Form MA-1060 Voluntary Tanker Agreement

U.S. Department of
Transportation
Maritime
Administration
Form Approved: OMB No. 2133-0505
Expiration Date: 11/30/2016
This collection of information will be used to fulfill the requirements of 50 App. U.S.C. 2158
regarding the application to participate in the Maritime Administration's (MARAD) Voluntary
Tanker Agreement (VTA) program. Response to this information collection is strictly voluntary.
The public reporting burden of this collection is estimated to average 1 hour per response.
Please note that an agency may not conduct or sponsor, and a person is not required to respond
to, a collection of information unless it displays a currently approved OMB control number. The
Send comments regarding this burden
OMB control number for this collection is 2133-0505.
estimate or any other aspect of this collection to MARAD, Office of Management and Administrative
Services, 1200 New Jersey Avenue, S.E., Washington, D.C. 20590.

Instructions for Enrollment in the
Voluntary Tanker Agreement (VTA) Program
Part I.

Application to participate in the VTA:
Submit two (2) originals of the VTA application.
Upon
approval, one of the original applications will be returned
to you and the other will be retained by the Maritime
Administration (MARAD). If applicant does not have a
corporate seal, the application must be notarized.

Part II.

VTA Application Worksheet:
The information requested in the VTA worksheet is needed by
MARAD to assess your eligibility for participation in the
VTA program and to process your application. Please fill in
all requested items, as applicable, and attach appropriate
documentation where requested.

Part III.

VTA Spreadsheet:
•

Vessel Name - self explanatory

•

Vessel Type - self explanatory (product, crude, ITB
crude)

•

Vessel Speed - self explanatory

•

Program Type (Most typical of the vessel, i.e. Jones,
MSP, international trade).
If multiple entries apply,
please indicate by footnote.

•

DWT - total deadweight (CARRIER INPUT ON CARGO DWT IS
NEEDED)

Form MA-1060 (08/2016)

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Form Approved: OMB No. 2133-0505
Expiration Date: 11/30/2016
U.S. Department of
Transportation
Maritime
Administration

Part I
Application to Participate in the
Voluntary Tanker Agreement
The Applicant identified below hereby applies to participate in the Maritime
Administration’s agreement entitled “Voluntary Tanker Agreement.” The text of said
Agreement is published in Federal Register, Vol.73 No. 172, Pages 51692-51697, Dated
September 4, 2008. This Agreement is authorized under Section 708 of the Defense
Production Act of 1950, as amended (50 App. U.S.C. 2158). Regulations governing this
Agreement appear at 44 CFR Part 332 and are reflected at 49 CFR Subtitle A.
The Applicant, if selected, hereby acknowledges and agrees to the incorporation by
reference into this Application and Agreement of the entire text of the Voluntary
Tanker Agreement published in Federal Register, Vol. 73, No. 172, Pages 51692-51697,
Dated September 4, 2008, as though said text were physically recited herein.
The Applicant, as a Participant, agrees to comply with the provisions of Section 708
of the Defense Production Act of 1950, as amended, the regulations of 44 CFR Part 332
and as reflected at 49 CFR Subtitle A, and the terms of the Voluntary Tanker
Agreement. Further, the Applicant, if selected as a Participant, hereby agrees to
contractually commit to make specifically enrolled vessels or capacity available for
use by the Department of Defense and to other Participants as described in this
Agreement.
By signing this Agreement, Participants agree to commit their vessels for a period
beginning with the effective date below through the period for an entire fiscal year
(October 1 through September 30). VTA vessel enrollment will automatically renew for
each subsequent fiscal year unless the Participant provides written notification to
the Maritime Administration of its intent to terminate participation in the VTA and
Maritime Administration approval is granted.
Attest:
_____________________________
(Corporate Secretary)

______________________________
(Applicant-Corporate Name)
______________________________
(Name, please print)

(CORPORATE SEAL or Notary)

By: ______________________________
(Signature)
______________________________
(Position Title, please print)

Effective Date: _____________

_____________________________
(Secretary)

UNITED STATES OF AMERICA
DEPARTMENT OF TRANSPORTATION
MARITIME ADMINISTRATION

By: ______________________________
Maritime Administrator

(SEAL)

Form MA-1060 (08/2016)

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U.S. Department of
Transportation
Maritime
Administration

Form Approved: OMB No. 2133-0505
Expiration Date: 11/30/2016

Part II

Voluntary Tanker Agreement (VTA) Application
Worksheet
(1)

Name of Applicant and address of principal executive office.

(2)

Ownership of Applicant:
Are you a U.S. company that owns, operates or charters tankers
and ocean-going tugs and tank barges?
Yes (

)

No (

)

(3)

Do you control the vessel(s) through ownership or as the bareboat
charterer? ( ) Yes ( ) No If you are the bareboat charterer,
please provide a bareboat charter agreement between you and the
owner of the vessel(s).

(4)

(a) Are you a subsidiary of a foreign owned company or do you own
foreign subsidiaries? ( )Yes ( )No
If yes, list below or on a separate sheet of paper. Please
describe the ownership arrangements with particular detail to how
these arrangements affect the provision of assured access to
vessels by the U.S. Government.
(b)

In addition, list any affiliated companies.

(5)

Are all of these vessels capable of ocean service, including
transoceanic voyages? Yes ( ) No ( )

(6)

Please provide vessel information on the VTA Spreadsheet. This
Spreadsheet may be copied for additional entries.

Form MA-1060 (08/2016)

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Form Approved: OMB No. 2133-0505
Expiration Date: 11/30/2016

Part II - Continued

Please complete the following information for your company:
_________________________________________
Name and Title of Company Official
(Print or type)
_________________________________________
Signature of Company Official

_____________
Date

Phone: __________________________________
Fax: ____________________________________
E-mail: _________________________________
Point of Contact if other than company official:
_________________________________________
Name and Title
(Print or type)
_________________________________________
Signature

____________
Date

Phone: __________________________________
Fax: ____________________________________
E-mail: _________________________________

Form MA-1060 (08/2016)

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U.S. Department of
Transportation
Maritime
Administration

Form Approved: OMB No. 2133-0505

SAMPLE
Part III
ABC Carriers, Inc.
Company Name

Vessel
Operating

Program

Vessel

Cargo

Year
Built

Speed

Type

DWT

DWT

IMO
Vessel Name

Vessel Type

Number

Flag

VTA SHIPS

ABC VESSEL

Crude Carrier

8989674

U.S.

1985

16

Jones Act

80,000

50,000

XYZ VESSEL

Product Tanker

7858098

Liberia

1990

17

International

40,000

30,000

EFG VESSEL

ITB

9878787

U.S.

2000

22

MSP

60,000

45,000

Totals
VTA SPREADSHEET AGREED TO BY:

Print Name and Title of Company Official

Signature of Company Official

Date

For vessel speed, provide normal operating speed.
Form MA-1060 (08/2016)

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Form Approved: OMB No. 2133-0505

Part III
U.S. Department
of Transportation
Company Name
Maritime
Administration
IMO
Vessel Name

Vessel Type

Number

Flag

Year
Built

Vessel
Operating

Program

Vessel

Cargo

Speed

Type

DWT

DWT

VTA SHIPS

Totals
VTA SPREADSHEET AGREED TO BY:

Print Name and Title of Company Official

Signature of Company Official

Date

For vessel speed, provide normal operating speed.
Form MA-1060 (08/2016)

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