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Endorsement to extend the Certificate if valid for less than 5 years where regulation 10(3) applies

The ship complies with the relevant provisions of the Convention, and this Certificate shall, in accordance with regulation 10(3) of Annex I 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 10(4) applies

The ship complies with the relevant provisions of the Convention, and this Certificate shall, in accordance with regulation 10(4) of Annex I of the Convention, be accepted as valid until ____________

                                    Place: __________________           Date: __________________

         Seal                                         MARITIME

                                                        ADMINISTRATION: _____________________________________

                                                                                           (Signature of authorized official)

 




THAN Endorsement to extend the validity of the Certificate until reaching the port of survey or for a period of grace where regulation 10(5) or 10(6) applies

This Certificate shall, in accordance with regulation 10(5) or 10(6)*2/ of Annex I 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 10(8) applies

In accordance with regulation 10(8) of Annex I of the Convention, the new anniversary date is: ________________

                                    Place: __________________           Date: __________________

         Seal                                         MARITIME

                                                        ADMINISTRATION: _____________________________________

                                                                                           (Signature of authorized official)

 



In accordance with regulation 10(8) of Annex I of the Convention, the new anniversary date is: _________________

                                    Place: __________________           Date: __________________

         Seal                                         MARITIME

                                                        ADMINISTRATION: _____________________________________

                                                                                           (Signature of authorized official)

____________________

*1/ For oil tankers

*2/ Delete as appropriate




Приложение № 22а към чл. 34, ал. 5
(Изм. - ДВ, бр. 11 от 2011 г., в сила от 04.02.2011 г., изм. - ДВ, бр. 7 от 2015 г.)


                                                                                                                                       FORM A

Supplement to the International Oil Pollution Prevention Certificate

(IOPP Certificate)

RECORD OF CONSTRUCTION AND EQUIPMENT FOR SHIPS

OTHER THAN OIL TANKERS

in respect of the provisions of Annex I of the International Convention for the Prevention of Pollution from Ships, 1973, as modified by the Protocol of 1978 relating thereto (hereinafter referred to as "the Convention").

Notes

1.

This form is to be used for the third type of ships as categorized in the IOPP Certificate, i.e.

"ship other than any of the above". For oil tankers and ships other then oil tankers with cargo tanks coming under regulation 2.2 of Annex I of the Convention, Form B shall be used.

2.

This Record shall be permanently attached to the IOPP Certificate. The IOPP Certificate shall be available on board the ship at all times.

3.

The language of the original Record shell be at least in English, French or Spanish. If an official language of the issuing country is also used, this shall prevail in case of a dispute or discrepancy.

4.

Entries in boxes shall be made by inserting either a cross (x) for the answers "yes" and "applicable" or a dash (-) for the answers "no" and "not applicable" as appropriate.

5.

Regulations mentioned in this Record refer to regulations of Annex I of the Convention and resolutions refer to those adopted by the International Maritime Organisation.







1.

Particulars of ship

 




1.1

Name of ship

 




1.2

Distinctive number or letters

 




1.3

Port of registry

 




1.4

Gross tonnage

 




1.5

Date of build

 




1.5.1

Date of building contract

 




1.5.2

Date on which keel was laid or ship was at similar stage of construction

 




1.5.3

Date of delivery

 




1.6

Major conversion (if applicable):

 




1.6.1

Date of conversion contract

 




1.6.2

Date on which conversion was commenced

 




1.6.3

Date of completion of conversion

 




1.7

The ship has been accepted by the Administration as a "ship delivered on or before 31 December 1979" under regulation 1.28.1 due to unforeseen delay in delivery






2.

Equipment for the control of oil discharge from machinery space bilges and oil fuel tanks (regulations 16 and 14)

 




2.1

Carriage of ballast water in oil fuel tanks:

 




2.1.1

The ship may under normal conditions carry ballast water in oil fuel tanks






2.2

Type of oil filtering equipment fitted:

 




2.2.1

Oil filtering (15 ppm) equipment (regulation 14.6)






2.2.2

Oil filtering (15 ppm) equipment with alarm and automatic stopping device (regulation 14.7)






2.3

Approval standards:*

 




2.3.1

The separating/filtering equipment:

 




2.3.1.1

has been approved in accordance with resolution A.393(X)






2.3.1.2

has been approved in accordance with resolution MEPC.60(33)






2.3.1.3

has been approved in accordance with resolution MEPC.107(49)






2.3.1.4

has been approved in accordance with resolution A.233(VII)






2.3.1.5

has been approved in accordance with national standards not based upon resolution A.393(X) or A.233(VII)






2.3.1.6

has not been approved






2.3.2

The process unit has been approved in accordance with resolution A.444(XI)






2.3.3

The oil content meter:

 




2.3.3.1.

has been approved in accordance with resolution A.393(X)






2.3.3.2.

has been approved in accordance with resolution MEPC.60(33)






2.3.3.3

has been approved in accordance with resolution MEPC.107(49)






2.4

Maximum throughput of the system is: ………………………… m3/h.

 




2.5

Waiver of regulation 14:

 




2.5.1

The requirements of regulation 14.1 or 14.2 are waived in respect of the ship in accordance with regulation 14.5.

 

 




2.5.1.1

The ship is engaged exclusively on voyages within special area(s):

 

 




2.5.1.2

The ship is certified under the international Code of Safety for High-Speed Craft and engaged on a scheduled service with a turn-around time not exceeding 24 hours.






2.5.2

The ship is fitted with holding tank(s) for the total retention on board of all oily bilge water as follows:






 

Tank Identification

Tank Location

 

Frames: (from) - (to)

Lateral Position

Volume m3

 

 

 

 

 

Total Volume: ………. (m3)


 


2.6.1

The ship is required to be constructed according to regulation 12A and complies with the requirements of:

 

 

paragraphs 6 and either 7 or 8 (double hull construction)



 

paragraph 11 (accident oil outflow performance)



2.6.2

The ship is not required to comply with the requirements of regulation 12A



3.

Means for retention and disposal of oil residues (sludge) (regulation 12) and oily bilge water holding tank(s)**

 

3.1

The ship is provided with oil residue (sludge) tanks for retention of oil residues (sludge) on board as follows:

 

 

Tank Identification

Tank Location

 

Frames: (from) - (to)

Lateral Position

Volume m3

 

 

 

 

 

Total Volume: ………. (m3)

 

3.2

Means for the disposal of oil residues (sludge) retained in oil residue (sludge) tanks:

 

3.2.1

Incinerator for oil residues (sludge), maximum capacity as appropriate) .........................................................................................

kW or kcal/h (delete



3.2.2

Auxiliary boiler suitable for burning oil residues (sludge) ………….............……...



3.2.3

Other acceptable means, state which………………………………………….......................



3.3

The ship is fitted with holding tank(s) for the retention on board of oily bilge water as follows:

 

 

Tank Identification

Tank Location

 

Frames: (from) - (to)

Lateral Position

Volume m3

 

 

 

 

 

Total Volume: ………. (m3)

 

4.

Standard discharge connection (regulation 13)

 

4.1

The ship is provided with a pipeline for the discharge of residues from machinery bilges and sludges to reception facilities, fitted with a standard discharge connection in accordance with regulation 13



5.

Shipboard oil/marine pollution emergency plan (regulation 37) 

 

5.1

The ship is provided with a shipboard oil pollution emergency plan in compliance with regulation 37



5.2

The ship is provided with a shipboard marine pollution emergency plan in compliance with regulation 37.3



6.

Exemption

 

6.1

Exemptions have been granted by the Administration from the requirements of chapter 3 of Annex I of the Convention in accordance with regulation 3.1 on those items listed under paragraph(s): ___________________________________________________________

_____________________________________________________________________

____________________________                                                      of this Record



7.

Equivalents (regulation 5)

 

7.1

Equivalents have been approved by the Administration for certain requirements of Annex I on those items listed under paragraph(s): _________________________________________

_____________________________________________________________________

____________________________                                                        of this Record







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

Issued at: ________________________ on the ________________________        

No          /MP                               MARITIME

       Seal                                       ADMINISTRATION: _______________________________________

(Signature of duly authorized officer issuing the Record)

____________________

* Refer to the recommendation on international performance and test specifications of oily water separating equipment and oil content meters adopted by the Organization on 14 November 1977 by Res.A.393(X), which superseded Res.A.233 (VII). Further reference is made to the Guidelines and specifications for pollution prevention equipment for machinery space bilges adopted by the Marine Environment Protection Committee of the Organization by the resolution MEPC.60 (33), which is effective on 6 July 1993, superseded resolution A.393(X) and A.444 (XI) and the revised Guidelines and specifications for pollution prevention equipment for machinery spaces of ships adopted by the Marine Environment Protection Committee of the Organization by the resolution MEPC.107 (49) , which is effective from 16 January 2005, superseded resolution MEPC.60 (33), A.393(X) and A.444 (XI).

** Oily bilgewater holding tank(s) are not required by the Convention; if such tank(s) are provided they shall be listed in Table 3.3.


Приложение № 22б към чл. 34, ал. 5
(Изм. - ДВ, бр. 11 от 2011 г., в сила от 04.02.2011 г., изм. - ДВ, бр. 7 от 2015 г.)
FORM B


Supplement to International Oil Pollution Prevention Certificate

(IOPP Certificate)

RECORD OF CONSTRUCTION AND EQUIPMENT

FOR OIL TANKERS

In respect of the provisions of Annex I of the International Convention for the Prevention of Pollution from Ships, 1973, as modified by the Protocol of 1978 relating thereto (hereinafter referred to as "the Convention")

Notes

1.

This form is to be used for the first two types of ships as categorised in the IOPP Certificate, i.e. "oil tankers" and "ships other than oil tankers with cargo tanks coming under regulation 2.2 of Annex I of the Convention" . For the third type of ships as categorised in the IOPP Certificate, Form A shall be used.

2.

This Record shall be permanently attached to the IOPP Certificate. The IOPP Certificate shall be available on board the ship at all times.

3.

The language of the original Record shall be at least in English, French or Spanish. If an official language of the issuing country is also used, this shall prevail in case of dispute or discrepancy.

4.

Entries in boxes shall be made by inserting either a cross (x) for the answers "yes" and applicable" or a dash (-) for the answers "no" and "not applicable" as appropriate.

5.

Unless otherwise stated, regulations mentioned in this Record refer to regulations of Annex I of the Convention and resolutions refer to those adopted by the International Maritime Organisation.







1.

Particulars of ship

 

1.1

Name of ship

 

1.2

Distinctive number or letters

 

1.3

Port of registry

 

1.4

Gross tonnage

 

1.5

Carrying capacity of ship

(m3)

 

1.6

Deadweight of ship

(tones) (regulation 1.23)

 

1.7

Length of ship

(m) (regulation 1.19)

 

1.8

Date of build:

 

1.8.1

Date of building contract

……………………………………

 

1.8.2

Date on which keel was laid or ship was at a similar stage of construction

……………………………………

 

1.8.3

Date of delivery

……………………………………

 

1.9

Major conversion (if applicable):

 

1.9.1

Date of conversion contract

……………………………………

 

1.9.2

Date on which conversion was commended

 

1.9.3

Date of completion of conversion

 

1.10

Unforeseen delay in delivery:

 

1.10.1

The ship has been accepted by the Administration as a "ship delivered on or before 31 December 1979" under regulation 1.28.1 due to unforeseen delay In delivery



1.10.2

The ship has been accepted by the Administration as an "oil tanker delivered on or before 1 June 1982" under regulation 1.28.3 due to unforeseen delay In delivery



1.10.3

The ship is not required to comply whit the provisions of regulation 26 due to unforeseen delay In delivery



1.11

Type of ship:

 

1.11.1

Crude oil tanker



1.11.2

Product carrier



1.11.3

Product carrier not carrying fuel oil or heavy diesel oil as referred to in regulation 20.2 or lubricating oil



1.11.4

Crude oil / product carrier



1.11.5

Combination carrier



1.11.6

Ship, other than an oil tanker, with cargo tanks coming under regulation 2.2 of Annex I of the Convention



1.11.7

Oil tanker dedicated to the carriage of products referred to in regulation 2.4



1.11.8

The ship, being designated as a "crude oil tanker" operating with COW, is also designated as a "product carrier" operating with CBT, for which a separate IOPP Certificate has also been issued



1.11.9

The ship, being designated as a "product carrier" operating with CBT, is also designated as a "crude oil tanker" operating with COW, for which a separate IOPP Certificate has also been issued



2

Equipment for the control of oil discharge from machinery space bilges and oil fuel tanks (regulation 16 and 14)

 

2.1

Carriage of ballast water in oil fuel tanks:

 

2.1.1

The ship may under normal conditions carry ballast water in oil fuel tanks



2.2

Type of oil filtering equipment fitted:



2.2.1

Oil filtering (15 ppm) equipment (regulation 14.6)



2.2.2

Oil filtering (15 ppm) equipment with alarm and automatic stopping device (regulation 14.7)



2.3

Approval standards 1/

 

2.3.1

The separating/filtering equipment:

 

2.3.1.1.

has been approved in accordance with resolution A.393(X)



2.3.1.2.

has been approved in accordance with resolution MEPC.60(33)



2.3.1.3.

has been approved in accordance with resolution MEPC.107(49)



2.3.1.4.

has been approved in accordance with resolution A.233(VII)



2.3.1.5.

has been approved in accordance with national standards not based upon resolution 393(X) or A.233(VII)



2.3.1.6.

has not been approved



2.3.2

The process unit has been approved in accordance with resolutionA.444(XI)



2.3.3

The oil content meter:

 

2.3.3.1

has been approved in accordance with resolution A.393(X)



2.3.3.2

has been approved in accordance with resolution MEPC.60(33).



2.3.3.3

has been approved in accordance with resolution MEPC.107(49).



2.4

Maximum throughput of the system is ……………..

m3 /h

 

2.5

Waiver of regulation 14 :

 

2.5.1

The requirements of regulation 14.1 and 14.2 are waived in respect of the ship in accordance with regulation 14.5. The ship is engaged exclusively on voyages within special area(s):……………….



2.5.2

The ship is fitted with holding tank(s) for the total retention on board of all oily bilge water as follows:



Tank Identification

Tank Location

 




Frames:

(from) - (to)

Lateral Position

Volume m3




 

 

 

 




 

Total Volume: ……….                     (m3)







2.5.3

In lieu of the holding tank the ship is provided with arrangements to transfer bilge water to the slop tank



2.6.1

The ship is required to be constructed according to regulation 12A and complies with the requirements of:

 

 

paragraphs 6 and either 7 or 8 (double hull construction)



 

paragraph 11 (accident oil outflow performance)



2.6.2

The ship is not required to comply with the requirements of regulation 12A



3.

Means for retention and disposal of oil residues (sludge) (regulation 12) and bilge water holding tank(s)/2

 

3.1

The ship is provided with oil residue (sludge) tanks as follows:







Tank Identification

Tank Location

 

Frames:

(from) - (to)

Lateral Position

Volume m3

 

 

 

 

 

Total Volume: ……….                     (m3)




3.2

Means for the disposal of oil residues (sludge) retained in oil residue (sludge) tanks:

 

3.2.1

Incinerator for oil residues (sludge), maximum capacity

kW or kcal/h (delete as appropriate)



3.2.2

Auxiliary boiler suitable for burning oil residues (sludge)



3.2.3

Other acceptable means:………………………………………………….



3.3

The ship is provided with holding tank(s) for the retention on board of oily bilge water as follows *






Tank Identification

Tank Location

 

Frames:

(from) - (to)

Lateral Position

Volume m3

 

 

 

 

 

Total Volume: ……….                     (m3)


_____________________

* Oily bilgewater holding tank(s) are not required by the Convention; if such tank(s) are provided they shall be listed in Table 3.3.


4

Standard discharge connection (regulation 13)

 

4.1

The ship is provided with a pipeline for the discharge of residues from



 

machinery bilges to reception facilities, fitted with a standard discharge

 

 

connection in compliance with regulation 13

 

5

Construction (regulation 18, 19, 20, 23, 26, 27 and 28)

 

5.1

In accordance with the requirements of regulation 18, the ship is:

 

5.1.1

Required to be provided with SBT, PL and COW



5.1.2

Required to be provided with SBT and PL



5.1.3

Required to be provided with SBT



5.1.4

Required to be provided with SBT or COW



5.1.5

Required to be provided with SBT or CBT



5.1.6

Not required to comply with the requirements of regulation 18



5.2

Segregated ballast tanks (SBT):

 

5.2.1

The ship is provided with SBT in compliance with regulation 18



5.2.2

The ship is provided SBT, in accordance with regulation 18, which are arranged in protective location (PL) in compliance with regulation 18.12 to 18.15



5.2.3

SBT are distributed as follows:






Tank

Volume (m3)

Tank

Volume (m3)

 

 

 

 

 

Total Volume                                     (m3)




5.3.

Dedicated clean ballast tanks (CBT):

 

5.3.1.

The ship is provided with CBT in compliance with regulation 18.8, and may operate as a product carrier



5.3.2.

CBT are distributed as follows:






Tank

Volume (m3)

Tank

Volume (m3)

 

 

 

 

 

Total Volume ................................. (m3)

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