HP TC X...

CNG HA X HI CH NGHA VIT NAM

THAM KHO
c lp - T do - Hnh phc

S: ....../201..../H-HTX .................., ngy thng nm 201

HP NG CUNG CP SN PHM DCH V VN TI

- Cn c B lut Dn s s 33/2005/QH11 ngy 14 thng 6 nm 2005

ca Quc Hi nc CHXHCN Vit Nam;
- Cn c Lut Hp tc x s 23/2012/QH13, c Quc hi thng qua
ngy 20 thng 11 nm 2012;
- Cn c Ngh nh s 193/2013/N-CP ngy 21 thng 11 nm 2013
ca Chnh ph quy nh chi tit thi hnh mt s iu ca Lut HTX nm 2012;
- Cn c iu l Hp tc x.....................................................................
- Theo nhu cu s dng sn phm dch v vn ti ca thnh vin HTX
v kh nng cung ng ca Hp tc x.
Hm nay, ngy thng nm 20 ,
Ti Vn phng Hp tc x ...................................................................................
Chng ti gm:
Bn A: (Bn cung ng Dch v vn ti)
Hp tc x:...........................................................................................................
a ch tr s: ......................................................................................................
in thoi: ....................................................Fax: ..............................................
Giy CNKHTX:.......................................Ngy cp:.........................................
Ni cp:...............................................................................................................
M s thu:...........................................................................................................
Ti khon s: ...........................Ti Ngn hng:...................................................
i din:...............................................................................................................
Chc v: ..............................................................................................................
Bn B: (Bn s dng sn phm dch v vn ti)
ng/b:.................................................................................................................
Ni thng tr: :..................................................................................................
in thoi:............................................................................................................
S th thnh vin HTX:.......................................................................................
Ngy cp:.............................................................................................................
S CMND: ...........Ngy cp: ..Ni cp:..........................
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Ti khon s: Ti Ngn hng:..........................................
Sau khi trao i, bn bc v yu cu s dng dch v vn ti ca bn B v
kh nng cung ng dch v vn ti ca bn A. Hai bn thng nht k hp ng
vi nhng iu khon sau y:
iu 1: Ni dung sn phm dch v:
Bn A ng cung ng cho Bn B cc sn phm dch v vn ti (ty theo
tnh hnh ca tng HTX c th cung ng cho cc thnh vin cc khon
mc) sau:
1. Dch v vn ti v hnh chnh:
- Dch v h tr cc th tc v hnh chnh do ngh GTVT v Cng an quy
nh.
- Dich v bn bi
- Dch v lung tuyn vn chuyn hnh khch
- Dch v v ngun hng ha, hnh khch
2. Dch v h tr thnh vin mua xe , thay i phng tin vn chuyn
3. Dch v cung ng nhin liu: (h thng cc ca hng cung ng nhin liu
ca HTX hoc HTX k Hp ng cung ng tiu th nhin liu vi cc ca
hng xng du)
4. Dch v h tr sa cha phng tin vn ti
5. Dch v chi h thnh vin tin lng, BHXH, BHYT, kinh ph cng on
ca li xe, ph xe theo quy nh ca php lut.
6. Dch v cung ng vay vn sa cha.
7. Dch v khc theo yu cu ca thnh vin.
iu 2: Ph dch v v phng thc thanh ton (Khi thnh vin nhn
dch v ca HTX phi tr cho HTX mt khon chi ph)
+ Chi ph phi tr cho tng sn phm dch v vn ti theo hp ng
l: l gi vn + ph dch v c xc nh theo tng loi sn phm dch v v
thi gian, a im c th. (c th hin theo tha thun ca ph lc hp
ng)
+ Phng thc thanh ton:
- Thanh ton 100% bng tin mt hoc chuyn khon
iu 3: Trch nhim v quyn hn ca cc bn:
1. Trch nhim v quyn hn ca bn A
Trch nhim:
- Bn A c trch nhim thc hin vic cung ng sn phm, dch v vn
ti ng cht lng, s lng, thi gian, a im v cc tha thun khc.
- Thng bo kp thi cho bn B v vic sn phm, dch v vn ti khng
bo m cht lng, tin cung ng, thay i gi c v cc yu cu khc.
2
 - Bi thng thit hi cho bn B, nu thit hi do vic s dng cc sn
phm, dch v ca bn A gy ra.
Quyn hn:
- Yu cu thnh vin cung cp thng tin v nhng iu kin cn thit
khc thc hin tt cng vic cung cp sn phm, dch v vn ti ca HTX.
- c thay i iu kin dch v v li ch ca thnh vin m khng
nht thit phi ch kin ca thnh vin (nu vic ch kin s gy thit hi
cho thnh vin) nhng phi thng bo ngay cho thnh vin.
- Tm ngng cung cp sn phm, dch v vn ti khi thnh vin vi phm
tha thun hp ng dch v (phi c thng bo trc t nht 15 ngy)
- Yu cu thnh vin thanh ton cho vic s dng sn phm, dch v vn
ti ca bn A ng thi hn theo hp ng.
2. Trch nhim ca bn B
Trch nhim:
- Cung cp cho bn A nhng thng tin cn thit thc hin vic cung
cp sn phm, dch v vn ti thun li.
- Thanh ton tin s dng sn phm dch v vn ti theo tha thun.
- Thng bo cho bn A nhng thay i, yu cu khi c pht sinh.
Quyn hn:
- Yu cu bn cung ng sn phm, dch v vn ti HTX thc hin cng
vic theo ng cht lng, s lng, thi gian, a im v cc tha thun khc.
- c m phn khi c nhng thay i v cc sn phm, dch v vn ti
c cung ng lm nh hng n sn xut kinh doanh ca thnh vin.
- Trong tng hp bn A cung ng dch v vn ti vi phm nghim trng
ngha v th bn B c quyn n phng chm dt thc hin hp ng v yu
cu bi thng thit hi.
- Ngng s dng sn phm dch v vn ti khi cc yu cu khng c
HTX gii quyt, khc phc.
iu 5: iu khon chung
- Hai bn cam kt thc hin nhng iu khon ghi trong hp ng.
- Thnh vin khng s dng sn phm dch v trong thi gian lin tc qu
03 nm s b chm dt t cch thnh vin.
- Cc tranh chp ny sinh c gii quyt trn c s ha gii trn tinh thn
hp tc, tng tr ln nhau; trng hp khng t c tha thun th
trnh i hi thnh vin xem xt gii quyt.
- Trng hp i hi thnh vin khng gii quyt c tranh chp th mt
trong hai bn c quyn khi kin ra Ta n nhn dn theo quy nh php lut.

3
 Hp ng ny c lm thnh 03 bn c gi tr nh nhau, Bn A gi 01
bn, Bn B gi 01 bn thc hin v Ban kim sot HTX gi 01 bn c gi tr
nh nhau.
I DIN BN B I DIN BN A

4
 HP TC X CNG HA X HI CH NGHA VIT NAM
................................... c lp - T do - Hnh phc

S: ....../201.../H-HTX .................., ngy thng nm 20

PH LC HP NG
- Cn c theo Hp ng s:............... k ngy.......thng.......nm........
- Theo nhu cu thc t s dng sn phm dch v vn ti ca thnh vin HTX
v kh nng cung ng ca Hp tc x.
Chng ti gm:
Bn A: (Bn cung ng Dch v vn ti)
Hp tc x:......................................................................................................................
a ch tr s:.................................................................................................................
in thoi: ...................................Fax:................................................
Giy CNKHTX:.......................................Ngy cp:....................................................
Ni cp:..........................................................................................................................
M s thu:.....................................................................................................................
Ti khon s:............................................ Ti Ngn hng:.............................................
i din:.........................................................................................................................
Chc v:.........................................................................................................................
Bn B: (Bn s dng sn phm dch v vn ti)
ng/b:...........................................................................................................................
Ni thng tr:...............................................................................................................
in thoi:......................................................................................................................
S th thnh vin HTX:..............................................Ngy cp:...................................
S CMND: ....................Ngy cp:...............................Ni cp:...................................
Ti khon s:............................................ Ti Ngn hng:.............................................
Sau khi trao i tha thun hai bn i n thng nht k Ph lc hp ng
cung ng sn phm s..........v ...............i vi Hp
ng k, s................ngy.........thng ......nm.........C th nh sau:
1. Quyn v ngha v mi bn c quy nh trong Hp ng
s......ngy.......thng .........nm.........
2. Ph lc ny c lp thnh 03 bn c ni dung v gi tr php l nh nhau, mi
bn gi 01 bn, gi 01 bn cho Ban kim sot HTX.
3. Ph lc ny l 1 phn khng th tch ri ca Hp ng k
I DIN DIN BN B I DIN BN A