N.M. Admin. Code § 20.5.117.1772

Current through Register Vol. 35, No. 24, December 23, 2024
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:

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]

N.M. Admin. Code § 20.5.117.1772

Adopted by New Mexico Register, Volume XXIX, Issue 14, July 24, 2018, eff. 7/24/2018