New Mexico Administrative Code
Title 20 - ENVIRONMENTAL PROTECTION
Chapter 5 - PETROLEUM STORAGE TANKS
Part 117 - FINANCIAL RESPONSIBILITY
Section 20.5.117.1772 - FORM DOCUMENT FOR DRAWING ON FINANCIAL ASSURANCE MECHANISMS
The certification from the owner or operator and the third-party liability claimant(s) and from attorneys representing the owner or operator and the third-party liability claimant(s) that a third-party liability claim should be paid shall be worded as follows, except that instructions in brackets are to be replaced with the relevant information and the brackets deleted:
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CERTIFICATION OF VALID CLAIM The undersigned, as principals and as legal representatives of [insert owner or operator] and [insert name and address of third-party claimant], hereby certify that the claim of bodily injury [and/or] property damage caused by an accidental release arising from operating [owner's or operator's] storage tank should be paid in the amount of $[insert: dollar amount]. [Signatures] [Signatures] Owner or Operator Claimant(s) Attorney for Attorney(s) for Owner or Operator Claimant(s) (Notary) Date (Notary) Date] |
