7 Del. Admin. Code § 1352-D-21.0

Current through Register Vol. 28, No. 7, January 1, 2025
Section 1352-D-21.0 - Form A - AST Financial Test of Self-Insurance

Letter from Chief Financial Officer

I am the Chief Financial Officer of [name and address of the Owner or Operator or Guarantor]. This letter is in support of the use of ["the financial test of Self-Insurance" and/or "guarantee"] to demonstrate financial responsibility for ["taking Corrective Action" and/or "compensating third parties for Bodily Injury and Property Damage"] caused by ["sudden Accidental Releases and/or "non-sudden Accidental Releases"] in the amount of at least [dollar amount] per Occurrence and [dollar amount] Annual Aggregate arising from operating (an) aboveground storage tank(s) (AST).

ASTs at the following facilities are assured by this financial test by this ["Owner or Operator" and/or "Guarantor"].

List for each Facility: the name and address of the Facility where ASTs assured by this Financial Test are located, and indicate which ASTs are assured by this Financial Test. List each AST by the AST identification number provided in the registration form submitted pursuant to PART A of this regulation.

AST Facility I.D. Number: ____________________ (as listed on DNREC registration certificate)

Facility Name: ______________________________________________________________

Facility Street: ______________________________________________________________

Facility City: _____________________________________ Facility Zip Code: ____________

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A ["financial test," and/or "guarantee"] is also used by ["Owner" or "Operator" or "Guarantor"] to demonstrate evidence of financial responsibility in the following amounts under other EPA regulations or State programs including but not limited to Subtitle C Hazardous Waste Facilities, SDWA Class I Hazardous Waste Injection Wells and aggregate UST and AST coverage.

Amount

Closure ........................ ........................................ ________

Post-Closure Care ................................................ ________

Liability Coverage ..................... ........................... ________

Corrective Action ............. ....................................... ________

Plugging and Abandonment ........ ............................ ________

Other ............................................................. ________

TOTAL ________

This ["Owner or Operator," or "Guarantor"] has not received an adverse opinion, a disclaimer of opinion, or a "going concern" qualification from an independent auditor on his financial statements for the latest completed fiscal year.

I hereby certify that the wording of this letter is identical to the wording specified in PART D, subsection 5.1 as the Delaware Regulations Governing Aboveground Storage Tanks were constituted on the date shown immediately below.

(Signature) _______________________________________________________________

(Name) _______________________________________________________________

(Title) _______________________________________________________________

(Date) _______________________________________________________________

[Fill in the information for Alternative I if the criteria of PART D, subsection 5.1.2 are being used to demonstrate compliance with the financial test requirements. Fill in the information for Alternative II if the criteria of PART D, subsection 5.1.3 are being used to demonstrate compliance with the financial test requirements.]

Alternative I

1. Amount of AST Annual Aggregate coverage being assured by a financial test, and/orguarantee:..........$___________
2. Amount of other liability coverage covered by a financial test, and/or guarantee:

(This includes but is not limited to Subtitle C Hazardous Waste Facilities, SDWA Class I Hazardous

Waste Injection Wells and aggregate UST or AST coverage)................................................... $__________

3. Sum of lines 1 and 2:................................................................................................................................ $___________
4. Total tangible assets:................................................................................................................................ $___________
5. Total liabilities ........................................................................................................................... $___________

(if any of the amount reported on line 3 is included in total liabilities, you may deduct that amount from this line and add that amount to line 6)

6. Tangible Net Worth (subtract line 5 from line 4):....................................................................................... $___________
7. Is line 6 at least $10 million?................................................................................................................ c Yes c No*

(Tangible Net Worth at least $10 million)

8. Is line 6 at least 10 times line 3?.................................................................................................... c Yes c No*

(Tangible Net Worth 10X's the sum of other environmental obligations)

*If the answer to line 7 or line 8 is "No", this test cannot be used to meet the AST Financial Responsibility requirements.

Complete Lines 9-11 OR Line 12

9. Have financial statements for the latest fiscal year been filed with the U.S. Securities and Exchange Commission?....................................................................................................................... c Yes c No
10. Have financial statements for the latest fiscal year been filed with the Energy Information Administration?.................................................................................................................................... c Yes c No
11. Have financial statements for the latest fiscal year been filed with the Rural Utilities Service?.......... c Yes c No
12. Has financial information been provided to Dun & Bradstreet, and has Dun & Bradstreet provided a financial strength rating of 4A or 5A?................................................................................................ c Yes c No

(Answer "Yes" only if both criteria have been met.)

13. If the firm's year end financial statements have been independently audited, they do not include an adverse auditor's opinion, a disclaimer of opinion, or a "going concern" qualification? If the answer to line 13 is "No" this test cannot be used to meet the AST FR requirements. ...................................... c Yes c No

(Answer "Yes" only if all criteria have been met.)

Alternative II

1. Amount of AST Annual Aggregate coverage being assured by a financial test, and/or guarantee:......... $___________
2. Amount of other liability coverage covered by a financial test, and/or guarantee:

(This includes but is not limited to Subtitle C Hazardous Waste Facilities, SDWA Class I Hazardous Waste Injection Wells and aggregate UST or AST coverage) ..................................................... $___________

3. Sum of lines 1 and 2:................................................................................................................................ $___________
4. Total tangible assets:................................................................................................................................ $___________
5. Total liabilities

(if any of the amount reported on line 3 is included in total liabilities, you may deduct that amount from this line and add that amount to line 6):.................................................................................. $___________

6. Tangible Net Worth (subtract line 5 from line 4):....................................................................................... $___________
7. Total assets in the U.S. (required only if less than 90 percent of assets are located in the U.S.):........... $___________
8. Is line 6 at least $10 million?................................................................................................................ c Yes c No*

(Tangible Net Worth at least $10 million)

9. Is line 6 at least 6 times line 3?...................................................................................................... c Yes c No*

(Tangible Net Worth 6 times other environmental obligations)

*If the answer to line 8 or line 9 is "No", this test cannot be used to meet the AST Financial Responsibility requirements.

10. Are at least 90 percent of assets located in the U.S.? ....................................................................... c Yes c No

(If "No," complete line 11)

11. Is line 7 at least 6 times line 3?

(U.S. assets at least six times the required amount of AST coverage plus other environmental liabilities) .................................................................................................................................. c Yes c No

(Complete Lines 12-15ORLines 16-18)

12. Current Assets:................................................................................................................................... $______________
13. Current Liabilities:............................................................................................................................... $______________
14. Net working capital (subtract line 13 from line 12):............................................................................. $______________
15. Is line 14 at least 6 times line 3?........................................................................................................ c Yes c No

-OR-

16. Current bond rating of most recent bond issue:..................................................................... _____________________
17. Name of rating service:.......................................................................................................... _____________________
18. Date of maturity of bond:........................................................................................................ _____________________
19. Have financial statements for the latest fiscal year been filed with the Securities and Exchange Commission (SEC), the Energy Information Administration (EIA), or the Rural Utilities Service (RUS)?................................................................................................................................................ c Yes c No**

**(If "No," please attach a report from an independent certified public accountant certifying that there are no material differences between the data as reported in lines 4-18 above and the financial statements for the latest fiscal year.)

20. The firm's year end financial statements have been independently audited and do not include an adverse auditor's opinion, a disclaimer of opinion, or a "going concern" qualification? If the answer to line 20 is "No" this test cannot be used to meet the FR requirements.

Answer "Yes" only if both criteria have been met).............................................................................. c Yes c No

7 Del. Admin. Code § 1352-D-21.0

20 DE Reg. 815 (4/1/2017)
27 DE Reg. 536 (1/1/2024) (Final)