations during operation.

7. Transport vehicles must strictly abide by Party A’s relevant regulations during work. Vehicles must be cleaned when leaving the vehicle. It is strictly forbidden to leave mud on the wheels to pollute urban roads.

8. Party B must provide Party A with materials that meet Party A’s requirements in accordance with the requirements of the contract. Party A has the right to reject materials that do not meet Party A's requirements.

9. This agreement shall take effect from the date of signing and shall be terminated on the date of completion of transportation.

10. Matters not covered in this agreement shall be handled in accordance with relevant national laws and regulations.

This Agreement is made in two copies, with each party holding one copy.

Party A: _____

Representative (signature):

Year, month and day

Party B: _____

Representative (signature):

Year, month and day Vehicle Transportation Safety Agreement 5

Party A: Party B:

In order to strengthen the safety management of earthwork transportation and prevent and reduce safety accidents, ensure the safety of people's lives and property, effectively promote the full performance of the earthmoving freight operation contract (hereinafter referred to as the earthmoving transportation operation contract) by both parties, and safeguard the legitimate rights and interests of both parties. In accordance with relevant road transportation safety laws, administrative regulations and rules, both parties The following agreement has been reached;

1. The performance period of this agreement is from January 1, 20xx to January 20xx, 20xx.

2. Party A shall establish safety management supervision personnel, equip personnel with professional knowledge and skills and clarify responsibilities, establish and complete safety rules and regulations, and provide Party B and its employees with knowledge of safety regulations , safety rules and regulations, safe operating procedures and safe operating skills education and training.

3. Party B shall accept Party A’s safety supervision and management, abide by Party A’s safety rules and regulations, and participate in the safety regulations knowledge, safety rules and regulations, safety operating procedures and safety regulations provided by Party A on time with the employees it employs. Education and training on safe operating skills, etc.

4. If Party B intends to hire a driver, it must examine whether he or she holds a valid original driving license, operating license or qualification certificate that matches the type of driving he intends to drive, and whether he has the driving experience required for the type of driving he intends to drive.

Bring them to Party A's safety management and supervision department and submit their original ID cards, driving licenses, operating licenses, qualification certificates, etc. And keep backup copies of the above documents with Party A.

If Party B commits intentional or gross negligence when reviewing and handling the affairs specified in the preceding paragraph, once verified, Party B shall bear all losses caused thereby.

5. Party A shall conduct inspections on the health status of the driver Party B intends to hire, the original copies of relevant certificates held by Party B, whether they match the model of Party B’s intended driver, and whether they have reached the driving age of the intended driver. Strict review. Provide education and training on safety laws and regulations, safety rules and regulations, safe operating procedures and safe operating skills to those who meet the requirements, and conduct examinations or assessments. For those who pass the examination or assessment, a letter of consent for Party B’s employment will be issued.

When Party A handles the formal review mentioned in the preceding paragraph, if there is any intentional or gross negligence that causes adverse consequences through no fault of Party B, Party A shall bear the resulting losses.

6. Before Party B allows the driver to be hired to get on the bus and drive, Party B must provide a copy of the driver’s ID card, driver’s license, operator’s license or qualification certificate signed by the driver and confirmed to be true and correct with the original. Party A's examination or assessment certificate, the letter of consent issued by Party A for Party B's employment on the vehicle, and the employment agreement signed by Party B and the driver shall be submitted to Party A for deposit in Party B's transportation and operation vehicle files.

Before Party B allows the driver to be hired to drive in the vehicle, Party B must sign a written employment agreement with the driver to be hired to stipulate the rights and obligations of both parties and determine the employment relationship between the two parties.

Party B shall not hire persons other than Party A’s employer to sign and agree to drive the vehicle. Otherwise, Party B shall bear all consequences arising therefrom.

7. Party B must allow its hired drivers and managers to participate in the safe transportation knowledge, systems, operating procedures, and operating skills that Party A regularly provides free of charge to Party B and Party B’s drivers and managers on a timely basis. Education, training, examination or assessment, etc.

If Party B or the drivers it hires do not participate in the safety education provided free of charge by Party A, Party B shall bear all responsibilities arising therefrom.

8. If Party A is subject to an administrative fine due to one of the following circumstances, it has the right to recover all or part of the fine (or loss) from Party B and Party B's vehicle drivers based on the degree of fault of Party B or Party B's drivers.

1. Party B hires a person who does not meet the legal conditions to drive the vehicle under its transportation operation contract without Party A’s consent to hire drivers;

2. Due to Party B’s employment The drivers fail to participate in the safety education and training provided by Party A on time;

3. Because Party B or its drivers refuse Party A to maintain and inspect the vehicle without affecting the normal operation of the vehicle. `;

4. Party B or its drivers refuse Party A to conduct safety inspections of vehicles entering and exiting the earth site and roadbed;

9. Party B hires drivers under the following circumstances First, Party A has the right to notify Party B to force its drivers to undergo safety re-education or to fire them.

1. Driving a road transport vehicle while drunk;

2. The vehicle is not covered when transporting earthwork, and throwing, spilling, dripping and leaking are found during the operation;

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3. Not following the requirements of relevant signs;

4. Not obeying the instructions of the management personnel when entering the construction site or soil yard.

10. Party A will establish an electronic information file for the drivers employed by Party B, report it to the relevant transportation, public security, and work safety supervision and management departments, implement information exchange and sharing, and punish the driver who violates this agreement Article 9 behaviors and the occurrence of major safety accidents, an information exchange and sharing mechanism will be established.

11. Party B shall clearly stipulate in the employment agreement between Party B and the driver that the main relevant drivers in this agreement have safe operation obligations and responsibilities.

12. For matters not covered by this agreement, the two parties will negotiate and agree separately, which will have the same effect as this agreement.

13. This agreement shall take effect after being stamped, signed or sealed by both parties.

14. This agreement is made in duplicate, with Party A and Party B each holding one copy.

Seal of Party A:

Or signature of legal representative: Signature or seal of Party B: Vehicle Transportation Safety Agreement 6

Party A:

Party B:

According to the national regulations on the safe transportation of dangerous goods and the relevant document requirements of Chongqing Municipality, Party A entrusts Party B to be responsible for the transportation of dangerous chemicals produced by Party A. In order to clarify the safety rights and obligations of both parties, after both parties After friendly negotiation, the following agreement was reached:

1. The performance period of this agreement is the same as the performance period of the transportation operation contract between the parties. It is one of the attachments to the transportation operation contract and has the same legal effect as the transportation operation contract.

2. Party A must issue safety technical instructions for the hazardous chemicals transported to Party B, and inform Party B of the safety characteristics and emergency handling matters of the hazardous chemicals transported.

3. Party B must have legal and valid qualifications for transporting hazardous chemicals, and Party B’s vehicles and employees must have corresponding legal and valid qualifications.

4. Party B is responsible for transportation safety, and Party A does not assume any responsibility.

5. Party B shall transport hazardous chemicals according to the route and time required by the state, and shall not stay in densely populated areas.

6. Party B’s transport vehicles entering Party A’s factory must follow the route specified by Party A, park according to the requirements specified by Party A, and must take fire and explosion prevention measures and set up warning signs.

7. Party B’s transportation vehicles shall not operate in violation of regulations in Party A’s factory. Party B will be responsible for the consequences of illegal operations. If losses are caused to Party A, Party B must compensate.

8. This Letter of Responsibility will take effect after it is signed (sealed) by Party A and Party B. This Letter of Responsibility is made in duplicate, with Party A and Party B each holding one copy.

Party A:

Year, month and day

Party B:

Year, month and day Vehicle Transportation Safety Agreement 7

< p> Party A’s unit name: _____

Party B’s unit name: _____

1. Purpose

In order to further clarify the safety responsibilities of both parties during the transportation operation This safety agreement is signed in accordance with the "Work Safety Law of the People's Republic of China" and relevant laws and regulations.

2. Validity period of the agreement: year month day to year month day

3. Agreement content:

(1) Party A’s safety responsibilities

1. Strictly abide by national laws and regulations on production safety, strictly control Party B’s safety qualifications, accident plans and other relevant qualifications, and verify Party B’s safety production assurance system and rules and regulations.

2. The right to require Party B to strictly implement production safety regulations and standards, comply with relevant regulations on road traffic safety management, and be proficient in accident prevention measures.

3. Review and record Party B’s various qualification certificates, driver certification, and vehicle condition in accordance with regulations.

4. Organize inspections of the safety situation during Party B’s transportation and production processes, and supervise Party B’s timely handling of various safety hazards discovered.

5. If Party B is found to be driving or operating illegally, he or she has the right to give a warning or fine.

6. The right to require Party B to equip, maintain and inspect on-board safety emergency equipment and equipment.

7. Regularly hold production safety dispatch meetings to promptly convey the spirit of production safety and clarify safety management requirements to Party B.

(2) Party B’s safety responsibilities

1. Formulate an emergency plan for traffic safety accidents. If an accident occurs, it should be launched promptly and implemented in accordance with rescue procedures. When an accident occurs, we should actively rescue and obey the unified command to avoid further expansion of the accident. If there are casualties, we must first do a good job in rescue work.

2. Organize safety inspections during transportation operations in accordance with regulations. If any hidden dangers are found, effective measures should be taken to actively deal with them and report to Party A.

3. Party B must ensure that the safety protection equipment of the transportation vehicle must be in place and the safety measures are effective, otherwise the transportation operation will not be carried out.

4. Party B shall conduct safety education and training for shovel, crane, truck drivers and construction workers so that they have corresponding safety awareness and safety skills; special vehicle drivers shall have corresponding qualification certificates .

5. Party B must ensure that the driver participates in work-related injury and social insurance, and applies for accident insurance. And provide a copy of the insurance policy for documentation.

6. Transportation workers must wear uniform labor protection clothing and bring their vehicle identification documents to facilitate inspection by Party A’s personnel and superior supervisors.

7. Party B shall not discharge sewage at will during the transportation of crude oil to prevent the occurrence of crude oil leakage accidents. Otherwise, fines may be imposed based on actual circumstances. Party B is solely responsible for any pollution accidents that occur externally.

8. Party B must ensure that all transportation vehicles purchase insurance in accordance with regulations. All personal casualties and economic losses that occur during transportation operations (not caused by Party A) will be compensated by the insurance company, and the remainder will be borne by the Party B. Party B shall be fully responsible and shall hold relevant personnel responsible and report to Party A in accordance with regulations; Party B shall be held responsible for accidents caused by the quality of Party B's projects.

9. Party B must ensure that the vehicles engaged in transporting goods have cargo insurance and provide a copy of the insurance policy for filing.

10. Party B shall bear full responsibility for safety accidents caused by Party B’s own improper management, and Party A shall not be held responsible.

11. All losses caused to Party A due to accidents that are not Party A’s responsibility that occur during Party B’s transportation operations shall be fully borne by Party B.

12. When a traffic safety accident occurs, Party A and Party B have the obligation to rescue and provide disaster relief, and the expenses incurred shall be borne by Party B.

13. If a safety or environmental accident occurs to Party B, Party A will deduct part or even all of the safety deposit based on the nature of the accident and the proportion of responsibility. At the end of the year, the refund document from the Safety and Environmental Quality Supervision Department shall prevail.

14. Party B shall be solely responsible for any injury or compensation to the driver hired by Party B. Party B shall guarantee and continue to guarantee that Party A has no liability for such damages or compensation.

15. Unfinished matters shall be resolved through negotiation between Party A and Party B.

IV. Liability for breach of contract

This agreement will come into effect after being signed and sealed by Party A and Party B. It has the same legal effect and both parties shall perform it conscientiously. If a safety accident is caused by Party A or Party B's breach of contract, they will be held accountable in accordance with the law. This agreement is made in two copies, with Party A and Party B each holding one copy, and shall take effect from the date of signing.

Party A (official seal) Party B (official seal)

Person in charge of Party A: Person in charge of Party B:

Year, month, day, year, month, day Vehicle Transportation Safety Agreement 8

Party A: _____

Party B: _____

In order to further strengthen the safety management of construction site machinery, in accordance with the "Safety Production Law" and "Construction Project Safety Production Management Regulations, "Safety Technical Work Procedures for Installation of Water Conservancy and Hydropower Buildings" and the safety training and management system for special operators, the following safety responsibility letter is signed:

1. Safety requirements for transport vehicles (drivers): < /p>

1. Vehicles that enter the construction site and undertake transportation tasks must have various certificates of compliance mandated by the state. They can only undertake transportation tasks after ensuring that the vehicles can be transported safely.

2. Comply with the national "Road Traffic Safety Management and Other Regulations" and drive in accordance with the regulations. It is strictly prohibited to drive without a license, drive after driving under the influence of alcohol, or drive without a warrant. Transport vehicles must pass annual inspections.

3. Drivers do not violate safety regulations. Drive safely and civilly on haul roads.

4. Under the arrangement of the material supplier of the project department, pull and transport materials in a planned manner. It is prohibited for individuals to make the decision to transport materials without authorization.

5. The speed of vehicles driving in the construction area shall not exceed 15KM, and the speed shall not exceed 3KM when passing vehicles, curves, or dangerous slopes.

6. It is strictly forbidden to mix passengers and goods in heavy-duty vehicles, and it is prohibited to carry people. It is not allowed to exceed the number of people in the cab of various vehicles in the construction area, and it is strictly prohibited to carry people outside the cab.

7. Dump trucks entering the construction site must abide by the following regulations: when unloading materials in low-lying areas, keep an appropriate safe distance between the rear wheels and the edge of the pit to prevent collapse and rollover; unload in solid areas When loading and unloading materials, a firm vehicle blocking device must be set up, and a dedicated person must be assigned to direct the vehicle. A red light must be set up at night; the vehicle is not allowed to drive when it is reset after the vehicle is lowered; it is prohibited to unload materials on roads with cross slopes to prevent the vehicle from overturning due to deviation in the center of gravity.

8. Vehicles entering the construction area must obey the instructions of the construction workers and unload materials according to regulations or designated areas.

9. Vehicles entering the construction area must obey the command and management of the on-site safety officer. Before driving every day, you must take the initiative to report the vehicle status to the management personnel and fill out the daily motor vehicle inspection safety form

2. Safety requirements of the project department:

10. Failure to forcefully order transport vehicles violates national regulations Pulling materials.

11. When the vehicle cannot meet the safe transportation conditions, do not force the vehicle to carry out illegal operations.

12. Vehicles must not be forced to enter the construction site to wait for items to be inspected. Vehicles must be forcibly inspected when the vehicle inspection location cannot meet the conditions for safe vehicle inspection.

13. Transport vehicles are not required to be overloaded or overloaded with materials.

3. Safety Responsibilities:

14. The transaction location for hauling materials between both parties is the construction site material storage yard. All safety accidents that occur when a transport vehicle enters the construction site will be borne by the transport vehicle driver himself.

15. If a transport vehicle fails to meet safety requirements due to mechanical failure and conceals the accident, the accident shall be borne by the vehicle itself.

16. If a transport vehicle violates national regulations and is overloaded or transported beyond the limit during transportation, all consequences that occur will be borne by the transport vehicle itself.

17. When entering the construction site, the driver found that there were no safe conditions at the site and accidents might occur. However, the project department managers forcibly blocked the site, and the project department was responsible for the accident.

18. This contract is valid from the date of signature to the completion of the transportation task.

19. This letter of responsibility is made in duplicate, with Party A and Party B each holding one copy.

Party A: _____

Responsible person:

Time: year, month, day

Party B: _____

Responsible person:

Time: year, month, day