REQUESTFORSERVICESPage1of3NameofClientAddressTelephoneno
EmailAddressService(s)requiredFeesUS$225
00/hour(survey/officetime)andUS$100
00/hour(traveltime),plusexpensesatcost,includingdailysubsistenceofUS$25
00incurred
At(location/site)Thisrequestforservicesissubjecttothetermsandconditionsonthisdocument
Pleasesignandreturnthisrequestforservicestoyourlocaloffice
TERMSANDCONDITIONSThefollowingtermsandconditionsapplytoallservicesprovidedbyanyentitythatispartofthe“LRGroup”ashereinafterdefined:1
Inthesetermsandconditions:(i)“Services”meansanyandallservicesprovidedtotheClientbyLloyd’sRegisterofShipping(“LR”),oranyentitythatispartoftheLRGroup,ashereinafterdefined,includinganyclassificationoftheClient’svessel,equipmentormachinery;(ii)the“Contract”meansanyagreementforsupplyoftheServices,suchasa