This form is available electronically. See Page 4 for Privacy Act and Paperwork Reduction Act Statements.

WA-460-11-Coffee U.S. DEPARTMENT OF AGRICULTURE Form Approved - OMB No. 0581-0305 

(07-31-18) Agricultural Marketing Service

United States Warehouse Act

 

 

AGRICULTURAL MARKETING SERVICE

ADDENDUM TO THE PROVIDER AGREEMENT 

TO ELECTRONICALLY FILE AND MAINTAIN

COFFEE WAREHOUSE RECEIPTS

This Addendum between (a) (Provider) and

the Agricultural Marketing Service (AMS) authorizes the Provider to establish and maintain a database and system, 

referred to as a central filing system (CFS) for the purpose of electronically filing coffee warehouse receipts issued 

under the United States Warehouse Act (USWA) and permits the Provider to accept the filing of warehouse receipts 

from other than USWA licensed warehouse operators in such electronic data filing system. Such electronically filed 

warehouse receipts for coffee are hereafter referred to as “Electronic Warehouse Receipts (EWRs).”

This Addendum sets forth the Provider's minimum requirements for EWR record formatting, reporting requirements 

and the protocols to be used in the transmission of such information.

I. Receipt Record Data Requirements

AMS, in administration of the USWA, the regulations found at 7 CFR Part 735, the Provider Agreement to 

Electronically File and Maintain Electronic Warehouse Receipts and United States Warehouse Act Documents 

and this Addendum, may at any time require the Provider to furnish information beyond the minimum 

requirements shown in this Addendum.

A. Required Information

The Provider shall, at a minimum make the elements listed below available to every USWA and 

non-USWA licensed warehouse operator issuing EWRs in their CFS. The Provider shall ensure that all 

fields are completed by all warehouse operators. The Provider shall advise warehouse operators that it is 

the warehouse operator’s responsibility to supply the necessary data to complete each element. 

USWA license number, if applicable*

Warehouse Code

Holder

Receipt number and License type, US if Federally licensed, NL if not licensed or the two letter postal 

abbreviation if State licensed, will be displayed in front of the receipt number and will be an integral part of 

the receipt number 

Paper receipt number (if applicable)

Issuance date (date issuance file is received and accepted in the Provider's system)

Receipt status

Indicate whether the receipt is “Not Negotiable”, or “Negotiable” according to the nature of the receipt

Cancellation date (date cancellation file is received and accepted in the Providers system)

Name of warehouse 

Location of receiving warehouse (City)

Location of receiving warehouse (State)

Warehouse operator (legal entity of warehouse operator)

Location receipt issued (City)

Location receipt issued (State)
WA-460-Coffee (07-31-18) Page 2 of 5

Quantity (number of units)

Quantity units (type of units - Metric Tons, Long Tons, Pounds, Kilograms, 70kg Bags, 69kg Bags, 75kg 

Bags, 46kg Bags)

Packaging Type (Bags, Bulk, Super-Sacks, Cartons)

Product (general product description - Green Coffee, Decaffeinated Coffee, Soluble Coffee, Semi Roast 

Coffee, Roasted Coffee)

Lot identification number 

Origin

Name of person authorized to sign warehouse receipt

Terms and conditions (Refer to Section for USWA licensed warehouse operators and Section for State or 

non-licensed warehouse operators for terms and conditions that apply to each EWR that must be furnished 

by the warehouse operators issuing the EWRs).

Indicate “ Not graded on request of the depositor”, “Grade determined by NYBOT licensed grader”, 

“Grade determined by State licensed grader” or “Grade determined by non licensed grader” (or, a toggle for 

any other statement applicable to the coffee industry).

* Enter Federal, State or NYBOT license number, if not licensed, zero fill field

B. Converting Electronic to Paper

When converting from an electronic to a paper warehouse receipt, the Provider shall advise the warehouse 

operator to print on the face of the paper warehouse receipt the EWR number.

II. Transmission of Data

Upon request by AMS all transmissions of data shall be secured and transmitted via telecommunications 

hardware and software according to the requirements as agreed to by AMS and the Provider.

III. Terms and Conditions For USWA Licensed Warehouse Operators

The following information must be recorded on all EWR’s.

The statements:

Incorporated or Unincorporated and if incorporated, under what laws.

Insured, to what extent, by the warehouse operator against loss by fire, lightning and other risks.

Weight was determined by a weigher licensed under the USWA. 

 The grade or other class stated in this receipt is in accordance with the Standards 

. If the grade is that for which no official coffee standards of the United States

are in effect, the grade or other class shall be stated in accordance with the standards, if any, adopted by the 

local board of trade, chamber of commerce, or by the coffee trade generally in the locality in which the 

warehouse is located, subject to the authorization of the AMS, or in the absence of these standards, in 

accordance with any standards authorized for the purpose by the AMS.

In the event the relationship existing between the warehouse operator and any depositor is not that of 

strictly disinterested custodianship, a statement setting forth the actual relationship.

Upon the surrender of this receipt and the payment of all liens due the warehouse operator, said coffee will 

be delivered to the order of the holder as defined in 7 CFR Part 735.
WA-460-Coffee (07-31-18) Page 3 of 5

IV. Terms and Conditions For State or Non-Licensed Warehouse Operators

The following information must be recorded on all EWR’s.

The statements:

Incorporated or Unincorporated and if incorporated, under what laws.

Insured, to what extent, by the warehouse operator against loss by fire, lightning and other risks.

The authority, that the warehouse operator issues warehouse receipts under, State for State licensed 

warehouses or Uniform Commercial Code for non-licensed warehouses.

The amount of bond or financial assurance backing the receipt.

Weight was determined by a weigher licensed or approved under what laws or authority or “Not weighed 

on request of depositor.”

If grade indicator reflects grade determined by a State or NYBOT licensed grader, state Grade was 

determined by a grader licensed or approved under what laws or authority.

Grade was determined according to what standards.

The lien claimed by the warehouse operator for storage and other services.

In the event the relationship existing between the warehouse operator and any depositor is not that of 

strictly disinterested custodianship, a statement setting forth the actual relationship.

Upon the surrender of this receipt and the payment of all liens due the warehouse operator, said coffee will 

be delivered to the order of the holder as defined in 7 CFR Part 735.

V. Disputes

All disputes arising under any transaction within this Addendum shall be determined by the application of the 

laws of New York State except that the laws of New York relating to the legal doctrines of the choice of law 

and determination of venue shall not be applicable.

VI. Contact

Chief, License and Storage Contract Branch

Warehouse and Commodity Management Division

P. O. Box 419205 - Stop 9148

Kansas City, MO 64141-6205

Phone: 816-926-6474

Fax: 844-930-0174
WA-460-Coffee (07-31-18) Page 4 of 5

(a) Name of Provider

(b) Signature of Provider

(c) Title of Provider

(d) Date

(e) Signature of Administrator of the Agricultural Marketing Service

(f) Date 

NOTE: The following statement is made in accordance with the Privacy Act of 1974 (5 U.S.C. 552a - as amended). The authority for 

requesting the information identified on this form is 7 CFR Part 735, the United States Warehouse Act (Pub. L. 106-472), and the 

Commodity Credit Corporation Charter Act (15 U.S.C. 714 et seq.). The information will be used to establish and maintain a 

database and central filing system for electronically filing coffee warehouse receipts and electronic documents issued under the 

United States Warehouse Act. The information collected on this form may be disclosed to other Federal, State, Local government 

agencies, Tribal agencies, and nongovernmental entities that have been authorized access to the information by statute or 

regulation and/or as described in applicable Routine Uses identified in the System of Records Notice for USDA/FSA-2, Farm 

Records File (Automated) and USDA/FSA-3, Consultants File. Providing the requested information is voluntary. However, failure 

to furnish the requested information will result in a determination of ineligibility to obtain new licensing or retain existing licensing 

under the United States Warehouse Act.

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to 

respond to, a collection of information unless it displays an OMB control number. The valid OMB control number of this 

information collection is 0581-0305. The time required to complete this information collection is estimated to average 30 minutes 

per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data 

needed, and completing and reviewing the collection of information. 

The provisions of appropriate criminal and civil fraud, privacy, and other statutes may be applicable to the information provided. 

RETURN THIS COMPLETED FORM TO THE WAREHOUSE AND COMMODITY MANAGEMENT DIVISION, STOP 9148, P.O. 

BOX 419205, KANSAS CITY, MO 64141-6205.

In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and 

institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, religion, sex, gender identity (including 

gender expression), sexual orientation, disability, age, marital status, family/parental status, income derived from a public assistance program, political beliefs, or reprisal or 

retaliation for prior civil rights activity, in any program or activity conducted or funded by USDA (not all bases apply to all programs). Remedies and complaint filing deadlines 

vary by program or incident. 

Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape, American Sign Language, etc.) should 

contact the responsible Agency or USDA’s TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at (800) 877-8339. 

Additionally, program information may be made available in languages other than English. 

To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at 

http://www.ascr.usda.gov/complaint_filing_cust.html and at any USDA office or write a letter addressed to USDA and provide in the letter all of the information requested in the 

form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by: (1) mail: U.S. Department of Agriculture Office of the 

Assistant Secretary for Civil Rights 1400 Independence Avenue, SW Washington, D.C. 20250-9410; (2) fax: (202) 690-7442; or (3) email: program.intake@usda.gov. USDA is 

an equal opportunity provider, employer, and lender.
WA-460-Coffee (07-31-18) Page 5 of 5

Instructions For WA-460-11 Coffee

ADDENDUM TO THE PROVIDER AGREEMENT TO ELECTRONICALLY 

FILE AND MAINTAIN COFFEE WAREHOUSE RECEIPTS

Used by authorized providers to contract with AMS to provide services to users of the 

provider’s electronic storage and transfer system.

Submit the original of the completed form in hard copy or facsimile to the Warehouse and 

Commodity Management Division (WCMD), STOP 9148, P.O. Box 419205, Kansas City, 

MO 64141-6205; or FAX 844-930-0174. Customers who have established electronic access 

credentials with WCMD may electronically transmit this form to WCMD.

Features for transmitting the form electronically are available to those customers with 

access credentials only. If you would like to establish online access credentials with 

WCMD, follow the instructions provided at the USDA eForms web site.

Providers complete Page 1 and Page 4.

Fld Name /

Item No.

Instruction

A

Name of 

Provider

Enter complete name of Provider, on page 1.

(a)

Name of 

Provider

Enter complete name of Provider, on page 4.

(b)

Signature

Enter signature of Provider’s authorized person, on page 4.

(c)

Title

Enter title of Provider’s authorized person, on page 4.

(d)

Date

Enter date of signature of Provider’s authorized person, on page 4.

Page 4 items (e) and (f) are for AMS use only.