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Green Coffee Association Inc.

/ Green Coffee FOB, C&F, CIF contracts


All parties agree this contract is subject to the terms and conditions of the Green Coffee Association Inc.
Date:
October 14, 2014
Producer
FLO ID:
6589
Permata Gayo Coop
Syiah Utama Street,
Simpang Utama Village No 61
Bandar Sub-District
Bener Meriah District, NAD, Indonesia
armia_mdn@yahoo.co.id
60
39 600,00

Lbs / bag

1341

Quantity

Bags:
Kg total:

Quality

Origin:
Sumatra
Coop:
Permata Gayo Coop
Harvest:
2014-2015
Type:
Green arabica specialty quality coffee, Gayo
Preparation: European
Moisture Content:
10% - 12%
Certification (s):
Fair Tade FLO certified and Organic NOP certified
Note: To be bagged in Grain Pro Bags

Price

To be fixed with an average of the NYC in the 30 days prior shipping date
NYC Mar 15 + Fair Trade Prem. 0,20 $US per lb + Org.Prem. 0,30$US per lb + Dif. 0.50 $US per lb
OR minimum guaranteed price of 2.00 $US / lb. (1.50 $US + FT prem. 0.20 $US per lb + Org prem 0.30 $US per lb)
Inconterm:
FOB Belawan, Medan
Qualitty premium: 0.05 $US pr lb if landed sample is 84 points and above.
Do you request pre-financing for this contract?
YES
NO
When do you expect to receive pre-financing?
Which is your preferred solidarity lender?
Pre financing will be provided by a solidarity lender and interest will be charged to the seller

Financing

300
Kg / bag:
18 000,00 Lbs total:

Contract No:
154
Buyer:
FLO ID:
Cooperative Coffees Inc.
302 W. Lamar St
Americus GA 31709, USA
Tel: 514 907 9853
Fax: 229 924 6250
florent@coopcoffees.com
132

Weight

Shipped weights, 1/2% franchise

Payment

Full payment upon first presentation of all original documents including organic transaction certificate

Insurance

To ship covered by seller. From Ship to US port covered by buyer

Shipment

Date:

January 15, 2015

Port of:

Belawan

Destination

New York, NY, US

Remarks

Pre-shipment sample required. To be drawn from at least 100% of the contract's quantity
Landed coffee will be approved within 15 days following the date of discharge in buyer's warehouse
This coffee was traded according to international Fair - Trade criteria as established by FLO
Organic Certification documents by NOP agency recognized required before payment
Certificate of Origin required before payment
Bags must be marked with "Organic", "FLO Fair Trade", and with producers' coop FLO ID
Bags must be marked with Producers' coop logos, and Cooperative Coffee logo (if possible) or name
If any, arbitration in accordance with the rules of arbitration of the Green Coffee Association Inc.
Producers

Buyer

Signature:

Signature:

Name:
Date:

Name:
Date:

Florent Gout
October 14, 2014

KOPERASI SERBA USAHA

PERMATA GAVO
BADAN HUKUM :No.518/039/BH/111/2006

Jalan :SyiahUtama NO.66 SimpangUtamaBenerMeriah

ACEH - INDONESIA

KOPERASIINDONESIA

COOPERATIVE COFFEES, INC


302 W, Lamar St. Suite E. Americus, GA 31709 USA
Tel. +1-229-924-3035, Fax. +1-229-924-6250
Attn: Chelsea Carter

PERMATA GAYO COOP

012/INV/PGC/2014/2015

Shipped by:

B/LNumber:

ORION

GIBLW1500002 DD.

V.HE504A

Contract No.

FLO ID 6589
FLO ID buyer: 1341
FDA REG NO.13096723740

From:

To:

BELAWAN, INDONESIA

NEW YORK, NY - USA

SUG154

15

Consignee:

Container/Seal No:

TO THE ORDER OF COOPERATIVE COFFEES INC


302 W, Lamar St. Suite E. Americus, GA 31709 USA
Tel. +1-229-924-3035, Fax. +1-229-924-6250
Attn: Chelsea Carter

MEDU1549620/ FEJ4461379

Connecting Vessel:
NOTHERN JUBILE

V.FM504W

Description of Goods
300 (three hundred) Bags
of 60 Kgs Net Each Bag
SUMATRA PERMATA GAVO HIGHLAND

ARABICA DP GRADE 1 GREEN COFFEE

FLO FAIRTRADE & ORGANIC CERTIFIED

Gross Weight
Nett Weight
Price
Organic Premium
Fairtrade Premiun
Price total
Total FOB
Freight Prepaid
I
Total C&F
C&F NEW YORK, NSWas

Say: One Hundred Foult

: 18,300 Kgs
: 18,000 Kgs

: US$.
: US$.
: .\JU~S~.,-----~~~~
: US$.

US$.
US$.
US$.
US$.
US$.
US$.

90,476.82
11,904.84
7,936.56
110,318.22
4,380.00/
114,698.22

4
Six Hundred Ninety Eight and

Cents Twenty Two U.


-

Insurance to be covered b
r
-Freight Prepaid -Payment CAD

"This cargo/coffee has not been refused entry by any country"

Please cable our money to our Bank as bellow :

Bank of New York, New York, BIC:IRVTUS3N


for: Credit Suisse Zuerich,Account no.8033342099, BIC:CRESCHZZ80A
for final Beneficiary: responAbility Fair Trade Fund.
IBAN no: CH66 0483 5137 3563 7200 0
Marks & Nos.
Notify Party:
PGC
EXCELCO TRADING L.P.
01511730/12
17 BATTERY PLACE, SUITE 1010
SUG 154

NEW YORK,NY 10004


FLO ID: 1341

TEL.
+ 1-212-344-6771,FAX. + 1-212-344-8723
SUMATRA GAYO MOUNTAIN

GREEN ARABICA COFFEE DP GRADE 1

ATTN: AMADEUS EHRHARDT


FAIR TRADE FLO + ORGANIC CERTIFIED

(AEH RHARDT@EXCELTRADE.COM)
ID CU : 812234

,
FLO ID: 6589

KSU
PERMATA
GAYO
PROD OF INDONESIA

Aceh i- ,-,Indonesia
.
NETT60KGS

NEWYORK,NY

1-300

Ir. Armia

'~

, -, TRANSGLOBAL LOGISTICS INC

COMBINED TRANSPORT BILL OF LADING


NOT NEGOTIABLE UNLESS CONSIGNED "TO ORDER"

SHIPPER/EXPORTER (COMPLETE NAME AND ADDRESS)

BOOKING NO

BILL OF LADING NO

EXPORT REFERENCES

CONSIGNEE [IF "TO ORDER" SO INDICATE)

FORWARDING AGENT FMC NO:

APPLICATION FOR DELIVERY MUST BE MADE TO

3C ,~~iGr,TSaR,D{jE 110;":'._ S:.....T: 525


;:r:SCI-\T,,tliA.Y :\~~V J=~S2Y CCBB54

NOTIFY [NO CLAIM SHALL ATTACH FOR fAILURE TO NOTIFY)


'=;C~-=_C,-J 1~

.-:.;, , ..,; _,-.

iE... 732 64C:

29~C

:AX 732 Me 2982

PRE-CARRIAGE BY

PLACE OF RECEIPT

EXPORT CARRIER (VESSEL, VOYAGE)

PORT OF LOADING

PIER/TERMINAL

PLACE OF DELIVERY BY ON CARRIER

TYPE Of MOVE

PARTICULARS FURNISHED BY SHIPPER


MARKS & NOS / CONTAINER NOS

SAID TO CONTAIN
DESCRIPTION OF PACKAGES AND GOODS

NO. OF PKGS

STOt,N,. COUNT; ~VEiG~-rr ~~ SE.A~EC;


6Ci KGS NET EACH 3AG
SJr;/AT:;:.A ~ER~.:iATA GAVO 71;GHL~\T1.~RAtrC~.

GROSS WEIGHT

MEASUREMENT

sy;n;~r:q'5 ~GAO.

~}2G1FCL 300 f3AGS

:;9 GRA~E : GREt:N COPF~E


e'LO =~;~TR~,:JE & C~G#.,"J:C C~Rr~lE~
015/1730/ :1
SUG

lS.3DG.w KGS
NET \fVE:GHT :

lS,OOO.CC KG5
;::"'1"";:) "';"U';

'.;:L_""

;CJj."..'

ORI INAl

TEMPERATURE CONTROL INSTRUCTIO


EXCESS VALUE DECLARATION:

REFER TO CLAUSE 6(3)(B) + (C) ON REVERSE SIDE

FREIGHT PAYABLE AT
PREPAID

FREIGHT & CHARGES

NO OF ORIGINAL BL's:
COLLECT

RECEIVED b}' the Carrier the Goods as. specffied above in


apparent good order and condition, unless otherwise s1ated, to
be transported to such place as agreed, authorized or permitted
herein and subject to all the terms and conditions appearing on
the fronl and reverse of Ihis Bill of Lading to which the Merchant
agrees by accepting this Bill of Lading, any local privileges and
customs notwithstanding. The particulars given above are as
stated by the shipper and the weight, measure, quanl!ty,
condition, contents and value of the goods are unknown to the
carrier, In witness whereof one (1) original Bill or Lading has
been signed jf not otherwise stated above, the same being
accomplished the other(s), if any 10 be void. If required by the
carrier one (1) original Bill of Lading ml,lsl be surrendered duly
endorsed in exchange for the gOO\1S or delivery order.

Signed on behalf of

JURISDICTION & LAW CLAUSE:


JURISDICTION
The contract evidenced by or contained In this Bill of Lading is governed by the law of United States of America and any claim or dispute ansing
hereunder of in connection herewith shall be determined by the United States federal Court of the Southern District of New York and no other courts,

Place and date of issue

TRANSACTION CERTIFICATE
USA FOR PRODUCTS FROM NOP ORGANIC PRODUCTION
1. Body issuing the certificate (name and address)

2 a) The National Organic Program standards of the United States Department of


Agriculture/Control Union Certifications standards
2 b) Reference number of the certificate: PRJ 812234/445223

Control Union Certifications B.Y.


Meeuwenlaan 4-6
8011 BZ ZWOLLE
NETHERLANDS
3. Seller of the product (name and address)

4. Inspection body' (name and address)

Koperasi Permata Gayo


11. Syiah Utama, No. 66 Kampung Simpang Utama, Pondok Barn
24582 Bener Meriah
Aceh
INDONESIA

Control Union Certifications B.Y.


Meeuwenlaan 4-6
8011 BZ ZWOLLE
NETHERLANDS

5. Producer or processor of the product (name and address)

6. Country of dispatch
INDONESIA

Koperasi Permata Gayo (Bromo Ujung)

II. Bromo Ujung, Gang IkhIas No.2, Medan,


Sumatera Utara
INDONESIA
8. Country of destination
UNITED STATES

7. Consignee (name and address)


Cooperative Coffees Inc.
302 Lamar Street Suite E
GA31709

Americus
9. Address and place of destination'

UNITED STATES

10. Marks and numbers, container noes), number and kind. Trade name of the product.
Production
NOP certified
Year
100% organic Sumatra Permata Gayo Arabica Coffee (Sumatra Permata Gayo
Highland Arabica DP Grade-I Green Coffee FLO Fairtrade & Organic Certified.)
packed in Units 300 bags in 60 Kgs

2014

11 . Gross mass
Lotlbatch
numbers

Gross mass Net mass


(kgs)
(kgs)

18300.00

18000.00

18300.00 kgs

12. Net mass


18000.00 kgs

from organic production methods.


Invoice no.: 0 12/INV/PGCl20 14/20 15 d.d. 22-01-15
Transport document no.: GIBL W1500002 d.d.25-01-15
Container no.: MEDU 154962-0
Identification codes: Permata Gayo Cooperative 015/1730112 SUGI54 Seal No. FEI 4461379; Shipping Line: Transglobal Logistics Inc.

13. Alternative units *

"
14. Declaration of the body issuing the certificate
15. Additional declaration (if appropriate)

16. Place and date of issue


Jakarta, 29 January 2015
Name and signature of authorised person
I
ng Director
On ehalfofMa

Stamp of the issuing body

cPw~bollllt~
.ryo~,Mr.O

.,
~

c.....~~.

oItcW; ........... UNIIId


~~t!I~

*Explanatory notes

Box 4: The inspection and certification body for compliance with the rules on from organic production methods..

Box 5: The firm which carried out the last operation (processing, packaging, labelling) on the batch.

Box 9: The address of the firm where !he batch will be delivered, if different from the address in box 7.

Box 13: e.g. volume in meters, to be given, where appropriate, in supplement to the declarations in boxes 11 and 12.

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