Date on which keel was laid or unit was at a similar stage of construction or on which a major conversion was commenced _______________________
THIS IS TO CERTIFY:
8. That the above-mentioned unit has been duly surveyed in accordance with the applicable provisions of the Code for the Construction and Equipment of Mobile Offshore Drilling Units, 1989.
9. That the survey showed that the structure, equipment, fittings, radio station arrangements and materials of the unit and the condition thereof are in all respects satisfactory and that the unit complies with the relevant provisions of the Code.
10. That the life-saving appliances are provided for a total number of ____ persons and no more as follows: __________________________________________________________________________________
4. That, in accordance with 1.4 of the Code, the provisions of the Code are modified in respect of the unit in the following manner: ____________________________________________________________
5. That this unit has been issued with an approval for the continuous survey techniques under 1.6.4 of the Code in lieu of renewal and intermediate surveys in respect of:
Hull
________________________
signature and seal ofapproving authority
Machinery
________________________
date of continuous surveyprogram approval
This certificate is valid until the _____ day of _______________, 20….
Issued at _________________ on the _____ day of _______________, 20….
Seal ADMINISTRATION - ……...........…: ___________________
(Signature of authorized officialissuing the certificate)
ENDORSEMENT FOR ANNUAL AND INTERMEDIATE SURVEYS
This is to certify that, at a survey required by 1.6 of the Code, this unit was found to comply with the relevant provisions of the Code.
Annual Survey Place _________________ Date ________________
Seal MARITIME
ADMINISTRATION: ___________________________
(Signature of authorized official)
Annual/Intermediate Survey* Place _______________ Date _____________________
Seal MARITIME
ADMINISTRATION: _____________________________
(Signature of authorized official)
Annual/Intermediate Survey* 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 1.6.11.7.3 of the Code.
Place __________________________ Date ________________
Seal MARITIME
ADMINISTRATION: _____________________________
(Signature of authorized official)
Endorsement for the drydock survey.
THIS IS TO CERTIFY that, at a survey required by 1.6 of the Code, this unit was found to comply with the relevant provisions of the Code.
First inspection: Place __________________________ Date ________________
Seal MARITIME
ADMINISTRATION: _____________________________
(Signature of authorized official)
Second inspection : Place __________________________ Date ________________
Seal MARITIME
ADMINISTRATION: ____________________________
(Signature of authorized official)
Endorsement to extend the certificate if valid for less than 5 years where 1.6.11.3 of the Code applies.
The unit complies with the relevant requirements of the Code, and this certificate should, in accordance with 1.6.11.3 of the Code, be accepted as valid until: ___________________
Place __________________________ Date ________________
Seal MARITIME
ADMINISTRATION: _____________________________
(Signature of authorized official)
Endorsement where the renewal survey has been completed and 1.6.11.4 of the Code applies.
This unit complies with the relevant requirements of the Code, and this certificate should, in accordance with 1.6.11.4 of the Code, 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 where 1.6.11.5 of the Code applies.
This certificate should, in accordance with 1.6.11.5 of the Code, be accepted as valid until: ______________
Place __________________________ Date ________________
Seal MARITIME
ADMINISTRATION: _____________________________
(Signature of authorized official)
Endorsement for the advancement of the anniversary date where 1.6.11.7 of the Code applies.
In accordance with 1.6.11.7 of the Code, the new anniversary date is: __________________
Place __________________________ Date ________________
Seal MARITIME
ADMINISTRATION: _____________________________
(Signature of authorized official)
In accordance with 1.6.11.7. of the Code, the new anniversary date is: __________________
Place __________________________ Date ________________
Seal MARITIME
ADMINISTRATION: _____________________________
(Signature of authorized official)
Приложение № 42 към чл. 54, ал. 1 (Изм. - ДВ, бр. 7 от 2015 г.)
Name of ship .....................................................................................................................................
Official number of ship .....................................................................................................................
Under the authority of the Government of the REPUBLIC OF BULGARIA
by the MARITIME ADMINISRTATION OF BULGARIA
Distinctive identification and its location for each main component ...............................................
...........................................................................................................................................................
...........................................................................................................................................................
(number or other identification)
Date on which the diving system was certificated for the first time: ...............................................
THIS IS TO CERTIFY:
1. That the above-mentioned system has been duly surveyed and tested in accordance with the applicable provisions of the Code of Safety for Diving Systems, 1995.
2. That the survey showed that the design, construction, equipment, fittings, communication system, arrangements and materials of the system and the conditions thereof are in all respects satisfactory and that the system complies with the relevant provisions of the Code.
3. That the diving system is designed and constructed for a maximum operating depth of ............
4. That the diving system and its main components are designed in accordance with the following limiting operating parameters: ...........................................................................................................
5. That, in accordance with section 1.4, the provisions of the Code are modified in respect of the system in the following manner: .......................................................................................................
This certificate is valid until the …… day of …………………, 20….
This is to certify that, at a survey required by section 1.6 of the Code, this system was found to comply with the relevant provisions of the Code.
Annual survey
Place .................................. Date ......................................., 20.....
Seal MARITIME
ADMINISTRATION: ____________________________
(Signature of authorized official)
Place .................................. Date ......................................., 20.....
Seal MARITIME
ADMINISTRATION: ____________________________
(Signature of authorized official)
Place .................................. Date ......................................., 20.....
Seal MARITIME
ADMINISTRATION: ____________________________
(Signature of authorized official)
Place .................................. Date ......................................., 20.....
Seal MARITIME
ADMINISTRATION: ____________________________
(Signature of authorized official)
Place .................................. Date ......................................., 20.....
Seal MARITIME
ADMINISTRATION: ____________________________
(Signature of authorized official)
Endorsement for the extension of the Certificate
The diving system fully complies with the relevant provisions of the Code and this Certificate shall, in accordance with paragraph 1.6.9 of the Code, be accepted as valid until ....……...………………..........
Place .................................. Date ......................................., 20.....
Seal MARITIME
ADMINISTRATION: ____________________________
(Signature of authorized official)
Приложение № 43 към чл. 55, ал. 1 (Изм. - ДВ, бр. 7 от 2015 г.)
R E P U B L I C O F B U L G A R I A
MINISTRY OF TRANSPORT,
INFORMATION TECHNOLOGY AND COMMUNICATIONS
MARITIME ADMINISTRATION
SINGLE VOYAGE
CERTIFICATE
Name of Ship: ...................................................................................................................................
Output of the main engine(s): ...........................................................................................................
This is to confirm that, as a result of the survey performed of the hull, gears, equipment, machinery, installation, pumping and piping arrangements, electrical equipment, radio installation, navigational systems and equipment, life saving appliances and life saving signals, the ship is found to be seaworthy for a single voyage,
from port of ................................................... to port of ..................................................................
after carrying out the following: .......................................................................................................
...........................................................................................................................................................
This Certificate is valid until the ..... day of .……….……......, 20….
Issued at ..……………....... on the ….. day of .……………......., 20….
Приложение № 44 към чл. 56, ал. 1 (Изм. - ДВ, бр. 7 от 2015 г.)
R E P U B L I C O F B U L G A R I A
MINISTRY OF TRANSPORT,
INFORMATION TECHNOLOGY AND COMMUNICATIONS
MARITIME ADMINISTRATION
TO WHOM IT MAY CONCERN
TOWAGE CERTIFICATE
THIS IS TO CERTIFY THAT
The m/v ………………………………….. with following particulars:
Distinctive Number or Letters
Gross Tonnage
Net Tonnage
Length
Breadth
Depth
Draft
Main engines
Port of Registry
was surveyed and found in seaworthy condition, meeting the requirements for towing of ……………………………….. (the propeller(s) and rudder(s) are stopped and secured, all decks’ main-holes and other openings of the hull are closed and watertight, fuel oil tanks are empty).
On the grounds of the survey, the abovementioned vessel is allowed to be towed without crew on board, from the port of ……….…………. to the port of…………………….. subject to appropriate weather conditions.
Neither the Maritime Administration, nor the surveyor shall be responsible or liable for hindering the towage for reasons of omission, negligence or similar act of the crew during the towage.
Приложение № 45 към чл. 57, ал. 1 (Изм. - ДВ, бр. 7 от 2015 г., изм. - ДВ, бр. 62 от 2017 г.)
РЕПУБЛИКА БЪЛГАРИЯ
МИНИСТЕРСТВО НА ТРАНСПОРТА,
ИНФОРМАЦИОННИТЕ ТЕХНОЛОГИИ И СЪОБЩЕНИЯТА
ИЗПЪЛНИТЕЛНА АГЕНЦИЯ "МОРСКА АДМИНИСТРАЦИЯ"
СВИДЕТЕЛСТВО
ЗА
КОРАБНА АПТЕКА
Това свидетелство удостоверява, че след извършена проверка корабната аптека на ….............,
(име на кораба)
собственост на ………...……, притежава лекарствените продукти, медицинските изделия и
(корабособственик)
оборудване, необходими за речните кораби и плаващите технически средства, посочени в категория "В" на приложения № 1 и 2 от Наредба № 9 от 2003 г. за медицинското обслужване на корабите.
Свидетелството за корабна аптека се издава на основание чл. 18, ал. 3 от Наредба № 9 от 2003 г. за медицинското обслужване на корабите във връзка с чл. 86 от Кодекса на търговското корабоплаване.
Издадено на: ______________ г. Валидно до: ______________ г.
(дата)(дата)
___________________________
Директор на ДРН -
Капитан на пристанището
Приложение № 45а към чл. 57, ал. 1 (Изм. - ДВ, бр. 7 от 2015 г.)
R E P U B L I C O F B U L G A R I A
MINISTRY OF TRANSPORT,
INFORMATION TECHNOLOGY AND COMMUNICATIONS
MARITIME ADMINISTRATION
MEDICAL CHEST CERTIFICATE
No …….
m/v "………………………………………….."
This is to certify that, after examination, the Medical chest and equipment of m/v "………………..……….." have been found in a satisfactory condition and in compliance with the International Health Regulations (1969), Annex V, the requirements of the last edition of the International Medical Guide for Ships and the List of Essential Drugs published by the World Health Organization, for a voyage of ……. (……………….) months duration and with not more than …….. (………….) persons on board.
This Certificate is valid until the ____ day of __________________, 20___
Issued at ________________ on the ____ day of __________________, 20___
DIRECTOR, MARITIME
Seal ADMINISTRATION - …..........………: ____________________
(Signature of authorized official
issuing the certificate)
Приложение № 46 към чл. 58, ал. 1 (Изм. - ДВ, бр. 7 от 2015 г.)
РЕПУБЛИКА БЪЛГАРИЯ
REPUBLIC OF BULGARIA
ДЕРАТИЗАЦИОННО СВИДЕТЕЛСТВО
DERATTING CERTIFICATE
№ ………..
СВИДЕТЕЛСТВО ЗА ОСВОБОЖДАВАНЕ ОТ ДЕРАТИЗАЦИЯ
DERATTING EXEMPTION CERTIFICATE
№ ………..
Издадено съгласно чл. 54 от МЕЖДУНАРОДНИЯ САНИТАРЕН ПРАВИЛНИК
Issued according with clause No 54 of the International Sanrtsry Reguldtion
НЕ ТРЯБВА ДА СЕ ЗАДЪРЖА ОТ ПОРТОВИТЕ ВЛАСТИ
Not to be detained by Port Authority
Дата: ……………… 20..
Date
Пристанище: …………………..
Port ………
С настоящото свидетелство се удостоверява, че е бил прегледан/а освободен от дератизация
This is to certify the inspection and deratting exemption at this port, and on the said date the ship
на това пристанище и на горната дата корабът …………………………………………………………………………………….
с …………………………….. нето тонаж под ………………………………. знаме, идващ от ………………………………….
of ....................................... net tonnage, under ............................................. flag, coming from .........................................................
В момента на проверката/дератизацията хамбарите бяха натоварени с ………………………………………………………….
At the time of the derating the holds were loaded with
тона ……………………………………………………………….. товар
tonscargo
Забележка:В случай на освобождаване от дератизация да се посочат взетите мерки, за да се
Remark: In case of exemption, state herein the measures taken for maintaining the ship or
подържат такива условия, осигуряващи незначителен брой плъхове на борда.
inland navigation vessel in such a condition that the number of rats on board is negligible.
печат
Seal Head of Sanitary Service: .....................................................................
b) Ако някое от изброените отделения не съществува, трябва да се упомене изрично (In case any of the compartments enumerated do not exist on the ship, this fact must be mentioned).
c) Стари най-пресни следи от изпражнения, преминавания или прегризвания (Old or recent evidence of excreta, runs or gnawing).
d) Никак, малко, средно или много (None, small, moderate or large).
e) Да се посочи количеството на сярата, циановия калий или пропорцията на циановата киселина (State the weight of sulphur or of cyanide saits or quantity of HON acid).
f) Да се уточни дали се отнася до нето тонажа или по друг начин на определяне на тонажа (Specify whether applies to net tonnage or any other).
Приложение № 47 към чл. 59, ал. 1 (Изм. - ДВ, бр. 7 от 2015 г.)
R E P U B L I C O F B U L G A R I A
MINISTRY OF TRANSPORT,
INFORMATION TECHNOLOGY AND COMMUNICATIONS
CERTIFICATE OF INSURANCE OR OTHER
FINANCIAL SECURITY IN RESPECT OF CIVIL
LIABILITY FOR OIL POLLUTION DAMAGE
Issued in accordance whit the provisions of article VII of the INTERNATIONAL
CONVENTION ON CIVIL LIABILITY FOR OIL POLLUTION DAMAGE, 1992
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
Name and address of owner
This is to certify that there is in force in respect of the above-named ship a policy of insurance or other financial security satisfying the requirements of Article VII of the INTERNATIONAL CONVENTION ON CIVIL LIABILITY FOR OIL POLLUTION DAMAGE, 1992
Type of Security ……………………………………………………………………………………………………………..
(Signature of authorized official
issuing the certificate)
Explanatory Notes:
1. If desired, the designation of the State may include a reference to the competent public authority of the country where the certificate is issued.
2. If the total amount of security has been furnished by more than one source, the amount of each of them should be indicated.
3. If security is furnished in several forms, these should be enumerated.
4. The entry "Duration of Security" mast stipulate the date on which such security takes effect.
Приложение № 47а към чл. 59а (Изм. - ДВ, бр. 7 от 2015 г.)
R E P U B L I C O F B U L G A R I A
MINISTRY OF TRANSPORT,
INFORMATION TECHNOLOGY AND COMMUNICATIONS
CERTIFICATE OF INSURANCE OR OTHER FINANCIAL
SECURITY IN RESPECT OF CIVIL LIABILITY
FOR BUNKER OIL POLLUTION DAMAGE
Issued in accordance whit the provisions of article 7 of the International Convention on Civil Liability for Bunker Oil Pollution Damage, 2001
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 Ship Identification Number
Port of Registry
Name and full address of the principal place of business of
the registered owner
This is to certify that there is in force in respect of the above-named ship a policy of insurance or other financial security satisfying the requirements of article 7 of the International Convention on Civil Liability for Bunker Oil Pollution Damage, 2001.
Type of Security
Duration of Security
Name and address of the insurer(s) and/or guarantor(s)
(Signature of authorized
official issuing the certificate)
Explanatory Notes:
1. If desired, the designation of the State may include a reference to the competent public authority of the country where the certificate is issued.
2. If the total amount of security has been furnished by more than one source, the amount of each of them should be indicated.
3. If security is furnished in several forms, these should be enumerated.
4. The entry "Duration of Security" must stipulate the date on which such security takes effect.
5. The entry "Address" of the insurer(s) and /or guarantor(s) must indicate the principal place of business where the insurance or other security is established shall be indicated.
Приложение № 47б към чл. 59б (Изм. - ДВ, бр. 7 от 2015 г.)
R E P U B L I C O F B U L G A R I A
MINISTRY OF TRANSPORT,
INFORMATION TECHNOLOGY AND COMMUNICATIONS
INTERNATIONAL ANTI-FOULING SYSTEM CERTIFICATE
(This certificate shall be supplemented by a Record of Anti-fouling Systems)
Issued under the provisions of the [International Convention on the control of harmful anti-fowling systems
on ships and] Regulation (EC) No 782/2003 of the European Parliament
and of the Council of 14 April 2003 on the prohibition of organotin compounds on ships.
under the authority of the Government of
THE REPUBLIC OF BULGARIA
by
MARITIME ADMINISTRATION OF BULGARIA
When a Certificate has been previously issued, this Certificate replaces the certificate dated …………................................
Name of ship
Distinctive number or letters
Port of registry
Gross Tonnage
IMO number
An anti-fouling system controlled under [Annex 1 to the Convention and] Regulation (EC)
No 782/2003 has not been applied during or after construction of this ship ………………………………........
……………………………………………………………………………………………………………….
An anti-fouling system controlled under [Annex 1 to the Convention and] Regulation (EC) No 782/2003 has been applied on this ship previously, but has been removed by (insert name of the facility) .............
.............................................................. on ………………………………. (date).
An anti-fouling system controlled under [Annex 1 to the Convention and] Regulation (EC) No 782/2003 has been applied on this ship previously, but has been covered with a sealer coat applied by (insert name
of the facility) …..…………………… on ……………………………….. (date)
An anti-fouling system controlled under [Annex 1 to the Convention and] Regulation (EC) No 782/2003 was applied on this ship prior to 1 January 2003., but must be removed or covered with a sealer coat prior to 1 January 2008 …………………………………………………………………....………………....................
THIS IS TO CERTIFY THAT:
1. the ship has been surveyed in accordance with [Regulation 1 of Annex 4 to the Convention and] Regulation (EC) No 782/2003 of the European Parliament and of the Council of 14 April 2003 on the prohibition of organotin compounds on ships; and
2. the survey shows that the anti-fouling system on the ship complies with the applicable requirements of [Annex 1 to the Convention and] Regulation (EC) No 782/2003 of the European Parliament and of the Council of 14 April 2003 on the prohibition of organotin compounds on ships.
Date of completion of the survey on which this certificate is issued………………………………
