Certificate Of Representation {7610-1}

EPA Form 7610-1 (Revised 03-2019) United States Environmental Protection Agency OMB Nos. 2060-0258 and 2060-0667 Acid Rain, CSAPR, and Texas SO2 Programs Approval Expires 03/31/2022 Certificate of Representation See instructions and 40 CFR 72.24, 97.416, 97.516, 97.616, 97.716, 97.816, and 97.916, or a comparable state regulation, as applicable. Note that the designated representative identified on this form is also the certifying official responsible for making related submissions for the identified unit(s), under additional programs, as indicated in the instructions. This submission is: New Revised (revised submissions must be complete; see instructions) STEP 1 Provide information for the plant STEP 2 Enter requested information for the designated representative STEP 3 Enter requested information for the alternate designated representative Longitude Latitude County Name Plant Code State Plant Name Name Title Company Name Mailing Address City State Zip Code Phone Number Fax Number Email Address Name Title Company Name Mailing Address City State Zip Code Phone Number Fax Number Email Address American LegalNet, Inc. www.FormsWorkFlow.com EPA Form 7610-1 (Revised 03-2019) Certificate of Representation Page 2 of 6 UNIT INFORMATION STEP 4: Complete a separate page 2 for each unit located at the plant identified in STEP 1 (i.e., for each boiler, simple cycle combustion turbine, or combined cycle combustion turbine). Do not list duct burners. Indicate each program to which the unit is subject, and enter all other unit-specific information. See instructions for details. Applicable Program(s): Acid Rain CSAPR NOX Annual CSAPR NOX Ozone Season Group 1 CSAPR NO X Ozone Season Group 2 CSAPR SO2 Group 1 CSAPR SO2 Group 2 Texas SO 2 Additional Program(s): GHG NSPS MATS NO X SIP Call Unit ID# Unit Type Source Category Generator ID Number (Maximum 8 characters) Acid Rain Nameplate Capacity (MWe) CSAPR / Texas SO2 / Other Nameplate Capacity (MWe) NAICS Code Enter the date the unit began (or will begin) serving any generator producing electricity for sale (including test generation) (mm/dd/yyyy): Check One: Actual Date Projected Date Is this unit located in Indian country? Check One: Yes NoHas this unit ever operated at another location? Check One: Yes No Company Name: Owner Operator Company Name: Owner Operator Company Name: Owner Operator Company Name: Owner Operator American LegalNet, Inc. www.FormsWorkFlow.com EPA Form 7610-1 (Revised 03-2019) Certificate of Representation Page 3 of 6 STEP 5: Read the applicable certification statements, sign, and date. Acid Rain Program I certify that I was selected as the 221designated representative222 or 221alternate designated representative222, as applicable, by an agreement binding on the owners and operators of the affected source and each affected unit at the source. I certify that I have all necessary authority to carry out my duties and responsibilities under the Acid Rain Program on behalf of the owners and operators of the affected source and each affected unit at the source and that each such owner and operator shall be fully bound by my representations, actions, inactions, or submissions. I certify that the owners and operators of the affected source and each affected unit at the source shall be bound by any order issued to me by the Administrator, the permitting authority, or a court regarding the source or unit. Where there are multiple holders of a legal or equitable title to, or a leasehold interest in, an affected unit, or where a utility or industrial customer purchases power from an affected unit under a life-of-the-unit, firm power contractual arrangement, I certify that: I have given a written notice of my selection as the designated representative or alternate designated representative, as applicable, and of the agreement by which I was selected to each owner and operator of the affected source and each affected unit at the source; and Allowances and proceeds of transactions involving allowances will be deemed to be held or distributed in proportion to each holder's legal, equitable, leasehold, or contractual reservation or entitlement, except that, if such multiple holders have expressly provided for a different distribution of allowances by contract, allowances and proceeds of transactions involving allowances will be deemed to be held or distributed in accordance with the contract. CSAPR NOx Annual Trading Program I certify that I was selected as the designated representative or alternate designated representative, as applicable, by an agreement binding on the owners and operators of the source and each CSAPR NOX Annual unit at the source. I certify that I have all the necessary authority to carry out my duties and responsibilities under the CSAPR NOX Annual Trading Program on behalf of the owners and operators of the source and of each CSAPR NOX Annual unit at the source and that each such owner and operator shall be fully bound by my representations, actions, inactions, or submissions and by any decision or order issued to me by the Administrator regarding the source or unit. Where there are multiple holders of a legal or equitable title to, or a leasehold interest in, a CSAPR NOX Annual unit, or where a utility or industrial customer purchases power from a CSAPR NOX Annual unit under a life-of-the-unit, firm power contractual arrangement, I certify that: I have given a written notice of my selection as the 221designated representative222 or 221alternate designated representative222, as applicable, and of the agreement by which I was selected to each owner and operator of the source and of each CSAPR NOX Annual unit at the source; and CSAPR NOX Annual allowances and proceeds of transactions involving CSAPR NOX Annual allowances will be deemed to be held or distributed in proportion to each holder's legal, equitable, leasehold, or contractual reservation or entitlement, except that, if such multiple holders have expressly provided for a different distribution of CSAPR NOX Annual allowances by contract, CSAPR NOX Annual allowances and proceeds of transactions involving CSAPR NOX Annual allowances will be deemed to be held or distributed in accordance with the contract. American LegalNet, Inc. www.FormsWorkFlow.com EPA Form 7610-1 (Revised 03-2019) Certificate of Representation Page 4 of 6 CSAPR NOX Ozone Season Group 1 Trading Program I certify that I was selected as the designated representative or alternate designated representative, as applicable, by an agreement binding on the owners and operators of the source and each CSAPR NOX Ozone Season Group 1 unit at the source. I certify that I have all the necessary authority to carry out my duties and responsibilities under the CSAPR NOX Ozone Season Group 1 Trading Program on behalf of the owners and operators of the source and of each CSAPR NOX Ozone Season Group 1 unit at the source and that each such owner and operator shall be fully bound by my representations, actions, inactions, or submissions and by any decision or order issued to me by the Administrator regarding the source or unit. Where there are multiple holders of a legal or equitable title to, or a leasehold interest in, a CSAPR NOX Ozone Season Group 1 unit, or where a utility or industrial customer purchases power from a CSAPR NOX Ozone Season Group 1 unit under a life-of-the-unit, firm power contractual arrangement, I certify that: I have given a written notice of my selection as the 221designated representative222 or 221alternate designated representative222, as applicable, and of the agreement by which I was selected to each owner and operator of the source and of each CSAPR NOX Ozone Season Group 1 unit at the source; and CSAPR NOX Ozone Season Group 1 allowances and proceeds of transactions involving CSAPR NOX Ozone Season Group 1 allowances will be deemed to be held or distributed in proportion to each holder's legal, equitable, leasehold, or contractual reservation or entitlement, except that, if such multiple holders have expressly provided for a different distribution of CSAPR NOX Ozone Season Group 1 allowances by contract, CSAPR NOX Ozone Season Group 1 allowances