＜＜ご記入サンプル＞＞
REQUEST FOR MARINE SERVICES
赤枠内に、英文でのご記入をお願い致します。
ByD Quote Reference No.

Client details
LR Account Number

Issue Date

Telephone No.

（ご記入は不要です）

ϬϳϴͲϮϲϭͲϬϬϬϬ
ご契約頂く会社・事業所の電話番号

ClientCompany NameŽŵƉĂŶǇ>ŝŵŝƚĞĚ͕͘<ŽďĞtŽƌŬƐ

ClientRegistered AddressϵƚŚ&ůŽŽƌ͕hƌďĂŶĐĞ^ĂŶŶŽŵŝǇĂƵŝůĚŝŶŐ͕ϰͲϭͲϮϮ͕KŶŽĞͲĚŽƌŝ͕ŚƵŽͲŬƵ͕<ŽďĞϲϱϭͲϬϬϴϴ

If required, provideinvoicing addressYƵĞĞŶΖƐdŽǁĞƌ͕ϮͲϯͲϭ͕DŝŶĂƚŽŵŝƌĂŝ͕EŝƐŚŝͲŬƵ͕zŽŬŽŚĂŵĂϮϮϬͲϲϬϬϬ

Purchase Order (PO)
Number
Email for invoice dispatch

Client VAT / Taxnumber

ご契約頂く会社名・事業所名（ご記入は不要です）

ご契約頂く会社・事業所の住所および郵便番号

ご請求先が異なる場合や気付が本契約書署名者と異なる場合、ご請求先会社名ならびに住所をご記入ください。

ƋĂͲĚĞƉƚΛ͘ĐŽ͘ũƉ

請求書送付先メールアドレスを明記してください。

Request:Date of Inspection: 25 July 2019
Survey Item: Turbine Shaft
Quantity: 4 pcs @ 350kg
Intended for: XYZ Heavy Industries Co., Ltd. - Ship No.5250(Purchaser: PQR Machinery - Stock)
Type of Inspection: Mechanial Test & Final Inspection----------------------------------------------------------------------------See attached survey application No.19-0123LR

Other reference
number orinvoice
instructions/ŶǀŽŝĐĞƚŽďĞƐĞŶƚƚŽ^͘ďĞ特定のご担当者宛に請求書を送付する必要が有る場合は、その旨をご記入下さい。

検査実施日、検査対象品、数量・重量、造船所・船番（向け先）、検査内容等を記してください入。
造船所・船番の特定が不可の場合は、Purchaser名を記し"Stock"としてください。

同様の申請内容が記載された別紙を添付する場合、その書類への参照のみで可Fees
As per LR's invoice(s).

別途お見積りを取得されている場合は、その見積りの参照番号 (Ref. No) および日付を記入

Marine Services at (location / site)
ABC Company Limited., Niigata Works - TEL: 0243-21-0111, FAX: 0243-21-0112, Contact Person: Y. Oda, Q.A. Section, Email:y_oda@ABC.co.jp
検査実施の場所（会社名・事業所名）、電話番号/FAX番号、ご担当者名、Email Address 等を記入

This contract is between the Client and Lloyd’s Register Group Limited (hereinafter referred to as LR) for Marine services and issubject to the terms and conditions on this document.

TERMS AND CONDITIONS
1.

In these terms and conditions: (i) “Services” means any and allservices provided by any entity that is part of the LR Group, as
hereinafter defined, including any classification of the Client’s vessel,
equipment or machinery; (ii) the “Contract” means this agreement
for supply of the Services; (iii) the “LR Group” means LR, its affiliates
and subsidiaries, and the officers, directors, employees,representatives and agents of any of them, individually orcollectively.

2.

The Client agrees to pay all Fees for the Services within 30 days of
the invoice date (the due date). If the Client disputes an invoice, orpart of an invoice, the Client must immediately notify LR in

GMS03-11-159 Request for Marine Services (2502) (03.2020)

writing. If no notification is received by the due date, the Client
will be deemed to have accepted the invoice in full. Where only
part of an invoice is disputed, the undisputed amount must be paidby the due date. LR reserves the right to raise interim invoices forServices provided, calculated on a pro rata basis. Fees do notinclude any tax, including but not limited to Value Added Tax,
Goods and Services Tax, withholding taxes, turnover taxes,
surcharges or duties as required by law, and if required, any suchtax or duty is chargeable to the Client and payable by the Client inaddition to the above referenced fees. The Client shall pay the fullFees as invoiced irrespective of whether the Client is required by law
to withhold any taxes or duties from the invoiced amount.
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REQUEST FOR MARINE SERVICES
3.

LR reserves the right to charge interest accruing on a daily basis at
an annual rate of 2% above the greater of the London Interbank
Offered Base Rate (LIBOR) (or the equivalent in the country where
the Client maintains its principal office) on any amount remaining
unpaid beyond the due date, and may withhold any or all Services
until the arrears, including interest, are paid in full. LR may at its
sole discretion at any time allocate payment received from theClient to satisfy other earlier invoices that remain unpaid by theClient.

4.

LR reserves the right to charge for any work that is additional tothat originally quoted.

5.

LR will keep confidential and not use or disclose to any third party
outside the LR Group any data, plan or other written technicalinformation (the Information) received from the Client except as
may be required by law or as may be authorised by the Client, or as
referenced below. This obligation will not apply to any Information
that: (i) was in the LR Group's possession before its disclosure by oron behalf of the Client to the LR Group; or, (ii) is disclosed to athird party through no fault of the LR Group; or, (iii) otherwise
becomes available to the LR Group from an independent source notunder a confidentiality obligation to the Client; or, (iv) is posted on
the LR Group ‘Class Direct’ website or App; or, (v) is provided to an
LR contractor or supplier under confidentiality terms and controls; or,(vi) LR is requested to provide the Information to: (a) a Flag Stateauthority (including the EU Commission representatives); or, (b)another IACS member (pursuant to the IACS early warning rules); or,(c) a subsequent owner of the vessel to help explain any LR Groupsafety recommendation to that subsequent owner. This obligation
will survive termination of the Contract.

6.

7.

Notwithstanding the general duty of confidentiality owed by LR, LR
will participate in the IACS Early Warning System which requires LR
to provide its fellow IACS members with relevant technicalinformation on serious hull structural and engineering system
failures, as defined in the IACS Early Warning System (but notincluding any drawings relating to the ship which may be thespecific property of another party), to enable such useful
information to be shared and utilised to facilitate the proper
working of the IACS Early Warning System. LR will provide theClient with written details of such information upon sending thesame to IACS Members.

do business the Client hereby acknowledges and agrees that these
Services will be performed by a subsidiary or affiliate of LR that ispart of the LR Group and that is authorised to conduct classification
surveys and issue certificates on the vessel, machinery, or equipment.

11. In providing Services, information, or advice, the LR Group does notwarrant the accuracy of any information or advice supplied. Except
as set out in these Terms and Conditions, LR will not be liable forany loss, damage, or expense sustained by any person and causedby any act, omission, error, negligence, or strict liability of any of theLR Group or caused by any inaccuracy in any information or advice
given in any way by or on behalf of the LR Group even if held toamount to a breach of warranty. Nevertheless, if the Client uses theServices or relies on any information or advice given by or on behalfof the LR Group and as a result suffers loss, damage, or expensethat is proved to have been caused by any negligent act, omission,or error of the LR Group or any negligent inaccuracy in information
or advice given by or on behalf of the LR Group, then LR will pay
compensation to the Client for its proved loss up to but notexceeding the amount of the fee (if any) charged by LR for thatparticular service, information, or advice.

12. Notwithstanding the previous clause, the LR Group will not be liable
for any loss of profit, loss of contract, loss of use, or any indirect orconsequential loss, damage, or expense sustained by any person
caused by any act, omission, or error or caused by any inaccuracy in
any information or advice given in any way by or on behalf of the LR
Group.

13. No LR Group entity will be liable or responsible in negligence orotherwise to any person not a party to the agreement pursuant towhich any certificate, statement, data, or report is issued by an LR
Group entity for (i) any information or advice expressly or impliedlygiven by an LR Group entity, (ii) any omission or inaccuracy in any
information or advice given, or (iii) any act or omission that caused
or contributed to the issuance of any certificate, statement data, orreport containing the information or advice. Nothing in these Terms
and Conditions creates rights in favour of any person who is not a
party to the Contract with an LR Group entity.

14. No omission or failure to carry out or observe any stipulation,
condition or obligation to be performed under the Contract will giverise to any claim against LR or any other LR Group entity, or bedeemed to be a breach of contract, if the failure or omission arises
from causes beyond that entity’s reasonable control.

The Client shall indemnify and hold all members of the LR Groupharmless from all claims, costs, proceedings, damages and expenses,(including legal and other professional fees and expenses), madeagainst, incurred or paid by any member of the LR Group as a resultof or in connection with any breach by the Client of this contract or
any alleged or actual infringement, whether or not under English
law, of any third party's intellectual property rights (includingcopyright) or other rights arising out of the use or supply of theinformation by or on behalf of the Client to any member of the LR
Group.

15. This Contract and any dispute or claim between any member of the8.

This Contract continues in force until terminated by LR or the Client,after giving the other party 30 days’ written notice. If the Contract
is terminated by LR or the Client before the Services under theContract are completed, LR's fees will be calculated on a pro rata
basis up to the date of termination. Any reasonable costs directly
attributed to early termination and any amounts then due to LR will
immediately become payable.

Conditions will bind LR, or form part of this Contract unless it isexpressly accepted in writing by an authorised LR representative
who expressly states in writing that LR is agreeing to alter theseTerms and Conditions. In the event of any conflict between theseTerms and Conditions and any document purporting to impose
different terms, these Terms and Conditions will prevail.

9.

LR’s Services do not assess compliance with any standard other than
the applicable classification rules, international conventions, or any
other standards that are expressly agreed in writing by LR and theClient. Without limiting the generality of the foregoing, theissuance of a class certificate does not relieve the owner or operatorof the vessel of its non-delegable duty to maintain the vessel in aseaworthy condition.

10. If the Client requires classification Services relating to vessels,

LR Group and the Client arising from or in connection with it, or theServices provided hereunder, will be governed by English law.
Except as provided below, LR and the Client irrevocably agree that
the English courts will have exclusive jurisdiction over any dispute orclaim arising from or in connection with this Contract or theServices provided hereunder. Nothing in this clause limits the rightof LR to take debt collection proceedings against the Client in any
other court of competent jurisdiction.

16. No addition, alteration or substitution of these Terms and17. The Client has a duty to provide a safe place of work for LR’ssurveyors. This duty relates to places of work which are under thecontrol of the Client which can include ships, shipyards and offices.

18. Any classed vessel, machinery or equipment must be operated only
in a manner consistent with the proposed design criteria and anylimits agreed at the time of classification. If any vessel or equipment
operates outside these limits, such facts must be reported to LR
without delay.

machinery, or equipment in a jurisdiction in which LR itself does not
GMS03-11-159 Request for Marine Services (2502) (03.2020)

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REQUEST FOR MARINE SERVICES
the conditions for which a class has been assigned, must bereported to LR without delay.

Paragraphs 17 through 24 or in the event of non-payment of any
fee including fees of the LR Group incurred by the previous owner(s)of the vessel, if applicable

20. All repairs to hull, equipment and machinery that may be required

27. The parties agree that this Contract constitutes the entire

for a ship to retain class are to be carried out to the satisfaction ofLR. When repairs are effected at a port, terminal, or location where
the services of an LR surveyor are not available, the repairs are to besurveyed by one of the LR Group’s surveyors at the earliest
opportunity thereafter.

agreement between them, and supersedes all previous drafts,
agreements, arrangements and understandings between them,whether oral or written.

19. Any damage, defect, breakdown, or grounding that could invalidate

28. The parties shall comply with all applicable laws, statutes andregulations relating to anti-bribery, anti-corruption and personal
data protection.

21. Plans and particulars of any proposed alterations to the approved
scantlings and arrangements of hull, equipment, or machinery are
to be submitted to LR for approval, and the alterations are to be
carried out to the satisfaction of the LR Group’s surveyors.

29. Client confirms that invoices can be issued to the address set outÄherein above (in the Address section above) and agrees that, if theÄinvoicing details are required to be amended, LR shall be notifiedÄ
within 7 days of any change. If there is any change of invoicingÄ
details the LR point of contact )@O@MÄ !HKKHMFÄ 3D@LÄ $L@HKÄ
!HKKHMFKQ NQF) will be notified in writing. InvoicesÄ issued forservices provided prior to notification of any change toÄ invoicing
details, will remain payable in accordance with clause 2Ä herein.

22. It is the responsibility of the Client to ensure that all surveys
necessary for the maintenance of class are carried out at the proper
time and in accordance with LR’s instructions.

23. LR may give timely notice to the Client about forthcoming surveys.
The omission of notice, however, does not absolve the Client fromresponsibility to comply with requirements for maintenance of class.

24. When the Regulations with regard to surveys on the hull,
equipment, or machinery have not been complied with and the shipis thereby not entitled to retain class, the class may be suspended orwithdrawn.

25. When reported defects in the hull, equipment, or machinery arefound and the Client fails to repair these defects in accordance withLR’s requirements, the class may be suspended or withdrawn.

26. LR in its discretion may withhold or, if already granted, may suspend
or withdraw any class (or withhold any certificate or report in any
other case) if a Client fails to comply with the conditions set forth in

Client’s Stamp

ご契約頂く会社の社印捺印欄

Client’s Signature

ご署名欄
Name in CAPITALS:

署名者のフルネームをアルファベット表記で記入
Date:

ご署名日
Client’s Reference:

GMS03-11-159 Request for Marine Services (2502) (03.2020)

参照番号（任意でご使用下さい）

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