Circular 17/10 Annex - Certificate of Cover

POEA ACCREDITED PRINCIPAL’S LETTERHEAD

 

Certificate of Cover

This is to certify that the vessel described hereunder:

 

Name of Vessel Port of Registry :

IMO No.

Name of Owner/Manager :

Gross Tonnage :

Class :

 

Is covered with indemnity insurance by (Name of the P&I Club) with respect to the liabilities related to crew employment contract and/or the vessel’s Collective Bargaining Agreement (CBA) and /or applicable Philippine Laws, subject to the Club rules, terms and conditions.

 

 

_______________________________

Signed : Vessel Manager in behalf of the Owners