The London P&I Club is the trading name of The London Steam-Ship Owners' Mutual Insurance Association Limited and its subsidiary The London P&I Insurance Company (Europe) Limited. The London Steam-Ship Owners' Mutual Insurance Association Limited. Registered in England No 10341. Registered Office: 50 Leman Street, London, E1 8HQ. The London P&I Insurance Company (Europe) Limited, a private limited liability company registered in Cyprus, No HE410091. Registered Office: Esperidon 5, 4th Floor, Strovolos, 2001, Nicosia. 29 March 2022 TO ALL TANKER MEMBERS Dear Sir or Madam Club Inspection Programme – Carriage of HFO as Cargo Further to the Association’s Circular dated 3 February 2006 (T:027 a copy of which is available on the Association’s website www.londonpandi.com) we now enclose the 2022 Declaration Form. If no vessels have carried ‘HFO’ as cargo during the relevant policy year, could we please ask Members to confirm this within the box provided on the attached Declaration Form. This form should be completed, signed and returned to the Association at HFO@londonpandi.com by 30 April 2022. If any further assistance is required please do not hesitate to contact the Managers’ Ship Inspection Department. Yours faithfully A BILBROUGH & CO LTD (MANAGERS) T:044 - 2 ANNUAL DECLARATION FORM FOR CARRIAGE OF HEAVY FUEL OIL Period: 20 February 2021 to 20 February 2022 Members are requested to use this Form to notify the Association of the names of ships which have carried Heavy Fuel Oil (HFO)* within the above period. Members are requested to return the completed Form to the Managers by 30 April 2022. Member Name: Ship Name IMO No. Year built Has the ship undergone a P&I Club Inspection in the past 12 months? Has the ship passed a Class Special Survey during the past six months? If the ship has a current CAP1 or CAP2 rating with an IACS Classification Society, please enter date and rating achieved If no vessels carried ‘HFO’ during the relevant policy year, please mark this box with “None”. Date: ________________________________________________________________ Signed by Member or authorised signatory * By Heavy Fuel Oil is meant a residual fuel with a kinematic viscosity of 380 centistokes (cSt) or greater when measured at 50 degrees Celsius by Test Method ISO 3104. This definition is intended to exclude Intermediate Fuel Oils or Heavy Crudes, as well as bitumen or tar.