INTERNATIONAL OIL POLLUTION PREVENTION CERTIFICAT '

(Note: This Certificate sliatl be supplemented by a Record of CoflS'ruction and Equipment)

INTERNATIONAL CONVENTION FOR THE PREVENTION

OF POLLUTION FROM GHIPS, 1q73

THR UNITED STATES OF AMERICA

by the UNITED STATES COAST GUARD

BIO 921

Typ• al' hip

- Oü Tanker [Form B Supplément atLached)
- Ship other than an oil tanker with cargc tBrdcs coming undei rcgulat on 2.2 of AnnAx I Of the
ێnvention (Form II Suppteotcnl attached)
’ Skip other tltaft any où the 8bove (Form A Suppleroerit attachcd)

That the ship has been suzvsyed in accordance with tkc rcrtuirements of régulation ô
of Annex ! on ffic Convention; and

That tkc su rey si+nos that tke srructuze, equtprocnt, sysu ns,{i\tin@. ä‹f^^8^ e^‹
the ship and the conàition thereof are in all respects saiiJaciory and
tkat tke chip œmplie5 with the appllcabfC requirements of Annex I où rte Convcntia
O9DBC20l6
-it

09OBc20:t 1 By Direction
 INTtDWATfONAZ, OIL POIAUTtON PBZVENTIRE CbRTTFlCATE

ENDORSEMENT FOR ANNUAL AND INTERMEDIATE SURVEYS

TH1G IS TG CIIItTTEY that at a survey required by regulation 6 of Annex I of tke Convention the ship
was found to comply with the relevant provisions of the Convenlian.

Signed:

Placa:

Signed:
 ANNUAL/INTERMEDIATE SURVEY fN ACCORDANCE WITH
REGULATION 10.8.3

THIS iS TO C£TtTIFY that, at an annuaI,’inlcnoediace' survey in ;scc0rdance with regulation 10.8.3

of Annex I of ltte Conventi on, the ship was found to comply 'with the rcJevanr provisions of the
Conventiun:
fiiigncd:
(S -•na nre of duly uatharized offirtal)

Date:

ENDORSEMENT TO EXTEND THE CERT1FICATE• IF VALID FOR LOSS THAN

5 YEARS WHERE REGULATION lfl.I APPLIES

This ship com plies with the relevant provi5ipns of the Convtntiun, and this Certificate shq II, i n
acmxdanre with regulation 10.3 of Annex I ot the Convention. be accepted zs val id until

5ign‹:d:

Date:

ENDORSEMENT WHERE THE RENEWAL SURYEY HAS BEEN COMPLETED

AND REGULATION 111.4 APPLIES

The s hip complies with the rtlevant provisions of the Convent ion and this Certificate shall, in
accordance with rcgulat on 10.4 of Annex T of the Convent on, be accepted as valid unMl

Signed:
ear /g

’ Delete es appropriace.
ENDORSEMENT TO EXTEND THE V cmrrv or TimcERTIFfCATE UNTIL
RR'.ACHING THE PORT OF SURVEY OR FOR A PF•RIOD OF GRACE WHERE
REGULATION ION OR 10.6 APPLIES

Thia Wztificafc shell, in accordance with l•6^!^« ** !* • 10.h"nf Annex l of the Cânven lion, be
acccplcd an valid u1ttil

Place:
Dae

ENDORSEMENT FOR ADVANCEMENT OF ANNIVERSARY DATE WHERE

REGULATIOf'f J8.8 APPLIES

In accordance wilh regulatioii 10.8 of Annex T nf rhe Coi\ven\ion the new anniversary date is

3igned:

Place:
Date.

tn accordance wiih regulation IU.8 of Ines I of the Canven rion the new anniversary de Ie is

Signed:

Pa&e ¥ of 4