VERIFIED GROSS MASS (VGM) CERTIFICATION

1 VERIFIED GROSS mass (VGM) CERTIFICATIONFCL LCL 13 ETD: 14 ETA:26 Tel No:28 Fax No:30 Email:Version 201605274 Registration No:5 Shipper Reference:To be completed by MIQ17 Place of Delivery:9 VGM Calculation Method (Check One) Method 1 (WEIGHING)3 Consignee:12 Vessel/Voy:15 Port of Lading:16 Port of Discharge: Method 2 (CALCULATING):To be completed by MIQ8 Weighing Date:All Packages and Cargo weighed individually plus the mass of pallets, dunnage and securing material added to container tare2 Shipper:23 A+B+C = VGM (KGS) 21 B. mass (KGS) of pallets, dunnage & securing material 18 Container Seal A. Cargo GROSS Wt (KGS)22 C.

2 Container Tare (KGS)6 MIQ Booking No:11 Carrier Booking No: 7 Weighing Facility:24 TOTAL VGM1 MODE25 Authorized Person (PRINTED NAME):27 Authorized Person (SIGNATURE):29 Authorized Person (TITLE):Ocean Container and Contents weighed after container completely packed and sealedFOR THE SHIPPER BY:10 VGM Submit Date:Merchant acknowledges that it is required to provide VERIFIED weights obtained on calibrated, certified equipment of all cargo that is to be tendered to steamship lines. Shipper agrees that Carrier is entitled to rely on the accuracy of such weights and to counter sign or endorse it as Carrier s own certified weight to the steamship line carrying the cargo.

3 The Merchant agrees that it shall indemnify and hold the Carrier harmless from any and all claims, losses, penalties or other costs resulting from any incorrect or questionable verification of the weight provided by Merchant or its agent or contractor on which the Carrier WEIGHT CERTIFICATION : I hereby certify that the GROSS mass provided, is the VERIFIED GROSS mass as defined in the IMO Guidelines Regarding the VERIFIED GROSS mass of a Container Carrying Cargo, paragraph ) DEFINITIONS 1 MODE Full Container Load (FCL) or Less than Container Load (LCL) 2 SHIPPER Consignor, exporter, or seller named in the shipping documents as the party responsible for initiating a shipment 3 CONSIGNEE The party (usually a buyer) named by the consignor (usually a seller) in transportation documents as the party to whose order a consignment will be delivered at the port of destination.

4 4 REGISTRATION NO. VGM Registration Number issued by the local Port Authorities (if applicable) 5 SHIPPER REFERENCE The PO, Invoice No., Order No, or other unique identifier used by the Shipper to identify this shipment 6 MIQ BOOKING NO. Reservation number issued by MIQ to secure equipment and act as a control number prior to completion of the B/L 7 WEIGHING FACILITY The Facility using calibrated and certified equipment that weighed the Packed Container (Not applicable to LCL) 8 WEIGHING DATE The date the Weighing Facility weighed the Packed Container 9 VGM CALC. METHOD The shipper must choose whether to .1 weigh the packed container using calibrated and certified equipment; or.

5 2 (A) weigh all packages and cargo items, (B) plus the mass of pallets, dunnage and other securing material to be packed in the container and (C) add the tare mass of the container using a certified method approved by the competent local authority. 10 VGM SUBMIT DATE Date the VGM submitted to the Vessel Operator to be completed by MIQ 11 CARRIER BOOKING NO. Reservation number issued by Vessel Operator to secure space and act as a control number prior to completion of the OB/L to be completed by MIQ 12 VESSEL/VOY Vessel Name and Voyage Number 13 ETD Estimated Departure (Sailing) Date 14 ETA Estimated Arrival Date at the Port of Discharge 15 PORT OF LADING The Port where the cargo is laden aboard ship 16 PORT OF DISCHARGE Port where the shipment is off loaded from the vessel 17 PLACE OF DELIVERY Port after discharge to which the carrier must deliver the shipment 18 CONTAINER NOS The unique reference number assigned to an ocean container.

6 The number includes four letters and seven digits, with the last digit referred to as the check digit. 19 SEAL NOS. Door seals affixed to international shipping containers once a shipment is loaded. Shipper responsible for sealing factory loads 20 A. CARGO GROSS WT (KGS) Entire weight of goods, packaged for export (KGS). THIS IS NOT THE VGM DEFINITIONS 21 B. mass (KGS) OF PALLETS, DUNNAGE & SECURING MATERIAL The GROSS mass of any additional material used or for use with packages and cargo items to prevent damage, including, but not limited to, crates, packing blocks, drums, cases, boxes, barrels, and skids. Excluded from the definition is any material within individual sealed packages to protect the cargo item(s) inside the package.

7 Securing material means all dunnage, lashing and other equipment used to block, brace, and secure packed cargo items in a container. 22 C. CONTAINER TARE (KGS) The weight of the empty container (Not applicable on LCL shipments) 23 A+B+C = VGM The combined mass of (A) all packages and cargo items plus (B) the masses of all pallets, dunnage and other packing material and securing materials packed into the container plus, (C) a container's tare mass . 24 TOTAL VGM The Total VERIFIED GROSS mass of all the Containers on one Bill of Lading 25 AUTHORIZED PERSON The PRINTED name of the person duly authorized by the shipper to certify the VGM 26 TEL NO.

8 The Authorized Person's Direct phone number 27 AUTHORIZED PERSON SIGNATURE The Authorized Person's written signature 28 FAX NO. The Authorized Person's Direct Fax Number 29 AUTHORIZED PERSON TITLE The Authorized Person's Official Title 30 EMAIL The Authorized Person's Direct Email Address