Document:

Securities Purchase Agreement

 Exhibit 10.127 
 CORTEX PHARMACEUTICALS, INC. 
 SECURITIES PURCHASE AGREEMENT

 This Securities Purchase Agreement (the “Agreement”) is entered into as of October 20, 2011 (the
“Effective Date”), between Cortex Pharmaceuticals, Inc., a Delaware corporation (the “Company”), and Samyang Value Partners Co., Ltd., a South Korean corporation (the “Purchaser”). 

R E C I T A L S: 
 Purchaser desires to purchase, and the Company desires to sell and issue to Purchaser, shares of common stock and related warrants to purchase common stock of the Company, with a par value of US$0.001 per
share, in accordance with the terms and conditions of the Agreement. 
 A G R E E M E N T: 

NOW, THEREFORE, for good and valuable consideration, receipt of which is hereby acknowledged, the parties agree as follows: 

1. Definitions. Capitalized terms used in the Agreement and not otherwise defined herein shall have the meanings set forth on
Annex A hereto. 
 2. Sale and Issuance of the Shares and Warrants. 

(a) Subject to the satisfaction of the terms and conditions of the Closing set forth herein and in reliance upon the respective
representations and warranties of the parties set forth herein or in any document delivered pursuant hereto, the Company agrees to issue and sell to Purchaser upon the Closing such number of shares of its Common Stock equal to the Purchase Price
divided by the Weighted Average Closing Price of the Common Stock for the five (5) Trading Day period immediately prior to the Effective Date. The parties hereby agree that the number of shares shall equal 6,765,466 and the deemed purchase
price per share shall be approximately $0.0739. 
 (b) Concurrently with the issuance of the Shares in subparagraph
(a) above, upon the Closing the Purchaser shall be issued Warrants to purchase a number of shares of Common Stock equal to twenty-five percent (25%) of the total number of Shares. The initial exercise price of the Warrants shall be an
amount per share of Common Stock equal to one hundred forty percent (140%) of the price per Share calculated in subparagraph (a) above. The Warrants shall be in the form attached hereto as Exhibit A. The parties hereby agree that
the number of shares subject to the Warrant shall equal 1,691,367 and the deemed exercise price per share shall be $0.1035. 
 3. Delivery of the Shares and Warrants at the Closing. The closing of the purchase and sale of the Shares and the Warrants contemplated hereunder (the “Closing”) shall be held as
of the same date herewith or at such other time upon which the Company and the Purchaser shall mutually agree (the “Closing Date”); provided, however, that to the extent that the Company has not received the Purchase
Price on or prior to the seventh (7th) Business Day
following the Effective Date, unless the Company otherwise expressly agrees in writing, this Agreement shall automatically terminate without penalty to the Company. On the Closing Date, the Company shall have received from the Purchaser via wire
transfer an amount equal to the Purchase Price and the Company will issue and deliver to the Purchaser the Shares and the Warrants. 

 4. Purchaser’s Representations. The Purchaser hereby represents and warrants to
the Company as follows: 
 (a) The Purchaser is an entity duly organized, validly existing and in good standing under the laws
of the jurisdiction of its organization with full right, corporate or partnership power and authority to enter into and to consummate the transactions contemplated by hereby and otherwise to carry out its obligations hereunder. 

(b) The execution and delivery of the Agreement and performance by the Purchaser of the transactions contemplated by the Agreement have
been duly authorized by all necessary corporate, partnership, limited liability company or similar action, as applicable, on the part of the Purchaser. 
 (c) The Agreement has been duly executed by the Purchaser, and when delivered by the Purchaser in accordance with the terms hereof, will constitute the valid and legally binding obligation of the
Purchaser, enforceable against it in accordance with its terms, except: (i) as limited by general equitable principles and applicable bankruptcy, insolvency, reorganization, moratorium and other laws of general application affecting enforcement
of creditors’ rights generally, (ii) as limited by laws relating to the availability of specific performance, injunctive relief or other equitable remedies and (iii) insofar as indemnification and contribution provisions may be
limited by applicable law. 
 (d) The execution, delivery and performance by the Purchaser of the Agreement and the consummation
by it of the transactions contemplated thereby do not and will not (i) conflict with or violate any provision of the Purchaser’s certificate or articles of incorporation, bylaws or other organizational or charter documents, or
(ii) conflict with or result in a violation of any law, rule, regulation, order, judgment, injunction, decree or other restriction of any court or governmental authority to which the Purchaser is subject (including federal and state securities
laws and regulations), or by which any property or asset of the Purchaser is bound or affected, except in the case subparagraph (ii) such as could not have or reasonably be expected to have a material adverse effect on the Purchaser.

 (e) The Purchaser is acquiring the Shares and the Warrants, as well as the shares of Common Stock underlying the Warrants, if
any (collectively referred to with the Shares and Warrants as the “Securities”), for the Purchaser’s own account and not as a nominee or agent for any other person, and not with the view to, or for sale in connection with, any
distribution thereof. 
 (f) The Purchaser is an “accredited investor,” as the Purchaser is a person or entity
described in one of the items in Annex B attached hereto. 
 (g) The Purchaser is not purchasing the Securities as a
result of any advertisement, article, notice or other communication regarding the Securities published in any newspaper, magazine or similar media or broadcast over television or radio or presented at any seminar or any other general solicitation or
general advertisement. 
 (h) The Purchaser understands that the Securities are being offered and sold to it in reliance upon
specific exemptions from the registration requirements of federal and state securities laws and that the Company is relying upon the truth and accuracy of, and the Purchaser’s compliance with, the representations, warranties, agreements,
acknowledgements and understandings of the Purchaser set forth herein in order to determine the availability of such exemptions and the eligibility of the Purchaser to acquire the Securities. 

(i) The offer and sale of the Securities has not been registered under the Securities Act, and that, accordingly, they will not be
transferable except as permitted under various exemptions set 

  
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forth in the Securities Act, or upon satisfaction of the registration and prospectus delivery requirements of the Securities Act, and that there will be a legend printed upon the Securities so
indicating. 
 (j) The Securities may not be sold, transferred, assigned, pledged, hypothecated or otherwise disposed of unless
the Purchaser first provides to the Company an opinion of counsel to the effect that such sale, transfer, assignment, pledge, hypothecation or other disposition will be exempt from the registration and prospectus delivery requirements of the
Securities Act and the registration or qualification requirements of any applicable state securities’ law. 
 5.
Company’s Representations. The Company hereby represents and warrants to the Purchaser as follows: 
 (a) The
Company is an entity duly organized, validly existing and in good standing under the laws of the jurisdiction of its organization with full right, corporate or partnership power and authority to enter into and to consummate the transactions
contemplated by hereby and otherwise to carry out its obligations hereunder. 
 (b) The execution and delivery of the Agreement
and performance by the Company of the transactions contemplated by the Agreement have been duly authorized by all necessary corporate, partnership, limited liability company or similar action, as applicable, on the part of the Company. 

(c) The Agreement has been duly executed by the Company, and when delivered by the Company in accordance with the terms hereof, will
constitute the valid and legally binding obligation of the Company, enforceable against it in accordance with its terms, except: (i) as limited by general equitable principles and applicable bankruptcy, insolvency, reorganization, moratorium
and other laws of general application affecting enforcement of creditors’ rights generally, (ii) as limited by laws relating to the availability of specific performance, injunctive relief or other equitable remedies and (iii) insofar
as indemnification and contribution provisions may be limited by applicable law. 
 (d) The execution, delivery and performance
by the Company of the Agreement and the consummation by it of the transactions contemplated thereby do not and will not (i) conflict with or violate any provision of the Company’s certificate or articles of incorporation, bylaws or other
organizational or charter documents, or (ii) conflict with or result in a violation of any law, rule, regulation, order, judgment, injunction, decree or other restriction of any court or governmental authority to which the Company is subject
(including federal and state securities laws and regulations), or by which any property or asset of the Company is bound or affected, except in the case subparagraph (ii) such as could not have or reasonably be expected to have a material
adverse effect on the Company. 
 (e) The authorized and outstanding capital stock of the Company is set forth on Annex C
attached hereto. All issued and outstanding shares have been duly authorized and validly issued and are fully paid and nonassessable. Except as set forth on Annex C, there are no other outstanding rights, options, warrants, preemptive rights,
rights of first refusal, or similar rights for the purchase or acquisition from the Company of any securities of the Company nor are there any commitments to issue or execute any such rights, options, warrants, preemptive rights or rights of first
refusal. Except as otherwise provided in the Company’s certificate of incorporation, there are no outstanding rights or obligations of the Company to repurchase or redeem any of its securities. The respective rights, preferences, privileges,
and restrictions of the Company’s outstanding shares are as stated in the Company’s certificate of incorporation. All outstanding securities have been issued in compliance with all applicable securities laws. 

  
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 (f) There is no action, suit, proceeding, or investigation (including without limitation any
suit, proceeding, or investigation involving the prior employment of any of the Company’s employees, their use in connection with the Company’s business of any information or techniques allegedly proprietary to any of their former
employers, or their obligations under any agreements with prior employers) against or adverse to the Company pending or, to the best of the Company’s knowledge, currently threatened before any court, administrative agency, or other governmental
body. The Company is not a party or subject to, and none of its assets is bound by, the provisions of any order, writ, injunction, judgment, or decree of any court or government agency or instrumentality. There is no action, suit, or proceeding by
the Company currently pending or that the Company intends to initiate. 
 (g) The Company has fully provided the Purchaser with
all the information that the Purchaser has requested for deciding whether to purchase the Shares and the Warrants. Neither this Agreement, nor any other agreements, statements or certificates made or delivered in connection herewith or therewith
contains any untrue statement of a material fact or, when taken together, omits to state a material fact necessary to make the statements herein or therein, in light of the circumstances under which they were made, not misleading. 

6. Conditions to Closing of the Purchaser. The Purchaser’s obligation to purchase the Shares and the Warrants at Closing in
accordance with the terms set forth herein is subject to the fulfillment on or prior to the Closing Date of each of the following conditions: 
 (a) Representations and Warranties Correct. The representations and warranties made by the Company in Section 5 hereof shall be true and correct when made and shall be true and correct on and
as of the Closing Date with the same force and effect as if they had been made on and as of said date. 
 (b) Covenants.
All covenants, agreements and conditions contained in this Agreement to be performed by the Company on or prior to the Closing Date shall have been performed or complied with in all material respects. 

(c) No Material Adverse Change. There shall have been no material adverse change in the Company’s business or financial
condition. 
 7. Conditions to Closing of the Company. The Company’s obligation to issue and sell the Shares and the
Warrants at Closing in accordance with the terms set forth herein is subject to the fulfillment on or prior to the Closing Date of each of the following conditions: 
 (a) Representations and Warranties Correct. The representations and warranties made by the Purchaser in Section 4 hereof shall be true and correct when made and shall be true and correct on
and as of the Closing Date with the same force and effect as if they had been made on and as of said date. 
 (b)
Covenants. All covenants, agreements and conditions contained in this Agreement to be performed by the Purchaser on or prior to the Closing Date shall have been performed or complied with in all material respects. 

8. Right of First Refusal. The Shares and the shares of Common Stock underlying the Warrants (the “Subject
Shares”) may be sold by the Purchaser only in compliance with the provisions of this Section 8, and subject in all cases to compliance with applicable securities laws. Prior to any intended sale of more than an aggregate of 500,000
Subject Shares in any two (2) Business Day period, the Purchaser shall first give written notice (the “Offer Notice”) to the Company specifying (i) its bona 

  
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fide intention to sell or otherwise transfer such Subject Shares and (ii) the number of Subject Shares the Purchaser proposes to sell (the “Offered Shares”). Within two
(2) Business Days after receipt of the Offer Notice, the Company or its nominee(s) may elect to negotiate in good faith with the Purchaser to purchase all (not some) of such Offered Shares. In the event that the Company elects to purchase all
(not some) of such Offered Shares, the Purchaser and the Company shall negotiate in good faith to consummate a transaction for such Offered Shares within five (5) Business Days following the Company’s election. If the Company and the
Purchaser fail to agree upon a purchase price following good faith negotiation between the Company and the Purchaser, or otherwise any single share of the Offered Shares is not to be purchased by the Company, all the Offered Shares may be sold by
the Purchaser without any of the restrictions set forth in this Section 7. 
 9. “Market Stand-Off”
Agreement. The Purchaser agrees that, if requested by the Company or the managing underwriter of any proposed public offering of the Company’s securities, the Purchaser will not sell or otherwise transfer or dispose of any shares of Common
Stock held by the Purchaser without the prior written consent of the Company or such underwriter, as the case may be, during such period of time, not to exceed 180 days following the effective date of the registration statement filed by the Company
with respect to such offering, as the Company or the underwriter may specify. In order to enforce the foregoing covenant, the Company may impose stop transfer instructions with respect to any shares of Common Stock held by the Purchaser until the
end of such period. 
 10. Observer and Information Rights. If, and for such time as, the Purchaser owns not less than
fifteen percent (15%) of the then outstanding shares of Common Stock, (i) the Purchaser may, at its sole election, appoint a representative reasonably acceptable to the Company to attend all meetings of the Company’s Board of
Directors in a nonvoting observer capacity and, in this respect, the Company shall deliver to such representative of the Purchaser copies of all notices, minutes, consents, and other materials that it provides to its directors generally, and
(ii) the Purchaser shall be entitled to receive access to the Company’s quarterly financial statements and at least semi-annual updates on the status of the Company’s compound developments on or about the same time as provided to the
Company’s Board of Directors; provided, however, that in each case, such representative of the Purchaser (and the Purchaser) shall agree to hold in confidence and trust and to act in a fiduciary manner with respect to all information so
provided, and shall cause their respective agents and affiliates, as applicable, to do the same; and provided further, that the Company reserves the right to withhold any information from the representative and the Purchaser and, as
applicable, to exclude such representative of the Purchaser from any meeting or portion thereof, if access to such information or attendance at such meeting could adversely affect the attorney-client privilege between the Company and its counsel or
result in disclosure of trade secrets or a conflict of interest. In exercising its rights hereunder, the Purchaser expressly acknowledges and agrees that it shall not, and shall cause its agents, affiliates and representatives to not, utilize such
information provided hereunder other than for purposes consistent with the Company’s best interests and shall not acquire or dispose of any of the Company’s securities in violation of securities laws. 

11. Miscellaneous. 
 (a) Binding on Successors. This Agreement shall be binding upon and inure to the benefit of the parties hereto and their respective successors and assigns. 

(b) Entire Agreement. This Agreement and the exhibits hereto, constitute the entire agreement between the parties with respect to
the subject matter hereof and supersedes all prior and contemporaneous agreements, whether written or oral, and shall not be modified except by a writing signed by the parties hereto. 

  
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 (c) Governing Law. All questions concerning the construction, validity, enforcement
and interpretation of the Agreement shall be governed by and construed and enforced in accordance with the laws of the State of California, without regard to the principles of conflicts of law thereof. Each party agrees that all legal proceedings
concerning the interpretations, enforcement and defense of the transactions contemplated by this Agreement (whether brought against a party hereto or its respective affiliates, directors, officers, shareholders, employees or agents) shall be
commenced exclusively in the courts sitting in Hong Kong. Each party hereby irrevocably submits to the exclusive jurisdiction of the courts sitting in Hong Kong for the adjudication of any dispute hereunder or in connection herewith or with any
transaction contemplated hereby or discussed herein (including with respect to the enforcement of the Agreement), and hereby irrevocably waives, and agrees not to assert in any suit, action or proceeding, any claim that it is not personally subject
to the jurisdiction of any such court, that such suit, action or proceeding is improper or is an inconvenient venue for such proceeding. Each party hereby irrevocably waives personal service of process and consents to process being served in any
such suit, action or proceeding by mailing a copy thereof via registered or certified mail or overnight delivery (with evidence of delivery) to such party at the address in effect for notices to it under this Agreement and agrees that such service
shall constitute good and sufficient service of process and notice thereof. Nothing contained herein shall be deemed to limit in any way any right to serve process in any other manner permitted by law. If either party shall commence an action or
proceeding to enforce any provisions of the Agreement, then the prevailing party in such action or proceeding shall be reimbursed by the other party for its reasonable attorneys’ fees and other costs and expenses incurred with the
investigation, preparation and prosecution of such action or proceeding. 
 (d) Headings; References. All headings used
herein are used for convenience only and shall not be used to construe or interpret this Agreement. Except as otherwise indicated, all references herein to Sections refer to Sections hereof. 

(e) No Waiver. No waiver of any of the provisions contained in this Agreement shall be valid unless made in writing and executed
by the waiving party. It is expressly understood that in the event any party shall on any occasion fail to perform any term of this Agreement and the other parties shall not enforce that term, the failure to enforce on that occasion shall not
prevent enforcement of that or any other term hereof on any other occasion. 
 (f) Severability. If any section of this
Agreement is held invalid by any law, rule, order, regulation, or promulgation of any jurisdiction, such invalidity shall not affect the enforceability of any other sections not held to be invalid. 

(g) Notices. All notices and other communications hereunder shall be in writing and shall be deemed given if properly addressed:
(i) if delivered personally, by commercial delivery service or by facsimile (with acknowledgment of a complete transmission prior to 5:30 p.m. Los Angeles time), on the day of delivery, (ii) if delivered by U.S. nationally recognized
overnight courier service, on the next Business Day after mailing, or (iii) upon actual receipt by the party to whom such notice is required by be given. 
 Notices shall be deemed to be deemed properly addressed to any party hereto if addressed to the following addresses (or at such other address for a party as shall be specified by like notice): 

  
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	 	(i)	if to Purchaser, to: 

 Samyang Value Partners Co., Ltd. 
 Seoyeong Bldg. 12F 

158-12 Samsung Dong 
 Gangnam Gu 
 Seoul, Korea 

Attention: 
 Telephone: 
 Facsimile: 

Email: 
  

	 	(ii)	if to the Company: 

 Cortex Pharmaceuticals, Inc. 
 15231 Barranca Parkway 

Irvine, California 92618 
 Attention: Chief Executive Officer 
 Telephone:
(949) 727-3157 
 Facsimile: (949) 727-3657 

Email: mvarney@cortexpharm.com 
 with a copy to (which shall not constitute notice): 
 Stradling
Yocca Carlson & Rauth 
 660 Newport Center Drive, Suite 1600 

Newport Beach, CA 92660 
 Attention: Lawrence B. Cohn 
 Telephone: (949) 725-4000

 Facsimile: (949) 725-4100 

Email: lcohn@sycr.com 
 (h) Successors and Assigns. This Agreement shall be binding upon and inure to the benefit of the parties and their successors and permitted assigns. 

(i) Counterparts. This Agreement and any amendment thereof may be executed in two or more counterparts, each of which shall be
deemed an original for all purposes. In the event that any signature is delivered by facsimile transmission or by e-mail delivery of a “.pdf” format data file, such signature shall create a valid and binding obligation of the party
executing (or on whose behalf such signature is executed) with the same force and effect as if such facsimile or “.pdf” signature page were an original thereof. 
 (j) Saturdays, Sundays, Holidays, etc. If the last or appointed day for the taking of any action or the expiration of any right required or granted herein shall not be a Business Day, then such
action may be taken or such right may be exercised on the next succeeding Business Day. 
 ********************* 

(Signature Page Follows) 

  
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 The Company and the Purchaser have executed this Agreement as of the Effective Date.

  

			
	“Company”
	
	CORTEX PHARMACEUTICALS, INC.
		
	 By:
	 	  

		 	Mark A. Varney, Ph.D.
		 	President and Chief Executive Officer
	
	“Purchaser”
	
	SAMYANG VALUE PARTNERS CO., LTD.
		
	 By:
	 	  

		 	Soung Jin Kim
		 	President and Chief Executive Officer

  
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 ANNEX A 

Definitions 
 “Agreement” shall mean this Securities Purchase Agreement. 

“Business Day” shall mean any day except any Saturday, any Sunday, any day which is a federal legal holiday in the
United States or any day on which banking institutions in the State of California are authorized or required by law or other governmental action to close. 
 “Closing” shall have the meaning set forth in Section 3 of the Agreement. 
 “Closing Date” shall have the meaning set forth in Section 3 of the Agreement. 
 “Common Stock” shall mean common stock of the Company, par value of US$0.001 per share. 
 “Company” shall mean Cortex Pharmaceuticals, Inc., a Delaware corporation. 
 “Effective Date” shall have the meaning set forth in the preambles to the Agreement. 
 “Offer Notice” shall have the meaning set forth in Section 8 of the Agreement. 
 “Offered Shares” shall have the meaning set forth in Section 8 of the Agreement. 
 “Purchase Price” shall mean US$500,000. 

“Purchaser” shall mean Samyang Value Partners Co., Ltd., a South Korean corporation. 

“Securities” shall have the meaning set forth in Section 4(e) of the Agreement. 

“Securities Act” shall mean the Securities Act of 1933, as amended. 

“Shares” shall mean the shares of Common Stock which are to be purchased pursuant to Section 2(a) of the Agreement.

 “Subject Shares” shall have the meaning set forth in Section 8 of the Agreement. 

“Trading Day” shall mean a day on which the principal Trading Market is open for trading. 

“Trading Market” shall mean a market or exchange on which the Common Stock is then listed or quoted for trading,
including, without limitation, the NYSE Amex Equities Market, the Nasdaq Capital Market, the Nasdaq Global Market, the Nasdaq Global Select Market or the New York Stock Exchange, the OTC Bulletin Board or a Pink OTC Market (or any successors to any
of the foregoing). 
 “Warrants” shall mean the warrants to purchase shares of Common Stock which are to be
purchased pursuant to Section 2(b) of the Agreement. 
 “Weighted Average Closing Price” shall mean the
price determined by the first of the following clauses that applies: (A) if the Common Stock is then listed or quoted for trading on a Trading Market other than the OTC Bulletin Board or the Pink OTC Market, the volume-weighted average closing
prices of the Common Stock on the Trading Market on which the Common Stock is then listed or quoted for trading as reported by Bloomberg L.P., (B) if the Common Stock is then listed or quoted for trading on

 
the OTC Bulletin Board, the volume-weighted average closing prices of the Common Stock on the OTC Bulletin Board, or (C) if the Common Stock is not then listed or quoted for trading on the
OTC Bulletin Board and if prices for the Common Stock are then reported in the “Pink Sheets” published by Pink OTC Markets, Inc. (or a similar organization or agency succeeding to its functions of reporting prices), the closing bid prices
per share of the Common Stock so reported. 

 ANNEX B 

Accredited Investor 
 An “accredited investor” is: 
 1. Any bank as defined in section 3(a)(2)
of the Act, or any savings and loan association or other institution as defined in section 3(a)(5)(A) of the Act whether acting in its individual or fiduciary capacity; any broker or dealer registered pursuant to section 15 of the Securities
Exchange Act of 1934; any insurance company as defined in section 2(13) of the Act; any investment company registered under the Investment Company Act of 1940 or a business development company as defined in section 2(a)(48) of that Act; any Small
Business Investment Company licensed by the U.S. Small Business Administration under section 301(c) or (d) of the Small Business Investment Act of 1958; any plan established and maintained by a state, its political subdivisions, or any agency
or instrumentality of a state or its political subdivisions for the benefit of its employees, if such plan has total assets in excess of $5,000,000; any employee benefit plan within the meaning of the Employee Retirement Income Security Act of 1974
if the investment decision is made by a plan fiduciary, as defined in section 3(21) of such Act, which is either a bank, savings and loan association, insurance company, or registered investment adviser, or if the employee benefit plan has total
assets in excess of $5,000,000 or, if a self-directed plan, with investment decisions made solely by persons that are accredited investors; 
 2. Any private business development company as defined in section 202(a)(22) of the Investment Advisers Act of 1940; 
 3. Any organization described in Section 501(c)(3) of the Internal Revenue Code, corporation, Massachusetts or similar business trust, or partnership, not formed for the specific purpose of acquiring
the securities offered, with total assets in excess of $5,000,000; 
 4. Any director, executive officer, or general partner of
the issuer of the securities being offered or sold, or any director, executive officer, or general partner of a general partner of that issuer; 
 5. Any natural person whose individual net worth, or joint net worth with that person’s spouse, at the time of his purchase exceeds $1,000,000; 

6. Any natural person who had an individual income in excess of $200,000 in each of the two most recent years or joint income with that
person’s spouse in excess of $300,000 in each of those years and has a reasonable expectation of reaching the same income level in the current year; 
 7. Any trust, with total assets in excess of $5,000,000, not formed for the specific purpose of acquiring the securities offered, whose purchase is directed by a sophisticated person as described in
§ 230.506(b)(2)(ii); and 
 8. Any entity in which all of the equity owners are accredited investors. 

The term “net worth” means the excess of total assets over total liabilities. In computing net worth for the purpose of
(5) above, (i) persons must exclude the value of their primary residence, and (ii) persons may exclude any mortgage or any other debt secured by their primary residence that does not exceed the fair market value of the
residence. If, however, the amount of such debt exceeds the fair market value of the residence, persons are required to deduct the excess liability from the net worth calculation. 

 ANNEX C 

Authorized and Outstanding Capital Stock 
 As of the date of the Agreement, authorized capital of the Company includes 205,000,000 shares of Common Stock and 5,000,000 shares of Preferred Stock, of which 1,250,000 shares have been designated as 9%
Cumulative Convertible Preferred Stock; 205,000 shares have been designated as Series A Junior Participating Preferred Stock; 37,500 shares have been designated as Series B Convertible Preferred Stock; and 3,507,500 shares remain undesignated.

 As of the date of the Agreement, the Company has 78,858,197 shares of Common Stock and 37,500 shares of Series B Convertible
Preferred Stock outstanding. 
 As of the date of the Agreement, the Company’s issued and outstanding options and other
securities convertible into, or exercisable for, shares of the Company’s Common Stock consist of the following: 
 1.
9,813,766 shares of Common Stock authorized for issuance under the Company’s 2006 Stock Incentive Plan; and 
 2. 5,203,426
shares of Common Stock subject to issued and outstanding options under the Company’s 1996 Stock Incentive Plan; and 
 3.
350,000 shares of Common Stock subject to issued and outstanding options outside of the Company’s 2006 Stock Incentive Plan and 1996 Stock Incentive Plan; and 
 4. 24,126,952 shares of Common Stock reserved for issuance upon the exercise of outstanding warrants; and 
 5. 37,500 shares of Series B Convertible Preferred Stock, each share of which is convertible into approximately 0.09812 shares of Common Stock; and 

6. 71,728 shares of Common Stock potentially issuable upon repayment of an advance to fund the Company’s expenses for its clinical
study in patients with Mild Cognitive Impairment, such number of shares based upon the balance of the advance and accrued interest as of September 30, 2011. 
 Each of the foregoing securities includes anti-dilution provisions in the event of stock dividends, stock splits or reclassifications of the Company’s Common Stock. 

 EXHIBIT A 

Form of Warrant 
 NEITHER
THIS SECURITY NOR THE SECURITIES FOR WHICH THIS SECURITY IS EXERCISABLE HAVE BEEN REGISTERED WITH THE SECURITIES AND EXCHANGE COMMISSION OR THE SECURITIES COMMISSION OF ANY STATE IN RELIANCE UPON AN EXEMPTION FROM REGISTRATION UNDER THE SECURITIES
ACT OF 1933, AS AMENDED (THE “SECURITIES ACT”), AND, ACCORDINGLY, MAY NOT BE OFFERED OR SOLD EXCEPT PURSUANT TO AN EFFECTIVE REGISTRATION STATEMENT UNDER THE SECURITIES ACT OR PURSUANT TO AN AVAILABLE EXEMPTION FROM, OR IN A TRANSACTION
NOT SUBJECT TO, THE REGISTRATION REQUIREMENTS OF THE SECURITIES ACT AND IN ACCORDANCE WITH APPLICABLE STATE SECURITIES LAWS AS EVIDENCED BY A LEGAL OPINION OF COUNSEL TO THE TRANSFEROR TO SUCH EFFECT, THE SUBSTANCE OF WHICH SHALL BE REASONABLY
ACCEPTABLE TO THE COMPANY. ADDITIONALLY, THE SECURITIES FOR WHICH THIS SECURITY IS EXERCISABLE ARE SUBJECT TO A RIGHT OF FIRST REFUSAL IN FAVOR OF THE COMPANY AS SET FORTH IN THAT CERTAIN SECURITIES PURCHASE AGREEMENT DATED OCTOBER 20, 2011.

 COMMON STOCK PURCHASE WARRANT 
 CORTEX PHARMACEUTICALS, INC. 
  

			
	Warrant Shares: 1,691,367	 	Issue Date: October 20, 2011

 THIS COMMON STOCK PURCHASE WARRANT (the “Warrant”) certifies that, for value received, Samyang Value Partners Co., Ltd. (the “Holder”) is entitled, upon the terms and
subject to the limitations on exercise and the conditions hereinafter set forth, at any time on or prior to the close of business on the two year anniversary of the original Issue Date (the “Termination Date”) but not thereafter, to
subscribe for and purchase from Cortex Pharmaceuticals, Inc., a Delaware corporation (the “Company”), up to One Million Six Hundred Ninety-One Thousand Three Hundred Sixty-Seven (1,691,367) shares (the “Warrant
Shares”) of Common Stock. The purchase price of one share of Common Stock under this Warrant shall be equal to the Exercise Price, as defined in Section 2(b). 
 Section 1. Definitions. In addition to the terms defined elsewhere in this Warrant, the following terms shall have the meanings set forth in this Section 1: 

“Business Day” shall mean any day except any Saturday, any Sunday, any day which is a federal legal
holiday in the United States or any day on which banking institutions in the State of California are authorized or required by law or other governmental action to close. 

“Common Stock” means the common stock of the Company, par value $0.001 per share, and any other class of
securities into which such securities may hereafter be reclassified or changed. 

 “Trading Day” means a day on which the principal Trading
Market is open for trading. 
 “Trading Market” means a market or exchange on which the Common
Stock is then listed or quoted for trading, including, without limitation, the NYSE Amex Equities Market, the Nasdaq Capital Market, the Nasdaq Global Market, the Nasdaq Global Select Market or the New York Stock Exchange, the OTC Bulletin Board or
a Pink OTC Market (or any successors to any of the foregoing). 
 “Transaction Documents” means
the Securities Purchase Agreement dated October 20, 2011 between the Company and the purchaser signatory thereto (the “Purchase Agreement”), as well as the other agreements and documents contemplated thereby. 

“Weighted Average Closing Price” means the price determined by the first of the following clauses that
applies: (A) if the Common Stock is then listed or quoted for trading on a Trading Market other than the OTC Bulletin Board or the Pink OTC Market, the volume-weighted average closing prices of the Common Stock on the Trading Market on which
the Common Stock is then listed or quoted for trading as reported by Bloomberg L.P., (B) if the Common Stock is then listed or quoted for trading on the OTC Bulletin Board, the volume-weighted average closing prices of the Common Stock on the
OTC Bulletin Board, or (C) if the Common Stock is not then listed or quoted for trading on the OTC Bulletin Board and if prices for the Common Common Stock are then reported in the “Pink Sheets” published by Pink OTC Markets, Inc. (or
a similar organization or agency succeeding to its functions of reporting prices), the closing bid prices per share of the Common Stock so reported. 
 Section 2. Exercise. 
 a) Exercise of
Warrant. Exercise of the purchase rights represented by this Warrant may be made, in whole or in part, at any time or times on or before the Termination Date by delivery to the Company (or such other office or agency of the Company as it may
designate by notice in writing to the registered Holder at the address of the Holder appearing on the books of the Company) of a duly executed copy of the Notice of Exercise Form annexed hereto, the original Warrant certificate and payment of the
aggregate Exercise Price of the shares thereby purchased by wire transfer or cashier’s check drawn on a United States bank. 
 b) Exercise Price. The exercise price per share of the Common Stock under this Warrant shall be $0.1035, subject to adjustment hereunder (the “Exercise Price”). 

c) Mechanics of Exercise. 
 i. Delivery of Certificates Upon Exercise. Certificates for shares purchased hereunder shall be transmitted by the Company or the Company’s transfer agent to the Holder promptly after the date
of exercise. This Warrant shall be deemed to have been exercised on the first date on which all of the items in Section 2(a) above have been delivered to 

  
 2 

 
the Company. The Warrant Shares shall be deemed to have been issued, and Holder shall be deemed to have become a holder of record of such shares for all purposes, as of the date the Warrant has
been properly exercised, with payment to the Company of the Exercise Price prior to the issuance of such shares, having been paid. 
 ii. Delivery of New Warrants Upon Exercise. If this Warrant shall have been exercised in part, the Company shall, at the request of a Holder and upon surrender of this Warrant certificate, at the
time of delivery of the certificate or certificates representing Warrant Shares, deliver to Holder a new Warrant evidencing the rights of Holder to purchase the unpurchased Warrant Shares called for by this Warrant, which new Warrant shall in all
other respects be identical with this Warrant. 
 iii. No Fractional Shares or Scrip. No fractional
shares or scrip representing fractional shares shall be issued upon the exercise of this Warrant. As to any fraction of a share which the Holder would otherwise be entitled to purchase upon such exercise, the Company shall, at its election, either
pay a cash adjustment in respect of such final fraction in an amount equal to such fraction multiplied by the Exercise Price or round up to the next whole share. 

iv. Charges, Taxes and Expenses. Issuance of certificates for Warrant Shares shall be made without charge to the
Holder for any issue or transfer tax or other incidental expense in respect of the issuance of such certificate, all of which taxes and expenses shall be paid by the Company, and such certificates shall be issued in the name of the Holder.

 v. Closing of Books. The Company will not close its stockholder books or records in any manner which
prevents the timely exercise of this Warrant, pursuant to the terms hereof. 
 d) Representation by the
Holder; Restrictions. The Holder, by the acceptance hereof, represents and warrants that it is acquiring this Warrant and, upon any exercise hereof, will acquire the Warrant Shares issuable upon such exercise, for its own account and not with a
view to or for distributing or reselling such Warrant Shares or any part thereof in violation of the Securities Act or any applicable state securities law. The Holder acknowledges that the Warrant Shares acquired upon the exercise of this Warrant,
if not registered, will have restrictions upon resale imposed by state and federal securities laws and will contain one or more legends relating thereto. The Holder further acknowledges that the Warrant Shares may not be offered or sold except in
compliance with the Company’s right of first refusal contained in the Purchase Agreement and pursuant to an effective registration statement under the Securities Act or pursuant to an available exemption from, or in a transaction not subject
to, the registration requirements of the Securities Act and in accordance with applicable state securities laws as evidenced 

  
 3 

 
by a legal opinion of counsel to the transferor to such effect, the substance of which shall be reasonably acceptable to the Company. 

e) Call Provision. Subject to the provisions of this Section 2(e), if (i) the Weighted Average Closing
Price for each of 10 consecutive Trading Days (the “Measurement Period”) exceeds one and one-half (1.5) times the Exercise Price (subject to adjustment for forward and reverse stock splits, recapitalizations, stock dividends
and the like after the original Issue Date) and (ii) the Holder is not in possession of any information that constitutes, or might constitute, material non-public information which was provided by the Company, then the Company may, within 3
Trading Days of the end of such Measurement Period, call for cancellation of all or any portion of this Warrant for which a Notice of Exercise has not yet been delivered (such right, a “Call”) for consideration equal to $0.001 per
Share. To exercise this right, the Company must deliver to the Holder an irrevocable written notice (a “Call Notice”); indicating therein the portion of unexercised portion of this Warrant to which such notice applies. If the
conditions set forth below for such Call are satisfied from the period from the date of the Call Notice through and including the Call Date (as defined below), then any portion of this Warrant subject to such Call Notice for which a Notice of
Exercise shall not have been received by the Call Date will be cancelled at 6:30 p.m. (Los Angeles time) on the tenth Trading Day after the date the Call Notice is received by the Holder (such date and time, the “Call Date”). Any
unexercised portion of this Warrant to which the Call Notice does not pertain will be unaffected by such Call Notice. In furtherance thereof, the Company covenants and agrees that it will honor all Notices of Exercise with respect to Warrant Shares
subject to a Call Notice that are tendered through 6:30 p.m. (Los Angeles time) on the Call Date. The parties agree that any Notice of Exercise delivered following a Call Notice which calls less than all the Warrants shall first reduce to zero the
number of Warrant Shares subject to such Call Notice prior to reducing the remaining Warrant Shares available for purchase under this Warrant. For example, if (A) this Warrant then permits the Holder to acquire 100 Warrant Shares, (B) a
Call Notice pertains to 75 Warrant Shares, and (C) prior to 6:30 p.m. (Los Angeles time) on the Call Date the Holder tenders a Notice of Exercise in respect of 50 Warrant Shares, then (x) on the Call Date the right under this Warrant to
acquire 25 Warrant Shares will be automatically cancelled, (y) the Company, in the time and manner required under this Warrant, will have issued and delivered to the Holder 50 Warrant Shares in respect of the exercises following receipt of the
Call Notice, and (z) the Holder may, until the Termination Date, exercise this Warrant for 25 Warrant Shares (subject to adjustment as herein provided and subject to subsequent Call Notices). Subject again to the provisions of this
Section 2(e), the Company may deliver subsequent Call Notices for any portion of this Warrant for which the Holder shall not have delivered a Notice of Exercise. Notwithstanding anything to the contrary set forth in this Warrant, the Company
may not deliver a Call Notice or require the cancellation of this Warrant (and any such Call Notice shall be void), unless, from the beginning of the Measurement Period through the Call Date, (1) the Company shall have honored in accordance
with the terms of this Warrant all Notices of Exercise delivered by 6:30 p.m. (Los Angeles time) on the Call Date, and (2) the Common Stock shall be listed or quoted for trading on the Trading Market, and (3) there is a sufficient number
of authorized shares of Common Stock for issuance of all securities under the Transaction Documents. 

  
 4 

 Section 3. Certain Adjustments. 

a) Stock Dividends and Splits. If the Company, at any time while this Warrant is outstanding: (i) pays a stock
dividend or otherwise makes a distribution or distributions on shares of its Common Stock or any other equity or equity equivalent securities payable in shares of Common Stock (which, for avoidance of doubt, shall not include any shares of Common
Stock issued by the Company upon exercise of this Warrant), (ii) subdivides outstanding shares of Common Stock into a larger number of shares, (iii) combines (including by way of reverse stock split) outstanding shares of Common Stock into
a smaller number of shares, or (iv) issues by reclassification of shares of the Common Stock any shares of capital stock of the Company, then in each case the Exercise Price shall be multiplied by a fraction of which the numerator shall be the
number of shares of Common Stock (excluding treasury shares, if any) outstanding immediately before such event and of which the denominator shall be the number of shares of Common Stock outstanding immediately after such event, and the number of
shares issuable upon exercise of this Warrant shall be proportionately adjusted such that the aggregate Exercise Price of this Warrant shall remain unchanged. Any adjustment made pursuant to this Section 3(a) shall become effective immediately
after the record date for the determination of stockholders entitled to receive such dividend or distribution and shall become effective immediately after the effective date in the case of a subdivision, combination or re-classification. 

b) Calculations. All calculations under this Section 3 shall be made to the nearest cent or the nearest
1/100th of a share, as the case may be. For purposes of this Section 3, the number of shares of Common Stock deemed to be issued and outstanding as of a given date shall be the sum of the number of shares of Common Stock (excluding treasury
shares, if any) issued and outstanding. 
 c) Notice to Holder. Whenever the Exercise Price is adjusted
pursuant to any provision of this Section 3, the Company shall promptly mail to the Holder a notice setting forth the Exercise Price after such adjustment and setting forth a brief statement of the facts requiring such adjustment. 

Section 4. Transfer of Warrant. 

a) Transferability. This Warrant evidenced hereby may not be pledged, sold, assigned or transferred. 

b) Warrant Register. The Company shall register this Warrant, upon records to be maintained by the Company for that
purpose (the “Warrant Register”), in the name of the record Holder hereof from time to time. The Company may deem and treat the registered Holder of this Warrant as the absolute owner hereof for the purpose of any exercise hereof or
any distribution to the Holder, and for all other purposes, absent actual written notice to the contrary. 

  
 5 

 Section 5. Miscellaneous. 

a) No Rights as Stockholder Until Exercise. This Warrant does not entitle the Holder to any voting rights,
dividends or other rights as a stockholder of the Company prior to the exercise hereof as set forth in Section 2(c)(i). 
 b) Loss, Theft, Destruction or Mutilation of Warrant. The Company covenants that upon receipt by the Company of evidence reasonably satisfactory to it of the loss, theft, destruction or mutilation
of this Warrant or any stock certificate relating to the Warrant Shares, and in case of loss, theft or destruction, of indemnity or security reasonably satisfactory to it, and upon surrender and cancellation of such Warrant or stock certificate, if
mutilated, the Company will make and deliver a new Warrant or stock certificate of like tenor and dated as of such cancellation, in lieu of such Warrant or stock certificate. 

c) Saturdays, Sundays, Holidays, etc. If the last or appointed day for the taking of any action or the expiration
of any right required or granted herein shall not be a Business Day, then, such action may be taken or such right may be exercised on the next succeeding Business Day. 

d) Authorized Shares. 
 The Company covenants that, during the period the Warrant is outstanding, it will reserve from its authorized and unissued Common Stock a sufficient number of shares to provide for the issuance of the
Warrant Shares upon the exercise of any purchase rights under this Warrant. 
 Except and to the extent as waived
or consented to by the Holder, the Company shall not by any action, including, without limitation, amending its certificate of incorporation or through any reorganization, transfer of assets, consolidation, merger, dissolution, issue or sale of
securities or any other voluntary action, avoid or seek to avoid the observance or performance of any of the terms of this Warrant, but will at all times in good faith assist in the carrying out of all such terms and in the taking of all such
actions as may be necessary or appropriate to protect the rights of Holder as set forth in this Warrant against impairment. 
 Before taking any action which would result in an adjustment in the number of Warrant Shares for which this Warrant is exercisable or in the Exercise Price, the Company shall obtain all such
authorizations or exemptions thereof, or consents thereto, as may be necessary from any public regulatory body or bodies having jurisdiction thereof. 
 e) Effect of Consolidation, Merger or Sale. Notwithstanding anything in this Warrant to the contrary, this Warrant shall expire upon any (i) consolidation or merger of the Company with another
entity, or any statutory exchange of securities with another entity, whereby the holders of voting capital stock of the Company immediately prior to such transaction hold less than 50% of the voting capital stock following such

  
 6 

 
transaction, (ii) sale or all or substantially all of the Company’s assets to another entity or (iii) liquidation of the Company. The Company shall give the Holder at least fifteen
(15) days advance notice of the closing of such transaction at its last address as it shall appear upon the Warrant Register of the Company; provided that the failure to mail such notice or any defect therein or in the mailing thereof shall not
affect the validity of the corporate action required to be specified in such notice. 
 f) Governing Law.
All questions concerning the construction, validity, enforcement and interpretation of this Warrant shall be determined in accordance with the provisions of the Purchase Agreement. 

g) Nonwaiver. No course of dealing or any delay or failure to exercise any right hereunder on the part of Holder or
the Company shall operate as a waiver of such right or otherwise prejudice Holder’s or the Company’s respective rights, powers or remedies. 
 h) Notices. Any notice, request or other document required or permitted to be given or delivered to the Holder by the Company shall be delivered in accordance with the notice provisions of the
Purchase Agreement. 
 i) Successors and Assigns. Subject to applicable securities laws, this Warrant and
the rights and obligations evidenced hereby shall inure to the benefit of and be binding upon the successors and permitted assigns of the Company and the successors and permitted assigns of Holder. 

j) Amendment. This Warrant may be modified or amended or the provisions hereof waived with the written consent of
the Company and the Holder. 
 k) Severability. Wherever possible, each provision of this Warrant shall be
interpreted in such manner as to be effective and valid under applicable law, but if any provision of this Warrant shall be prohibited by or invalid under applicable law, such provision shall be ineffective to the extent of such prohibition or
invalidity, without invalidating the remainder of such provisions or the remaining provisions of this Warrant. 

l) Headings. The headings used in this Warrant are for the convenience of reference only and shall not, for any
purpose, be deemed a part of this Warrant. 
 ******************** 

(Signature Page Follows) 

  
 7 

 IN WITNESS WHEREOF, the Company and the Holder have caused this Warrant to be executed by
their respective officers thereunto duly authorized. 
  

					
		 	CORTEX PHARMACEUTICALS, INC. 
	Dated: October 20, 2011	 		 	
			
		 	By:	 	  

		 		 	Name: Mark A. Varney, Ph.D.
		 		 	Title: Chief Executive Officer

 Accepted and agreed to this     day of
            , 2011 
  

			
	SAMYANG VALUE PARTNERS CO., LTD. 
		
	By:	 	  

		 	Name: Soung Jin Kim
		 	Title: President and Chief Executive Officer

  
 8 

 NOTICE OF EXERCISE 

 

	TO:	CORTEX PHARMACEUTICALS, INC. 

(1) The undersigned hereby elects to purchase             Warrant Shares of
the Company pursuant to the terms of the attached Warrant, and tenders herewith payment of the exercise price in full, together with all applicable transfer taxes, if any. 
 (2) Payment shall take the form of lawful money of the United States. 
 (3) Please
issue a certificate or certificates representing said Warrant Shares in the name of the undersigned. 
 The Warrant Shares shall be delivered by
physical delivery of a certificate to: 
  

			
	  
	 	
		
	  
	 	
		
	  
	 	

 (4) The undersigned is an “accredited investor” as defined in Rule 501(a)(1), (a)(2), (a)(3),
(a)(7) or (a)(8) under the Securities Act of 1933, as amended. 
 [SIGNATURE OF HOLDER] 

 

			
	Name of Investing Entity:	 	  

			
	Signature of Authorized Signatory of Investing Entity:	 	  

			
	Name of Authorized Signatory:	 	  

			
	Title of Authorized Signatory:	 	  

			
	Date:	 	  

 ASSIGNMENT FORM 

(To assign the foregoing warrant, execute 
 this form and supply required information. 
 Do not use this form to exercise the
warrant.) 
 FOR VALUE RECEIVED, [            ] all of or
[            ] shares of the foregoing Warrant and all rights evidenced thereby are hereby assigned to 

 

							
	  
	 	whose address is	 		 	
			
	  
	 	.	 	
			
	  
	 		 	

 Dated:             ,
         
  

							
				
		 	Holder’s Signature:	 	  
	 	
				
		 	Holder’s Address:	 	  
	 	
				
		 		 	  
	 	

  
 Signature Guaranteed:
                                         
                                        
                
 NOTE: The signature to this Assignment
Form must correspond with the name as it appears on the face of the Warrant, without alteration or enlargement or any change whatsoever, and must be guaranteed by a bank or trust company. Officers of corporations and those acting in a fiduciary or
other representative capacity should file proper evidence of authority to assign the foregoing Warrant.Time Charter Party

 Exhibit 10.12 
 Portions hereof have been omitted and filed separately with the Securities and Exchange Commission pursuant to a request for confidential treatment in accordance with Rule 24b-2 of the Securities
Exchange Act of 1934, as amended 
 Code word for this Charter Party 
 ”SHELLTIME 4” 
 Issued December 1984 and amended December 2003, Version 1.1 Apr06

 And as further amended July 2010 for U.S. coastwise “Jones Act” trade 

Time Charter Party 
 HOUSTON      2011 
  

			
		  	 IT IS THIS 24th DAY OF January, 2012 AGREED between PI 2 Pelican State LLC, guaranteed by American Petroleum Tankers Parent
LLC
 of Wilmington, Delaware (hereinafter referred to as “Owners”), being owners

of the good U.S. Flag motor vessel called M/V Pelican State
 (hereinafter referred to as “the vessel”), and more fully described as per Clause 1 hereof, and SHELL TRADING (U.S.) COMPANY
 of Houston, Texas (hereinafter referred to as “Charterers”):

		
	 Description
 And

Condition of
 Vessel
	  	 1.       At the date of delivery of the vessel under this
Charter and throughout the charter period:
  
 (a)     she shall be classed by the American Bureau of Shipping, and she shall be technically managed and operated by a technical manager/operator who has passed the Shell Time
Charter Assurance Review (defined herein);
  
 (b)     she shall be in every way fit to carry crude petroleum and/or its products, and she and the Owners shall be in full compliance with the requirements and regulations of the
Oil Pollution Act of 1990, and as same may be amended from time to time (“OPA90”);
  

(c)     she shall be tight, staunch, strong, in good order and condition, and in every
way fit for the service, with her machinery, boilers, hull and other equipment (including but not limited to hull stress calculator, radar, computers and computer systems) in a good and efficient state;

 
 (d)     her tanks,
valves and pipelines shall be oil-tight;
  
 (e)     she shall be in every way fitted for burning, in accordance with the grades specified in Clause 29 hereof:

 
 (i)      at
sea, fuel oil for main propulsion and fuel oil/marine gas oil (MGO) for auxiliaries;
  

(ii)     in port, fuel oil/marine gas oil (MGO) for auxiliaries;

 
 (f)      she
shall comply with the regulations in force so as to enable her to pass through the Suez and Panama Canals by day and night without delay;
  

(g)     she shall have on board all certificates, documents and equipment required from
time to time by any applicable law to enable her to perform the charter service without delay;
  

(h)     she shall comply with the description in the OCIMF Harmonized Vessel Particulars
Questionnaire appended hereto as Appendix A, provided however that if there is any conflict between the provisions of this questionnaire and any other provision, including this Clause 1, of this Charter such other provisions shall govern;

 
 (i)      she
shall be owned by a U.S. citizen for the purposes of owning or operating a vessel engaged in the U.S. domestic Jones Act trades under 46 U.S.C. Chapter 121 and Section 2 of the Shipping Act of 1916, as each may be amended from time to time, and her
U.S. ownership structure, U.S. documentation and registry status (with valid coastwise endorsement), classification society, ***

		
	 Safety

Management
	  	 (j)      Owners will operate:

 
 (i)      a
safety management system certified to comply with the International Safety Management Code (“ISM Code”) for the Safe Operation of Ships and for Pollution Prevention;

 
 (ii)     a
documented safe working procedures system (including procedures for the identification and mitigation of risks);
  

(iii)   a documented environmental management system;

 
 (iv)    documented
accident/incident reporting system compliant with U.S. requirements;
  
 (k)     Owners shall submit to Charterers a monthly written report detailing all accidents/incidents and environmental reporting requirements, in accordance with the “Shell
Safety and Environmental Monthly Reporting Template” appended hereto as Appendix B;
  

(l)      Owners shall maintain Health Safety Environmental (“HSE”)
records sufficient to demonstrate compliance with the requirements of their HSE system and of this Charter. Charterers reserve the right to confirm compliance with HSE requirements by audit of Owners.

 
 ***Indicates portions of this exhibit have been omitted and filed separately with the
Securities and Exchange Commission pursuant to a request for confidential treatment.

 Code word for this Charter Party 
 “SHELLTIME 4” 
 Issued December 1984 amended December 2003, Version 1.1 Apr06

 And as further amended July 2010 for U.S. coastwise “Jones Act” trade 
  
  

			
		  	 (m)    Owners will arrange at their expense for a SIRE inspection to be carried out at intervals of six
months plus or minus thirty days.

		
	 Shipboard
 Personnel

And their
 Duties
	  	 2.       (a)      At the date
of delivery of the vessel under this Charter and throughout the charter period:
  
 (i)      she shall have a full and efficient complement of master, officers and crew for a vessel of her tonnage, who shall in any event be not less than the number required
by the laws of the United States and who shall be trained to operate the vessel and her equipment competently and safely;
  

(ii)     all shipboard personnel shall hold valid certificates of competence in
accordance with the requirements of the U.S. Coast Guard and the laws of the United States;
  

(iii)   all shipboard personnel shall be trained in accordance with the relevant provisions of the
International Convention on Standards of Training, Certification and Watchkeeping for Seafarers, 1995 or any additions, modifications or subsequent versions thereof;
  

(iv)    there shall be on board sufficient personnel with a good working knowledge of the
English language to enable cargo operations at loading and discharging places to be carried out efficiently and safely and to enable communications between the vessel and those loading the vessel or accepting discharge there from to be carried out
quickly and efficiently;
  
 [ Lines 61-66 intentionally
deleted by the parties ]
  

(b)     Owners guarantee that throughout the charter service the master shall with the
vessel’s officers and crew, unless otherwise ordered by Charterers;
  
 (i)      prosecute all voyages with the utmost despatch;
  

(ii)     render all customary assistance; and

 
 (iii)   load and discharge
cargo as rapidly as possible when required by Charterers or their agents to do so, by night or by day, but always in accordance with the laws of the place of loading or discharging (as the case may be) and in each case in accordance with any
applicable laws of the United States.

		
	 Duty to

Maintain
	  	 3.       (a)    Throughout the charter
service Owners shall, whenever the passage of time, wear and tear or any event (whether or not coming within Clause 27 hereof) requires steps to be taken to maintain or restore the conditions stipulated in Clauses 1 and 2(a), exercise due diligence
so to maintain or restore the vessel.
  
 (b)     If at any time whilst the vessel is on hire under this Charter the vessel fails to comply with the requirements of Clauses 1, 2(a) or 10 then hire shall be reduced to the
extent necessary to indemnify Charterers for such failure. If and to the extent that such failure affects the time taken by the vessel to perform any services under this Charter, hire shall be reduced by an amount equal to the value, calculated at
the rate of hire, of the time so lost.
  
          Any reduction of hire under this sub-Clause (b) shall be without prejudice to any other remedy available to Charterers, but where such reduction of
hire is in respect of time lost, such time shall be excluded from any calculation under Clause 24.
  

(c)     If Owners are in breach of their obligations under Clause 3(a)), Charterers may
so notify Owners in writing and if, after the expiry of 30 days following the receipt by Owners of any such notice, Owners have failed to demonstrate to Charterers’ reasonable satisfaction the exercise of due diligence as required in Clause
3(a), the vessel shall be off-hire, and no further hire payments shall be due, until Owners have so demonstrated that they are exercising such due diligence.
  

(d)     Owners shall advise Charterers immediately, in writing, should the vessel fail
an inspection by, but not limited to, a governmental and/or port state authority, and/or terminal and/or major charterer of similar tonnage. Owners shall simultaneously advise Charterers of their proposed course of action to remedy the defects which
have caused the failure of such inspection.
  
 (e)     If, in Charterers reasonably held view:
  

(i)      failure of an inspection, or,

 
 (ii)     any
finding of an inspection,

 Code word for this Charter Party 
 “SHELLTIME 4” 
 Issued December 1984 amended December 2003, Version 1.1 Apr06

 And as further amended July 2010 for U.S. coastwise “Jones Act” trade 
  
  

			
		  	 referred to in Clause 3 (d), prevents normal commercial operations then Charterers have the option to place the
vessel off-hire from the date and time that the vessel fails such inspection, or becomes commercially inoperable, until the date and time that the vessel passes a re-inspection by the same organization, or becomes commercially operable, which shall
be in a position no less favorable to Charterers than at which she went off-hire.
  
 (f)      Furthermore, at any time while the vessel is off-hire under this Clause 3 (with the exception of Clause 3(e)(ii)), Charterers have the option to terminate this
Charter by giving notice in writing with effect from the date on which such notice of termination is received by Owners or from any later date stated in such notice. This sub-Clause (f) is without prejudice to any rights of Charterers or obligations
of Owners under this Charter or otherwise (including without limitation Charterers’ rights under Clause 21 hereof).

		
	 Period,
 Trading

Limits and
 Safe Places
	  	 4.      (a)     Owners agree to let and
Charterers agree to hire the vessel for an initial period of three (3) years plus or minus thirty (30) days in Charterers’ option, such option declarable 90 days in advance, commencing from the time and date of delivery of the vessel pursuant
to the terms and conditions of this Charter, and with an option of two (2) 1-year extensions, at Charterers’ sole election to be declared no later than ninety (90) days prior to the expiry of the initial period, with same plus/minus 30 days
declarable 90 days in advance to apply to the final term of the Charter, for the purpose of carrying all lawful merchandise, always consistent with Vessel’s certification (subject always to Clause 28) including, in particular, but not limited
to, clean petroleum products, excluding chemicals (including, but not limited to, ethanol), dirty petroleum products, crude oil, and/or any other products or cargoes as described in the vessel’s Certificate of Inspection (the vessel shall be
capable of maintaining cargo temperature loaded up to a maximum of 135 degrees Fahrenheit), in any part of the world, as Charterers shall direct, subject to the limits of the current American Institute Warranties (and any subsequent amendments
thereof, with any legally mandated exclusions for U.S. Flag vessels, and excluding Alaska). Notwithstanding the foregoing, but subject to Clause 35, Charterers may order the vessel to ice-bound waters or to any part of the world outside such limits
provided that Owners’ consent thereto (such consent not to be unreasonably withheld) and that Charterers pay for (i) any insurance premium required by the vessel’s underwriters as a consequence of such order, and (ii) any damage
sustained.
  

(b)     Any time during which the vessel is off-hire under this Charter may be added to
the applicable charter period in Charterers’ option, up to the total amount of time spent off-hire. In such cases the rate of hire will be that prevailing at the time the vessel would, but for the provisions of this Clause, have been
redelivered.
  

(c)     Charterers shall use due diligence to ensure that the vessel is only employed
between and at safe places (which expression when used in this Charter shall include ports, berths, wharves, docks, anchorages, submarine lines, alongside vessels or lighters, and other locations including locations at sea) where she can safely lie
always afloat. Notwithstanding anything contained in this or any other clause of this Charter, Charterers do not warrant the safety of any place to which they order the vessel and shall be under no liability in respect thereof. Subject as above, the
vessel shall be loaded and discharged at any places as Charterers may direct, provided that Charterers shall exercise due diligence to ensure that any ship-to-ship transfer operations shall conform to standards not less than those set out in the
latest published edition of the ICS/OCIMF Ship-to-Ship Transfer Guide.
  
 (d)     Unless otherwise agreed by the parties, the vessel shall be delivered by Owners at Inbound Pilot Station one safe port USG in Charterer’s option Unless this Charter
has expired early by loss of the vessel or as otherwise provided herein or by applicable law, Charterers shall redeliver the vessel to Owners, free of cargo, at the expiration of the last applicable charter period, at the pilot boarding station of a
U.S. Gulf of Mexico port to be nominated by Owners.
  
 (e)     The vessel will deliver with her tanks inerted and will redeliver with last three (3) cargoes of clean petroleum products, unless the parties otherwise agree.

 

(f)      Owners are required to give Charterers six (6) months, three (3) months,
one (1) month, and 15, 10, 5, 3, 2, and 1 day(s) prior written notice of delivery, and Charterers are required to give Owners 30 and 15 approximate, and then 10, 5, 3, 2, and 1 day(s) prior written notice of redelivery.

 Code word for this Charter Party 
 “SHELLTIME 4” 
 Issued December 1984 amended December 2003, Version 1.1 Apr06

 And as further amended July 2010 for U.S. coastwise “Jones Act” trade 
  
  

			
		
	 Laydays/

Cancelling
	  	 5.      (a)     The vessel shall not be delivered to Charterers before ***
(the “Earliest Permissible Delivery Date”), and no later *** (the “Latest Permissible Delivery Date). Laydays are to be narrowed by Owners to a 30-day spread by Friday, ***; then further narrowed by Owners to a 15-day spread 15 days
in advance of 1st layday.

		
	 Owners to

Provide
	  	 6.       Owners undertake to provide and to pay for all provisions, wages (including but not
limited to all overtime payments), and shipping and discharging fees and all other expenses of the master, officers and crew; also, except as provided in Clauses 4 and 34 hereof, for all insurance on the vessel, for all deck, cabin and engine-room
stores, and for water; for all drydocking, overhaul, maintenance and repairs to the vessel; for all fumigation expenses and de-rat certificates; and for all certificates of financial responsibility or similar financial undertakings required for
calling at any ports or terminals or proceeding into any territorial waters where such certificates or undertakings are required. Owners’ obligations under this Clause 6 extend to all liabilities for customs or import duties arising at any time
during the performance of this Charter in relation to the personal effects of the master, officers and crew, and in relation to the stores, provisions and other matters aforesaid which Owners are to provide and pay for and Owners shall refund to
Charterers any sums Charterers or their agents may have paid or been compelled to pay in respect of any such liability. Any amounts allowable in general average for wages and provisions and stores shall be credited to Charterers insofar as such
amounts are in respect of a period when the vessel is on-hire.

		
	 Charterers to

Provide
	  	 7.      (a)     Charterers shall provide and pay for all fuel (except fuel
used for domestic services), towage and pilotage and shall pay agency fees, port charges, expenses of loading and unloading cargoes, canal dues and all charges other than those payable by Owners in accordance with Clause 6 hereof, provided that all
charges for the said items shall be for Owners’ account when such items are consumed, employed or incurred for Owners’ purposes or while the vessel is off-hire (unless such items reasonably relate to any service given or distance made good
and taken into account under Clause 21 or 22); and provided further that any fuel used in connection with a general average sacrifice or expenditure shall be paid for by Owners. If Charterers shall require fresh water and chemicals for tank
cleaning, the cost of such shall be for Charterers’ account.

		
		  	 (b)     In respect of bunkers consumed for Owners’ purposes these will be charged on each occasion
by Charterers on a “first-in-first-out” basis valued on the prices actually paid by Charterers, as evidenced by supporting invoices.

		
		  	 [ Lines 170 – 174 intentionally deleted by the parties ]

		
	 Rate of
 Hire
	  	 8.       Subject as herein provided, Charterers shall pay for the use and hire of the vessel
at the fixed rate (with no labor or other escalators) of United States Dollars $ *** per day, and pro rata for any part of a day, during the first year of the initial, three-year period, with a fixed *** per year for each succeeding year of the
initial period (i.e. years two and three), with a fixed *** per year for each succeeding year of respective option periods (i.e. years four and five), from the time and date of her delivery (local time) to Charterers pursuant to the terms and
conditions hereunder this Charter until the time and date of redelivery (local time) to Owners following the expiry of the initial period or additional period, as applicable.

		
	 Payment of

Hire
	  	 9.       Subject to Clause 3 (c) and 3 (e), payment of hire shall be made in immediately
available funds

	  	 to: ***

		  	 ______

		
		  	 For credit to Account: ***

		  	 ______

		  	 ______

		
		  	 in United States Dollars per calendar month in advance, less:

		
		  	 (i)      any hire paid which Charterers reasonably estimate to relate to off-hire periods,
and;

		
		  	 (ii)     any amounts disbursed on Owners’ behalf, any advances and commission thereon, and charges
which are for Owners’ account pursuant to any provision hereof, and;

		
		  	***Indicates portions of this exhibit have been omitted and filed separately with the Securities and Exchange Commission pursuant to a request for confidential
treatment.

 Code word for this Charter Party 
 “SHELLTIME 4” 
 Issued December 1984 amended December 2003, Version 1.1 Apr06

 And as further amended July 2010 for U.S. coastwise “Jones Act” trade 
  
  

			
		  	 (iii)   any amounts due or reasonably estimated to become due to Charterers under Clause 3 (c) or 24
hereof,

		
		  	 any such adjustments to be made at the due date for the next monthly payment after the facts have been ascertained. Charterers shall not be
responsible for any delay or error by Owners’ bank in crediting Owners’ account provided that Charterers have made proper and timely payment.

		
		  	 In default of such proper and timely payment:

		
		  	 (a)     Owners shall notify Charterers of such default and Charterers shall within seven days of receipt
of such notice pay to Owners the amount due, including interest, failing which Owners may withdraw the vessel from the service of Charterers without prejudice to any other rights Owners may have under this Charter or otherwise;
and;

		
		  	 (b)     Interest on any amount due but not paid on the due date shall accrue from the day after that
date up to and including the day when payment is made, at a rate per annum which shall be 1% above the U.S. Prime Interest Rate as published by the Chase Manhattan Bank in New York at 12.00 New York time on the due date, or, if no such interest rate
is published on that day, the interest rate published on the next preceding day on which such a rate was so published, computed on the basis of a 360 day year of twelve 30-day months, compounded semi-annually.

		
	 Space
 Available to

Charterers
	  	 10.     The whole reach, burthen and decks on the vessel and any passenger accommodation (including
Owners’ suite) shall be at Charterers’ disposal, reserving only proper and sufficient space for the vessel’s master, officers, crew, tackle, apparel, furniture, provisions and stores, provided that the weight of stores on board shall
not, unless specially agreed, exceed 250 tons at any time during the charter period.

		
	 Segregated

Ballast
	  	 11.     If the vessel is equipped with segregated water ballast that qualifies under the provision of
IMO Resolution A.747(18), the Owners will ensure that the following remark will be added to her tonnage certificate:

	  	 Resolution A747(18) Owners will ensure that the following entry is made on the International Tonnage Certificate (1969) under the section headed
“remarks”:

		
		  	 “The segregated ballast tanks comply with the Regulation 13 of Annex 1 of the International Convention for the prevention of pollution from
ships, 1973, as modified by the Protocol of 1978 relating thereto, and the total tonnage of such tanks exclusively used for the carriage of segregated water ballast is            The reduced
gross tonnage which should be used for the calculation of tonnage based fees is           , where            and
           are the appropriate tonnages calculated in accordance with Resolution A.747(18)”.

		
	 Instructions
 And
Logs
	  	 12.     Charterers shall from time to time give the master all requisite instructions and sailing
directions, and the master shall keep a full and, correct log of the voyage or voyages, which Charterers or their agents may inspect as required. The master shall when required furnish Charterers or their agents with a true copy of such log and with
properly completed loading and discharging port sheets and voyage reports for each voyage and other returns as Charterers may require. Charterers shall be entitled to take copies at Owners’ expense of any such documents which are not provided
by the master.

		
	 Bills of

Lading
	  	 13.     (a)     Any Bills of Lading shall be signed by the Master as presented.
However, at Charterers’ option, the Charterers or their agents may sign Bills of Lading on behalf of the Master. All Bills of Lading shall be without prejudice to this Charter, and the Charterers shall indemnify the Owners by Letter of
Indemnity consistent with Owner’s P&I Club wording, as acceptable to Charterers, against all consequences or liabilities that may arise from any inconsistency between this Charter and any Bills of Lading or other documents signed by the
Charterers or their agents or by the Master at their request or which may arise from any irregularities in papers supplied by Charterers or their agents.

		
		  	 (b)     Notwithstanding anything in this Charter to the contrary, the carriage of cargo under this
Charter and under all Bills of Lading issued for the cargo shall be subject to the statutory provisions and other terms set forth or specified in Clauses 36 (“Both to Blame Collision Clause”), 37 (“Jason Clause”), 38
(“Clause Paramount”), and 50 (“General Average”) of this Charter, and such terms shall be incorporated verbatim or be deemed incorporated by the reference in any such Bill of Lading. In such Clauses and in any statutes referred
to therein, the word “carrier” shall include the Owners and the operator/management company of the vessel.

 Code word for this Charter Party 
 “SHELLTIME 4” 
 Issued December 1984 amended December 2003, Version 1.1 Apr06

 And as further amended July 2010 for U.S. coastwise “Jones Act” trade 
  
  

			
		
		  	 [ Lines 242 – 259 intentionally deleted by the parties ]

		
		  	 [ Lines 260 – 282 intentionally deleted by the parties ]

		
	 Conduct of

Vessel’s
 Personnel
	  	 14.     If Charterers complain of the conduct of the master or any of the officers or crew, Owners shall
immediately investigate the complaint. If the complaint proves to be well founded, Owners shall, without delay, make a change in the appointments and Owners shall in any event communicate the result of their investigations to Charterers as soon as
possible.

		
	 Bunkers at
 Delivery
and
 Redelivery
	  	 15.     Charterers shall accept and pay for all bunkers on board at the time of delivery, and Owners
shall on redelivery (whether it occurs at the end of the charter or on the earlier termination of this Charter) accept and pay for all bunkers remaining on board, at the delivered price actually paid, on a “first-in-first-out” basis. Such
prices are to be supported by paid invoices.

		
		  	 The vessel is to be delivered to and redelivered from the Charterers with, at least, a quantity of bunkers on board sufficient to reach the nearest
main bunkering port.

		
		  	 Notwithstanding anything contained in this Charter all bunkers on board the vessel shall, throughout the duration of this Charter, remain the property
of Charterers and can only be purchased on the terms specified in the charter at the end of the charter period or, if earlier, at the termination of the charter.

		
	Pilots, Tugs	  	 16.     Owners agree fully to INDEMNIFY, DEFEND, AND HOLD HARMLESS Charterers and their
affiliates, and each of Charterers’ and their affiliates’ respective officers, directors, shareholders, agents, employees, joint-venturers, contractors (except Owners), sucessors-in-interest, and assigns (collectively the “Charterer
Group”) from and against any and all losses, claims, judgments, causes of action, or other legal liabilities of any nature whatsoever, for any and all elements of recovery and relief recognized by law, arising out of or in any way related to
the employment of pilots or tugboats,

 Code word for this Charter Party 
 “SHELLTIME 4” 
 Issued December 1984 amended December 2003, Version 1.1 Apr06

 And as further amended July 2010 for U.S. coastwise “Jones Act” trade 
  
  

			
		 	 who although employed by Charterers shall be deemed to be the servants of and in the service of Owners and under their instructions (even if such
pilots or tugboat personnel are in fact the servants of any member of Charterer Group). THE INDEMNITY, DEFENSE, and HOLD HARMLESS RIGHTS AFFORDED UNDER THIS CLAUSE SHALL PROTECT AND INDEMNIFY CHARTERER GROUP AGAINST THE CONSEQUENCES OF THEIR
SOLE, JOINT, OR CONCURRENT NEGLIGENCE, GROSS NEGLIGENCE, STRICT LIABILITY, OR OTHER BREACH OF LEGAL DUTY.

		
	 Super-

Numeraries
	 	 17.    Charterers may send representatives aboard the vessel. Owners shall make available to
Charterers’ representatives upon any voyage made hereunder this Charter accommodations and provisions and all requisites as supplied to officers.

		
	 Sub-letting/

Assignment/
 Novation
	 	 18.    Charterers shall have the right to sub-let the vessel, but shall always remain responsible to
Owners for due fulfillment of this Charter. Charterers shall have the right, without Owners’ consent, to assign or novate this Charter to any company or joint-venturer of the Royal Dutch/Shell Group of Companies. Charterers shall have the right
to assign or novate this Charter to any third-party with the prior written consent of Owners, which consent shall not be unreasonably withheld. Owners shall not have the right to sub-let the vessel or to assign or novate this Charter, in whole or in
part, to any party without the prior written consent of Charterers, in their sole discretion.

		
	 Final Voyage    
	 	 19.    If when a payment of hire is due hereunder Charterers reasonably expect to redeliver the vessel
before the next payment of hire would fall due, the hire to be paid shall be assessed on Charterers’ reasonable estimate of the time necessary to complete Charterers’ program up to redelivery, and from which estimate Charterers may deduct
amounts due or reasonably expected to become due for;

		
		 	 (a)    disbursements on Owners’ behalf or charges for Owners’ account pursuant to any provision
hereof, and;

		
		 	 (b)    bunkers on board at redelivery pursuant to Clause 15.

		
		 	 Promptly after redelivery any overpayment shall be refunded by Owners or any underpayment made good by Charterers.

		
		 	 If at the time this Charter would otherwise terminate in accordance with Clause 4 the vessel is on a ballast voyage to a port of redelivery or is
upon a laden voyage, Charterers shall continue to have the use of the vessel at the same rate and conditions as stand herein for as long as necessary to complete such ballast voyage, or to complete such laden voyage and return to a port of
redelivery as provided by this Charter, as the case may be.

		
	 Loss of

Vessel
	 	 20.    Should the vessel be lost, this Charter shall terminate and hire shall cease at noon on the day of
her loss; should the vessel be a constructive total loss, this Charter shall terminate and hire shall cease at noon on the day on which the vessel’s underwriters agree that the vessel is a constructive total loss; should the vessel be missing,
this Charter shall terminate and hire shall cease at noon on the day on which she was last heard of. Any hire paid in advance and not earned shall be returned to Charterers and Owners shall reimburse Charterers for the value of the estimated
quantity of bunkers on board at the time of termination, at the price paid by Charterers at the last bunkering port.

		
	 Off-hire
	 	 21.     (a)      On each and every
occasion that there is loss of time (whether by way of interruption in the

                   
 vessel’sservice or, from reduction in the vessel’s performance, or in any other manner);

		
		 	 (i)      due to deficiency of personnel or stores; repairs; gas-freeing for repairs; time in and
waiting to enter dry dock for repairs; breakdown (whether partial or total) of machinery, boilers or other parts of the vessel or her equipment (including without limitation tank coatings); overhaul, maintenance or survey; collision, stranding,
accident or damage to the vessel; or any other similar cause preventing the efficient working of the vessel; and such loss continues for more than 4.5 consecutive hours (if resulting from interruption in the vessel’s service) or cumulates to
more than 4.5 hours (if resulting from partial loss of service), but in no case more than 42 hours per annum; or,

		
		 	 (ii)     due to industrial action, refusal to sail, breach of orders or neglect of duty on the part
of the master, officers or crew; or;

		
		 	 (iii)    for the purpose of obtaining medical advice or treatment for or landing any sick or injured
person (other than a Charterers’ representative carried under Clause 17 hereof) or for the purpose of landing the body of any person (other than a Charterers’ representative), and such loss continues for more than 4.5 consecutive hours;
or;

		
		 	 (iv)    due to any delay in quarantine arising from the master, officers or crew having had communication
with the shore at any infected area without the written consent or instructions of Charterers or their agents, or to any detention by customs or other authorities caused by smuggling or other infraction of local law on the part of the master,
officers, or crew; or;

 Code word for this Charter Party 
 “SHELLTIME 4” 
 Issued December 1984 amended December 2003, Version 1.1 Apr06

 And as further amended July 2010 for U.S. coastwise “Jones Act” trade 
  

			
		 	 (v)     due to detention of the vessel by authorities at home or abroad attributable to legal action
against or breach of regulations by the vessel, the vessel’s owners, or Owners (unless brought about by the act or neglect of Charterers); then; without prejudice to Charterers’ rights under Clause 3 or to any other rights of Charterers
hereunder, or otherwise, the vessel shall be off-hire from the commencement of such loss of time until she is again ready and in an efficient state to resume her service from a position not less favorable to Charterers than that at which such loss
of time commenced; provided, however, that any service given or distance made good by the vessel whilst off-hire shall be taken into account in assessing the amount to be deducted from hire.

		
		 	 (b)      If the vessel fails to proceed at any guaranteed speed pursuant to Clause 24, and such
failure arises wholly or partly from any of the causes set out in Clause 21(a) above, then the period for which the vessel shall be off-hire under this Clause 21 shall be the difference between;

		
		 	 (i)      the time the vessel would have required to perform the relevant service at such
guaranteed speed, and;

		
		 	 (ii)     the time actually taken to perform such service (including any loss of time arising from
interruption in the performance of such service).

		
		 	           For the avoidance of doubt, all time included under
(ii) above shall be excluded from any computation under Clause 24.

		
		 	 (c)     Further and without prejudice to the foregoing, in the event of the vessel deviating (which
expression includes without limitation putting back, or putting into any port other than that to which she is bound under the instructions of Charterers) for any cause or purpose mentioned in Clause 21(a), the vessel shall be off-hire from the
commencement of such deviation until the time when she is again ready and in an efficient state to resume her service from a position not less favorable to Charterers than that at which the deviation commenced, provided, however, that any service
given or distance made good by the vessel whilst so off-hire shall be taken into account in assessing the amount to be deducted from hire. If the vessel, for any cause or purpose mentioned in Clause 21 (a), puts into any port other than the port to
which she is bound on the instructions of Charterers, the port charges, pilotage and other expenses at such port shall be borne by Owners. Should the vessel be driven into any port or anchorage by stress of weather hire shall continue to be due and
payable during any time lost thereby.

		
		 	 (d)     Government Regulation Clause

 
  If any governing body imposes a law or regulation that
affects U.S. flag tanker vessels and which would require a substantial capital expenditure or substantially change the Vessel’s operating cost in a manner not reasonably foreseeable by the parties at the time this Charter is consummated,
Charterers and Owners will negotiate in good faith to increase the hire to reflect the change in law or regulation. The share of capital costs to be borne by Charterers will not exceed the percentage of time remaining on this Charter versus the
remaining life expectancy of this Vessel. For purposes of this Charter, it is agreed the life expectancy of the Vessel is 25 years from the date it is built. Total daily increases in operating costs are to be paid by Charterers for the
duration of the charter and any options or renewal periods. Should Charterers determine in their sole discretion that such adjustment is not justified, Charterers may terminate this Charter on written notice without liability to
Owners. The effective date of termination of the Charter shall be the date immediately prior to the effective date of the new law or regulation. Should Charterers elect to terminate the Charter under this clause, the Owners shall have the
option for fifteen (15) days following the date of Charterers’ notice of termination to provide Charterers with written notice of their election to make the necessary capital expenditures or pay the additional operating expenses required
by the changes, in applicable law or regulation and continue the Charter without additional costs or expense to Charterers.

		
		 	 (e)     Time during which the vessel is off-hire under this Charter shall count as part of the charter
period except where Charterers declare their option to add off-hire periods under Clause 4 (b)).

		
		 	 (f)      All references to “time” in this Charter shall be references to local time
except where otherwise stated.

 Code word for this Charter Party 
 “SHELLTIME 4” 
 Issued December 1984 amended December 2003, Version 1.1 Apr06

 And as further amended July 2010 for U.S. coastwise “Jones Act” trade 
  

			
	 Periodical

Drydocking
	 	 22.     (a)     Ownershave the right and
obligation to drydock the vessel at regular intervals as required by U.S. regulations and vessel classification society rules. On each occasion Owners shall propose to Charterers a date on which they wish to drydock the vessel, not less than ninety
(90) before such date, and Charterers shall offer a port for such periodical drydocking and shall take all reasonable steps to make the vessel available as near to such date as practicable.

 
 Owners shall put the vessel in drydock at their expense as soon
as practicable after Charterers place the vessel at Owners’ disposal clear of cargo other than tank washings and residues. Owners shall be responsible for and pay for the disposal into reception facilities of such tank washings and residues and
shall have the right to retain any monies received therefor, without prejudice to any claim for loss of cargo under any Bill of Lading or this Charter.

		
		 	 (b)    If a periodical drydocking is carried out in the port offered by Charterers (which must have
suitable accommodation for the purpose and reception facilities for tank washings and residues), the vessel shall be off-hire from the time she arrives at such port until drydocking is completed and she is in every way ready to resume
Charterers’ service and is at the position at which she went off-hire or a position no less favorable to Charterers, whichever she first attains. However;

		
		 	 (i)     provided that Owners exercise due diligence in gas-freeing, any time lost in gas- freeing to
the standard required for entry into drydock for cleaning and painting the hull shall not count as off-hire, whether lost on passage to the drydocking port or after arrival there (notwithstanding Clause 21), and;

		
		 	 (ii)    any additional time lost in further gas-freeing to meet the
standard required for hot work or entry to cargo tanks shall count as off-hire, whether lost on passage to the drydocking port or after arrival there.
  

         Any time which, but for sub-Clause (i) above, would be
off-hire, shall not be included in any calculation under Clause 24.
  
          The expenses of gas-freeing, including without limitation the cost of bunkers, shall be for Owners account.

		
		 	 (c)     If Owners require the vessel, instead of proceeding to the offered port, to carry out
periodical drydocking at a special port selected by them, the vessel shall be off-hire from the time when she is released to proceed to the special port until she next presents for loading in accordance with Charterers’ instructions, provided,
however, that Charterers shall credit Owners with the time which would have been taken on passage at the service speed had the vessel not proceeded to drydock. All fuel consumed shall be paid for by Owners but Charterers shall credit Owners with the
value of the fuel which would have been used on such notional passage calculated at the guaranteed daily consumption for the service speed, and shall further credit Owners with any benefit they may gain in purchasing bunkers at the special
port.

		
		 	 (d)     Charterers shall, insofar as cleaning for periodical drydocking may have reduced the amount
of tank-cleaning necessary to meet Charterers’ requirements, credit Owners with the value of any bunkers which Charterers calculate to have been saved thereby, whether the vessel drydocks at at an offered or a special port saved
thereby.

		
	 Ship

Inspection
	 	 23.    Charterers shall have the right at any time, with reasonable
notice, during the charter period to make such inspection of the vessel as they may consider necessary. This right may be exercised as often and at such intervals as Charterers in their absolute discretion may determine and whether the vessel is in
port or on passage. Owners affording all necessary co-operation and accommodation on board provided, however:
  

(a)    that neither the exercise nor the non-exercise, nor anything done or not done in the
exercise or non-exercise, by Charterers of such right shall in any way reduce the master’s or Owners’ authority over, or responsibility to Charterers or third parties for, the vessel and every aspect of her operation, nor increase
Charterers’ responsibilities to Owners or third parties for the same; and;

		
		 	 (b)     that Charterers shall not be liable for any act, neglect or default by themselves, their
servants or agents in the exercise or non-exercise of the aforesaid right.

		
	 Detailed

Description
 and
 Performance
	 	 24.    (a)    Ownersguarantee that the speed and
consumption of the vessel shall be as follows:-
  
 Vessel shall make an
average speed of *** in weather up to and including *** while consuming *** for auxiliary generators. All fuel consumption warranties shall have a tolerance of *** before penalty is assessed

 
 ***Indicates portions of this exhibit have been omitted and filed separately with the
Securities and Exchange Commission pursuant to a request for confidential treatment.

 Code word for this Charter Party 
 “SHELLTIME 4” 
 Issued December 1984 amended December 2003, Version 1.1 Apr06

 And as further amended July 2010 for U.S. coastwise “Jones Act” trade 
  
  

			
		
		 	 The foregoing bunker consumptions are for all purposes except cargo heating, COW, and tank cleaning and shall be pro-rated between the speeds shown.
Any at sea passages, seabuoy-to-seabouy, of less than 12 hours duration shall not count against performance assessments.

		
		 	 The service speed of the vessel is average *** laden and average *** in ballast and in the absence of Charterers’ orders to the contrary the
vessel shall proceed at the service speed. However if more than one laden and one ballast speed are shown in the table above Charterers shall have the right to order the vessel to steam at any speed within the range set out in the table (the
“ordered speed”).

		
		 	 If the vessel is ordered to proceed at any speed other than the highest speed shown in the table, and the average speed actually attained by the
vessel during the currency of such order exceeds such ordered speed plus *** (the “maximum recognized speed”), then for the purpose of calculating a decrease of hire under this Clause 24 the maximum recognized speed shall be used in place
of the average speed actually attained.

		
		 	 For the purposes of this Charter the “guaranteed speed” at any time shall be the then-current ordered speed or the service speed, as the
case may be.

		
		 	 The average speeds and bunker consumptions shall for the purposes of this Clause 24 be calculated by reference to the observed distance from pilot
station to pilot station on all sea passages during each period stipulated in Clause 24 (c), but excluding any time during which the vessel is (or but for Clause 22 (b) (i) would be) off-hire and also excluding “Adverse Weather
Periods”, being;

		
		 	 (i)      any periods during which reduction of speed is necessary for safety in congested waters or
in poor visibility;

		
		 	 (ii)     any days, noon to noon, when winds exceed *** for more than 12 hours.

		
		 	 (b)    If during any year from the date on which the vessel enters service (anniversary to anniversary) the
vessel falls below the performance guaranteed in Clause 24 (a) then if such shortfall results;

		
		 	 (i)      from a reduction in the average speed of the vessel, compared to the speed guaranteed in
Clause 24 (a), then an amount equal to the value at the hire rate of the time so lost, as the case may be, shall be included in the performance calculation;

		
		 	 (ii)     from an increase in the total bunkers consumed, compared to the total bunkers which would have
been consumed had the vessel performed as guaranteed in Clause 24 (a), an amount equivalent to the value of the additional bunkers consumed based on the price actually paid by Charterers on a first-in-first-out basis for the vessel’s bunkers in
such period, shall be included in the performance calculation.

		
		 	 The results of the performance calculation for laden and ballast mileage respectively shall be adjusted to take into account the mileage steamed in
each such condition during Adverse Weather Periods, by dividing such addition or deduction by the number of miles over which the performance has been calculated and multiplying by the same number of miles plus the miles steamed during the Adverse
Weather Periods, in order to establish the total performance calculation for such period.

		
		 	 Reduction of hire under the foregoing sub-Clause (b) shall be without prejudice to any other remedy available to Charterers.

		
		 	 (c)    Calculations under this Clause 24 shall be made for the yearly periods terminating on each successive
anniversary of the date on which the vessel enters service, and for the period between the last such anniversary and the date of termination of this Charter if less than a year. Claims in respect of reduction of hire arising under this Clause during
the final year or part year of the charter period shall in the first instance be settled in accordance with Charterers’

		
		 	***Indicates portions of this exhibit have been omitted and filed separately with the Securities and Exchange Commission pursuant to a request for confidential
treatment.

 Code word for this Charter Party 
 “SHELLTIME 4” 
 Issued December 1984 amended December 2003, Version 1.1 Apr06

 And as further amended July 2010 for U.S. coastwise “Jones Act” trade 
  

			
		
		 	           estimate made two months before the end of the charter period. Any
necessary adjustment after this Charter terminates shall be made by payment by Owners to Charterers or by Charterers to Owners as the case may require.

		
		 	 (d)     Owners and Charterers agree that this Clause 24 is assessed on the basis that Owners are not
entitled to additional hire for performance in excess of the speeds and consumptions given in this Clause 24. Nevertheless, Owners are to be credited for any overperformance as an offset against any underperformance.

		
	 Salvage
	 	 25.    Subject to the provisions of Clause 21 hereof, all loss of time and
all expenses (excluding any damage to or loss of the vessel or tortious liabilities to third parties) incurred in saving or attempting to save life or in successful or unsuccessful attempts at salvage shall be borne equally by Owners and Charterers
provided that Charterers shall not be liable to contribute towards any salvage payable by Owners arising in any way out of services rendered under this Clause 25.
  

         All salvage and all proceeds from derelicts shall be
divided equally between Owners and Charterers after deducting the master’s, officers’ and crew’s share.

		
	 Lien
	 	 26.    Owners shall have a lien upon all cargoes and all freights, sub-freights and demurrage for any amounts
due under this Charter; and Charterers shall have a lien on the vessel for all monies paid in advance and not earned, and for all claims for damages arising from any breach by Owners of this charter. Charterers lien shall always be subordinate to
the lien of any mortgage on the vessel provided that the lenders holding such mortgage(s) execute an agreement, in form and substance satisfactory to Charterers, recognizing Charterers’ quiet enjoyment rights in the vessel.

		
	 Exceptions
	 	 27.    (a)     Thevessel, her master and Owners shall not, unless otherwise in
this Charter expressly provided, be liable for any loss or damage or delay or failure arising or resulting from any act, neglect or default of the master, pilots, mariners or other servants of Owners in the navigation or management of the vessel;
fire, unless caused by the actual fault or privity of Owners; collision or stranding; dangers and accidents of the sea; explosion, bursting of boilers, breakage of shafts or any latent defect in hull, equipment or machinery; provided, however, that
Clauses 1, 2, 3 and 24 hereof shall be unaffected by the foregoing. Further, neither the vessel, her master or Owners, nor Charterers shall, unless otherwise in this Charter expressly provided, be liable for any loss or damage or delay or failure in
performance hereunder arising or resulting from act of God, act of war, seizure under legal process, quarantine restrictions, strikes, lock-outs, riots, restraints of labor, civil commotions or arrest or restraint of princes, rulers or
people.

		
		 	 (b)     The vessel shall have liberty to sail with or without pilots, to tow or go to the assistance
of vessels in distress and to deviate for the purpose of saving life or property.

		
		 	 (c)     Clause 27(a) shall not apply to, or affect any liability of Owners or the vessel or any other
relevant person in respect of;

		
		 	 (i)      loss or damage caused to any berth, jetty, dock, dolphin, buoy, mooring line, pipe or
crane or other works or equipment whatsoever at or near any place to which the vessel may proceed under this Charter, whether or not such works or equipment belong to Charterers, or;

		
		 	 (ii)     any claim (whether brought by Charterers or any other
person) arising out of any loss of or damage to or in connection with cargo.
  
           [ Lines 548 – 552 intentionally deleted by the parties]

		
		 	 (d)     In particular and without limitation, the foregoing subsections (a) and (b) of this Clause
shall not apply to or in any way affect any provision in this Charter relating to off-hire or to reduction of hire.

		
		 	          [ Clause 28 / Lines 556 – 559 intentionally deleted by the parties
]

		
	 Grade of

Bunkers
	 	 29.    Charterers shall supply fuel oil of a quality complying with ISO Standard 8217 for Marine Residual
Fuels and Marine Distillate Fuels, as applicable, with a maximum viscosity of *** 

	 	  
 ***Indicates portions of this exhibit have been omitted and
filed separately with the Securities and Exchange Commission pursuant to a request for confidential treatment.

 Code word for this Charter Party 
 “SHELLTIME 4” 
 Issued December 1984 amended December 2003, Version 1.1 Apr06

 And as further amended July 2010 for U.S. coastwise “Jones Act” trade 
  

			
		
		 	          ***

		
		 	          ***for the auxiliaries. If Owners

		
		 	          require the vessel to be supplied with more expensive bunkers they shall
be liable for the extra cost thereof.

		
		 	          [ Lines 565 – 567 intentionally deleted by the parties
]

		
		 	          [ Clause 30 / Lines 568 – 570 intentionally deleted by the parties
]

		
	 Laying-up
	 	 31.     Charterers shall have the option, after consultation with Owners, of requiring Owners to lay
up the vessel at a port, berth, or place nominated by Charterers, in which case the hire provided for under this Charter shall be adjusted to reflect any net increases in expenditure reasonably incurred or any net saving which should reasonably be
made by Owners as a result of such lay up. Charterers may exercise the said option any number of times during the charter period.

		
	 Requisition
	 	 32.     Should the vessel be requisitioned by any government, de facto or de jure, during the period
of this charter, the vessel shall be off-hire during the period of such requisition, and any hire paid by such governments in respect of such requisition period shall be for Owners’ account. Any such requisition period shall count as part of
the charter period.

		
	 Outbreak of

War
	 	 33.     If war or hostilities break out between any two or more of the following countries: U.S.A.,
the countries or republics having been part of the former U.S.S.R (except that declaration of war or hostilities solely between any two or more of the countries or republics having been part of the former USSR shall be exempted), P.R.C., U.K.,
Netherlands, then both Owners and Charterers shall have the right to cancel this Charter.

		
	 Additional

War
 Expenses
	 	 34.     If the vessel is ordered to trade in areas where there is
war (de facto or de jure) or threat of war, Charterers shall reimburse Owners for any additional insurance premia, crew bonuses and other expenses which are reasonably incurred by Owners as a consequence of such orders, provided that Charterers are
given notice of such expenses as soon as practicable and in any event before such expenses are incurred, and provided further that Owners obtain from their insurers a waiver of any subrogated rights against Charterers in respect of any claims by
Owners under their war risk insurance arising out of compliance with such orders.
  
          Any payments by Charterers under this clause will only be made against proven documentation. Any discount or rebate refunded to Owners, for whatever
reason, in respect of additional war risk premium shall be passed on to Charterers.

		
	 War Risks
	 	 35.    (a)     Themaster shall not be required or bound to sign Bills of Lading
for any place which in his or Owners’ reasonable opinion is dangerous or impossible for the vessel to enter or reach owing to any blockade, war, hostilities, warlike operations, civil war, civil commotions or revolutions.

		
		 	 (b)     If in the reasonable opinion of the master or Owners it becomes, for any of the reasons set
out in Clause 35(a) or by the operation of international law, dangerous, impossible or prohibited for the vessel to reach or enter, or to load or discharge cargo at, any place to which the vessel has been ordered pursuant to this Charter (a
“place of peril”), then Charterers or their agents shall be immediately notified in writing or by radio messages, and Charterers shall thereupon have the right to order the cargo, or such part of it as may be affected, to be loaded or
discharged, as the case may be, at any other place within the trading limits of this Charter (provided such other place is not itself a place of peril). If any place of discharge is or becomes a place of peril, and no orders have been received from
Charterers or their agents within 48 hours after dispatch of such messages, then Owners shall be at liberty to discharge the cargo or such part of it as may be affected at any place which they or the master may in their or his discretion select
within the trading limits of this Charter and such discharge shall be deemed to be due fulfillment of Owners’ obligations under this Charter so far as cargo so discharged is concerned.

		
		 	 (c)     The vessel shall have liberty to comply with any directions or recommendations as to
departure, arrival, routes, ports of call, stoppages, destinations, zones, waters, delivery or in any other wise whatsoever given by the government of the state under whose flag the vessel sails or any other government or local authority or by any
person or body acting or purporting

		
		 	***Indicates portions of this exhibit have been omitted and filed separately with the Securities and Exchange Commission pursuant to a request for confidential
treatment.

 Code word for this Charter Party 
 “SHELLTIME 4” 
 Issued December 1984 amended December 2003, Version 1.1 Apr06

 And as further amended July 2010 for U.S. coastwise “Jones Act” trade 
  
  

			
		
		  	 to act as or with the authority of any such government or local authority including any de facto government or local authority or by any person or
body acting or purporting to act as or with the authority of any such government or local authority or by any committee or person having under the terms of the war risks insurance on the vessel the right to give any such directions or
recommendations. If by reason of or in compliance with any such directions or recommendations anything is done or is not done, such shall not be deemed a deviation. If by reason of or in compliance with any such direction or recommendation the
vessel does not proceed to any place of discharge to which she has been ordered pursuant to this Charter, the vessel may proceed to any place which the master or Owners in his or their discretion select and there discharge the cargo or such part of
it as may be affected. Such discharge shall be deemed to be due fulfillment of Owners’ obligations under this Charter so far as cargo so discharged is concerned.

		
		  	 [ Lines 629 – 630 intentionally deleted by the parties ]

		
	 Both to
 Blame

Collision
 Clause
	  	 36.    “If the vessel comes into collision with another ship as a result of the negligence of the other
ship and any act, neglect or default of the master, mariner, pilot or the servants of the carrier in the navigation or in the management of the vessel, the owners of the cargo carried hereunder will indemnify the carrier against all loss, or
liability to the other or non-carrying ship or her owners in so far as such loss or liability represents loss of, or damage to, or any claim whatsoever of the owners of the said cargo, paid or payable by the other or recovered by the other or
non-carrying ship or her owners as part of their claim against the carrying ship or carrier.”

		
		  	 “The foregoing provisions shall also apply where the owners, operators or those in charge of any ship or ships or objects other than, or in
addition to, the colliding ships or objects are at fault in respect of a collision or contact.”

		
		  	 [ Lines 645 – 647 intentionally deleted by the parties ]

		
	 Jason
 Clause
	  	 37.    [ Lines 648 – 651 intentionally deleted by the parties ]

		  	 In the event of accident, danger, damage or disaster before or after the commencement of the voyage, resulting from
any cause whatsoever, whether due to negligence or not, for which, or for the consequence of which, the carrier is not responsible by statute, contract or otherwise, the cargo, shippers, consignees or owners of the cargo shall contribute with the
carrier in general average to the payment of any sacrifices, losses or expenses of a general average nature that may be made or incurred and shall pay salvage and special charges incurred in respect of the cargo.

 

		  	 If a salving ship is owned or operated by the carrier, salvage shall be paid for as fully as if the said salving ship or ships belonged to strangers.
Such deposit as the carrier or his agents may deem sufficient to cover the estimated contribution of the cargo and any salvage and special charges thereon shall, if required, be made by the cargo, shippers, consignees or owners of the cargo to the
carrier before delivery.

		
		  	 [ Lines 663 – 665 intentionally deleted by the parties ]

		
	 Clause

Paramount
	  	 38.    Any and all Bills of Lading issued pursuant to this Charter shall have effect subject to the
provisions of the Carriage of Goods by Sea Act of the United States (46 U.S.C. 1301, et seq.), approved April 13, 1936, and as same may be amended from time to time, except that if the Bill of Lading is issued at a place where any other act,
ordinance or legislation gives statutory effect to the International Convention for the Unification of Certain Rules relating to the Bills of Lading at Brussels, August 1924, then the Bill of Lading shall have effect subject to the provisions of
such act, ordinance, or legislation (“Act”). The applicable Act shall be deemed to be incorporated herein and nothing herein contained shall be deemed a surrender by the Owners of any of their rights or immunities or an increase of any of
their responsibilities or liabilities under the Act.

		  	 If any term of the Bill of Lading be repugnant to the Act to any extent, such term shall be void to that extent but no further.

 Code word for this Charter Party 
 “SHELLTIME 4” 
 Issued December 1984 amended December 2003, Version 1.1 Apr06

 And as further amended July 2010 for U.S. coastwise “Jones Act” trade 
  
  

			
		
		  	[ Lines 676 – 690 intentionally deleted by the parties ]
		
	 Insurance/

ITOPF
	  	 39.    Owners warrant that the vessel is now, and will, throughout the
duration of the charter:
  

(a)     be owned or demise chartered by a member of the International Tanker Owners
Pollution Federation Limited;
  

(b)     be properly entered in Steamship Mutual P & I Club, being a member of the
International Group of P and I Clubs;
  
 (c)     have in place insurance cover for oil pollution for the maximum on offer through the International Group of P&I Clubs but always a minimum of United States Dollars
1,000,000,000 (one thousand million);
  
 (d)     have in full force and effect Hull and Machinery insurance placed through reputable brokers on Institute Time Clauses or equivalent for the value of United States Dollars
$145 million as from time to time may be amended with Charterers’ approval, which shall not be unreasonably withheld.

		
		  	 Owners will provide, within a reasonable time following a request from Charterers to do so, documented evidence of compliance with the warranties
given in this Clause 39.

		
	 Export

Restrictions
	  	 40.    The master shall not be required or bound to sign Bills of Lading for the carriage of cargo to any
place to which export of such cargo is prohibited under the laws, rules or regulations of the country in which the cargo was produced and/or shipped.

		
		  	 Charterers shall procure ensure that all Bills of Lading issued under this Charter shall contain the following clause:

		
		  	 “If any laws rules or regulations applied by the government of the country in which the cargo was produced and/or shipped, or any relevant agency
thereof, impose a prohibition on export of the cargo to the place of discharge designated in or ordered under this Bill of Lading, carriers shall be entitled to require cargo owners forthwith to nominate an alternative discharge place for the
discharge of the cargo, or such part of it as may be affected, which alternative place shall not be subject to the prohibition, and carriers shall be entitled to accept orders from cargo owners to proceed to and discharge at such alternative place.
If cargo owners fail to nominate an alternative place within 72 hours after they or their agents have received from carriers notice of such prohibition, carriers shall be at liberty to discharge the cargo or such part of it as may be affected by the
prohibition at any safe place on which they or the master may in their or his absolute discretion decide and which is not subject to the prohibition, and such discharge shall constitute due performance of the contract contained in this Bill of
Lading so far as the cargo so discharged is concerned”.

		
		  	 The foregoing provision shall apply mutatis mutandis to this Charter, the references to a Bill of Lading being deemed to be references to this
Charter.

		
	 Business

Principles
	  	 41.    Owners will co-operate with Charterers to ensure that the “Business Principles”, as amended
from time to time, of the Royal Dutch/Shell Group of Companies, which are posted on the Shell Worldwide Web (www.Shell.com), are complied with.

		
	 Drugs and

Alcohol
	  	 42.    (a) Owners warrant that they have in force an active policy covering the vessel which meets or exceeds
the standards set out in the “Guidelines for the Control of Drugs and Alcohol On Board Ship” as published by the Oil Companies International Marine Forum (OCIMF) dated January 1990 (or any subsequent modification, version, or variation of
these guidelines) and that this policy will remain in force throughout the charter period, and Owners will exercise due diligence to ensure the policy is complied with.

 Code word for this Charter Party 
 “SHELLTIME 4” 
 Issued December 1984 amended December 2003, Version 1.1 Apr 06

 And as further amended July 2010 for U.S. coastwise “Jones Act” trade 
  
  

			
		
		  	 (b) Owners warrant that the current policy concerning drugs and alcohol on board is acceptable to ExxonMobil and will remain so throughout the charter
period.

		
	 Oil Major

Acceptability
	  	 43.     If, at any time during this Charter, the vessel becomes unacceptable to any Oil Major, the
Owners shall correct the identified deficiency within thirty (30) days, during which time the vessel shall be off-hire for the purposes of this Charter, provided only that such deficiency impairs the Vessel’s ability to trade for Charterers
pursuant to their instructions and sailing directions. If, after such thirty (30) day correction period, the vessel is still unacceptable, then Charterers shall have the right to terminate this Charter, provided the Oil Major in question has been
available to reassess and/or reinspect the Vessel following Owners’ corrective actions.

		
	 Pollution and

Emergency
 Response
	  	 44.     Owners are to advise Charterers of organizational details and
names of Owners’ personnel together with their relevant telephone/facsimile/e-mail/telex numbers, including the names and contact details of Qualified Individuals and clean up contractors for OPA 90 response, who may be contacted on a 24 hour
basis in the event of oil spills or emergencies.
  

Owners warrant that they have an Oil Spill Response Plan in place in satisfaction of the requirements of OPA 90, and as same may be
amended from time to time, and a copy of such Plan has been submitted to and approved by the U.S. Coast Guard. Owners’ compliance with the requirements of this Clause does not, in any way, relieve Owners of any state law requirements or
obligations in respect to pollution and emergency response.

		
	 ISPS
 Code/US

MTSA 2002
	  	 45.     (a)    (i)      From the date of coming
into force of the International Code for the Security of Ships and of Port Facilities and the relevant amendments to Chapter XI of SOLAS (ISPS Code) and the US Maritime Transportation Security Act 2002 (MTSA) in relation to the vessel and thereafter
during the currency of this Charter, Owners shall procure that both the Vessel and “the Company” (as defined by the ISPS Code) and the “owner”(as defined by the MTSA) shall comply with the requirements of the ISPS Code relating
to the Vessel and “the Company” and the requirements of MTSA relating to the vessel and the “owner”. Upon request Owners shall provide documentary evidence of compliance with this Clause 45(a) (i).

		
		  	 (ii)     Except as otherwise provided in this Charter, loss, damage, expense or delay, caused by failure
on the part of Owners or “the Company”/ “owner” to comply with the requirements of the ISPS Code/MTSA or this Clause shall be for Owners’ account.

		
		  	 (b)     (i)      Charterersshall provide Owners/Master with their full
style contact details and shall ensure that the contact details of all sub-charterers are likewise provided to Owners/Master. Furthermore, Charterers shall ensure that all sub-charter parties they enter into during the period of this Charter contain
the following provision: “The Charterers shall provide the Owners with their full style contact details and, where sub-letting is permitted under the terms of the charter party, shall ensure that the contact details of all sub-charterers are
likewise provided to the Owners”.

		
		  	 (ii)      Exceptas otherwise provided in this Charter, loss, damage, expense or delay, caused by
failure on the part of Charterers to comply with this sub-Clause 45(b) shall be for Charterers’ account.

		
		  	 (c)     Notwithstanding anything else contained in this Charter costs or expenses related to security
regulations or measures required by the port facility or any relevant authority in accordance with the ISPS Code/MTSA including, but not limited to, security guards, launch services, tug escorts, port security fees or taxes and inspections, shall be
for Charterers’ account, unless such costs or expenses result solely from Owners’ negligence in which case such costs or expenses shall be for Owners’ account. All measures required by Owners to comply with the security plan required
by the ISPS Code/MTSA shall be for Owners’ account.

		
		  	 (d)     Notwithstanding any other provision of this Charter, the vessel shall not be off-hire where
there is a loss of time caused by Charterers’ failure to comply with the ISPS Code/MTSA(when in force ).

		
		  	 (e)     If either party makes any payment which is for the other party’s account according to this
Clause, the other party shall indemnify the paying party.

		
	 Law and

Litigation
	  	 46.     (a)     Thischarter shall be construed and enforced in accordance with
and governed by the General Maritime Law of the United States to the extent applicable, and to the extent state law may be applicable, by the internal laws of the State of Texas.

		
		  	 (b)     Each of the parties hereto hereby submits to the exclusive jurisdiction of the United States
Court for the Southern District of Texas (Houston Division), or in the event that there is no applicable federal jurisdiction, to the exclusive jurisdiction of any state court of competent jurisdiction located in Houston, Harris County, Texas, for
the purposes of all legal proceedings arising out of or relating to this Charter. Each of the parties hereto hereby irrevocably waives, to the fullest extent

 Code word for this Charter Party 
 “SHELLTIME 4” 
 Issued December 1984 amended December 2003, Version 1.1 Apr06

 And as further amended July 2010 for U.S. coastwise “Jones Act” trade 
  
  

			
		
		  	 permitted by law, any objection which it may now or hereafter have to the laying of the venue of any such proceeding brought in such a court and any
claim that any such proceeding brought in such a court has been brought in an inconvenient forum.

		
		  	 (c)     In the event of a dispute, including but not limited to a commercial dispute, between the
parties or a dispute connected with a personal injury or property damage claim, arising out of or relating to this Charter or the breach thereof, the parties shall submit the dispute to non-binding mediation in Houston, Texas, and shall make a good
faith effort to resolve the dispute through the mediation process. In the event that the parties are unable to resolve their dispute through mediation pursuant to this Clause 46, such dispute shall be settled exclusively and finally by the federal
or state court of competent jurisdiction located in Houston, Harris County, Texas, as set above.

		
		  	 (d)     EACH PARTY HEREBY IRREVOCABLY WAIVES, TO THE FULLEST EXTENT PERMITTED BY LAW, ANY AND
ALL RIGHT TO TRIAL BY JURY IN ANY LEGAL PROCEEDING ARISING OUT OF OR RELATED TO THIS CHARTER.

		
		  	 (e)     In any mediation or other legal proceeding arising out of relating to this Charter, the parties
agree that damages will be limited to compensatory damages (only), and that all exemplary and/or punitive damages are expressly waived.

		
		  	 [ Lines 796 – 800 intentionally deleted by the parties ]

		
	Confidentiality	  	 47.    The negotiations, fixtures, and all terms and conditions of this Charter shall be kept private and
confidential, and shall not be disclosed by any party to third parties (other than (i) to comply with any governmental or judicial authority and its rules and regulations as reasonably determined by the disclosing party or (ii) employees, auditors,
lawyers and affiliates who have a need to know such information in connection with performance of this Charter and agree to keep such information private and confidential) without the prior written consent of the other party.

		
	Construction	  	 48.    The side headings have been included in this Charter for convenience of reference and shall in no way
affect the construction hereof.

  

					
			
		 	 Appendix A:
	  	OCIMF Harmonized Vessel Particulars Questionnaire for the vessel, as attached, shall be incorporated herein.
			
		 	 Appendix B:
	  	Shell Safety and Environmental Monthly Reporting Template, as attached, shall be incorporated herein.
			
		 	 Additional Clauses:
	  	Clauses 49 – 64, as attached, shall be incorporated fully herein.

 IN WITNESS WHEREOF the parties hereto have caused this Charter to be duly executed by their respective authorized
representatives on the day and year first above written. 
  

					
	 SIGNED FOR OWNERS
 PI
2 Pelican State LLC, guaranteed by
 American Petroleum Tankers Parent LLC
	 		  	 SIGNED FOR CHARTERERS,

SHELL TRADING (U.S.) COMPANY

			
	 /s/ Robert K. Kurz
	 		  	 /s/ Tim Gaughan

	FULL NAME   Robert K. Kurz	 		  	Full Name
	POSITION       CEO	 		  	 Position      General Manager
                      Shipping North America Shell

		 		  	                      Trading
(US) Co.

  

 Code word for this Charter Party 
 “SHELLTIME 4” 
 Issued December 1984 amended December 2003, Version 1.1 Apr06

 And as further amended July 2010 for U.S. coastwise “Jones Act” trade 
  
 Appendix A 
 OCIMF Harmonized Vessel Particulars Questionnaire 

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

OCIMF 

Oil Companies International Marine Forum 
 SIRE Programme 
 Vessel Particulars Questionnaire 

Pelican State 
 IMO/LR Number 9408102 
 13 Mar 2012 

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
 CHAPTER 1 CHAPTER 1 

 

					
			
	1	  	GENERAL INFORMATION	  	
			
	1.1	  	Date this HVPQ document completed	  	13 March 2012
			
	1.2	  	Name of ship	  	Pelican State
			
	1.3	  	LR/IMO Number	  	9408102
			
	1.4	  	Last previous name	  	Not applicable
			
	1.4.1	  	Date of name change	  	Not applicable
			
	1.5	  	Second last previous name	  	Not applicable
			
	1.5.1	  	Date of name change	  	Not applicable
			
	1.6	  	Third last previous name	  	Not applicable
			
	1.6.1	  	Date of name change	  	Not applicable
			
	1.7	  	Fourth last previous name	  	Not applicable
			
	1.7.1	  	Date of name change	  	Not applicable
			
	1.8	  	Flag	  	United States of America
			
	1.9	  	Port of Registry	  	Wilmington, DE.
			
	1.10	  	If the flag has been changed, what was previous flag?	  	Not applicable
			
	1.11	  	Call sign	  	WDE4433
			
	1.12	  	INMARSAT number	  	436 901 319
			
	1.13	  	Ship’s fax number	  	764 871 339
			
	1.14	  	Ship’s telex number	  	436 901 319
			
	1.15	  	Mobile Phone Number	  	904-304-6053
			
	1.16	  	Ship’s Email address	  	master.wde4433@globeemail.com
			
	1.17	  	Type of ship	  	Oil Tanker
			
	1.18	  	Vessel’s MMSI No. (Maritime Mobile Selective Call Identity Code)	  	367353110
			
	1.19	  	Type of Hull	  	Double hull
			
	2	  	OWNERSHIP AND OPERATION	  	
			
	1.20	  	Name of the Registered Owner	  	PI 2 Pelican State LLC
			
	1.20.1	  	Full address	  	345 Park Ave, 31st Floor, NY, NY 10154

  

	
	Chapter 1
	1/82

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	1.20.2	  	Office telephone number	  	904-727-2494
			
	1.20.3	  	Office telex number	  	Not applicable
			
	1.20.4	  	Office fax number	  	904-727-4256
			
	1.20.5	  	Office Email address	  	cpsvetting@crowley.com
			
	1.20.6	  	Contact person	  	Capt. Boren Chambers
			
	1.20.7	  	Contact person after hours telephone number	  	904-861-4120
			
	1.21	  	Number of years this ship has been owned by Registered Owner	  	Years
			
	1.22	  	Name of Technical Operator (if different from Registered Owner)	  	Crowley Petroleum Services
			
	1.22.1	  	Full Address	  	9487 Regency Square Blvd, Jacksonville, FL 32225
			
	1.22.2	  	Office telephone number	  	904-727-2494
			
	1.22.3	  	Office telex number	  	Not applicable
			
	1.22.4	  	Office fax number	  	904-727-4256
			
	1.22.5	  	Office Email address	  	cpsvetting@crowley.com
			
	1.22.6	  	Contact person (Designated Person Ashore)	  	Dominic LaSenna
			
	1.22.7	  	Contact person after hours telephone number	  	(904)727-2422
			
	1.22.8	  	Emergency callout number	  	Not applicable
			
	1.22.9	  	Emergency callout pager number	  	Not applicable
			
	1.22.10	  	Contact details for person responsible for oil spill response	  	904-727-2494
			
	1.23	  	Number of years this vessel has been controlled by technical operator	  	1 Years
			
	1.24	  	Total number of ships operated by this Technical Operator	  	15
			
	1.25	  	Name of Commercial Operator (if different from Registered Owner)	  	Crowley Petroleum Services
			
	1.25.1	  	Full Address	  	9487 Regency Square Blvd, Jacksonville, FL 32225
			
	1.25.2	  	Office telephone number	  	904-727-2494
			
	1.25.3	  	Office telex number	  	Not applicable
			
	1.25.4	  	Office fax number	  	904-727-4256
			
	1.25.5	  	Office Email address	  	cpsvetting@crowley.com
			
	1.25.6	  	Contact person	  	Capt. Boren Chambers

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	1.25.7	  	Contact person after hours telephone number	  	904-861-4120
			
	3	  	BUILDER	  	
			
	1.26	  	Builder	  	General Dynamics -NASSCO, San Diego, CA
			
	1.27	  	Date of building contract	  	14 March 2006
			
	1.28	  	Hull number	  	6502
			
	1.29	  	Date keel laid	  	2 June 2008
			
	1.30	  	Date launched	  	14 March 2009
			
	1.31	  	Date delivered	  	15 June 2009
			
	1.32	  	If applicable, date of completion of major hull changes	  	Not applicable
			
	1.33	  	List what changes were made.	  	Not applicable
			
	4	  	CLASSIFICATION	  	
			
	1.34	  	Classification society	  	ABS
			
	1.35	  	Class Notation	  	Al, Chemical Carrier, Oil Carrier, AMS, ACCU, VEC, FL 25, SH, SHCM
			
	1.36	  	If Classification society changed, name of previous society	  	Not applicable
			
	1.37	  	If Classification society changed, date of change	  	Not applicable
			
	1.38	  	Date of last dry-dock	  	14 March 2009
			
	1.39	  	Date of second last dry-dock	  	Not applicable
			
	1.40	  	Date next dry-dock due	  	13 March 2014
			
	1.41	  	Date of last special survey	  	Not applicable
			
	1.42	  	Was last special survey an enhanced special survey?	  	Not applicable
			
	1.43	  	Date next special survey due	  	13 March 2014
			
	1.44	  	If ship has Condition Assessment Programme (CAP) rating, what is the latest rating?	  	1
			
	1.45	  	Date of last annual survey	  	Not applicable
			
	1.46	  	Date of last boiler survey - Port boiler	  	Not applicable
			
	1.47	  	Date of last boiler survey - Starboard boiler	  	Not applicable
			
	1.48	  	Is the ship subject to Continuous Machinery Survey?	  	Yes

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	5	  	DIMENSIONS	  	
			
	1.49	  	Length overall (LOA)	  	183 Meters
			
	1.50	  	Length between perpendiculars (LBP)	  	174 Meters
			
	1.51	  	Extreme breadth	  	32.2 Meters
			
	1.52	  	Moulded breadth	  	32.2 Meters
			
	1.53	  	Moulded depth	  	19 Meters
			
	1.54	  	Keel to masthead	  	49.22 Meters
			
	1.55	  	Distance bow to bridge	  	146.2 Meters
			
	1.56	  	Distance bridge front - mid point manifold	  	58.8 Meters
			
	1.57	  	PARALLEL MID-BODY DIAGRAM	  	Not applicable
			
	1.57.1	  	Distance bow to mid-point manifold	  	88.3 Meters
			
	1.57.2	  	Distance stern to mid-point manifold	  	94.7 Meters
			
	1.57.3	  	Parallel body (light ship)	  	72.3 Meters
			
	1.57.4	  	Parallel body, forward to mid-point manifold (light ship)	  	37.66 Meters
			
	1.57.5	  	Parallel body, aft to mid-point manifold (light ship)	  	34.64 Meters
			
	1.57.6	  	Parallel body (normal ballast)	  	72.3 Meters
			
	1.57.7	  	Parallel body, forward to mid-point manifold (normal ballast)	  	37.66 Meters
			
	1.57.8	  	Parallel body, aft to mid-point manifold (normal ballast)	  	34.64 Meters
			
	1.57.9	  	Parallel body at loaded summer deadweight (SDWT)	  	72.3 Meters
			
	1.57.10	  	Parallel body, forward to mid-point manifold at loaded SDWT	  	37.66 Meters
			
	1.57.11	  	Parallel body, aft to mid-point manifold at loaded SDWT	  	34.64 Meters
			
	1.58	  	Does ship have a bulbous bow?	  	Yes
			
	6	  	TONNAGES	  	
			
	1.59	  	Net Registered Tonnage	  	12859 Tonnes

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	1.60	  	Gross Tonnage	  	29527 Tonnes
			
	1.61	  	Suez Tonnage	  	25458 Tonnes
			
	161.1	  	Suez Canal Gross Tonnage (SCGT)	  	30537 Tonnes
			
	1.61.2	  	Suez Canal Net Tonnage (SCNT)	  	25459 Tonnes
			
	1.62	  	Panama Tonnage	  	24513 Tonnes
			
	7	  	LOADLINE INFORMATION	  	
			
	1.63.1	  	Summer Freeboard	  	6.213 Meters
			
	1.63.2	  	Summer Draft	  	12.8 Meters
			
	1.63.3	  	Summer Deadweight	  	48599 Tonnes
			
	1.63.4	  	Summer Displacement	  	58746 Tonnes
			
	1.64.1	  	Winter Freeboard	  	648 Meters
			
	1.64.2	  	Winter Draft	  	12.45 Meters
			
	1.64.3	  	Winter Deadweight	  	47255 Tonnes
			
	1.64.4	  	Winter Displacement	  	57369 Tonnes
			
	1.65.1	  	Tropical Freeboard	  	5.946 Meters
			
	1.65.2	  	Tropical Draft	  	13.1 Meters
			
	1.65.3	  	Tropical Deadweight	  	50013 Tonnes
			
	1.65.4	  	Tropical Displacement	  	60127 Tonnes
			
	1.66.1	  	Lightship Freeboard	  	16.4 Meters
			
	1.66.2	  	Lightship Draft	  	2.6 Meters
			
	1.66.3	  	Lightship Deadweight	  	0 Tonnes
			
	1.66.4	  	Lightship Displacement	  	10113.5 Tonnes
			
	1.67.1	  	Normal Ballast Condition Freeboard	  	10.3 Meters
			
	167.2	  	Normal Ballast Condition Draft	  	8.7 Meters
			
	1.67.3	  	Normal Ballast Condition Deadweight	  	22809 Tonnes
			
	1.67.4	  	Normal Ballast Condition Displacement	  	32897 Tonnes
			
	1.68.1	  	Segregated Ballast Condition Freeboard	  	10.3 Meters
			
	168.2	  	Segregated Ballast Condition Draft	  	8.7 Meters
			
	1.68.3	  	Segregated Ballast Condition Deadweight	  	22809 Tonnes
			
	1.68.4	  	Segregated Ballast Condition Displacement	  	32897 Tonnes
			
	1.69	  	FWA at Summer Draft (Freeboard)	  	284 Millimeters

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	170	  	TPC Immersion at Summer Draft (Freeboard)	  	56700 Tonnes
			
	1.71.1	  	Draught Fore at normal ballast conditions (Freeboard)	  	7.6 Meters
			
	1.71.2	  	Draught Aft at normal ballast conditions (Draft)	  	8.7 Meters
			
	1.72	  	Does ship have Multiple SDWT ?	  	Not applicable
			
	1.73	  	If yes, what is maximum assigned Deadweight?	  	Not applicable
			
	1.74	  	What is the max. height of mast above waterline (air draft) in normal SBT condition?	  	40.5 Meters
			
	8	  	RECENT OPERATIONAL HISTORY	  	
			
	1.75	  	Has the ship traded continuously without requirement for unscheduled repairs since the last dry-dock, except for normal maintenance?	  	Yes
			
	1.76	  	If unscheduled repairs have been carried out, what was the nature of the repairs?	  	Not applicable
			
	1.77	  	Has ship been involved in a pollution incident during the past 12 months?	  	Not applicable
			
	1.78	  	Has ship been involved in a grounding incident during the past 12 months?	  	Not applicable
			
	1.79	  	Has ship been involved in a collision during the past 12 months?	  	Not applicable

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
	 CHAPTER 2 CHAPTER 2

 

			
	1	  	CERTIFICATES	  	
			
	2.1	  	Register Number	  	1218103
			
	2.2.1	  	Safety Equipment Certificate (Issued)	  	15 June 2009
			
	2.2.2	  	Safety Equipment Certificate (Expires)	  	14 June 2014
			
	2.2.3	  	Safety Equipment Certificate (Last Annual)	  	21 June 2011
			
	2.3.1	  	Safety Radio Certificate (Issued)	  	14 January 2012
			
	2.3.2	  	Safety Radio Certificate (Expires)	  	14 January 2013
			
	2.3.3	  	Safety Radio Certificate (Last Annual)	  	14 January 2012
			
	2.4.1	  	Safety Construction Certificate (Issued)	  	15 June 2009
			
	2.4.2	  	Safety Construction Certificate (Expires)	  	14 June 2014
			
	2.4.3	  	Safety Construction Certificate (Last Annual)	  	14 January 2012
			
	2.5.1	  	Loadline Certificate (Issued)	  	15 June 2009
			
	2.5.2	  	Loadline Certificate (Expires)	  	14 June 2014
			
	25.3	  	Loadline Certificate (Last Annual)	  	14 January 2012
			
	2.6.1	  	International Oil Pollution Prevention Certificate (IOPPC) (Issued)	  	 15 June 2009

			
	2.6.2	  	International Oil Pollution Prevention Certificate (IOPPC) (Expires)	  	 14 June 2014

			
	2.6.3	  	International Oil Pollution Prevention Certificate (IOPPC) (Last Annual)	  	 14 January 2012

			
	2.7	  	Type of Oil Tanker as specified by IOPPC Crude/Product (If not an oil tanker, specify)	  	 Oil Tanker

			
	2.8.1	  	Safety Management Certificate (Issued) (SMC)	  	18 February 2010
			
	2.8.2	  	Safety Management Certificate (Expires) (SMC)	  	17 February 2015
			
	2.8.3	  	Safety Management Certificate (Last Intermediate) (SMC)	  	Not applicable
			
	2.9.1	  	Document of Compliance (Issued) (DOC)	  	11 October 2011
			
	2.9.2	  	Document of Compliance (Expires) (DOC)	  	11 October 2016
			
	2.9.3	  	Document of Compliance (Endorsed) (DOC)	  	11 October 2011
			
	2.10.1	  	USCG Letter of Compliance (if applicable) (Issued)	  	15 June 2009

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	2.10.2	  	USCG Letter of Compliance (if applicable) (Expires)	  	15 June 2014
			
	2.10.3	  	USCG Letter of Compliance (if applicable) (Last Annual)	  	15 June 2009
			
	2.11.1	  	Date of last USCG Tank Vessel Examination Letter (TVEL) (Issued)	  	Not applicable
			
	2.11.2	  	Date of last USCG Tank Vessel Examination Letter (TVEL) (Expires)	  	Not applicable
			
	2.12	  	Minimum Safe Manning Certificate	  	8 August 2011
			
	2.13	  	Civil Liability Convention Certificate (1969)	  	20 February 2012
			
	2.14	  	Civil Liability Convention Certificate (1992)	  	20 February 2012
			
	2.15	  	U.S. Certificate of Financial Responsibility	  	16 September 2009
			
	2.16	  	Certificate of Fitness (Chemicals)	  	15 June 2009
			
	2.17	  	Certificate of Fitness (Gas)	  	Not applicable
			
	2.18	  	Noxious Liquids Certificate	  	Not applicable
			
	2.19	  	Unattended Machinery Space Certificate (Issued)	  	8 September 2010
			
	2.20	  	International Tonnage Certificate (Issued)	  	15 June 2009
			
	2	  	DOCUMENTS	  	
			
	2.21	  	IMO Safety of Life at Sea Convention (SOLAS 74)	  	Yes
			
	2.22	  	IMO International Code of Signals (SOLAS V-Reg 21)	  	Yes
			
	2.23	  	IMO International Convention for the Prevention of Pollution from Ships (MARPOL 73/78)	  	Yes
			
	2.24	  	IMO Ships Routeing	  	Yes
			
	2.25	  	IMO International Regulations For Preventing Collisions at Sea (COLREGS)	  	Yes
			
	2.26	  	IMO Standards of Training, Certification and Watchkeeping (STCW Convention)	  	Yes
			
	2.27	  	ICS Guide to Helicopter/Ship Operations	  	Yes
			
	2.28	  	OCIMF/ICS/IAPH International Safety Guide for Oil Tankers and Terminals (ISGOTT)	  	Yes
			
	2.29	  	OCIMF/ICS Clean Seas Guide for Oil Tankers	  	Yes
			
	2.30	  	OCIMF/ICS Prevention of Oil Spillages Through Cargo Pumproom Sea Valves	  	Yes

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	2.31	  	OCIMF/ICS Ship to Ship Transfer Guide (Petroleum)	  	Yes
			
	2.32	  	OCIMF Recommendations for Oil Tanker Manifolds and Associated Equipment	  	Yes
			
	2.33	  	OCIMF Mooring Equipment Guidelines	  	Yes
			
	2.34	  	OCIMF Effective Mooring	  	Yes
			
	2.35	  	USCG Regulations for Tankers (USCG 33 CFR/46 CFR)	  	Yes
			
	2.36	  	Oil Transfer Procedures (USCG 33 CFR 155-156)	  	Yes
			
	2.37	  	Operator’s ISM Manuals	  	Yes
			
	2.38	  	Is the publication IMO-Inert Gas Systems, or Ship Technical Operator’s equivalent manual on board?	  	Yes
			
	2.39	  	Is the publication IMO-Cow Systems, or Ship Technical Operator’s equivalent manual on board?	  	Yes
			
	2.40	  	ICS Bridge Procedures Guide	  	Yes
			
	2.41	  	IAMSAR Vol.3	  	Yes
			
	2.42	  	Nautical Institute Bridge Team Management	  	Yes
			
	2.43	  	International Medical Guide for Ships(or equivalent)	  	Yes
			
	2.44	  	ISPS Code	  	
			
	3	  	FOR CHEMICAL TANKERS ONLY	  	
			
	2.45	  	IMO Code for Construction & Equipment of Ships Carrying Dangerous Chemicals in Bulk (IBC Code)	  	Yes
			
	2.46	  	IMO Index of Dangerous Chemicals Carried in Bulk	  	Yes
			
	2.47	  	ICS Tanker Safety Guide (Chemicals)	  	Yes
			
	2.48	  	IMO Code for Construction & Equipment of Ships Carrying Dangerous Chemicals in Bulk (BCH Code)	  	Yes
			
	2.49	  	Chemical Data Guide (USCG 1990 CIM 16616.6A)	  	Yes
			
	2.50	  	Medical First Aid Guide for Use in Accidents involving Dangerous goods (MFAG)	  	

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	2.51	  	Procedures and Arrangements (P&A) Manual	  	Yes
			
	4	  	FOR GAS CARRIERS ONLY	  	
			
	2.52	  	IMO Code for Construction & Equipment of Ships Carrying Liquefied Gases in Bulk (IGC Code)	  	Not applicable
			
	2.53	  	ICS Tanker Safety Guide (Liquefied Gas)	  	
			
	2.54	  	SIGTTO Liquefied Gas Handling Principles on Ships and in Terminals	  	
			
	2.55	  	SIGTTO Guide to Pressure Relief Valve Maintenance and Testing	  	
			
	2.56	  	ICS Ship to Ship Transfer Guide (Liquefied Gases)	  	
			
	2.57	  	IMO International Code for the Construction and Equipment of Ships Carrying Liquefied Gases in Bulk (IGC Code)	  	
			
	2.58	  	IMO Code for Existing Ships Carrying Liquefied Gases in Bulk (EGC Code)	  	

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
	 CHAPTER 3 CHAPTER 3

 

			
	1	  	CREW MANAGEMENT	  	
			
	3.1	  	Minimum manning required (officers)	  	8
			
	3.1.1	  	Actual manning (officers)	  	9
			
	3.1.2	  	List Nationality of Officers	  	United States
			
	3.1.3	  	Master employed by (Vessel Operator)	  	
			
	3.1.4	  	Officers employed by (Vessel Operator)	  	No
			
	3.1.5	  	Ratings employed by (Vessel Operator)	  	No
			
	3.1.6	  	Common language used (Vessel Operator)	  	English
			
	3.1.7	  	Full name of Manning agent 1 (Officers)	  	American Martitme Officers
			
	3.1.7.1	  	Full address	  	2 West Dixie Hwy, Dania Beach, FL 33004
			
	3.1.7.2	  	Office telephone number	  	800-362-0513
			
	3.1.7.3	  	Office telex number	  	Not applicable
			
	3.1.7.4	  	Office fax number	  	Not applicable
			
	3.1.7.5	  	Office Email address	  	Not applicable
			
	3.1.8	  	Are manning agent(s) wholly or partially owned by Operator?	  	No
			
	3.1.9	  	If No, does Operator have selection rights?	  	Yes
			
	3.1.10	  	Does vessel’s Operator maintain personnel files on officers assigned to his vessels?	  	Yes
			
	3.1.11	  	Do officers regularly return to Operator’s vessels?	  	Yes
			
	3.2	  	Minimum manning required (ratings)	  	9
			
	3.2.1	  	Actual manning (ratings)	  	12
			
	3.2.2	  	List Nationality of Ratings	  	USA
			
	3.2.3	  	Master employed by (Manning Agent)	  	Yes
			
	3.2.4	  	Officers employed by (Manning Agent)	  	Yes
			
	3.2.5	  	Ratings employed by (Manning Agent)	  	Yes
			
	3.2.6	  	Common language used (Manning Agent)	  	Englsih
			
	3.2.7	  	Full name of Manning agent 1 (Ratings)	  	Seafarers International union
			
	3.2.7.1	  	Full address	  	
			
	3.2.7.2	  	Office telephone number	  	

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	3.2.7.3	  	Office telex number	  	
			
	3.2.7.4	  	Office fax number	  	
			
	3.2.7.5	  	Office Email address	  	
			
	3.2.8	  	Does vessel’s Operator maintain personnel files on ratings assigned to his vessels?	  	Yes
			
	3.2.9	  	Do ratings regularly return to Operator’s vessels?	  	Yes
			
	2	  	CONTINUITY	  	
			
	3.3	  	Do senior officers return to the same ship on a rotational basis?	  	Yes
			
	3.4	  	Are senior officers rotated on ships of similar class within company fleet?	  	
			
	3.5	  	Are junior officers and ratings rotated on ships of similar class within company fleet?	  	Yes
			
	3.6	  	If senior officers do not return to same ship on a rotational basis, are changes of Master, Chief Officer and Second Engineer organised to avoid a full change of officers at same
time?	  	Yes
			
	3	  	TRAINING	  	
			
	3.7	  	List Operator sponsored training courses available to officers (Bridge Management etc.)	  	Drug/Alcohol Testing, EEO, CPR, Accident Investigation,
Confined Space Entry, Designated Care Giver, Medical
PIC, Medical PIC Refresher, Fire Fighting,
Advanced
Product/Chemical Tanker Safety, BRM, Manned Model
Ship Handling, Advance Ship Handling for Masters, Ship’s
Security Officer, Cargo Pumps, Main Engine, Auxuliary
Engines, NS5 Orientation, ECDIS Training, Fast Rescue
Boat,
TOAR
			
	3.8	  	List Operator sponsored training courses available to ratings (Fire Fighting etc.)	  	Not applicable
			
	3.9	  	Are Masters and Chief Engineers required to attend company office before and after each tour of duty?	  	Yes
			
	3.10	  	Does operator hold regular training seminars ashore for officers?	  	Yes
			
	3.11	  	Are training seminars provided on board for officers and ratings?	  	

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	3.12	  	What courses, exceeding statutory requirements, are provided for senior officers?	  	Not applicable
			
	3.13	  	What courses, exceeding statutory requirements, are provided for junior officers?	  	Not applicable
			
	3.14	  	What courses, exceeding statutory requirements, are provided for ratings?	  	Not applicable

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
	 CHAPTER 4 CHAPTER 4

 

			
	1	  	NAVIGATION	  	
			
	4.1.1	  	Magnetic compass	  	Yes
			
	4.1.2	  	Magnetic compass (Type)	  	Saracom MC-180
			
	4.1.3	  	Magnetic compass (Number of Units)	  	2
			
	4.2.1	  	Gyro compass	  	Yes
			
	4.2.2	  	Gyro compass (Type)	  	Yokogawa CMZ700S
			
	4.2.3	  	Gyro compass (Number of Units)	  	1
			
	4.3.1	  	Gyro Autopilot	  	Yes
			
	4.3.2	  	Gyro Autopilot (Type)	  	Yokogawa PT500A
			
	4.3.3	  	Gyro Autopilot (Number of Units)	  	1
			
	4.4.1.1	  	Radar 1	  	Yes
			
	4.4.1.2	  	Radar (Type)	  	Furuno 9 GHz FAR2827
			
	4.4.1.3	  	Radar 1 (Number of Units)	  	1
			
	4.4.2.1	  	Radar 2	  	Yes
			
	4.4.2.2	  	Radar (Type)	  	Furuno 3 GHz FAR2837S
			
	4.4.2.3	  	Radar 2 (Number of Units)	  	1
			
	4.4.3	  	Are radars gyro stabilised?	  	Yes
			
	4.5	  	Is there at least one radar operating in the 9 GHz frequency band (3cm/x band)?	  	Yes
			
	4.6	  	Are the 3 GHz (10cm/S band) and 9Ghz (3cm / X band) radars fitted with an electronic switching unit?	  	Yes
			
	4.7.1	  	Radar plotting equipment	  	Not applicable
			
	4.7.2	  	Radar plotting equipment (Type)	  	Not applicable
			
	4.7.3	  	Radar plotting equipment (Number of Units)	  	Not applicable
			
	4.8.1	  	Are the Radars fitted with ARPA?	  	Yes
			
	4.8.2	  	Type of ARPA	  	Furuno FAR2837S / FAR2827
			
	4.8.3	  	Number of ARPA Units installed	  	2
			
	4.9.1	  	Depth sounder with recorder	  	Yes
			
	4.9.2	  	Depth sounder with recorder (Type)	  	L3 Comm LAZ-5100
			
	4.9.3	  	Depth sounder with recorder (Number of Units)	  	1

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	4.10.1	  	Speed/distance indicator	  	Yes
			
	4.10.2	  	Speed/distance indicator (Type)	  	Consilium SLAR1A
			
	4.10.3	  	Speed/distance indicator (Number of Units)	  	1
			
	4.11.1	  	Doppler log	  	Yes
			
	4.11.2	  	Doppler log (Type)	  	Not applicable
			
	4.11.3	  	Doppler log (Number of Units)	  	Not applicable
			
	4.12.1	  	Docking approach doppler	  	Yes
			
	4.12.2	  	Docking approach doppler (Type)	  	Consilium SD4
			
	4.12.3	  	Docking approach doppler (Number of Units)	  	1
			
	4.13.1	  	Rudder angle indicator	  	Yes
			
	4.13.2	  	Rudder angle indicator (Type)	  	Heriana CB340
			
	4.13.3	  	Rudder angle indicator (Number of Units)	  	4
			
	4.14.1	  	RPM indicator	  	Yes
			
	4.14.2	  	RPM indicator (Type)	  	Konsburg “Engine RPM”
			
	4.14.3	  	RPM indicator (Number of Units)	  	6
			
	4.15.1	  	Controllable pitch propeller indicator	  	
			
	4.15.2	  	Controllable pitch propeller indicator (Type)	  	Not applicable
			
	4.15.3	  	Controllable pitch propeller indicator (Number of Units) Not applicable	  	
			
	4.16.1	  	Bow thruster indicator	  	
			
	4.16.2	  	Bow thruster indicator (Type)	  	Not applicable
			
	4.16.3	  	Bow thruster indicator (Number of Units)	  	Not applicable
			
	4.17.1	  	Stern Thrust indicator	  	
			
	4.17.2	  	Stern Thrust indicator (Type)	  	Not applicable
			
	4.17.3	  	Stern Thrust indicator (Number of Units)	  	Not applicable
			
	4.18.1	  	Rate of turn indicator	  	Yes
			
	4.18.2	  	Rate of turn indicator (Type)	  	Built in to the Yokagowa steering stand
			
	4.18.3	  	Rate of turn indicator (Number of Units)	  	1
			
	4.19.1	  	Radio direction finder	  	
			
	4.19.2	  	Radio direction finder (Type)	  	Not applicable
			
	4.19.3	  	Radio direction finder (Number of Units)	  	Not applicable
			
	4.20.1	  	Navtex receiver	  	Yes
			
	4.20.2	  	Navtex receiver (Type)	  	JRC NCR 333

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	4.20.3	  	Navtex receiver (Number of Units)	  	1
			
	4.21.1	  	Satellite navigation receiver	  	No
			
	4.21.2	  	Satellite navigation receiver (Type)	  	Not applicable
			
	4.21.3	  	Satellite navigation receiver (Number of Units)	  	Not applicable
			
	4.22.1	  	Is the ship fitted with GPS?	  	Yes
			
	4.22.2	  	Type of GPS installed?	  	JRC MR-7700 MKII
			
	4.22.3	  	Number of GPS units installed?	  	2
			
	4.23.1	  	Is the ship fitted with Differential GPS?	  	Yes
			
	4.23.2	  	Type of Differential GPS installed?	  	JRC JLC-7700 MKII
			
	4.23.3	  	Number of Differential GPS units installed?	  	2
			
	4.24.1	  	Is there an Electronic Chart Display?	  	Yes
			
	4.24.2	  	Is there an Electronic Chart Display? (Type)	  	JRC JAN-901M
			
	4.24.3	  	Is there an Electronic Chart Display? (Number of Units)	  	1
			
	4.25	  	Is the Electronic Chart Display incorporated into an approved ECDIS ?	  	No
			
	4.26.1	  	Integrated Navigation System (INS)	  	No
			
	4.26.2	  	Integrated Navigation System (INS) (Type)	  	Not applicable
			
	4.26.3	  	Integrated Navigation System (INS) (Number of Units)	  	Not applicable
			
	4.27.1	  	Decca navigator	  	
			
	4.27.2	  	Decca navigator (Type)	  	Not applicable
			
	4.27.3	  	Decca navigator (Number of Units)	  	Not applicable
			
	4.28.1	  	Omega receiver	  	
			
	4.28.2	  	Omega receiver (Type)	  	Not applicable
			
	4.28.3	  	Omega receiver (Number of Units)	  	Not applicable
			
	4.29.1	  	Loran C receiver	  	
			
	4.29.2	  	Loran C receiver (Type)	  	Not applicable
			
	4.29.3	  	Loran C receiver (Number of Units)	  	Not applicable
			
	4.30.1	  	Course recorder	  	Yes
			
	4.30.2	  	Course recorder (Type)	  	Yokogawa MKR181A
			
	4.30.3	  	Course recorder (Number of Units)	  	1
			
	4.31.1.1	  	Off - course alarm - gyro	  	Yes

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	4.31.1.2	  	Off - course alarm - gyro (Type)	  	Yokogawa
			
	4.31.1.3	  	Off - course alarm - gyro (Number of Units)	  	1
			
	4.31.2.1	  	Off - course alarm - magnetic	  	Yes
			
	4.31.2.2	  	Off - course alarm - magnetic (Type)	  	Yokogawa
			
	4.31.2.3	  	Off - course alarm - magnetic (Number of Units)	  	1
			
	4.32.1	  	Engine order printer	  	Yes
			
	4.32.2	  	Engine order printer (Type)	  	Konsburg
			
	4.32.3	  	Engine order printer (Number of Units)	  	1
			
	4.33.1	  	Anemometer	  	Yes
			
	4.33.2	  	Anemometer (Type)	  	Heriana AC-F11
			
	4.33.3	  	Anemometer (Number of Units)	  	1
			
	4.34.1	  	Weather fax	  	Yes
			
	4.34.2	  	Weather fax (Type)	  	JRC -9A
			
	4.34.3	  	Weather fax (Number of Units)	  	1
			
	4.35	  	Does ship carry sextant(s)?	  	Yes
			
	4.36	  	Does ship carry a signal lamp?	  	Yes
			
	4.37	  	Is each bridge wing fitted with a rudder angle indicator?	  	Yes
			
	4.38.1	  	Is each bridge wing fitted with a RPM indicator?	  	Yes
			
	4.38.2	  	Is each bridge wing fitted with a gyro repeater?	  	Yes
			
	4.39	  	If the ship is fitted with a controllable pitch propeller, are indicators fitted on the bridge wings?	  	No
			
	4.40	  	Are steering motor controls and engine controls fitted on bridge wings?	  	Yes
			
	4.41	  	Is bridge equipped with a ‘Dead-Man’ alarm or equipment?	  	Yes

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	 CHAPTER 5 CHAPTER 5
	  	
			
	1	  	SAFETY MANAGEMENT	  	
			
	5.1	  	Is the vessel operated under a Quality Management System?	  	Yes
			
	5.1.1	  	If Yes, what type of system? (IS09002 or IMO Resolution A.741(18))?	  	IS09002
			
	5.1.2	  	If Yes, who is the certifying body?	  	ABS
			
	5.1.3	  	Date of vessel certification	  	15 June 2009
			
	2	  	HELICOPTERS	  	
			
	5.2	  	Can the ship comply with the ICS Helicopter Guidelines?	  	Yes
			
	5.2.1	  	If Yes, state whether winching or landing area provided Winching	  	
			
	5.2.2	  	What is diameter of circle provided?	  	0 Meters
			
	3	  	FIRE FIGHTING EQUIPMENT & LIFE SAVING EQUIPMENT	  	
			
	5.3	  	Is a fixed foam firefighting system installed for the cargo area?	  	Yes
			
	5.4	  	Type of foam on board	  	Alcohol
			
	5.5	  	Date of foam supply or last analysis certificate	  	22 April 2011
			
	5.6	  	What fixed fire fighting system is provided for the paint Salt water sprinkler locker?	  	
			
	5.7	  	What type of fire fighting system is fitted in pumproom(s)?	  	Not applicable
			
	5.8	  	What type of fire fighting system is fitted in engine room(s)?	  	CO2
			
	5.9	  	What type of fire fighting system is fitted in void spaces(s)?	  	Not applicable
			
	5.10	  	Is a fixed dry powder firefighting system installed for the cargo area?	  	No
			
	5.11	  	Is a fixed water spray firefighting system installed for the cargo area?	  	No

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	5.12	  	Is vessel equipped with recharging compressor for breathing apparatus?	  	Yes
			
	5.13	  	What type of lifeboat is fitted?	  	Conventional
			
	5.14	  	Is a dedicated rescue boat carried?	  	No
			
	5.15	  	The type of rescue boat is:	  	Rigid/inflated/ rigid inflated

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
		
	 CHAPTER 6 CHAPTER 6
	  	
			
	1	  	POLLUTION PREVENTION	  	
			
	6.1	  	Is ship fitted with a continuous deck edge fishplate enclosing the deck area?	  	Yes
			
	6.1.1	  	If Yes, what is its minimum vertical height above the deck plating?	  	150 Millimeters
			
	6.1.2	  	What is maximum vertical height above deck plating at aft thwartships coaming?	  	250 Millimeters
			
	6.1.3	  	How far forward is this height maintained?	  	0 Meters
			
	6.2	  	Is an athwartship deck coaming fitted adjacent to accommodation and service areas?	  	Yes
			
	6.3	  	What is the height of the coaming?	  	300 Millimeters
			
	6.4	  	Is spill containment fitted under the cargo manifold?	  	Yes
			
	6.5	  	Is spill containment fitted under all bunker manifolds? Yes	  	
			
	6.6	  	Is containment fitted under the bunker tank vents?	  	Yes
			
	6.7	  	Is containment fitted around the deck machinery?	  	Yes
			
	6.8	  	Specify type of scupper plugs	  	Expandable Plug Type
			
	6.9	  	Are means provided for draining or removing oil from deck area /containment?	  	Yes
			
	6.10	  	Is the following pollution control equipment available to clean up oil spilled on deck:	  	
			
	6.10.1	  	Sorbents	  	Yes
			
	6.10.2	  	Non-sparking hand scoops/shovels	  	Yes
			
	6.10.3	  	Containers	  	Yes
			
	6.10.4	  	Emulsifiers	  	
			
	6.10.5	  	Non-sparking pumps	  	Yes
			
	6.11	  	Is the cargo piping system fully segregated from the sea chest?	  	Yes
			
	6.12	  	What type of sea valves that are fitted.	  	Butterfly Valves

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	6.13	  	If the ship is a pre-MARPOL tanker, is a cargo sea chest valve testing arrangement fitted which meets OCIMF recommendations?	  	No
			
	6.14	  	Are dump valves fitted to slop tanks which can be left open with inert gas pressure on the tanks?	  	Yes
			
	6.15	  	Are overboard discharges fitted with blanks or alternatively, is there a testing arrangement for the overboard valves?	  	No
			
	6.16	  	Is there a discharge below the waterline for Annex II substances	  	Yes
			
	6.17	  	Is there a discharge above the waterline for Annex I oily mixtures	  	Yes
			
	6.18	  	Does Operator have policy to pressure test cargo piping at intervals no greater than 12 months?	  	Yes
			
	6.18.1	  	If Yes, specify pressure	  	20 Bar
			
	6.19	  	Is garbage incinerator fitted?	  	Yes
			
	2	  	OPA 90 REQUIREMENTS	  	
			
	6.20	  	Has the vessel Operator submitted a Vessel Spill Response Plan to the US Coast Guard which has been approved by official USCG letter?	  	Yes
			
	6.21	  	Has a Geographic Specific Appendix been filed with the Captain of the Port for each Port Zone the vessel expects to enter or transit?	  	Yes
			
	6.22	  	Has the vessel Operator deposited a letter with the US Coast Guard confirming that the Operator has signed a service contract with an oil spill removal organisation for responding
to a ‘worst case scenario’?	  	Yes

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
		
	 CHAPTER 7 CHAPTER 7
	  	
			
	1	  	STRUCTURAL CONDITION	  	
			
	7.1	  	Are cargo tanks coated?	  	Yes
			
	7.1.1	  	If Yes, specify type of coating	  	Epoxy
			
	7.1.2	  	If partially coated, specify which tanks are coated	  	Not applicable
			
	7.1.3	  	If cargo tanks are coated, specify to what extent	  	100% New Construction
			
	7.2	  	What is the condition of coating as determined by the criteria listed below?	  	Good
			
	7.3	  	Are ballast tanks coated?	  	Yes
			
	7.3.1	  	If ballast tanks are coated, specify type of coating	  	Epoxy
			
	7.3.2	  	If ballast tanks are coated, specify to what extent	  	100%
			
	7.3.3	  	What is the condition of cargo/ballast tank coating?	  	Good
			
	7.4	  	Are there anodes in the cargo tanks?	  	
			
	7.5	  	Are there anodes in the ballast tanks?	  	Yes
			
	7.6	  	What type of anodes are used?	  	Zinc
			
	7.7	  	What percentage of anodes have wasted?	  	0 Percent
			
	7.8	  	If anodes are aluminium, what is the height above tank bottom?	  	Not applicable
			
	7.9	  	Is a formal programme in place for regular inspection of void spaces, cargo and ballast tanks?	  	Yes
			
	7.10	  	Does ship have planned prevention maintenance programme (PPM)?	  	Yes
			
	7.10.1	  	Is PPM manual (card system) or computerised?	  	Computerised
			
	7.10.2	  	What areas of vessel does PPM cover?	  	Entire Vessel
			
	7.10.3	  	Is PPM Class approved?	  	Yes

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
		
	 CHAPTER 8 CHAPTER 8
	  	
			
	1	  	CARGO AND BALLAST HANDLING	  	
			
	8.1	  	Tank Plan	  	
			
	8.1.1	  	Tank Plan Diagram	  	
			
	2	  	DOUBLE HULL VESSELS	  	
			
	8.2	  	Is vessel fitted with centreline bulkhead in all cargo tanks?	  	Not applicable
			
	8.2.1	  	If Yes, is bulkhead solid or perforated?	  	Perforated
			
	8.2.2	  	Is vessel fitted with any full breadth ballast tanks?	  	No
			
	8.2.3	  	If Yes, how many ballast tanks are full breadth?	  	Not applicable
			
	8.2.4	  	Does vessel meet the IMO definition of ‘double hull’?	  	Yes
			
	3	  	CARGO TANK CAPACITIES	  	
			
	8.3	  	Cargo Tank Capacities At 98% Full (M3)	  	
			
	8.3.1	  	Centre Tank Number 1 Capacity (98%)	  	Not applicable
			
	8.3.2	  	Centre Tank Number 2 Capacity (98%)	  	Not applicable
			
	8.3.3	  	Centre Tank Number 3 Capacity (98%)	  	Not applicable
			
	8.3.4	  	Centre Tank Number 4 Capacity (98%)	  	Not applicable
			
	8.3.5	  	Centre Tank Number 5 Capacity (98%)	  	Not applicable
			
	8.3.6	  	Centre Tank Number 6 Capacity (98%)	  	Not applicable
			
	8.3.7	  	Centre Tank Number 7 Capacity (98%)	  	Not applicable
			
	8.3.8	  	Centre Tank Number 8 Capacity (98%)	  	Not applicable
			
	8.3.9	  	Centre Tank Number 9 Capacity (98%)	  	Not applicable
			
	8.3.10	  	Centre Tank Number 10 Capacity (98%)	  	Not applicable
			
	8.3.11	  	Centre Tank Number 11 Capacity (98%)	  	Not applicable
			
	8.3.12	  	Centre Tank Number 12 Capacity (98%)	  	Not applicable
			
	8.3.13	  	Centre Tank Number 13 Capacity (98%)	  	Not applicable
			
	8.3.14	  	Centre Tank Number 14 Capacity (98%)	  	Not applicable

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	8.3.15	  	Centre Tank Number 15 Capacity (98%)	  	Not applicable
			
	8.3.16	  	Wings (P & S combined) Number 1 Capacity (98%)	  	5536.6 Cu Meters
			
	8.3.17	  	Wings (P & S combined) Number 2 Capacity (98%)	  	8775 Cu Meters
			
	8.3.18	  	Wings (P & S combined) Number 3 Capacity (98%)	  	9570.6 Cu Meters
			
	8.3.19	  	Wings (P & S combined) Number 4 Capacity (98%)	  	9570.6 Cu Meters
			
	8.3.20	  	Wings (P & S combined) Number 5 Capacity (98%)	  	9472.2 Cu Meters
			
	8.3.21	  	Wings (P & S combined) Number 6 Capacity (98%)	  	8376.4 Cu Meters
			
	8.3.22	  	Wings (P & S combined) Number 7 Capacity (98%)	  	Not applicable
			
	8.3.23	  	Wings (P & S combined) Number 8 Capacity (98%)	  	Not applicable
			
	8.3.24	  	Wings (P & S combined) Number 9 Capacity (98%)	  	Not applicable
			
	8.3.25	  	Wings (P & S combined) Number 10 Capacity (98%)	  	Not applicable
			
	8.3.26	  	Wings (P & S combined) Number 11 Capacity (98%)	  	Not applicable
			
	8.3.27	  	Wings (P & S combined) Number 12 Capacity (98%)	  	Not applicable
			
	8.3.28	  	Wings (P & S combined) Number 13 Capacity (98%)	  	Not applicable
			
	8.3.29	  	Wings (P & S combined) Number 14 Capacity (98%)	  	Not applicable
			
	8.3.30	  	Wings (P & S combined) Number 15 Capacity (98%)	  	Not applicable
			
	8.4	  	Centre Tank Total Capacity (98%)	  	Not applicable
			
	8.5	  	Slops 1st Tank Capacity (98%)	  	700.3 Cu Meters
			
	8.5.1	  	Slops 2nd Tank Capacity (98%)	  	817.5 Cu Meters
			
	8.6	  	Wings (P & S combined) Total Capacity (98%)	  	51301.4 Cu Meters
			
	8.7	  	Slops 3rd tank Capacity (98%)	  	Not applicable

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	8.7.1	  	Slops 4th tank Capacity (98%)	  	Not applicable
			
	8.8	  	Centre Tank Total Capacity (98%)	  	Not applicable
			
	8.9	  	Wings (P & S combined) Total Capacity (98%)	  	Not applicable
			
	8.10	  	Grand Total Capacity (98%)	  	51301.4 Cu Meters
			
	4	  	ALLAST TANK CAPACITIES	  	
			
	8.11	  	Ballast Capacities At 100% Full (M3)	  	
			
	8.11.1.1	  	Tank Number 1 (Identity)	  	No. 1WB TK Port
			
	8.11.1.2	  	Tank Number 1 (Capacity)	  	2008.5 Cu Meters
			
	8.11.2.1	  	Tank Number 2 (Identity)	  	No. 1 WB TK Stbd
			
	8.11.2.2	  	Tank Number 2 (Capacity)	  	1792.5 Cu Meters
			
	8.11.3.1	  	Tank Number 3 (Identity)	  	No. 2 WB TK Port
			
	8.11.3.2	  	Tank Number 3 (Capacity)	  	1918.9 Cu Meters
			
	8.11.4.1	  	Tank Number 4 (Identity)	  	No. 2 WB TK Stbd
			
	8.11.4.2	  	Tank Number 4 (Capacity)	  	1698.7 Cu Meters
			
	8.11.5.1	  	Tank Number 5 (Identity)	  	No. 3 WB TK Port
			
	8.11.5.2	  	Tank Number 5 (Capacity)	  	1695 Cu Meters
			
	8.11.6.1	  	Tank Number 6 (Identity)	  	No. 3 WB TK Stbd
			
	8.11.6.2	  	Tank Number 6 (Capacity)	  	1474.8 Cu Meters
			
	8.11.7.1	  	Tank Number 7 (Identity)	  	No. 4 WB TK Port
			
	8.11.7.2	  	Tank Number 7 (Capacity)	  	1697.5 Cu Meters
			
	8.11.8.1	  	Tank Number 8 (Identity)	  	No. 4 WB TK Stbd
			
	8.11.8.2	  	Tank Number 8 (Capacity)	  	1477.3 Cu Meters
			
	8.11.9.1	  	Tank Number 9 (Identity)	  	No. 5 WB TK Port
			
	8.11.9.2	  	Tank Number 9 (Capacity)	  	1720 Cu Meters
			
	8.11.10.1	  	Tank Number 10 (Identity)	  	No. 5 WB TK Stbd
			
	8.11.10.2	  	Tank Number 10 (Capacity)	  	1499.8 Cu Meters
			
	8.11.11.1	  	Tank Number 11 (Identity)	  	No. 6 WB Tk Port
			
	8.11.11.2	  	Tank Number 11 (Capacity)	  	2127.9 Cu Meters
			
	8.11.12.1	  	Tank Number 12 (Identity)	  	No. 6 WB TK Stbd
			
	8.11.12.2	  	Tank Number 12 (Capacity)	  	1867.5 Cu Meters
			
	8.11.13.1	  	Tank Number 13 (Identity)	  	F.P. Tank

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	8.11.13.2	  	Tank Number 13 (Capacity)	  	1690.9 Cu Meters
			
	8.11.14	  	Total Ballast Tank Capacities at 100% full	  	23359.2 Cu Meters
			
	5	  	BALLAST HANDLING	  	
			
	8.12	  	Ballast Handling	  	Not applicable
			
	8.12.1	  	If vessel is a Pre-MARPOL tanker, indicate by tank number, tanks usually designated for departure ballast	  	Not applicable
			
	8.121.1	  	Tank Location	  	Not applicable
			
	8.12.2	  	If vessel is a Pre-MARPOL tanker, indicate by tank number, tanks usually designated for arrival ballast.	  	Not applicable
			
	8.12.2.1	  	Tank Location	  	
			
	8.12.3	  	Can vessel handle cargo and non-segregated ballast concurrently maintaining two valve segregation?	  	Not applicable
			
	8.12.4	  	Can dirty ballast be safely loaded with gas transfer method? (simultaneous cargo discharge and loading of ballast into empty tanks)	  	Not applicable
			
	6	  	IF VESSEL IS CBT TANKER WITH MANUAL	  	
			
	8.13	  	If the vessel is a CBT Tanker with Approved Manual:	  	
			
	8.13.1	  	Which cargo tanks are indicated as CBT in the IOPP Certificate?	  	Not applicable
			
	8.13.2	  	What is total capacity of CBT tanks?	  	Not applicable
			
	8.13.3	  	Is the piping for CBT common with cargo piping or independent?	  	Not applicable
			
	7	  	IF VESSEL IS SBT TANKER	  	
			
	8.14	  	If Vessel is SBT Tanker:	  	
			
	8.14.1	  	What is total capacity of SBT?	  	23326 Cu Meters
			
	8.14.2	  	What percentage of summer deadweight can vessel maintain with SBT only?	  	47.78 Percent
			
	8.14.3	  	Does vessel meet the requirements of MARPOL Reg 13 (2)?	  	Yes

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	8.14.4	  	Can segregated ballast be discharged through vessel’s manifold?	  	Yes
			
	8.14.5	  	Is vessel equipped with spool piece designed to connect ballast system to cargo system?	  	Yes
			
	8.14.6	  	Do cargo lines pass through any dedicated or segregated ballast tanks?	  	
			
	8.14.7	  	If Yes, what type of expansion is fitted?	  	
			
	8.14.8	  	Do ballast lines pass through any cargo tanks?	  	
			
	8.14.9	  	If Yes, what type of expansion is fitted?	  	
			
	8.14.10	  	Can vessel pump water ashore for line clearing?	  	
			
	8.14.11	  	If Yes, what is maximum attainable discharge rate?	  	0 Cu Meter/Hour
			
	8.14.12	  	If Yes, what is maximum acceptable back pressure?	  	0 Bar
			
	8.14.13	  	Which cargo tanks are designated for heavy weather ballast as per IMO?	  	All Cargo Tanks
			
	8.14.13.1	  	Tank Location	  	
			
	8	  	CARGO HANDLING	  	
			
	8.15	  	How many grades/products can vessel load/discharge with double valve segregation?	  	6
			
	8.15.1	  	How many grades can vessel load/discharge using blank flanges?	  	6
			
	8.15.2	  	If vessel is fitted with deepwell pumps and heat exchangers, can pumps and heat exchangers be by-passed during loading?	  	Yes
			
	8.15.3	  	Is there Oil Discharge Monitoring Equipment (ODME) fitted?	  	Yes
			
	8.15.4	  	Is an Oil Discharge Monitoring System connected to the above waterline discharge?	  	Yes
			
	8.15.5	  	If yes, is the Oil Discharge Monitoring System designed to automatically stop the discharge of effluent when its oil content exceeds permitted levels?	  	Yes
			
	8.16	  	Is vessel equipped with class approved or certified stability computer?	  	Yes

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	8.16.1	  	Does this stability programme consider damaged stability conditions?	  	Yes
			
	8.17	  	Is computer integrated with cargo system and equipped with alarm to monitor loading and discharging operations?	  	Yes
			
	9	  	CARGO AND BALLAST PUMPING SYSTEMS	  	
			
	8.18.1	  	Main Pump Number 1 (Identity)	  	1P, 1S, 2P,
2S, 3P, 3S,
4P, 4S, 5P,
5S, 6P, 6S
			
	8.18.2	  	Main Pump Number 1 (Number)	  	12
			
	8.18.3	  	Main Pump Number 1 (Type)	  	Framo
			
	8.18.4	  	Main Pump Number 1 (Type of Prime Mover)	  	Framo Hydraulic
			
	8.18.5	  	Main Pump Number 1 (Self Priming or Draining)	  	Self Priming
			
	8.18.6	  	Main Pump Number 1 (Capacity)	  	600 Cu Meter/Hour
			
	8.18.7	  	Main Pump Number 1 (Normal Back Pressure)	  	0 Bar
			
	8.18.8	  	Main Pump Number 1 (At what Head?)	  	0 Meters
			
	8.18.9	  	Main Pump Number 1 (Max RPM)	  	0 RPM
			
	8.19.1	  	Main Pump Number 2 (Identity)	  	
			
	8.19.2	  	Main Pump Number 2 (Number)	  	0
			
	8.19.3	  	Main Pump Number 2 (Type)	  	
			
	8.19.4	  	Main Pump Number 2 (Type of Prime Mover)	  	
			
	8.19.5	  	Main Pump Number 2 (Self Priming or Draining)	  	
			
	8.19.6	  	Main Pump Number 2 (Capacity)	  	0 Cu Meter/Hour
			
	8.197	  	Main Pump Number 2 (Normal Back Pressure)	  	0 Bar
			
	8.19.8	  	Main Pump Number 2 (At what Head?)	  	0 Meters
			
	8.19.9	  	Main Pump Number 2 (Max RPM)	  	0 RPM
			
	8.20.1	  	Main Pump Number 3 (Identity)	  	
			
	8.20.2	  	Main Pump Number 3 (Number)	  	0
			
	8.20.3	  	Main Pump Number 3 (Type)	  	
			
	8.20.4	  	Main Pump Number 3 (Type of Prime Mover)	  	
			
	8.20.5	  	Main Pump Number 3 (Self Priming or Draining)	  	

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	8.20.6	  	Main Pump Number 3 (Capacity)	  	0 Cu Meter/Hour
			
	8.20.7	  	Main Pump Number 3 (Normal Back Pressure)	  	0 Bar
			
	8.20.8	  	Main Pump Number 3 (At what Head?)	  	0 Meters
			
	8.20.9	  	Main Pump Number 3 (Max RPM)	  	0 RPM
			
	8.21.1	  	Main Pump Number 4 (Identity)	  	
			
	8.21.2	  	Main Pump Number 4 (Number)	  	0
			
	8.21.3	  	Main Pump Number 4 (Type)	  	
			
	8.21.4	  	Main Pump Number 4 (Type of Prime Mover)	  	
			
	8.21.5	  	Main Pump Number 4 (Self Priming or Draining)	  	
			
	8.21.6	  	Main Pump Number 4 (Capacity)	  	0 Cu Meter/Hour
			
	8.21.7	  	Main Pump Number 4 (Normal Back Pressure)	  	0 Bar
			
	8.21.8	  	Main Pump Number 4 (At what Head?)	  	0 Meters
			
	8.21.9	  	Main Pump Number 4 (Max RPM)	  	0 RPM
			
	8.22.1	  	Main Pump Number 5 (Identity)	  	
			
	8.22.2	  	Main Pump Number 5 (Number)	  	0
			
	8.22.3	  	Main Pump Number 5 (Type)	  	
			
	8.22.4	  	Main Pump Number 5 (Type of Prime Mover)	  	
			
	8.22.5	  	Main Pump Number 5 (Self Priming or Draining)	  	
			
	8.22.6	  	Main Pump Number 5 (Capacity)	  	0 Cu Meter/Hour
			
	8.22.7	  	Main Pump Number 5 (Normal Back Pressure)	  	0 Bar
			
	8.22.8	  	Main Pump Number 5 (At what Head?)	  	0 Meters
			
	8.22.9	  	Main Pump Number 5 (Max RPM)	  	0 RPM
			
	8.23.1	  	Main Pump Number 6 (Identity)	  	
			
	8.23.2	  	Main Pump Number 6 (Number)	  	0
			
	8.23.3	  	Main Pump Number 6 (Type)	  	
			
	8.23.4	  	Main Pump Number 6 (Type of Prime Mover)	  	
			
	8.23.5	  	Main Pump Number 6 (Self Priming or Draining)	  	
			
	8.23.6	  	Main Pump Number 6 (Capacity)	  	0 Cu Meter/Hour
			
	8.23.7	  	Main Pump Number 6 (Normal Back Pressure)	  	0 Bar
			
	8.23.8	  	Main Pump Number 6 (At what Head?)	  	0 Meters

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
	 8.23.9
	  	Main Pump Number 6 (Max RPM)	  	0 RPM
			
	 8.24.1
	  	Main Pump Number 7 (Identity)	  	
			
	 8.24.2
	  	Main Pump Number 7 (Number)	  	0
			
	 8.24.3
	  	Main Pump Number 7 (Type)	  	
			
	 8.24.4
	  	Main Pump Number 7 (Type of Prime Mover)	  	
			
	 8.24.5
	  	Main Pump Number 7 (Self Priming or Draining)	  	
			
	 8.24.6
	  	Main Pump Number 7 (Capacity)	  	0 Cu Meter/Hour
			
	 8.247
	  	Main Pump Number 7 (Normal Back Pressure)	  	0 Bar
			
	 8.24.8
	  	Main Pump Number 7 (At what Head?)	  	0 Meters
			
	 8.24.9
	  	Main Pump Number 7 (Max RPM)	  	0 RPM
			
	 8.25.1
	  	Main Pump Number 8 (Identity)	  	
			
	 8.25.2
	  	Main Pump Number 8 (Number)	  	0
			
	 8.25.3
	  	Main Pump Number 8 (Type)	  	
			
	 8.25.4
	  	Main Pump Number 8 (Type of Prime Mover)	  	
			
	 8.25.5
	  	Main Pump Number 8 (Self Priming or Draining)	  	
			
	 8.25.6
	  	Main Pump Number 8 (Capacity)	  	0 Cu Meter/Hour
			
	 8.25.7
	  	Main Pump Number 8 (Normal Back Pressure)	  	0 Bar
			
	 8.25.8
	  	Main Pump Number 8 (At what Head?)	  	0 Meters
			
	 8.25.9
	  	Main Pump Number 8 (Max RPM)	  	0 RPM
			
	 8.26.1
	  	Booster Pumps (Number)	  	0
			
	 8.26.2
	  	Booster Pumps (Type)	  	
			
	 8.26.3
	  	Booster Pumps (Type of Prime mover)	  	
			
	 8.26.4
	  	Booster Pumps (Capacity) (water)	  	0 Cu Meter/Hour
			
	 8.26.5
	  	Booster Pumps (Normal Back Pressure)	  	0 Bar
			
	 8.26.6
	  	Booster Pumps (At what Head?)	  	0 Meters
			
	 8.26.7
	  	Booster Pumps (RPM)	  	0 RPM
			
	 8.26.8
	  	Booster Pumps (Max RPM)	  	0 RPM
			
	 8.27.1
	  	Stripping (Number)	  	0
			
	 8.27.2
	  	Stripping (Type)	  	
			
	 8.27.3
	  	Stripping (Type of Prime Mover)	  	
			
	 8.27.4
	  	Stripping (Capacity)	  	0 Cu Meter/Hour

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
	 8.27.5
	  	Stripping (Normal Back Pressure)	  	0 Bar
			
	 8.27.6
	  	Stripping (At what Head?)	  	0 Meters
			
	 8.28.1
	  	Eductors (Number)	  	0
			
	 8.28.2
	  	Eductors (Type)	  	
			
	 8.28.3
	  	Eductors (Type of Prime Mover)	  	
			
	 8.28.4
	  	Eductors(Capacity)	  	0 Cu Meter/Hour
			
	 8.28.5
	  	Eductors(Normal Back Pressure)	  	0 Bar
			
	 8.28.6
	  	Eductors(At what Head?)	  	0 Meters
			
	 8.29.1
	  	Ballast Handling Main Pump (Number)	  	2
			
	 8.29.2
	  	Ballast Handling Main Pump (Type)	  	Framo
			
	 8.29.3
	  	Ballast Handling Main Pump (Type of Prime Mover)	  	Hydraulic
			
	 8.29.4
	  	Ballast Handling Main Pump (Capacity)	  	1000 Cu Meter/Hour
			
	 8.29.5
	  	Ballast Handling Main Pump (Normal Back Pressure)	  	0 Bar
			
	 8.29.6
	  	Ballast Handling Main Pump (At what Head?)	  	45.7 Meters
			
	 8.29.7
	  	Ballast Handling Main Pump (Max RPM)	  	0 RPM
			
	 8.30.1
	  	Ballast Handling Stripping (Number)	  	0
			
	 8.30.2
	  	Ballast Handling Stripping (Type)	  	
			
	 8.30.3
	  	Ballast Handling Stripping (Type of Prime Mover)	  	
			
	 8.30.4
	  	Ballast Handling Stripping (Capacity)	  	0 Cu Meter/Hour
			
	 8.30.5
	  	Ballast Handling Stripping (At what Head?)	  	0 Bar
			
	 8.31.1
	  	Ballast Handling Eductors (Number)	  	0
			
	 8.31.2
	  	Ballast Handling Eductors (Type)	  	
			
	 8.31.3
	  	Ballast Handling Eductors (Type of Prime Mover)	  	
			
	 8.31.4
	  	Ballast Handling Eductors (Capacity)	  	0 Cu Meter/Hour
			
	 8.31.5
	  	Ballast Handling Eductors (At what Head?)	  	0 Bar
			
	 8.32
	  	Is vessel fitted with dedicated stripping lines and pumps?	  	
			
	 8.33
	  	State location of cargo pump emergency stops (i)	  	Aft End Port Manifold
			
	 8.34
	  	State location of cargo pump emergency stops (ii)	  	Aft End Stbd Manifold

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
	 8.35
	  	State location of cargo pump emergency stops (iii)	  	
			
	 8.36
	  	State location of cargo pump emergency stops (iv)	  	
			
	 8.37
	  	State location of cargo pump emergency stops (v)	  	
			
	 8.38.1
	  	Are bearings of cargo pumps fitted with high temperature alarms?	  	Not applicable
			
	 8.38.2
	  	Are bearings of cargo pumps fitted with high temperature trips?	  	Not applicable
			
	 8.39.1
	  	Are bearings of ballast pumps fitted with high temperature alarms?	  	Not applicable
			
	 8.39.2
	  	Are bearings of ballast pumps fitted with high temperature trips?	  	Not applicable
			
	 8.40.1
	  	Are casings of cargo pumps fitted with high temperature alarms?	  	Not applicable
			
	 8.40.2
	  	Are casings of cargo pumps fitted with high temperature trips?	  	Not applicable
			
	 8.41.1
	  	Are casings of ballast pumps fitted with high temperature alarms?	  	Not applicable
			
	 8.41.2
	  	Are casings of ballast pumps fitted with high temperature trips?	  	Not applicable
			
	 8.42.1
	  	Are pumproom shaft glands through bulkheads fitted with high temperature alarms?	  	Not applicable
			
	 8.42.2
	  	Are pumproom shaft glands through bulkheads fitted with high temperature trips?	  	Not applicable
			
	 8.43
	  	What is the principal type of cargo valve?	  	Butterfly
			
	 8.44
	  	What type of cargo valve actuator is fitted?	  	Hydraulic
			
	 10
	  	CARGO CONTROL ROOM	  	
			
	 8.45
	  	Is ship fitted with a Cargo Control Room? (CCR)	  	Yes
			
	 8.46
	  	Can cargo and ballast pumps be controlled from the CCR?	  	Yes
			
	 8.47
	  	Can all valves be controlled from the CCR?	  	No
			
	 8.48
	  	Can tank innage/ullage be read from the CCR?	  	Yes

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
	 8.49
	  	Is ODME readout fitted in the CCR?	  	Yes
			
	 8.50
	  	Can the IGS be controlled from the CCR?	  	Yes
			
	 11
	  	GAUGING AND SAMPLING	  	
			
	 8.51
	  	Can vessel operate under closed loading conditions in accordance with Section 7.6.3 of ISGOTT?	  	Yes
			
	 8.51.1
	  	What type of fixed closed tankgauging system is fitted?	  	Radar /Hermetic
			
	 8.52
	  	Does tank gauging system have local reading?	  	No
			
	 8.52.1
	  	Is gauging system certified and calibrated?	  	Yes
			
	 8.52.2
	  	If it is a portable system does the sounding pipe extend to full tank depth?	  	
			
	 8.53
	  	Are bunker tanks fitted with a full depth gauging system?	  	Yes
			
	 8.54
	  	Are high level alarms fitted?	  	Yes
			
	 8.54.1
	  	If Yes, indicate whether to all tanks or partial?	  	All
			
	 8.54.2
	  	Are high level alarms independent of the gauging system?	  	
			
	 8.55
	  	Are bunker tanks fitted with high level alarms?	  	Yes
			
	 8.56
	  	If Yes, are bunker tank high level alarms part of the primary tank gauging system?	  	
			
	 8.57
	  	Are closed sampling devices on board?	  	Yes
			
	 8.58
	  	Are cargo tanks fitted with dipping points as per IMO Res 497 4.4.4?	  	Yes
			
	 8.59
	  	If portable equipment for gauging uses vapour locks, are vapour locks calibrated?	  	No
			
	 8.59.1
	  	If Yes, by whom are vapour locks calibrated?	  	NASSCO
			
	 8.59.2
	  	If Yes, by whom are vapour locks certified?	  	NASSCO
			
	 8.60
	  	If portable equipment used for gauging who is manufacturer?	  	Hermetic
			
	 8.60.1
	  	If portable equipment used for gauging how many units are supplied?	  	4
			
	 8.60.2
	  	What is the name of the manufacturer of the vapour locks?	  	Hermetic
			
	 8.61
	  	What is the nominal (internal) diameter of the vapour lock?	  	51 Millimeters

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	 8.61.1
	  	To what standard is the thread of the vapour lock manufactured?	  	Bayonnet Fitting
			
	 8.61.2
	  	Can vapour lock be used for ullaging?	  	Yes
			
	 8.61.3
	  	Can vapour lock be used for temperature?	  	Yes
			
	 8.61.4
	  	Can vapour lock be used for interface?	  	Yes
			
	 8.61.5
	  	Can vapour lock be used for cargo sampling?	  	Yes
			
	 8.61.6
	  	If the vapour lock can be used for cargo sampling, what is the volume of the sample that can be drawn?	  	1 Quart
			
	 8.62
	  	Specify portable equipment for checking oil/water interface	  	Hermetic
			
	 8.63
	  	Can cargo samples be taken at the manifold?	  	Yes
			
	 8.64
	  	What is the means of taking cargo temperatures?	  	Radar / Hermetic
			
	 12
	  	VAPOUR EMISSION CONTROL	  	
			
	 8.65
	  	Is a vapour return system fitted?	  	Yes
			
	 8.65.6
	  	If fitted, is vapour line return manifold in compliance with OCIMF Guidelines?	  	Yes
			
	 8.66
	  	Is vessel certified for vapour transfer?	  	Yes
			
	 8.66.1
	  	If yes, by which organisation?	  	ABS
			
	 13
	  	VENTING	  	
			
	 8.67
	  	State what type of venting system is fitted	  	PV Hi Velocity Bullet Valves
			
	 8.68
	  	State maximum venting capacity	  	600 Cu Meter/Hour
			
	 8.69
	  	State P/V valve opening pressure	  	2000 MM/WG
			
	 8.70
	  	State P/V valve vacuum setting	  	-350 MM/WG
			
	 8.71
	  	Does each tank have isolating valve?	  	Yes
			
	 8.72
	  	Are cargo tanks fitted with full flow P/V valves without isolating valves between the P/V valve and tank?	  	Yes
			
	 8.73
	  	Is there a means of measuring the pressure in the vapour space in each cargo tank?	  	Yes
			
	 8.74
	  	Is venting through a mast riser?	  	Not applicable

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
	 8.75
	  	Are mast risers fitted with high velocity vents?	  	Not applicable
			
	 8.76
	  	If Yes, state opening pressure	  	Not applicable
			
	 8.77
	  	State vacuum setting of mast riser	  	Not applicable
			
	 8.78
	  	State throughput capacity of mast riser.	  	Not applicable
			
	 8.79
	  	What is the maximum loading rate for homogenous cargo?	  	3600 Cu Meter/Hour
			
	 14
	  	CARGO MANIFOLDS	  	
			
	 8.80
	  	Does vessel comply with the latest edition of the OCIMF ‘Recommendations for Oil Tanker Manifolds and Associated Equipment’?	  	Yes
			
	 8.81
	  	What type of valves are fitted at manifold?	  	Butterfly Valves
			
	 8.82
	  	If hydraulic valves fitted, what are closing times?	  	Not applicable
			
	 8.83
	  	What is the number of cargo connections per side?	  	6
			
	 8.84
	  	What is the size of cargo connections?	  	350 Millimeters
			
	 8.85
	  	Are pressure gauges fitted outboard of manifold valves?	  	Yes
			
	 8.86
	  	What is the material of the manifold?	  	Steel
			
	 8.87
	  	Is the vessel fitted with a crossover at the manifold?	  	Yes
			
	 8.88
	  	Are manifold cross-connections made by hard or flexible piping? (chemical carriers)	  	Hard Piping
			
	 15
	  	BUNKER MANIFOLDS	  	
			
	 8.89
	  	What is the number of bunker connections per side? 2	  	
			
	 8.90
	  	What is the size of the bunker connection?	  	152.4 Millimeters
			
	 16
	  	MANIFOLD ARRANGEMENT	  	
			
	 8.91
	  	Manifold Arrangement Diagram	  	Not applicable
			
	 8.92
	  	Distance A bunker manifold to cargo manifold	  	4000 Millimeters
			
	 8.93
	  	Distance B cargo manifold to cargo manifold	  	2000 Millimeters
			
	 8.94
	  	Distance C cargo manifold to vapour return manifold	  	6000 Millimeters

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
	 8.95
	  	Distance D manifolds to ship’s rail	  	4600 Millimeters
			
	 8.96
	  	Distance E spill tank grating to centre of manifold	  	880 Millimeters
			
	 8.97
	  	Distance F main deck to centre of manifold	  	1880 Millimeters
			
	 8.98
	  	Distance G maindeck to top of rail	  	1380 Millimeters
			
	 8.99
	  	Distance H top of rail to centre of manifold	  	500 Millimeters
			
	 8.100
	  	Distance J manifold to ship side	  	4900 Millimeters
			
	 8.101
	  	What is the height of the manifold connections above the waterline at loaded (Summer Deadweight) condition?	  	9.1 Meters
			
	 8102
	  	What is the height of the manifold connections above the waterline in normal ballast?	  	13.68 Meters
			
	 8.103
	  	What is the distance between the keel and centre of manifold?	  	20.88 Meters
			
	 8.104
	  	Is vessel fitted with a stern manifold?	  	No
			
	 8.104.1
	  	If stern manifold fitted, state size	  	Not applicable
			
	 8.105
	  	Is vessel fitted with a bow manifold?	  	No
			
	 8.105.1
	  	If bow manifold fitted, state size	  	Not applicable
			
	 8.106.1
	  	Number of Reducers carried	  	6
			
	 8.106.2
	  	From Diameter	  	350 Millimeters
			
	 8.106.3
	  	To Diameter	  	200 Millimeters
			
	 8.107.1
	  	Number of Reducers carried	  	6
			
	 8.107.2
	  	From Diameter	  	350 Millimeters
			
	 8.107.3
	  	To Diameter	  	250 Millimeters
			
	 8.108.1
	  	Number of Reducers carried	  	2
			
	 8.108.2
	  	From Diameter	  	250 Millimeters
			
	 8.108.3
	  	To Diameter	  	200 Millimeters
			
	 8.109.1
	  	Number of Reducers carried	  	12
			
	 8.109.2
	  	From Diameter	  	400 Millimeters
			
	 8.109.3
	  	To Diameter	  	350 Millimeters
			
	 8.110.1
	  	Number of Reducers carried	  	2
			
	 8.110.2
	  	From Diameter	  	400 Millimeters
			
	 8.110.3
	  	To Diameter	  	200 Millimeters

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
	 8.111
	  	To what standard are manifold reducers manufactured? (ANSI, ASA, BSI, DIN, JIS, etc.)	  	ANSI
			
	 17
	  	GAS MONITORING	  	
			
	 8.1.12
	  	Is the vessel fitted with a fixed system to continuously Yes monitor for flammable atmospheres?	  	
			
	 8.112.1
	  	What spaces are monitored?	  	Ballast Tanks
			
	 8.113
	  	Where are sensors/sampling points located in pumproom?	  	Not applicable
			
	 8.113.1
	  	Are sensors/sampling points calibrated/tested?	  	Yes
			
	 8.113.2
	  	Who is responsible for testing sensors/sampling points?	  	Chief officer
			
	 8.114.1
	  	Portable and Personal gas detection equipment carried Item Number 1 (Name)	  	Multi Ray 4 Gas
			
	 8.114.2
	  	Portable and Personal gas detection equipment carried Item Number 1 (Number of units)	  	2
			
	 8.115.1
	  	Portable and Personal gas detection equipment carried Item Number 2 (Name)	  	Riki
			
	 8.115.2
	  	Portable and Personal gas detection equipment carried Item Number 2 (Number of units)	  	4
			
	 8.116.1
	  	Portable and Personal gas detection equipment carried Item Number 3 (Name)	  	
			
	 8.116.2
	  	Portable and Personal gas detection equipment carried Item Number 3 (Number of units)	  	0
			
	 8.117.1
	  	Portable and Personal gas detection equipment carried Item Number 4 (Name)	  	
			
	 8.117.2
	  	Portable and Personal gas detection equipment carried Item Number 4 (Number of units)	  	0
			
	 8.118.1
	  	Portable and Personal gas detection equipment carried Item Number 5 (Name)	  	
			
	 8.118.2
	  	Portable and Personal gas detection equipment carried Item Number 5 (Number of units)	  	0
			
	 8.119.1
	  	Portable and Personal gas detection equipment carried Item Number 6 (Name)	  	
			
	 8.119.2
	  	Portable and Personal gas detection Item Number 6 (Number of units)	  	

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
	 18
	  	CARGO HEATING	  	
			
	 8.120
	  	Are there coils in cargo tanks?	  	Not applicable
			
	 8.121
	  	State the Number of independent sets of coils per tank	  	Not applicable
			
	 8.122
	  	Are all tanks coiled?	  	
			
	 8.123
	  	What is the Height of coils above tank bottom?	  	Not applicable
			
	 8.124.1
	  	Heating surface per tank	  	Not applicable
			
	 8.124.2
	  	Heating surface per tank volume ratio	  	Not applicable
			
	 8.125
	  	Are heating coils welded or coupled?	  	Not applicable
			
	 8.126
	  	Are heat exchangers external to cargo tanks?	  	Yes
			
	 8.127
	  	Are there external ducts?	  	
			
	 8.128
	  	What is the Material of heating coils?	  	SS
			
	 8.129
	  	Inlet heating medium to coils	  	Steam
			
	 8.130.1
	  	With Sea temperature	  	Not applicable
			
	 8.130.2
	  	With air temperature	  	Not applicable
			
	 8.131
	  	Heating agent	  	Steam
			
	 8.132
	  	Number of heaters	  	12
			
	 8.133.1
	  	Able to raise temperature from	  	44 Degrees C
			
	 8.133.2
	  	Able to raise temperature to	  	66 Degrees C
			
	 8.133.3
	  	Time taken to raise temperature	  	24 Hours
			
	 8.134
	  	Total capacity of boilers	  	20000 KCaI

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
	 CHAPTER 9 CHAPTER 9

 
	  	
			
	 1
	  	INERT GAS AND CRUDE OIL WASHING	  	
			
	 9.1
	  	Is an inert gas system (IGS) fitted? (If No, ignore remainder of this section)	  	Yes
			
	 9.2
	  	Is a P/V breaker fitted?	  	Yes
			
	 9.3
	  	Is IGS supplied by flue gas, inert gas (IG) generator and/or nitrogen?	  	Generator
			
	 9.4
	  	Are fixed 02 alarms fitted in inert gas generating spaces?	  	Not applicable
			
	 9.5
	  	What is the capacity of the IGS?	  	4500 Cu Meter/Hour
			
	 9.6
	  	How many fans does it have?	  	2
			
	 9.7
	  	What is the total combined fan capacity?	  	9000 Cu Meter/Hour
			
	 9.8
	  	Is a top-up IG generator fitted?	  	
			
	 9.8.1
	  	If Yes, what is its capacity?	  	0 Cu Meter/Hour
			
	 9.9
	  	Is an IGS operating manual on board?	  	Yes
			
	 9.10
	  	What type of deck seal is fitted?	  	Wet
			
	 9.11
	  	How many segregations does the IGS have?	  	1
			
	 9.12
	  	What method is used to isolate individual tanks?	  	Butterfly Valve
			
	 9.13
	  	What type of non-return valve is fitted?	  	swing check
			
	 9.14
	  	What means of protection is fitted, other than minimum thermal variation P/V valves, if tanks can be individually isolated from the IG ?	  	
			
	 9.15
	  	If ship has double hull or sides, are facilities available to inert ballast tanks and other void spaces?	  	Yes
			
	 9.15.1
	  	Can these tanks/spaces be purged with air?	  	Yes
			
	 9.16
	  	Where is the location of the emergency IGS connection?	  	Ballast Tank Trunks
			
	 9.16.1
	  	What is the size of the emergency IGS connection?	  	152.4 Millimeters
			
	 9.17
	  	Is a Crude Oil Washing (COW) installation fitted? (If No, ignore remainder of this section)	  	Yes

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
	 9.18
	  	Are COW drive units fixed or portable?	  	Fixed
			
	 9.19
	  	Are COW drive units programmable?	  	Yes
			
	 9.20
	  	Is vessel capable of performing COW at the same time as cargo discharge?	  	Yes
			
	 9.21
	  	Is there an approved COW Manual on board?	  	Yes
			
	 9.22
	  	What is the working pressure of the COW lines?	  	10 Bar

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
 CHAPTER 10 CHAPTER 10 

 

					
			
	1	  	  
 MOORING
	  	
			
	10.1	  	Does the vessel comply with the latest edition of OCIMF Mooring Equipment Guidelines?	  	Yes
			
	2                 	  	  
 MOORINGWIRES (ON
DRUMS)
	  	
			
	10.2.1	  	Mooring Wires (On Drums) Forecastle (Number)	  	Not applicable
			
	10.2.2	  	Mooring Wires (On Drums) Forecastle (Diameter)	  	Not applicable
			
	10.2.3	  	Mooring Wires (On Drums) Forecastle (Material)	  	Not applicable
			
	10.2.4	  	Mooring Wires (On Drums) Forecastle (Length)	  	Not applicable
			
	10.2.5	  	Mooring Wires (On Drums) Forecastle (Breaking Strength)	  	Not applicable
			
	10.3.1	  	Mooring Wires (On Drums) Forward Main Deck (Number)	  	Not applicable
			
	10.3.2	  	Mooring Wires (On Drums) Forward Main Deck (Diameter)	  	Not applicable
			
	10.3.3	  	Mooring Wires (On Drums) Forward Main Deck (Material)	  	Not applicable
			
	10.3.4	  	Mooring Wires (On Drums) Forward Main Deck (Length)	  	Not applicable
			
	10.3.5	  	Mooring Wires (On Drums) Forward Main Deck (Breaking Strength)	  	Not applicable
			
	10.4.1	  	Mooring Wires (On Drums) Aft Main Deck (Number)	  	Not applicable
			
	10.4.2	  	Mooring Wires (On Drums) Aft Main Deck (Diameter)	  	Not applicable
			
	10.4.3	  	Mooring Wires (On Drums) Aft Main Deck (Material)	  	Not applicable
			
	10.4.4	  	Mooring Wires (On Drums) Aft Main Deck (Length)	  	Not applicable
			
	10.4.5	  	Mooring Wires (On Drums) Aft Main Deck (Breaking Strength)	  	Not applicable

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	10.5.1	  	Mooring Wires (On Drums) Poop (Number)	  	Not applicable
			
	10.5.2	  	Mooring Wires (On Drums) Poop (Diameter)	  	Not applicable
			
	10.5.3	  	Mooring Wires (On Drums) Poop (Material)	  	Not applicable
			
	10.5.4	  	Mooring Wires (On Drums) Poop (Length)	  	Not applicable
			
	10.5.5	  	Mooring Wires (On Drums) Poop (Breaking Strength)	  	Not applicable
			
	3                 	  	 MOORINGWIRE TAILS
	  	
			
	10.6	  	Type of shackle	  	Not applicable
			
	10.7.1	  	Mooring Wire Tails Forecastle (Number)	  	Not applicable
			
	10.7.2	  	Mooring Wire Tails Forecastle (Diameter)	  	Not applicable
			
	10.7.3	  	Mooring Wire Tails Forecastle (Material)	  	Not applicable
			
	10.7.4	  	Mooring Wire Tails Forecastle (Length)	  	0 Meters
			
	10.7.5	  	Mooring Wire Tails Forecastle (Breaking Strength)	  	Not applicable
			
	10.8.1	  	Mooring Wire Tails Forward Main Deck (Number)	  	Not applicable
			
	10.8.2	  	Mooring Wire Tails Forward Main Deck (Diameter)	  	Not applicable
			
	10.8.3	  	Mooring Wire Tails Forward Main Deck (Material)	  	Not applicable
			
	10.8.4	  	Mooring Wire Tails Forward Main Deck (Length)	  	Not applicable
			
	10.8.5	  	Mooring Wire Tails Forward Main Deck (Breaking Strength)	  	Not applicable
			
	10.9.1	  	Mooring Wire Tails Aft Main Deck (Number)	  	Not applicable
			
	10.9.2	  	Mooring Wire Tails Aft Main Deck (Diameter)	  	Not applicable
			
	10.9.3	  	Mooring Wire Tails Aft Main Deck (Material)	  	Not applicable
			
	10.9.4	  	Mooring Wire Tails Aft Main Deck (Length)	  	Not applicable
			
	10.9.5	  	Mooring Wire Tails Aft Main Deck (Breaking Strength)	  	Not applicable
			
	10.10.1	  	Mooring Wire Tails Poop (Number)	  	Not applicable
			
	10.10.2	  	Mooring Wire Tails Poop (Diameter)	  	Not applicable
			
	10.10.3	  	Mooring Wire Tails Poop (Material)	  	Not applicable

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	10.10.4	  	Mooring Wire Tails Poop (Length)	  	Not applicable
			
	10.10.5	  	Mooring Wire Tails Poop (Breaking Strength)	  	Not applicable
			
	4	  	  
 MOORING ROPES (ON DRUMS)
	  	
			
	10.11.1	  	Mooring Ropes (On Drums) Forecastle (Number)	  	4
			
	10.11.2	  	Mooring Ropes (On Drums) Forecastle (Diameter)	  	28 Millimeters
			
	10.11.3	  	Mooring Ropes (On Drums) Forecastle (Material)	  	AmSteel Blue
			
	10.11.4	  	Mooring Ropes (On Drums) Forecastle (Length)	  	250 Meters
			
	10.11.5	  	Mooring Ropes (On Drums) Forecastle (Breaking Strength)	  	61.2 Tonnes
			
	10.12.2	  	Mooring Ropes (On Drums) Forward Main Deck (Diameter)	  	28 Millimeters
			
	10.12.3	  	Mooring Ropes (On Drums) (Material) Forward Main Deck	  	AmSteel Blue
			
	10.12.4	  	Mooring Ropes (On Drums) Forward Main Deck (Length)	  	250 Meters
			
	10.12.5	  	Mooring Ropes (On Drums) Forward Main Deck (Breaking Strength)	  	61.2 Tonnes
			
	10.13.1	  	Mooring Ropes (On Drums) Aft Main Deck (Number)	  	2
			
	10.13.2	  	Mooring Ropes (On Drums) Aft Main Deck (Diameter)	  	28 Millimeters
			
	10.13.3	  	Mooring Ropes (On Drums) Aft Main Deck (Material)	  	AmSteel Blue
			
	10.13.4	  	Mooring Ropes (On Drums) Aft Main Deck (Length)	  	250 Meters
			
	10.13.5	  	Mooring Ropes (On Drums) Aft Main Deck (Breaking Strength)	  	61.2 Tonnes
			
	10.14.1	  	Mooring Ropes (On Drums) Poop (Number)	  	5
			
	10.14.2	  	Mooring Ropes (On Drums) Poop (Diameter)	  	28 Millimeters
			
	10.14.3	  	Mooring Ropes (On Drums) Poop (Material)	  	AmSteel Blue
			
	10.14.4	  	Mooring Ropes (On Drums) Poop (Length)	  	250 Meters

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	10.14.5	  	Mooring Ropes (On Drums) Poop (Breaking Strength)	  	61.2 Tonnes
			
	5	  	OTHER MOORING LINES	  	
			
	10.15.1	  	Other Mooring Lines Forecastle (Number)	  	Not applicable
			
	10.15.2	  	Other Mooring Lines Forecastle (Diameter)	  	28 Millimeters
			
	10.15.3	  	Other Mooring Lines Forecastle (Material)	  	AM steel blue
			
	10.15.4	  	Other Mooring Lines Forecastle (Length)	  	250 Meters
			
	10.15.5	  	Other Mooring Lines Forecastle (Breaking Strength)	  	61.5 Tonnes
			
	10.16.1	  	Other Mooring Lines Forward Main Deck (Number)	  	Not applicable
			
	10.16.2	  	Other Mooring Lines Forward Main Deck (Diameter)	  	Not applicable
			
	10.16.3	  	Other Mooring Lines Forward Main Deck (Material)	  	Not applicable
			
	10.16.4	  	Other Mooring Lines Forward Main Deck (Length)	  	Not applicable
			
	10.16.5	  	Other Mooring Lines Forward Main Deck (Breaking Strength)	  	Not applicable
			
	10.17.1	  	Other Mooring Lines Aft Main Deck (Number)	  	Not applicable
			
	10.17.2	  	Other Mooring Lines Aft Main Deck (Diameter)	  	Not applicable
			
	10.17.3	  	Other Mooring Lines Aft Main Deck (Material)	  	Not applicable
			
	10.17.4	  	Other Mooring Lines Aft Main Deck (Length)	  	Not applicable
			
	10.17.5	  	Other Mooring Lines Aft Main Deck (Breaking Strength)	  	Not applicable
			
	10.18.1	  	Other Mooring Lines Poop (Number)	  	Not applicable
			
	10.18.2	  	Other Mooring Lines Poop (Diameter)	  	Not applicable
			
	10.18.3	  	Other Mooring Lines Poop (Material)	  	Not applicable
			
	10.18.4	  	Other Mooring Lines Poop (Length)	  	Not applicable
			
	10.18.5	  	Other Mooring Lines Poop (Breaking Strength)	  	Not applicable

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	6                 	  	SPARE MOORING WIRES	  	
			
	10.19.1	  	Spare Mooring Wires (Identity 1)	  	Not applicable
			
	10.19.2	  	Number (Identity 1)	  	Not applicable
			
	10.19.3	  	Diameter (Identity 1)	  	Not applicable
			
	10.19.4	  	Material (Identity 1)	  	Not applicable
			
	10.19.5	  	Length (Identity 1)	  	Not applicable
			
	10.19.6	  	Breaking Strength (Identity 1)	  	Not applicable
			
	10.19.1.1	  	Spare Mooring Wires (Identity 2)	  	Not applicable
			
	10.19.1.2	  	Number (Identity 2)	  	Not applicable
			
	10.19.1.3	  	Diameter (Identity 2)	  	Not applicable
			
	10.19.1.4	  	Material (Identity 2)	  	Not applicable
			
	10.19.1.5	  	Length (Identity 2)	  	Not applicable
			
	10.19.1.6	  	Breaking Strength (Identity 2)	  	Not applicable
			
	7	  	SPARE MOORING ROPES	  	
			
	10.20.1	  	Spare Mooring Ropes (Identity 1)	  	Bow
			
	10.20.2	  	Number (Identity 1)	  	1
			
	10.20.3	  	Diameter (Identity 1)	  	28 Millimeters
			
	10.20.4	  	Material (Identity 1)	  	AmSteel Blue
			
	10.20.5	  	Length (Identity 1)	  	250 Meters
			
	10.20.6	  	Breaking Strength (Identity 1)	  	61.2 Tonnes
			
	10.20.1.1	  	Spare Mooring Ropes (Identity 2)	  	Bow
			
	10.20.1.2	  	Number (Identity 2)	  	1
			
	10.20.1.3	  	Diameter (Identity 2)	  	28 Millimeters
			
	10.20.1.4	  	Material (Identity 2)	  	AmSteel Blue
			
	10.20.1.5	  	Length (Identity 2)	  	250 Meters
			
	10.20.1.6	  	Breaking Strength (Identity 2)	  	61.2 Tonnes
			
	8                 	  	SPARE MOORING TAILS	  	
			
	10.21.1	  	Spare Mooring Tails (Identity 1)	  	Not applicable
			
	10.21.2	  	Number (Identity 1)	  	Not applicable
			
	10.21.3	  	Diameter (Identity 1)	  	Not applicable

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 

					
			
	10.21.4	  	Material (Identity 1)	  	Not applicable
			
	10.21.5	  	Length (Identity 1)	  	Not applicable
			
	10.21.6	  	Breaking Strength (Identity 1)	  	Not applicable
			
	10.21.1.1	  	Spare Mooring Tails (Identity 2)	  	Not applicable
			
	10.21.1.2	  	Number (Identity 2)	  	Not applicable
			
	10.21.1.3	  	Diameter (Identity 2)	  	Not applicable
			
	10.21.1.4	  	Material (Identity 2)	  	Not applicable
			
	10.21.1.5	  	Length (Identity 2)	  	Not applicable
			
	10.21.1.	  	Breaking Strength (Identity 2)	  	
			
	9                 	  	MOORING WINCHES	  	
			
	10.22.1	  	Forecastle (Number)	  	
			
	10.22.2	  	Forecastle (Single Drum or Double Drums)	  	
			
	10.22.3	  	Forecastle (Split Drums Y/N)	  	Yes
			
	10.22.4	  	Forecastle (Motive Power)	  	Hydraulic
			
	10.22.5	  	Forecastle (Heaving Power)	  	16.86 Tonnes
			
	10.22.6	  	Forecastle (Brake Capacity)	  	49.23 Tonnes
			
	10.22.7	  	Forecastle (Hauling Speed)	  	15 Meters/Minute
			
	10.23.1	  	Forward Main Deck (Number)	  	2
			
	10.23.2	  	Forward Main Deck (Single Drum or Double Drums)	  	Double
			
	10.23.3	  	Forward Main Deck (Split Drums Y/N)	  	Yes
			
	10.23.4	  	Forward Main Deck (Motive Power)	  	Hydraulic
			
	10.23.5	  	Forward Main Deck (Heaving Power)	  	16.86 Tonnes
			
	10.23.6	  	Forward Main Deck (Brake Capacity)	  	49.23 Tonnes
			
	10.23.7	  	Forward Main Deck (Hauling Speed)	  	15 Meters/Minute
			
	10.24.1	  	Aft Main Deck (Number)	  	2
			
	10.24.2	  	Aft Main Deck (Single Drum or Double Drums)	  	Double
			
	10.24.3	  	Aft Main Deck (Split Drums Y/N)	  	Yes
			
	10.24.4	  	Aft Main Deck (Motive Power)	  	Hydraulic
			
	10.24.5	  	Aft Main Deck (Heaving Power)	  	16.86 Tonnes
			
	10.24.6	  	Aft Main Deck (Brake Capacity)	  	49.23 Tonnes

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	10.24.7	  	Aft Main Deck (Hauling Speed)	  	15 Meters/Minute
			
	10.25.1	  	Poop (Number)	  	5
			
	10.25.2	  	Poop (Single Drum or Double Drums)	  	Double
			
	10.25.3	  	Poop (Split Drums Y/N)	  	Yes
			
	10.25.4	  	Poop (Motive Power)	  	Hydraulic
			
	10.25.5	  	Poop (Heaving Power)	  	16.86 Tonnes
			
	10.25.6	  	Poop (Brake Capacity)	  	49.23 Tonnes
			
	10.25.7	  	Poop (Hauling Speed)	  	15 Meters/Minute
			
	10.26	  	What type of winch brakes are fitted?	  	Friction Brake
			
	10.27	  	Is brake testing equipment on board?	  	Yes
			
	10.28	  	When were the brakes last tested?	  	9 January 2009
			
	10              	  	MOORING BITTS	  	
			
	10.29	  	How many sets of mooring bitts are fitted on forecastle?	  	6
			
	10.30	  	How many sets of mooring bitts are fitted on forward main deck?	  	5
			
	10.31	  	How many sets of mooring bitts are fitted on aft main deck?	  	3
			
	10.32	  	How many sets of mooring bitts are fitted on poop deck?	  	12
			
	10.33	  	Distance of mooring chock for breast/spring lines forward of center of manifold	  	35 Meters
			
	10.34	  	Distance of mooring chock for breast/spring lines aft of center of manifold	  	35 Meters
	
	 11              ANCHORS AND
WINDLASS

			
	10.35	  	What is the motive power of the windlass?	  	Hydraulic
			
	10.36	  	What is the cable diameter?	  	66.675 Millimeters
			
	10.37	  	Number of shackles - port cable?	  	11
			
	10.38	  	Number of shackles - starboard cable?	  	11
			
	10.39	  	Are bitter end connections to both cables capable of being slipped?	  	Yes

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	12              	  	 EMERGENCY TOWING ARRANGEMENTS
	  	
			
	10.40	  	Is the vessel fitted with an Emergency Towing Arrangement? If no, ignore remainder of this section.	  	Yes
			
	10.41.1	  	 Type of system (Forward)
	  	 Chain

			
	10.41.2	  	 Type of system (Aft)
	  	 Cable

			
	10.42.1	  	 Safe Working Load (SWL) of system (Forward)
	  	 100 Tonnes

			
	10.42.2	  	 Safe Working Load (SWL) of system (Aft)
	  	 100 Tonnes

			
	10.43.1	  	 Is pick-up gear provided? (Forward)
	  	 Not applicable

			
	10.43.2	  	 Is pick-up gear provided? (Aft)
	  	 Yes

			
	10.44.1	  	 Towing pennant length (Forward)
	  	 Not applicable

			
	10.44.2	  	 Towing pennant length (Aft)
	  	 86 Meters

			
	10.45.1	  	 Towing pennant diameter (Forward)
	  	 Not applicable

			
	10.45.2	  	 Towing pennant diameter (Aft)
	  	 57 Millimeters

			
	10.46.1	  	 Type of strong point (Smit bracket etc) (Forward)
	  	 chain stopper for 76 chain swl 200t

			
	10.46.2	  	 Type of strong point (Smit bracket etc) (Aft)
	  	 600A #80 SWL 200t

			
	10.47.1	  	 Chafing chain size (Forward)
	  	 76 Millimeters

			
	10.47.2	  	 Chafing chain size (Aft)
	  	 Not applicable

			
	10.48.1	  	 Fairlead size (in format ABCmm x XYZmm) (Forward)
	  	 600 x450

			
	10.48.2	  	 Fairlead size (in format ABCmm x XYZmm) (Aft)
	  	 600x450

			
	10.49.1	  	 Is pedestal roller fitted? (Forward)
	  	 Yes

			
	10.49.2	  	 Is pedestal roller fitted? (Aft)
	  	
			
	10.50.1	  	 Is vessel provided with towing wire? (Forward)
	  	 No

			
	10.50.2	  	 Is vessel provided with towing wire? (Aft)
	  	
			
	10.50.1.1	  	 If Yes, what is the diameter of towing wire? (Forward)
	  	 Millimeters

			
	10.50.1.2	  	 If Yes, what is the diameter of towing wire? (Aft)
	  	 0 Millimeters

			
	10.50.2.1	  	 If Yes, what is the length of towing wire? (Forward)
	  	 0 Meters

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	10.50.2.2	  	If Yes, what is the length of towing wire? (Aft)	  	0 Meters
			
	10.52	  	What is the number of bitts in the bow area?	  	2
			
	10.53	  	What is the height of the bitts in the bow area?	  	732 Millimeters
			
	10.54	  	What is the safe working load of the bitts in the bow area?	  	55.7 Tonnes
			
	10.55	  	What is the distance between bow fairleads and nearest bitts?	  	1600 Millimeters
			
	10.58	  	SWL of bollard on poopdeck suitable for escort tug	  	55 Tonnes
			
	10.59	  	Are stern chock and bollard capable of towing astern to 90 degrees?	  	Yes
			
	14              	  	SINGLE POINT MOORING (SPM) EQUIPMENT	  	
			
	10.60	  	Does vessel comply with the latest edition of OCIMF ‘Recommendations for Equipment Employed in the Mooring of Vessels at Single Point Moorings (SPM)’?	  	Yes
			
	10.61	  	Is vessel fitted with chain stopper(s)?	  	Yes
			
	10.61.1	  	If Yes, how many?	  	1
			
	10.61.2	  	If Yes, state type	  	Smitt
			
	10.61.3	  	If Yes, what is the Safe Working Load (SWL)?	  	200 Tonnes
			
	10.62	  	What is the maximum size chain diameter the bow stopper(s) can handle?	  	76 Millimeters
			
	10.63	  	Are closed fairleads of OCIMF recommended size (600mm x 450mm)?	  	Yes
			
	10.63.1	  	If not, give details of size (in format ABCmm x XYZmm)	  	Not applicable
			
	10.64	  	If two forward bow fairleads are fitted give distance between them	  	Not applicable
			
	10.65	  	What is the distance between the bow fairlead and stopper/bracket?	  	3063 Millimeters
			
	10.66	  	What is the distance from the stopper bracket to roller lead/winch drum?	  	Meters
			
	10.67	  	Is there a direct lead from the bow stopper to the winch drum (not the warping end)?	  	
			
	10.68	  	Is the winch storage drum capable of safely accommodating 150m X 80mm fibre pick up rope?	  	Yes

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	10.69	  	Is the winch storage drum capable of safely accommodating 200m X 80mm fibre pick up rope?	  	
		
	15	  	BOW MOORING ARRANGEMENT DIAGRAM
			
	10.70	  	Bow Mooring Arrangement Diagram	  	
			
	16              	  	MANIFOLD ARRANGEMENT	  	
			
	10.71	  	Manifold Arrangement Diagram	  	
			
	10.72	  	Distance K end of drip tray to center line of deck cleat	  	0 Millimeters
			
	10.73	  	Distance L spill tray to centre line of bollard	  	0 Millimeters
			
	10.74	  	Distance M length of bollard	  	0 Millimeters
			
	17              	  	 LIFTINGEQUIPMENT
	  	
			
	10.75	  	How many derricks does the vessel have?	  	Not applicable
			
	10.75.1	  	What is their safe working load (SWL)?	  	Not applicable
			
	10.75.2	  	Date last tested	  	Not applicable
			
	10.76	  	If cranes are fitted, how many?	  	1
			
	10.76.1	  	What is their safe working load (SWL)?	  	10 Tonnes
			
	10.76.2	  	Date last tested	  	9 January 2009
			
	10.77	  	Is Safe Working Load (SWL) clearly marked on all lifting equipment?	  	Yes
			
	10.78	  	Do the vessel’s derricks or cranes reach at least 1 metre outboard of rail?	  	Yes
			
	10.79	  	How many bitts are there on each side of the manifold for tying off submarine hoses?	  	7
			
	18              	  	OTHER EQUIPMENT	  	
			
	10.80	  	Are accommodation ladders arranged to face aft when rigged?	  	Yes
			
	10.81	  	Does vessel have Suez Canal boat davits?	  	
			
	10.82	  	Does vessel have Suez Canal projector?	  	

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  
 CHAPTER
11 CHAPTER 11 
  

					
			
	1                 	  	COMMUNICATIONS AND ELECTRONICS	  	
			
	11.1	  	Is vessel certified for GMDSS?	  	Yes
			
	11.2	  	What GMDSS areas is the vessel classed for? Al A2 A3 A4	  	A3
			
	11.3	  	Transponder (SART)	  	Yes
			
	11.4	  	EPIRB	  	Yes
			
	11.5	  	How many VHF radios are fitted on the bridge?	  	2
			
	11.6	  	Is vessel fitted with VHF in the cargo control room (CCR)?	  	No
			
	11.7	  	Is the CCR connected to the vessel’s internal communication system?	  	Yes
			
	11.8	  	How many intrinsically safe walkie talkies are provided for cargo handling?	  	18
			
	11.9	  	Is vessel fitted with an INMARSAT satellite communications system?	  	Yes
			
	11.10	  	Does vessel carry at least three survival craft two-way radio telephones?	  	Yes
			
	11.11	  	List any other communications equipment carried:	  	
			
	11.12	  	Can vessel transmit the helicopter homing signal on 410 KHz?	  	

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
	
	 CHAPTER 12 CHAPTER 12

 

	1	  	MAIN PROPULSION	  	
			
	12.1	  	Means of main propulsion	  	Motor
			
	12.1.1	  	If motor state whether two stroke or four stroke	  	2 Stroke
			
	12.1.2	  	If four stroke, state how many engines fitted	  	0
			
	12.2	  	Does vessel have single or twin propellers?	  	Single
			
	12.3	  	Is vessel fitted with fixed or controllable pitch propeller(s)?	  	Fixed
			
	12.4	  	How many boilers are fitted?	  	Not applicable
			
	12.4.1	  	What is rated output of boilers?	  	Not applicable
			
	12.5	  	What type of fuel is used for main propulsion?	  	HFO 380 cst
			
	12.6	  	Are pressurised fuel pipes double sheathed?	  	Yes
			
	127	  	When moored at SBM, is main engine capable of being run astern at low revolutions for extended periods (up to 24 hours continuously)?	  	Yes
			
	12.8	  	Is vessel capable of maintaining speed below 5 Knots?	  	Yes
			
	12.9	  	Is vessel fitted for Unmanned Machinery Space (UMS) operation?	  	Yes
			
	12.9.1	  	Is vessel operated in UMS mode?	  	
			
	2	  	THRUSTERS	  	
			
	12.10	  	Is vessel fitted with a bow thruster?	  	Not applicable
			
	12.10.1	  	If Yes, give Brake Horse Power	  	Not applicable
			
	12.11	  	Is vessel fitted with a stern thruster?	  	
			
	12.11.1	  	If Yes, give Brake Horse Power	  	Not applicable
			
	12.12	  	Is vessel fitted with high angle rudder?	  	
			
	12.12.1	  	If yes, what type	  	Not applicable
			
	3	  	GENERATORS	  	
			
	12.13	  	How many power generators are fitted?	  	3

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	12.13.1	  	Indicate type of power generator(s)	  	MAN 6L23/30H 960KW
			
	12.14	  	What type of fuel is used in the generating plant?	  	MGO Marine Gas Oil
			
	12.15	  	Is vessel fitted with emergency generator or batteries?	  	Emergency generator
		
	4	  	MAIN ENGINE AIR START COMPRESSORS
			
	12.16	  	Number of main engine start compressors	  	20
			
	12.17	  	Operating pressure	  	30 Bar
			
	12.18	  	Motive power of emergency compressor	  	136 Cu Meter/Hour
			
	5	  	BUNKERS	  	
			
	12.19.1	  	Fuel Oil (Tank Name)	  	HFO Bunker TK Port
			
	12.19.2	  	Fuel Oil (Capacity)	  	334 Cu Meters
			
	12.19.3	  	Diesel Oil (Tank Name)	  	Light Diesel TK Stbd
			
	12.19.4	  	Diesel Oil (Capacity)	  	30 Cu Meters
			
	12.19.5	  	Gas Oil (Tank Name)	  	MGO STOR TK Port
			
	12.19.6	  	Gas Oil (Capacity)	  	45 Cu Meters
			
	12.20.1	  	Fuel Oil (Tank Name)	  	HFO Bunker TK Stbd
			
	12.20.2	  	Fuel Oil (Capacity)	  	492 Cu Meters
			
	12.20.3	  	Diesel Oil (Tank Name)	  	Light Diesel Settler TK
			
	12.20.4	  	Diesel Oil (Capacity)	  	6.4 Cu Meters
			
	12.20.5	  	Gas Oil (Tank Name)	  	MGO STOR TK Stbd
			
	12.20.6	  	Gas Oil (Capacity)	  	113.68 Cu Meters
			
	12.21.1	  	Fuel Oil (Tank Name)	  	HFO SERV TK Port
			
	12.21.2	  	Fuel Oil (Capacity)	  	39.4 Cu Meters
			
	12.21.3	  	Diesel Oil (Tank Name)	  	Light Diesel Serv. TK
			
	12.21.4	  	Diesel Oil (Capacity)	  	7 Cu Meters
			
	12.21.5	  	Gas Oil (Tank Name)	  	NO. 2 MGO SERV TK
			
	12.21.6	  	Gas Oil (Capacity)	  	23.5 Cu Meters
			
	12.22.1	  	Fuel Oil (Tank Name)	  	HFO SETT TK Port
			
	12.22.2	  	Fuel Oil (Capacity)	  	39.4 Cu Meters
			
	12.22.3	  	Diesel Oil (Tank Name)	  	

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	12.22.4	  	Diesel Oil (Capacity)	  	0 Cu Meters
			
	12.22.5	  	Gas Oil (Tank Name)	  	NO. 1 MGO SERV. TK Port
			
	12.22.6	  	Gas Oil (Capacity)	  	20.8 Cu Meters
			
	12.23.1	  	Fuel Oil (Tank Name)	  	L.S.H.FO. Bunker TK Center
			
	12.23.2	  	Fuel Oil (Capacity)	  	191.2 Cu Meters
			
	12.23.3	  	Diesel Oil (Tank Name)	  	
			
	12.23.4	  	Diesel Oil (Capacity)	  	0 Cu Meters
			
	12.23.5	  	Gas Oil (Tank Name)	  	
			
	12.23.6	  	Gas Oil (Capacity)	  	0 Cu Meters
			
	12.24.1	  	Fuel Oil (Tank Name)	  	L.S.H.F.O SETT TK Port
			
	12.24.2	  	Fuel Oil (Capacity)	  	50.1 Cu Meters
			
	12.24.3	  	Diesel Oil (Tank Name)	  	
			
	12.24.4	  	Diesel Oil (Capacity)	  	0 Cu Meters
			
	12.24.5	  	Gas Oil (Tank Name)	  	
			
	12.24.6	  	Gas Oil (Capacity)	  	0 Cu Meters
			
	12.25.1	  	Fuel Oil (Tank Name)	  	L.S.H.F.O Serv. TK Port
			
	12.25.2	  	Fuel Oil (Capacity)	  	46.1 Cu Meters
			
	12.25.3	  	Diesel Oil (Tank Name)	  	
			
	12.25.4	  	Diesel Oil (Capacity)	  	0 Cu Meters
			
	12.25.5	  	Gas Oil (Tank Name)	  	
			
	12.25.6	  	Gas Oil (Capacity)	  	0 Cu Meters
			
	6	  	STEERING GEAR	  	
			
	12.26	  	What type of steering gear fitted?	  	Yoowon Hydraulic
			
	12.27	  	How many motorized hydraulic pumps or motors fitted?	  	2
			
	12.28	  	How many telemotors fitted?	  	Not applicable
			
	12.29	  	Is an emergency rudder arrest/rudder control fitted?	  	Yes
			
	7	  	ANTI-POLLUTION	  	
			
	12.30	  	Is an engine-room bilge high level alarm fitted?	  	Yes

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	12.31	  	Is a pump room bilge high level alarm fitted?	  	No
			
	12.32	  	Is there a permanently installed system for the disposal of residues from the machinery space sludge tank to shore?	  	Yes
			
	12.33	  	Are there facilities on board to incinerate machinery space sludge?	  	Yes

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
	
	 CHAPTER 13 CHAPTER 13

 

	1	  	SHIP TO SHIP TRANSFER	  	
			
	13.1	  	Does vessel comply with recommendations contained in OCIMF/ICS Ship To Ship Transfer Guide (Petroleum)?	  	Yes
			
	13.2	  	Are at least 7 ratings available to assist with mooring operations?	  	Yes
			
	13.3	  	What is Safe Working Load (SWL) of bitts in the manifold area?	  	25 Tonnes
			
	13.4	  	Are manifold bitts at least 35 metres away from the breastlines leading fore and aft?	  	Yes
			
	13.5	  	What is maximum outreach of vessel’s cranes or derricks outboard of the ship’s side?	  	5.9 Meters
			
	13.6	  	Are four (4) 200m x 40mm messenger lines available for Ship-To-Ship (STS) mooring operations?	  	
			
	13.7	  	Are there two (2) closed chocks with associated bollards and leads to winches located within 35 metres forward and aft of the centre of the cargo manifold?	  	Yes

					
		
	 CHAPTER 14 CHAPTER 14

 
	  	
			
	1	  	CHEMICAL CARRIER INFORMATION	  	
			
	14.1	  	In the case of a Chemical Carrier carrying oil, does the vessel comply fully with the requirements of MARPOL as per Section 8 of the IOPP Supplement (Form B)?	  	Yes
			
	14.2	  	Is vessel equipped with an emergency portable cargo pump?	  	Yes
			
	14.3	  	Are independent high level alarms fitted?	  	Yes
			
	14.4	  	Is a tank overflow control system fitted?	  	
			
	14.4.1	  	Are these also fitted to deck tanks?	  	
			
	14.5	  	Are there cargo tank filling restrictions?	  	
			
	14.5.1	  	If yes	  	
			
	14.5.2	  	Filling restrictions are	  	
			
	14.6	  	Is the ship fitted with a fixed remote reading temperature system?	  	Yes
			
	14.7	  	Is the ship fitted with a fixed remote pressure gauging equipment?	  	Yes
			
	14.8	  	Specify other cargo measurement equipment available	  	Hermetic
			
	14.9	  	Is an Efficient Stripping System fitted?	  	Yes
			
	14.9.1	  	Are independent stripping lines fitted?	  	
			
	14.9.2	  	What is the material of stripping lines?	  	
			
	14.9.3	  	What is the diameter of the stripping lines?	  	0 Millimeters
			
	2	  	IGS	  	
			
	14.10.1	  	(IGS) Composition of gas supplied by	  	Oil Fired Generator
			
	14.10.2	  	Nitrogen%	  	82.9 Percent
			
	14.10.3	  	Carbon Dioxide %	  	14 Percent
			
	14.10.4	  	Oxygen %	  	3 Percent
			
	14.10.5	  	Sulphur Dioxide %	  	.005 Percent
			
	14.10.6	  	Carbon Monoxide %	  	.01 Percent
			
	14.10.7	  	Oxides of Nitrogen %	  	.015 Percent
			
	14.10.8	  	Dew Point degrees Celsius	  	Degrees C
			
	14.11.1	  	(IGS) Composition of gas supplied by	  	Oil Fired Generator

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	14.11.2	  	Nitrogen%	  	0 Percent
			
	14.11.3	  	Carbon Dioxide %	  	0 Percent
			
	14.11.4	  	Oxygen %	  	0 Percent
			
	14.11.5	  	Sulphur Dioxide %	  	0 Percent
			
	14.11.6	  	Carbon Monoxide %	  	0 Percent
			
	14.11.7	  	Oxides of Nitrogen %	  	0 Percent
			
	14.11.8	  	Dew Point degrees Celsius	  	0 Degrees C
			
	14.12	  	Is Cargo Tank Drier fitted?	  	
			
	14.12.1	  	If yes, manufacturer name	  	
			
	14.12.2	  	Capacity	  	0 Cu Meter/Hour
			
	14.13	  	Is bottled Nitrogen available for deck use?	  	
			
	14.14	  	Is steam available on deck?	  	Yes
			
	3	  	TANK CONDITIONING	  	
			
	14.15	  	Is there a fixed ventilation system?	  	Not applicable
			
	14.15.1	  	What is the Total capacity?	  	0 Cu Meter/Hour
			
	14.16	  	Is the fixed ventilation system fitted with a dehumidifier ?	  	
			
	14.16.1	  	What is the Total capacity?	  	0 Cu Meter/Hour
			
	14.17	  	Is there independent piping?	  	
			
	14.17.1	  	Through cargo lines	  	
			
	14.17.2	  	Portable fans	  	Yes
			
	14.17.3	  	Number:	  	2
			
	14.17.4	  	Type:	  	Pneumatic
			
	14.17.5	  	Capacity (one)	  	6850 Cu Meter/Hour
			
	14.18	  	Are there gas freeing stand pipes?	  	No
			
	14.18.1	  	Portable:	  	
			
	14.18.2	  	Fixed	  	
			
	4	  	SAFETY	  	
			
	14.19	  	Is there Protective equipment for the protection of crew members available as per IBC 14.1.1/ BCH 3.16.1.?	  	Yes
			
	14.20	  	When required by the Chemical Code, is respiratory and eye protection for every person on board available for emergency escape purposes?	  	Yes

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	14.21	  	When required by the Chemical Code, is there on board at least three sets of personnel protection safety equipment (IBC 14.2.1 / BCH 3.16)?	  	Yes
			
	14.22	  	Is an Oxygen resuscitator available on board?	  	Yes
			
	14.23	  	Are there at least two decontamination showers available on deck?	  	Yes
			
	5	  	CARGO AND OTHER MANNIFOLDS	  	
			
	14.24	  	Total number of manifold connections per side	  	
			
	14.24.1.1	  	Number (Port)	  	6
			
	14.24.1.2	  	Size (Port)	  	355 Millimeters
			
	13.24.2.1	  	Number (Starboard)	  	6
			
	13.24.2.2	  	Size (Starboard)	  	355 Millimeters
			
	14.25	  	Designed Max. loading rate	  	3600 Cu Meter/Hour
			
	14.26	  	Height of cargo vapour connections above keel	  	21.25 Meters
			
	14.27	  	Located on both sides?	  	Yes
			
	14.28	  	Is there an additional connection to cargo system on deck?	  	
			
	14.28.1	  	If yes, position (distance from bow)	  	0 Meters
			
	6	  	CARGO AND OTHER MANIFOLD DIAGRAM	  	
			
	14.29	  	Cargo and Other Manifold Diagram	  	
			
	14.30	  	Dimension A	  	0 Millimeters
			
	14.31	  	Dimension B	  	0 Millimeters
			
	14.32	  	Dimension C	  	0 Millimeters
			
	14.33	  	Dimension D	  	0 Millimeters
			
	14.34	  	Dimension E	  	0 Millimeters
			
	14.35	  	Dimension a	  	0 Millimeters
			
	14.36	  	Dimension b	  	0 Millimeters
			
	14.37	  	Dimension x	  	0 Millimeters
			
	14.38	  	Dimension y	  	0 Millimeters
			
	14.39	  	Dimension z	  	0 Millimeters
			
	1440.	  	Dimension i	  	0 Meters
			
	14.41	  	Dimension ii	  	0 Millimeters

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	14.42	  	Dimension iii	  	0 Millimeters
			
	7	  	CARGO TANK PARTICULARS	  	
			
	14.43.1	  	TANK NUMBER	  	1 port- Stbd
			
	14.43.2	  	TANK LOCATION	  	Wings
			
	14.43.3	  	IMO TYPE	  	3
			
	14.43.4	  	CAPACITY 100%	  	2826 Cu Meters
			
	14.43.5	  	MAX. LOAD RATE	  	600 Cu Meter/Hour
			
	14.43.6	  	MAX. TANK PRESSURE	  	0.2 Bar
			
	14.43.7	  	MAX. VENTING CAPACITY	  	750 Cu Meter/Hour
			
	14.43.8	  	PRESSURE MONITOR	  	Yes
			
	14.43.9	  	CARGO PUMP CAPACITY	  	600 Cu Meter/Hour
			
	14.43.10	  	STRIPPED ROB	  	13 Litres
			
	14.43.11	  	HEATING MAX. TEMP	  	75 Degrees C
			
	14.43.12	  	COOLING MIN. TEMP	  	Not applicable
			
	14.43.13	  	CONSTRUCTION MATERIAL OR COATING	  	EPX
			
	14.43.14	  	COATING DATE	  	9 January 2009
			
	14.43.15	  	HIGH LEVEL ALARM TYPE	  	Electronic sensor
			
	14.43.16	  	HI/HI LEVEL ALARM TYPE	  	Float
			
	14.43.17	  	LEVEL GAUGE TYPE	  	F
			
	14.43.18	  	VAPOUR LOCKS DIAMETER	  	50 Millimeters
			
	14.43.19	  	CLOSED SAMPLE TYPE	  	Hermatic
			
	14.44.1	  	TANK NUMBER	  	
			
	14.44.2	  	TANK LOCATION	  	Wings
			
	14.44.3	  	IMO TYPE	  	3
			
	14.44.4	  	CAPACITY 100%	  	4477.8 Cu Meters
			
	14.44.5	  	MAX. LOAD RATE	  	600 Cu Meter/Hour
			
	14.44.6	  	MAX. TANK PRESSURE	  	0.2 Bar
			
	14.44.7	  	MAX. VENTING CAPACITY	  	750 Cu Meter/Hour
			
	14.44.8	  	PRESSURE MONITOR	  	
			
	14.44.9	  	CARGO PUMP CAPACITY	  	600 Cu Meter/Hour
			
	14.44.10	  	STRIPPED ROB	  	13 Litres
			
	14.44.11	  	HEATING MAX. TEMP	  	75 Degrees C
			
	14.44.12	  	COOLING MIN. TEMP	  	0 Degrees C

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	14.44.13	  	CONSTRUCTION MATERIAL OR COATING	  	EPX
			
	14.44.14	  	COATING DATE	  	9 January 2009
			
	14.44.15	  	HIGH LEVEL ALARM TYPE	  	Electronic sensor
			
	14.44.16	  	HI/HI LEVEL ALARM TYPE	  	Float
			
	14.44.17	  	LEVEL GAUGE TYPE	  	F
			
	14.44.18	  	VAPOUR LOCKS DIAMETER	  	50 Millimeters
			
	14.44.19	  	CLOSED SAMPLE TYPE	  	Hermatic
			
	14.45.1	  	TANK NUMBER	  	3 port- stbd
			
	14.45.2	  	TANK LOCATION	  	Wings
			
	14.45.3	  	IMO TYPE	  	3
			
	14.45.4	  	CAPACITY 100%	  	4883 Cu Meters
			
	14.45.5	  	MAX. LOAD RATE	  	600 Cu Meter/Hour
			
	14.45.6	  	MAX. TANK PRESSURE	  	0.2 Bar
			
	14.45.7	  	MAX. VENTING CAPACITY	  	750 Cu Meter/Hour
			
	14.45.8	  	PRESSURE MONITOR	  	Yes
			
	14.45.9	  	CARGO PUMP CAPACITY	  	600 Cu Meter/Hour
			
	14.45.10	  	STRIPPED ROB	  	13 Litres
			
	14.45.11	  	HEATING MAX. TEMP	  	75 Degrees C
			
	14.45.12	  	COOLING MIN. TEMP	  	Not applicable
			
	14.45.13	  	CONSTRUCTION MATERIAL OR COATING	  	EPX
			
	14.45.14	  	COATING DATE	  	9 January 2009
			
	14.45.15	  	HIGH LEVEL ALARM TYPE	  	Electronic sensor
			
	14.45.16	  	HI/HI LEVEL ALARM TYPE	  	Float
			
	14.45.17	  	LEVEL GAUGE TYPE	  	F
			
	14.45.18	  	VAPOUR LOCKS DIAMETER	  	50 Millimeters
			
	14.45.19	  	CLOSED SAMPLE TYPE	  	Hermetic
			
	14.46.1	  	TANK NUMBER	  	4 Port- Stbd.
			
	14.46.2	  	TANK LOCATION	  	Wings
			
	14.46.3	  	IMO TYPE	  	3
			
	14.46.4	  	CAPACITY 100%	  	4883 Cu Meters
			
	14.46.5	  	MAX. LOAD RATE	  	600 Cu Meter/Hour
			
	14.46.6	  	MAX. TANK PRESSURE	  	0.2 Bar
			
	14.46.7	  	MAX. VENTING CAPACITY	  	750 Cu Meter/Hour
			
	14.46.8	  	PRESSURE MONITOR	  	Yes

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	14.46.9	  	CARGO PUMP CAPACITY	  	600 Cu Meter/Hour
			
	14.46.10	  	STRIPPED ROB	  	13 Litres
			
	14.46.11	  	HEATING MAX. TEMP	  	75 Degrees C
			
	14.46.12	  	COOLING MIN. TEMP	  	Not applicable
			
	14.46.13	  	CONSTRUCTION MATERIAL OR COATING	  	EPX
			
	14.46.14	  	COATING DATE	  	9 January 2009
			
	14.46.15	  	HIGH LEVEL ALARM TYPE	  	Electronic sensor
			
	14.46.16	  	HI/HI LEVEL ALARM TYPE	  	Float
			
	14.46.17	  	LEVEL GAUGE TYPE	  	F
			
	14.46.18	  	VAPOUR LOCKS DIAMETER	  	50 Millimeters
			
	14.46.19	  	CLOSED SAMPLE TYPE	  	hermetic
			
	14.47.1	  	TANK NUMBER	  	5 Port- Stbd
			
	14.47.2	  	TANK LOCATION	  	Wings
			
	14.47.3	  	IMO TYPE	  	3
			
	14.47.4	  	CAPACITY 100%	  	4832 Cu Meters
			
	14.47.5	  	MAX. LOAD RATE	  	600 Cu Meter/Hour
			
	14.47.6	  	MAX. TANK PRESSURE	  	0.2 Bar
			
	14.47.7	  	MAX. VENTING CAPACITY	  	750 Cu Meter/Hour
			
	14.47.8	  	PRESSURE MONITOR	  	Yes
			
	14.47.9	  	CARGO PUMP CAPACITY	  	600 Cu Meter/Hour
			
	14.47.10	  	STRIPPED ROB	  	13 Litres
			
	14.47.11	  	HEATING MAX. TEMP	  	75 Degrees C
			
	14.47.12	  	COOLING MIN. TEMP	  	Not applicable
			
	14.47.13	  	CONSTRUCTION MATERIAL OR COATING	  	EPX
			
	14.47.14	  	COATING DATE	  	9 January 2009
			
	14.47.15	  	HIGH LEVEL ALARM TYPE	  	Electronic sensor
			
	14.47.16	  	HI/HI LEVEL ALARM TYPE	  	Float
			
	14.47.17	  	LEVEL GAUGE TYPE	  	SAAB
			
	14.47.18	  	VAPOUR LOCKS DIAMETER	  	50 Millimeters
			
	14.47.19	  	CLOSED SAMPLE TYPE	  	Hermetic
			
	14.48.1	  	TANK NUMBER	  	6 port- Stbd
			
	14.48.2	  	TANK LOCATION	  	Wings
			
	14.48.3	  	IMO TYPE	  	3
			
	14.48.4	  	CAPACITY 100%	  	4273.6 Cu Meters

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	14.48.5	  	MAX. LOAD RATE	  	600 Cu Meter/Hour
			
	14.48.6	  	MAX. TANK PRESSURE	  	0.2 Bar
			
	14.48.7	  	MAX. VENTING CAPACITY	  	750 Cu Meter/Hour
			
	14.48.8	  	PRESSURE MONITOR	  	Yes
			
	14.48.9	  	CARGO PUMP CAPACITY	  	600 Cu Meter/Hour
			
	14.48.10	  	STRIPPED ROB	  	13 Litres
			
	14.48.11	  	HEATING MAX. TEMP	  	75 Degrees C
			
	14.48.12	  	COOLING MIN. TEMP	  	Not applicable
			
	14.48.13	  	CONSTRUCTION MATERIAL OR COATING	  	EPX
			
	14.48.14	  	COATING DATE	  	9 January 2009
			
	14.48.15	  	HIGH LEVEL ALARM TYPE	  	Electronic sensor
			
	14.48.16	  	HI/HI LEVEL ALARM TYPE	  	Float
			
	14.48.17	  	LEVEL GAUGE TYPE	  	F
			
	14.48.18	  	VAPOUR LOCKS DIAMETER	  	50 Millimeters
			
	14.48.19	  	CLOSED SAMPLE TYPE	  	Hermetic
			
	14.49.1	  	TANK NUMBER	  	
			
	14.49.2	  	TANK LOCATION	  	
			
	14.49.3	  	IMO TYPE	  	
			
	14.49.4	  	CAPACITY 100%	  	0 Cu Meters
			
	14.49.5	  	MAX. LOAD RATE	  	0 Cu Meter/Hour
			
	14.49.6	  	MAX. TANK PRESSURE	  	0 Bar
			
	14.49.7	  	MAX. VENTING CAPACITY	  	0 Cu Meter/Hour
			
	14.49.8	  	PRESSURE MONITOR	  	
			
	14.49.9	  	CARGO PUMP CAPACITY	  	0 Cu Meter/Hour
			
	14.49.10	  	STRIPPED ROB	  	0 Litres
			
	14.49.11	  	HEATING MAX. TEMP	  	0 Degrees C
			
	14.49.12	  	COOLING MIN. TEMP	  	0 Degrees C
			
	14.49.13	  	CONSTRUCTION MATERIAL OR COATING	  	
			
	14.49.14	  	COATING DATE	  	
			
	14.49.15	  	HIGH LEVEL ALARM TYPE	  	
			
	14.49.16	  	HI/HI LEVEL ALARM TYPE	  	
			
	14.49.17	  	LEVEL GAUGE TYPE	  	
			
	14.49.18	  	VAPOUR LOCKS DIAMETER	  	0 Millimeters
			
	14.49.19	  	CLOSED SAMPLE TYPE	  	

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	14.50.1	  	TANK NUMBER	  	
			
	14.50.2	  	TANK LOCATION	  	
			
	14.50.3	  	IMO TYPE	  	
			
	14.50.4	  	CAPACITY 100%	  	0 Cu Meters
			
	14.50.5	  	MAX. LOAD RATE	  	0 Cu Meter/Hour
			
	14.50.6	  	MAX. TANK PRESSURE	  	0 Bar
			
	14.50.7	  	MAX. VENTING CAPACITY	  	0 Cu Meter/Hour
			
	14.50.8	  	PRESSURE MONITOR	  	
			
	14.50.9	  	CARGO PUMP CAPACITY	  	0 Cu Meter/Hour
			
	14.50.10	  	STRIPPED ROB	  	0 Litres
			
	14.50.11	  	HEATING MAX. TEMP	  	0 Degrees C
			
	14.50.12	  	COOLING MIN. TEMP	  	0 Degrees C
			
	14.50.13	  	CONSTRUCTION MATERIAL OR COATING	  	
			
	14.50.14	  	COATING DATE	  	
			
	14.50.15	  	HIGH LEVEL ALARM TYPE	  	
			
	14.50.16	  	HI/HI LEVEL ALARM TYPE	  	
			
	14.50.17	  	LEVEL GAUGE TYPE	  	
			
	14.50.18	  	VAPOUR LOCKS DIAMETER	  	0 Millimeters
			
	14.50.19	  	CLOSED SAMPLE TYPE	  	
			
	14.51.1	  	TANK NUMBER	  	
			
	14.51.2	  	TANK LOCATION	  	
			
	14.51.3	  	IMO TYPE	  	
			
	14.51.4	  	CAPACITY 100%	  	0 Cu Meters
			
	14.51.5	  	MAX. LOAD RATE	  	0 Cu Meter/Hour
			
	14.51.6	  	MAX. TANK PRESSURE	  	0 Bar
			
	14.51.7	  	MAX. VENTING CAPACITY	  	0 Cu Meter/Hour
			
	14.51.8	  	PRESSURE MONITOR	  	
			
	14.51.9	  	CARGO PUMP CAPACITY	  	0 Cu Meter/Hour
			
	14.51.10	  	STRIPPED ROB	  	0 Litres
			
	14.51.11	  	HEATING MAX. TEMP	  	0 Degrees C
			
	14.51.12	  	COOLING MIN. TEMP	  	0 Degrees C
			
	14.51.13	  	CONSTRUCTION MATERIAL OR COATING	  	
			
	14.51.14	  	COATING DATE	  	
			
	14.51.15	  	HIGH LEVEL ALARM TYPE	  	

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	14.51.16	  	HI/HI LEVEL ALARM TYPE	  	
			
	14.51.17	  	LEVEL GAUGE TYPE	  	
			
	14.51.18	  	VAPOUR LOCKS DIAMETER	  	0 Millimeters
			
	14.51.19	  	CLOSED SAMPLE TYPE	  	
			
	14.52.1	  	TANK NUMBER	  	
			
	14.52.2	  	TANK LOCATION	  	
			
	14.52.3	  	IMO TYPE	  	
			
	14.52.4	  	CAPACITY 100%	  	0 Cu Meters
			
	14.52.5	  	MAX. LOAD RATE	  	0 Cu Meter/Hour
			
	14.52.6	  	MAX. TANK PRESSURE	  	0 Bar
			
	14.52.7	  	MAX. VENTING CAPACITY	  	0 Cu Meter/Hour
			
	14.52.8	  	PRESSURE MONITOR	  	
			
	14.52.9	  	CARGO PUMP CAPACITY	  	0 Cu Meter/Hour
			
	14.52.10	  	STRIPPED ROB	  	0 Litres
			
	14.52.11	  	HEATING MAX. TEMP	  	0 Degrees C
			
	14.52.12	  	COOLING MIN. TEMP	  	0 Degrees C
			
	14.52.13	  	CONSTRUCTION MATERIAL OR COATING	  	
			
	14.52.14	  	COATING DATE	  	
			
	14.52.15	  	HIGH LEVEL ALARM TYPE	  	
			
	14.52.16	  	HI/HI LEVEL ALARM TYPE	  	
			
	14.52.17	  	LEVEL GAUGE TYPE	  	
			
	14.52.18	  	VAPOUR LOCKS DIAMETER	  	0 Millimeters
			
	14.52.19	  	CLOSED SAMPLE TYPE	  	
			
	14.53.1	  	TANK NUMBER	  	
			
	14.53.2	  	TANK LOCATION	  	
			
	14.53.3	  	IMO TYPE	  	
			
	14.53.4	  	CAPACITY 100%	  	0 Cu Meters
			
	14.53.5	  	MAX. LOAD RATE	  	0 Cu Meter/Hour
			
	14.53.6	  	MAX. TANK PRESSURE	  	0 Bar
			
	14.53.7	  	MAX. VENTING CAPACITY	  	0 Cu Meter/Hour
			
	14.53.8	  	PRESSURE MONITOR	  	
			
	14.53.9	  	CARGO PUMP CAPACITY	  	0 Cu Meter/Hour
			
	14.53.10	  	STRIPPED ROB	  	0 Litres
			
	14.53.11	  	HEATING MAX. TEMP	  	0 Degrees C

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	14.53.12	  	COOLING MIN. TEMP	  	0 Degrees C
			
	14.53.13	  	CONSTRUCTION MATERIAL OR COATING	  	
			
	14.53.14	  	COATING DATE	  	
			
	14.53.15	  	HIGH LEVEL ALARM TYPE	  	
			
	14.53.16	  	HI/HI LEVEL ALARM TYPE	  	
			
	4.53.17	  	LEVEL GAUGE TYPE	  	
			
	14.53.18	  	VAPOUR LOCKS DIAMETER	  	0 Millimeters
			
	14.53.19	  	CLOSED SAMPLE TYPE	  	
			
	14.54.1	  	TANK NUMBER	  	
			
	14.54.2	  	TANK LOCATION	  	
			
	14.54.3	  	IMO TYPE	  	
			
	14.54.4	  	CAPACITY 100%	  	0 Cu Meters
			
	14.54.5	  	MAX. LOAD RATE	  	0 Cu Meter/Hour
			
	14.54.6	  	MAX. TANK PRESSURE	  	0 Bar
			
	14.54.7	  	MAX. VENTING CAPACITY	  	0 Cu Meter/Hour
			
	14.54.8	  	PRESSURE MONITOR	  	
			
	14.54.9	  	CARGO PUMP CAPACITY	  	0 Cu Meter/Hour
			
	14.54.10	  	STRIPPED ROB	  	0 Litres
			
	14.54.11	  	HEATING MAX. TEMP	  	0 Degrees C
			
	14.54.12	  	COOLING MIN. TEMP	  	0 Degrees C
			
	14.54.13	  	CONSTRUCTION MATERIAL OR COATING	  	
			
	14.54.14	  	COATING DATE	  	
			
	14.54.15	  	HIGH LEVEL ALARM TYPE	  	
			
	14.54.16	  	HI/HI LEVEL ALARM TYPE	  	
			
	1454.17	  	LEVEL GAUGE TYPE	  	
			
	14.54.18	  	VAPOUR LOCKS DIAMETER	  	0 Millimeters
			
	14.54.19	  	CLOSED SAMPLE TYPE	  	
			
	14.55.1	  	TANK NUMBER	  	
			
	14.55.2	  	TANK LOCATION	  	
			
	14.55.3	  	IMO TYPE	  	
			
	14.55.4	  	CAPACITY 100%	  	0 Cu Meters
			
	14.55.5	  	MAX. LOAD RATE	  	0 Cu Meter/Hour
			
	14.55.6	  	MAX. TANK PRESSURE	  	0 Bar
			
	14.55.7	  	MAX. VENTING CAPACITY	  	0 Cu Meter/Hour

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	14.55.8	  	PRESSURE MONITOR	  	
			
	14.55.9	  	CARGO PUMP CAPACITY	  	0 Cu Meter/Hour
			
	14.55.10	  	STRIPPED ROB	  	0 Litres
			
	14.55.11	  	HEATING MAX. TEMP	  	0 Degrees C
			
	14.55.12	  	COOLING MIN. TEMP	  	0 Degrees C
			
	14.55.13	  	CONSTRUCTION MATERIAL OR COATING	  	
			
	14.55.14	  	COATING DATE	  	
			
	14.55.15	  	HIGH LEVEL ALARM TYPE	  	
			
	14.55.16	  	HI/HI LEVEL ALARM TYPE	  	
			
	1455.17	  	LEVEL GAUGE TYPE	  	
			
	14.55.18	  	VAPOUR LOCKS DIAMETER	  	0 Millimeters
			
	14.55.19	  	CLOSED SAMPLE TYPE	  	
			
	14.56.1	  	TANK NUMBER	  	
			
	14.56.2	  	TANK LOCATION	  	
			
	14.56.3	  	IMO TYPE	  	
			
	14.56.4	  	CAPACITY 100%	  	0 Cu Meters
			
	14.56.5	  	MAX. LOAD RATE	  	0 Cu Meter/Hour
			
	14.56.6	  	MAX. TANK PRESSURE	  	0 Bar
			
	14.56.7	  	MAX. VENTING CAPACITY	  	0 Cu Meter/Hour
			
	14.56.8	  	PRESSURE MONITOR	  	
			
	14.56.9	  	CARGO PUMP CAPACITY	  	0 Cu Meter/Hour
			
	14.56.10	  	STRIPPED ROB	  	0 Litres
			
	14.56.11	  	HEATING MAX. TEMP	  	0 Degrees C
			
	14.56.12	  	COOLING MIN. TEMP	  	0 Degrees C
			
	14.56.13	  	CONSTRUCTION MATERIAL OR COATING	  	
			
	14.56.14	  	COATING DATE	  	
			
	14.56.15	  	HIGH LEVEL ALARM TYPE	  	
			
	14.56.16	  	HI/HI LEVEL ALARM TYPE	  	
			
	14.56.17	  	LEVEL GAUGE TYPE	  	
			
	14.56.18	  	VAPOUR LOCKS DIAMETER	  	0 Millimeters
			
	14.56.19	  	CLOSED SAMPLE TYPE	  	
			
	14.57.1	  	TANK NUMBER	  	
			
	14.57.2	  	TANK LOCATION	  	
			
	14.57.3	  	IMO TYPE	  	

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	14.57.4	  	CAPACITY 100%	  	0 Cu Meters
			
	14.57.5	  	MAX. LOAD RATE	  	0 Cu Meter/Hour
			
	14.57.6	  	MAX. TANK PRESSURE	  	0 Bar
			
	14.57.7	  	MAX. VENTING CAPACITY	  	0 Cu Meter/Hour
			
	14.57.8	  	PRESSURE MONITOR	  	
			
	14.57.9	  	CARGO PUMP CAPACITY	  	0 Cu Meter/Hour
			
	14.57.10	  	STRIPPED ROB	  	0 Litres
			
	14.57.11	  	HEATING MAX. TEMP	  	0 Degrees C
			
	14.57.12	  	COOLING MIN. TEMP	  	0 Degrees C
			
	14.57.13	  	CONSTRUCTION MATERIAL OR COATING	  	
			
	14.57.14	  	COATING DATE	  	
			
	14.57.15	  	HIGH LEVEL ALARM TYPE	  	
			
	14.57.16	  	HI/HI LEVEL ALARM TYPE	  	
			
	14.57.17	  	LEVEL GAUGE TYPE	  	
			
	14.57.18	  	VAPOUR LOCKS DIAMETER	  	0 Millimeters
			
	14.57.19	  	CLOSED SAMPLE TYPE	  	
			
	14.58.1	  	TANK NUMBER	  	
			
	14.58.2	  	TANK LOCATION	  	
			
	14.58.3	  	IMO TYPE	  	
			
	14.58.4	  	CAPACITY 100%	  	0 Cu Meters
			
	14.58.5	  	MAX. LOAD RATE	  	0 Cu Meter/Hour
			
	14.58.6	  	MAX. TANK PRESSURE	  	0 Bar
			
	14.58.7	  	MAX. VENTING CAPACITY	  	0 Cu Meter/Hour
			
	14.58.8	  	PRESSURE MONITOR	  	
			
	14.58.9	  	CARGO PUMP CAPACITY	  	0 Cu Meter/Hour
			
	14.58.10	  	STRIPPED ROB	  	0 Litres
			
	14.58.11	  	HEATING MAX. TEMP	  	0 Degrees C
			
	14.58.12	  	COOLING MIN. TEMP	  	0 Degrees C
			
	14.58.13	  	CONSTRUCTION MATERIAL OR COATING	  	
			
	14.58.14	  	COATING DATE	  	
			
	14.58.15	  	HIGH LEVEL ALARM TYPE	  	
			
	14.58.16	  	HI/HI LEVEL ALARM TYPE	  	
			
	14.58.17	  	LEVEL GAUGE TYPE	  	
			
	14.58.18	  	VAPOUR LOCKS DIAMETER	  	0 Millimeters

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	14.58.19	  	CLOSED SAMPLE TYPE	  	
			
	14.59.1	  	TANK NUMBER	  	
			
	14.59.2	  	TANK LOCATION	  	
			
	14.59.3	  	IMO TYPE	  	
			
	14.59.4	  	CAPACITY 100%	  	0 Cu Meters
			
	14.59.5	  	MAX. LOAD RATE	  	0 Cu Meter/Hour
			
	14.59.6	  	MAX. TANK PRESSURE	  	0 Bar
			
	14.59.7	  	MAX. VENTING CAPACITY	  	0 Cu Meter/Hour
			
	14.59.8	  	PRESSURE MONITOR	  	
			
	14.59.9	  	CARGO PUMP CAPACITY	  	0 Cu Meter/Hour
			
	14.59.10	  	STRIPPED ROB	  	0 Litres
			
	14.59.11	  	HEATING MAX. TEMP	  	0 Degrees C
			
	14.59.12	  	COOLING MIN. TEMP	  	0 Degrees C
			
	14.59.13	  	CONSTRUCTION MATERIAL OR COATING	  	
			
	14.59.14	  	COATING DATE	  	
			
	14.59.15	  	HIGH LEVEL ALARM TYPE	  	
			
	14.59.16	  	HI/HI LEVEL ALARM TYPE	  	
			
	14.59.17	  	LEVEL GAUGE TYPE	  	
			
	14.59.18	  	VAPOUR LOCKS DIAMETER	  	0 Millimeters
			
	14.59.19	  	CLOSED SAMPLE TYPE	  	
			
	14.60.1	  	TANK NUMBER	  	
			
	14.60.2	  	TANK LOCATION	  	
			
	14.60.3	  	IMO TYPE	  	
			
	14.60.4	  	CAPACITY 100%	  	0 Cu Meters
			
	14.60.5	  	MAX. LOAD RATE	  	0 Cu Meter/Hour
			
	14.60.6	  	MAX. TANK PRESSURE	  	0 Bar
			
	14.60.7	  	MAX. VENTING CAPACITY	  	0 Cu Meter/Hour
			
	14.60.8	  	PRESSURE MONITOR	  	
			
	14.60.9	  	CARGO PUMP CAPACITY	  	0 Cu Meter/Hour
			
	14.60.10	  	STRIPPED ROB	  	0 Litres
			
	14.60.11	  	HEATING MAX. TEMP	  	0 Degrees C
			
	14.60.12	  	COOLING MIN. TEMP	  	0 Degrees C
			
	14.60.13	  	CONSTRUCTION MATERIAL OR COATING	  	
			
	14.60.14	  	COATING DATE	  	

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	14.60.15	  	HIGH LEVEL ALARM TYPE	  	
			
	14.60.16	  	HI/HI LEVEL ALARM TYPE	  	
			
	14.60.17	  	LEVEL GAUGE TYPE	  	
			
	14.60.18	  	VAPOUR LOCKS DIAMETER	  	0 Millimeters
			
	14.60.19	  	CLOSED SAMPLE TYPE	  	
			
	14.61.1	  	TANK NUMBER	  	
			
	14.61.2	  	TANK LOCATION	  	
			
	14.61.3	  	IMO TYPE	  	
			
	14.61.4	  	CAPACITY 100%	  	0 Cu Meters
			
	14.61.5	  	MAX. LOAD RATE	  	0 Cu Meter/Hour
			
	14.61.6	  	MAX. TANK PRESSURE	  	0 Bar
			
	14.61.7	  	MAX. VENTING CAPACITY	  	0 Cu Meter/Hour
			
	14.61.8	  	PRESSURE MONITOR	  	
			
	14.61.9	  	CARGO PUMP CAPACITY	  	0 Cu Meter/Hour
			
	14.61.10	  	STRIPPED ROB	  	0 Litres
			
	14.61.11	  	HEATING MAX. TEMP	  	0 Degrees C
			
	14.61.12	  	COOLING MIN. TEMP	  	0 Degrees C
			
	14.61.13	  	CONSTRUCTION MATERIAL OR COATING	  	
			
	14.61.14	  	COATING DATE	  	
			
	14.61.15	  	HIGH LEVEL ALARM TYPE	  	
			
	14.61.16	  	HI/HI LEVEL ALARM TYPE	  	
			
	14.61.17	  	LEVEL GAUGE TYPE	  	
			
	14.61.18	  	VAPOUR LOCKS DIAMETER	  	0 Millimeters
			
	14.61.19	  	CLOSED SAMPLE TYPE	  	
			
	14.62.1	  	TANK NUMBER	  	
			
	14.62.2	  	TANK LOCATION	  	
			
	14.62.3	  	IMO TYPE	  	
			
	14.62.4	  	CAPACITY 100%	  	0 Cu Meters
			
	14.62.5	  	MAX. LOAD RATE	  	0 Cu Meter/Hour
			
	14.62.6	  	MAX. TANK PRESSURE	  	0 Bar
			
	14.62.7	  	MAX. VENTING CAPACITY	  	0 Cu Meter/Hour
			
	14.62.8	  	PRESSURE MONITOR	  	
			
	14.62.9	  	CARGO PUMP CAPACITY	  	0 Cu Meter/Hour
			
	14.62.10	  	STRIPPED ROB	  	0 Litres

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	14.62.11	  	HEATING MAX. TEMP	  	0 Degrees C
			
	14.62.12	  	COOLING MIN. TEMP	  	0 Degrees C
			
	14.62.13	  	CONSTRUCTION MATERIAL OR COATING	  	
			
	14.62.14	  	COATING DATE	  	
			
	14.62.15	  	HIGH LEVEL ALARM TYPE	  	
			
	14.62.16	  	HI/HI LEVEL ALARM TYPE	  	
			
	14.62.17	  	LEVEL GAUGE TYPE	  	
			
	14.62.18	  	VAPOUR LOCKS DIAMETER	  	0 Millimeters
			
	14.62.19	  	CLOSED SAMPLE TYPE	  	
			
	14.63.1	  	TANK NUMBER	  	
			
	14.63.2	  	TANK LOCATION	  	
			
	14.63.3	  	IMO TYPE	  	
			
	14.63.4	  	CAPACITY 100%	  	0 Cu Meters
			
	14.63.5	  	MAX. LOAD RATE	  	0 Cu Meter/Hour
			
	14.63.6	  	MAX. TANK PRESSURE	  	0 Bar
			
	14.63.7	  	MAX. VENTING CAPACITY	  	0 Cu Meter/Hour
			
	14.63.8	  	PRESSURE MONITOR	  	
			
	14.63.9	  	CARGO PUMP CAPACITY	  	0 Cu Meter/Hour
			
	14.63.10	  	STRIPPED ROB	  	0 Litres
			
	14.63.11	  	HEATING MAX. TEMP	  	0 Degrees C
			
	14.63.12	  	COOLING MIN. TEMP	  	0 Degrees C
			
	14.63.13	  	CONSTRUCTION MATERIAL OR COATING	  	
			
	14.63.14	  	COATING DATE	  	
			
	14.63.15	  	HIGH LEVEL ALARM TYPE	  	
			
	14.63.16	  	HI/HI LEVEL ALARM TYPE	  	
			
	14.63.17	  	LEVEL GAUGE TYPE	  	
			
	14.63.18	  	VAPOUR LOCKS DIAMETER	  	0 Millimeters
			
	14.63.19	  	CLOSED SAMPLE TYPE	  	
			
	14.64.1	  	TANK NUMBER	  	
			
	14.64.2	  	TANK LOCATION	  	
			
	14.64.3	  	IMO TYPE	  	
			
	14.64.4	  	CAPACITY 100%	  	0 Cu Meters
			
	14.64.5	  	MAX. LOAD RATE	  	0 Cu Meter/Hour
			
	14.64.6	  	MAX. TANK PRESSURE	  	0 Bar

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	14.64.7	  	MAX. VENTING CAPACITY	  	0 Cu Meter/Hour
			
	14.64.8	  	PRESSURE MONITOR	  	
			
	14.64.9	  	CARGO PUMP CAPACITY	  	0 Cu Meter/Hour
			
	14.64.10	  	STRIPPED ROB	  	0 Litres
			
	14.64.11	  	HEATING MAX. TEMP	  	0 Degrees C
			
	14.64.12	  	COOLING MIN. TEMP	  	0 Degrees C
			
	14.64.13	  	CONSTRUCTION MATERIAL OR COATING	  	
			
	14.64.14	  	COATING DATE	  	
			
	14.64.15	  	HIGH LEVEL ALARM TYPE	  	
			
	14.64.16	  	HI/HI LEVEL ALARM TYPE	  	
			
	14.64.17	  	LEVEL GAUGE TYPE	  	
			
	14.64.18	  	VAPOUR LOCKS DIAMETER	  	0 Millimeters
			
	14.64.19	  	CLOSED SAMPLE TYPE	  	
			
	8                 	  	BALLAST TANK CAPACITIES	  	
			
	14.65.1	  	TANK NUMBER	  	1 port
			
	14.65.2	  	TANK LOCATION	  	Port
			
	14.65.3	  	COATING DATE	  	15 June 2009
			
	14.65.4	  	CAPACITY	  	1000 Cu Meter/Hour
			
	14.66.1	  	TANK NUMBER	  	1 stbd.
			
	14.66.2	  	TANK LOCATION	  	Starboard
			
	14.66.3	  	COATING DATE	  	15 June 2009
			
	14.66.4	  	CAPACITY	  	1000 Cu Meter/Hour
			
	14.67.1	  	TANK NUMBER	  	2 port
			
	14.67.2	  	TANK LOCATION	  	Port
			
	14.67.3	  	COATING DATE	  	15 June 2009
			
	14.67.4	  	CAPACITY	  	1000 Cu Meter/Hour
			
	14.68.1	  	TANK NUMBER	  	2 stbd.
			
	14.68.2	  	TANK LOCATION	  	Starboard
			
	14.68.3	  	COATING DATE	  	15 June 2009
			
	14.68.4	  	CAPACITY	  	1000 Cu Meter/Hour
			
	14.69.1	  	TANK NUMBER	  	3 port
			
	14.69.2	  	TANK LOCATION	  	Port
			
	14.69.3	  	COATING DATE	  	15 June 2009
			
	14.69.4	  	CAPACITY	  	1000 Cu Meter/Hour

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	14.70.1	  	TANK NUMBER	  	3 stbd.
			
	14.70.2	  	TANK LOCATION	  	Starboard
			
	14.70.3	  	COATING DATE	  	15 June 2009
			
	14.70.4	  	CAPACITY	  	1000 Cu Meter/Hour
			
	14.71.1	  	TANK NUMBER	  	4 port
			
	14.71.2	  	TANK LOCATION	  	Port
			
	14.71.3	  	COATING DATE	  	15 June 2009
			
	14.71.4	  	CAPACITY	  	1000 Cu Meter/Hour
			
	14.72.1	  	TANK NUMBER	  	4 stbd.
			
	14.72.2	  	TANK LOCATION	  	Port
			
	14.72.3	  	COATING DATE	  	15 June 2009
			
	14.72.4	  	CAPACITY	  	1000 Cu Meter/Hour
			
	14.73.1	  	TANK NUMBER	  	5 port
			
	14.73.2	  	TANK LOCATION	  	Port
			
	14.73.3	  	COATING DATE	  	15 June 2009
			
	14.73.4	  	CAPACITY	  	1000 Cu Meter/Hour
			
	14.74.1	  	TANK NUMBER	  	5 stbd.
			
	14.74.2	  	TANK LOCATION	  	Starboard
			
	14.74.3	  	COATING DATE	  	Not applicable
			
	14.74.4	  	CAPACITY	  	1000 Cu Meter/Hour
			
	14.75.1	  	TANK NUMBER	  	6 port
			
	14.75.2	  	TANK LOCATION	  	Port
			
	14.75.3	  	COATING DATE	  	9 January 2009
			
	14.75.4	  	CAPACITY	  	1000 Cu Meter/Hour
			
	14.76.1	  	TANK NUMBER	  	6 stbd
			
	14.76.2	  	TANK LOCATION	  	Starboard
			
	14.76.3	  	COATING DATE	  	9 January 2009
			
	14.76.4	  	CAPACITY	  	1000 Cu Meter/Hour
			
	14.77.1	  	TANK NUMBER	  	Forepeak
			
	14.77.2	  	TANK LOCATION	  	Center
			
	14.77.3	  	COATING DATE	  	9 January 2009
			
	14.77.4	  	CAPACITY	  	1000 Cu Meter/Hour
			
	14.78.1	  	TANK NUMBER	  	Aft Peak
			
	14.78.2	  	TANK LOCATION	  	Center

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	14.78.3	  	COATING DATE	  	15 June 2009
			
	14.78.4	  	CAPACITY	  	1000 Cu Meter/Hour
			
	14.79.1	  	TANK NUMBER	  	
			
	14.79.2	  	TANK LOCATION	  	
			
	14.79.3	  	COATING DATE	  	
			
	14.79.4	  	CAPACITY	  	0 Cu Meter/Hour
			
	14.80.1	  	TANK NUMBER	  	
			
	14.80.2	  	TANK LOCATION	  	
			
	14.80.3	  	COATING DATE	  	
			
	14.80.4	  	CAPACITY	  	0 Cu Meter/Hour
			
	14.81.1	  	TANK NUMBER	  	
			
	14.81.2	  	TANK LOCATION	  	
			
	14.81.3	  	COATING DATE	  	
			
	14.81.4	  	CAPACITY	  	0 Cu Meter/Hour
			
	14.82.1	  	TANK NUMBER	  	
			
	14.82.2	  	TANK LOCATION	  	
			
	14.82.3	  	COATING DATE	  	
			
	14.82.4	  	CAPACITY	  	0 Cu Meter/Hour
			
	14.83.1	  	TANK NUMBER	  	
			
	14.83.2	  	TANK LOCATION	  	
			
	14.83.3	  	COATING DATE	  	
			
	14.83.4	  	CAPACITY	  	0 Cu Meter/Hour
			
	14.84.1	  	TANK NUMBER	  	
			
	14.84.2	  	TANK LOCATION	  	
			
	14.84.3	  	COATING DATE	  	
			
	14.84.4	  	CAPACITY	  	0 Cu Meter/Hour
			
	14.85.1	  	TANK NUMBER	  	
			
	14.85.2	  	TANK LOCATION	  	
			
	14.85.3	  	COATING DATE	  	
			
	14.85.4	  	CAPACITY	  	0 Cu Meter/Hour
			
	14.86	  	TOTAL CAPACITY	  	0 Cu Meter/Hour
			
	9                 	  	TANK CLEANING SYSTEM	  	
			
	14.87	  	Is tank cleaning equipment fixed in cargo tanks?	  	Yes
			
	14.88	  	Is portable tank cleaning equipment available?	  	Yes

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	14.89	  	What is the capacity of one tank cleaning machine?	  	36.5 Cu Meter/Hour
			
	14.89.1	  	At pressure of:	  	9 Bar
			
	14.89.2	  	Duration of complete cycle	  	120 Minutes
			
	14.89.3	  	Nozzle diameter	  	30 Millimeters
			
	14.90	  	Tank washing pump capacity	  	140 Cu Meter/Hour
			
	14.91	  	Is a washing water heater fitted?	  	Yes
			
	14.91.1	  	What is the Max. washing water temperature?	  	80 Degrees C
			
	14.92	  	Maximum number of machines operative at pressure above	  	4
			
	14.93	  	Where there is different type of equipment used, what is the capacity and type of equipment?	  	Not applicable
		
	CHAPTER 15 CHAPTER 15	  	
			
	1	  	GAS CARRIER INFORMATION	  	
			
	15.1	  	Does vessel have an IOPPC with Form B identifying the vessel as an oil product carrier?	  	Yes
			
	15.2	  	Do the Safety Construction and Safety Equipment Certificates identify the vessel as a ‘tanker engaged in the trade of carrying oil other than crude oil’?	  	No
			
	2	  	CARGO INFORMATION	  	
			
	15.3	  	List products which the ship is Certified to carry	  	
			
	3	  	TRANSPORT AND CARRIAGE CONDITIONS	  	
			
	15.4	  	What is the Minimum allowable tank temperature?	  	Not applicable
			
	15.5	  	What is the Maximum Permissible tank pressure?	  	Not applicable
			
	15.6	  	Lowest permissible cargo tank pressure	  	Not applicable
			
	15.7	  	What are the Number of grades that can be loaded/ carried/discharged simultaneously and completely segregated without risk of contamination?	  	Not applicable
			
	15.8	  	What is the Number of Products that can be conditioned by reliquefaction simultaneously?	  	0
			
	15.9	  	State the number of natural segregations (NB: Separation must be by the removal of spools or the insertion of blanks)	  	0

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	15.10	  	Material of Construction of Cargo Piping System	  	
			
	15.11	  	Is Cargo piping system fitted with filters?	  	
			
	15.11.1	  	If yes, can cargo piping filters be by-passed or removed?	  	
			
	15.12	  	Are Expansion loops fitted?	  	
			
	15.13	  	Are liquid cargo lines free of expansion bellows?	  	
			
	15.14	  	Location of Booster pumps	  	
	
	
4                    CARGO
TANKS

			
	15.15	  	What Type and materials of cargo tanks?	  	
			
	15.16	  	Maximum allowable relief valve setting	  	0 Bar guage
			
	15.17	  	IMO Setting	  	0 Bar guage
			
	15.18	  	USCG Setting	  	0 Bar guage
			
	15.19	  	Safety valve set pressure - if variable give range of pilot valves	  	0 Bar
			
	15.19.1	  	If variable give range of pilot valves - from:	  	0 Bar
			
	15.19.2	  	If variable give range of pilot valves - to:	  	0 Bar
			
	15.20	  	Maximum Vacuum	  	0 KP/CM2
			
	15.21	  	Maximum cargo specific density	  	0
			
	15.22	  	Maximum rate of cool down	  	0 Degrees C/Hr
			
	15.23	  	State any limitations regarding partially filled tanks	  	
			
	15.24	  	State allowable combinations of filled and empty tanks	  	
	
	
5                    CARGO TANK
CAPACITIES

			
	15.25.1      	  	Tank 1 Capacity m3 (100%)	  	0 Cu Meters
			
	15.25.2	  	Tank 1 Butane Tonnes	  	0 Tonnes
			
	15.25.3	  	Tank 1 Butane degrees C	  	0 Degrees C
			
	15.25.4	  	Tank 1 Propane Tonnes	  	0 Tonnes
			
	15.25.5	  	Tank 1 Propane degrees C	  	0 Degrees C
			
	15.25.6	  	Tank 1 Ammonia Tonnes	  	0 Tonnes
			
	15.25.7	  	Tank 1 Ammonia degrees C	  	0 Degrees C
			
	15.25.7.1	  	Specify other cargo	  	
			
	15.25.8	  	Tank 1 “other” Tonnes	  	0 Tonnes
			
	15.25.9	  	Tank 1 “other” degrees C	  	0 Degrees C

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	15.25.10	  	Tank 1 “other” Tonnes	  	0 Tonnes
			
	15.25.11	  	Tank 1 “other” degrees C	  	0 Degrees C
			
	15.26.1	  	Tank 2 Capacity m3 (100%)	  	0 Cu Meters
			
	15.26.2	  	Tank 2 Butane Tonnes	  	0 Tonnes
			
	15.26.3	  	Tank 2 Butane degrees C	  	0 Degrees C
			
	15.26.4	  	Tank 2 Propane Tonnes	  	0 Tonnes
			
	15.26.5	  	Tank 2 Propane degrees C	  	0 Degrees C
			
	15.26.6	  	Tank 2 Ammonia Tonnes	  	0 Tonnes
			
	15.26.7	  	Tank 2 Ammonia degrees C	  	0 Degrees C
			
	15.26.7.1	  	Specify other cargo	  	
			
	15.26.8	  	Tank 2 “other” Tonnes	  	0 Tonnes
			
	15.26.9	  	Tank 2 “other” degrees C	  	0 Degrees C
			
	15.26.10	  	Tank 2 “other” Tonnes	  	0 Tonnes
			
	15.26.11	  	Tank 2 “other” degrees C	  	0 Degrees C
			
	15.27.1	  	Tank 3 Capacity m3 (100%)	  	0 Cu Meters
			
	15.27.2	  	Tank 3 Butane Tonnes	  	0 Tonnes
			
	15.27.3	  	Tank 3 Butane degrees C	  	0 Degrees C
			
	15.27.4	  	Tank 3 Propane Tonnes	  	0 Tonnes
			
	15.27.5	  	Tank 3 Propane degrees C	  	0 Degrees C
			
	15.27.6	  	Tank 3 Ammonia Tonnes	  	0 Tonnes
			
	15.27.7	  	Tank 3 Ammonia degrees C	  	0 Degrees C
			
	15.27.7.1	  	Specify other cargo	  	
			
	15.27.8	  	Tank 3 “other” Tonnes	  	0 Tonnes
			
	15.27.9	  	Tank 3 “other” degrees C	  	0 Degrees C
			
	15.27.10	  	Tank 3 “other” Tonnes	  	0 Tonnes
			
	15.27.11	  	Tank 3 “other” degrees C	  	0 Degrees C
			
	15.28.1	  	Tank 4 Capacity m3 (100%)	  	0 Cu Meters
			
	15.28.2	  	Tank 4 Butane Tonnes	  	0 Tonnes
			
	15.28.3	  	Tank 4 Butane degrees C	  	0 Degrees C
			
	15.28.4	  	Tank 4 Propane Tonnes	  	0 Tonnes
			
	15.28.5	  	Tank 4 Propane degrees C	  	0 Degrees C
			
	15.28.6	  	Tank 4 Ammonia Tonnes	  	0 Tonnes
			
	15.28.7	  	Tank 4 Ammonia degrees C	  	0 Degrees C
			
	15.28.7.1	  	Specify other cargo	  	

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	15.28.8	  	Tank 4 “other” Tonnes	  	0 Tonnes
			
	15.28.9	  	Tank 4 “other” degrees C	  	0 Degrees C
			
	15.28.10	  	Tank 4 “other” Tonnes	  	0 Tonnes
			
	15.28.11	  	Tank 4 “other” degrees C	  	0 Degrees C
			
	15.29.1	  	Tank 5 Capacity m3 (100%)	  	0 Cu Meters
			
	15.29.2	  	Tank 5 Butane Tonnes	  	0 Tonnes
			
	15.29.3	  	Tank 5 Butane degrees C	  	0 Degrees C
			
	15.29.4	  	Tank 5 Propane Tonnes	  	0 Tonnes
			
	15.29.5	  	Tank 5 Propane degrees C	  	0 Degrees C
			
	15.29.6	  	Tank 5 Ammonia Tonnes	  	0 Tonnes
			
	15.29.7.1	  	Specify other cargo	  	
			
	15.29.7	  	Tank 5 Ammonia degrees C	  	0 Degrees C
			
	15.29.8	  	Tank 5 “other” Tonnes	  	0 Tonnes
			
	15.29.9	  	Tank 5 “other” degrees C	  	0 Degrees C
			
	15.29.10	  	Tank 5 “other” Tonnes	  	0 Tonnes
			
	15.29.11	  	Tank 5 “other” degrees C	  	0 Degrees C
			
	15.30.1	  	Tank 6 Capacity m3 (100%)	  	0 Cu Meters
			
	15.30.2	  	Tank 6 Butane Tonnes	  	0 Tonnes
			
	15.30.3	  	Tank 6 Butane degrees C	  	0 Degrees C
			
	15.30.4	  	Tank 6 Propane Tonnes	  	0 Tonnes
			
	15.30.5	  	Tank 6 Propane degrees C	  	0 Degrees C
			
	15.30.6	  	Tank 6 Ammonia Tonnes	  	0 Tonnes
			
	15.30.7	  	Tank 6 Ammonia degrees C	  	0 Degrees C
			
	15.30.7.1	  	Specify other cargo	  	
			
	15.30.8	  	Tank 6 “other” Tonnes	  	0 Tonnes
			
	15.30.9	  	Tank 6 “other” degrees C	  	0 Degrees C
			
	15.30.10	  	Tank 6 “other” Tonnes	  	0 Tonnes
			
	15.30.11	  	Tank 6 “other” degrees C	  	0 Degrees C
			
	15.31.1	  	Tank 7 Capacity m3 (100%)	  	0 Cu Meters
			
	15.31.2	  	Tank 7 Butane Tonnes	  	0 Tonnes
			
	15.31.3	  	Tank 7 Butane degrees C	  	0 Degrees C
			
	15.31.4	  	Tank 7 Propane Tonnes	  	0 Tonnes
			
	15.31.5	  	Tank 7 Propane degrees C	  	0 Degrees C
			
	15.31.6	  	Tank 7 Ammonia Tonnes	  	0 Tonnes

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	15.31.7	  	Tank 7 Ammonia degrees C	  	0 Degrees C
			
	15.31.7.1	  	Specify other cargo	  	
			
	15.31.8	  	Tank 7 “other” Tonnes	  	0 Tonnes
			
	15.31.9	  	Tank 7 “other” degrees C	  	0 Degrees C
			
	15.31.10	  	Tank 7 “other” Tonnes	  	0 Tonnes
			
	15.31.11	  	Tank 7 “other” degrees C	  	0 Degrees C
			
	15.32.1	  	Tank 8 Capacity m3 (100%)	  	0 Cu Meters
			
	15.32.2	  	Tank 8 Butane Tonnes	  	0 Tonnes
			
	15.32.3	  	Tank 8 Butane degrees C	  	0 Degrees C
			
	15.32.4	  	Tank 8 Propane Tonnes	  	0 Tonnes
			
	15.32.5	  	Tank 8 Propane degrees C	  	0 Degrees C
			
	15.32.6	  	Tank 8 Ammonia Tonnes	  	0 Tonnes
			
	15.32.7	  	Tank 8 Ammonia degrees C	  	0 Degrees C
			
	15.32.7.1	  	Specify other cargo	  	
			
	15.32.8	  	Tank 8 “other” Tonnes	  	0 Tonnes
			
	15.32.9	  	Tank 8 “other” degrees C	  	0 Degrees C
			
	15.32.10	  	Tank 8 “other” Tonnes	  	0 Tonnes
			
	15.32.11	  	Tank 8 “other” degrees C	  	0 Degrees C
			
	15.33	  	Total Capacity of all tanks (100%)	  	0 Cu Meters
			
	15.34	  	Total Capacity of all Butane tanks Tonnes	  	0 Tonnes
			
	15.35	  	Total Capacity of all Propane tanks Tonnes	  	0 Tonnes
			
	15.36	  	Total Capacity of all Ammonia tanks Tonnes	  	0 Tonnes
			
	15.37	  	Total Capacity of all “other” tanks Tonnes	  	0 Tonnes
			
	15.38	  	Total Capacity of all “other” tanks Tonnes	  	0 Tonnes
			
	6	  	LOADING RATES	  	
			
	15.39	  	From Refrigerated Storage	  	
			
	15.39.1	  	Butane - Rate (tonnes/hr) with vapor return	  	0 Tonnes/Hour
			
	15.39.2	  	Butane - Rate (tonnes/hr) without vapor return	  	0 Tonnes/Hour
			
	15.39.3	  	Propane - Rate (tonnes/hr) with vapor return	  	0 Tonnes/Hour
			
	15.39.4	  	Propane - Rate (tonnes/hr) without vapor return	  	0 Tonnes/Hour
			
	15.39.5	  	Ammonia - Rate (tonnes/hr) with vapor return	  	0 Tonnes/Hour
			
	15.39.6	  	Ammonia - Rate (tonnes/hr) without vapor return	  	0 Tonnes/Hour
			
	15.39.7	  	“other” - Rate (tonnes/hr) with vapor return	  	0 Tonnes/Hour
			
	15.39.7.1	  	Specify other cargo	  	

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	15.39.8	  	“other” - Rate (tonnes/hr) without vapor return	  	0 Tonnes/Hour
			
	15.39.9	  	“other” - Rate (tonnes/hr) with vapor return	  	0 Tonnes/Hour
			
	15.39.10	  	“other” - Rate (tonnes/hr) without vapor return	  	0 Tonnes/Hour
			
	15.40	  	From Pressure Storage	  	
			
	15.40.1	  	Butane 0-30deg C - Rate (tonnes/hr) with vapor return	  	0 Tonnes/Hour
			
	15.40.2	  	Butane 0-30deg C - Rate (tonnes/hr) without vapor return	  	0 Tonnes/Hour
			
	15.40.3	  	Propane 0 deg C - Rate (tonnes/hr) with vapor return	  	0 Tonnes/Hour
			
	15.40.4	  	Propane 0 deg C - Rate (tonnes/hr) without vapor return	  	0 Tonnes/Hour
			
	15.40.5	  	Propane 10 deg C - Rate (tonnes/hr) with vapor return	  	0 Tonnes/Hour
			
	15.40.6	  	Propane 10 deg C - Rate (tonnes/hr) without vapor return	  	0 Tonnes/Hour
			
	15.40.7	  	Propane 20 deg C - Rate (tonnes/hr) with vapor return	  	0 Tonnes/Hour
			
	15.40.8	  	Propane 20 deg C - Rate (tonnes/hr) without vapor return	  	0 Tonnes/Hour
			
	15.40.9	  	Propane 30 deg C - Rate (tonnes/hr) with vapor return	  	0 Tonnes/Hour
			
	15.40.10	  	Propane 30 deg C - Rate (tonnes/hr) without vapor return	  	0 Tonnes/Hour
			
	15.41	  	Special remarks	  	
			
	7                 	  	DISCHARGING - GENERAL	  	
			
	15.42	  	Cargo Pumps	  	
			
	15.42.1	  	Type of Cargo Pumps	  	
			
	15.42.2	  	Number of pumps per tank	  	0
			
	15.42.3	  	Rate per Pump m3/hr	  	0 Cu Meter/Hour
			
	15.42.4	  	At Delivery Head mlc	  	0 Meters liquid column
			
	15.42.5	  	Maximum density kg/m3	  	0 KG/Cu Meter
			
	15.43	  	Booster Pump	  	
			
	15.43.1	  	Type of Booster Pumps	  	
			
	15.43.2	  	Number of pumps per tank	  	0
			
	15.43.3	  	Rate per Pump m3/hr	  	0 Cu Meter/Hour
			
	15.43.4	  	At Delivery Head mlc	  	0 Meters liquid column

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	15.43.5	  	Maximum density kg/m3	  	0 KG/Cu Meter
			
	8                 	  	DISCHARGE PERFORMANCE	  	
			
	15.44	  	Full Cargo Discharge Times (using all main pumps)	  	
			
	15.44.1	  	Fully Refrigerated	  	
			
	15.44.1.1	  	Hours (Back Press 1 kP/cm2) with vapor return	  	0 Hours
			
	15.44.1.2	  	Hours (Back Press 1 kP/cm2) without vapor return	  	0 Hours
			
	15.44.1.3	  	Hours (Back Press 5 kP/cm2) with vapor return	  	0 Hours
			
	15.44.1.4	  	Hours (Back Press 5 kP/cm2) without vapor return	  	0 Hours
			
	15.44.1.5	  	Hours (Back Press 10 kP/cm2) with vapor return	  	0 Hours
			
	15.44.1.6	  	Hours (Back Press 10 kP/cm2) without vapor return	  	0 Hours
			
	15.44.2	  	Pressurized	  	
			
	15.44.2.1	  	Hours (Back Press 1 kP/cm2) with vapor return	  	0 Hours
			
	15.44.2.2	  	Hours (Back Press 1 kP/cm2) without vapor return	  	0 Hours
			
	15.44.2.3	  	Hours (Back Press 5 kP/cm2) with vapor return	  	0 Hours
			
	15.44.2.4	  	Hours (Back Press 5 kP/cm2) without vapor return	  	0 Hours
			
	15.44.2.5	  	Hours (Back Press 10 kP/cm2) with vapor return	  	0 Hours
			
	15.44.2.6	  	Hours (Back Press 10 kP/cm2) without vapor return	  	0 Hours
			
	9                 	  	UNPUMPABLES	  	
			
	15.45	  	Tank 1 (m3)	  	0 Cu Meters
			
	15.46	  	Tank 2 (m3)	  	0 Cu Meters
			
	15.47	  	Tank 3 (m3)	  	0 Cu Meters
			
	15.48	  	Tank 4 (m3)	  	0 Cu Meters
			
	15.49	  	Tank 5 (m3)	  	0 Cu Meters
			
	15.50	  	Tank 6 (m3)	  	0 Cu Meters
			
	15.51	  	Tank 7 (m3)	  	0 Cu Meters
			
	15.52	  	Tank 8 (m3)	  	0 Cu Meters
			
	15.53	  	Total	  	0 Cu Meters
			
	10              	  	VAPORIZING UNPUMPABLES	  	
			
	15.54	  	Process used	  	
			
	15.55	  	Time to vaporize liquid unpumpables remaining after full cargo discharge - Propane	  	0 Hours
			
	15.56	  	Time to vaporize liquid unpumpables remaining after full cargo discharge - Butane	  	0 Hours

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	15.57	  	Time to vaporize liquid unpumpables remaining after full cargo discharge - Ammonia	  	0 Hours
			
	15.58	  	Specify other cargo	  	
			
	15.58.1	  	Time to vaporize liquid unpumpables remaining after full cargo discharge - Other	  	0 Hours
			
	15.59	  	Specify other cargo	  	
			
	15.59.1	  	Time to vaporize liquid unpumpables remaining after full cargo discharge - Other	  	0 Hours
			
	15.60	  	Specify other cargo	  	
			
	15.60.1	  	Time to vaporize liquid unpumpables remaining after full cargo discharge - Other	  	0 Hours
			
	11	  	RELIQUEFACTION PLANT	  	
			
	15.61	  	Plant Design Conditions - air temperature degrees C	  	0 Degrees C
			
	15.61.1	  	Plant Design Conditions - sea temperature degrees C	  	0 Degrees C
			
	15.62	  	Is the plant single stage/direct?	  	
			
	15.62.1	  	Is the plant two stage/direct?	  	
			
	15.62.2	  	Is the plant simple cascade?	  	
			
	15.63	  	Coolant type	  	
			
	15.64	  	Compressor type	  	
			
	15.64.1	  	Compressor makers name	  	
			
	15.64.2	  	Number of compressors	  	0
			
	15.64.3	  	Capacity per unit	  	0 Cu Meter/Hour
			
	15.64.4	  	Are they Oil Free?	  	
			
	12	  	COOLING CAPACITY	  	
			
	15.65.1	  	State Cooling capacity for Propane @ -42 degrees C	  	0 KCaI/Hour
			
	15.65.2	  	State Cooling capacity for Propane @ -20 degrees C	  	0 KCaI/Hour
			
	15.65.3	  	State Cooling capacity for Propane @ -5 degrees C	  	0 KCaI/Hour
			
	15.66.1	  	State Cooling capacity for Butane @ -42 degrees C	  	0 KCaI/Hour
			
	15.66.2	  	State Cooling capacity for Butane @ -20 degrees C	  	0 KCaI/Hour
			
	15.66.3	  	State Cooling capacity for Butane @ -5 degrees C	  	0 KCaI/Hour
		
	13	  	CARGO TEMPERATURE LOWERING CAPABILITY
			
	15.67	  	Time taken to lower the temperature of:	  	
			
	15.67.1.1	  	Propane from ... degrees C to - 42 degrees C	  	0 Hours
			
	15.67.1.2	  	Hours	  	0 Hours

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	15.67.1.3	  	Propane from -5 degrees C to - 42 degrees C	  	0 Hours
			
	15.67.1.4	  	Propane from -38 degrees C to - 42 degrees C	  	0 Hours
			
	15.67.1.5	  	Propane from +20 degrees C to - 0.5 degrees C	  	0 Hours
			
	15.67.1.6	  	Propane from +10 degrees C to - 0.5 degrees C	  	0 Hours
			
	15.67.2.1	  	Butane from +20 degrees C to - 0.5 degrees C	  	0 Hours
			
	15.67.2.2	  	Butane from +10 degrees C to - 0.5 degrees C	  	0 Hours
			
	15.67.2.3	  	Butane from +10 degrees C to - 0.5 degrees C	  	0 Hours
			
	15.67.3.1	  	Cargo	  	
			
	15.67.3.2	  	From	  	0 Degrees C
			
	15.67.3.3	  	To	  	0 Degrees C
			
	15.67.3.4	  	Hours	  	0 Hours
			
	15.67.4.1	  	Cargo	  	
			
	15.67.4.2	  	From	  	0 Degrees C
			
	15.67.4.3	  	To	  	0 Degrees C
			
	15.67.4.4	  	Hours	  	0 Hours
			
	15.67.5.1	  	Cargo	  	
			
	15.67.5.2	  	From	  	0 Degrees C
			
	15.67.5.3	  	To	  	0 Degrees C
			
	15.67.5.4	  	Hours	  	0 Hours
			
	15.67.6.1	  	Cargo	  	
			
	15.67.6.2	  	From	  	0 Degrees C
			
	15.67.6.3	  	To	  	0 Degrees C
			
	15.67.6.4	  	Hours	  	0 Hours
			
	15.68	  	Is there an emergency discharge method available?	  	
			
	15.68.1	  	If yes, the method is:	  	
			
	15.69	  	Sample points are provided for vapour	  	
			
	15.69.1	  	Sample points are provided for liquid	  	
			
	14	  	DECK TANK CAPACITIES	  	
			
	15.70	  	Are Deck pressure tanks fitted ?	  	
			
	15.71	  	Propane Capacity	  	0 Cu Meters
			
	15.72	  	Butane Capacity	  	0 Cu Meters
			
	15.73	  	Ammonia Capacity	  	0 Cu Meters
			
	15.74	  	Maximum allowable relief valve setting	  	0 Bar guage
			
	15.75	  	Material of tank	  	

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	15	  	PRE-LOADING COOLDOWN	  	
			
	15.76.1	  	Propane - Quantity of Coolant Required	  	0 Cu Meters
			
	15.76.2	  	Propane - Time required to cooldown cargo tanks from ambient temperature with vapour return line	  	0 Hours
			
	15.76.3	  	Propane - Time required to cooldown cargo tanks from ambient temperature without vapour return line	  	0 Hours
			
	15.77.1	  	Butane - Quantity of Coolant Required	  	0 Cu Meters
			
	15.77.2	  	Butane - Time required to cooldown cargo tanks from ambient temperature with vapour return line	  	0 Hours
			
	15.77.3	  	Butane - Time required to cooldown cargo tanks from ambient temperature without vapour return line	  	0 Hours
			
	15.78.1	  	Ammonia - Quantity of Coolant Required	  	0 Cu Meters
			
	15.78.2	  	Ammonia - Time required to cooldown cargo tanks from ambient temperature with vapour return line	  	0 Hours
			
	15.78.3	  	Ammonia - Time required to cooldown cargo tanks from ambient temperature without vapour return line	  	0 Hours
			
	15.79.1	  	VCM - Quantity of Coolant Required	  	0 Cu Meters
			
	15.79.2	  	VCM - Time required to cooldown cargo tanks from ambient temperature without vapour return line	  	0 Hours
			
	15.79.3	  	VCM - Time required to cooldown cargo tanks from ambient temperature with vapour return line	  	0 Hours
			
	16	  	VAPORISER	  	
			
	15.80	  	Type of Vaporiser	  	
			
	15.81	  	Number of Vaporisers fitted	  	0
			
	15.82.1	  	Capacity per unit - Propane	  	0 Cu Meter/Hour vapour
			
	15.82.2	  	Liquid Supply Rate	  	0 Cu Meter/Hour liquid
			
	15.82.3	  	Delivery Temperature	  	0 Degrees C
			
	15.83.1	  	Capacity per unit - Ammonia	  	0 Cu Meter/Hour vapour
			
	15.83.2	  	Liquid Supply Rate	  	0 Cu Meter/Hour liquid
			
	15.83.3	  	Delivery Temperature	  	0 Degrees C
			
	15.84.1	  	Capacity per unit - Nitrogen	  	0 Cu Meter/Hour vapour
			
	15.84.2	  	Liquid Supply Rate	  	0 Cu Meter/Hour liquid
			
	15.84.3	  	Delivery Temperature	  	0 Degrees C

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	17	  	BLOWER	  	
			
	15.85	  	Type of Blower	  	
			
	15.85.1	  	Rated Capacity	  	0 Cu Meter/Hour
			
	15.85.2	  	Delivery Pressure	  	0 KP/CM2
			
	18	  	CARGO RE-HEATER	  	
			
	15.86	  	Type of Re-Heater	  	
			
	15.86.1	  	Number fitted	  	0
			
	15.86.2	  	Heating Medium	  	
			
	15.87.1	  	Discharge rates with sea water at 15 degrees C to raise product temperature of Propane from -42 degrees C to -5 degrees C	  	0 Cu Meter/Hour
			
	15.87.2	  	Discharge rates with sea water at 15 degrees C to raise product temperature of Ammonia from -42 degrees C to -5 degrees C	  	0 Cu Meter/Hour
			
	19	  	HYDRATE CONTROL	  	
			
	15.88	  	What is the type of Depressant?	  	
			
	15.89	  	What is the freezing point temperature?	  	0 Degrees C
			
	15.90	  	What is the Quantity of Depressant Carried?	  	0 Litres
			
	15.91	  	What is the means of injection?	  	
			
	15.92	  	Name any other system used	  	
			
	15.93	  	Is there an Additional pressure relief system fitted?	  	
			
	15.94	  	Is Emergency cargo jettison provided?	  	
			
	15.95	  	If yes, can Emergency cargo jettisoning be isolated from the cargo system when not in use?	  	
			
	20	  	CARGO MEASUREMENT	  	
			
	15.96	  	Level Gauges	  	
			
	15.96.1	  	Are level gauges local or remote?	  	
			
	15.96.2	  	Name of manufacture	  	
			
	15.96.3	  	Type	  	
			
	15.96.4	  	Rated Accuracy	  	0 Percent
			
	15.96.5	  	Certifying Authority	  	
			
	15.96.6	  	Are slip tubes installed?	  	
			
	15.97	  	Temperature Gauges	  	

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	15.97.1	  	Name of manufacture	  	
			
	15.97.2	  	Type	  	
			
	15.97.3	  	Rated Accuracy	  	0 Percent
			
	15.97.4	  	Certifying Authority	  	
			
	15.98	  	Pressure Gauges	  	
			
	15.98.1	  	Name of manufacture	  	
			
	15.98.2	  	Type	  	
			
	15.98.3	  	Rated Accuracy	  	0 Percent
			
	15.98.4	  	Certifying Authority	  	
			
	15.99	  	Oxygen Analyser	  	
			
	15.99.1	  	Name of manufacture	  	
			
	15.99.2	  	Type	  	
			
	15.99.3	  	What is the lowest level measurable?	  	0 Percent
			
	15.100	  	Fixed Gas Analyser	  	
			
	15.100.1	  	Name of manufacture	  	
			
	15.100.2	  	Type	  	
			
	15.101	  	Are Cargo tank calibration tables available?	  	
			
	15.101.1	  	Name of Measuring Company	  	
			
	15.101.2	  	Name of Certifying Authority	  	
			
	15.102.1	  	Calibration calculated to cm?	  	
			
	15.102.2	  	Calibration calculated to 1/2 cm?	  	
			
	15.103.1	  	Tables established to cm?	  	
			
	15.103.2	  	Tables established to mm?	  	
			
	15.103.3	  	Tables established to “other”	  	
			
	15.104	  	Are trim and list corrections available?	  	
			
	15.105	  	Are temperature corrections available?	  	
			
	15.106	  	Are float gauge tape corrections available?	  	
			
	21	  	CARGO SAMPLING	  	
			
	15.107	  	Indicate whether cargo samples may be obtained from the levels specified:	  	
			
	15.107.1.1	  	Tank 1 top	  	1
			
	15.107.1.2	  	Tank 1 middle	  	2
			
	15.107.1.3	  	Tank bottom	  	3
			
	15.107.2.1	  	Tank 2 top	  	1

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	15.107.2.2	  	Tank 2 middle	  	2
			
	15.107.2.3	  	Tank 2 bottom	  	3
			
	15.107.3.1	  	Tank 3 top	  	1
			
	15.107.3.2	  	Tank 3 middle	  	2
			
	15.107.3.3	  	Tank 3 bottom	  	3
			
	15.107.4.1	  	Tank 4 top	  	1
			
	15.107.4.2	  	Tank 4 middle	  	2
			
	15.107.4.3	  	Tank 4 bottom	  	3
			
	15.107.5.1	  	Tank 5 top	  	1
			
	15.107.5.2	  	Tank 5 middle	  	2
			
	15.107.5.3	  	Tank 5 bottom	  	3
			
	15.107.6.1	  	Tank 6 top	  	1
			
	15.107.6.2	  	Tank 6 middle	  	2
			
	15.107.6.3	  	Tank 6 bottom	  	3
			
	15.107.7.1	  	Tank 7 top	  	1
			
	15.107.7.2	  	Tank 7 middle	  	2
			
	15.107.7.3	  	Tank 7 bottom	  	3
			
	15.107.8.1	  	Tank 8 top	  	1
			
	15.107.8.2	  	Tank 8 middle	  	2
			
	15.107.8.3	  	Tank 8 bottom	  	3
			
	15.108	  	Can samples be drawn from tank vapour outlet?	  	
			
	15.109	  	Can samples be drawn from manifold liquid line?	  	
			
	15.110	  	Can samples be drawn from manifold vapour line?	  	
			
	15.111	  	Can samples be drawn from pump discharge line?	  	
			
	15.112	  	State sample connection type	  	
			
	15.112.1	  	State sample connection size	  	0 Millimeters
			
	15.113	  	Number of ESD actuation points	  	0
		
	22	  	CONNECTIONS TO SHORE FOR ESD AND COMMUNICATIONS SYSTEMS
			
	15.114	  	Is ESD connection to shore available?	  	
			
	15.114.1	  	If yes, is the system pneumatic?	  	
			
	15.114.2	  	If yes, is the system electrical?	  	
			
	15.114.3	  	If yes, is the system fiber optic?	  	
			
	15.115	  	What is the type of plug used?	  	
			
	15.116	  	Are ESD hoses or cables available on board?	  	

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	15.116.1	  	If yes, length of pneumatic	  	0 Millimeters
			
	15.116.2	  	If yes, length of electrical	  	0 Millimeters
			
	15.116.3	  	If yes, length of fiber optic	  	0 Millimeters
			
	15.117	  	Is there a connection available for a telephone line?	  	
			
	15.118	  	Are ESD connections available on both sides of vessel?	  	
			
	15.118.1	  	Are ESD Fusible plugs fitted at tank domes?	  	
			
	15.118.2	  	Are ESD Fusible plugs fitted at manifolds?	  	
			
	15.119	  	Is the link compatible with the SIGTTO guidelines?	  	
			
	15.120	  	Type of manifold valve	  	
			
	15.120.1	  	Closing time in seconds	  	0 Seconds
			
	15.120.2	  	Is closing time adjustable?	  	
			
	15.121	  	Is Independent high level shut down system fitted (overflow control)?	  	
			
	15.121.1	  	If yes, does the independent high level shutdown system also switch off running cargo pumps?	  	
			
	15.122	  	Shut down level %	  	0 Percent
			
	23	  	INERT GAS	  	
			
	15.123	  	Main IG Plant	  	
			
	15.123.1	  	Type of system	  	
			
	15.123.2	  	Capacity	  	0 Cu Meter/Hour
			
	15.123.3	  	Type of fuel used	  	
			
	15.123.4	  	Composition of IG - oxygen	  	0 Percent
			
	15.123.5	  	Composition of IG - CO2	  	0 Percent
			
	15.123.6	  	Composition of IG - Nox	  	0 Percent
			
	15.123.7	  	Composition of IG - N2	  	0 Percent
			
	15.123.8	  	Lowest dewpoint achievable	  	0 Degrees C
			
	15.123.9	  	Used for	  	
			
	15.124	  	Auxiliary IG or Nitrogen plant	  	
			
	15.124.1	  	Type of System	  	
			
	15.124.2	  	Capacity	  	0 Cu Meter/Hour
			
	15.124.3	  	Composition of IG - oxygen	  	0 Percent
			
	15.124.4	  	Composition of IG - CO2	  	0 Percent
			
	15.124.5	  	Composition of IG - Nox	  	0 Percent

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	15.124.6	  	Composition of IG - N2	  	0 Percent
			
	15.124.7	  	Lowest dewpoint achievable	  	0 Percent
			
	15.124.8	  	Used for	  	0 Degrees C
			
	15.125	  	Nitrogen	  	
			
	15.125.1	  	Liquid storage capacity	  	0 Cu Meters
			
	15.125.2	  	Daily boil-off loss	  	0 Cu Meters
			
	15.125.3	  	Maximum supply pressure	  	0 KP/CM3
			
	15.125.4	  	Supply capacity	  	0 Cu Meter/Hour
			
	15.125.5	  	Used for	  	
			
	24	  	CARGO TANK INERTING/DE-INERTING	  	
			
	15.126	  	What is the time taken to inert from fresh air to under 5% 02 at -25 degree C?	  	0 Hours
			
	15.127	  	What is the time taken to inert from cargo vapour to fully inert at -25 degrees dewpoint when IG density is less than product?	  	0 Hours
			
	15.128	  	What is the time taken to inert from cargo vapour to fully inert at -25 degrees dewpoint when IG density is greater than product?	  	0 Hours
			
	15.129	  	Do relief valves discharging liquid cargo from the cargo piping system, discharge to the cargo vent mast?	  	
			
	15.129.1	  	If yes, is the vent mast equipped with liquid sensor and alarm?	  	
			
	15.129.2	  	If yes, does the alarm activate the pump stop?	  	
			
	15.130	  	Is there one ESD valve per manifold?	  	
			
	15.130.1	  	If no, the arrangement is:	  	
			
	15.131	  	Is a hand operated valve fitted outboard of the manifold ESD valve?	  	
			
	15.132	  	Does inert gas piping pass through accommodation spaces, service spaces or control stations?	  	
			
	15.133	  	Can the Inert Gas System be fully segregated from the cargo system?	  	
			
	15.134	  	Are liquid drains fitted in cargo piping?	  	
			
	15.135	  	Are purge points fitted?	  	
			
	15.136	  	Are local pressure gauges fitted outboard of the manifold valves?	  	
			
	15.137	  	Is a temperature sensor fitted at or near the manifold?	  	

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	15.138	  	Is a cargo compressor room fitted?	  	
			
	15.140	  	Is protective equipment for the protection of crew members available on board?	  	
			
	15.140.1	  	When required by the Gas Code, is respiratory and eye protection for every person on board available for emergency escape purposes?	  	
			
	15.140.2	  	Are two additional sets of respiratory and eye protection available on the navigating bridge?	  	
			
	15.141	  	Is there a permanently installed system of gas detection fitted?	  	
			
	15.141.1	  	Is the gas detection system fitted with high and low sampling heads/sensors?	  	
			
	25	  	GAS FREEING TO FRESH AIR	  	
			
	15.142	  	Plant used	  	
			
	15.143	  	What is the time taken from fully inert condition to fully breathable fresh air?	  	0 Hours
			
	26	  	CHANGING CARGO GRADES	  	
			
	15.144	  	Indicate number of hours needed to change grades from the removal of pumpables to tanks fit to load and the quantity of inert gas consumed during the operation	  	
			
	15.144.1.1	  	From propane to butane	  	0 Hours
			
	15.144.1.2	  	From propane to butane	  	0 Cu Meters
			
	15.144.1.3	  	From propane to ammonia	  	0 Hours
			
	15.144.1.4	  	From propane to ammonia	  	0 Cu Meters
			
	15.144.1.5	  	From propane to VCM	  	0 Hours
			
	15.144.1.6	  	From propane to VCM	  	0 Cu Meters
			
	15.144.2.1	  	From butane to propane	  	0 Hours
			
	15.144.2.2	  	From butane to propane	  	0 Cu Meters
			
	15.144.2.3	  	From butane to ammonia	  	0 Hours
			
	15.144.2.4	  	From butane to ammonia	  	0 Cu Meters
			
	15.144.2.5	  	From butane to VCM	  	0 Hours
			
	15.144.2.6	  	From butane to VCM	  	0 Cu Meters
			
	15.144.3.1	  	From ammonia to propane	  	0 Hours
			
	15.144.3.2	  	From ammonia to propane	  	0 Cu Meters
			
	15.144.3.3	  	From ammonia to butane	  	0 Hours
			
	15.144.3.4	  	From ammonia to butane	  	0 Cu Meters

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	15.144.3.5	  	From ammonia to VCM	  	0 Hours
			
	15.144.3.6	  	From ammonia to VCM	  	0 Cu Meters
			
	15.144.4	  	Restrictions	  	
			
	15.144.5.1	  	From VCM to propane	  	0 Hours
			
	15.144.5.2	  	From VCM to propane	  	0 Cu Meters
			
	15.144.5.3	  	From VCM to butane	  	0 Hours
			
	15.144.5.4	  	From VCM to butane	  	0 Cu Meters
			
	15.144.5.5	  	From VCM to ammonia	  	0 Hours
			
	15.144.5.6	  	From VCM to ammonia	  	0 Cu Meters
			
	15.144.6	  	Note any operations that cannot be carried out at sea	  	
			
	27	  	CARGO MANIFOLD	  	
			
	15.145	  	Center of manifold to bow	  	0 Meters
			
	15.146	  	Center of manifold to stern	  	0 Meters
			
	15.147.1	  	Dimension A	  	0 Millimeters
			
	15.147.2	  	Dimension B	  	0 Millimeters
			
	15.147.3	  	Dimension C	  	0 Millimeters
			
	15.147.4	  	Dimension D	  	0 Millimeters
			
	15.147.5	  	Dimension E	  	0 Millimeters
			
	15.147.6	  	Dimension F	  	0 Millimeters
			
	15.147.7	  	Dimension G	  	0 Millimeters
			
	15.147.8	  	Dimension H	  	0 Millimeters
			
	15.148.1	  	Pipe Flange A - duty	  	
			
	15.148.2	  	Pipe Flange A - rating	  	0 Bar
			
	15.148.3	  	Pipe Flange A - size	  	0 Millimeters
			
	15.148.4	  	Pipe Flange A raised or flat face	  	
			
	15.149.1	  	Pipe Flange B - duty	  	
			
	15.149.2	  	Pipe Flange B - rating	  	0 Bar
			
	15.149.3	  	Pipe Flange B - size	  	0 Millimeters
			
	15.149.4	  	Pipe Flange B raised or flat face	  	
			
	15.150.1	  	Pipe Flange C - duty	  	
			
	15.150.2	  	Pipe Flange C - rating	  	0 Bar
			
	15.150.3	  	Pipe Flange C - size	  	0 Millimeters
			
	15.150.4	  	Pipe Flange C raised or flat face	  	
			
	15.151.1	  	Pipe Flange D - duty	  	

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	15.151.2	  	Pipe Flange D - rating	  	0 Bar
			
	15.151.3	  	Pipe Flange D - size	  	0 Millimeters
			
	15.151.4	  	Pipe Flange D raised or flat face	  	
			
	15.152.1	  	Pipe Flange E - duty	  	
			
	15.152.2	  	Pipe Flange E - rating	  	0 Bar
			
	15.152.3	  	Pipe Flange E - size	  	0 Millimeters
			
	15.152.4	  	Pipe Flange E raised or flat face	  	
			
	15.153.1	  	Pipe Flange F - duty	  	
			
	15.153.2	  	Pipe Flange F - rating	  	0 Bar
			
	15.153.3	  	Pipe Flange F - size	  	0 Millimeters
			
	15.153.4	  	Pipe Flange F raised or flat face	  	
			
	15.154.1	  	Pipe Flange G - duty	  	
			
	15.154.2	  	Pipe Flange G - rating	  	0 Bar
			
	15.154.3	  	Pipe Flange G - size	  	0 Millimeters
			
	15.154.4	  	Pipe Flange G raised or flat face	  	
			
	15.155.1	  	Pipe Flange H - duty	  	
			
	15.155.2	  	Pipe Flange H - rating	  	0 Bar
			
	15.155.3	  	Pipe Flange H - size	  	0 Millimeters
			
	15.155.4	  	Pipe Flange H raised or flat face	  	
			
	15.156	  	Height above uppermost continuous deck	  	0 Millimeters
			
	15.157	  	Distance from ship side	  	0 Millimeters
			
	15.158	  	Height above load waterline	  	0 Millimeters
			
	15.159	  	Height above light waterline	  	0 Millimeters
		
	28	  	MANIFOLD ARRANGEMENT LOCATED ON TOP OF COMPRESSOR
			
	15.160	  	Distance from rail of compressor room/platform to presentation flanges	  	0 Millimeters
			
	15.161	  	Distance from deck of compressor room/platform/try to centre of manifold	  	0 Millimeters
			
	29	  	CARGO MANIFOLD REDUCERS	  	
			
	15.162.1	  	Number of ANSI Class 300 reducers carried onboard	  	0
			
	15.162.2	  	Flange rating of ANSI Class 300 reducer	  	0 Bar
			
	15.162.3	  	Size of ANSI Class 300 reducer	  	0 Millimeters
			
	15.162.4	  	Length of ANSI Class 300 reducer	  	0 Millimeters
			
	15.163.1	  	Number of ANSI Class 300 to Class 150 reducers carried onboard	  	0

 Vessel Particulars Questionnaire for Pelican StateIMO: 9408102 

 
  

					
			
	15.163.2	  	Flange rating of ANSI Class 300 to Class 150 reducer	  	0 Bar
			
	15.163.3	  	Size of ANSI Class 300 to Class 150 reducer	  	0 Millimeters
			
	15.163.4	  	Length of ANSI Class 300 to Class 150 reducer	  	0 Millimeters
			
	15.164.1	  	Number of ANSI Class 150 reducers carried onboard	  	0
			
	15.164.2	  	Flange rating of Class 150 reducer	  	0 Bar
			
	15.164.3	  	Size of ANSI Class 150 reducer	  	0 Millimeters
			
	15.164.4	  	Length of ANSI Class 150 reducer	  	0 Millimeters
		
	 CHAPTER 16 CHAPTER 16
	  	
			
	1	  	OBO / OO /COB CARRIERS	  	
			
	16.1	  	State design of hatches	  	
			
	16.2	  	State type of hatches	  	
			
	16.3	  	State if hatches fitted with single or double seals in hatch coaming	  	
			
	16.4	  	Last date cargo holds/tanks were tested to normal working pressure (min.500mm wg) to prove gas tightness of hatches	  	
			
	16.5	  	Were the hatches proven to be gas tight?	  	

 Appendix B 
 SHELLTIME 4 
  

			
	 Shell Safety and Environmental

Monthly Reporting Template
	  	 Return to:
Shell Trading HSE & Shipping Standards
 Charterers marked for the attention of: Jerome R. Cooks - OTS/6

Phone:     713.230.1876

Email:      Jerry.Crooks@shell.com

  

			
	Time Chartered Vessel Name	  	 
	Management Company	  	 
	Month	  	 

  

			
	 OIL SPILL INCIDENTS
 (Any amount entering the water)

Approximate volume in barrels and brief    
 details
  
  
	  	 
	 ANY OTHER INCIDENTS 
 resulting in or having potential for
 injury, damage or loss

 
  
	  	 

 FOR DEFINITIONS OF INCIDENT CLASSIFICATION AND EXPOSURE HOURS PLEASE SEE OIL COMPANIES 

INTERNATIONAL MARINE FORUM (OCIMF) BOOKLET “Marine Injury Reporting Guidelines” (February 1997) or 

any subsequent version, amendment, or variation to them 
  

			
	A. No. Of crew:	  	 
	B. Days in month / period:	  	 
	EXPOSURE HOURS (A x B x 24):	  	 

  

			
	LOST TIME INJURIES (LTI’S) including brief details / any treatments
	 	 
	 	  	 

  

			
	TOTAL RECORDABLE CASE INJURIES (TRC’S) including brief details / any
treatments
	 	 
	 	  	 

  

			
	  PLEASE CONFIRM YOUR RETURN CONTACT DETAILS:
	Name:
          	  	 
	Phone:           	  	 
	Fax:           	  	 
	Email:           	  	 

 Return for each calendar month – by 10th of following month. 

 Contingent Time Charter 

CONFIDENTIAL 
  

 
  

			
	 Shell Safety and Environmental

Monthly Reporting Template
	  	 Return to:
Shell Trading HSE & Shipping Standards
 Charterers marked for the attention of: Jerome R. Cooks - OTS/6

Phone:     713.230.1876

Email:      Jerry.Crooks@shell.com           

		  	
	Time Chartered Vessel Name	  	 
	Management Company	  	 
	Month	  	 

  

			
		
	Notes :	  	 Please enter zero i.e. “0” where any amount is nil (rather than entering “Nil” or N/A”)

Please do not enter a % sign in the entry boxes for Fuel Sulphur content i.e. if it is 3% then just enter “3”.

Cargo loaded for LNG vessels should also be reported as tons and not as m3.
 If not
possible to measure your refrigerants accurately by weighing, please use best estimate.

  

			
	 Monthly Consumption – Fuel Oil mt

 
	  	 
	
Sulphur content of Fuel Oil (percentage weight)
  
	  	 
	
Monthly Consumption – Diesel and/or Gas Oil mt

 
	  	 
	 Monthly Consumption (LNG ships only)

– Fuel Gases mt
	  	 

  

			
	 Monthly Distance Steamed

 
	  	 
	 Monthly Cargo Loaded – mt

 
	  	 
		  	
	 Halon Release – (ltrs)

 
	  	 
	 Refrigerant Gas – Type

 
	  	 
	
Refrigerant Gas – ROB carried fwd from end last month (kgs)    

 
	  	 
	 Refrigerant Gas – Received (kgs)

 
	  	 
	 Refrigerant Gas Consumption – (kgs)

 
	  	 
	 Refrigerant Gas – ROB end of this month (kgs)

 
	  	 
		  	
	 Garbage Disposal m3 – At Sea

 
	  	 
	 Garbage Disposal m3 – Incinerated on Board

 
	  	 
	 Garbage Disposal m3 – Sent Ashore

 
	  	 
		  	
	 OIL SPILL INCIDENTS

 
 (Other than those entering the water)

Approx. volume & brief details
	  	 

 Return for each calendar month – by 10th of following month. 

 Contingent Time Charter 

CONFIDENTIAL 
  

Additional Clauses 49 – 63 to the Time Charter Party dated [insert date], at Houston, Texas, between American Petroleum Tankers LLC, Owners of the
M/V Pelican State, and Shell Trading (U.S.) Company (“STUSCO”), Charterers: 
 49. General Average 

General average shall be adjusted, stated, and settled according to the York/Antwerp Rules 1994, as amended from time to time (“Rules”), and as
to matters not provided for by those Rules, according to the laws and usages at the port of New York, provided that when there is an actual or threatened discharge, escape or release of oil or pollutant substances from the vessel (irrespective of
vessel location, the cost of any measures, continued or undertaken on that account to prevent or minimize pollution or environmental damage (as defined in Article 1 6 (a) of the 1992 Protocol to the International Convention on Civil Liability
for Oil Pollution Damage and/or the Oil Pollution Act of 1990, as applicable) shall also not be allowable in General Average. It is understood and agreed, however, that the cost of measures to prevent pollution or environmental damage, undertaken in
respect of oil or pollutant substances which have not escaped or been released from the vessel, shall be included in General Average to the extent permitted by the Rules. If a General Average statement is required, it shall be prepared at such port
by an adjuster from the port of New York appointed by the Owners and approved by Charterers of the vessel. Such adjuster shall attend to the settlement and the collection of General Average, subject to customary charges. General Average agreements
and/or security shall be furnished by Charterers, and/or Owners, and/or consignee of cargo, if requested. Any cash deposit being made as security to pay General Average and/or salvage shall be remitted to the average adjuster and shall be held by
the adjuster at the adjuster’s risk in a special account in a duly authorized and licensed bank at the place where the General Average statement is prepared. 
 50. Indemnity 
  

	 	(A)	Owners shall release, defend, indemnify, and hold harmless Charterers and their affiliates, and each of Charterers’ and their affiliates’ respective officers,
directors, shareholders, agents, employees, joint-venturers, contractors (except Owners), successors-in-interest and assignees (collectively the “Charterer Group”), from and against any and all claims, judgments, causes of action or other
legal liabilities of any nature whatsoever, for any and all elements of recovery or relief recognized by law, arising out of or in any way related to Owners’ performance or obligations hereunder this Charter, including but not limited to, the
condition, maintenance, management, operation, navigation, and/or movement of the vessel. THE RELEASE, DEFENSE, INDEMNITY, AND HOLD HARMLESS RIGHTS AFFORDED UNDER THIS CLAUSE 50(A) SHALL PROTECT AND INDEMNIFY THE CHARTERER GROUP AGAINST THE
CONSEQUENCES OF THEIR SOLE, JOINT, OR CONCURRENT NEGLIGENCE, STRICT LIABILITY, OR OTHER BREACH OF LEGAL DUTY OR THE UNSEAWORTHINESS OF ANY VESSEL. 

  

	 	(B)	 Charterers shall release, defend, indemnify, and hold harmless Owners and their affiliates, and each of Owners and their affiliates’ respective
officers, directors, shareholders, agents, employees, joint-venturers, contractors, successors-in-interest and assignees (collectively the “Owner Group”), from and against any and all claims, judgments, causes of action or other legal
liabilities of any nature whatsoever, for any and all elements of recovery or relief recognized by law, arising out of or in any way related to Charterers’ duties hereunder. THE

 Contingent Time Charter 

CONFIDENTIAL 
  

	 	
RELEASE, DEFENSE, INDEMNITY, AND HOLD HARMLESS RIGHTS AFFORDED UNDER THIS CLAUSE 50(B) SHALL PROTECT AND INDEMNIFY THE OWNER GROUP AGAINST THE CONSEQUENCES OF THEIR SOLE, JOINT, OR CONCURRENT
NEGLIGENCE, STRICT LIABILITY, OR OTHER BREACH OF LEGAL DUTY OR THE UNSEAWORTHINESS OF ANY VESSEL. 

 51. Mooring and Hose
Clause 
 Owners shall, unless otherwise notified by Charterers or their agents, supply at Owners’ expense, all hands, equipment, and
facilities required on board mooring, unmooring, connecting and disconnecting hoses for loading and discharging. 
 52. Bunker Emissions
Clause 
  

	 	(a)	Should Charterers trade the vessel into a Sox Emission Control Area (“SECA”) as defined in Annex VI of the International Convention for the Prevention of
Pollution from Ships (“MARPOL”), or as designated by the U.S. Environmental Protection Agency or otherwise, then the Charterers shall supply fuels: 

 

	 	(i)	of such specifications and grades that will comply with the maximum sulphur content requirements of the SECA; and 

 

	 	(ii)	from bunker suppliers who comply with Regulations 14 and 18 of MARPOL Annex VI, including the Guidelines in respect of sampling and the provision of bunker delivery
notes. 

 Owners warrant, in the event the vessel trades in a SECA, that the vessel: 

 

	 	(i)	complies with Regulation 14 and 18 of MARPOL Annex VI and with the requirements of the SECA; 

 

	 	(ii)	is able to consume fuels of the required sulphur content when ordered by the Charterers to trade within the SECA; and 

 

	 	(iii)	will provide segregated storage for this fuel. 

  

	 	(b)	Subject to having supplied the vessel with fuels in accordance with this clause, the Charterers shall not be liable for any loss, delay, fines, costs or expenses
arising or resulting from the vessel’s non-compliance with Regulations 14 and 18 of MARPOL Annex VI. 

 53. Inert Gas
Clause 
 Owners warrant that the vessel has a properly working inert gas system and her officers and crew are experienced in the operation
of the system. Owners further warrant that the vessel will arrive at load and discharge ports with cargo tanks positively inerted and that such tanks will remain positively inerted throughout voyage and during ballast and cargo operations,
Charterers shall have the right to request the Master to reduce the inert gas system pressure for the purpose of gauging, sampling, temperature determination, and/or determining the quantity of cargo on board. The Master shall comply with these
requests consistent with the safe operation of the vessel. Any delay as a result of non-compliance with this Clause shall count as off-hire. 

 Contingent Time Charter 

CONFIDENTIAL 
  

54. Pumping Clause 
 Owners warrant that
the vessel will discharge the entire homogeneous cargo within twenty-four (24) hours or maintain 100 psi at the vessel’s manifold, except during stripping and/or COW operations and provided shore facilities permit. If the vessel fails to
perform in accordance with the warranty stated in this Clause, the vessel shall be off-hire for any pumping time in excess of twenty-four (24) hours. 
 55. Vapor Control Clause 
 Owners warrant that (a) the vessel has a U.S. Coast Guard
approved operable Vapor Recovery System and (b) the vessel’s Vapor Recovery System meets OCIMF standards. 
 56. Cargo
Advisors’ Clause 
 Charterers have the option, at their expense, to place onboard the vessel a cargo advisor to observe cargo
operations, including IGS and COW operations, and safety and pollution hazards. Such cargo advisor shall be only an advisor to the vessel Master and officers, who shall remain fully and solely responsible for the cargo operations and all other
operations and management of the vessel. The Owners, at their expense, shall provide the cargo advisor an onboard cabin. 
 57. Reports
Clause 
 ETA/Position Reports: Unless the vessel is in port at the time, the Master shall give Charterers and the vessel’s agent
72/48/24 hours advance notice of ETA (estimated time of arrival) at next port. Within twenty-four (24) hours of reported ETA, the Master shall give Charterers or the vessel’s agent notice of any change in ETA exceeding two (2) hours.
All of the aforesaid notices of ETA and changes of ETA shall be accompanied by the vessel’s current position (latitude and longitude) and speed. In addition to the aforesaid reports, during any sea passage, the vessel shall provide daily noon
position reports with latitude, longitude, speed, bunker quantities and updated ETA. 
 58. Independent Contractor Clause 

It is agreed that: (a) Owners are retained and have contracted with Charterers only to the extent and for the purposes set forth in this Charter;
(b) Owners shall perform all services as an independent contractor; (c) Owners’ relationship with Charterers is that of an independent contractor; and (d) under no circumstances shall Owners or Owners’ employees, agents, or
subcontractors be considered an employee, agent, or servant of Charterers. 
 59. Emergency Notification Clause 

Owners or Owners’ representative will, as soon as practical, notify Charterers if the vessel is involved in a pollution incident, grounding,
collision, has any vessel systems failure relating to safety, or any other casualty causing delay or risk to the vessel, crew, cargo, or the environment by calling the 24-HOUR INCIDENT HOTLINE (713) 241-2532. This notification in no way
relieves the Master and/or Owners of their responsibilities to make all notifications required by law. A written incident investigation report for each noticed event shall be issued by Owners to Charterers within seventy-two (72) hours of such
notice. 

 Contingent Time Charter 

CONFIDENTIAL 
  

60. Shell Time Charter Assurance Clause 

This time charterparty is SUBJECT to both the vessel and its technical management passing the Shell Ship Quality Assurance (“SSQA”) time charter
assurance review part of which may include either (a) a vessel loading/discharging vessel; and/or (b) review of the vessel’s technical management (“Shell Time Charter Assurance Review”). If the outcome of the Shell Time
Charter Assurance Review is not satisfactory, the vessel will be rejected and this time charterparty will be void, with no liability incurred by either party. 
 61. Slops Disposal Clause 
 Charterers shall be responsible for the time and cost to dispose
of all cargo residues generated from cargo tank preparation under this Charter during on-hire periods. Wastes generated while the vessel is off-hire shall be for Owners’ account. 
 62. Marine Letter of Indemnity 
 Further to this Charter, the vessel may be required to
carry out other such cargo operations as Charterers may reasonably require, including but not limited to one or more of the following: 
  

	 	(a)	to commingle different grades of cargo providing such grades fall within the cargo description set out in this Charter; 

 

	 	(b)	to breach vessel’s natural segregation; 

  

	 	(c)	to dope the cargo with additive supplied by Charterers;*

  

	 	(d)	to add dye supplied by Charterer to the cargo;* 

  

	 	(e)	to blend cargo on board;*

  

	 	(f)	to carry additives/dye supplied at loading port in drums on deck; and/or 

  

	 	(g)	to load and discharge freshwater or seawater shore line flush/line plug before, during or after a cargo loading operation. 

 

	*	These operations shall be carried out or supervised by an inspector appointed by the Charterers. 

 Upon receipt of Charterers’ written instructions in respect of the foregoing, a Letter of Indemnity in the following form will be deemed to have been provided by Charterers. 

In consideration of Owners complying with Charterers’ above request, Charterers hereby agree as follows: 

 

	 	1.	To indemnify Owners, Owners’ servants and agents, and to hold all of them harmless in respect of any liability, loss, damage or expense of whatsoever nature and
which they may sustain in connection with complying with Charterers’ request, including loss or damage caused by an inspector appointed by Charterers, except to the extent that such liability, loss, damage or expense could have been
avoided by the exercise of due diligence by Owners. 

 Contingent Time Charter 

CONFIDENTIAL 
  

 

	 	2.	In the event of any proceedings being commenced against Owners or any of Owners’ servants or agents in connection with complying with Charterers’
request as aforesaid, to provide them on demand with sufficient funds to defend the same, provided however that Charterers shall be consulted in the preparation of defense of any such proceedings. 

 

	 	3.	If, in connection with complying with Charterers’ request as aforesaid, the vessel, or any other vessel or property in the same or associated ownership,
management or control, should be arrested or detained or should the arrest or detention thereof be threatened, or should there be any interference in the use or trading of the vessel (whether by virtue of a caveat being entered on the ship’s
registry or otherwise howsoever), to provide on demand such bail or other security as may be required to prevent such arrest or detention or to secure the release of such vessel or property or to remove such interference and to indemnify
Owners in respect of any liability, loss, damage or expense caused by such arrest or detention or threatened arrest or detention or such interference, whether or not such arrest or detention or threatened arrest or detention or such
interference may be justified subject to Charterers’ involvement in any negotiations in the provision of such bail or security. 

  

	 	4.	The liability of each and every person under this indemnity shall be joint and several and shall not be conditional upon Owners proceeding first against any person,
whether or not such person is party to or liable under this indemnity. 

  

	 	5.	This indemnity shall be limited in value to two hundred percent (200%) of the CIF value of the total cargo onboard and shall terminate at twenty-four
(24) hours on the day that is thirty-six (36) calendar months after the date of discharge unless before that time Charterers have received from Owners written notice of a claim pursuant to this indemnity. 

63. Insolvency Clause 
 If a
receiver, liquidator or trustee shall be appointed for the Owners or any of their property; or if the Owners shall be adjudicated a bankrupt or insolvent, or if any petition for bankruptcy, reorganization or arrangement pursuant to federal
bankruptcy law, or any similar federal or state law, shall be filed by or against, consented to, or acquiesced in by, the Owners, or any proceeding for the dissolution or liquidation of the Owners shall be instituted, then Charterer shall be
entitled to terminate this Charter Party effective immediately upon written notice to Owners.
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