THIS IS TO CERTIFY THAT the safety management system of the Company has been recognized as meeting the objectives of paragraph 1.2.3 of the International Management Code for the Safe Operation of Ships and for Pollution Prevention (ISM Code) for the types of ships listed below (delete as appropriate):
(Signature of authorized official issuing the certificate)
Приложение № 21 към чл. 33, ал. 1 (Изм. - ДВ, бр. 54 от 2010 г., изм. - ДВ, бр. 7 от 2015 г.)
REPUBLIC OF BULGARIA
MINISTRY OF TRANSPORT,
INFORMATION TECHNOLOGY AND COMMUNICATIONS
MARITIME ADMINISTRATION
SAFETY MANAGEMENT CERTIFICATE
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
Port of registry
Type of ship *
Gross tonnage
IMO Number
Name and address of Company
(see paragraph 1. 1.2 of the ISM Code)
Company identification number
THIS IS TO CERTIFY THAT the safety management system of the ship has been audited and that it complies with the requirements of the International Management Code for the Safe Operation of Ships and for Pollution Prevention (ISM Code), following verification that the Document of Compliance for the Company is applicable for this type of ship.
This Safety Management Certificate is valid until ........... , subject to periodical verification and of the Document of Compliance remaining valid.
Completion date of the verification on which this certificate is based: ............
Issued at: ____________________ Date of issue: _________________________
(Signature of authorized official issuing the certificate)
No.
* Insert the type of ship from among the following: passenger ship; passenger high-speed craft; cargo high-speed craft; bulk carrier; oil tanker; chemical tanker; gas carrier, mobile offshore drilling unit; other cargo ship.
Certificate No. ........
ENDORSEMENT FOR PERIODICAL VERIFICATION AND
ADDITIONAL VERIFICATION (IF REQUIRED)
THIS IS TO CERTIFY THAT, at the periodical verification in accordance with regulation IX/6.1 of the Convention and paragraph 13.8 of the ISM Code, the safety management system was found to comply with the requirements of the ISM Code.
INTERMEDIATE VERIFICATION Signed:
______________________
(Signature of authorized official)
Place:________________
Date:_________________
ADDITIONAL VERIFICATION* Signed:
______________________
(Signature of authorized official)
Place:________________
Date:_________________
ADDITIONAL VERIFICATION* Signed:
______________________
(Signature of authorized official)
Place:________________
Date:_________________
ADDITIONAL VERIFICATION* Signed:
______________________
(Signature of authorized official)
Place:________________
Date:_________________
_________________________________
* If applicable. Reference is made to the relevant provisions of section 3.2 "Initial verification" of the Revised Guidelines on Implementation of the International Safety Management (ISM) Code by Administrations adopted by the Organization by resolution A 913 (22).
Certificate No. ........
ENDORSEMENT WHERE THE RENEWAL VERIFICATION
HAS BEEN COMPLETED AND PART B 13.13 OF
THE ISM CODE APPLIES
The ship complies with the relevant provisions of part B of the ISM code, and the Certificate should, in accordance with part B 13.13 of the ISM Code, be accepted as valid until ..........................................................
The Certificate should, in accordance with part B 13.12 or part B 13.14 of the ISM Code, be accepted as valid until .................................................................................
Signed:
______________________
(Signature of authorized official)
Place:________________
Date:_________________
(Seal or stamp of the authority, as appropriate)
Приложение № 21а към чл. 33, ал. 3 (Изм. - ДВ, бр. 54 от 2010 г., изм. - ДВ, бр. 7 от 2015 г.)
REPUBLIC OF BULGARIA
MINISTRY OF TRANSPORT,
INFORMATION TECHNOLOGY AND COMMUNICATIONS
MARITIME ADMINISTRATION
INTERIM SAFETY MANAGEMENT
CERTIFICATE
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
Port of registry
Type of ship *
Gross tonnage
IMO Number
Name and address of Company
(see paragraph 1. 1.2 of the ISM Code)
Company identification number
THIS IS TO CERTIFY THAT the requirements of paragraph 14.4 of the ISM Code have been met and that the Document of Compliance / Interim Document of Compliance** of the Company is relevant to this ship.
This Interim Safety Management Certificate is valid until _________________________ , subject to the Document of Compliance / Interim Document of Compliance** remaining valid.
Issued at: ____________________ Date of issue: _________________________
(Signature of authorized official issuing the certificate)
__________________
* Insert the type of ship from among the following: passenger ship; passenger high-speed craft; cargo high-speed craft; bulk carrier; oil tanker; chemical tanker; gas carrier, mobile offshore drilling unit; other cargo ship.
** Delete as appropriate.
Certificate No. ........
ENDORSEMENT WHERE THE RENEWAL VERIFICATION
HAS BEEN COMPLETED AND PART B 13.13 OF
THE ISM CODE APPLIES
The ship complies with the relevant provisions of part B of the ISM code, and the Certificate should, in accordance with part B 13.13 of the ISM Code, be accepted as valid until ....................
Signed:
______________________
(Signature of authorized official)
Place:_________________
Date:_________________
(Seal or stamp of the authority, as appropriate)
ENDORSEMENT TO EXTEND THE VALIDITY OF THE
CERTIFICATE UNTIL REACHING THE PORT OF
VERIFICATION WHERE PART B 13.12 OF THE ISM CODE APPLIES
OR FOR A PERIOD OF GRACE WHERE PART B 13.14 OF
THE ISM CODE APPLIES
Тhe Certificate should, in accordance with part B 13.12 or part B 13.14 of the ISM Code, be accepted as valid until ....................
Signed:
_______________________
(Signature of authorized official)
Place:________________ Date:_________________
(Seal or stamp of the authority, as appropriate)
Приложение № 22 към чл. 34, ал. 1 (Изм. - ДВ, бр. 7 от 2015 г.)
REPUBLIC OF BULGARIA
MINISTRY OF TRANSPORT,
INFORMATION TECHNOLOGY AND COMMUNICATIONS
INTERNATIONAL OIL POLLUTION
PREVENTION CERTIFICATE
This Certificate shall be supplemented by a Record of Construction and Equipment
Issued under the provisions of the INTERNATIONAL CONVENTION FOR THE PREVENTION
OF POLLUTION FROM SHIPS, 1973, as modified by the Protocol of 1978 relating thereto, as amended, (hereinafter referred to as "the Convention")
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 of registry
Gross Tonnage (GT)
Deadweight of ship (metric tons)*1/
Type of ship*2/:
Oil tanker
Ship other than an oil tanker with cargo tanks coming under reg. 2(2) of Annex I of the Convention
Ship other than any of the above
THIS IS TO CERTIFY:
1. That the ship has been surveyed in accordance with the regulation 6 of Annex I of the Convention; and
2. That the survey shows that the structure, equipment, systems, fittings, arrangement and material of the ship and the condition thereof are in all respects satisfactory and that the ship complies with the applicable requirements of Annex I of the Convention.
This certificate is valid until the ______ day of _____________________________ , subject to surveys in accordance with regulation 6 of Annex I of the Convention.
Completion date of the survey on which this certificate is based……………………….
Issued at ____________________ on the ______ day of _____________________________
THIS IS TO CERTIFY that, at a survey required by regulation 6 of Annex I of the Convention, the ship was found to comply with the relevant provisions of the Convention:
Annual/Intermediate survey in accordance with regulation 10.8.3
THIS IS TO CERTIFY that, at an annual/intermediate*2/ survey in accordance with regulation 10.8.3 of Annex I of the Convention, the ship was found to comply with the relevant provisions of the Convention:
