MARITIME MUTUAL

BLUE CARD

NOT TRANSFERABLE NO: 8041 / 23

To: Directorate General of Sea Transportation

Jl. Medan Merdeka Barat No. 8
Jakarta Pusat 10110, Indonesia

CERTIFICATE FURNISHED AS EVIDENCE OF INSURANCE

PERSUANT TO ARTICLE VII OF THE INTERNATIONAL
CONVENTION ON CIVIL LIABILITY FOR OIL POLLUTION DAMAGE, 1992

Name of Ship : “AVANTI”

Distinctive Number or Letters :
IMO Number 9142021
Port of Registry : BATAM
Name and Address of
Registered Owner : PT. HANLYN JAYA MANDIRI
JALAN MULYOSARI UTARA NO.51, KALISARI,
SURABAYA,
JAWA TIMUR
INDONESIA

THIS IS TO CERTIFY that there is in force in respect of the above named ship while in the above ownership
a policy of insurance satisfying the requirements of Article VII of the International Convention on Civil
Liability for Oil Pollution, 1992 where and when applicable

Period of Insurance: From: 6th October 2023 to Midnight 5th October 2024

Provided always that the Association may cancel this Certificate by giving three months written notice to the
above Authority whereupon the liability of the Association hereunder shall cease as from the date of expiry
of the said period of notice but only as regards incidents arising thereafter.

Date: 12th October 2023

This certificate has been issued for and on behalf of

Maritime Mutual Insurance Association (NZ) Limited

…………………………
Authorised Signatory

Registered in New Zealand

Incorporated under the Companies Act 1993 reg. no. 1521418
Level 6, 36 Kitchener Street
Auckland 1010, New Zealand
Telephone: + 64 9 915 1099
www.maritime-mutual.com