Agents Vetting Questionnaire - Global Hub

  • Company Information

    Agents Vetting Questionnaire
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  • Key Vendor Contact

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  • Company Portfolio

  • Potential Conflicts of Interest*
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  • Ownership Structure

    Please insert the name, nationality and percentage of all parties holding more than a 5% interest in the company.

  • Government Affiliations

  • 1a. Is any officer, director, senior employee, representative or retained consultant of your company or one of its affiliates also:a current or former employee or official of any government entity or candidate of a political party/office?*
  • 2a. Is any officer, director, senior employee, representative or retained consultant of your company or one of its affiliates also a close relative of a current or former officer or employee of any government ministry or agency?*
  • 3a. Is any officer, director, senior employee, representative or retained consultant of your company or one of its affiliates also a current or former officer or employee of a state-owned or state controlled enterprise?*
  • 4a. Is any officer, director, senior employee, representative or retained consultant of your company or one of its affiliates also a member or close relative of a member of a royal family?*

  • 3rd Party Contractors

  • Will your company engage or appoint any sub-agents to attend vessel(s)?*

  • Business Registration

  • Incorporation Date*
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  • Litigation Background

  • 5a. Has your company or any subsidiary or affiliate of your company been the subject of past or pending litigation or government investigation?*
  • 6a. Has your company or any subsidiary or affiliate of your company, or any owner, officer, director, or employee of the company ever been the subject of a criminal investigation, indictment or a similar proceeding?*
  • 7a. Has your company, or any owner, director, or employee of company ever been the subject of a dishonorable discharge or dismissal, from a military organisation or other government office?*

  • Business Insurance

  • Does your company have insurance certificates?*
  • Exp. / Renewal Date*
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  • Quality, Health, Safety, Environment

  • Please indicate if your company is certified for ISO 9001 Quality Management*
  • ISO 9001 Expiry Date*
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  • Please indicate if your company is certified for ISO 14001 Environmental Risk*
  • ISO 14001 Expiry Date *
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  • Please indicate if your company is certified for ISO 45001 Occupational Health & Safety*
  • ISO 45001 Expiry Date*
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  • Policy

  • Does your company have a policy Prohibiting Bribery, Corruption and improper payments of any kind?*
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  • Is your company certified by TRACE International ?*
  • TRACE Certificate Expiry Date*
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  • Compliance

  • Does you company, train employees regarding content and implications of ethics and/or anticorruption policies?*
  • Has your company, conducted formal or informal assessments of ethical and anticorruption risks within your organization?*
  • Has your company completed or been subjected to a compliance due diligence review by any independent organization such as TRACE International?*
  • Does your company distribute ethics and/or anticorruption policies to its employees?*
  • Does your company have a system or program that allows its employees to ask questions or report concerns regarding ethical or anti corruption matters?*
  • Does your company require all subsidiaries, affiliates, consultants, subcontractors and subagents that are involved in the activities related to the engagement to comply with your companies ethics and/or anti-corruption policies?*
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  • Contracts / Agreements

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  • I certify that the information is accurate to the best of my knowledge. I understand that WaterFront Maritime Services will review and verify the accuracy of the information submitted. 

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