Sample 2 - XL Global Cargo Clientside

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ORIGINAL

Certificate of Insurance No.

XXXXXXXXXX

This is to certify that XL Insurance Company SE, Hong Kong Branch insures under policy number 1234ABCD the goods designated hereafter to the extent and the manner herein provided.

To check the authenticity of this certificate please select the following URL: www.xlglobalcargo.com

Security number: XXXXXXXXXX

On behalf of :

Named Assured

Address, City, Zip, HONG KONG

Loss payee name:

XL Catlin

Currency

HKD

Insured Value

60,000.00

SIXTY THOUSAND AND 00/100

Voyage Insured :

From Wan Chia, Hong Kong

Via Shenzhen

To Beijing, China

Departing on or about:

22/04/2015

Conveyance:

Ocean Vessel, Meaban, VN7000

Insured's reference:

Sample 2

Marks, numbers, quantity, weight, description of the goods and type of packing:

Full Description of Cargo * Full Description of Cargo * Full Description of Cargo * Full Description of Cargo * Full Description of Cargo * Full

Description of Cargo * Full Description of Cargo * Full Description of Cargo * Full Description of Cargo * Full Description of Cargo * Full Description of

Cargo * Full Description of Cargo * Full Description of Cargo * Full Description of Cargo * Full Description of Cargo * Full Description of Cargo * Full

Description of Cargo * Full Description of Cargo * Full Description of Cargo * Full Description of Cargo * Full Description of Cargo * Full Description of

Cargo * Full Description of Cargo * Full Description of Cargo * Full Description of Cargo * Full Description of Cargo * Full Description of Cargo * Full

Description of Cargo * Full Description of Cargo * Full Description of Cargo * Full Description of Cargo * Full Description of Cargo * Full Description of

Cargo *

Mark & NumbersMark & NumbersMark & NumbersMark & NumbersMark & NumbersMark & NumbersMark & NumbersMark & NumbersMark &

NumbersMark & NumbersMark & NumbersMark & NumbersMark & NumbersMark & NumbersMark & NumbersMark & NumbersMark & NumbersMark

& NumbersMark & NumbersMark & NumbersMark & NumbersMark & NumbersMark & NumbersMark & NumbersMark & NumbersMark &

NumbersMark & NumbersMark & NumbersMark & NumbersMark & NumbersMark & NumbersMark & NumbersMark & NumbersMark & NumbersMark

& NumbersMark & NumbersMark & NumbersMark & NumbersMark & NumbersMark & NumbersMark & NumbersMark & Numbers

This insurance is subject to the insurance conditions of the above policy including the following clauses:

Institute Cargo Clause (A) 01/01/2009

Institute War Clauses (Cargo) 01/01/2009

Institute Strikes Clauses (Cargo) 01/01/2009

Termination of Transit Clause (Terrorism) JC2009/056 01/01/2009

Institute Radioactive Contamination, Chemical, Biological, Bio-chemical and Electromagnetic Weapons Exclusion clause CL 370 10/11/2003

Sanction Limitation and Exclusion Clause JC2010/014 11/08/2010

Letter of Credit and/or other Additional Conditions:

Letter of Credit ConditionsLetter of Credit ConditionsLetter of Credit ConditionsLetter of Credit ConditionsLetter of Credit ConditionsLetter of Credit

ConditionsLetter of Credit ConditionsLetter of Credit ConditionsLetter of Credit ConditionsLetter of Credit ConditionsLetter of Credit ConditionsLetter of Credit ConditionsLetter of Credit ConditionsLetter of Credit ConditionsLetter of Credit ConditionsLetter of Credit ConditionsLetter of Credit

ConditionsLetter of Credit ConditionsLetter of Credit ConditionsLetter of Credit ConditionsLetter of Credit ConditionsLetter of Credit ConditionsLetter of Credit ConditionsLetter of Credit ConditionsLetter of Credit ConditionsLetter of Credit ConditionsLetter of Credit ConditionsLetter of Credit

ConditionsLetter of Credit ConditionsLetter of Credit ConditionsLetter of Credit ConditionsLetter of Credit ConditionsLetter of Credit ConditionsLetter of Credit ConditionsLetter of Credit ConditionsLetter of Credit ConditionsLetter of Credit ConditionsLetter of Credit

In the event of damage apply to Claim Settling Agent, 975 War Chi Close, Beijing, BJ7 9/432, Email: settlingagent@msn.com, Phone: +00 234 67324, Fax: +00 234 88888

And notify the claim to your insurance intermediary Asia Broker, 123 Cranford Street, Victoria, HQ9 3244, asiabroker@msn.com, +00 2783 93562, +00 2799 55343

Hong Kong, 22/04/2015 XL Insurance Company SE

Hong Kong Branch

Issued in one original to the same effect

Philip Chan

XL Insurance Company SE, Hong Kong Branch, 1808, Dah Sing Financial Centre, 108 Gloucester Road, Wanchai, Hong Kong, Telephone 00852 2820 5888

Telefax 00852 2877 8138. A limited liability company incorporated in England.

Page 1 of 2

Certificate of Insurance No.

XXXXXXXXXX

IMPORTANT

PROCEDURE IN THE EVENT OF LOSS OR DAMAGE FOR WHICH ASSURERS MAY BE LIABLE

Any claim arising under the Policy must be ascertained by a Surveyor to be chosen by the Assured from the Lloyd’s Agency

Directory to be found at www.lloydsagency.com. If no Lloyd’s agents are available, or if International Sanctions have been imposed upon the country where the loss occurred, the Assured must report the details to a competent surveyor to be agreed between the

Assured and the Insurer. The Assured must immediately notify the Insurer in writing of any claim arising under the policy.

Any recoverable claim shall be settled by XL Insurance Company SE.

Claims will be paid subject to the surrendering of one negotiable original of this certificate, the remaining originals, if any, thereby becoming void.

Applicable law: English Law; Place of jurisdiction is Hong Kong court.

LIABILITY OF CARRIERS, BAILEES OR OTHER THIRD PARTIES

The Assured must at all-time act as a prudent uninsured. It is the duty of the Assured and their Agents, in all cases, to take such measures as may be reasonable for the purpose of averting or minimising a loss and to ensure that all rights against Carriers, Bailees or other third parties are properly preserved and exercised.

In particular, the Assured or their Agents are required:

1. To claim immediately on the Carriers, Port Authorities or other Bailees for any missing packages.

2. In no circumstances, except under written protest, to give clean receipts where goods are in doubtful condition.

3. When delivery is made by Container to ensure that the Container and its seals are examined immediately by their responsible official. If the Container is delivered damaged or with seals broken or missing or with seals other than as stated in the shipping documents, to clause the delivery receipt accordingly and retain all defective or irregular seals for subsequent identification.

4. To apply immediately for survey by Carriers’ or other Bailees’ Representatives if any loss or damage be apparent and claim on the Carriers or other Bailees for any actual loss or damage found at such survey.

5. To give notice in writing to the Carriers or other Bailees within 3 days of delivery if the loss or damage was not apparent at the time of taking delivery.

NOTE: The Consignees or their Agents are recommended to make themselves familiar with the Regulations of the Port Authorities at the port of discharge.

FAILURE TO COMPLY WITH THESE INSTRUCTIONS MAY PREJUDICE ANY CLAIM UNDER THIS POLICY

DOCUMENTATION OF CLAIMS

To enable claims to be dealt with promptly, the Assured or their Agents are advised to submit all available supporting documents without delay including when applicable:

1. Original policy or certificate of insurance.

2. Original or copy shipping invoices, together with shipping specification and/or weight notes.

3. Original Bill of Lading and/or other contract of carriage.

4. Survey report or other documentary evidence to show the extent of the loss or damage.

5. Landing account and weight notes at final destination.

6. Correspondence exchanged with the Carriers and other Parties regarding their liability for the loss or damage.

7.

Further documents on request.

Page 2 of 2

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