EU DECLARATION OF CONFORMITY (Doc) issued in accordance with the MARINE EQUIPMENT DIRECTIVE (MED) and EU/US MRA This is to certify that in compliance with the Directive 2014/90/EU of the European Parliament and of the Council of 23 July 2014 on marine equipment and EU/US Mutual Recognition Agreement 2004/425/EC: Vescom BV P.O. box 70 5750 AB DEURNE T +31 (0) 493 350 777 E sales@vescom.com W www.vescom.com declares that the product detailed below is in conformity with the requirements of the above Directive as evidenced by the Conformity Route below: EC Type Examination (Module B) Certificate No. MED 1450101/M1 expiry 30 04 2019 issued by the Notified Body (No. 0038) USCG Product Approval Category 164.112 USCG marking 164.112/EC0038/MED 1450101 AND EC (Module D) Certificate of Conformity No. MED 1650125/M3 expiry 17 02 2019 issued by the Notified Body (No. 0038) Design: Description: Type: Albert, Belton, Bioko, ColourChoice+print, Delta+print, Detroit, Florence, Geneva, Greenbo, Holt, Kilby, Larak, Lay+print, Melvin, Millwood, Mink, Nero, Pantar, Pleso, Pleso+print, Sagara, Sagara+print, Seneca, Sylvan, Tessera, Tica+print, Tupai, Valencia, Vigo Fire Resisting Material Vescom Fabric Backed Vinyl Wallcovering Standards applicable: IMO Res. MSC.61(67) (FTP Code) Annex 1, Part 5 and Annex 2 IMO MSC/Circ. 1102 IMO Res. MSC.307(88) (2010 FTP Code) Section 8 IMO Res. MSC.307(88) (2010 FTP Code) Part 2 and Part 5 Tested by: Bodycote Warringtonfire Test report no. 187529, dated 2 12 2009 / 187530, dated 11 11 2009 Interscience Fire Laboratory Test report nos. ICL/H14/3410 and ICL/H14/3411,, dated 9 04 2014 Vescom BV Deurne, 2018 0038/2017 F. van Werkum USCG Approval number: Director 164.112/EC0038/MED 1450101 THIS DOCUMENT TO BE RETAINED FOR LEGAL PURPOSES According to Art. 16 of Directive 2014/90/EU a copy of the EU DoC covering the equipment on board an EU flag ship shall be provided to the ship and shall be kept on board until the said equipment is removed from the ship.
LRV012.1.2016.09 USCG-EU MRA EC TYPE EXAMINATION (MODULE B) CERTIFICATE This is to certify that: LLOYD'S REGISTER VERIFICATION LIMITED (LRV), designated as a notified body under the terms of the Merchant Shipping (Marine Equipment) Regulations 2016 (S.I. 2016 No. 1025) did undertake the relevant type approval proval procedures for the equipment identified below which was found to be in compliance with the essential Fire protection equipment requirements of Marine Equipment Directive (MED) 2014/90/EU and Commission Implementing ng Regulation (EU) 2018/773 indicating design, construction and performance requirements and testing standards for marine equipment, subject to any conditions in the Design Appraisal Document attached hereto. Manufacturer (Applicant) Address Vescom B.V. Reference Regulation 2018/773 Regulation Item MED/3.18a SURFACE MATERIALS & FLOOR COVERINGS WITH LOW FLAME-SPREAD (No & Item designation CHARACTERISTICS - DECORATIVE VENEERS USCG Category Number 164.112 SURFACE MATERIALS AND FLOOR COVERINGS WITH LOW FLAME SPREAD CCHARACTERISTICS (Interior Finish) Product Type Product Description MATERIAL HAVING LOW FLAME SPREAD CHARACTERISTICS S & NOT CAPABLE OF PRODUCING EXCESSIVE SMOKE & TOXIC PRODUCTS OF COMBUSTION Fire-Resisting Material Type Decoral Coating Specified Standard IMO Res. MSC.61(67) (FTP Code) Annex 1 Part 2 and Part 5 IMO MSC/Circ 1120 IMO Res. MSC.307(88) (2010 FTP Code) Annex 1 Part 8 IMO Res. MSC.307(88) (2010 FTP Code) Annex 1 Part 2 and Part 5 The attached Design Appraisal Document (schedule) forms part of this certificate. This certificate remains valid unless cancelled or revoked, provided the conditions in the attached schedule are complied with and the equipment remains satisfactory in service. Date of issue 29 June 2018 Expiry date 30 April 2019 Certificate No. MED 1450101/M1 Signed Sheet No 1 of 3 Name J.M. Evans For and on behalf of Lloyd s Register Verification LRV EC Distinguishing No. 0038 Note: This certificate is issued under the authority of the MCA. This certificate is not valid for equipment; the design or manufacture of which has been varied or modified from the specimen tested. The manufacturer should notify the notified body named on this certificate of any modification on or changes to the equipment in order to obtain a valid Certificate. USCG-EU MRA - This product has been assigned a U.S. Coast Guard Module B number: USCG Module B number: 164.112/EC0038 to note type approval to Module B only as it pertains to obtaining U. S. Coast Guard approval as allowed by the Corrigendum to Council Decision 2004/425/EC of 21 April 2004 on the conclusion of an Agreement between the European Community munity and the United States of America on the mutual recognition of certificates of conformity for marine equipment. (Reg. no. 4929226) is a limited company registered in England and Wales. Registered office: 71 Fenchurch Street, London, EC3M 4BS, UK. A subsidiary of Lloyd s Register Group Limited. Lloyd's Register Group Limited, its affiliates and subsidiaries and their respective officers, employees or agents are, individually and collectively, referred ed to in this clause as the 'Lloyd's Register'. Lloyd's Register assumes no responsibility and shall not be liable to any person for any loss, damage or expense caused by reliance on the information n or advice in this document or howsoever provided, unless that person has signed a contract with the relevant Lloyd's Register entity for the provision of this information or advice and in that case any responsibility or liability is exclusively on the terms and conditions set out in that contract.
71 Fenchurch Street, London, EC3M 4BS Telephone 020 7423 2416 Fax 020 7423 2053 Email med@lr.org Page 2 of 3 Document number MED 1450101/M1 Issue number 1 DESIGN APPRAISAL DOCUMENT Date 29 June 2018 Quote this reference on all future communications SOUTSO/SFS/TA/JE/WP32409487 ATTACHMENT TO EC TYPE EXAMINATION (MODULE B) CERTIFICATE No. MED 1450101/M1 The undernoted documents have been appraised for compliance with the relevant requirements of International Conventions and European Union legislation for the EC Type Examination of Marine Equipment for use on Merchant Ships Registered in the European Economic Area. This Design Appraisal Document (schedule) forms part of the Certificate. APPROVAL/EXAMINED DOCUMENTATION Bodycote Warringtonfire, Holmesfield Road, Warrington, WA1 2DS, United Kingdom, Fire Test Reports No. 187529 dated d 2 nd December 2009 and No. 187530 dated 11 th November 2009. Interscience Fire Laboratory, Haslar Road, Gosport, Hampshire, PO12 2AG, WA1 2DS, United Kingdom, Fire Test Reports No. ICL/H14/3410 dated 9 th April 2014 and No. ICL/H14/3411 dated 9 th April 2014. Interscience Fire Laboratory, Haslar Road, Gosport, Hampshire, PO12 2AG, WA1 2DS, United Kingdom, Fire Test Reports No. ICL/H18/9038 Rev 1 dated 10 th April 2018 and No. ICL/H18/9039 Rev 1 dated 10 th April 2018. CONDITIONS OF CERTIFICATION 1. When applied to a non-combustible substrate 2. Consisting of: vinyl topcoat (thickness 0.2mm, weight 310g/m²), with cotton fabric backing (weight 40g/m²) adhered to substrate using either Vescom 2000 Adhesive or Vescom 3000 Adhesive roller applied at rate of 200g/m². Alternatively flame retardant vinyl film with digital printing ing (thickness 0.2mm, weight 310g/m²), with non woven Cutron backing (weight 40g/m²) adhered to substrate using Vescom 2000 Adhesive applied at a rate of 170g/m². Total thickness 0.37mm, weight 350g/m² 3. Composition of individual coatings and adhesives, including any fire retardants, to be maintained in production in accordance with originally tested composition formula 4. Production items of the subject equipment are to be manufactured in accordance with either an approved Production Quality Assurance system (Module D), a Product-Quality assurance system (Module E) or a Product Verification Process (Module F). The wheelmark cannot be affixed to the product until a conformity assessment module is in place 5. This product has been assigned a U.S. Coast Guard Module B number USCG Approval Category 164.112 /EC0038 to note type approval to Module B only as it pertains to obtaining U. S. Coast Guard approval as allowed by the Corrigendum to Council Decision 2004/425/EC of 21 April 2004 on the conclusion of an Agreement between the European Community and the United States of America on the mutual recognition of certificates of conformity for marine equipment In those instances where the Notified Body conducting the conformity assessment in accordance ance with either Module D, E or F of the Marine Equipment Directive is not Lloyd's Register Verification Ltd., such Notified Body would use the above U.S. Coast Guard Module B number to provide the manufacturer actur r with the U.S. Coast Guard approval number by noting it on the Certificate of Conformity, thereby authorizing the manufacturer to mark the product accordingly Note: For products placed on board U.S. flagged ships there is no declaration of conformity ormit required to meet U.S. Coast Guard requirements FORM 6438 (04/96) Lloyd s Register Verification is the business name of, a member of Lloyd s Register Group. Registration number 4929226.
LRV012.1.2016.09 71 Fenchurch Street, London, EC3M 4BS Telephone 020 7423 2416 Fax 020 7423 2053 Email med@lr.org Page 3 of 3 Document number MED 1450101/M1 Issue number 1 DESIGN APPRAISAL DOCUMENT Date 29 June 2018 Quote this reference on all future communications SOUTSO/SFS/TA/JE/WP32409487 ATTACHMENT TO EC TYPE EXAMINATION (MODULE B) CERTIFICATE No. MED 1450101/M1 6. Each item, batch or lot of the equipment is to be issued with a Declaration of Conformity and have the Mark of Conformity affixed after a conformity assessment module is in place PLACE OF PRODUCTION Vesom B.V. Jessica Evans Senior Specialist Statutory Fire & Safety Southampton Technical Support Office, Marine & Offshore For and on behalf of Lloyd s Register Verification LRV EC Distinguishing No. 0038 FORM 6438 (04/96) Lloyd s Register Verification is the business name of, a member of Lloyd s Register Group. Registration number 4929226.
EC (MODULE D) CERTIFICATE OF CONFORMITY LLOYD'S REGISTER VERIFICATION LIMITED (LRV), designated as a notified body under the terms of the Merchant Shipping (Marine Equipment) Regulations 2016 (S.I. 2016 No. 1025) did undertake an assessment of the subject manufacturer s Quality System as per requirements of Annex II Conformity to type based on quality assurance of production process (Module D) of Marine Equipment Directive (MED) 2014/90/EU and Commission Implementing Regulation (EU) 2018/773 indicating design, construction and performance requirements and testing standards for marine equipment and was found to conform with the requirements for the Product Types below. Manufacturer (Applicant) Address Vescom B.V. Reference Regulation 2018/773 Regulation Item MED/3.18 (No & designation) MED/3.19 MED/3.20 Surface Materials and floor coverings with low flame-spread and characteristics (a) Decorative veneers Draperies, curtains and other suspended textile materials and films Upholstered furniture Approval is subject to continued maintenance of the requirements of the above mentioned Directives and to all products continuing to comply with the standards and conditions of EC Type Examination Certificates issued by Lloyd s Register Verification or other Notified Body when they are of the above Designation(s). Approval is further subject to continued maintenance of the certified quality management system in accordance with the requirements of LRQA certificate number RQA930638 or an equivalent replacement thereof. Authorisation is hereby given to the manufacturer to use the LRV Notified Body Registration Number 0038 in accordance with the requirements of the specified Directives in relation to the described products. This certificate remains valid unless cancelled or revoked, provided that products manufactured under this Certificate remain satisfactory in service and the above quality management system continues to be approved. First issue 18 February 2016 Date of issue 2 July 2018 Expiry date 17 February 2019 Certificate No. MED 1650125/M3 Signed Sheet No 1 of 2 Name J. Deboer For and on behalf of Lloyd s Register Verification LRV EC Distinguishing No. 0038 Note: This certificate is issued under the authority of the MCA. No product shall be manufactured under this Certificate unless a valid EC Type Examination Certificate (Module B) is held on that product s Technical File. The manufacturer shall advise the Notified Body of all proposed modifications or changes to a product for which an EC Type Examination Certificate (Module B) has been issued, and of proposed changes of manufacturing location or process, and shall retain copy of their written authorisation or Certification of such changes. Subject to the Manufacturer s compliance with the foregoing, and those conditions of the Directive, the Manufacturer or his Authorised Representative is allowed to affix the Mark of Conformity to products of the types shown above. yyyy = The year in which the mark is affixed. 0038/yyyy (Reg. no. 4929226) is a limited company registered in England and Wales. Registered office: 71 Fenchurch Street, London, EC3M 4BS, UK. A subsidiary of Lloyd s Register Group Limited. Lloyd's Register Group Limited, its affiliates and subsidiaries and their respective officers, employees or agents are, individually and collectively, referred to in this clause as the 'Lloyd's Register'. Lloyd's Register assumes no responsibility and shall not be liable to any person for any loss, damage or expense caused by reliance on the information or advice in this document or howsoever provided, unless that person has signed a contract with the relevant Lloyd's Register entity for the provision of this information or advice and in that case any responsibility or liability is exclusively on the terms and conditions set out in that contract. This is a copy of an electronic document. In the event of any conflict or ambiguity between the copy and the electronic document, which is retained and published by Lloyd's Register, the original electronic and certified version shall always prevail.
Date 2 July 2018 71 Fenchurch Street, London, EC3M 4BS Telephone 020 7423 2416 Email med@ lr.org Quote this reference on all future communications SOUTSO/TA/QA-MED/JD Page 2 of 2 Document number MED 1650125/M3 Issue number 1 EC QUALITY SYSTEM (MODULE D) CERTIFICATE No. MED 1650125/M3 The manufacturer is also allowed to affix the US Coast Guard approval number(s) (as detailed below or subsequent revisions thereof) as allowed by the Corrigendum to Council Decision 2004/425/EC of 21 April 2004 on the conclusion of an Agreement between the European Community and the United States of America on the mutual recognition of certificates of conformity for marine equipment. Places of Production Vescom B.V. Module B No s Regulation Item number USCG Approval Number Date of issue / revision Notified body MED 1850027 MED/3.20 164.144/EC0038/MED 1850027 05-Oct-2017 0038 MED 1450101/M1 MED/3.18a 164.112/EC0038/MED 1450101/M1 29-June-2018 0038 MED 1750034/M1 MED/3.18a 164.112/EC0038/MED 1750034/M1 08-Mar-2017 0038 122.144 MED/3.19 164.111/EC0736/122.144/EC0038 02-Apr-2014 0736 126.055 MED/3.20 164.144/EC0736/126.055/EC0038 23-Apr-2014 0736 This is a copy of an electronic document. In the event of any conflict or ambiguity between the copy and the electronic document, which is retained and published by Lloyd's Register, the original electronic and certified version shall always prevail.