FORWARDING ORDER: No date

We hereby order C.Hartwig Gdynia S.A., ul.Śląska 47, 81-310 Gdynia, VAT-ID: PL 5860104285, registered In the District Court Gdańsk-Północ in Gdańsk, VIII Commercial Department of the National Court Registry, KRS No. 0000024354, initial capital 3390000 PLN (fully paid), to organise transportation in accordance with the conditions mentioned below:

C.Hartwig Gdynia S.A. Offer No

1. Contractor:
C. Hartwig Gdynia S.A.
ul. Śląska 47, 81-310 Gdynia
DEPARTMENT:
telephone fax / 2. Client:
(name of company, address, VAT- Id.)
3. Type of transport: / 4. Person in charge:
(first name and surname, position, telephone, fax, e-mail)
5. Shipper and place of shipment:
(company, address, person in charge, telephone, fax, e-mail) / 6. Consignee and place of delivery:
(company, address, person in charge, telephone, fax, e-mail)
7. Loading date: / 8. Unloading date:
9. Cargo description:
(name, weight, type of packing, number of pieces, dimensions, volume, marks, position of the customs tariff)
Ability to stack up the cargo: yes no / 10. Mode and place of customs clearance:
11. Military or dual-use goods: yes no
from the military list, category
from the list of dual-use goods, category / 12. Hazardous cargo: yes no
class No.:
UN No.:
Parking group:
13. Contract value of load: / 14. I want C.Hartwig Gdynia S.A. to insure my cargo with CARGO insurance.
yes no / 15. Terms of delivery:
(in accordance with INCOTERMS® 2010)
16. Agreed rate of remuneration:
/ 17. Time and terms of payment:
18. Comments and additional provisions: / 19. Client’s bank account number:
20. Documents enclosed:

This Agreement shall be governed by the Polish Law, the Forwarding Orders Handling Rules of C.Hartwig Gdynia S.A. and the General Polish Forwarding Conditions 2010 (GPFC). GPFC and the Forwarding Orders Handling Rules of C.Hartwig Gdynia S.A. are available on the website: http://www.chg.pl/others_rules.php All disputes arising out of this Agreement will be resolved by the Common Court appropriate to the place of the registered office of the Contractor. If the Client is a foreigner, any potential disputes shall be resolved by the Arbitration Court at the Polish International Freight Forwarders Association in Gdynia, Poland.

The Client’s statement: we hereby declare that we are fully aware of the contents of the General Polish Forwarding Conditions 2010 and we give our consent to include them in the text of this Agreement. We also covenant to cover in time all costs and expenses connected with the performance of this order. In the case of renouncement by the Client from realisation of this order we irrevocably covenant to pay to the Contractor a contractual fine in the amount of 150 EUR. The payment of the contractual fine does not exclude the Contractor’s right to demand payment of the indemnity on the basis of the Law.

Place and date of order issuance Signature and seal of the Client

PLAEOC420000080004