LO! for Company sending Superintendent/Supercargo on board ate: vate: 6 [04 [goa3 DAGAT mM AS- 4013961 To: Owners and Managers of mv. *{VESSEL NAME)" ‘We hereby request you to allow our Superintendent [NAME OF SUPERINDENT] to attend, ‘on board your vessel at the port of [PLACE] on or about [DATE] in order to carry out [PURPOSE OF THE PASSAGE] IN consideration of your complying with this request, we hereby agree as follows: To be responsible for and to indemnify you and to hold you harmless in respect, of claims, and expenses howsoever caused and even if caused or contributed to by the act, neglect or default of you or anyone for whom you may be responsible relating to: (2), Loss of Life, injury, illness and loss or damage to personal effects or other property, whether occurring on board and/or during embarkation or disembarkation; (b) Medical, transport, repatriation costs, and/or any other expenses, loss or costs incidental to 1(a) above, incurred for any reason; {€)_ Diversion expenses for the purpose of landing for any reason, as well as any loss of time suffered by Owners as results thereof; (4) Fines and penalties 2. If, for reasons arising from the said passage, the vessel or any other vessel or property belonging to you should be arrested or detained or if the arrest of detention thereof should be threatened, to provide such bail or other security as may be required to prevent such arrest or detention orto secure the release of such vessel or property or to indemnify you in respect of any loss, damage or expenses caused by such arrest or detention whether or not the same may be Justified. 3. Inthe event ofany proceedings being commenced against you in connection with any claim whatsoever, howsoever arising from the abovernentioned attendance ‘onboard, to provide you from time to time with sufficient funds to defend the same. 4, That this agreement is entered into by us not only our own behalf but also as, agents on behalf of [NAME OF SUPERINTENDENT] and our associated or affiliated companies and that this agreement shall be binding on each of the foregoing. | 5. That said shipis not a passenger ship and as such no warranty of seaworthiness, expressed or implied, shall be deemed to have been given at the embarkation | and throughout the above said Superintendent's stay onboard the ship,6. That this agreement is in every respect, including questions of shipowners’ liability, to be governed by Singapore Law, and any dispute is to be decided by the proper Singapore Courts to the exclusion of any other law and any other jurisdiction, Should for any reason proceedings be instituted elsewhere whether in rem or in personam relative to the abovementioned attendance on board agreed herein, such proceedings are to be stayed pending the decision of the proper Singapore Courts, whose decision shall be final and binding. The vessel and/or her Owners are not under the liability of a carrier to the Superintendent. In particular, the Superintendent assumes all risk floss of lfe and personal injury, as well as loss or damage to personal effects or baggage or other property whilst onboard and whilst embarking or disembarking. The user expressly ‘agrees that the Owners, Managers, Charterers, Agents, Master Mariners or other Servants ofthe ship are not be under any liability whatsoever, whether statutory or otherwise, and whether or not there be negligence on the part of any of the aforesaid in respect of loss of lf, personal injury or loss of or damage to personal effects, baggage or other property. 8. No guarantee is given that the vessel will proceed to ports mentioned above or along the proposed or advertised route or otherwise howsoever, and if required ‘the Superintendent will disembarkat any port at which the ship may call. Thus the Superintendent has in no event any right to be forwarded to the indicated port of destination or to claim damages or refund of expenses as a consequence of the Superintendent not being transported to the port of destination for any cause whatsoever. Any money paid on signing this contract to be considered as earned and not returnable in any event, 9. fany termor provision ofthis agreement shall beheld to be illegal, unenforced, or invalid, in whole or in part, under any enactment or rule of law, such term or provision or part thereof shall to that extent be deemed not to form part of this agreement but the legality, enforceability and validity of the remaining terms and provisions ofthis agreement shall be unaffected Yours faithfully, For and on behalf of i iK (name of eae eS og rerdeie h aig parce tt a8 Tpit dn ast et eet eh gaia enue Oe fe: Sieh eat, O88 Name / Designation [outhorised signature only] O var | UMA |