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GM2 ADR.OR.F.005(a) Declaration of the organisation responsible for the provision of AMS

ED Decision 2020/021/R

DECLARATION OF COMPLIANCE MODEL FORM FOR ORGANISATIONS RESPONSIBLE FOR THE PROVISION OF AMS

Declaration of compliance

for organisations responsible for the provision of AMS

In accordance with Commission Regulation (EU) No 139/2014 of 14 February 2014 laying down requirements and procedures related to aerodromes pursuant to Regulation (EC) No 216/2008 of the European Parliament and of the Council

Company name and postal address:

Name and contact details of the accountable manager of the organisation:

Aerodrome(s) in the Member State at which apron management services (AMS) are provided:

Aerodrome(s) in other Member State(s) at which apron management services (AMS) are provided:

Starting date of the provision of apron management services at the aerodrome:

Formal arrangements have been made between the aerodrome operator and the air traffic services (ATS) provider.

A safety policy has been established and will apply during the provision of apron management services (AMS) covered by the declaration, in accordance with point ADR.OR.F.045(b)(2) of Annex III (Part-ADR.OR) to Commission Regulation (EU) No 139/2014.

The apron management services (AMS) covered by the declaration comply and will continue to comply, during the period they are provided, with the applicable requirements of Annex VII to Regulation (EU) 2018/1139 and Annex III (Part-ADR.OR) and Annex IV (Part-ADR.OPS) to Commission Regulation (EU) No 139/2014.

Any change in the provision of apron management services which affects the information stated in this declaration will be notified to the Competent Authority.

I hereby confirm that the information stated in this declaration is correct.

Date

Signature of the accountable manager