All parties agree this contract is subject to the terms and conditions of the Green Coffee Association Inc. Contract No: SUG1111 Producer I FLO 10: 6589 Buver: I FLO 10: 1341 Permala Gayo Coop Cooperative Coffees Inc. Syiah Utama Street. 302 W. Lamar St Simpang Utama Village No 61 Americus GA 31709. USA Bandar Sub-District Tel: 514 907 9853 Bener Meriah District, NAD. Indonesia Fax: 229924 6250 Date: Dec 8 2010 Quantity Bags: 300 Kg I bag: 60 Lbs I bag: 132 Kg total: 18.000.00 Lbs total: 39,600.00 Quality Origin: Sumatra Coop: Permata Gayo Coop Harvest: 2010 - 2011 Type: Green arabica specialty quality coffee, Gayo Mountain Preparation: European Moisture Content: 10% - 12% Certification (s): Fair Tade FLO certified and Organic NOP certified Price To be fixed at seller's call before the first day of shipping month. NY "C": Sep. 2011 Fair Trade: 0.10 $US lib Organic: 0.20 SUS lib Differential: 0.35 SUS lib Highest price between NY"C" Sep, 2011 + 0.65 SUS lib or minimum guaranteed price of 2.00 SUS lib tnconterm: FOB Belawan, Medan t I0 d a+ 1 3.15 ()f) !2 t1 (.l.Lj ZL>II Financing 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 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: July, 2011 Port of: Be/awan, Medan Destination New York, NY. US Remarks Pre-shipment sample required. To be drawn from at least 100% of the contracrs 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 10 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 ExDorter Buyer " Signature: Signature: Signature:
j .. ' I/;;l-z. Name: Name: Florent Gout Name: jl _.. Date: Date: -... Date: Dec 8 2010 KOPERASI PERMATA GAYO Nomor BH : 518/039!BH/V/2006 Jln. Syiah Utama No. 66 Kampung Simpang Utama, Kecamatan Bandar Kabupaten Bener Meriah. Nanggroe Aceh Darussalam - 24582 E-mail: permatagayo_coop(ayahoo.co.id COMMERCIAL INVOICE No: 078flnvl PGCI 2010120II Date. 30.05.20 II Messrs. Cooperative Coffees INC 302 Lamar Street Suite E Americus, GA 31709, USA Commodity : Sumatra Permata Gayo Highland Arabica Coffee Shipped by : Sinar Biak V.247 From : Belawan, Indonesia to New York Date of Shipment : 06th June 20 II BL Number : BLWNYC061143 DESCRIPTION OF GOODS AMOUNT 300 (Three Hundred Twenty) Bags of 60 kgs nett each Gross Weight : 18.300 Kgs Tare 300 Kgs Nett Weight : 18.000 Kgs = 39.682,8 At 3.75USD I Lbs FOB Belawan As per contract SUG IIII USD 148.810,50 (Contrac price is Incl. usd.lO,-IIOOLbs Fairtrade premium) Say: One Hundred Forty Eight Thousand Eight Hundred Ten point Fifty US Dollars Only Insurance to be covered by buyer - Producer & Exporter FLO ID: Freight Collect 6589 Payment C.A.D - Buyer FLO ID : 1341 Consignee: Cooperative Coffees Inc 302 Lamar Street Suite E Americus GA 31709, USA Tel: +1 229 924 3035 Fax: +1 229 924 6250 Connecting Vessel: YM Singapore V.0025W "nh... .....1 1 Marks & No: PGC Koperasi Permata Gayo 015/1730/77 SUG1111 SUMATRA PERMATA GAYO HIGHLAND ARABICA COFFEE SEMI-WASHED SUMATRA GAYO MOUNTAIN GREEN ARABICA COFFEE DP GRADE 1 FLO FAIRTRADE AND ORGANIC CERTIFIED COOPERATIVE COFFEES FLO 10: 1341 PGC FLO 10: 6589 PGC CU 10: 812234 NETT: 60KGS PROD. OF INDONESIA (Armia) NEW YORK. NY 1 -300 , BILL OF LADING LJSI SHIPPING. INC. CTPAT NO. 72545308 OTI LICENSE NO. 17577NF SHIPPER/EXPORTER: DOCUMENT NO. IBILL OF KOPERASI PERMATA GAYO DOMESTIC ROUTING/EXPORT INSTRUCTION JLN.5YIAH UTAMA NO.66 KAMPUNG SIMPANG UTAMI , KECAMATAN BANDAR KABUPATEN BENER MERIAH, NANGGROE ACEH DARUSSALAM -24582 SCAC CODE: UNSL EXPORT REFERENCES:
OPERATIVE COFFEES INC MBL NO : HJSCBLW101399100 302 W.LAMAR ST. SUITE E. FOR CARGO DELIVERY PLEASE CONTACT: AMERICUS, GA 31709. USA PHONE: +1-229-924-3035 FAX: +1-229-924-6250 UNIVERSAL SHIPPING, INC. ATTN: BILL HARRIS 2855 SOUTH RESERVOIR STREET, POMONA, CA 91766 NOTIFY PARTY: EXCELCO TRADING L.P. TEL: (909) 628-2226 FAX: (909) 628-2221 17 BATTERY PLACE, SUITE 1010 NEW YORK, NY 10004 PHONE: +1-212-344-6771 FAX :+1-212-344-8723 FORWARDING AGENT REFERENCES: ATTN: GEORGE TSIASTSIOS (gtsiatsios@exceltrade.com) 'PRECARRIAGE BY: 'PLACE OF RECEIPT: SINAR BIAK V.247 BELAWAN, INDONESIA CY EXPORTING CARRIER. PORT OF LOADING: ON - CARRIAGE BY: NO, OF BILLS OF LADING' YM SINGAPORE V.0025W BELAWAN, INDONESIJl CY 3(THREE) PORT OF DISCHARGE' PLACE OF DELIVERY: FINAL DESTINATION: NEW YORK, NY NEW YORK, NY PARTICULARS FURNISHED BY SHIPPER MARKS AND NUMBERS NO. OF PKGS. DESCRIPTION OF PACKAGES AND GOODS GROSS WEIGHT MEASUREMENT CONTAINER I SEAL SHIPPER'S LOAD, STOW WEIGHT AND COUNT HJCU2118079 I HB6 3736 1 X 20'STD CONTAINER: GW: 18,300.00 KC S 300 BAGS OF 60 KGS NETT EACH NW: 18,000.00 KC S MARKING: SUMATRA PERMATA GAYO HIGHLAND SEE ATTACHMENT ARABICA COFFEE SEMI-WASHED SUMATRA GAYO MOUNTAIN GREEN ARABICA COFFEE DP GRADE 1 FLO FAIRTRADE AND ORGANIC CERTIFIED CY/CY FDA NO: 13096723740 TOTAL NUMBER OF CONTAINERS OR ONE UNIT TWENTY CONTAINER ONLY PACKAGED (IN WORLD) RECEIVED by the Carrier the Goods as specified above in apparent good order and condition FREIGHT CHARGES PREPAID COLLECT unless otherwise stated, to be transported to such place as agreed, authorized or permitted hereon and subject to all 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. FREIGHT COLLECT The particulars, given above as stated by the shipper and the weight, measure, quantity condition, contents and value of the Goods are unknown to the Carrier. In WITNESS whereof one (1) original Bill of Lading has been signed if not otherwise stated above the same being accomplished the other if any to be void if required by the Carrier one (1) Original Bill of lading must be surrendered duly endorsed in exchange for the goods of delivery order. FIR TORiel NAl Place and date of issue signed on behalf of the Carrier: EXCESS VALUE CHARGE TOTAL CHARGES ATTACHMENT FOR BtL NO.BLWNYC061143 MARKS & NUMBER: PGC 015/1730177 SUG1111 SUMATRA PERMATA GAYO HIGHLAND ARABICA COFFEE SEMI-WASHED SUMATRA GAYO MOUNTAIN GREEN ARABICA COFFEE DP GRADE 1 FLO FAIRTRADE AND ORGANIC CERTIFIED COOPERATIVE COFFEES FLO ID:1341 PGC FLO ID:6589 PGC CU ID:812234 NETT: 60 KGS PRODUCT OF INDONESIA NEW YORK, NY 1 - 300 ***************************************** END OF 81 LL OF LADI NG ******************************************* , .;,:;o . ...N ,", .~ - . 'ootes '.' " " , , ' " TRANSACTION CERTlI'ICATE USA FOR PRODUCTS FROM NOP ORGANIC PRODUCTION I. Body issuing the certificate (name and address) 2.The National Organic Program standards of the United States Department of Agriculture/Control Union Certifications standards Control Union certifications B.Y. Reference number of the certilicate: PRJ 812234/182800 Meeuwenlaan 4-6 8011 BZ ZWOLLE NETHERLANDS 3. Seller of the product (name and address) 4. Inspection body' (name and address) Koperasi Permata Gayo Control Union certifications B.V. JI. Syiah Utama. No. 66 Kampung Simpang Utama. Pondok Baru. Kab. Bener Meeuwenlaan 4-6 MeriahAceh Tengah 8011 BZ ZWOLLE Nanggroe Aceh Darussalam NETHERLANDS INDONESIA 5. Producer or processor of the product* (name and address) 6. Country ofdispatch INDONESIA Koperasi Pennata Gayo (Export) JI. Kongsi No. 278 MariendaJ, Medan Surnatera Utara INDONESIA 7. Consignee (name and address) 8. Country of destination UNITED STATES Cooperative Coffees Inc. 302 Lamar Street Suite E GA 3I70? Americus 9. Address and place of destination' UNITED STATES 10. Mark.s and numbers. containefno(s), number and kind. Trade name of the product. 11 . Gross mas!') Production Lotlbatch Gross mass Net mass NO!' eertified(.!OO% orgaN,! organic) Year numbers (kgs) (kgs) 18300.00 kg, J00% organic Sumatra Pennata Gayo Highland Arabiea Coffee (Arabica Coffee Semi-washed Sumatra Gayo MOWltain Green Arabica Coffee DP Grade I) 2011 18300.00 18000.00 12. Net mass packed in tItlits "f 60 Kgs oet! each 18000.00 kgs frum.organic ptoduction methods. -Invoice flOc.: 078IINV/PGC!2() I 0-20 I I d.d.30-05-11 13. Alternative units * Transport document no.: BLWNYC061143 d.d. 06-06-11 Containerno.: H.lCU211807-9. Identification codes: PGC15117301n, SUG 1111 Transport Company: Universal Shipping Inc Seal Number: HB613736 14. Dec1arlliion n.fthe body issuing the certificate 15. Additionaldechiration (if appropriate) Notify Party: E"ceIco Trading L.P 16. Place and date Qf issue Jakarta, 10 June 20 II Name arid signature of authorise n On belialf of Managing D'
--",.. -_.. ; ,13oxiJ;:'rIi'dilspeCtiQnandcert\fic1llion bOdy for compliance with the rules on from organic production methods .. ,', oul operation (processing, packaging, labelling) on the batch. ' of. thefll'l1li.vhere thebakh will be delivered, if different from the address in box 7. appropriate. in supplement to the declarations in boxes 11 and 12. CERTlftCATIONS