DEP Form 62-730.900(4)(H) "Hazardous Waste Facility Financial Guarantee Bond to Demonstrate Financial Assurance" - Florida

What Is DEP Form 62-730.900(4)(H)?

This is a legal form that was released by the Florida Department of Environmental Protection - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on January 5, 1995;
  • The latest edition provided by the Florida Department of Environmental Protection;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of DEP Form 62-730.900(4)(H) by clicking the link below or browse more documents and templates provided by the Florida Department of Environmental Protection.

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Download DEP Form 62-730.900(4)(H) "Hazardous Waste Facility Financial Guarantee Bond to Demonstrate Financial Assurance" - Florida

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DEP Form # 62-730.900(4)(h)
Form Title HW Facility Financial Guarantee Bond
Effective Date January 5, 1995
DEP Application No.
STATE OF FLORIDA
HAZARDOUS WASTE FACILITY FINANCIAL GUARANTEE BOND
TO DEMONSTRATE FINANCIAL ASSURANCE
FOR
Closure
Post-Closure
Corrective Action
[Check Appropriate Box(es)]
The term “Required Action,” as used in this document means closure, post-closure care, or corrective action,
or any combination of these, which is checked above.
Date bond executed:
Effective date:
Principal:
Legal Name and Business Address of Owner or Operator
… …
Type of Organization:
Individual
Joint Venture
Partnership
Corporation
Check One
State of Incorporation:
Surety(ies):
Name(s) and business address(es)
List for each facility: EPA/DEP Identification Number, name, and address. Indicate “Required Action” amounts for each facility separately.
EPA/DEP I.D. No.
Name
Address
Total penal sum of bond: $
Surety's bond number:
DEP FORM 62-730.900(4)(h)
Page 1 of 3
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DEP Form # 62-730.900(4)(h)
Form Title HW Facility Financial Guarantee Bond
Effective Date January 5, 1995
DEP Application No.
STATE OF FLORIDA
HAZARDOUS WASTE FACILITY FINANCIAL GUARANTEE BOND
TO DEMONSTRATE FINANCIAL ASSURANCE
FOR
Closure
Post-Closure
Corrective Action
[Check Appropriate Box(es)]
The term “Required Action,” as used in this document means closure, post-closure care, or corrective action,
or any combination of these, which is checked above.
Date bond executed:
Effective date:
Principal:
Legal Name and Business Address of Owner or Operator
… …
Type of Organization:
Individual
Joint Venture
Partnership
Corporation
Check One
State of Incorporation:
Surety(ies):
Name(s) and business address(es)
List for each facility: EPA/DEP Identification Number, name, and address. Indicate “Required Action” amounts for each facility separately.
EPA/DEP I.D. No.
Name
Address
Total penal sum of bond: $
Surety's bond number:
DEP FORM 62-730.900(4)(h)
Page 1 of 3
Know All Persons By These Presents, That we, the Principal and Surety(ies) hereto are firmly bound to the
Florida Department of Environmental Protection (hereinafter called FDEP), 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 Resource Conservation and Recovery Act as amended (RCRA),
to have a permit in order to own or operate each hazardous waste management facility identified above, and
Whereas said Principal is required to provide financial assurance for “Required Action” as a condition of the
permit(s), and
Whereas said Principal shall establish a standby trust fund as is required when a surety bond is used to
provide such financial assurance;
Now, Therefore, the conditions of the obligation are such that if the Principal shall faithfully, before the
beginning of final closure of each facility identified above, fund the standby trust fund in the amount(s)
identified above for the facility,
Or, if the Principal shall fund the standby trust fund in such amount(s) within 15 days after a final order to
begin closure is issued by the Secretary of the FDEP or a U.S. district court or other court of competent
jurisdiction,
Or, if the Principal shall provide alternate financial assurance, as specified in Subpart H of 40 CFR Parts 264
or 265, as adopted by reference in Section 62-730.180, Florida Administrative Code (F.A.C.), as applicable, and
obtain the FDEP Secretary's written approval of such assurance, within 90 days after the date notice of
cancellation is received by both the Principal and the FDEP Secretary 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 FDEP Secretary that the Principal has failed to perform as
guaranteed by this bond, the Surety(ies) shall place funds in the amount guaranteed for the facility(ies) into the
standby trust fund as directed by the FDEP Secretary.
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 Secretary of the FDEP, however, cancellation shall not occur during the 120 days beginning on the date
of receipt of the notice of cancellation by both the Principal and the FDEP Secretary, 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 Secretary of the FDEP.
Principal and Surety(ies) hereby agree to adjust the penal sum of the bond yearly so that it guarantees a new
“Required Action” amount, provided that the penal sum does not increase by more than 20 percent in any one
year, and no decrease in the penal sum takes place without the written permission of the FDEP Secretary.
In Witness Whereof, the Principal and Surety(ies) have executed this Financial Guarantee 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 substantially
identical to the wording specified in 40 CFR 264.151(b), as adopted by reference in Section 62-730.180, F.A.C.,
as such regulations were constituted on the date this bond was executed except for the references to the FDEP
Secretary and the F.A.C.
DEP FORM 62-730.900(4)(h)
Page 2 of 3
PRINCIPAL
CORPORATE SURETY(IES)
For each co-surety provide the following
Signature
Name and address
Type Name and Title
State of Incorporation
NA
Liability Limit $
Signature
Type Name and Title
Corporate Seal
Corporate Seal
Bond premium: $
DEP FORM 62-730.900(4)(h)
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