A license application will be approved if the Division determines that:
An applicant or licensee may satisfy the requirements of subparagraph (e) of this paragraph by obtaining and filing a surety bond which conforms to the requirements of this part.
An applicant or licensee may satisfy the requirements of subparagraph (e) of this paragraph by filing his personal performance guarantee accompanied by collateral in the form of an irrevocable standby letter of credit. He must guarantee funds to perform decommissioning in accordance with acceptable practice for protection of health and safety and other requirements of the license for the facility. The irrevocable standby letter of credit supporting this guarantee must conform to the following requirements:
An applicant or licensee may satisfy the requirements of subparagraph (e) of this paragraph by filing his personal performance guarantee accompanied by collateral in the form of an insurance policy. He must guarantee funds sufficient to perform decommissioning in a manner deemed acceptable by the Commissioner for protection of health and safety and other requirements of the license for the facility. The insurance policy supporting this guarantee must conform to the following requirements:
An applicant or licensee may satisfy the requirements of subparagraph (e) of this paragraph by filing his personal performance guarantee accompanied by collateral in the form of securities. He must guarantee sufficient funds to perform decommissioning in accordance with acceptable practices for protection of health and safety and other requirements of the license for the facility. The securities supporting this guarantee must be fully registered as to principal and interest in such manner as to identify the State and the Division as holder of such collateral and to also identify that person filing such collateral. These securities must have a current market value at least adequate to provide the necessary financial assurance and must be included among the following types:
An applicant or licensee may satisfy the requirements of subparagraph (e) of this paragraph by filing his personal performance guarantee accompanied by cash in an amount at least adequate to provide the necessary financial assurance.
In meeting the requirements of subparagraph (e) of this paragraph, an applicant or licensee may utilize more than one financial assurance mechanism per facility. These mechanisms are limited to personal bonds supported by letters of credit, insurance, securities or cash. The mechanisms must be as specified in subparagraph (f) of this paragraph, except that it is the combination of mechanisms, rather than the single mechanism, which must provide financial assurance for the necessary amount.
An applicant or licensee may use a financial assurance mechanism specified in subparagraph (f) of this paragraph to meet the requirements of subparagraph (e) of this paragraph for more than one facility he owns or operates in Tennessee. If so, the mechanism submitted to the Director must include a list showing, for each facility, the license number, name, address, and amount of funds for decommissioning care assured by the mechanism. The amount of funds available through the mechanism must be no less than the sum of funds that would be available if a separate mechanism had been filed and maintained for each facility.
In meeting the requirements of subparagraph (e) of this paragraph, a licensee may substitute alternate financial assurance meeting the requirements of this paragraph for the financial assurance already filed with the Director for the facility. However, the existing financial assurance shall not be released by the Commissioner until the substitute financial assurance has been received and approved by him.
SURETY BOND
Date bond executed: ____________________
Effective date: ____________________
Principal: (legal name and business address of applicant or licensee)
Type of organization: (insert "individual," "joint venture," "partnership" or "corporation")
State of incorporation: ____________________
Surety(ies): (Name(s) and business address(es))
License number, name, address and decommissioning cost for each facility guaranteed by this bond (list amounts separately): $____________________
Total penal sum of bond: $____________________
Surety's bond number: ____________________
KNOW ALL PERSONS BY THESE PRESENTS, that we, the Principal and Surety(ies) hereto are firmly bound to the State of Tennessee, Department of Environment and Conservation (hereinafter called "Department"), in the above penal sum for the payment of which we bind ourselves, our heirs, executors, administrators, successors and assigns jointly and severally; provided that, where the Surety(ies) are corporations acting as co-sureties, we, the Sureties, bind ourselves in such sum "jointly and severally" only for the purpose of allowing a joint action or actions against any or all of us, and for all other purposes each Surety binds itself, jointly and severally with the Principal, for the payment of such sum only as is set forth opposite the name of such Surety, but if no limit of liability is indicated, the limit of liability shall be the full amount of the penal sum.
WHEREAS said Principal is required, under the Tennessee Radiological Health Service Act, as amended, to have a license in order to receive, possess, store and use radioactive material at the facility identified above, and
WHEREAS said Principal is required to provide financial assurance for decommissioning as a condition of the license;
NOW, THEREFORE, the conditions of this obligation are such that if the Principal shall faithfully perform decommissioning, whenever required to do so, of each facility for which this bond guarantees funds for decommissioning, to the satisfaction of the Commissioner, State of Tennessee, Department of Environment and Conservation in accordance with acceptable practices for protection of health and safety pursuant to all applicable laws, statutes, rules and regulations, as such laws, statutes, rules and regulations may be amended,
OR, if the Principal shall provide alternate financial assurance as specified in paragraph (4) of Rule 0400-20-10-.12, and obtain the written approval of such assurance from the Director, Division of Radiological Health (hereinafter called "Director"), within 90 days after the date notice of cancellation is received by both the Principal and the Director from the Surety(ies), then this obligation shall be null and void, otherwise it is to remain in full force and effect.
The Surety(ies) shall become liable on this bond obligation only when the Principal has failed to fulfill the conditions described above.
Upon notification by the Director that the Principal has been found in violation of the decommissioning requirements of the Division, for a facility for which this bond guarantees funds for performance of decommissioning, the Surety(ies) shall forfeit the decommissioning cost amount guaranteed for the facility to the Department as directed by the Director.
Upon notification by the Director that the Principal has filed to provide alternate financial assurance as specified in paragraph (4) of Rule 0400-20-10-.12, and obtain written approval of such assurance from the Director during the 30 days following receipt by both the Principal and the Director of a notice of cancellation of the bond, the Surety(ies) shall forfeit funds in the amount guaranteed for the facility(ies) to the Department as directed by the Director.
The Surety(ies) hereby waive(s) notification of amendments to licenses, applicable laws, statutes, rules and regulations and agree(s) that no such amendment shall in any way alleviate its (their) obligation on this bond.
The liability of the Surety(ies) shall not be discharged by any payment or succession of payments hereunder, unless and until such payment or payments shall amount in the aggregate to the penal sum of the bond, but in no event shall the obligation of the Surety(ies) hereunder exceed the amount of said penal sum.
The Surety(ies) may cancel the bond by sending notice of cancellation by certified mail to the Principal and to the Director, provided, however, that cancellation shall not occur during the 180 days beginning on the date of receipt of the notice of cancellation by both the Principal and the Director, as evidenced by the return receipts.
The Principal may terminate this bond by sending written notice to the Surety(ies), provided, however, that no such notice shall become effective until the Surety(ies) receive(s) written authorization for termination of the bond by the Director.
IN WITNESS WHEREOF, the Principal and Surety(ies) have executed this SURETY BOND and have affixed their seals on the date set forth above.
The persons whose signatures appear below hereby certify that they are authorized to execute this surety bond on behalf of the Principal and Surety(ies) and that the wording of this surety bond is identical to the wording specified in part (4)(l)1 of Rule 0400-20-10-.12 as such regulation was constituted on the date this bond was executed.
PRINCIPAL
(Signature(s))
(Name(s))
(Title(s))
(Corporate seal)
CORPORATE SURETY(IES)
(Name and address)
State of incorporation: ____________________
Liability limit: $ ____________________
(Signature(s)) (Name(s) and title(s))
Corporate seal:
(For every co-surety, provide signature(s), corporate seal and other information in the same manner as for Surety above.) Bond premium: $____________________
IRREVOCABLE STANDBY LETTER OF CREDIT
Director
Division of Radiological Health
State of Tennessee, Department of Environment and Conservation
Dear Sir or Madam:
We hereby establish our Irrevocable Standby Letter of Credit No. __________in your favor, at the request and for the account of (applicant's or licensee's name and address) up to the aggregate amount of (in words) U.S. dollars $ ____________, available upon presentation of:
This letter of credit is effective as of (date) and shall expire on (date at least one year later), but such expiration date shall be automatically extended for a period of (at least one year) on (date) and on each successive expiration date, unless, at least 180 days before the current expiration date, we notify both you and (applicant's or licensee's name) by certified mail that we have decided not to extend this letter of credit beyond the current expiration date. In the event you are so notified, any unused portion of the credit shall be available upon presentation of your sight draft for 180 days after the date of receipt by both you and (licensee's name), as shown on the signed return receipts.
Whenever this letter of credit is drawn on under and in compliance with the terms of this credit, we shall duly honor such draft upon presentation to us, and we shall forfeit the amount of the draft to the State of Tennessee in accordance with your instructions.
We certify that the wording of this letter of credit is identical to the wording specified in part (4)(l)2 of Rule 0400-20-10-.12 as such regulation was constituted on the date shown immediately below.
(Signature(s) and title(s) of official(s) of issuing institution) (Date)
This credit is subject to (insert "the most recent edition of the Uniform Customs and Practice for Documentary Credits, published by the International Chamber of Commerce," or "the Uniform Commercial Code").
CERTIFICATE OF INSURANCE FOR DECOMMISSIONING
Name and Address of Insurer (herein called the "Insurer") : ______________________________
Name and Address of Insured (herein called the "Insured") : ______________________________
Facilities Covered: (List for each facility: The license number, name, address, and the amount of insurance for decommissioning (these amounts for all facilities covered must total the face amount shown below))
Face Amount: $ ______________________________
Policy Number: ______________________________
Effective Date: ______________________________
The Insurer hereby certifies that it has issued to the Insured the policy of insurance identified above to provide financial assurance for decommissioning the facilities identified above. The Insurer further warrants that such policy conforms in all respects with the requirements of part (4)(l)3 of Rule 0400-20-10.12, as applicable and as such rules were constituted on the date shown immediately below. It is agreed that any provision of the policy inconsistent with such regulation is hereby amended to eliminate such inconsistency.
Whenever requested by the Director, Division of Radiological Health, State of Tennessee, Department of Environment and Conservation, the Insurer agrees to furnish to the Director, Division of Radiological Health a duplicate original of the policy listed above, including all endorsements thereon.
I hereby certify that the wording of this certificate is identical to the wording specified in part (4)(l)3 of Rule 0400-20-10-.12 as such regulation was constituted on the date shown immediately below.
(Authorized signature for Insurer)
(Name of person signing)
(Title of person signing)
Signature of witness or notary: ____________________
(Date)
LETTER FROM CHIEF FINANCIAL OFFICER
(Address to Director, Division of Radiological Health)
I am the chief financial officer of (name and address of firm). This letter is in support of this firm's use of the financial test to demonstrate financial assurance, as specified in paragraph (4) of Rule 0400-20-10-.12.
(Fill out the following four paragraphs regarding facilities and associated cost estimates. If your firm has no facilities that belong in a particular paragraph, write "None" in the space indicated. For each facility, include its license number, name, address, and current decommissioning cost estimates.)
This firm (insert "is required" or "is not required") to file a Form 10K with the Securities and Exchange Commission (SEC) for the latest fiscal year.
The fiscal year of this firm ends on (month, day). The figures for the following items marked with an asterisk are derived from this firm's independently audited, year-end financial statement for the latest completed fiscal year, ending (date).
(Fill in Alternative I if the criteria of item (f)6(i)(I) of this paragraph are used. Fill in Alternative II if the criteria of item (f)6(i)(II) of this paragraph are used).
ALTERNATIVE I
1. | Sum of current decommissioning cost estimates (total of all cost estimates shown in the four paragraphs above) | $ ___________ | |
*2. | Total liabilities (if any portion of the decommissioning cost estimate is included in total liabilities, you may deduct the amount of that portion from this line and add that amount to lines 3 and 4) | $ ____________ | |
*3. | Tangible net worth | $ ____________ | |
*4. | Net worth | $ ____________ | |
*5. | Current assets | $ ____________ | |
*6. | Current liabilities | $ ____________ | |
*7. | Net working capital (line 5 minus line 6) | $ _____________ | |
*8. | The sum of net income plus depreciation, depletion, and amortization | $ ___________ | |
*9. | Total assets in U.S. (required only if less than 90% of firm's assets are located in the U.S.) | $ ____________ | |
YES | NO | ||
10. | Is line 3 at least $10 million? | ______ | ______ |
11. | Is line 3 at least 6 times line 1? | ______ | ______ |
12. | Is line 7 at least 6 times line 1? | ______ | ______ |
*13. | Are at least 90% of firm's assets located in the U.S.? If not, complete line 14 | ______ | ______ |
14. | Is line 9 at least 6 times line 1? | ______ | ______ |
15. | Is line 2 divided by line 4 less than 2.0? | ______ | ______ |
16. | Is line 8 divided by line 2 greater than 0.1? | ______ | ______ |
17. | Is line 5 divided by line 6 greater than 1.5? | ______ | ______ |
ALTERNATIVE II
1. | Sum of current decommissioning cost estimates (total of all cost estimates shown in the four paragraphs above) | $ _________ | |
2. | Current bond rating of most recent issuance of this firm and name of rating service | _______ | |
3. | Date of issuance of bond | ||
4. | Date of maturity of bond | _______ | |
*5. | Tangible net worth | $ ____________ | |
*6. | Total assets in U.S. (required only if less than 90% of firm's assets are located in the U.S.) | $ _________ | |
YES | NO | ||
7. | Is line 5 at least $10 million? | ______ | ______ |
8. | Is line 5 at least 6 times line 1? | ______ | ______ |
9. | Are at least 90% of firm's assets located in the U.S.? If not, complete line 10. | ||
10. | Is line 6 at least 6 times line 1? | ______ | ______ |
CORPORATE GUARANTEE FOR DECOMMISSIONING
Guarantee made this (date) by (name of guaranteeing entity), a business corporation organized under the laws of the State of (insert name of State), herein referred to as guarantor, to the State of Tennessee, Department of Environment and Conservation ("Department"), obligee, on behalf of our subsidiary (applicant or licensee) of (business address).
Recitals
I hereby certify that the wording of this guarantee is identical to the wording specified in part (4)(l)5 of Rule 0400-20-10-.12 as such rules were in effect on the date first above written.
Effective Date: ____________________
(Name of guarantor)
(Authorized signature for guarantor)
(Name of person signing)
(Title of person signing)
Signature of witness or notary: ____________________
Tenn. Comp. R. & Regs. 0400-20-10-.12
Authority: T.C.A. §§ 4-5-201, et seq.; 68-202-101, et seq.; and 68-202-201, et seq.