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Annual Survey                                Place: __________________          Date: __________________

         Seal                                         MARITIME

                                                        ADMINISTRATION: ____________________________________

(Signature of authorized official)

 




Annual/Intermediate Survey *1/      Place: __________________          Date: __________________

         Seal                                         MARITIME

                                                        ADMINISTRATION: _____________________________________

(Signature of authorized official)

 








Annual/Intermediate Survey *1/          Place: __________________      Date: __________________

         Seal                                         MARITIME

                                                        ADMINISTRATION: _____________________________________

(Signature of authorized official)

 




Annual Survey            Place: __________________      Date: __________________

         Seal                                         MARITIME

                                                        ADMINISTRATION: _____________________________________

(Signature of authorized official)

 



Annual/Intermediate survey in accordance with regulation I/14(h)(iii).

 

THIS IS TO CERTIFY that, at an annual/intermediate*1/ survey in accordance with regulation I/14(h)(iii) of the Convention, the ship was found to comply with the relevant requirements of the Convention.

                                     Place: __________________     Date: __________________

         Seal                                         MARITIME

                                                        ADMINISTRATION: _____________________________________

(Signature of authorized official)

 


Endorsement for inspections of the outside of the ship’s bottom*5/.



THIS IS TO CERTIFY that, at an inspection required by regulation I/10 of the Convention, the ship was found to comply with the relevant requirements of the Convention.

First inspection:           Place: __________________      Date: __________________

         Seal                                         MARITIME

                                                        ADMINISTRATION: _____________________________________

(Signature of authorized official)

 

Second inspection:      Place: __________________      Date: __________________

         Seal                                         MARITIME

                                                        ADMINISTRATION: _____________________________________

(Signature of authorized official)

*1/ Delete as appropriate.

*5/ Provision may be made for additional inspections.

Endorsement to extend the certificate if valid for less than 5 years where regulation I/14(c) applies.

The ship complies with the relevant requirements of the Convention, and this certificate shall, in accordance with regulation I/14(c) of the Convention, be accepted as valid until: __________________

                                    Place: __________________      Date: __________________

         Seal                                         MARITIME

                                                        ADMINISTRATION: _____________________________________

(Signature of authorized official)

 

 




Endorsement where the renewal survey has been completed and regulation I/14(d) applies.

The ship complies with the relevant requirements of the Convention, and this certificate shall, in accordance with regulation I/14(d) of the Convention, be accepted as valid until: __________________

                                    Place: __________________      Date: __________________

         Seal                                         MARITIME

                                                        ADMINISTRATION: _____________________________________

(Signature of authorized official)

 




Endorsement to extend the validity of the certificate until reaching the port of survey or for period of grace where regulation I/14(e) or I/14(f) applies.

This certificate shall, in accordance with regulation I/14(e) / I/14(f)*1/ of the Convention, be accepted as valid until: ________________

                                    Place: __________________      Date: __________________

         Seal                                         MARITIME

                                                        ADMINISTRATION: _____________________________________

(Signature of authorized official)

 

s




Endorsement for advancement of anniversary date where regulation I/14(h) applies.

In accordance with regulation I/14(h) of the Convention, the new anniversary date is: ____________

                                    Place: __________________      Date: __________________

         Seal                                         MARITIME

                                                        ADMINISTRATION: _____________________________________

(Signature of authorized official)

In accordance with regulation I/14(h) of the Convention, the new anniversary date is: ____________

                                    Place: __________________      Date: __________________

         Seal                                         MARITIME

                                                        ADMINISTRATION: _____________________________________

(Signature of authorized official)

 

*1/ Delete as appropriate.

 


Приложение № 16 към чл. 28, ал. 1
(Изм. - ДВ, бр. 7 от 2015 г.)


REPUBLIC OF BULGARIA

MINISTRY OF TRANSPORT,

INFORMATION TECHNOLOGY AND COMMUNICATIONS

 





CARGO SHIP SAFETY EQUIPMENT

CERTIFICATE

This Certificate shall be supplemented by a Record of Equipment for Cargo Ship Safety (Form E)

Issued under provisions of THE INTERNATIONAL CONVENTION FOR THE SAFETY OF LIFE

AT SEA, 1974, as amended

under the authority of the Government of the REPUBLIC OF BULGARIA

by THE MARITIME ADMINISTRATION OF BULGARIA

Name of ship

Distinctive number or letters/IMO number

Port ofregistry

Gross tonnage (GT)

Dead-weight*1/ (metric tons)

Length of ship (regulation III/3.12)

 

 

 

 

 

 

 

Type of ship*2/

Oil tanker, Chemical tanker, Gas carrier, Bulk carrier, Cargo ship other than any of the above.

Date on which keel was laid or ship was at a similar stage of construction or, where applicable, date on which work for a conversion or an alteration or modification of a major character was commenced ……………………………………………………………………….....

THIS IS TO CERTIFY:

1. That the ship has been surveyed in accordance with the requirements of regulation I/8 of the Convention.

2. That the survey showed that:

2.1. the ship complied with the requirements of the Convention as regards fire safety systems and appliances and fire control plans;

2.2. the life-saving appliances and the equipment of lifeboats, liferafts and rescue boats were provided in accordance with the requirements of the Convention;

2.3. the ship was provided with a line-throwing appliance and radio installations used in life-saving appliances in accordance with the requirements of the Convention;

2.4. the ship complied with the requirement of the Convention as regards shipborne navigational equipment, means of embarkation for pilots and nautical publications;

2.5. the ship was provided with lights, shapes and means of making sound signals and distress signals in accordance with the requirements of the Convention and the International Regulations for Preventing Collisions at Sea in force;

2.6. in all other respects the ship complied with the relevant requirements of the Convention;

2.7. the ship was/was not*2/ subjected to an alternative design and arrangements in ursuance of regulation(s) II-2/17 /III/38 of the Convention;

2.8. a Document of approval of alternative design and arrangement for fire protection/life saving appliances and arrangements is/is not appended to this Certificate.

_______________________

*1/ For oil tankers, chemical tankers and gas carriers only.

*2/ Delete as appropriate.

3. That the ship operates in accordance with regulation III/26.1.1.1*3/ within the limits of the trade area
.............................................................................................................................................................................................


4. That an Exemption Certificate has/has not*2/ been issued.

This certificate is valid until*4/ the _____ day of _______________ subject to the annual and periodical

surveys in accordance with regulation I/8 of the Convention.

Completion date of survey on which this certificate is based: …………………………………………

Issued at __________________________ on the _____ day of __________________________

No.

                                              DIRECTOR, MARITIME

     Seal                                  ADMINISTRATION - ................... : ___________________________

                                                                                                            (Signature of authorized

                                                                                                        official issuing the certificate)

 




ENDORSEMENT for annual and periodical surveys

THIS IS TO CERTIFY that, at a survey required by regulation I/8 of the Convention, the ship was found to comply with the relevant requirements of the Convention.

Annual survey:

                             Place: __________________ Date: __________________

         Seal                                         MARITIME

                                                        ADMINISTRATION: ____________________________________

(Signature of authorized official)

 




Annual/Periodical survey*2/:

                             Place: __________________ Date: __________________

         Seal                                         MARITIME

                                                        ADMINISTRATION: ____________________________________

(Signature of authorized official)

 




Annual/Periodical survey*2/:

                             Place: __________________ Date: __________________

         Seal                                         MARITIME

                                                        ADMINISTRATION: ____________________________________

(Signature of authorized official)

*2/ Delete as appropriate.

*3/ Refer to the 1983 amendments to SOLAS (MSC.6(48)), applicable to ships constructed on or after 1 July 1986, but before 1 July 1986 in the case of self-riging partially enclosed lifeboat on board.

*4/ Insert the date of expire as specified by the Administration in accordance with regulation I/14(a) of the Convention. The day and month of this date correspond to the anniversary date, as defined in regulation I/2 of the Convention, unless amended in accordance with regulation I/14(h).

Annual survey:

                             Place: __________________ Date: __________________

         Seal                                         MARITIME

                                                        ADMINISTRATION: ____________________________________

(Signature of authorized official)

Annual/periodical survey in accordance with regulation I/14(h)(iii)

THIS IS TO CERTIFY that, at an annual /periodical*3/ survey in accordance with regulation I/14(h)(iii) of the Convention, this ship was found to comply with the relevant requirements of the Convention.

                             Place: __________________ Date: __________________

         Seal                                         MARITIME

                                                        ADMINISTRATION: ____________________________________

(Signature of authorized official)

 








ENDORSEMENT to extend the certificate if valid for less than 5 years where regulation I/14(c) applies

The ship complies with the relevant requirements of the Convention, and this certificate shall, in accordance with regulation I/14(c) of the Convention, be accepted as valid until _______________________________

                             Place: __________________ Date: __________________

         Seal                                         MARITIME

                                                        ADMINISTRATION: ____________________________________

(Signature of authorized official)

 

 




ENDORSEMENT where the renewal survey has been completed and regulation I/14(d) applies

The ship complies with the relevant requirements of the Convention, and this certificate shall, in accordance with regulation I/14(d) of the Convention, be accepted as valid until __________________________________

                             Place: __________________ Date: __________________

         Seal                                         MARITIME

                                                        ADMINISTRATION: ____________________________________

(Signature of authorized official)

 




ENDORSEMENT to extend the validity of the certificate until reaching the port of survey or for a period of grace where regulation I/14(e) or I/14(f) applies

This certificate shall, in accordance with regulation I/14(e) / I/14(f)*3/ of the Convention, be accepted

as valid until ________________________

                             Place: __________________ Date: __________________

         Seal                                         MARITIME

                                                        ADMINISTRATION: ____________________________________

(Signature of authorized official)

 

_______________________

*2/ Delete as appropriate.

 




ENDORSEMENT for advancement of anniversary date where regulation I/14(h) applies

In accordance with regulation I/14(h) of the Convention, the new anniversary date is ________________

                             Place: __________________ Date: __________________

         Seal                                         MARITIME

                                                        ADMINISTRATION: ____________________________________

(Signature of authorized official)

 

In accordance with regulation I/14(h) of the Convention, the new anniversary date is ________________

                             Place: __________________ Date: __________________

         Seal                                         MARITIME

                                                        ADMINISTRATION: ____________________________________

(Signature of authorized official)

  



Приложение № 16а към чл. 28, ал. 5
(Изм. - ДВ, бр. 7 от 2015 г.)


RECORD OF EQUIPMENT FOR CARGO SHIP SAFETY (FORM E)

Record of Equipment for compliance with THE INTERNATIONAL CONVENTION FOR

SAFETY OF LIFE AT SEA, 1974, as amended

1. PARTICULARS OF SHIP:

     Name of ship

     Distinctive number or letters

2. DETAILS OF LIFE-SAVING APPLIANCES

 

1

Total number of persons for which life-saving appliances are provided

 

 

 

Port side

Starboard

2

Total number of lifeboats

 

 

2.1

Total number of persons accommodated by them

 

 

2.2

Number of self-righting partially enclosed lifeboats (reg. III/43*1)

 

 

2.3

Number of totally enclosed lifeboats (reg. III/31 and LSA Code, section 4.6)

 

 

2.4

Number of lifeboats with a self-contained air support system (reg. III/31 and LSA Code section 4.8)

 

 

2.5

Number of fire-protected lifeboats (reg. III/31 and LSA Code, section 4.9)

 

 

2.6

Other lifeboats

 

 

2.6.1

Number

 

 

2.6.2

Type

 

 

2.7

Number of free-fall lifeboats

 

2.7.1

Totally enclosed (regulation III/31 and LSA Code, section 4.7)

 

2.7.2

Self contained (regulation III/31 and LSA Code, section 4.8)

 

2.7.3

Fire-protected (regulation III/31 and LSA Code, section 4.9)

 

3

Number of motor lifeboats (included in the total lifeboats shown above)

 

3.1

Number of lifeboats fitted with searchlights

 

4

Number of rescue boats

 

4.1

Number of boats which are included in the total lifeboats shown above

 

5

Liferafts

 

5.1

Those fore which approved launching appliances are required

 

5.1.1

Number of liferafts

 

5.1.2

Number of persons accommodated by them

 

5.2

Those for which approved launching appliances are not required

 

5.2.1

Number of liferafts

 

5.2.2

Number of persons accommodated by them

 

5.3

Number of liferafts required by regulation III/31.1.4

 

6

Number of lifebuoys

 

7

Number of lifejackets

 

8

Immersion suits

 

8.1

Total number

 

8.2

Number of suits complying with the requirements for lifejackets

 

9

Number of anti-exposure suits

 

10

Radio installations used in life-saving appliances

 

10.1

Number of search and rescue locating devices

 

10.1.1

Radar search and rescue transponders (SART)

 

10.1.2

AIS search and rescue transmitters (AIS-SART)

 

10.2

Number of two-way VHF radiotelephone apparatus

 

3. DETAILS OF NAVIGATIONAL SYSTEMS AND EQUIPMENT:

Item

Actual provision

1.1

Standard magnetic compass*2

 

1.2

Spare magnetic compass*2

 

1.3

Gyro-compass*2

 

1.4

Gyro-compass heading repeater*2

 

1.5

Gyro-compass bearing repeater*2

 

1.6

Heading or track control system*2

 

1.7

Pelorus or compass bearing device*2

 

1.8

Means of correcting heading and bearings

 

1.9

Transmitting heading device (THD)*2

 

2.1

Nautical charts / Electronic chart display and information system (ECDIS)*3

 

2.2

Back-up arrangement for ECDIS

 

2.3

Nautical publications

 

2.4

Back-up arrangements for electronic nautical publications

 

3.1

Receiver for a global navigation satellite system/terrestrial radionavigation system*2,*3

 

3.2

9 GHz radar*2

 

3.3

Second radar (3 GHz or 9 GHz*3)*2

 

3.4

Automatic radar plotting aid (ARPA)*2

 

3.5

Automatic tracking aid*2

 

3.6

Second automatic tracking aid*2

 

3.7

Electronic plotting aid*2

 

4.1

Automatic identification system (AIS)

 

4.2

Long-range identification and tracking system

 

5.1

Voyage data recorder (VDR)*3

 

5.2

Simplified voyage data recorder (S-VDR)*3

 

6.1

Speed and distance measuring device (through the water)*2

 

6.2

Speed and distance measuring device (over the ground in the forward and athwartships direction)*2

 

7

Echo-sounding device*2

 

8.1

Rudder, propeller, thrust, pitch and operational mode indicator*2

 

8.2

Rate-of-turn indicator*2

 

9

Sound reception system*2

 

10

Telephone to emergency steering position*2

 

11

Daylight signalling lamp*2

 

12

Radar reflector*2

 

13

International Code of Signals

 

14

IAMSAR Manual, Volume III

 

15

Bridge navigational watch alarm system (BNWAS)

 

 

 

 

 

 

 

THIS IS TO CERTIFY that this Record is correct in all respects.

Issued at .........................                    on the................... day of …………............., 20....

No.

                                               MARITIME

                 Seal                       ADMINISTRATION: _________________________________________

(Signature of duly authorized official issuing the Record)

______________________________________

*1 Refer to the 1983 amendments to SOLAS (MSC.6(48)), applicable to ships constructed on or after 1 July 1986, but before 1 July 1998.

*2 Alternative means of meeting this requirement are permitted under regulation V /19. In case of other means, they shall be specified.

*3 Delete as appropriate.




Приложение № 17 към чл. 29, ал. 1
(Изм. - ДВ, бр. 7 от 2015 г.)






REPUBLIC OF BULGARIA

MINISTRY OF TRANSPORT,

INFORMATION TECHNOLOGY AND COMMUNICATIONS

 




CARGO SHIP SAFETY RADIO

CERTIFICATE

This Certificate shall be supplemented by a Record of Equipment of Radio Facilities (Form R)

Issued under the provisions of THE INTERNATIONAL CONVENTION FOR THE SAFETY OF LIFE

AT SEA, 1974, as amended

under the authority of the Government of the REPUBLIC OF BULGARIA

by the MARITIME ADMINISTRATION OF BULGARIA




Name of ship

Distinctive number or letters /IMO number*3/

Port of Registry

Gross Tonnage (GT)

Sea areas in which ship is certified to operate (regulation IV/2)

 

 

 

 

 




Date on which keel was laid or ship was at a similar stage of construction or, where applicable, date on which work for a conversion or an alteration or modification of a major character was commenced…………………………...

THIS IS TO CERTIFY:

1. That the ship has been surveyed in accordance with the requirements of regulation I/9 of the Convention.

2. That the survey showed that:

2.1. the ship complied with the requirements of the Convention as regards radio installations;

2.2. the functioning of radio installations used in life-saving appliances complied with the requirements of the Convention.

3. That an Exemption Certificate has/has not*1/ been issued.

This certificate is valid until:*2            the ______ day of _________________, subject to the periodical surveys in accordance with regulation I/9 of the Convention.

Completion date of survey on which this certificate is based: ……………………………………

Issued at ______________________              on the ______ day of __________________

No.

                                               DIRECTOR, MARITIME

                 Seal                       ADMINISTRATION - ............................ : _______________________

                                                                                                            (Signature of authorized

                                                                                                        official issuing the certificate)

__________________________________________

*1/ Delete as appropriate.

*2/ Insert the date of expire as specified by the Administration in accordance with regulation I/14(a) of the Convention. The day and month of this date correspond to the anniversary date, as defined in regulation I/2 of the Convention, unless amended in accordance with regulation I/14(h).

*3/ In accordance with the IMO ship identification number scheme, adopted by the Organization by resolution A.600(15).

ENDORSEMENT FOR PERIODICAL SURVEYS

THIS IS TO CERTIFY that, at a survey required by regulation I/9 of the Convention, the ship was found to comply with the relevant requirements of the Convention.

Periodical Survey        Place: __________________      Date: __________________

         Seal                                         MARITIME

                                                        ADMINISTRATION: ____________________________ _ ______

(Signature of authorized official)

 





Periodical Survey        Place: __________________      Date: __________________

         Seal                                         MARITIME

                                                        ADMINISTRATION: ____________________________ _ ______

(Signature of authorized official)

 





Periodical Survey        Place: __________________      Date: __________________

         Seal                                         MARITIME

                                                        ADMINISTRATION: ____________________________ _ ______

(Signature of authorized official)

 





Periodical Survey        Place: __________________      Date: __________________

         Seal                                         MARITIME

                                                        ADMINISTRATION: ____________________________ _ ______

(Signature of authorized official)

 





Periodical Survey in accordance with Regulation I/14(h)(iii).

THIS IS TO CERTIFY that, at a periodical survey in accordance with regulation I/14(h)(iii) of the Convention, the ship was found to comply with the relevant requirements of the Convention.

                             Place: __________________ Date: __________________

         Seal                                         MARITIME

                                                        ADMINISTRATION: ____________________________ _ ______

(Signature of authorized official)

 





Endorsement to extend the certificate if valid for less than 5 years where regulation I/14(c) applies.

The ship complies with the relevant requirements of the Convention, and this certificate shall, in accordance with regulation I/14(c) of the Convention, be accepted as valid until: ________________

                             Place: __________________ Date: __________________

         Seal                                         MARITIME

                                                        ADMINISTRATION: ____________________________ _ ______

(Signature of authorized official)

 





Endorsement where the renewal survey has been completed and regulation I/14(d) applies.

The ship complies with the relevant requirements of the Convention, and this certificate shall, in accordance with regulation I/14(d) of the Convention, be accepted as valid until: _______________

                             Place: __________________ Date: __________________

         Seal                                         MARITIME

                                                        ADMINISTRATION: ____________________________ _ ______

(Signature of authorized official)

 





Endorsement to extend the validity of the certificate until reaching the port of survey or for period of grace where regulation I/14(e) or I/14(f) applies.

This certificate shall, in accordance with regulation I/14(e)/I/14(f)*1/ of the Convention, be accepted as valid until: ________________

                             Place: __________________ Date: __________________

         Seal                                         MARITIME

                                                        ADMINISTRATION: ____________________________ _ ______

(Signature of authorized official)

 





Endorsement for advancement of anniversary date where regulation I/14(h) applies.

In accordance with regulation I/14(h) of the Convention, the new anniversary date is: ____________

                             Place: __________________ Date: __________________

         Seal                                         MARITIME

                                                        ADMINISTRATION: ____________________________ _ ______

(Signature of authorized official)

 





In accordance with regulation I/14(h) of the Convention, the new anniversary date is: ____________

                             Place: __________________ Date: __________________

         Seal                                         MARITIME

                                                        ADMINISTRATION: ____________________________ _ ______

(Signature of authorized official)

 





*1/ Delete as appropriate.


Приложение № 17а към чл. 29, ал. 4
(Изм. - ДВ, бр. 7 от 2015 г.)






RECORD OF EQUIPMENT FOR CARGO SHIP SAFETY RADIO (FORM R)

Record of Equipment for compliance with THE INTERNATIONAL CONVENTION FOR SAFETY OF LIFE AT SEA, 1974, as amended

I.  PARTICULARS OF SHIP:

     Name of ship                                                                              ……………………….……….

     Distinctive number or letters                                                        .……………………………….

              Minimum number of persons with required                    

              qualifications to operate the radio installations                      ...…………………………….

II. DETAILS OF RADIO FACILITIES

 

Item

Actual provision

1

Primary systems

 

1.1

VHF radio installation

 

1.1.1

DSC encoder

 

1.1.2

DSC watch receiver

 

1.1.3

Radiotelephony

 

1.2

MF radioinstallation

 

1.2.1

DSC encoder

 

1.2.2

DSC watch receiver

 

1.2.3

Radiotelephony

 

1.3

MF/HF radioinstallation

 

1.3.1

DSC encoder

 

1.3.2

DSC watch receiver

 

1.3.3

Radiotelephony

 

1.3.4

Direct - printing telegraphy

 

1.4

INMARSAT ship earth station

 

2

Secondary means of alerting

 

3

Facilities for reception of maritime safety information

 

3.1

NAVTEX receiver

 

3.2

EGC receiver

 

3.3

HF direct - printing radiotelegraph receiver

 

4

Satellite EPIRB

 

4.1

COSPAS - SARSAT

 

5

VHF EPIRB

 

6

Ship’s search and rescue locating device

 

6.1

Radar search and rescue transponder (SART)

 

6.2

AIS search and rescue transmitter (AIS-SART)

 

 

III. METHODS USED TO ENSURE AVAILABILITY OF RADIO FACILITIES (regulations IV/15.6 and 15.7)

 

3.1

Duplication of equipment

 




3.2

Shore - based maintenance

 




3.3

At sea maintenance capability

 




  

THIS IS TO CERTIFY that this Record is correct in all respects

Issued at                            on                               the …… day of ..……………, 20......

No.                                                  MARITIME

          Seal                                        ADMINISTRATION: ____________________________________

 

 


Приложение № 18 към чл. 30, ал. 1
(Изм. - ДВ, бр. 7 от 2015 г.)


REPUBLIC OF BULGARIA

MINISTRY OF TRANSPORT,

INFORMATION TECHNOLOGY AND COMMUNICATIONS

 




CARGO SHIP SAFETY CERTIFICATE

This Certificate shall be supplemented by a Record of Equipment for Cargo Ship Safety (Form C)

Issued under the provision of THE INTERNATIONAL CONVENTION FOR THE SAFETY OF

LIFE AT SEA, 1974, as amended

under the authority of the Government of the REPUBLIC OF BULGARIA

by the MARITIME ADMINISTRATION OF BULGARIA




Name of ship

Distinctive number or letters/IMO number*6/

Port of registry

Gross tonnage (GT)

Deadweight*1 (metric tons)

Length of ship (regulation III/3.10)

Sea area in which ship is certified to operate (regulation IV/2)

 

 

 

 

 

 

 

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