MA-1085 EMBARC _Statement_of_Compliance

Mariner Cadet Training-Agreements, Compliance Reporting, and Audits

20211221 EMBARC Statement of Compliance

OMB: 2133-0553

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STATEMENT OF COMPLIANCE WITH

EVERY MARINER BUILDS A RESPECTFUL CULTURE (EMBARC)

SEXUAL ASSAULT AND SEXUAL HARASSMENT (SASH) PREVENTION

MANDATORY ELIGIBILITY STANDARDS



Vessel operator ________________________________, and its subordinate entities to which cadets are assigned, herein referred to as “the Vessel Operator”, has met and fully implemented the Every Mariner Builds A Respectful Culture (EMBARC) Sexual Assault and Sexual Harassment (SASH) Prevention Mandatory Eligibility Standards (EMBARC Standards), promulgated by the Maritime Administration on [DATE].

The Vessel Operator has complied with all requirements enumerated in Section III of the EMBARC Standards document and is prepared to embark cadets from the United States Merchant Marine Academy (USMMA).

The Vessel Operator will comply with any change to EMBARC Standards within sixty days of receipt of written notice unless an exception or extension of time is granted by the Maritime Administration.

The Vessel Operator acknowledges that failure to adhere to the EMBARC Standards may, at the sole discretion of the Maritime Administration (in consultation, as necessary, with the appropriate Academy), disqualify the Vessel Operator from embarking Academy cadets.

By: ____________________________________ (signature)

____________________________________ (name of authorized official)

____________________________________ (name of Vessel Operator)

___________ (date)

Acknowledged by___________________________________ (signature)

for the Maritime Administration

______________________________________ (name)

____________ (date)

Form MA-1085 (12-2021)


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