Atch 2 Tanker Information Sheet.pdf

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):

5. Business Size: ____ Large ____ Small 6. Socioeconomic Status: ___ 8(a) ___ Hubzone

___ WOSB ___ SDVOSB

Physical Address 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:

52. ISM certification? ______Yes ______No 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):

57. MARAD subsidized vessel? ______Yes ______No

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

59. Member of ITOPF? ______Yes ______No

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):

a. Bbls:

b. m³:

64. Segregated clean ballast tank cubic capacity (98% full):

a. Bbls:

b. m³:

65. Slop tank capacity (98% full):

a. Bbls:

b. m³:

66. List cargo tanks, coating type for each tank, and date of each coating:

System Description (bbls and/or m³) (Identify cargo, ballast, and sloptanks)

System Tank Port Center Starboard Subtotals

67. Manufacturer/type/designation of tank coating(s):

68. Number of manifolds on each side: 69. Composition of manifolds:

70. Distance, bow to center manifold:

a. ft:

b. m:

71. Distance, stern to center manifold:

a. ft:

b. m:

72. Distance, rail to center manifold:

a. ft:

b. m:

73. Distance, deck to center manifold:

a. ft:

b. m:

74. Last cargo: 75. Next-to-last cargo:

76. Heating coils/composition (describe):

77. Inert gas system (describe):

78. Vapor recovery system (describe):

Pumps

79. Number and type of cargo pumps:

80. Capacity of cargo pumps (at 100 psi at manifold):

a. Bbls per hour: b. m³ per hour:

81. Number and type of stripping pumps:

82. Capacity of stripping pumps (at 100 psi at manifold):

a. Bbls: b. m³:

Gear

83. Number, location, and SWL capacity of winches, derricks, booms, and cranes:

Mooring Arrangements

84. Number, location, brake holding power of mooring winches:

85. Number, length, and diameter of wires:

86. Breaking strength of wires:

87. Number, length, diameter of mooring ropes:

88. Breaking strength of mooring ropes:

Casualties/Deficiencies/Warrants

89. Has Vessel been involved in any serious grounding or collusion within a period of five years from the submission date of this proposal? If yes, include a full description:

90. Has Vessel been involved in any pollution incident within a period of five years from the submission date of this proposal? If yes, include a full description:

91a. Are any deficiencies lodged by any regulatory body outstanding against the Vessel. If yes, include a full description:

91b. Identify any port(s) in which you have any active arrest warrants or similar actions pending that would either delay the vessel from performing, or otherwise prevent the vessel from free entry/departure.

Inspections

92. List oil company vetting inspections conducted during the past year and date of expiration.

Fuel Consumption at Service Speeds

93. Average warranted speed (knots, for laden, moderate weather):

94. Average warranted speed (knots, for ballast, moderate weather):

95. Average fuel consumption (net bbls at 60° F and grade(s): for laden, moderate weather passage at speed identified in Box 93):

96. Average fuel consumption (net bbls at 60° F and grade(s): for ballast, moderate weather passage at speed indetified in Box 94):

97. Auxiliaries underway fuel consumption (net bbls at 60° F and grade(s), only if not elsewhere identified):

98a. In-port idle period fuel consumption (net bbls at 60° F and grade(s)):

98b. In-port discharge period fuel consumption (net bbls at 60° F and grade(s)):

99. Discharge/Ballasting/Deballasting fuel consumption (net at 60° F and grade(s)):

Grade: Bbls: m³:

Fuel Consumption at Variable Speeds

Average fuel consumption (net bbls at 60° F for all grades and all engines/auxiliaries utilized while underway over moderate-weather passages at the speed, ranges, and grade(s) indicated)

100: Grades Consumed:

101a. LADEN TO SUMMER MARKS 101b. BALLAST

Knots Net bbls per mile

Net bbls per day

Operating Range (NM)

Knots

Net bbls per mile

Net bbls per day

Operating Range

(NM)

6> 6>

7> 7>

8> 8>

9> 9>

10> 10>

11> 11>

12> 12>

13> 13>

14> 14>

15> 15>

16> 16>

17> 17>

18> 18>

19> 19>

20> 20>

21> 21>

22> 22>

23> 23>

24> 24>

25> 25>

102. Minimum Vessel fuel specifications:

103. Space for continuation of responses (refer to prior box numbers)

Box No. Description