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2. No cargo, hazardous materials, or international cruise operations are permitted at Berths 13-16. In requesting application for berth, the vessel agent or owner 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 lay berth.

4. Charges assessed are based on actual arrival and departure times, and services rendered. To ensure accurate billing,  crew must call the Port Security Office at (850) 436-5075 or via 24/7 Marine Radio Channel 16 to check out upon departure. It is also recommended that crew contact the Port Security Office to check in upon arrival. In making a berth application, the crew indicates a desire to use City/CRA facilities under the jurisdiction of the City of Pensacola. Berth application requests shall constitute consent to all the terms and conditions of any and all applicable tariffs to include payment of damages to the City/CRA’s property caused by the owner, its agent, and employees. Chapter 376.071 Florida Statutes provides that any vessel operating in state waters with a storage capacity to carry 10,000 gallons or more of pollutants as fuel and cargo shall maintain an adequate written ship-specific Spill Prevention and Control Contingency Plan. Violators are subject to fine as administered by the State of Florida. 

    

   For Official Use Only:	Berth Assignment Approved:
   		-------------------------------------------------	---------------------
   		(Signature)	(Date)
   CRA/Port Revenue Account for Posting		105.34591

   
   

   Vessel Information

6. Vessel:*
8. Call Letters:*
9. Flag:*
11. IMO Number:*
13. Maximum Draft:*
14. Arrival Draft:*
16. Length: (feet)*
17. Beam: (feet)*

19. Arrival / Departure Information

21. ARRIVL DATE:*
22. TIME: **
23. (central time)
25. DEPARTURE DATE:*
26. TIME: **
27. (central time)

29. Operational Information

31. Description of Visit: (for use in response to media/public inquires. attach description if necessary)*
33. On Board Contact:
35. Phone:
37. Check box if generally available while underway*

    1. Phone
    2. E-mail

39. Billing Information:

41. Vessel Owner:*
43. Owner Address
45. Owners Phone:*
47. Owner Fax:*
48. Owner E-mail:*
50. Billing Contact/ Address: (check one)*

    1. Owner

    1. Agent

    1. Other (information below)
52. Additional Billing Instructions (Other Billing Contact/Address):

54. Please be aware that commercial vessels calling at the adjacent Port of Pensacola take precedence over vessels docked at Plaza de Luna, and therefore, vessels at Plaza de Luna berths may be asked to line shift, vacate their berth either temporarily or permanently, or relocate either temporarily or permanently if required for the safe arrival, departure, or transit of commercial vessels or to facilitate efficient commercial vessel operations. Vessels docked at Plaza de Luna will be given as much advance notice as possible, and will be required to comply expeditiously and at their own cost with any and all such requests from the Port Director, his/her designee, or any authorized representative of the City of Pensacola.

56. By completing the information above, I (owner) agree to the terms and conditions stated herein with the City of Pensacola *

    1. Yes

    1. No

58. *Any changes to arrival or departure time must be reported promptly to the Port of Pensacola, Thomas Coggin at 850-426-2519 or tcoggin@cityofpensacola.com. Changes identified less than 72 hours in advance of docking must also be reported to the Port Security Office at (850) 436-5075 or via 24/7 Marine Radio Channel 16.  

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60. 1. Receive an email copy of this form.
61. Email address

    This field is not part of the form submission.

62. Submit

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