BUILDERS’ RISKS QUESTIONNAIRE Section 1 - Details of Yard 1. Name and address of Yard. 2. Please advise (attach) brief background information of the Yard (e.g. Year formed, Number of employees) and previous vessel construction experience - (A Company brochure would be helpful). 3. Number of docks, drydocks, floating drydocks etc. (A map of the Yard would be useful). 4. Details of Fire Fighting Precautions at Yard and distance from local fire station. 5. (a) Is Yard fenced? (b) Describe nature of security measures, including watchmen. (c) Is Yard covered or part covered - give details. 6. Please provide details of all shipbuilding losses, insured or not, for the past 5 years ΕΔΡΑ: ΛΕΩΦ. ΒΟΥΛΙΑΓΜΕΝΗΣ 90, 166 74 ΓΛΥΦΑΔΑ, ΤΗΛ.: 210 9119900, FAX: 210 9623836, E-MAIL: [email protected], www.aigaion.gr ΓΡΑΦΕΙΟ ΘΕΣΣΑΛΟΝΙΚΗΣ: ΛΑΕΡΤΟΥ 22, 555 35 ΠΥΛΑΙΑ ΘΕΣΣΑΛΟΝΙΚΗΣ, ΤΗΛ.: 23130 83400, FAX: 23130 83450, E-MAIL: [email protected] ΔΙΕΥΘΥΝΣΗ ΑΛΛΗΛΟΓΡΑΦΙΑΣ ΘΕΣΣΑΛΟΝΙΚΗΣ: Τ.Θ. 8812, CAPITAL CENTER, 57001 ΘΕΡΜΗ Γ.Ε.ΜΗ. 121871360000 | Α.Φ.Μ. 094472389 | Δ.Ο.Υ. ΦΑΕ ΠΕΙΡΑΙΑ 7. Please provide details of your annual gross receipts for the past 5 years: Year 2010 2011 2012 2013 2014 Annual Gross Receipts 8. If a recent survey has been undertaken please provide a copy. 9. Details of any safety programme currently in effect. 10. Details of Building Programme going forward. Section 2 - Vessel Details. 1. For whom is vessel being built (Owner). 2. Is there a Mortgage involved, if so, whom. 3. Type of Vessel (e.g. Bulk Carrier, Containership etc). 4. Hull Yard No. 5. Tonnage Gross Tonnage: Deadweight Tonnage: Cubic Capacity ΕΔΡΑ: ΛΕΩΦ. ΒΟΥΛΙΑΓΜΕΝΗΣ 90, 166 74 ΓΛΥΦΑΔΑ, ΤΗΛ.: 210 9119900, FAX: 210 9623836, E-MAIL: [email protected], www.aigaion.gr ΓΡΑΦΕΙΟ ΘΕΣΣΑΛΟΝΙΚΗΣ: ΛΑΕΡΤΟΥ 22, 555 35 ΠΥΛΑΙΑ ΘΕΣΣΑΛΟΝΙΚΗΣ, ΤΗΛ.: 23130 83400, FAX: 23130 83450, E-MAIL: [email protected] ΔΙΕΥΘΥΝΣΗ ΑΛΛΗΛΟΓΡΑΦΙΑΣ ΘΕΣΣΑΛΟΝΙΚΗΣ: Τ.Θ. 8812, CAPITAL CENTER, 57001 ΘΕΡΜΗ Γ.Ε.ΜΗ. 121871360000 | Α.Φ.Μ. 094472389 | Δ.Ο.Υ. ΦΑΕ ΠΕΙΡΑΙΑ 6. Dimensions Length Overall m Moulded Breadth m Moulded Depth m Max Scantling Draft 7. Construction Material (e.g. Steel): 8. Propulsion Machinery (Manufacturer plus specifications) 9. Is vessel "First of Class", if not, how many similar vessels have been built. 10. Will vessel be constructed to Class, if so, which Classification Society. Section 3 - Period/Construction Method. 1. Total estimated period of construction. 2. Estimated date of commencement of construction. 3. Estimated date of launch. 4. Method of launch (e.g. Conventional slipway/floating out) 5. Estimated date of delivery. ΕΔΡΑ: ΛΕΩΦ. ΒΟΥΛΙΑΓΜΕΝΗΣ 90, 166 74 ΓΛΥΦΑΔΑ, ΤΗΛ.: 210 9119900, FAX: 210 9623836, E-MAIL: [email protected], www.aigaion.gr ΓΡΑΦΕΙΟ ΘΕΣΣΑΛΟΝΙΚΗΣ: ΛΑΕΡΤΟΥ 22, 555 35 ΠΥΛΑΙΑ ΘΕΣΣΑΛΟΝΙΚΗΣ, ΤΗΛ.: 23130 83400, FAX: 23130 83450, E-MAIL: [email protected] ΔΙΕΥΘΥΝΣΗ ΑΛΛΗΛΟΓΡΑΦΙΑΣ ΘΕΣΣΑΛΟΝΙΚΗΣ: Τ.Θ. 8812, CAPITAL CENTER, 57001 ΘΕΡΜΗ Γ.Ε.ΜΗ. 121871360000 | Α.Φ.Μ. 094472389 | Δ.Ο.Υ. ΦΑΕ ΠΕΙΡΑΙΑ 6. Within how many miles of the Yard will trials be carried out? 7. Estimated period at risk for major components: (a) Hull (b) Propulsion Machinery and Thruster (c) Main Engine and Shaft Generator (d) Equipment (e) Machinery (f) Winches 8. Can you give either monthly or quarterly build-up of vessels value Month Year Value ΕΔΡΑ: ΛΕΩΦ. ΒΟΥΛΙΑΓΜΕΝΗΣ 90, 166 74 ΓΛΥΦΑΔΑ, ΤΗΛ.: 210 9119900, FAX: 210 9623836, E-MAIL: [email protected], www.aigaion.gr ΓΡΑΦΕΙΟ ΘΕΣΣΑΛΟΝΙΚΗΣ: ΛΑΕΡΤΟΥ 22, 555 35 ΠΥΛΑΙΑ ΘΕΣΣΑΛΟΝΙΚΗΣ, ΤΗΛ.: 23130 83400, FAX: 23130 83450, E-MAIL: [email protected] ΔΙΕΥΘΥΝΣΗ ΑΛΛΗΛΟΓΡΑΦΙΑΣ ΘΕΣΣΑΛΟΝΙΚΗΣ: Τ.Θ. 8812, CAPITAL CENTER, 57001 ΘΕΡΜΗ Γ.Ε.ΜΗ. 121871360000 | Α.Φ.Μ. 094472389 | Δ.Ο.Υ. ΦΑΕ ΠΕΙΡΑΙΑ 9. Will vessel be built by traditional keel laying or modular construction methods? 10. If vessel built by modular building methods: (a) In how many sections/modules will vessel be built. (b) Estimated value of each module (c) Estimated period of construction of each module. 11. Will vessel or any part be built undercover? Section 4 - Sum Insured. 1. Estimated Final Contract Value. 2. Estimated value of each major component at launch: (a) Hull: (b) Propulsion Machinery and Thrusters (c) Main Engine and Shaft Generator (d) Gearbox (e) Outfit and Machinery (f) Winches (g) Owners Furnished Equipment US$ US$ US$ US$ US$ US$ 3. Estimated value of each major component at handover: (a) Hull: (b) Propulsion Machinery and Thrusters (c) Main Engine and Shaft Generator (d) Gearbox (e) Outfit and Machinery (f) Winches (g) Owners Furnished US$ US$ US$ US$ US$ US$ ΕΔΡΑ: ΛΕΩΦ. ΒΟΥΛΙΑΓΜΕΝΗΣ 90, 166 74 ΓΛΥΦΑΔΑ, ΤΗΛ.: 210 9119900, FAX: 210 9623836, E-MAIL: [email protected], www.aigaion.gr ΓΡΑΦΕΙΟ ΘΕΣΣΑΛΟΝΙΚΗΣ: ΛΑΕΡΤΟΥ 22, 555 35 ΠΥΛΑΙΑ ΘΕΣΣΑΛΟΝΙΚΗΣ, ΤΗΛ.: 23130 83400, FAX: 23130 83450, E-MAIL: [email protected] ΔΙΕΥΘΥΝΣΗ ΑΛΛΗΛΟΓΡΑΦΙΑΣ ΘΕΣΣΑΛΟΝΙΚΗΣ: Τ.Θ. 8812, CAPITAL CENTER, 57001 ΘΕΡΜΗ Γ.Ε.ΜΗ. 121871360000 | Α.Φ.Μ. 094472389 | Δ.Ο.Υ. ΦΑΕ ΠΕΙΡΑΙΑ Section 5 – Subcontractors 1. Please give full details, period and value of any subcontract work including names of subcontractors. PROPOSER΄S DECLARATION: I HEREBY DECLARE THAT THE PARTICULARS AND ANSWERS ARE TRUE AND CORRECT AND THAT I HAVE NOT WITHHELD ANY INFORMATION WHICH IS LIKELY TO INFLUENCE THE DECISION OF THE COMPANY IN REGARD TO THIS PROPOSAL. THIS PROPOSAL FORM DOES NOT BIND THE COMPANY TO INSURE THE RISK BUT IT IS AGREED IT SHALL BE THE BASIS OF THE CONTRACT SHOULD A POLICY BE ISSUED. DATE: ………………………. NAME OF PROPOSER: …………………………………. SIGNATURE: ………………………… For submission of complaints please visit the web site www.aigaion.gr/Contact us or call at +302109119792 ΕΔΡΑ: ΛΕΩΦ. ΒΟΥΛΙΑΓΜΕΝΗΣ 90, 166 74 ΓΛΥΦΑΔΑ, ΤΗΛ.: 210 9119900, FAX: 210 9623836, E-MAIL: [email protected], www.aigaion.gr ΓΡΑΦΕΙΟ ΘΕΣΣΑΛΟΝΙΚΗΣ: ΛΑΕΡΤΟΥ 22, 555 35 ΠΥΛΑΙΑ ΘΕΣΣΑΛΟΝΙΚΗΣ, ΤΗΛ.: 23130 83400, FAX: 23130 83450, E-MAIL: [email protected] ΔΙΕΥΘΥΝΣΗ ΑΛΛΗΛΟΓΡΑΦΙΑΣ ΘΕΣΣΑΛΟΝΙΚΗΣ: Τ.Θ. 8812, CAPITAL CENTER, 57001 ΘΕΡΜΗ Γ.Ε.ΜΗ. 121871360000 | Α.Φ.Μ. 094472389 | Δ.Ο.Υ. ΦΑΕ ΠΕΙΡΑΙΑ