Ice_Class_Tanker_RFP_N32205-16-R-3503_Fillable_Boxes.docx

Vessel:

Owner, DUNS, CAGE, TIN (and TIN of parent, if applicable):

Solicitation Number (date):

N32205-16-R-3503 (29 July 2016 2015) Contract Number (date):

Mediterranean (intentions Piraeus Greece)

3. Place/Range of Redelivery:

Mediterranean (intentions Piraeus, Greece)

4. Charter Period

Base period less than 12-months with four 12-month option periods .

5. Lay Days:

Laydays 15-30 Nov. 2016 OR 1 Dec 2016-30 Apr. 2017

To be narrowed bilaterally to a 5-day window 30 days prior to delivery to MSC.

6. Terms/Conditions/Attachments added, deleted or modified:

9. Amendments Acknowledged (amendment numbers and dates):

10. Owner:

(style, address, phone, cell phone, pager, e-mail, fax)

11. Broker (address, phone, e-mail, fax):

12. Remittance Address for Hire (if other than Box 11)

PRICING DATA:

Daily Charter Hire

VESSEL

BOX NOS., VESSEL STATUS, AND EXPENDITURE TYPES

13. FOS

2521K

16. Reserved.

17. Other costs

VESSEL DATA:

20. Reserved

21. Vessel type and, if applicable, MARAD design type:

32. Beam (extreme)

a. ft: b. m:

34. Immersion (on draft in Box 36):

a. ft: b. m:.

36. Summer mean draft:

a. LT: b. t:.

38. Displacement, loaded (on draft in Box 36):

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

39. Summer Load Line Freeboard:

a. ft: b. m:.

40. Shaft Horsepower:

a. hp: b. kW:

44. Classification society entered and class assigned:

45. ISM certification? _____Yes _____No If yes, expiration date:

50. MarAd subsidized vessel? _____Yes _____No

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

52. Member of ITOPF? _____Yes _____No

CARGO ARRANGEMENTS:

55. Number of grades of cargo that can be loaded/discharged simultaneously, using separate lines, pumps, and manifold connections:

56. Cargo cubic capacity (98% full ex slop tanks)

a. Bbls: b. m3:

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

a. Bbls: b.. m3:

58. Slop tank capacity (98% full)

a. Bbls: b. m3:

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

SYSTEM DESCRIPTION (bbls and/or m3) (Identify cargo, ballast, and slop tanks) 60.

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

64. Distance, bow to center manifold:

a. ft.: b. m:

65. Distance, stern to center manifold:

a. ft.: b. m:

66. Distance, rail to center manifold:

a. ft.: b. m:

67. Distance, deck to center manifold:

a. ft.: b. m:

70. Heating coils/composition (describe):

71. Inert gas system (describe):

72. Vapor recovery system (describe):

PUMPS

73. Number and type of cargo pumps:

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

a. Bbls per hour: b. m3 per hour:

75. Number and type of stripping pumps:

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

a. Bbls: b. m3:

GEAR

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

MOORING ARRANGEMENTS

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

79. Number, length, and diameter of wires:

80. Breaking strength of wires:

81. Number, length, diameter of mooring ropes:

82. Breaking strength of mooring ropes:

CASUALTIES/DEFICIENCIES

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

84. 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.

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

INSPECTIONS

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

FUEL CONSUMPTION AT VARIABLE SPEEDS:

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

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

89. Average fuel consumption (net Barrels per day and grade(s)) for laden, moderate weather passage at speed identified in Box 87:

Fuel Warranted Fuel Consumption Fuel Warranted Fuel Consumption

IFO-180 DFM

IFO-380 MGO

F76

90. Average fuel consumption (net Barrels per day and grade(s)) for ballast, moderate weather passage at speed identified in Box 88:

Fuel Warranted Fuel Consumption Fuel Warranted Fuel Consumption

IFO-180 DFM

IFO-380 MGO

F76

91. Auxiliaries underway fuel consumption (net Barrels per day and grade(s), only if not elsewhere identified) to include 10 sets of tank cleanings per year:

Fuel Warranted Fuel Consumption Fuel Warranted Fuel Consumption

IFO-180 DFM

IFO-380 MGO

F76

92. In port period fuel consumption (net Barrels per day and grade(s)):

Fuel Warranted Fuel Consumption- Loading Discharging Maneuvering

IFO-180

IFO-380

F76

DFM

MGO

93. Average fuel consumption (net Barrels per day and grade(s) for all engines/auxiliaries utilized while underway in heavy weather (Beaufort Force 5 and above) passages at the speed, ranges, and grade(s) indicated):

Fuel Warranted Fuel Consumption Fuel Warranted Fuel Consumption

IFO-180 DFM

IFO-380 MGO

F76

94: Grades Consumed:

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>

96. Minimum Vessel fuel specifications:

In the event the Government does not exercise an option to extend the term of the contract or terminates the contract for convenience, the Contractor shall be entitled to not-to-exceed cancellation costs subject to the following conditions and according to the Following schedule:

Prior to Delivery (of vessel or layberth) Total $_______ Vessel acquisition $_________ Reflagging $_________ Modification and Conversion $_____

During Base Performance Period Total $ ________ Vessel acquisition $________ Reflagging $_________ Modification and Conversion $_____

During 1st Option Performance Period Total $________ Vessel acquisition $________ Reflagging $_________ Modification and Conversion $_____

During 2nd Option Performance Period Total $______ Vessel acquisition $________ Reflagging $_________ Modification and Conversion $_____

During 3rd Option Performance Period Total $______ Vessel acquisition $________ Reflagging $_________ Modification and Conversion $_____

During 4th Option Performance Period Total $______ Vessel acquisition $________ Reflagging $_________ Modification and Conversion $_____

97.

"Cancellation costs" means, and only means, costs specifically identified by the Contractor in its proposal and actually incurred by the Contractor between contract award and vessel delivery to the Government including, and limited to, the following categories of costs: costs incurred by the Contractor for vessel acquisition, reflagging costs and modification, or conversion costs, and only to the extent such modification, or conversion costs were incurred in order for the vessel to meet contract requirements. The Government will ensure it has sufficient working capital funds for these cancellation costs.

When requesting payment of cancellation costs, the Contractor shall provide evidence satisfactory to the Contracting Officer verifying that Contractor actually incurred the specified categories of cancellation costs prior to delivery of the vessel to the Government and the amount thereof.

The cancellation costs must be reasonable, allowable, and allocable to the contract. The Government will not be obligated in any event to reimburse the Contractor for the specified categories of cancellation costs in excess of the amount allotted in the schedule above for each contract period regardless of anything to the contrary in the clause entitled: "Termination for Convenience of the Government." The Contractor agrees that payment of the specified cancellation costs according to the schedule above for any contract period fully compensates the Contractor for the specified categories of cancellation costs. The Contractor waives any right it may have to claim any additional costs for the specified categories of cancellation costs in the event such cancellation costs become payable, whether as a result of a termination for convenience or as a result of the Government's failure to exercise an option. As used in this clause, the total amount payable by the Government for the specified categories of cancellation costs in the event the Government does not exercise an option or terminates the contract for convenience is as set forth in the schedule above.

This clause does not limit the rights of the Government under the clause entitled "Default" or under the clause entitled "Termination for Convenience of the Government."

Note: Pursuant to 10 USC§2401, the Government is prohibited from entering into a vessel lease or charter that contains a substantial termination liability. Offerors who submit substantial termination liabilities will not be considered for award. A substantial termination liability is defined by the statute as:

i. An agreement by the U.S., under the contract, to pay an amount greater than 25% of the value of the vessel for the termination liability; or

ii. An agreement by the U.S., under the contract, to pay an amount greater than 50% of the value of the vessel for the sum of the termination liability and the value of the total payments attributable to capital-hire.