Bigelow 2024 GMDSS Inspection Certificates.pdf

CLS-SFM-00002 - Revision 1 Page 1 of 2

AMERICAN BUREAU OF SHIPPING

CHECK SHEET ON SOLAS SURVEYS – “AIS” RADIO TECHNICIAN’S SURVEY

(ORIGINAL TO BE RETAINED ONBOARD BY VESSEL’S MASTER)

VESSEL HENRY BIGELOW CLASS NO.

Associated REPORT NO. DATE 1/10/2024

AUTOMATIC IDENTIFICATION SYSTEM (AIS) Test Report Ship’s details:

CALL SIGN WTDF MMSI NUMBER 369991000

PORT OF REGISTRY NOT DOCUMENTED

IMO NUMBER 9349057 GROSS TONNAGE 2139

DATE KEEL LAID 2004 OFFICIAL NUMBER 9349057

Inspection Details

NAME OF RADIO TECHNICIAN HUNTER FARLOW COMPANY J&L MARINE ELECTRONICS

INSPECTION DATE 1/10/2024 INSPECTION LOCATION Rhode Isand, USA

1. Installation details

Item Status

1.1 AIS transponder type: FURUNO FA170 OK

1.2 Type approval certificate OK

1.3 Initial installation configuration report on board? OK

1.4 Drawings provided? (Antenna-, AIS-arrangement and block diagram) OK

1.5 Main source of electrical power, OK

1.6 Emergency source of electrical power, OK

1.7 Capacity to be verified if the AIS is connected to a battery OK

1.8 Pilot plug near pilots operating position? OK

1.9 120 V AC provided near pilot plug? (Panama and St. Lawrence requirement) OK

2. AIS programming - Static information

2.1 MMSI number OK

2.2 IMO number OK

2.3 Radio call sign OK

2.4 Name of ship OK

2.5 Type of ship OK

2.6 Ship length and beam OK

2.7 Location of GPS antenna OK

3. AIS programming - Dynamic information

3.1 Ships position with accuracy and integrity status (Source: GNSS) OK

3.2 Time in UTC (Source: GNSS) OK

3.3 Course over ground (COG) (will fluctuate at dockside) (Source GNSS) OK

3.4 Speed over ground (SOG) (zero at dockside) (Source: GNSS) OK

3.5 Heading (Source: Gyro) OK

3.6 Navigational status OK

3.7 Rate of turn, where available (ROT) N/A

3.8 Angle of heel, pitch and roll, where available N/A

CLS-SFM-00002 - Revision 1 Page 2 of 2

VESSEL HENRY BIGELOW CLASS NO.

Associated REPORT NO. DATE 1/10/2024

4. AIS programming - voyage related information

4.1 Ships draught OK

4.2 Type of cargo OK

4.3 Destination and ETA (at masters discretion) OK

4.4 Route plan (optional) N/A

4.5 Short safety-related messages OK

5. Performance test using measuring instrument

5.1 Frequency measurements AIS ch. 1 and 2, GMDSS ch. 70 OK

5.2 Transmitting output, AIS ch. 1 and 2, GMDSS ch. 70 OK

5.3 Polling information ch. 70 OK

5.4 Read data from AIS OK

5.5 Send data to AIS OK

5.6 Check AIS response to "virtual vessels" OK

6. "On air" performance test

6.1 Check reception performance OK

6.2 Confirm reception of own signal from other ship/VTS OK

6.3 Polling by VTS/shore installation OK

Electromagnetic interference from AIS observed to other installations?:

NONE

Radio Technician's Remarks:

SYSTEM OPERATES AS IT SHOULD

The AIS has been tested according to IMO SN/Circ.227 and resolution MSC.74(69), annex 3

Radio Technician's Signature

Hunter Farlow Radio Technician’s Printed Name

J&L MARINE ELECTRONICS

Company

Rhode Island, USA 1/10/2024 Place and Date

FEDERAL COMMUNICATIONS COMMISSION

CARGO SHIP SAFETY RADIO CERTIFICATE

United States of America

Issued Under the Provisions of the

International Convention for the Safety of Life at Sea, 1974, as amended in 1988

Distinctive Number Port of Registry Gross

Name of Ship or Letters Tonnage

The Government of the United States of America certifies:

Approved by 0MB

3060-0228

Date on Which Keel was Laid (see note below\

1. That the above named ship has been surveyed in accordance with the requirements of regulation 1 /9 of the Convention;

2. That the survey showed that the ship complies with the requirements of the Convention as regards to radio installations;

3. That the vessel is certified to operate in Sea Areas _____________ (regulation IV /2);

4. That the functioning of the radio Installations used on life-saving appliances complies with the requirements of the Convention:

5. That the details of the radio equipment installation conform to the accompanying Record of Equipment of Radio Facilities that accompanies this Certificate;

6. That an Exemption Certificate has (has not) been issued.

This Certificate will remain in force until: ________ ____________ _

Issued at: -- ------------------------------- (Place of issue of certificate)

(Date of Issue)

Nole: It will be sufficient to indicate the year in which the keel was laid except for 1952, 1965, 1980, 1992. and 1995 in which cases the actual date should be given.

(Signature of licensed inspector)

(Typed or Printed Name of licensed inspector)

FCC Form 829 - Page 1

August 2012

Henry Bigelow WTDF Undocumented 2139 2004

A1.A2.A3.A4

April 7 2023

Rhode Island, usa

January 10, 2024

Hunter Farlow

(FCC license number of iauing inspector)

January 10,2025 hardhead Pencil

Approved by 0MB

3060-0228

RECORD OF EQUIPMENT OF RADIO FACILITIES FOR

COMPLIANCE WITH THE INTERNATIONAL CONVENTION FOR THE

SAFETY OF LIFE AT SEA, 1974, AS AMENDED IN 1988

I 1, Particulars of ship j Name of Ship _____________ _ Call Sign _____________ _

Official Number ____________ _ Port of Registry ___________ _

Minimum number of parsons with required qualifications to operate the radio installations

12. Details of radio facilities I

1.1 1.1.1 1.1.2 1.1.3

1.2 1.2.1 1.2.2 1.2.3

1.3 1.3.1 1.3.2 1.3.3 1.3.4 1.4

3.1 3.2 3.3

4.1 4.2

11am

Primary Systems VHF radio installation DSC encoder ............. _ . _ ......... ___ .. _ . __ .. _ . _ . ___ .. ____ _ DSC watch receiver Radiotelephony

MF radio installation DSC encoder ................................ __ ...... _ . _ .. _ .. __ DSC watch receiver Radiotelephony ____ : : : : : :

MF/HF radio installation DSC encoder DSC watch ra�·eiv-�r

Radiotelephony

Direct printing radiotelegi�i:,hy

INMARSAT ship earth station

Secondary means of alerting · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · ·

Facilities for reception of maritime safety information NA VTEX receiver ............. __ .. _ . _ .. __ _ EGC racaivar

HF direct printi�g- ��di�t.;l�g��ph ���-�i'���- ·. · · _·_ · .· .· _· .· .· _· _· : : : ___

Satellite EPIRB

COSPAS-SARSAT_ ... _ _ ..... _ ..

INMARSAT

VHF EPIRB

Ship's rad�i tr'a�� . or,.dei p ................................... ··•·

Radiotelephone distress frequency watch receiver on 2182 kHz Device for generating the ,a.d i�-,�-

1�j,·h���- · · · · · · · · · · · · · · · alarm signal on 2182 kHz ................. _ ............. _

Actual Provi,ion

FCC Form 829 - Page 2

August 2012

WTDF

9349057 Undocumented

TWO

Good

Good Good

Good

Good Good

Good Good Good Good Good Good

Good Good Good

Good Good Good Good

Good

Good

Approved by 0MB

3060-0228

3. Methods u.sed to ensure· availability of radio facilities (regulations IV/15.6 and 15.7) (at least one required for sea areas A 1 and A2, at least two for A3 and A4)

Item

3.1 Duplication of equipment

3.2 Shore-based maintenance

3.3 At-saa maintenance capability .............. __

Actual Provision

4. Ships constructed before 1 February 1995 which do not comply with all the applicable requirements of Chapter IV of the convention as amended in 1988

4.1 For ships required to be fitted with radiotelegraphy in accordance with the Convention in force prior to l February 1992.

Item

Hours of listening by operator Number of operators Whathar auto alarm fitted Whether main installation fitted Whether reserva installation fitted Whether main and reserve transmitters electrically separated or combined

Requiremenll of regulations Aetual Prov1rion

4.2 For ships required to be fitted with radiotelephony in accordance with the Convention in force prior to 1 February 1992.

Item

Hours of listening by operator Number of operators

Requirements of regulation, THIS IS TO CERTIFY that this record is correct in all respects

Issued at

(PI ace of issue of the Record)

Ael\.lal Provision

(Date of issue) (Signature of inspector)

FCC Form 829 - Page 3

August 2012

Rhode Island, USA

January 10.2024

(FCC license number of issuing inspector)

Good

Good

N/A

Audio/Visual

Good Good Good Good

Good Good

N/A

Good

N/A

0MB Control Number 3060-0228

Notice to Individuals Required by the Privacy Act of 1974 and the Paperwork Reduction Act of 1995

The solicitation of information requested in this form is authorized by the Communications Act of 1934, as amended. The Commission will use FCC-licensed technicians to conduct ship inspections and determine if the radio installation is in compliance with the requirements of the Communications Act of

1934, as amended. All information provided in this form, as well as the form itself, will be available for public inspection.

Public reporting burden for this collection of information is estimated to average 10 minutes per response. Our estimate includes the time to read the instructions, look through existing records, gather and maintain required data, and actually complete and review the form or response. If you have any comments on this estimate, or on how we can improve the collection and reduce the burden it causes you, please write the Federal Communications Commission, Office of Managing Director, AMO-PERM, Washington, DC 20554, Paperwork Reduction Act Project (3060-0228). We will also accept your PRA comments via the Internet if you send an e-mail to PRA@fcc.gov.

Please DO NOT SEND COMPLETED FORMS TO THIS ADDRESS. You are not required to respond to a collection of information sponsored by the Federal government, and the government may not conduct or sponsor this collection, unless it displays a currently valid 0MB control number and/or we fail to provide you with this notice. This collection has been assigned an 0MB control number of 3060-0228.

THIS NOTICE IS REQUIRED BY THE PRIVACY ACT OF 1974, PUBLIC LAW 93-579, DECEMBER 31, 1974, 5

U.S.C. SECTION 552a(e)(3) AND THE PAPERWORK REDUCTION ACT OF 1995, PUBLIC LAW 104-13, OCTOBER 1, 1995, 44 U.S.C. SECTION 3507.

FCC Form 829 - Page 4

August 2012

FEDERAL COMMUNICATIONS COMMISSION

United States of America

Approved by 0MB

3060-0228

VESSEL BRIDGE-TO-BRIDGE RADIOTELEPHONY CERTIFICATE

Name cf Ship Official Number Radie Call Sign Pert cf Registry Gress Tonnage Vessel Type

The Government of the United States of America certifies lh.at th1 bridg1-to-bridg1 station on board the .above described vessel complies with all relevant provisions of the Vessl Bridge-to-Bridg■ Radiotelephone Act. the Rules and Regulations of the Commission mad, pursuant th1r1to, illd th1 terms of the station lic,nn.

This certific1t1 will remain in force until Issued 1t

Signature of licensed inspector

This certificata, upon request. shall be presented tor inspection to th• U.S. Coast Guard. It s�II be retained on board the vesnl until its expiration. er until suparseded by a subsequent issuanc,.

Date

FCC Form 827 - Page 1

August 2012

HENRY BIGELOW 9349057 WTDF undocumented 2 39 Research

January 10, 2025 Rhode Island USA January 10,2024

0MB Control Number 3060-0228

Notice to Individuals Required by the Privacy Act of 1974 and the Paperwork Reduction Act of 1995

The solicitation of information requested in this form is authorized by the Communications Act of 1934, as amended. The Commission will use FCC-licensed technicians to conduct ship inspections and determine if the radio installation is in compliance with the requirements of the Communications Act of

1934, as amended. All information provided in this form, as well as the form itself, will be available for public inspection.

Public reporting burden for this collection of information is estimated to average 10 minutes per response. Our estimate includes the time to read the instructions, look through existing records, gather and maintain required data, and actually complete and review the form or response. If you have any comments on this estimate, or on how we can improve the collection and reduce the burden it causes you, please write the Federal Communications Commission, Office of Managing Director, AMO-PERM, Washington, DC 20554, Paperwork Reduction Act Project (3060-0228). We will also accept your PRA comments via the Internet if you send an e-mail to PRA@fcc.gov.

Please DO NOT SEND COMPLETED FORMS TO THIS ADDRESS. You are not required to respond to a collection of information sponsored by the Federal government, and the government may not conduct or sponsor this collection, unless it displays a currently valid 0MB control number and/or we fail to provide you with this notice. This collection has been assigned an 0MB control number of 3060-0228.

THIS NOTICE IS REQUIRED BY THE PRIVACY ACT OF 1974, PUBLIC LAW 93-579, DECEMBER 31, 1974, 5

U.S.C. SECTION 552a(e)(3) AND THE PAPERWORK REDUCTION ACT OF 1995, PUBLIC LAW 104-13, OCTOBER 1, 1995, 44 U.S.C. SECTION 3507.

FCC Form 827 - Page 2

August 2012

SHORE BASED MAINTENANCE

SERVICE AGREEMENT

IN ACCORDANCE WITH CHAPTER IV, REGULATION 15 OF THE 1974

SOLAS CONVENTION AS AMMENDED AND CONCERNING THE

REQUIREMENT FOR MAINTENANCE OF THE RADIO AND

COMMUNICATIONS EQUIPMENT AS

PART OF THE GLOBAL MARITIME DISTRESS AND SAFETY SYSTEM

WE HEREBYCONFIRM THE VESSEL

HENRY BIGELOW

OWNED OR MANAGED BY

NOAA

HAS A SOLAS COMPLIANT SHORE BASED MAINTENANCE

AGREEMENT (TERMS AND CONDITIONS ATTACHED) WITH

J &L MARINE ELECTRONICS

4304 Portsmouth Blvd

Portsmouth , Virginia 23701 USA

TEL: (757) 465-8323 FAX: (757) 465-8324

Hunter Farlow -------------------------------- ISSUED : January 10, 2024 Hunter Farlow Expires : January 10, 2025 Vice PRESIDENT

J &L MARINE ELECTRONICS