POLICY SCHEDULE

MARINE CARGO EXPORT INSURANCE 20-2243489

POLICY NO. : Reg. No. : 2003012001148

THE INSURED : CV. DJALUR MAYAR
CORRESPONDENCE ADDRESS : PERUM PESONA SINGOSARI G-1 RT.005 RW.005,
DESA ARDIMULYO KEC. SINGOSARI KAB. MALANG,
JAWA TIMUR INDONESIA
MALANG, -

TYPE OF COVER (RATE) : Institute Frozen Food Clause "A" - excl. Frozen Meat 1/1/83 (0.25000 %)
TOTAL SUM INSURED : USD  14,016.50
INTEREST : - 2051 BOX OF
(625 BOX POM TAYER TARO, 488 BOX CASSAVA BLOKJES, 100 BOX
CASSAVA GERAPSTE, 353 BOX GREEN MANGGO, 191 BOX KEDONDONG
FRUIT, 185 BOX COCONUT GERAPSTE, 36 BOX KHATAR, 73 BOX SIRSAT)
NO. CONTAINER / NO. SEAL : SZLU9438367 / OOLGNA3926

DEDUCTIBLE : - Institute Frozen Food Clause "A" - excl. Frozen Meat 1/1/83 : 1 % of TSI

ATTACHMENT/EXTENSIONS : As per attached

VOYAGE : From : SURABAYA, INDONESIA
Transhipment : Automatically
To : ROTTERDAM, NETHERLANDS
B/L NO. : COSU6281098820 DATE : 09 NOVEMBER 2020
INVOICE NO. : 20/DJM/INV/XI/2020 DATE : 06 NOVEMBER 2020
CONSIGNEE NAME : KOAS FOODS B.V.
CHRISTIAAN HUYGENSSTRAAT 11 2665
KX BLEISWIJK THE NETHERLANDS
(T) : +31 1 02 26 55 38
(M1) : +31 6 24 55 70 65
DATE OF SAILING : 09 November, 2020
GRT : 21611
YEAR OF BUILT : 1998
VESSEL NAME : HIGHWAY 122N
NOTE : - Excluding Scratching, Denting, Bending, Rust, Oxidation and Discoloration, etc
Except Caused by Insured Perils.
- Excl. Electronic, Electrical and Mechanical Derangement Unless Caused by
Insured Perils
- WPC : 30 Days
PREMIUM CALCULATION :
- Institute Frozen Food Clause "A" - excl. USD 14,016.50 x 0.25% USD  35.04
Frozen Meat 1/1/83
TOTAL PREMIUM USD  35.04
Policy Cost USD  1.70
Stamp Duty USD  0.61
TOTAL USD  37.35
FQ Surabaya , 09 November 2020
MSS0007 Agent PT. ASURANSI INTRA ASIA
M20SE0001 Agent
DIRECT / SE

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This page is a forming part of Policy No.

Attachment / : 1. Freezer Should Temperature -25C

Extensions 2. Excluding Mysterious Loss and Embezzlement Loss ; Excluding Shortage & Self Combution
3. Subject To Frozen Food Clause (A) -- (Excluding Frozen Meat)
4. Subject To No Overload Cargo During Shipment ; Sanction And Limitation Exclusion Clause
5. No Overload Cargo on Board and Passenger
6. Subject To There Is A Guide Person Who Check The Refrigerator On Trip
7. Seaworthiness Warranty ; Sailing Permit From Port Authority
8. Sailing Permit From Port Authority ; Seaworthiness Warranty
9. Excluding Shipment By Barge and / Or Tug Boat
10. Standard Packing (Cold Containerized) ; Safety Lashing ; Exclude Forwarder`s Liability
11. Type Of Carrying Truck Includeing Police Number
12. Excluding Loss Or Damage In Delivery Due To Unknown Reason
13. Excluding Damage / Loss Due To : Fumigation, Humidity, Heating, Dampness, Rats, Vermin,
Insect, Fungus, Infestation, Mould, Mildew, Contamination & Fluctuation In Temperature / Climate
Influence / Impact

14. Warranty / Including Transhipment (If Any) Is Allowed

15. Extra Contractual Obligations Exclusion Endorsement ; Paramount War Clause (Cargo)
16. Political Risk, Financial Guarantee and Credit Risk Exclusion Clause ; Institute Classification
Clause 01/01/2001
17. Institute Radioactive Contamination, Chemical, Biological, Bio-Chemical, Electromagnetic
Weapons Exclusion Clause 10/11/2003 and Institute Cyber Attack Exclusion Clause 10/11/2003

18. Information Technology (IT) Hazard Exclusion Clause JEL 16/11/01

19. Nuclear Energy Risks Exclusion Clause 1/1/89 ; Seepage and Pollution Exclusion Clause 1/1/89

20. Institute Frozen Food Clause "A" - excl. Frozen Meat 1/1/83 ; Termination of Transit Clause
(Terrorism)

PSNSI0301E.RPT AHEEEHAPMNDPIFAPFHPFBIMGBGHE Page 2 of 2

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