The following Questionnaire pertains to any vessel delivering crude oil to
Ashland, or at their direction. This form is to be completed and submitted to
Ashland when the vessel is offered for service.  Ashland's acceptance cannot be
granted without full and complete answers to all questions.


A

VESSEL NAME:

PREVIOUS NAME:

FLAG: CLASS: YEAR BUILT: DATE CONTRACTED:

DWT: LOA: BEAM: DATE DELIVERED:

DRAFT: TPI: BCM: GRT:

CALL SIGN: STRIKE THAT WHICH IS NOT APPLICABLE TO THE VESSEL.

SINGLE SKIN / DOUBLE BOTTOM / DOUBLE HULL (COMPLYING WITH 33 CFR 155 CFR 46

LLOYD'S REGISTER NUMBER:

ON BOARD PHONE NO: ON BOARD FAX NO: ON BOARD TLX NO:

PRESENT POSITION: NEXT PORT OF CALL:

ETA:


B


DATE AND PLACE OF LAST CALL IN U.S. PORT

LAST THREE VOYAGES & CHARTERER

1.
2.
3.

DATE, PLACE, AND REASON FOR LAST DRY DOCKING


ANY OUTSTANDING ITEMS

NUMBER OF CARGOES CARRIED SINCE LAST DRY DOCK

DATE/PLACE OF LAST CARGO DISCHARGE

NUMBER OF VOYAGES TO U.S. THIS INSURANCE YEAR

LIST ANY DEFICIENCIES BY CLASS/FLAG/USCG, INCLUDING, BUT NOT LIMITED TO SAFETY

AND FIRE FIGHTING EQUIPMENT, CARGO HANDLING OR VENT SYSTEMS, NAVIGATION

EQUIPMENT OR OTHER SOLAS TYPE REQUIREMENTS

CONFIRM IGS IN GOOD WORKING ORDER AND ALL TANKS WILL BE KEPT INERTED UNDER 8%

OXYGEN

NUMBER, TYPE, MAKE, S.W.L. OF BOW CHAIN STOPPERS FITTED


SIZE OF OPENINGS

ARE S.P.M. MOORING ARRANGEMENTS IN ACCORDANCE WITH O.C.I.M.F. STANDARDS

ARE EMERGENCY  MOORING ARRANGEMENTS IN ACCORDANCE WITH IMO STANDARDS AND USCG

REGULATIONS?

MANIFOLD SIZE AND TYPE

NUMBER AND SIZE(S) OF REDUCERS ON BOARD

FOR THIS VOYAGE, IS VESSEL OWNED, TIME OR VOYAGE CHARTER?

IF TIME OR VOYAGE CHARTER, NAME OF CHARTERER:

ADDRESS:

OWNER:

ADDRESS:

HOW LONG OWNED

MANAGER/OPERATOR NAME(S)

CONTACT NAME AND PHONE NUMBERS OF OWNERS/MANAGERS TO CONTACT ON 24 HR EMERGENCY

BASIS

NATIONALITY OF CHIEF OFFICERS

NATIONALITY OF MAJORITY OF THE CREW

ARE  THE MASTER AND CREW EXPERIENCED IN STS TRANSFER

DATE AND LOCATION LAST ENGAGED IN STS

ARE MASTER AND CHIEF OFFICERS PROFICIENT IN CONVERSATIONAL ENGLISH

OWNER'S P & I CLUB

NAME:

ADDRESS:

AMOUNT (IN US DOLLARS) OF P&I POLLUTION INSURANCE:

NAME OF PERSON TO CONTACT:

TELEPHONE NUMBER:

IN EVENT OF AN OIL SPILL,

NAME OF AGENTS OF SERVICE & PROCESS::

CITY, STATE, COUNTRY:

NAME OF PERSON TO CONTACT

PHONE NUMBER

FOR OPA '90:

1) NAME OF QUALIFIED INDIVIDUAL:

TELEPHONE NUMBER:

2) PRIMARY OIL SPILL RESPONSE ORGANIZATION:
1)


2)
IS VESSEL IN COMPLIANCE WITH USCG 33 CFR 155. 205 DISCHARGE REMOVAL EQUIPMENT?

IS VESSEL A MEMBER OF TOVALOP

DATE OF LAST SPECIAL SURVEY

VESSEL CERTIFICATES:

a. LOAD LINE CERTIFICATE ON BOARD?

b. FMC ON BOARD?

c. CLC ON BOARD?

d. SOLAS SAFETY EQUIPMENT ON BOARD?

e. SOLAS SAFETY ON BOARD?

f.  COMPLIANCE WITH PROVISIONS OF THE USCG    REGULATIONS FOR POLLUTION CONTROL

ACT   SECTION 155-156 OF TITLE 33 CODE OF FEDERAL  REGULATIONS AS AMENDED

g. TVEL ON BOARD? - EXPIRATION DATE

h. OPA '90 AND ANY NECESSARY WAIVERS

i VESSEL RESPONSE PLAN FOR OPA '90

j.   COFR AS REQUIRED BY 33 CFR PART 138 (JULY 1, 1994)

EXPIRATION DATE

k. MARPOL ANNEX 1, REGULATION 26 EMERGENCY PLAN?

l. INTERNATIONAL TONNAGE CERTIFICATE ON BOARD?

a.
b.
c.
d.
e.
f.

g.
h.
i.
j.

k.
l.

OWNER WARRANTS THE VESSEL IS NOT EXCLUDED FROM ENTERING ANY PORT WITHIN THE

RANGES OFFERED.

DO OWNERS HAVE SUFFICIENT INSURANCE COVERAGE OR SURETY BOND TO COVER DISCHARGE

OF OIL UNDER SECTION 18 OF THE DEEP WATER PORT ACT OF 1974 ($150/GROSS TON UP

TO $20,000,000)

LIST ANY INCIDENTS OF GROUNDINGS, STRANDINGS, AND/OR MECHANICAL PROBLEMS IN THE

LAST 24 MONTHS

TOTAL NUMBER OF TANKERS IN OWNER'S FLEET

LIST ANY POLLUTION INCIDENTS, ANY TYPE, INCLUDING CARGO, BUNKER FUELS, LUBES,

ETC. DURING THE LAST 24 MONTHS GIVE ALL DETAILS (WHEN, WHERE, AMOUNT, TYPE, AND

ANY OTHER INFORMATION AVAILABLE)

TO BE COMPLETED ONLY FOR VESSELS DELIVERING CARGO (NOT UNDER CHARTER) TO

ASHLAND:

QUANTITY AND GRADE OF CARGO TO BE DELIVERED

(BOTH IN BBLS AND M. TONS)

ETA PORT OF DELIVERY OR LIGHTERING AREA

PLEASE SPECIFY WHICH

SCAC CODE FOR ASHLAND'S CARGO

SHIP'S LOCAL AGENT

PHONE NUMBER

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