I, ___________________ [name of RA, if individual, or authorized agent of RA], hereby certify that:
The site for which this application for payment is submitted is the site for which the No Further Remediation Letter was issued;
All the costs included in this application were incurred at the site and for the regulated substance(s) or pesticide(s) for which the No Further Remediation Letter was issued;
The costs incurred are remediation costs as defined in the Act and rules adopted thereunder;
The costs submitted were paid by _______________["me" if RA is certifying or name of RA if authorized agent is certifying] and are accurate to the best of my knowledge and belief;
None of the costs were incurred before approval of the site by DCEO as eligible for the Brownfields Site Restoration Program; and
______________________["I" if RA is certifying or name of RA if authorized agent is certifying] did not cause or contribute in any material respect to the release or substantial threat of a release of regulated substance(s) or pesticide(s) for which the No Further Remediation Letter was issued.
Ill. Admin. Code tit. 35, § 740.910
Added at 28 Ill. Reg. 3870, effective February 17, 2003