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WKW Ref 163/21/09602

AGREEMENT OF LOSS
TO: Unirisc AND/OR INTERESTED UNDERWRITERS

Name of Insured Barbosa, Rafael


Commodity Personal & Household Effects
Insurance Policy MSIG-130170

In consideration of paying to us the sum of USD 550.00 [Five Hundred Fifty US


Dollars Exactly] in irrevocable full and final settlement of any claim and all
claims by us of whatsoever nature arising in respect of the cargo laden on board
the above vessel and any obligations to us of whatsoever nature arising in
respect of that cargo, and in mutually agreed complete fulfilment of all the
immediate and consequential obligations of the insurers in respect of the cargo
under the terms of POLICY NUMBER:

Certificate 41450-1-75496 Issued: Arlington, VA 09 September 2020


Amount Insured: USD 76,390.00

in respect of this matter in accordance with the laws governing the contract of
insurance we irrevocably confirm that the underwriters become subrogated to
and hereby assign for the benefit of underwriters all our rights and remedies in
respect of this matter.

We further irrevocably confirm that you have the authority to use our name to the
extent necessary effectively to exercise all or any such rights and remedies; that
we will furnish you with any assistance you may reasonably require of us when
exercising such rights and remedies, and we will indemnify you in respect of any
failure to do so, whilst on your part you will indemnify us in respect of any liability
for costs, charges and expenses arising in connection with any proceedings
which you may take in our name in the exercise of such rights and remedies.

N.B. Settlement checks will be mailed within 15 business days of receipt of this
document.

Signature……………………………………………….

Rafael Pires Barbosa


Print Name……………………………………………..

07/27/2021
Dated……………………………………………………

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