{
  "url": "https://openlegislation.uk/eu-regulation-2009-392/annex-II/appendix-B",
  "json_url": "https://openlegislation.uk/eu-regulation-2009-392/annex-II/appendix-B.json",
  "legislation": "eur/2009/392",
  "legislation_title": "Regulation (EC) No 392/2009 of the European Parliament and of the Council of 23 April 2009 on the liability of carriers of passengers by sea in the event of accidents (Text with EEA relevance)",
  "legislation_url": "https://openlegislation.uk/eu-regulation-2009-392",
  "path": "annex/II/appendix/B",
  "kind": "appendix",
  "number": "B",
  "heading": null,
  "text": "I.\nExamples of insurance undertakings (Blue Cards) referred to in guideline 3\nBlue Card issued by War Insurer\nCertificate furnished as evidence of insurance pursuant to Article 4bis of the Athens Convention relating to the Carriage of Passengers and their Luggage by Sea, 2002.\nName of Ship:\nIMO Ship Identification Number:\nPort of registry:\nName and Address of owner:\nThis is to certify that there is in force in respect of the above named ship while in the above ownership a policy of insurance satisfying the requirements of Article 4bis of the Athens Convention relating to the Carriage of Passengers and their Luggage by Sea, 2002, subject to all exceptions and limitations allowed for compulsory war insurance under the Convention and the implementation guidelines adopted by the Legal Committee of the International Maritime Organisation in October 2006, including in particular the following clauses: [Here the text of the Convention and the guidelines with appendices can be inserted to the extent desirable]\nPeriod of insurance from: 20 February 2007\nto: 20 February 2008\nProvided always that the insurer may cancel this certificate by giving 30 days written notice to the above Authority whereupon the liability of the insurer hereunder shall cease as from the date of the expiry of the said period of notice but only as regards incidents arising thereafter.\nDate:\nThis certificate has been issued by:\nWar Risks, Inc\n[Address]\n…\nSignature of insurer\nAs agent only for War Risks, Inc.\nBlue Card issued by Non-War Insurer\nCertificate furnished as evidence of insurance pursuant to Article 4bis of the Athens Convention relating to the Carriage of Passengers and their Luggage by Sea, 2002\nName of Ship:\nIMO Ship Identification Number:\nPort of registry:\nName and Address of owner:\nThis is to certify that there is in force in respect of the above named ship while in the above ownership a policy of insurance satisfying the requirements of Article 4bis of the Athens Convention relating to the Carriage of Passengers and their Luggage by Sea, 2002, subject to all exceptions and limitations allowed for non-war insurers under the Convention and the implementation guidelines adopted by the Legal Committee of the International Maritime Organisation in October 2006, including in particular the following clauses: [Here the text of the Convention and the guidelines with appendices can be inserted to the extent desirable]\nPeriod of insurance from: 20 February 2007\nto: 20 February 2008\nProvided always that the insurer may cancel this certificate by giving three months written notice to the above Authority whereupon the liability of the insurer hereunder shall cease as from the date of the expiry of the said period of notice but only as regards incidents arising thereafter.\nDate:\nThis certificate has been issued by:\nPANDI P&I\n[Address]\n…\nSignature of insurer\nAs agent only for PANDI P&I\nII.\nModel of certificate of insurance referred to in guideline 3\nCERTIFICATE OF INSURANCE OR OTHER FINANCIAL SECURITY IN RESPECT OF LIABILITY FOR THE DEATH OF AND PERSONAL INJURY TO PASSENGERS\nIssued in accordance with the provisions of Article 4bis of the Athens Convention relating to the Carriage of Passengers and their Luggage by Sea, 2002\nName of ship\nDistinctive number or letters\nIMO ship identification number\nPort of registry\nName and full address of the principal place of business of the carrier who actually performs the carriage\nThis is to certify that there is in force in respect of the abovenamed ship a policy of insurance or other financial security satisfying the requirements of Article 4bis of the Athens Convention relating to the Carriage of Passengers and their Luggage by Sea, 2002.\nType of Security …\nDuration of Security …\nName and address of the insurer(s) and/or guarantor(s)\nThe insurance cover hereby certified is split in one war insurance part and one non-war insurance part, pursuant to the implementation guidelines adopted by the Legal Committee of the International Maritime Organisation in October 2006. Each of these parts of the insurance cover is subject to all exceptions and limitations allowed under the Convention and the implementation guidelines. The insurers are not jointly and severally liable. The insurers are:\nFor war risks: War Risks, Inc., [address]\nFor non-war risks: Pandi P&I, [address]\nThis certificate is valid until …\nIssued or certified by the Government of …\n(Full designation of the State)\nOR\nThe following text should be used when a State Party avails itself of Article 4bis, paragraph 3:\nThe present certificate is issued under the authority of the Government of … (full designation of the State) by … (name of institution or organisation)\nAt …\nOn …\n(Place)\n(Date)\n…\n(Signature and title of issuing or certifying official)\nExplanatory notes:\n1.\nIf desired, the designation of the State may include a reference to the competent public authority of the country where the certificate is issued.\n2.\nIf the total amount of security has been furnished by more than one source, the amount of each of them should be indicated.\n3.\nIf security is furnished in several forms, these should be enumerated.\n4.\nThe entry ‘Duration of Security’ must stipulate the date on which such security takes effect.\n5.\nThe entry ‘Address’ of the insurer(s) and/or guarantor(s) must indicate the principal place of business of the insurer(s) and/or guarantor(s). If appropriate, the place of business where the insurance or other security is established shall be indicated.",
  "extent": "E+W+S+N.I.",
  "status": null,
  "version": "current",
  "annotations": [],
  "outstanding_effects": [],
  "provenance": {
    "source": "legislation.gov.uk",
    "source_url": "https://www.legislation.gov.uk/eur/2009/392/annex/II/appendix/B",
    "retrieved_at": "2026-11-01T14:51:31.317119+00:00"
  },
  "licence": "Open Government Licence v3.0",
  "licence_url": "https://www.nationalarchives.gov.uk/doc/open-government-licence/version/3/",
  "attribution": "Contains public sector information licensed under the Open Government Licence v3.0. Source: legislation.gov.uk, The National Archives."
}