Noble Carl Norberg

Assured or Principle______MODU ______Dry Ocean Transport Onboard ______Voyage Arrival and Offloading SurveyMD Ref: S-______To: ______Attn: Mr. ______Matthews-Daniel (INSERT YOUR OFFICE NAME) (INSERT ADDRESS)Voyage Arrival and Offloading Survey MD/CORP/AF/5202/02 A4, 7/2006 Date: ______(Company Name______) MODU ______Dry Ocean Transport Onboard ______Voyage Arrival and Offloading SurveyMD Ref: ______A MatthewsDaniel surveyor did, on (date______) and subsequent dates, attend the offloading of the (Name of MODU______) from the (name of vessel______) at (name of location______).The purpose of our attendance was to witness the offloading of the unit (name of vessel______) from (name of l ocation______) to (name of location ______).The survey was assigned by (individual's name ______) on behalf of (Interested Underwriters, whom it may concern, Customer: ______) and for the account of (Interested Underwriters, whom it may concern, Customer: ______).ATTENDING REPRESENTINGName: ______Title: ______Company: ______Name: ______Title: ______Company: ______Name: ______Title: ______Company: ______Name: ______Title: ______Company: ______Matthews-Daniel (INSERT YOUR OFFICE NAME) (INSERT ADDRESS)Voyage Arrival and Offloading Survey MD/CORP/AF/5202/02 A4, 7/2006 Page 2Name: ______Marine Surveyor MatthewsDaniel(NAME OF HEAVYLIFT VESSEL______) DETAILSThe (name of vessel______) is a ______and has the following particulars. ParticularsOfficial Name Official Number Call Sign Owners Operators Home Port Flag Gross Tons Net Tons Draft Built By / At Year Built Dimensions (As per the International L.O.A. Convention of Tonnage Measurements of Beam Ships 1969) Depth Classification Last Drydocking Last Underwater Inspection Voyage Arrival and Offloading Survey MD/CORP/AF/5202/02 A4, 7/2006 Page 3CertificationCertificate No. Issued by Date Expires Class HullClass Machinery Certificate of Registry / Documentation International Load Line Certificate Certificate of Inspection Stability Letter/Document Safety Construction Certificate International Tonnage Certificate Other Certificates:______ConstructionType : All welded steel with (longitudinal / transverse / combination) framing system.Hull Form : ______Compartmentation : ______watertight compartments consisting of (tanks and spaces)______divided by _____ longitudinal and _____ transverse watertight bulkheads. Voyage Arrival and Offloading Survey MD/CORP/AF/5202/02 A4, 7/2006 Page 4OutfittingNavigation Equipment : The H/L ______is equipped with the following navigation equipment:______.Navigation Lights : ______.Communications Equipment : The H/L ______is equipped with the following communications equipment: ______Voyage Arrival and Offloading Survey MD/CORP/AF/5202/02 A4, 7/2006 Page 5______.Propulsion Machinery : The H/L ______is powered by ______The engineering spaces are certified and equipped for unmanned operation with ______Propellers : ______Voyage Arrival and Offloading Survey MD/CORP/AF/5202/02 A4, 7/2006 Page 6Bow Thrusters : The H/L ______is equipped with ______.Steering System : ______.Generators : ______.______.Voyage Arrival and Offloading Survey MD/CORP/AF/5202/02 A4, 7/2006 Page 7Services Systems : ______.______.Ballast/Deballast System : ______.______.Anchors Forward: ______Voyage Arrival and Offloading Survey MD/CORP/AF/5202/02 A4, 7/2006 Page 8______Aft: ______DECK FITTINGSMain Deck______Fo'c'sleCenterline Bow Forward : ______Port and Starboard Bow : ______Voyage Arrival and Offloading Survey MD/CORP/AF/5202/02 A4, 7/2006 Page 9Port and Starboard Sides : ______Port and Starboard Aft : ______Deck Winches : ______Caissons Port and Starboard: ______Cranes: ______Accommodations : ______Lifesaving Equipment : ______Voyage Arrival and Offloading Survey MD/CORP/AF/5202/02 A4, 7/2006 Page 10Intended Service : ______CapacitiesFuel, Diesel No. of Tanks: ______Total Capacity: ______Amount Onboard: ______Fuel, Heavy No. of Tanks: ______Total Capacity: ______Amount Onboard: ______Lube Oil No. of Tanks: ______Total Capacity: ______Amount Onboard: ______Ballast Water No. of Tanks: ______Total Capacity: ______Amount Onboard: ______Potable Water No. of Tanks: ______Total Capacity: ______Amount Onboard: ______As (reported to / witnessed by) surveyor at: ______hours on (date:______)Fuel Consumption Approximately (______) (gallons) (liters)(tons)(cubic meters) (per hour)(per day).Draft at Time of Departure: Forward: Starboard: ______Port: ______Aft: Starboard: ______Port: ______Trim: ______Voyage Arrival and Offloading Survey MD/CORP/AF/5202/02 A4, 7/2006 Page 11General ConditionAs sighted afloat (date______) and subsequent dates, at (name of location ______), the H/L (name of vessel ______) is considered satisfactory for offload.Suitability to Offload Rig from Transport VesselMatthewsDaniel conducted an independent stability review and investigation which indicated that the plans and procedures were adequate to offload the MODU ______from the H/L (name of vessel______), offshore (name of location______).The MODU ______and the H/L (name of vessel______) were inspected afloat offshore (name of location______) on (date ______) and subsequent dates, and the vessel design characteristics, outfitting and general condition were considered to be satisfactory for offloading of subject cargo, and the vessel was approved by MatthewsDaniel.MODU (NAME OF MODU______) DETAILSThe (Name of MODU______) is a ______and has the following particulars.ParticularsOfficial Name Official Number Call Sign Owners Operators Home Port Flag Gross Tons Net Tons Draft Built By / At Voyage Arrival and Offloading Survey MD/CORP/AF/5202/02 A4, 7/2006 Page 12Year Built Dimensions (As per the International L.O.A. Convention of Tonnage Measurements of Beam Ships 1969) Depth Classification Last Drydocking Last Underwater Inspection CertificationCertificate No. Issued by Date ExpiresCertificate of Class - Hull Certificate of Class - Machinery Certificate of Registry / Documentation International Load Line Certificate Certificate of Inspection Stability Letter / Document Safety Construction Certificate International Tonnage Certificate Other Certificates:______Voyage Arrival and Offloading Survey MD/CORP/AF/5202/02 A4, 7/2006 Page 13ARRIVAL AND OFFLOADING PREPARATIONSOffload LocationThe offloading location is approximately nautical miles off the (name of location ______). The vessel's final anchor position was:Latitude º ' " North/South Longitude º ' " West/East Water Depth m Depth Under Keel mPreparation of Heavylift Name of Vessel____________.______Assist Vessel (NAME OF VESSEL______)(description of vessel)______ParticularsOfficial Name Official Number Call Sign Owners Operators Flag/Registry Home Port Registered Dimensions Length: ______Breadth:______Voyage Arrival and Offloading Survey MD/CORP/AF/5202/02 A4, 7/2006 Page 14Depth: ______Tonnages Gross: ______Net: ______Built By / At ______/______Year Built Hull Number Intended Service Certificate of Registry / Documentation Certificate No.: ______Issued by: ______Issued Date: ______Expires: ______Master (Name______) License No. ______License Type: ______No. of Crew Main Engines #______x Builder______Model No. ______Horsepower (Brake / Indicated / Class) Generators #______x Builder______Model No. ______Tow Winch Bollard Pull Main Tow Wire Length: ______Diameter:______Bridles Towing Spring Pendant / Fuse Wire Shackles in Use Spares and Equipment Draft (At Time of Survey) Date of Survey Assist Vessel (NAME OF VESSEL______)(description of vessel)______Voyage Arrival and Offloading Survey MD/CORP/AF/5202/02 A4, 7/2006 Page 15______ParticularsOfficial Name Official Number Call Sign Owners Operators Flag/Registry Home Port Registered Dimensions Length: ______Breadth:______Depth: ______Tonnages Gross: ______Net: ______Built By / At ______/______Year Built Hull Number Intended Service Certificate of Registry / Documentation Certificate No.: ______Issued by: ______Issued Date: ______Expires: ______Master (Name______) License No. ______License Type: ______No. of Crew Main Engines #______x Builder______Model No. ______Horsepower (Brake / Indicated / Class) Generators #______x Builder______Model No. ______Tow Winch Bollard Pull Main Tow Wire Length: ______Diameter:______Voyage Arrival and Offloading Survey MD/CORP/AF/5202/02 A4, 7/2006 Page 16Bridles Towing Spring Pendant / Fuse Wire Shackles in Use Spares and Equipment Draft (At Time of Survey) Date of Survey Assist Vessel (NAME OF VESSEL______)(description of vessel)______ParticularsOfficial Name Official Number Call Sign Owners Operators Flag/Registry Home Port Registered Dimensions Length: ______Breadth:______Depth: ______Tonnages Gross: ______Net: ______Built By / At ______/______Year Built Hull Number Intended Service Certificate of Registry / Documentation Certificate No.: ______Issued by: ______Issued Date: ______Expires: ______Voyage Arrival and Offloading Survey MD/CORP/AF/5202/02 A4, 7/2006 Page 17Master (Name______) License No. ______License Type: ______No. of Crew Main Engines #______x Builder______Model No. ______Horsepower (Brake / Indicated / Class) Generators #______x Builder______Model No. ______Tow Winch Bollard Pull Main Tow Wire Length: ______Diameter:______Bridles Towing Spring Pendant / Fuse Wire Shackles in Use Spares and Equipment Draft (At Time of Survey) Date of Survey Voyage Arrival and Offloading Survey MD/CORP/AF/5202/02 A4, 7/2006 Page 18Assist Vessel (NAME OF VESSEL______)(description of vessel)______ParticularsOfficial Name Official Number Call Sign Owners Operators Flag/Registry Home Port Registered Dimensions Length: ______Breadth:______Depth: ______Tonnages Gross: ______Net: ______Built By / At ______/______Year Built Hull Number Intended Service Certificate of Registry / Documentation Certificate No.: ______Issued by: ______Issued Date: ______Expires: ______Master (Name______) License No. ______License Type: ______No. of Crew Main Engines #______x Builder______Model No. ______Horsepower (Brake / Indicated / Class) Generators #______x Builder______Model No. ______Voyage Arrival and Offloading Survey MD/CORP/AF/5202/02 A4, 7/2006 Page 19Tow Winch Bollard Pull Main Tow Wire Length: ______Diameter:______Bridles Towing Spring Pendant / Fuse Wire Shackles in Use Spares and Equipment Draft (At Time of Survey) Date of Survey OFFLOADING OPERATIONSSynopsis of Events ______Voyage Arrival and Offloading Survey MD/CORP/AF/5202/02 A4, 7/2006 Page 20Damages Sustained During Offloading______.SURVEYOR'S COMMENTS1. ______.2. ______RECOMMENDATIONS1. ______.2. ______.Voyage Arrival and Offloading Survey MD/CORP/AF/5202/02 A4, 7/2006 Page 21CONCLUSIONArrangements were found to be satisfactory for the offload of the MODU ______from the H/L ______following dry ocean transport from (name of l ocation______) to (n ame of location______) at ______hours on (date______).THIS REPORT IS SUBMITTED WITHOUT PREJUDICE.MatthewsDaniel______Attending Surveyor/ / :( ) c/sATTACHMENTS1. PhotographsSurveyor's Log (Available Upon Request)Voyage Arrival and Offloading Survey MD/CORP/AF/5202/02 A4, 7/2006 PHOTO CAPTIONS1. 2. 3. 4. .5. .6. .7. .8. .9. .10. .11. .12. .13. .14. .15. .16. .17. .18. .19. 20. .Matthews-Daniel (INSERT YOUR OFFICE NAME) (INSERT ADDRESS)Voyage Arrival and Offloading Survey MD/CORP/AF/5202/02 A4, 7/2006

Noble Carl Norberg

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