Ariz. Admin. Code § R18-12-310
A. Owners and operators may satisfy the corrective action requirements, but not the 3rd-party compensation requirements, of R18-12-303 by obtaining an irrevocable certificate of deposit and preparing a Certification and Agreement that conforms to the requirements of this Section. The issuing institution shall meet all of the following:
C. Owners and operators who use a certificate of deposit to meet the corrective action requirements of R18-12-303 shall comply with all of the following:
F. The Department may present for payment any certificate of deposit to the issuing institution and receive cash if either of the following occur:
CERTIFICATION AND AGREEMENT
CERTIFICATE OF DEPOSIT
____________________________________________________________
[Name of owner or operator]
____________________________________________________________
[Address of owner or operator]
a __________________________________________________________
[Insert “corporation,” “partnership,” “association,” or “proprietorship”]
Hereby certifies that it has elected to use a Certificate of Deposit in accordance with R18-12-310 to cover all or part of its financial responsibility requirement for taking corrective action under Arizona Revised Statutes Title 49, Chapter 6, § 49-1006 as follows:
Section 1. This coverage is provided under Certificate of Deposit [Certificate of Deposit number] payable to the Department of Environmental Quality issued by [Name and address of issuing institution], [insert “Incorporated in the state of _________” or “a national bank”] for the period from [ / /20 ], through [ / /20 ] and is automatically renewable for a term of [Insert number of months] months in the amount of $___________. Both the Certificate of Deposit and the issuing institution meet the requirements of A.A.C. R18-12-310.
Section 2. The original of the Certificate of Deposit has been delivered to the Department of Environmental Quality, hereinafter known as the Department, to be held by the Department, along with this agreement, as proof of [Insert owner or operator]’s financial responsibility for taking corrective action caused by [Insert either “sudden accidental releases” or “nonsudden accidental releases” or “accidental releases”; if coverage is different for different tanks or locations, indicate the type of coverage applicable to each tank or location] arising from operating the underground storage tanks(s) identified in Section 3 of this agreement. The amounts of financial assurance coverage provided by this Certificate of Deposit are:
[insert the dollar amount of “each occurrence” and “annual aggregate” provided by the Certificate of Deposit; if the amount of coverage is different for different types of coverage or for different underground storage tanks or locations, indicate the amount of coverage for each type of coverage and/or for each underground storage tank or location].
Section 3. The following underground storage tanks are covered by the Certificate of Deposit:
[List the number of tanks at each facility and the name(s) and address(es) of the facility(ies) where the tanks are located. If more than one instrument is used to assure different tanks at any one facility, for each tank covered by this instrument, list the tank identification number provided in the notification submitted pursuant to A.R.S. § 49-1002, and the name and address of the facility.]
Section 4. [Insert owner or operator] is held firmly unto the state of Arizona in the amount of those sums for those periods of time as set forth herein, until this Certification and Agreement is amended or renewed or released in accordance with A.A.C. R18-12-310. The Certificate of Deposit or any funds resulting from cashing of the Certificate of Deposit shall be maintained or disbursed only in accordance with the provisions of A.A.C. R18-12-310.
Section 5. This Agreement shall remain in force during the term of the Certificate of Deposit and during any period of time prior to full expenditure or release of funds received from cashing of the Certificate of Deposit. [Insert owner or operator] shall notify the Department in writing immediately of any event which may impair this agreement. If the Department receives such notice, or otherwise has reason to believe that this agreement has been materially impaired, the Department may unilaterally amend the terms and conditions of this agreement to rectify any such impairment.
Section 6. The institution issuing the Certificate of Deposit is not a party to this agreement. Its obligations are set forth in its Certificate of Deposit. Nothing in this agreement diminishes or qualifies the issuing institution’s obligations under its Certificate of Deposit.
The provisions hereof shall bind and inure to the benefit of the parties hereto and their successors and assigns.
Signed and dated this _____day of __________, 20__
Date: _______________________________________
[Typed name of owner or operator]
BY:_______________________________
Title: _____________________________
NOTARIZATION OF SIGNER’S ACKNOWLEDGEMENT
STATE _______________)
__________) SS.
COUNTY OF_____________)
The foregoing instrument was acknowledged before me this
______day of ___________, 20__, by __________________________
as ______________________________of __________________________
___________________________________________________
NOTARY PUBLIC
My Commission Expires:
_____________________
APPROVED:
STATE OF ARIZONA
DEPARTMENT OF ENVIRONMENTAL QUALITY
Date:______________________ By:_____________________________
___________________________Director, ADEQ
Historical Note:
Adopted effective July 30, 1996 (Supp. 96-3). Amended effective July 30, 1996 (Supp. 96-3). Amended by final rulemaking at 25 A.A.R. 3123, effective January 1, 2020 (Supp. 19-4).