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Green Coffee Association Inc.

/ Green Coffee FOB, C&F, CIF contracts


All parties agree this contract is subject to the terms and conditions of the Green Coffee Association Inc.
Date:
October 14, 2014
Producer
FLO ID:
6589
Permata Gayo Coop
Syiah Utama Street,
Simpang Utama Village No 61
Bandar Sub-District
Bener Meriah District, NAD, Indonesia
armia_mdn@yahoo.co.id
60
39 600,00

Lbs / bag

1341

Quantity

Bags:
Kg total:

Quality

Origin:
Sumatra
Coop:
Permata Gayo Coop
Harvest:
2014-2015
Type:
Green arabica specialty quality coffee, Gayo
Preparation: European
Moisture Content:
10% - 12%
Certification (s):
Fair Tade FLO certified and Organic NOP certified
Note: To be bagged in Grain Pro Bags

Price

To be fixed with an average of the NYC in the 30 days prior shipping date
NYC Mar 15 + Fair Trade Prem. 0,20 $US per lb + Org.Prem. 0,30$US per lb + Dif. 0.50 $US per lb
OR minimum guaranteed price of 2.00 $US / lb. (1.50 $US + FT prem. 0.20 $US per lb + Org prem 0.30 $US per lb)
Inconterm:
FOB Belawan, Medan
Qualitty premium: 0.05 $US pr lb if landed sample is 84 points and above.
Do you request pre-financing for this contract?
YES
NO
When do you expect to receive pre-financing?
Which is your preferred solidarity lender?
Pre financing will be provided by a solidarity lender and interest will be charged to the seller

Financing

300
Kg / bag:
18 000,00 Lbs total:

Contract No:
152
Buyer:
FLO ID:
Cooperative Coffees Inc.
302 W. Lamar St
Americus GA 31709, USA
Tel: 514 907 9853
Fax: 229 924 6250
florent@coopcoffees.com
132

Weight

Shipped weights, 1/2% franchise

Payment

Full payment upon first presentation of all original documents including organic transaction certificate

Insurance

To ship covered by seller. From Ship to US port covered by buyer

Shipment

Date:

December 1, 2014

Port of:

Belawan

Destination

New York, NY, US

Remarks

Pre-shipment sample required. To be drawn from at least 100% of the contract's quantity
Landed coffee will be approved within 15 days following the date of discharge in buyer's warehouse
This coffee was traded according to international Fair - Trade criteria as established by FLO
Organic Certification documents by NOP agency recognized required before payment
Certificate of Origin required before payment
Bags must be marked with "Organic", "FLO Fair Trade", and with producers' coop FLO ID
Bags must be marked with Producers' coop logos, and Cooperative Coffee logo (if possible) or name
If any, arbitration in accordance with the rules of arbitration of the Green Coffee Association Inc.
Producers

Buyer

Signature:

Signature:

Name:
Date:

Name:
Date:

Florent Gout
October 14, 2014

KOPERASI SERBA USAHA

PERMATA GAVO
BADAN HUKUM :No.518/039/BH/111/2006

Jalan :SyiahUtama NO.66 SimpangUtamaBenerMeriah

ACEH - INDONESIA

1t0000000lNOONESIA

COOPERATIVE COFFEES, INC


. 302 W. Lamar S1. Suite E. Americus, GA31709 USA
TeL +1-229-924-3035, Fax. +1-229-924-6250
Attn: Chelsea Carter

Shipped by:

B/LNumber:
GIBLW1400039 DO
To:
NEW YORK, NY - USA

BELAWAN, INDONESIA

Contract No.

FLO 10 6589
FLO 10 buyer: 1341
FDA
NO.13096723740

DESPINA PV.HE452A

. From:

PERMATA GAYO COOP

SUG152

14

Consignee:
Container/Seal No:
TO THE ORDER OF COOPERATNE COFFEES INC
MEDU2412102/ FEJ4460232

302 W. Lamar St. Suite E. Americus, GA31709 USA


Connecting Vessel:
Tel.+1-229-924-3035, Fax. +1-229-924-6250
Attn: Chelsea Carter
Description of Goods

MSC CHICAGO V.FG452A

300 (three hundred) Bags

of 60 Kgs Net Each Bag + Grain Pro

SUMATRA PERMATA GAYO HIGHLAND

ARABICA DP GRADE 1 GREEN COFFEE

FLO FAIRTRADE & ORGANIC CERTIFIED

SMALL PRODUCER'S SYMBOL

Gross Weight
Tare
Nett Weight

: 18,300 Kgs

300 Kgs

: 18,000 Kgs

Price
: US$.
Organic Premium : US$.
Fairtrade Premiun
Price total
Freight Pre
C&F

US$.
96,258.60
US$.
11,904.84
7.936.56
US$.
US$. 116,100.00
US$.
4,150.00
US$. 120,250.00

C&F NEW YORK, NSW as


nO.SUG152
Say: One Hundred Twenty
d Two Hundred fifty US Dollars Only.
- Insurance to be covered by buyer
- Freight Prepaid
- Payment CAD
- "This cargalcoffee has not been refused entry by any country"
Please cable our money to our Bank as bellow:
pay to: Bank Internasionallndonesia Medan Krakatau Branch
for: Ko erasi Permata Ga 0 account no. 2.208.0028.48 BIC: IBBKIDlA
Marks & Nos.
Notify Party:
PGC
EXCELCO TRADING L.P.
015/1730/05
17 BATTERY PLACE, SUITE 1010
SUG 152
NEW YORK,NY 10004
FLO ID: 1341
TEL. + 1-212-344-6771,FAX. + 1-212-344-8723
ATTN: AMADEUS EHRHARDT
SUMATRA GAYO MOUNTAIN
(AEHRHARDT@EXCELTRADE.COM)
GREEN ARABICA COFFEE DP GRADE 1
FAIR TRADE FLO + ORGANIC CERTIFIED
KSU PERMATA GAYO
SMALL PRODUCER'S SYMBOL
Aceh - Indonesia
"NO HOOKS"
ID CU : 812234
FLO 10: 6589

,\;>-,

TRANSGLOBAL LOGISTICS INC

COMBINED TRANSPORT BILL OF LADING


NOT NEGOTIABLE UNLESS CONSIGNED "TO ORDER"

SHIPPER/EXPORTER (COMPLETE NAME AND ADDRESS)

BILL OF LADING NO

BOOKING NO

GIBLWl400039

KOPERASJ PERMATA GA'fO


lL.5YiAH urAMA r~O.66 KAMPUNG S!MPANG urAMA
KEC. BAN DAR.; ..AB. 8ENER rv1ER1AH..
.4CEr+24582 ~!\DON2SL~

EXPORT REFERENCES

CONSIGNEE (IF "TO ORDER" SO INDICATE)

FORWARDING AGENT FMC NO:

10 THE ORDER OF COOPERATiVE COFFEES l~iC

TGl OIl Number: D1997CNf

302 W.tAMAR ST. SUiTE E AMERiCUS, GA 31709 USA

TEL.tl-229-924-3035, FAX. +1-229-924-6250

APPLICATION FOR DELIVERY MUST BE MADE TO

ATTN:CHE'-SEA CARTER FLO ID : 1341

------------------------------------l
NOTIFY (NO CLAIM SHALL ATTACH FOR FAILURE TO NOTIFY)

EXCELCO TAAD!NG L.?


17 3ATTERY PLACE, SUiTE 1010 NE...,'! YORK}'JY 10004
TEL. + 1,.212,,34+6771 FAX.t 1"212>344,,8723
AITN;AMADEUS EHRH,ll,RDT (
H;f@EXCELTP-P.DE.
PRE-CARRIAGE BY

DESPiNA

PLACE OF RECEIPT

\l.HE4S2A

SElAWAN, iNDONESiA
PORT OF LOADING

EXPORT CARRIER (VESSEL, VOYAGE)

~;,1SC

TRANS GLOBAL LOGISTiCS iNC


30 KNiGHTSflRiuGE ROAD, SUiTe 525
PiSCATAWAY NEW JERSEY - 008854
TEL: 732 640 298G
FAX; 732 640 2982
PiC: fViR. SH1LN! mail: shilni@trgHnc.com

CHiC.AGO V-FG501A

LOADING PIER/TERMINAL

fJ::LAWAI( iNDONESiA
PLACE OF DELIVERY BY ON CARRIER

PORT OF DISCHARGE

TYPE OF MOVE

C'f I

C'(

PARTICULARS FURNISHED BY SHIPPER


MARKS & NOS I CONTAINER NOS

SAID TO CONTAI N
DESCRIPTION OF PACKAGES AND GOODS

NO. OF PKGS

CONTR NO./SEAL NOS,


V!EDU24121C~~ / r:EJ4460232

GROSS WEIGHT

SH~PPEFCS LOAD, STO\'\f~ COUNT; V.JEiGHT & SEALED

l)(20'FCL: 300 BAGS OF 60 KGS NET EACH BAG


SUMATRA PERMATA GAYO HiGHLAND AMaiCA
DP GRADE: GREEN COFFEE
FLO fAJRTRADE &. ORGANiC CERTifiED

PGC

015/1730105
SUS lSL

MEASUREMENT

GROSS 'NEiGHT:
18,300.00 KGS

FDA REG NO. 1309 6723 740

FLO dJ: 1341

SJMATRA GAYO MOUNTA1N


GRE~N A~AgiCA

COFFEE

JP GRADE l
?A!~ TRA.DE FLO

+ QRGANiC CERTlFIEO

rJNO HOOKS~:
:J CU : 8:2234
?iROD
~~PiV

OF-l:~DaNESiA

YORK

ljeD
TEMPERATURE CONTROL INSTRUCTION:
EXCESS VALUE DECLARATION:
REFER TO CLAUSE 6(3)(B) + (e) ON REVERSE SIDE

PREPAID

FREIGHT & CHARGES

Sll:.. OF LADiNG
GiBLW1400039

FREIGHT PAYABLE AT

NO OF ORIGINAL BL's:
COLLECT

NO.~

ORI~INAL
.3 (THREE)

RECEIVED by the Carrier the Goods as speCified above In


apparent good order and condiHon, unless otherwise stated, to
be transported to such place as agreed. authorized Of permItted
herein and subject to aU the terms and conditions appearing on
the front and reverse of this Bill of Lading to which the Merchant
agrees by accepting thiS Bill of Lading, any local privileges and
customs notwithstanding. The particulars given above are as
staled by the shipper and the weight, meaSure, quantity,
condition, conlents and value of the goods are unknown to the
carrier, In witness whereof one (1) Original BlII of Lading has
been signed if not otherwise stated above, the same being
accomplished the other(s), jf any to be void. 11 required by the
carrier one (1) original Bill of Lading must be surrendered duly
endorsed [n exchange for the goods or delivery ofder
Signed on behaft of

TRANSGLOBAL~~,GISTI
JURISDICTION & LAW CLAUSE:

By:
JURISDICTION

The contract evidenced by or contained in thjs Bill of Lading is governed by the law of United States of America and any claim or dispute arising
hereunder of in connectlon herewith shall be determined by the United States Federal Court of the Southern DIstrict of New York and no otf1er courts

Place and date of issue

INC

TRANSACTION CERTIFICATE
USA FOR PRODUCTS FROM NOP ORGANIC PRODUCTION
2 a) The National Organic Program standards of the United States Department of
Agriculture/Control Union Certifications standards
2 b) Reference number of the certificate: PRI812234/441740

1, Body issuing the certificate (name and address)


Control Union Certifications B,V,
Meeuwenlaan 4-6
8011 BZ ZWOLLE
NETHERLANDS

I 3, Seller ofthe product (name and address)

4. Inspection body' (name and address)

Koperasi Permata Ga yo
11. Syiah Utama, No, 66 Kampung Simpang Utama, Pondok Baru
24582 BenerMeriah
Aceh
INDONESIA

Control Union Certifications B,V,


Meeuwenlaan 4-6
8011 BZ ZWOLLE
NETHERLANDS

5, Producer or processor oflhe product (name and address)

6, Country of dispatch
INDONESIA

Koperasi Permata Gayo (Bromo Ujung)


JI. Bromo Ujung, Gang Ikhlas No, 2, Medan,
Sumatera Utara
INDONESIA

8, Country of destination
ur";ITED STATES

7. Consignee (name and address)


Cooperative Coffees Inc,
302 Lamar Street Suite E
GA 31709 Americus
UNITED STATES

9, Address and place of destlOation'

10. Marks and numbers, container no(s), number and kind. Trade name ofth. product.
NOPcertified

Production
Year

100% organic Gayo Mountain Coffee (Sumatra Permata Gayo Highland Arabica
DP Grade 1 Green Coffee Faittrade & Organic Certified) packed in Units
300 bags in 60 kg!

2014

II. Gross mass


Lotlbatch
numbers

Gross mass

0
18300.00

Net mass
(kgs)

18000,00

18300.00

12, Net mass


18000.00 kgs

from organic production methods,


Invoice no,: 005!INVIPGCI2014!2015 d,d,24-12-14
Transport document no,: GIBLW 1400039 d,d. 29-12-14
Container no.: MED1J24 1210-2
Identification codes: Permata Gayo Cooperative 015/1730/05 sug 152 Seal No.:FE14460232 Shipping Company: TRANS GLOBAL
OGISTlCS,

13, Alternative units

"

14, Declaration ufthe body issuing the certificate


15. Additional declaration (if appropriate)

16, Place and date of issue

Iakarta, 16 January 2015

11 ~~."-~p
behalf of ,

laryo

E!ng Director

. r-\r,

Stamp of the issuing body

c;...,.\,Irwrt~

..... ____ a, . . 1.i'IiIIM

"'~d""""""

'Explanatory notes

Box 4: The inspection and certification body for compliance with the rules on from organic production methods..

Box 5: The firm which carried out the last operation (processing. ?ackaging, labeiling) on the batch.

Box 9: The address of the finn where the batch will be delivered, if different from the address in box 7,

Box 13: e.g. volume in meters, to be"given. where appropriate. in supplement to the declarations in boxes 11 and 12,

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