INTERTANKO’S STANDARD TANKER CHARTERING QUESTIONNAIRE 88 (Q88)（国际标准船舶租赁问卷表88） 1. VESSEL DESCRIPTION (船舶描述) 1.1 1.2 1.3 1.4 1.5 1.6 1.7 1.8 1.9 Date updated:（更新日期） Vessel’s name:船名 IMO number: 国际海事编号 Vessel’s previous name(s) and date(s) of change:船舶曾用名和变更时间 Date delivered:船舶生产日期 Builder (where built):建造地点 Flag: Port of Registry:船籍港 Call sign:船舶信号 Vessel’s fax number:船舶传真号 Vessel’s telex number:船舶电报号 Vessel’s email address:邮箱地址 15.10..2012 BLACK STONE 9357377 Version 3 ROSEMARY/17.SEP.12 07.01.2009 Hyundai Samho Heavy Industries Ltd. ( Mokpo, South Korea) SEYCHELLES PORT VICTORIA维多利亚港 S7UW 764 859 892 764 859 893 457245712 blackstone@gtw.dualog.com Oil Tanker油船 Double Hull,双壳船 ARSH AUT-UMS-SYS-NEQ,MON-SHAFT,CLEAN SHIP INWATER SURVEY,SPM,VCS BV 1.10 Vessel’s satcom phone number:船舶卫星通信编号 1.11 Type of vessel:船舶类型 1.12 Type of hull:船体类型 Classification 1.13 Classification society: 1.14 Class notation: 1.15 If Classification society changed, name of previous society: 1.16 If Classification society changed, date of change: 1.17 IMO type, if applicable: 1.18 Does the vessel have ice class? If yes, state what level: 1.19 Date / place of last dry-dock: 1.20 Date next dry dock due 1.21 Date of last special survey / next survey due: 1.22 Date of last annual survey: 1.23 If ship has Condition Assessment Program (CAP), what is the latest overall rating: 1.24 Does the vessel have a statement of compliance issued under the provisions of the Condition Assessment Scheme (CAS): If yes, what is the expiry date? Dimensions 1.25 Length Over All (LOA): 1.26 Length Between Perpendiculars (LBP): 1.27 Extreme breadth (Beam): 1.28 Moulded depth: 1.29 Keel to Masthead (KTM) / KTM in collapsed condition (if applicable): 1.30 Bow to Center Manifold (BCM) / Stern to Center Manifold (SCM): 1.31 Distance bridge front to center of manifold: 1.32 Parallel body distances: Forward to mid-point manifold: Aft to mid-point manifold: Parallel body length: Lightship 46.71 Meters 31.14 Meters 77.85 Meters N/A 17.SEP.12 N/A No New building 07.01.2009 25/01/2012 N/A N/A 274.18 Meters 264 Meters 50 Meters 23.10 Meters 54.54 Meters 135.93 Meters Normal Ballast 68.35 Meters 48.55 Meters 116.90 Meters 384 Millimeters Full Mast 51.961Meters 45.14Meters 37.517Meters 53441 85462 67748 89.75 Meters Summer Dwt 69.70 Meters 61.45 Meters 131.150Meters 123.12 Metric Tons Collapsed Mast Meters Meters Meters Meters 138.25 Meters 07.01.2014 1.33 FWA at summer draft / TPC immersion at summer draft: 1.34 What is the max height of mast above waterline (air draft) Lightship: Normal ballast: At loaded summer deadweight: Tonnages 1.35 Net Tonnage: 1.36 Gross Tonnage / Reduced Gross Tonnage (if applicable): 1.37 Suez Canal Tonnage - Gross (SCGT) / Net (SCNT): 1.38 Panama Canal Net Tonnage (PCNT): Loadline Information 1.39 Loadline Summer: Winter: Tropical: Lightship: Normal Ballast Condition: Freeboard 6.118Meters 6.472Meters 5.764Meters 18.141Meters 15.45Meters Draft 85674.83 80019.93 Deadweight Displacement 17.023Meters 164,040 Metric Tons 189,187 Metric Tons 16.669Meters 159,694 Metric Tons 184,841Metric Tons 17.377Meters 168,410 Metric Tons 193,557 Metric Tons 5.00Meters 7.69Meters 54,442 Metric Tons NO N/A ROSEMARY SHIPPING COMPANY LIMITED 2283,COLUMBUS CENTER,ROAD TOWN,TORTOLA,BRITISH VIRGIN ISLAND 25,147 Metric Tons 78,747 Metric Tons 1.40 Does vessel have multiple SDWT? 1.41 If yes, what is the maximum assigned deadweight? Ownership and Operation 1.42 Registered owner - Full style: 1.43 Technical operator - Full style: 1.44 Commercial operator - Full style: 1.45 Disponent owner - Full style: 2. 2.1 2.2 2.3 2.4 2.5 2.6 2.7 2.8 2.9 CERTIFICATION Safety Equipment Certificate: Safety Radio Certificate: Safety Construction Certificate: Load Line Certificate: International Oil Pollution Prevention Certificate (IOPPC): Safety Management Certificate (SMC): Document of Compliance (DOC): USCG (specify: COC, LOC or COI): Civil Liability Convention Certificate, 1992 (CLC): Issued 17.sep.12 17.sep.12 17.sep.12 17.sep.12 17.sep.12 17.sep.12 14.march.2012 n/a 17.sep.12 08.jun.2012 n/a n/a n/a 17. Sep. 12 17.Sep.12 17.Sep.12 17.Sep.12 Last Annual or Intermediate Artemis shipping company ltd C/o trust & rdfiduciary services limited suit no.3-11,3 floor capital city bulding. Independence Avenue Victoria, Mahe Seychelles. Artemis shipping company ltd C/o trust & rdfiduciary services limited suit no.3-11,3 floor capital city bulding. Independence Avenue Victoria, Mahe Seychelles. N/A Expires 15.dec.12 15.dec.12 15.dec.12 15.dec.12 15.dec.12 15.dec.12 14.march.2013 15.dec.12 20.02.2013 15.Dec .12 15.Dec.12 15.Dec.12 15.Dec.12 Yes NO 2.10 Civil Liability for Bunker Oil Pollution Damage Convention Certificate, 2001 (CLBC): 2.11 U.S. Certificate of Financial Responsibility (COFR): 2.12 Certificate of Fitness (Chemicals): 2.13 Certificate of Fitness (Gas): 2.14 Certificate of Class(AR SH) 2.15 International Ship Security Certificate (ISSC): 2.16 International Sewage Pollution Prevention Certificate (ISPPC)- certificate of compliance 2.17 International Air Pollution Prevention Certificate (IAPP): Documentation 2.18 Does vessel have all updated publications as listed in the Vessel Inspection Questionnaire, Chapter 2- Question 2.24, as applicable: 2.19 Owner warrant that vessel is member of ITOPF and will remain so for the entire duration of this voyage/contract: 3. 3.1 3.2 3.3 3.4 CREW MANAGEMENT Nationality of Master: Nationality of Officers: Nationality of Crew: If Officers/Crew employed by a Manning Agency - Full style: IRANIAN IRANIAN/INDIAN IRANIAN/Indian/Bangali N/A 3.5 3.6 3.7 4. 4.1 4.2 5. 5.1 5.2 FOR USA CALLS Has the vessel Operator submitted a Vessel Spill Response Plan to the US Coast Guard which has been approved by official USCG letter: Qualified individual (QI) - Full style: Oil Spill Response Organization (OSRO) -Full style: Has technical operator signed the SCIA / C-TPAT agreement with US customs concerning drug smuggling: CARGO AND BALLAST HANDLING Is vessel fitted with centerline bulkhead in all cargo tanks: If Yes, is bulkhead solid or perforated: Yes Solid N/A N/A N/A N/A What is the common working language onboard: Do officers speak and understand English: In case of Flag Of Convenience, is the ITF Special Agreement on board: HELICOPTERS Can the ship comply with the ICS Helicopter Guidelines: If Yes, state whether winching or landing area provided: Yes Landing English Yes Yes 5.3 5.4 6. 6.1 6.2 6.3 Double Hull Vessels Cargo Tank Capacities Capacity (98%) of each natural segregation with double valve (specify tanks): G1(1ws,4ws,slops): 57238.2 m3 ( 32.28% ) G2 (2ws,5ws): 60887.4 m3 ( 34.35% ) G3 (3ws,6ws): 59155.0 m3 ( 33.37% ) Total cubic capacity (98%, excluding slop tanks): Slop tank(s) capacity (98%): Residual/Retention oil tank(s) capacity (98%), if applicable: Does vessel have Segregated Ballast Tanks (SBT) or Clean Ballast Tanks (CBT): What is total capacity of SBT? What percentage of SDWT can vessel maintain with SBT only: 173,839Cu.Meters 3441.6Cu.Meters N/A -Cu.Meters SBT 6.4 6.5 6.6 6.7 SBT Vessels 6.8 6.9 57,364 Cu.Meters 35% Yes 6.10 Does vessel meet the requirements of MARPOL Annex I Reg 18.2: (previously Reg 13.2) Cargo Handling 6.11 How many grades/products can vessel load/discharge with double valve segregation: 6.12 Maximum loading rate for homogenous cargo per manifold connection: 6.13 Maximum loading rate for homogenous cargo loaded simultaneously through all manifolds: 6.14 Are there any cargo tank filling restrictions. If yes, please specify: Pumping Systems 6.15 Pumps: Cargo: Stripping: Eductors: Ballast: No. Type 3 1 2 2 Centrifugal/single stag Reciprocating Fluid drive Centrifugal 3 COP’s Three (3) 5666Cu.M/Hour By 3 manifolds -17000 Cu.M/Hour No Capacity 4000Cu.M/Hour 350Cu.M/Hour 450Cu.M/Hour 2500Cu.M/Hour 6.16 How many cargo pumps can be run simultaneously at full capacity: Cargo Control Room 6.17 Is ship fitted with a Cargo Control Room (CCR): 6.18 Can tank innage / ullage be read from the CCR: Gauging and Sampling Yes Yes 6.19 Can ship operate under closed conditions in accordance with ISGOTT: 6.20 What type of fixed closed tank gauging system is fitted: 6.21 Are overfill (high-high) alarms fitted? If Yes, indicate whether to all tanks or partial: Vapor Emission Control 6.22 Is a vapor return system (VRS) fitted: 6.23 Number/size of VRS manifolds (per side): Venting 6.24 State what type of venting system is fitted: Cargo Manifolds 6.25 Does vessel comply with the latest edition of the OCIMF 'Recommendations for Oil Tanker Manifolds and Associated Equipment’: 6.26 What is the number of cargo connections per side: 6.27 What is the size of cargo connections: 6.28 What is the material of the manifold: Manifold Arrangement 6.29 Distance between cargo manifold centers: 6.30 Distance ships rail to manifold: 6.31 Distance manifold to ships side: 6.32 Top of rail to center of manifold: 6.33 Distance main deck to center of manifold: 6.34 Manifold height above the waterline in normal ballast / at SDWT condition: 6.35 Number / size reducers: Stern Manifold 6.36 Is vessel fitted with a stern manifold: 6.37 If stern manifold fitted, state size: Cargo Heating 6.38 Type of cargo heating system? 6.39 If fitted, are all tanks coiled? 6.40 If fitted, what is the material of the heating coils: 6.41 Maximum temperature cargo can be loaded/maintained: Tank Coating 6.42 Are cargo, ballast and slop tanks coated? 7. 7.1 7.2 7.3 8. 8.1 8.2 Wire tails Forecastle: Main deck fwd: Main deck aft: Poop deck: MOORING Mooring wires (on drums) No. Forecastle: Main deck fwd: Main deck aft: Poop deck: 4 4 2 6 No. 4 4 2 6 Diameter 38Millimeters 38Millimeters 38Millimeters 38Millimeters Diameter 85Millimeters Millimeters Material galvanized galvanized galvanized galvanized Material nylon nylon Length 275Meters 275Meters 275Meters 275Meters Length 11Meters 11Meters Cargo tanks: Ballast tanks: Slop tanks: Coated Yes Yes Yes 72deg Celsius Type n/a 2 x Each side Yes SAAB TANK RADAR Yes – all cargo and slop tanks Yes 500Millimeters Common vent riser & Individual p/v valves Yes 3x each side 600Millimeters ANSI,150psi 3000 Millimeters 4250 Millimeters 4600 Millimeters 600 Millimeters 2100 Millimeters 17.550 Meters 8.218 Meters 6 / 24” x 20” ( principal ) 6 / 24” x 16” ; 3 / 24” x 12” Millimeters Steam heating coil Yes Steel / STPG370S /SCH 40 & SCH 80 72deg Celsius To What Extent Full coat Full coat Tar free Modified Epoxy Bottom 1 m / top 2m Tar free Modified Epoxy Tar free Modified Epoxy 6.43 If fitted, what type of anodes are used: INERT GAS AND CRUDE OIL WASHING Is an Inert Gas System (IGS) fitted: Is IGS supplied by flue gas, inert gas (IG) generator and/or nitrogen: Is a Crude Oil Washing (COW) installation fitted: zinc Yes Flue gas Yes Breaking Strength 96Metric Tons 96Metric Tons 96Metric Tons 96Metric Tons Breaking Strength 132Metric Tons 132Metric Tons 132 Metric Tons 132 Metric Tons Millimeters nylon Millimeters nylon 11 Meters 11 Meters 8.3 8.4 8.5 8.6 8.7 Mooring ropes (on drums) No. Forecastle: Main deck fwd: Main deck aft: Poop deck: Other mooring lines Forecastle: Main deck fwd: Main deck aft: Poop deck: Mooring winches No. 3 3 Diameter Millimeters Millimeters Millimeters Millimeters Diameter 102&88Millimeters Millimeters Millimeters 102&88Millimeters Forecastle: Main deck fwd: Main deck aft: Poop deck: Material Material megaflex megaflex No. 2 2 1 3 Forecastle: Main deck fwd: Main deck aft: Poop deck: Length Meters Meters Meters Meters Length Meters Meters # Drums Double, Double Double Double No. 3 5+2 4 3+2+1 No. Breaking Strength Metric Tons Metric Tons Metric Tons Metric Tons Breaking Strength Metric Tons Metric Tons Brake Capacity 76.8 Metric Tons 76.8 Metric Tons 76.8 Metric Tons 76.8 Metric Tons SWL 77 Metric Tons 77&90 Metric Tons 77 Metric Tons 77&90 & 250 Metric Tons SWL 77&350 Metric Tons 77 Metric Tons 77 Metric Tons 77& 200 Metric Tons 350 Metric Tons 200 Metric Tons 220 Meters 184&140 Metric Tons 220 Meters 184&140 Metric Tons Mooring bitts Closed chocks and/or fairleads of enclosed type Forecastle: Main deck fwd: Main deck aft: Poop deck: Type / SWL of Emergency Towing system forward: Type / SWL of Emergency Towing system aft: 7+2 17 8 13+1 Bow chain stopper (tongue type) TOWING PENANT 13 14 200 Metric Tons Emergency Towing System 8.8 8.9 Anchors 8.10 Number of shackles on port cable: 8.11 Number of shackles on starboard cable: Escort Tug 8.12 What is SWL and size of closed chock and/or fairleads of enclosed type on stern: 8.13 What is SWL of bollard on poopdeck suitable for escort tug: Bow/Stern Thruster 8.14 What is brake horse power of bow thruster (if fitted): 8.15 What is brake horse power of stern thruster (if fitted): Single Point Mooring (SPM) Equipment 8.16 Does vessel comply with the latest edition of OCIMF 'Recommendations for Equipment Employed in the Mooring of Vessels at Single Point Moorings (SPM)’: 8.17 Is vessel fitted with chain stopper(s): 8.18 How many chain stopper(s) are fitted: 8.19 State type of chain stopper(s) fitted: 8.20 Safe Working Load (SWL) of chain stopper(s): 8.21 What is the maximum size chain diameter the bow stopper(s) can handle: 8.22 Distance between the bow fairlead and chain stopper/bracket: 8.23 Is bow chock and/or fairlead of enclosed type of OCIMF recommended size (600mm x 450mm)? If not, give details of size: Lifting Equipment 8.24 Derrick / Crane description (Number, SWL and location): 8.25 What is maximum outreach of cranes / derricks outboard of the ship’s side: Ship To Ship Transfer (STS) 8.26 Does vessel comply with recommendations contained in OCIMF/ICS Ship To Yes n/a BHP n/a BHP Yes kW kW 250 Metric Tons Yes Two(2) Bow chain stopper( tongue type) 350 Metric Tons 76 Millimeters 3100 Millimeters Yes Crane 2X20t ( port &stbd. Midship) 20.5Meters Ship Transfer Guide (Petroleum or Liquefied Gas, as applicable): 9. 9.1 9.2 9.3 MISCELLANEOUS What type of fuel is used for main propulsion? What type of fuel is used in the generating plant? Capacity of bunker tanks - IFO and MDO/MGO: HFO 380/180 Cst HFO 380/180 Cst 4391.9Cu.Meters 175.7Cu.Meters Cu.Meters Engine Room 9.4 Is vessel fitted with fixed or controllable pitch propeller(s)? Insurance 9.5 P & I Club - Full Style: Fixed KISH P&I Club, FLAT NO.9 ,NO 78, VAALI NEJAD ALLEY AFRICA BLVD, TEHRAN.IRAN Tel: +98 88795190 / Fax: +98 88673312 US$1,000,000,000 06.03.2012 / AGHIO THEODORI No N/A No CONDENSATE CONDENSATE CONDENSATE NIOC NIOC NIOC ASSALOUYEH JEBEL ALI ASSALOUYEH JEBEL ALI ASSALOUYEH JEBEL ALI 9.6 9.7 9.8 P & I Club coverage - pollution liability coverage: Date and place of last Port State Control inspection: Any outstanding deficiencies as reported by any Port State Control: Port State Control 9.9 If yes, provide details: Recent Operational History 9.10 Has vessel been involved in a pollution, grounding, serious casualty or collision incident during the past 12 months? If yes, full description: 9.11 Last three cargoes / charterers / voyages (Last / 2nd Last / 3rd Last): Vetting 9.12 Date/Place of last SIRE Inspection: 9.13 Date/Place of last CDI Inspection: ENOC / 28.07.2012 / Jebel Ali 06 03 12 28 jul 2012 06.03.2013 28.07.2013 9.14 Recent Oil company inspections/screenings (To the best of owners knowledge MOH and without guarantee of acceptance for future business)*: ENOC * Blanket \"approvals\" are no longer given by Oil Majors and ships are accepted for the voyage on a case by case basis. Version 3 (INTERTANKO / Q88.com)