РЕПУБЛИКА БЪЛГАРИЯ МИНИСТЕРСТВО НА ТРАНСПОРТА

С настоящето свидетелство се удостоверява, че е бил прегледан/а освободен от дератизация

на това пристанище и на горната дата кораба …………………………………………………..

с ……………………… нето тонаж под ………………..знаме, идващ от ………………………

В момента на проверката / дератизацията хамбарите бяха натоварени с ………………………

подържат такива условия, осигуряващи незначителен брой плъхове на борда

а) Ненужното се зачерква (Delete as appropriate)

b) Ако някое от изброените отделение 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).


§ 84. Приложение № 47 към чл. 59, ал. 1 се изменя така:
Приложение № 47 към чл. 59, ал. 1

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 ……..………………………………………………………………..……….

………………………………………………………………………………………………….

Duration of Security ……………………………………………………………………………

……………………………………...…………………………………………………………...

Name and Address of the Insurer(s) and/or Guarantor(s)

Name ………………………………..………………………………………………………….

Address ………………………………..………………………………………………….…….

This certificate is valid until the ____ day of _________________, 20___
Issued at ________________ on the ____ day of _______________, 20___
No.

DIRECTOR, maritime

Seal administration - __________ : __________________

(Signature of authorized official

issuing the certificate)
Eexplanatory 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.
   

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.

Duration of Security

Name and address of the insurer(s) and/or guarantor(s)

Name Address

Seal DIRECTOR maritime

(Signature of authorized official issuing the certificate)

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.
   

(This certificate shall be supplemented by a Record of Anti-fouling 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

A

A

A

……………………………………………………… on ………………………………………………….. (date)

A

n 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 ……………………………………………………………………………………………………………………

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………………………………

Seal DIRECTOR, MARITIME

ADMINISTRATION - …………: ____________ (Signature of authorized

official issuing the certificate)

Type(s) of anti-fouling system(s) used:

Date(s) of application of anti-fouling system(s):

Name(s) of company(ies) and facility(ies)/location(s) where applied:

Name(s) of anti-fouling system manufacturer(s):

Name(s) and colour(s) of anti-fouling system(s):

Active ingredient(s) and their Chemical Abstract Services Registry Number(s) (CAS number(s)):

Type(s) of sealer coat, if applicable:

Name(s) and colour(s) of sealer coat applied, if applicable:

Date of application of sealer coat:

Seal ADMINISTRATION: ____________________________

(Signature of duly authorized official

issuing the Record)

Anti-Fouling System Certificate.

Seal ADMINISTRATION: _________________

(Signature of duly authorized official

issuing the Record)

Issued under provisions of THE INTERNATIONAL CODE FOR THE SECURITY OF SHIPS AND OF PORT FACILITIES (ISPS CODE)

under the authority

of the Government of the REPUBLIC OF BULGARIA

5. 
   that the security system and any associated security equipment of the ship has been verified in accordance with section 19.1 of part A of the ISPS Code;
   
6. 
   that the verification showed that the security system and any associated security equipment of the ship is in all respects satisfactory and that the ship complies with the applicable requirements of chapter XI-2 of the Convention and part A of the ISPS Code;
   
7. 
   that the ship is provided with an approved ship security plan.
   

Date of initial/renewal verification on which this Certificate is based the ___ day of ___________, 20__

(Signature of authorized official

issuing the certificate)


ENDORSEMENT for intermediate verification
THIS IS TO CERTIFY that at an intermediate verification required by section 19.1.1 of part A of the ISPS Code the ship was found to comply with the relevant provisions of chapter XI-2 of the Convention and part A of the ISPS Code.
Intermediate verification