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State of California-California Environmental r- , ection Agency Department of Toxic Substances Control <br /> FINANCIAL GUARANTEE BOND - CLOSURE <br /> Principal Name: <br /> Address: <br /> Type of Organization: State of Incorporation: <br /> ❑ Individual ❑ Joint Venture ❑ Partnership ❑ Corporation <br /> Bond Number: Date Executed: Effective Date: Total Penal Sum of Bond: <br /> Surety Name: Total Penal Sum: <br /> Surety Business Address: <br /> Certified Unified Program Agency Name: <br /> HAZARDOUS WASTE FACILITY(IES)/TTU(S) COVERED <br /> (Enter closure amounts separately. All amounts must total penal amounts) <br /> If additional space is needed, add attachment. <br /> If additional space is needed, Hazardous Waste <br /> add attachment. Facility/TTU Closure <br /> Name of Facili RTU Address of FacilltyITTLI ID Number Amount <br /> Total <br /> KNOW ALL PERSONS BY THESE PRESENTS, THAT WE,the Principal and Surety(ies)hereto are firmly bound to <br /> the Certified Unified Program Agency (hereinafter called CUPA) in the above penal sum for the payment of which we bind <br /> ourselves, our heirs, executors, administrators, successors, and assigns jointly and severally; provided that, where the <br /> Surety(ies)are corporations acting as co-sureties,we,the Sureties,bind ourselves in such sum"jointly and severally"only for <br /> the purpose of allowing a joint action or actions against any or all of us, and for all other purposes each Surety binds itself, <br /> 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 <br /> no limit of liability is indicated, the limit of liability shall be the full amount of the penal sum <br /> WHEREAS said Principal is required, under state regulations, to have a permit by rule or operate under conditional <br /> authorization in order to own or operate each hazardous waste management facility/TTU identified above, and <br /> WHEREAS said Principal is required to provide financial assurance for closure,as a condition of the permit by rule or <br /> conditional authorization, and <br /> WHEREAS said Principal shall establish a standby trustfund as is required when a surety bond is used to provide such <br /> financial assurance; <br /> NOW,THEREFORE,the conditions of the obligation are such that if the Principal shall faithfully, before the beginning <br /> of final closure of each facility/TTU identified above, fund the standby trust fund in the amount(s) identified above for the <br /> facility/TTU, <br /> OR, if the Principal shall fund the standby trust fund in such amount(s) within 15 days after a final order to begin <br /> closure is issued by the CUPA,the Department of Toxic Substances Control(DTSC)or a U. S. District Court or other court of <br /> competent jurisdiction, <br /> DTSC 1155U(01/29/2008) Page 1 of 2 <br />