Claims for reimbursement for total loss of stores and supplies may be submitted by the owner to the Chief, Division of Insurance, Maritime Administration, Washington, DC 20590, based on one of two alternative methods of proof, as provided in paragraphs (a) and (b) of this section. Owners may use either method for each category of stores and supplies.
The values of subsistence stores, slop chest, bar stock, and fuel, at the time of loss are determined in the same manner, supported by certified inventories of the owner and invoices.
Exhibit A
AFFIDAVIT IN PROOF OF CLAIM FOR THE LOSS OF UNUSED STORES AND SUPPLIES ON BOARD THE SS______________
STATE OF
ss:
COUNTY OF
I am the ______ of ______, the Owner of the SS ______, which was lost as a result of enemy action on or about the ______ day of ______, ______. I make this affidavit in support of the above-named Owner's claim for the loss of the actual value of the said vessel's unused Stores and Supplies. The statements herein contained are based upon the personal knowledge of deponent or upon the books of records of the Owner or its agent which deponent believes are true and accurate.
The period for which the vessel was stored with Stores and Supplies for use on the voyage on which she was lost, beginning with the last day of storing, was ______ days for Consumable Stores, ______ days for Subsistence Stores, ______ days for Slop Chest, ______ days for Bar Stock and ______ days for Fuel. The number of days from the last day of storing to, but not including, the date on which the vessel was lost, was ______ days for Consumable Stores, ______ days for Subsistence Stores, ______ days for Slop Chest, ______ days for Bar Stock and ______ days for Fuel.
The amount of Consumable Stores on board at the time this vessel was ready to sail (the number of days for which the vessel was stored times the average daily consumption cost, as above) was $______.
To this amount is added the actual cost of Consumable Stores purchased in Foreign Ports for the homeward voyage (as per statement attached) $______, making the total amount on board at date of sailing $______.
The average daily consumption cost, as above, times the number of days from the date the vessel was ready to sail to, but not including, the date of loss, as above, is $______.
To this amount is added the actual amount of Consumable Stores transferred or sold (as per statement attached) $______, making $______, which, subtracted from the amount of Consumable Stores on board at date of sailing, as above, is $______, which sum is claimed to be the actual value of the vessel's unused Consumable Stores at the time of the loss, according to the best of deponent's knowledge, information and belief.
The amount of Subsistence Stores on board, that is the number of the crew signed on ( ) and the average number of passengers, if any ( ), times the number of days for which the vessel was stored as above ( ), times the applicable factor of cost for one man per day ( ) was $______.
To this amount is added the actual cost of Subsistence Stores purchased in Foreign Ports for the homeward voyage (as per statement attached)5 $______, making the amount on board on date of sailing $______.
The amount of Subsistence Stores consumed, that is the number of crew signed on ( ) and the average number of passengers, if any ( ) times the number of days between the last day of storing the vessel and the date on which the vessel was lost ( ) times the applicable factor6 of cost for one man per day was $______.
To this amount is added the actual amount of Subsistence Stores transferred or sold (as per statement attached), $______, making $______, which, subtracted from the amount of Subsistence Stores on board at date of sailing, as above, is $______, which sum is claimed to be the actual value of the unused Subsistence Stores at the time of the loss, according to the best of deponent's knowledge, information and belief.
The amount of Slop Chest Stores on board at the time this vessel was ready to sail (the number of days for which the vessel was stored times the average daily consumption cost, as above) was $______.
To this amount is added the actual cost of Slop Chest Stores purchased in Foreign Ports for the homeward voyage (as per statement attached)5 $______, making the total amount on hand at date of sailing $______.
The average daily consumption cost, as above times the number of days from the date the vessel was ready to sail to, but not including, the date of loss, as above, is $______.
To this is added the actual amount of Slop Chest Stores transferred or sold (as per statement attached) $______, making $______, which, subtracted from the amount of Slop Chest Stores on board at date of sailing, as above, is $______, which sum is claimed to be the actual value of the vessel's unsold Slop Chest Stores at the time of the loss according to the best of deponent's knowledge, information and belief.
The amount of Bar Stock on board at the time this vessel was ready to sail (the number of days for which the vessel was stored times the average daily consumption cost, as above) was $______.
To this amount is added the actual cost of Bar Stock purchased in Foreign Ports for the homeward voyage (as per statement attached)5 $______, making the total amount on hand at date of sailing $______.
The average daily consumption cost, as above, times the number of days from the date the vessel was ready to sail to, but not including, the date of loss, as above, is $______.
To this amount is added the actual amount of Bar Stock transferred or sold (as per statement attached) $______, making $______, which, subtracted from the amount of Bar Stock on board at the time of sailing, as above, is $______, which sum is claimed to be the actual value of the vessel's unused Bar Stock at the time of the loss according to the best of deponent's knowledge, information and belief.
The amount of Fuel on board at the time this vessel was ready to sail (the number of days for which the vessel was stored times the average daily consumption cost, as above) was $______.
To this amount is added the actual cost of Fuel purchased in Foreign Ports for homeward voyage (as per statement attached)5 $______, making the total amount on hand at date of sailing $______.
The average daily consumption cost, as above, times the number of days from the date the vessel was ready to sail to, but not including, the date of loss, as above, is $______.
To this amount is added the actual amount of Fuel transferred or sold (as per statement attached) $______, making $______, which, subtracted from the amount of Fuel on board at the time of sailing, as above, is $______, which sum is claimed to be the actual value of the vessel's unused Fuel at the time of the loss according to the best of deponent's knowledge, information and belief.
Unused Consumable Stores, other than- | |
Subsistence Stores | $______ |
Subsistence Stores | ______ |
Slop Chest | ______ |
Bar Stock | ______ |
Fuel | ______ |
Total | $______ |
By: ______________________
Sworn to before me this ____________ day of ________________, 19____.
Notary Public
Exhibit B
AFFIDAVIT IN PROOF OF CLAIM FOR THE LOSS OF UNUSED STORES AND SUPPLIES ON BOARD THE SS______________
STATE OF
ss:
COUNTY OF
I am the ______ of ______, the Owner of the SS ______, which was lost as a result of enemy action on or about the ______________ day of ______________, ________. I make this affidavit in support of the above-named Owner's claim for the loss of the actual value of the said vessel's unused Stores and Supplies. The statements herein contained are based upon the personal knowledge of deponent or upon the books of records of the Owner or its agent which deponent believes are true and accurate.
"Stores and Supplies", for loss of which claim is being made, are limited to consumable and subsistence stores as defined in Maritime Administration Inventory Manual, Vessel Inventories, Part I, and do not include radio supplies, expendable equipment, scrap, junk and spare parts.
I am familiar with the insurance carried on the Stores and Supplies, on the SS ______; and, from the effective date of War Risk Insurance Binder No. ______ Policy No. ______ issued by the United States of America, which covers the total loss of Stores and Supplies in the amount of $______, to the date of such vessel's loss on ______, there was no war risk insurance on such Stores and Supplies other than that provided by said Binder or Policy.
The period for which the vessel was stored with Stores and Supplies for use on the voyage on which she was lost, beginning with the last day of storing, was ______ days for Consumable Stores, ______ days for Subsistence Stores, ______ days for Slop Chest, ______ days for Bar Stock and ______ days for Fuel. The number of days from the last day of storing to, but not including, the date on which the vessel was lost, was ______ days for Consumable Stores, ______ days for Subsistence Stores, ______ days for Slop Chest, ______ days for Bar Stock and ______ days for Fuel.
To this amount is added the actual amount of Consumable Stores transferred or sold (as per statement attached) $______, making $______, which, subtracted from the amount of Consumable Stores on board at the time the vessel was ready to sail, as shown in (1) above, is $______, which sum is claimed to be the actual value of the vessel's unused Consumable Stores at the time of the loss according to the best of deponent's knowledge, information and belief.
To this amount is added to the actual amount of Subsistence Stores transferred or sold (as per statement attached) $______, making $______, which, subtracted from the amount of Subsistence Stores on board at the time the vessel was ready to sail, as shown in (1) above, is $______, which sum is claimed to be the actual value of the vessel's unused Subsistence Stores at the time of the loss according to the best of deponent's knowledge, information and belief.
To this amount is added the actual amount of Slop Chest Stores transferred or sold (as per statement attached) $______, making $______, which, subtracted from the amount of Slop Chest Stores on board at the time the vessel was ready to sail, as shown in (1) above, is $______, which sum is claimed to be the actual value of the vessel's unused Slop Chest Stores at the time of the loss according to the best of deponent's knowledge, information and belief.
To this amount is added the actual amount of Bar Stock transferred or sold (as per statement attached) $______, making $______, which, subtracted from the amount of Bar Stock on board at the time the vessel was ready to sail, as shown in (1) above, is $______, which sum is claimed to be the actual value of the vessel's unused Bar Stock at the time of the loss according to the best of deponent's knowledge, information and belief.
To this amount is added the actual amount of Fuel transferred or sold (as per statement attached) $______, making $______, which, subtracted from the amount of Fuel on board at the time the vessel was ready to sail, as shown in (1) above, is $______, which sum is claimed to be the actual value of the vessel's unused Fuel at the time of the loss according to the best of deponent's knowledge, information and belief.
Claim is hereby made for: | |
Unused Consumable Stores, other than- | |
Subsistence Stores | $______ |
Subsistence Stores | $______ |
Slop Chest | $______ |
Bar Stock | $______ |
Fuel | $______ |
Total | $______ |
By:______________
Sworn to before me this ____________ day of ________________, 19____.
Notary Public
46 C.F.R. §309.204