5900-239 TPEM Bond Worksheet

United States

Environmental Protection Agency

Office of Transportation and Air Quality

TPEM Bonding Worksheet - Nonroad CI

Last Revision: August 2018 Version Number: 3.7

Bond Worksheet for TPEM - Nonroad CI

This worksheet can be used to apply for a bond waiver or to simply calculate the amount of the bond required at 40 CFR 1039.626(a). To apply for a bond waiver, submit this form as an Excel file to TPEM-CI@epa.gov. Identify the file clearly by including in the file name: your name of the company, the year you are requesting a bond waiver for and the words "Bond Waiver Request." For example: "MyCompany 2015 Bond Waiver Request.xls." You do not need to submit this worksheet if you are using it only to calculate the size of your bond. All fields highlighted in yellow are CBI. According to §1039.626, as an equipment manufacturer using the provisions of §1039.625 for equipment produced outside the United States, you may be required to post a bond before you or anyone else imports your equipment with exempted engines. If you were to be found in noncompliance with Clean AIr Act regulations, the bond is meant to cover any potential enforcement actions taken against you under the Clean Air Act. The bond requirements do not apply if per §1039.626(a)(9)(ii)(B)) your long-term assets in the U.S. meet the thresholds cited at §1054.690(b)(1) - (b)(3). To determine whether you are required to post a bond, complete the Long-Term Asset Test below, which is based on the value of buildings, land, and fixed equipment from your most recent balance sheet, minus depreciation and long-term liabilities (such as mortgage). The value of the fixed assets are for the whole company, including any parent or subsidiary companies. If you do need to post a bond based on the Long-Term Asset Test, complete the Bond Value Calculation section of the Bonding Worksheet to determine the value of the bond. If your estimated or actual engine imports increase beyond the level appropriate for your current bond payment, you must post additional bond to reflect the increased sales within 90 days after you change your estimate or determine the actual sales. You may not decrease your bond. However, you may submit an updated worksheet if the value of the identified assets drops below the threshold value.

THIS WORKSHEET CONTAINS CBI!

Worksheet Filer's Name:

Worksheet Filer's Parent Company Name:

Certificate Holder's Name:

Equipment Manufacturer's Name:

(If different from Filer's Name)

Yes

Long-term Asset Test

CBI: Identify the asset threshold that applies to your company [see §1039.626(a)(9)(ii)(B)].

$10,000,000

$6,000,000

For secondary engine manufacturers. Identify the company that supplies your engines:

$3,000,000

For manufacturers that have held a certificate for each of the last 10 years with no finding of noncompliance.

CBI: Identify your level of fixed assets in the United States minus depreciation and related long-term liabilities [see §1039.626(a)(9)(ii)(B)].

Less than $3,000,000

At least $3,000,000 but less than $6,000,000

At least $6,000,000 but less than $10,000,000

$10,000,000 or more

Please identify the asset threshold that applies to your company.

Worksheet Filer's Name:

Long-term Asset Details

Identify the addresses where you have at least that much value of fixed assets (with corresponding photographs), as described below. If you need to add additional locations, please send the pictures on a separate file and clearly identified. Name the files with your company name, the year, "Bond Waiver," and the name of the facility pictured in it. For example, MyCompany 2015 "Bond waiver" HeadquartersPicture.xls.

Identify the addresses where your fixed assets are located. Please refer to

Address 1

Address 2

Address 3

Include a photograph of each facility identified above. (You may embed the pictures in the squares below. If the files are too large, you may email them along with this form as separate files. Please name each file clearly so we can identify the facility it belongs to.)

Address 1

Address 2

Address 3

CBI: Include the following data from the most recent balance sheet. Please include all Capital Leases.

Address 1

Address 2

Address 3

Net PPE

- or -

Total fixed assets

Mortgages on above assets

Accumulated depreciation on above assets

Net Assets

$-

$-

$-

Worksheet Filer's Name:

Bond Value Calculation §1039.626 (Nonroad CI)

If you need to post bond under §1039.626, use the following worksheet to calculate the value of the bond. Report production volumes based on one of the following:

Most recent production reports for all engines produced from certified engine families.

Projected sales figures from all certified engine families from the previous model year.

Error: Please select the basis for production volumes.

CBI: Provide estimated total annual U.S.-directed production of Nonroad CI engines:

kW < 19

19 ≤ kW < 56

56 ≤ kW < 130

130 ≤ kW < 225

225 ≤ kW < 450

kW ≥ 450

This is your minimum bond value for 2010.

You must increase the value of your bond if your actual U.S.-directed production volumes for the current calendar year cause this calculated value to increase.

Paperwork Reduction Act Notice

The public reporting and recordkeeping burden for this collection of information is estimated to average 1.5 hours per response. Send comments on the Agency's need for this information, the accuracy of the provided burden estimates, and any suggested methods for minimizing respondent burden, including through the use of automated collection techniques to the Director, Collection Strategies Division, U.S. Environmental Protection Agency (2822T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460. Include the OMB control number (2060-0369) in any correspondence. Do not send the completed form to this address.