BMT Lieferschein & Request

Vessel Name: ____________________________________________________________________________________________ IMO Number: ____________________________________________________________________________________________ Owner/Charterer: ____________________________________________________________________________________________ Delivery Date: ____________________________________________________________________________________________ Port of delivery: ____________________________________________________________________________________________ Supplying Barge: ____________________________________________________________________________________________ BMT · Bunker und Mineralöltransport GmbH Hafenkaje 1 · D-27472 Cuxhaven Tel. +49 (0) 47 21 5 90 77 90 E-Mail [email protected] Fax +49 (0) 47 21 5 90 77 99 Internet bmt-bunker.de BUNKER REQUEST No. To: Master/Chief Engineer of receiving vessel: We BMT Bunker und Mineralöltransport GmbH have been nominated to supply you the following grade(s) of bunkers: ________ metric tons Marine Fuel Oil/IFO ________ cSt with max Sulphur ________ % ________ metric tons ____________________ ________ cSt with max Sulphur ________ % ________ metric tons Marine Gasoil with max Sulphur ________ % 1) We will supply _____________________ first, followed by _____________________, followed by _____________________. 2) What pumping rate do you require? Marine Fuel Oil/IFO: ________ metric tons per hour Gasoil: ________ metric tons per hour The ship‘s management is invited to appoint a representative to check and to witness the opening and closing meter readings and/or barge soundings as the barge figures deemed to be final and binding. If the ship is unable to take delivery of the full quantity ordered, all expenses in connection with returning the oil to the installation shall be for the buyer‘s account. 3) Will you be witnessing the gauging of our tanks? Yes No 4) Will you be witnessing our meter readings? Yes No 5) Will you be witnessing our sampling? Yes No Important Note: The Ship‘s Management is urgently requested to appoint staff members for the supervision of the hose. The Ship‘s Engineers in charge of bunkering operations must not close valves on board without first giving ample warning to the attendant of the delivering lighter or the attendant ashore, who is in constant touch with the Main Installation. Any instructions from the Ship‘s Engineers such as „Ease down“ or „Stop“ will be carried out immediately to avoid excessive pressures on the pipeline, which may cause the hoses to burst. Furthermore, prior to bunkering operations every precaution should be taken to eliminate any contamination of water by oli spillage, such as the placing of drip pans, the closing of the scuppers, etc. Any oil spillage on board will be the sole responsibility of the vessel taking bunkers if this warning is ignored. The crews of the bunker installations or lighters are to report immediately even the slightest indication of contamination to the pertinent Authorities. Declaration of the Captain: To continue my voyage I buy by order and for account of the shipowners or the charteres and hereby confirm that my Vessel is engaged in foreign trade and therefore exempted to pay VAT as per EU Directive 2006/112/EU and local VAT act paragraph 4, no. 2 and paragraph 8. VESSEL STAMP & MASTER/ CHIEF ENGINEER OF RECEIVING VESSEL VESSEL STAMP & MASTER/ CHIEF ENGINEER OF BUNKERING TANKER1. VESSEL & DELIVERY INFORMATION 2. PRODUCT & DELIVERED QUANTITY Product/ Grade / Specification MT VAC Volume at 15°C (cbm) Density @ 15°C (kg/ cbm) PROPERTIES Sulphur content % m/m Flashpoint °C Temperature °C Volume at obs. temperature (cbm) Viscosity @ 40°C 50°C MT AIR SUSTAINABILITY INFORMATION (applicable to biofuels and other alternative fuels only) Feedstock /Specification Lower calorific value MJ / KG MJ /L E-Max Value gCO2eq/MJ MT VAC MT AIR 3. MARPOL ANNEX VI - SULPHUR CONTENT DECLARATION The fuel oil supplied is in conformity with Regulation 18.3 of MARPOL 73/78 Annex VI and the sulphur content of this marine fuel does not exceed: The limit value given by Regulation 14.1 of this Annex (0.50% m/m after 1/1/2020) The limit value given by Regulation 14.4 of this Annex (0.10% m/m, ECA) The purchaser‘s specified limit value of __________ % (m/m), where applicable. Equivalent means of compliance /relevant exemption under Regulations 4 or 3.2, if applicable. The supplier‘s representative shall mark the applicable box(es). 4. SAMPLES Barge Sample (Supplier) - Sample 1 Seal No.: __________________________ Barge Sample (Supplier) - Sample 2 Seal No.: __________________________ Barge Sample (Vessel) Seal No.: __________________________ MARPOL Annex VI Sample Seal No.: __________________________ 1. ___________________________________ Seal No.: __________________________ 2. ___________________________________ Seal No.: __________________________ 3. ___________________________________ Seal No.: __________________________ 5. DECLARATION OF MASTER /CHIEF ENGINEER I declare that the information given above is true and correct to the best of my knowledge and belief; that the marine fuel(s) described herein were received in the quantities stated and loaded on the vessel named above for use as bunkers. Received for use as bunkers, together with representative sample, the quantities shown above. Signature Master/Chief Engineer: ____________________________________________________ Vessel‘s Stamp: ________________________________________________________________________ 6. SIGNATURES, QUANTITY CONFIRMATION AND MARPOL CERTIFICATION Receiver‘s Representative Date: _______________________________________________________________________________ Name: _______________________________________________________________________________ Signature: _______________________________________________________________________________ By signing, the signing representative confirms details above, receipt of the quantity stated above and of the MARPOL delivered sample. Supplier‘s Representative Date: _______________________________________________________________________________ Name: _______________________________________________________________________________ Signature: _______________________________________________________________________________ By signing, the signing representative confirms details above, delivery of the quantity stated above and certifies the MARPOL Annex VI declaration in Section 3 The marine fuel and/or other energy products described herein are delivered in accordance with the BMT General Terms & Conditions of Sale and Delivery. Any disclaimer regarding the creation of a maritime lien or restrictions on the authority of the vessel‘s officer signing this Bunker Delivery Note to bind the vessel and/or its owner/charterer shall be null and void unless expressly accepted in writing by an authorised representative of BMT. In the event of any conflict, the BMT General Terms & Conditions of Sale and Delivery shall prevail. Vessel Name: ______________________________________________________________ IMO Number: ______________________________________________________________ Owner/Charterer: ______________________________________________________________ Delivery Date: ______________________________________________________________ Port of delivery: ______________________________________________________________ Supplying Barge: ______________________________________________________________ EMARKS DATE TIME Barge arrived/NOR Hose connected Started pumping Finished pumping Hose disconnected Barge departure BUNKER DELIVERY NOTE (BDN) MARPOL Annex VI / ISO 13739 BDN No. Deal/ Ref. No. (internal use only) BMT Bunker und Mineralöltransport GmbH · Hafenkaje 1 · 27472 Cuxhaven · Germany Tel.: +49 4721 / 5907790 · E-mail: [email protected] · Web: www.bmt-bunker.com