Atch 2 Tanker Information Sheet

VTA Tanker Information Sheet
Business Name:

Vessel Name:

Vessel Type (if applicable, MARAD design type):
System for Award Management (SAM) Information

1. Unique Entity Identifier (UEI):

2. CAGE Code:

3. TIN:

4. Parent TIN (if applicable):

Physical Address

6. Socioeconomic Status: ___ 8(a) ___ Hubzone

___ WOSB ___ SDVOSB

Mailing Address

7. Address Line 1:

8. Address Line 1:

9. Address Line 2:

10. Address Line 2:

11. City:

12. City:

13. State/Province:

14. State/Province

15. Country:

16. Country:

17. Zip/Postal Code:

18. Zip/Postal Code:

Government Business POC

Broker

19. Name:

20. Name:

21. Phone (Primary):

22. Phone (Primary)

23. Phone (Alternate):

24. Phone (Alternate):

25. Email:

26. Email:

27. Fax:

28. Fax:

Pricing Data

N/A; The rate of charter hire applicable to each charter under this contract will be the prevailing market rate effective at the time of proposed loading of the vessel. In addition to the prevailing market rate, participants will be compensated 30% above the prevailing market rate during the duration of the activation. The VTA daily charter vessel daily rates shall be calculated by multiplying the prevailing market rate by 130%.

Vessel Details

29. Place built:

30. Year built:

31. INMARSAT Identification No.

32. Vessel's e-mail/fax:

33. Call Letters:

34. Official Number:

35. Net registered tonnage:

36. Panama Canal tonnage:

37. Gross registered tonnage:

38. Suez Canal tonnage:

39. Beam (extreme)

a. ft:
b. m:

40. Length Overall:

a. ft:
b. m:

41. Immersion (on draft in Box 43):
a. LT/in:
b. t/cm

42. Length between perpendiculars:

a. ft:
b. m:

43. Summer mean draft:

a. LT/in:
b. t/cm:

44. Deadwight capacity (on draft in Box 43)
a. LT:
b. t:

45. Displacement, loaded (on draft in Box 43):
a. LT/in:
b. kW:

46. Summer Load Line Freeboard:

a. ft:
b. m:

47. Shaft Horsepower:

a. hp:
b. kW:

48. Brake Horsepower:

a. hp:
b. kW:

49. Nationality of Master, Officer, and crew:

50. Number of people other than crew that can
be carried:

51. Classification society entered and class assigned:

If yes, expiration date:

53. Insured value of Vessel (USD):

54. Vessel's present position/destination:

55. Last drydock date (mm/dd/yy):

56. Next drydock date (mm/dd/yy):

58. Oil-pollution liability P&I coverage (maximum USD):

Cargo Arrangements

60. Number of cargo tanks:

61. Number of natural segregations with double
valves:

62. Number of grades of cargo that can be loaded/discharged simultaneously, using separate lines, pumps, and manifold connections:
63. Cargo cubic capacity (98% full ex slop tanks):