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Annex — Certificate of insurance or other financial security in respect of liability for the death of and personal injury to passengers Protocol van 2002 bij het Verdrag van Athene inzake het vervoer van passagiers en hun bagage over zee, 1974

Certificate of insurance or other financial security in respect of liability for the death of and personal injury to passengers

Name of Ship | Distinctive number or letters | IMO Ship Identification Number | Port of Registry | Name and full address of the principal place of business of the carrier who actually performs the carriage.

This is to certify that there is in force in respect of the above-named ship a policy of insurance or other financial security satisfying the requirements of Article 4bis of the Athens Convention relating to the Carriage of Passengers and their Luggage by Sea, 2002.

Type of Security.....

Duration of Security.....

Name and address of the insurer(s) and/or guarantor(s)

Name.....

Address.....

This certificate is valid until.....

Issued or certified by the Government of.....

(Full designation of the State)

OR

The following text should be used when a State Party avails itself of Article 4bis, paragraph 3:

The present certificate is issued under the authority of the Government of ..... (full designation of the State) by ..... (name of institution or organisation)

At ..... On .....

(Place) (Date)

(Signature and Title of issuing or certifying official)

Explanatory Notes:

1. If desired, the designation of the State may include a reference to the competent public authority of the country where the Certificate is issued.

2. If the total amount of security has been furnished by more than one source, the amount of each of them should be indicated.

3. If security is furnished in several forms, these should be enumerated.

4. The entry “Duration of Security” must stipulate the date on which such security takes effect.

5. The entry “Address” of the insurer(s) and/or guarantor(s) must indicate the principal place of business of the insurer(s) and/or guarantor(s). If appropriate, the place of business where the insurance or other security is established shall be indicated.

Regeling
Protocol van 2002 bij het Verdrag van Athene inzake het vervoer van passagiers en hun bagage over zee, 1974
Soort
Verdrag
Geldend vanaf
23-04-2014
BWB-id
BWBV0005350
Versie
2014-04-23_0

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