LETTER FROM CHIEF FINANCIAL OFFICER
I am the chief financial officer of [insert: name and address of the owner or operator, or guarantor]. This letter is in support of the use of [insert: "the financial test of self-insurance" or "guarantee" or both] to demonstrate financial responsibility for [insert: "taking corrective action" or "compensating third parties for bodily injury and property damage" or both] caused by [insert: "sudden accidental releases" or "nonsudden accidental releases" or "accidental releases"] in the amount of at least [insert: dollar amount] per occurrence and [insert: dollar amount] annual aggregate arising from operating (an) underground storage tank(s).
Underground storage tanks at the following facilities are assured by this financial test, or a corresponding financial test under EPA or another authorized state program, by this [insert: "owner or operator" or "guarantor"):
[List for each facility: the name and address of the facility where tanks assured by this financial test are located, and whether tanks are assured by this financial test or a corresponding financial test under EPA or under a state program approved under 40 C.F.R. part 281. If separate mechanisms or combinations of mechanisms are being used to assure any of the tanks at this facility, list each tank assured by this financial test by the tank identification number provided in the notification submitted pursuant to section 342L-30, Hawaii Revised Statutes, or 40 C.F.R. section 280.22, or in the permit applications submitted under sections 11-280.1-324 and 11-280.1-326.]
A [insert: "financial test" and/or "guarantee"] is also used by this [insert: "owner or operator" or "guarantor"] to demonstrate evidence of financial responsibility in the following amounts under other EPA regulations or state programs authorized by EPA under 40 C.F.R. parts 271 and 145:
Amount | |
EPA Regulations: | |
Closure (§§261.143, 264.143, and 265.143) | $ |
Post-Closure Care (§§264.145 and 265.145) | $ |
Liability Coverage (§§261.147, 264.147, and 265.147) | $ |
Corrective Action (§264.101(b)) | $ |
Plugging and Abandonment (§144.63) | $ |
Authorized State Programs: | |
Closure | $ |
Post-Closure Care | $ |
Liability Coverage | $ |
Corrective Action | $ |
Plugging and Abandonment | $ |
TOTAL | $ |
This [insert: "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 or her financial statements for the latest completed fiscal year.
[Fill in the information for Alternative I if the criteria of subsection (b) are being used to demonstrate compliance with the financial test requirements. Fill in the information for Alternative II if the criteria of subsection (c) are being used to demonstrate compliance with the financial test requirements.]
ALTERNATIVE I
Amount | |||
1. | Amount of annual UST aggregate coverage being assured by a financial test, or guarantee or both | $ | |
2. | Amount of corrective action, closure and post-closure care costs, liability coverage, and plugging and abandonment costs covered by a financial test, or guarantee or both | $ | |
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 $10,000,000? | Yes | No |
8. | Is line 6 at least ten times line 3? | Yes | No |
9. | Have financial statements for the latest fiscal year been filed with the U.S. Securities and Exchange Commission? | Yes | No |
10. | Have financial statements for the latest fiscal year been filed with the federal Energy Information Administration? | Yes | No |
11. | Have financial statements for the latest fiscal year been filed with the federal Rural Utilities Service? | Yes | No |
12. | Has financial information been provided to Dun and Bradstreet, and has Dun and Bradstreet provided a financial strength rating of 4A or 5A? [Answer "Yes" only if both criteria have been met.] | Yes | No |
ALTERNATIVE II
Amount | |||
1. | Amount of annual UST aggregate coverage being assured by a financial test, or guarantee or both | $ | |
2. | Amount of corrective action, closure and post-closure care costs, liability coverage, and plugging and abandonment costs covered by a financial test, or guarantee or both | $ | |
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 ninety per cent of assets are located in the U.S.] | $ | |
8. | Is line 6 at least $10,000,000? | Yes | No |
9. | Is line 6 at least six times line 3? | Yes | No |
10. | Are at least ninety per cent of assets located in the U.S.? [If "No," complete line 11] | Yes | No |
11. | Is line 7 at least six times line 3? | Yes | No |
[Fill in either lines 12-15 or lines 16-18: | |||
12. | Current assets | $ | |
13. | Current liabilities | $ | |
14. | Net working capital [subtract line 13 from line 12] | $ | |
15. | Is line 14 at least six times line 3? | Yes | No |
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 U.S. Securities and Exchange Commission, the federal Energy Information Administration, or the federal Rural Utilities Service? | Yes | 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.]
[For both Alternative I and Alternative II complete the certification with this statement.]
I hereby certify that the wording of this letter is identical to the wording specified in section 11-280.1-95(d), Hawaii Administrative Rules, as such regulations were constituted on the date shown immediately below.
[Signature]
[Name]
[Title]
[Date]
Haw. Code R. § 11-280.1-95