Source: http://www.law.cornell.edu/cfr/text/46/540/subpart-A/appendix-FMC
Timestamp: 2013-05-21 09:46:31
Document Index: 689983251

Matched Legal Cases: ['art 540', 'art 540', 'art 540', 'art 540', 'art 540', 'art 540']

46 CFR 540, Subpart A, Form FMC-131 to Subpart A of Part 540 | Title 46 - Shipping | Code of Federal Regulations | LII / Legal Information Institute
CFR › Title 46 › Chapter IV › Subchapter B › Part 540 › Subpart A › Appendix FMC	prev | next
46 CFR 540, Subpart A, Form FMC-131 to Subpart A of Part 540
Pt. 540, Subpt. A, Form FMC-131
In compliance with the provisions of Public Law 89-777 and 46 CFR qart 540, application is hereby made for a Certificate of Financial Responsibility (check one or both as applicable):
[] for indemnification of passengers for nonperformance. [] Initial application [] Certificate has previously been applied for (if so, give date of application and action taken thereon).
[] to meet liability incurred for death or injury to passengers or other persons. [] Initial application [] Certificate has previously been applied for (if so, give date of application and action taken thereon).
Submit two (2) typed copies of the application to the Secretary, Federal Maritime Commission, Washington, DC 20573. The application is in four parts: Part I—General; Part II—Performance; Part III—Casualty and Part IV—Declaration. Applicants must answer all questions in part I and part IV, then parts II and/or part III as appropriate. Instructions relating to part II and part III are contained at the beginning of the respective part. If the information required to be submitted under 46 CFR qart 540 has been previously submitted under other rules and regulations of the Commission, state when and for what reason such information was submitted. If previously submitted, it is not necessary to resubmit. If additional space is required, supplementary sheets may be attached.
1. (a) Legal business name:
(b) English equivalent of legal name if customarily written in language other than English:
(c) Trade name or names used:
Name of State or country in which incorporated or organized.
Date of the incorporation or organization.
(c) If a partnership, give name and address of each partner:
Business and relationship to you
Do you own all the vessels? [] Yes [] No (If “No” indicate the nature of the arrangements under which those not owned by you are available to you (e.g., bareboat, time, voyage, or other charter, or arrangement).)
Maximum number of berth or stateroom accommodations
Part II—Performance
Answer items 8-15 if applying for Certificate of Financial Responsibility for Indemnification of Passengers for Nonperformance. If you are filing evidence of insurance, escrow account, guaranty or surety bond under subpart A of 46 CFR qart 540 and providing at least fifteen (15) million dollars (U.S.) of coverage, you need not answer questions 10-15.
8. If you are providing at least fifteen (15) million dollars (U.S.) of coverage, state type of evidence and name and address of applicant's insurer, escrow agent, guarantor or surety (as appropriate).
* The filing of sailing schedules will be acceptable in answers to this question.
10. Items 11-14 are optional methods; answer only the one item which is applicable to this application. Check the appropriate box below:
[] Insurance (item 11).
[] Escrow (item 12).
[] Surety bond (item 13).
[] Guaranty (item 14).
(b) Method by which insurance amount is determined (attach data substantiating that amount is not less than that prescribed in 46 CFR 540.5 ).
(b) Total escrow deposit which is to be computed in accordance with 46 CFR 540.5. (Escrow agreement must be filed with the Federal Maritime Commission before a Certificate (Performance) will be issued.) Cash $___. U.S. Government Securities $___.
(c) Method by which escrow amount is determined (attach data substantiating that amount is not less than that prescribed by 46 CFR 540.5 ).
(b) Method by which bond amount is determined (attach data substantiating that amount is not less than that prescribed in 46 CFR 540.6 ).
(b) Method by which guaranty amount is determined (attach data substantiating that amount is not less than that prescribed in 46 CFR 540.5 ).
Part III—Casualty
Answer Items 16-22 if Applying for Certificate of Financial Responsibility To Meet Liability Incurred for Death or Injury to Passengers or Other Persons
16. (a) Name of passenger vessel subject to section 2 of Public Law 89-777 (46 U.S.C. 44101, 44103-441 06) operated by you to or from U.S. ports which has largest number of berth or stateroom accommodations.
17. Amount of death or injury liability coverage based on number of accommodations aboard vessel named in item 16 above, calculated in accordance with 46 CFR 540.24.
Items 18-22 Are Optional Methods: Answer Only the One Item Which is Applicable to This Application
18. (a) Total amount of applicant's insurance. (Evidence of the insurance must be filed with the Federal Maritime Commission before a Certificate (Casualty) will be issued.)
(b) Name and address of applicant's insurer.
Part IV—Declaration
(b) Name and title of official.
(c) Home office—Street and number.
(d) City.
(e) State or country.
(f) ZIP Code.
(g) Principal office in the United States—Street and number.
(h) City.
(i) State.
[49 FR 36313, Sept. 14, 1984, as amended at 55 FR 34568, Aug. 23, 1990; 67 FR 44776, July 5, 2002; 74 FR 50731, Oct. 1, 2009]