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  • 2920 Ends

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    Ivan Saprialdina
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    This document is an endorsement that changes the name of the insured party for a wreck removal and pollution liability insurance policy. The policy covers PT. Baruna Mitra Segar Lines from 2019-10-18 to 2020-10-18, but is being changed to now cover PT. Baruna Karsa Selaras Lines instead, effective 2019-10-25. The endorsement was signed on October 25, 2019 in Jakarta.

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    2920 ENDS

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    This document is an endorsement that changes the name of the insured party for a wreck removal and pollution liability insurance policy. The policy covers PT. Baruna Mitra Segar Lines from 2019-10-18 to 2020-10-18, but is being changed to now cover PT. Baruna Karsa Selaras Lines instead, effective 2019-10-25. The endorsement was signed on October 25, 2019 in Jakarta.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    13 views1 page

    2920 Ends

    Uploaded by

    Ivan Saprialdina
    This document is an endorsement that changes the name of the insured party for a wreck removal and pollution liability insurance policy. The policy covers PT. Baruna Mitra Segar Lines from 2019-10-18 to 2020-10-18, but is being changed to now cover PT. Baruna Karsa Selaras Lines instead, effective 2019-10-25. The endorsement was signed on October 25, 2019 in Jakarta.

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    of 1

    ENDORSEMENT

    Type of Insurance : WRECK REMOVAL & POLLUTION LIABILITY


    Policy Number /
    : D-2019-00801
    Certificate Number
    The Insured : PT. BARUNA MITRA SEGARA LINES
    Period of Insurance : 2019-10-18 Up To 2020-10-18
    Endorsement No. : D-2019-00801 - Endt- 001
    Effective Date : 2019-10-25
    Name of Vessel (s) : FERY – 03

    PERUBAHAN NAMA TERTANGGUNG DARI : PT. BARUNA MITRA SELARAS LINES


    MENJADI : PT. BARUNA KARSA SELARAS LINES

    Jakarta, 25 Oct 2019

    JUDI RIDWAN PRATAMA


    Authorized Signature

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