INTERNATIONAL ENERGY EFFICIENCY CERTIFICATE
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Issued under the provisions of the Protocol of 1997, as amended,
to amend 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”) under the authority of the
Government of:
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(full designation of the country)
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by
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(full designation of the competent person or organization
authorized under the provisions of the Convention)
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Particulars of shipfootnote
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Name of ship
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Distinctive number or letters
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Port of registry
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Gross tonnage
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IMO Numberfootnote
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THIS IS TO CERTIFY:
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1
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That the ship has been surveyed in accordance with regulation 5.4
of Annex VI to the Convention; and
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2
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That the survey shows that the ship complies with the applicable
requirements in regulations 22, 23, 24, 25 and 26.
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Completion date of survey on which this Certificate is based:
...............................................................................................................................
(dd/mm/yyyy)
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Issued at
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(place of issue of certificate)
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(dd/mm/yyyy):
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.........................................................................................
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(date of issue)
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(signature of duly authorized official issuing the
certificate)
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(seal or stamp of the authority, as appropriate)
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Supplement to the International Energy Efficiency Certificate (IEE
Certificate)
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RECORD OF CONSTRUCTION RELATING TO ENERGY EFFICIENCY
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Notes:
1 This Record shall be permanently attached to the IEE
Certificate. The IEE Certificate shall be available on board the ship at
all times.
2 The Record shall be at least in English, French or
Spanish. If an official language of the issuing Party is also used, this
shall prevail in case of a dispute or discrepancy.
3 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.
4 Unless otherwise stated,
regulations mentioned in this Record refer to regulations in Annex VI of
the Convention, and resolutions or circulars refer to those adopted by
the International Maritime Organization.
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1
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Particulars of ship
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1.1
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Name of
ship
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1.2
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IMO
number
...........................................................................................................................................................................................................
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1.3
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Date of
building contract
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1.4
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Date of
major conversion (if
applicable).....................................................................................................................................................................
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1.5
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Gross
tonnage
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1.6
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Deadweight
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1.7
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Type of
shipfootnote
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2
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Propulsion system
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2.1
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Diesel
propulsion
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2.2
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Diesel-electric propulsion
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2.3
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Turbine
propulsion
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2.4
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Hybrid
propulsion
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2.5
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Propulsion system other than any of the above
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3
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Attained Energy Efficiency Design Index (EEDI)
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3.1
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The
attained EEDI in accordance with regulation 22.1 is calculated based on the
information contained in the EEDI technical file, which also shows the
process of calculating the attained
EEDI................................................................................................................................................................
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The attained EEDI is: .................
grams-CO2/tonne-nautical mile
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3.2
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The
attained EEDI is not calculated as:
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3.2.1
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the ship
is exempt under regulation 22.1 as it is not a new ship as defined in
regulation 2.2.18
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3.2.2
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the type
of propulsion system is exempt in accordance with regulation 19.3
.....................................................................................................
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3.2.3
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the
requirement of regulation 22 is waived by the ship's Administration in
accordance with regulation 19.4
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3.2.4
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the type
of ship is exempt in accordance with regulation 22.1
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4
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Required EEDI
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4.1
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Required EEDI is: .................
grams-CO2/tonne-mile
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4.2
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The required EEDI is not applicable
as:
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4.2.1
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the ship
is exempt under regulation 24.1 as it is not a new ship as defined in
regulation
2.2.18............................................................................
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4.2.2
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the type
of propulsion system is exempt in accordance with regulation
19.3......................................................................................................
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4.2.3
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the
requirement of regulation 24 is waived by the ship's Administration in
accordance with regulation 19.4
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4.2.4
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the type
of ship is exempt in accordance with regulation 24.1
..........................................................................................................................
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4.2.5
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the ship's
capacity is below the minimum capacity threshold in table 1 of regulation
24.2.....................................................................................
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5
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Attained Energy Efficiency Existing Ship Index (EEXI)
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5.1
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The
attained EEXI in accordance with regulation 23.1is calculated taking into
account the guidelinesfootnote developed by the
Organization.......................
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The
attained EEXI is:………………..grams-CO2/tonne-mile
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5.2
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The
attained EEXI is not calculated, as:
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5.2.1
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the type
of propulsion system is exempt in accordance with regulation
19.3.............................................................................................
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5.2.2
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the type
of ship is exempt in accordance with regulation
23.1.....................................................................................................................
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6
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Required EEXI
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6.1
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The
required EEXI is:………….grams-CO2/tonne-mile in accordance with
regulation 25
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6.2
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The
required EEXI is not applicable, as:
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6.2.1
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the type
of propulsion system is exempt in accordance with regulation
19.3.............................................................................
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6.2.2
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the type
of ship is exempt in accordance with regulation
25.1.............................................................................
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6.2.3
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the
ship's capacity is below the minimum capacity threshold in table 3 of
regulation
25.1.............................................................................
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7
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Ship
Energy Efficiency Management Plan
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7.1
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The ship
is provided with a Ship Energy Efficiency Management Plan (SEEMP) in
compliance with regulation
26................................................
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8
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EEDI technical file
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8.1
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The IEE
Certificate is accompanied by the EEDI technical file in compliance with
regulation 22.1
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8.1.1
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The EEDI
technical file identification/verification
number..........................................................................................
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8.1.2
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The EEDI
technical file verification
date..........................................................................................................................................................................
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9
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EEXI technical file
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9.1
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The IEE
Certificate is accompanied by the EEXI technical file in compliance with
regulation 23.1 ..................................
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9.1.1
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The EEXI
technical file identification/verification
number...........................................................................................
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9.1.2
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The EEXI
technical file verification
date...........................................................................................
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9.2
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The IEE
Certificate is not accompanied by the EEXI technical file as the attained
EEDI is used as an alternative to the attained EEXI
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THIS IS TO CERTIFY that this Record is correct in all
respects.
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Issued at
...................................................................................................................................
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(place of issue of the Record)
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(dd/mm/yyyy): .......................................
.........................................................................
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.........................................................................
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(date
of issue)
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(signature of duly authorized official issuing the
Record)
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(seal or stamp of the authority, as
appropriate)
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