| PRINT & FILL OUT FORM & FAX OR MAIL TO: NAME OF HIRING PARTY: ____________________________________ ADDRESS: ________________________________________________ CITY/STATE/ZIP: ___________________________________________ TELEPHONE: ______________________________________________ LOCATION OF VESSEL: _____________________________________ SURVEY TYPE: SURVEY COST ESTIMATE: ____________ (PER FOOT) REFERRAL: _______________________________________________ EXPRESS SERVICE: $150.00 THIS SURVEY IS PREPARED AND SUBMITTED IN GOOD FAITH. IT IS A DESCRIPTION OF THE CONDITION OF THE VESSEL AS FOUND, EXAMINED AND VISIBLE ON THE DATE OF THE SURVEY. THE SURVEYOR ASSUMES NO RESPONSIBILITY FOR ANY DEFECTS AND SHALL BE HELD HARMLESS FOR ANY SUBSEQUENT CONDITIONS ARISING. THIS SURVEY DOES NOT GUARANTEE EITHER EXPRESSED OR IMPLIED, THE CONDITION OF THE ABOVE SURVEYED VESSEL. THIS SURVEY IS PREPARED SOLELY FOR THE INDIVIDUAL COMMISSIONING THE SURVEY. ACKNOWLEDGEMENT OF BUYER TO THESE TERMS: * ______________________________________ DATE _____________ * RATES: SAIL OR POWER:
OTHER TESTING AND
ANALYSIS: TRAVEL TIME AND EXPENSES
TO BE NEGOTIATED |