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Bunker Blue Card Certificate: 087212/01 NOT TRANSFERABLE

Date of Issue: 18ᵗʰ January 2018

To: Panama Maritime Authority


P.O. Box 0843-0533
Balboa, Ancon
Panama City
Republic of Panama

CERTIFICATE FURNISHED AS EVIDENCE OF INSURANCE PURSUANT TO ARTICLE 7


OF THE INTERNATIONAL CONVENTION ON CIVIL LIABILITY FOR
BUNKER OIL POLLUTION DAMAGE, 2001

Name of ship: IVI


IMO No. 9705823
Distinctive Number or letters: 3FSV9
Port of Registry: Republic of Panama

Name and principal place of business IVI SA


of the Registered Owner:
80 Broad Street
Monrovia
Liberia

THIS IS TO CERTIFY that there is in force in respect of the above-named ship while in the above ownership a policy
of insurance satisfying the requirements of Article 7 of the International Convention on Civil Liability for Bunker Oil
Pollution Damage, 2001.

Period of Insurance Noon GMT 20ᵗʰ February 2018 To Noon GMT 20ᵗʰ February 2019

Provided always that the Insurer may cancel this Certificate by giving three months written notice to the above
Authority whereupon the liability of the Insurer hereunder shall cease as from the date of expiry of the said period of
notice but only as regards incidents arising thereafter.

Issued in London for and on behalf of:


THE WEST OF ENGLAND SHIP OWNERS MUTUAL INSURANCE ASSOCIATION
(LUXEMBOURG)
as insurer, by
West of England Insurance Services (Luxembourg) S.A.
(As Managers)

Thomas Bowsher
Head of Underwriting

The West of England Ship Owners Mutual Insurance Association (Luxembourg)


R.C.S. Luxembourg B8963, 31 Grand Rue, L-1661 Luxembourg, G.D. Luxembourg

Managers: West of England Insurance Services (Luxembourg) S.A.


R.C.S. Luxembourg B104783, 31 Grand Rue, L-1661 Luxembourg, G.D. Luxembourg T+(352) 4700671 F+(352) 225253

UK Branch: Tower Bridge Court, 226 Tower Bridge Road, London. SE1 2UP T +(44) (0)20 7716 6000 F +(44) (0)20 7716 6100
E mail@westpandi.com W www.westpandi.com

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