+----------+---+----------------------------+----+---------+------------+---+
|          |   | **RGGI CO2 BUDGET TRADING  |    |         |            |   |
|          |   | PROGRAMS**                 |    |         |            |   |
|          |   |                            |    |         |            |   |
|          |   | **Certificate of           |    |         |            |   |
|          |   | Representation for CAMD    |    |         |            |   |
|          |   | Business System** Page 1   |    |         |            |   |
|          |   |                            |    |         |            |   |
|          |   | The RGGI CO~2~ Allowance   |    |         |            |   |
|          |   | Tracking System (COATS) is |    |         |            |   |
|          |   | the primary platform for   |    |         |            |   |
|          |   | managing CO~2~ allowance   |    |         |            |   |
|          |   | accounts under state CO~2~ |    |         |            |   |
|          |   | Budget Trading Programs.   |    |         |            |   |
|          |   | For sources regulated      |    |         |            |   |
|          |   | under a state CO~2~ Budget |    |         |            |   |
|          |   | Trading Program, facility, |    |         |            |   |
|          |   | unit and authorized        |    |         |            |   |
|          |   | account representative     |    |         |            |   |
|          |   | data for compliance        |    |         |            |   |
|          |   | accounts will be           |    |         |            |   |
|          |   | propagated from EPA\'s     |    |         |            |   |
|          |   | Clean Air Markets Division |    |         |            |   |
|          |   | (CAMD) database to COATS   |    |         |            |   |
|          |   | every five minutes.        |    |         |            |   |
|          |   | Electronic submission      |    |         |            |   |
|          |   | agent assignments, general |    |         |            |   |
|          |   | accounts, and allowance    |    |         |            |   |
|          |   | transfers for state CO~2~  |    |         |            |   |
|          |   | Budget Trading Programs    |    |         |            |   |
|          |   | can only be managed in     |    |         |            |   |
|          |   | COATS. COATS may be        |    |         |            |   |
|          |   | accessed at                |    |         |            |   |
|          |   | [[www.                     |    |         |            |   |
|          |   | rggi-coats.org]{.underline |    |         |            |   |
|          |   | }](../www.rggi-coats.org). |    |         |            |   |
|          |   | Note that each state will  |    |         |            |   |
|          |   | approve the creation of    |    |         |            |   |
|          |   | compliance accounts for    |    |         |            |   |
|          |   | sources located in that    |    |         |            |   |
|          |   | state prior to creation of |    |         |            |   |
|          |   | the accounts in COATS.     |    |         |            |   |
|          |   | This process will provide  |    |         |            |   |
|          |   | for implementation of      |    |         |            |   |
|          |   | state-specific             |    |         |            |   |
|          |   | requirements, such as      |    |         |            |   |
|          |   | requirements to submit     |    |         |            |   |
|          |   | paper state-issued account |    |         |            |   |
|          |   | certificate of             |    |         |            |   |
|          |   | representation forms       |    |         |            |   |
|          |   | and/or permit              |    |         |            |   |
|          |   | applications, and may      |    |         |            |   |
|          |   | delay creation of          |    |         |            |   |
|          |   | compliance accounts and    |    |         |            |   |
|          |   | propagation of data to     |    |         |            |   |
|          |   | COATS. In addition to this |    |         |            |   |
|          |   | form, a state may require  |    |         |            |   |
|          |   | the submission of a        |    |         |            |   |
|          |   | state-specific account     |    |         |            |   |
|          |   | certificate of             |    |         |            |   |
|          |   | representation form        |    |         |            |   |
|          |   | pursuant to its state      |    |         |            |   |
|          |   | CO~2~ Budget Trading       |    |         |            |   |
|          |   | Program.                   |    |         |            |   |
|          |   |                            |    |         |            |   |
|          |   | For more information on    |    |         |            |   |
|          |   | account certificate of     |    |         |            |   |
|          |   | representation             |    |         |            |   |
|          |   | requirements pursuant to   |    |         |            |   |
|          |   | individual state CO~2~     |    |         |            |   |
|          |   | Budget Trading Programs,   |    |         |            |   |
|          |   | see CO~2~ Budget Trading   |    |         |            |   |
|          |   | Program regulations:       |    |         |            |   |
|          |   | Connecticut (RCSA          |    |         |            |   |
|          |   | 22a-174-31), Delaware (7   |    |         |            |   |
|          |   | DE Admin Code 1147), Maine |    |         |            |   |
|          |   | (06-096 CMR 156), Maryland |    |         |            |   |
|          |   | (COMAR 26.09.01-.04),      |    |         |            |   |
|          |   | Massachusetts (310 CMR     |    |         |            |   |
|          |   | 7.70), New Hampshire       |    |         |            |   |
|          |   | (Env-A 4600), New Jersey   |    |         |            |   |
|          |   | (forthcoming), New York (6 |    |         |            |   |
|          |   | NYCRR Part 242, effective  |    |         |            |   |
|          |   | October 9, 2008), Rhode    |    |         |            |   |
|          |   | Island (Air Pollution      |    |         |            |   |
|          |   | Control Regulation No.     |    |         |            |   |
|          |   | 46), and Vermont (7 Vt.    |    |         |            |   |
|          |   | Code R. Chap. 22).         |    |         |            |   |
|          |   |                            |    |         |            |   |
|          |   | This submission is: New    |    |         |            |   |
|          |   | Revised (revised           |    |         |            |   |
|          |   | submissions must be        |    |         |            |   |
|          |   | complete; see              |    |         |            |   |
|          |   | instructions)              |    |         |            |   |
+----------+---+----------------------------+----+---------+------------+---+
| **       |   |                            |    |         |            |   |
| FACILITY |   |                            |    |         |            |   |
| (S       |   |                            |    |         |            |   |
| OURCE)** |   |                            |    |         |            |   |
|          |   |                            |    |         |            |   |
| **INFOR  |   |                            |    |         |            |   |
| MATION** |   |                            |    |         |            |   |
+----------+---+----------------------------+----+---------+------------+---+
| **STEP   | F |                            |    | State   | Plant Code |   |
| 1**      | a |                            |    |         |            |   |
|          | c |                            |    |         |            |   |
| *        | i |                            |    |         |            |   |
| *Provide | l |                            |    |         |            |   |
| inf      | i |                            |    |         |            |   |
| ormation | t |                            |    |         |            |   |
| for the  | y |                            |    |         |            |   |
| facility | ( |                            |    |         |            |   |
| (so      | S |                            |    |         |            |   |
| urce).** | o |                            |    |         |            |   |
|          | u |                            |    |         |            |   |
|          | r |                            |    |         |            |   |
|          | c |                            |    |         |            |   |
|          | e |                            |    |         |            |   |
|          | ) |                            |    |         |            |   |
|          | N |                            |    |         |            |   |
|          | a |                            |    |         |            |   |
|          | m |                            |    |         |            |   |
|          | e |                            |    |         |            |   |
+----------+---+----------------------------+----+---------+------------+---+
|          | > |                            |    |         |            |   |
|          |   |                            |    |         |            |   |
|          | C |                            |    |         |            |   |
|          | o |                            |    |         |            |   |
|          | u |                            |    |         |            |   |
|          | n |                            |    |         |            |   |
|          | t |                            |    |         |            |   |
|          | y |                            |    |         |            |   |
|          | > |                            |    |         |            |   |
|          |   |                            |    |         |            |   |
|          | N |                            |    |         |            |   |
|          | a |                            |    |         |            |   |
|          | m |                            |    |         |            |   |
|          | e |                            |    |         |            |   |
+----------+---+----------------------------+----+---------+------------+---+
|          | L |                            | L  |         |            |   |
|          | a |                            | on |         |            |   |
|          | t |                            | gi |         |            |   |
|          | i |                            | tu |         |            |   |
|          | t |                            | de |         |            |   |
|          | u |                            |    |         |            |   |
|          | d |                            |    |         |            |   |
|          | e |                            |    |         |            |   |
+----------+---+----------------------------+----+---------+------------+---+
|          |   |                            |    |         |            |   |
+----------+---+----------------------------+----+---------+------------+---+
| **STEP   | N |                            | T  |         |            |   |
| 2**      | a |                            | it |         |            |   |
|          | m |                            | le |         |            |   |
| **Enter  | e |                            |    |         |            |   |
| req      |   |                            |    |         |            |   |
| uested** |   |                            |    |         |            |   |
|          |   |                            |    |         |            |   |
| **inf    |   |                            |    |         |            |   |
| ormation |   |                            |    |         |            |   |
| for      |   |                            |    |         |            |   |
| the**    |   |                            |    |         |            |   |
|          |   |                            |    |         |            |   |
| **desi   |   |                            |    |         |            |   |
| gnated** |   |                            |    |         |            |   |
|          |   |                            |    |         |            |   |
| **r      |   |                            |    |         |            |   |
| epresent |   |                            |    |         |            |   |
| ative.** |   |                            |    |         |            |   |
+----------+---+----------------------------+----+---------+------------+---+
|          | C |                            |    |         |            |   |
|          | o |                            |    |         |            |   |
|          | m |                            |    |         |            |   |
|          | p |                            |    |         |            |   |
|          | a |                            |    |         |            |   |
|          | n |                            |    |         |            |   |
|          | y |                            |    |         |            |   |
|          | N |                            |    |         |            |   |
|          | a |                            |    |         |            |   |
|          | m |                            |    |         |            |   |
|          | e |                            |    |         |            |   |
+----------+---+----------------------------+----+---------+------------+---+
|          | A |                            |    |         |            |   |
|          | d |                            |    |         |            |   |
|          | d |                            |    |         |            |   |
|          | r |                            |    |         |            |   |
|          | e |                            |    |         |            |   |
|          | s |                            |    |         |            |   |
|          | s |                            |    |         |            |   |
+----------+---+----------------------------+----+---------+------------+---+
|          | P |                            | F  |         |            |   |
|          | h |                            | ax |         |            |   |
|          | o |                            | Nu |         |            |   |
|          | n |                            | mb |         |            |   |
|          | e |                            | er |         |            |   |
|          | N |                            |    |         |            |   |
|          | u |                            |    |         |            |   |
|          | m |                            |    |         |            |   |
|          | b |                            |    |         |            |   |
|          | e |                            |    |         |            |   |
|          | r |                            |    |         |            |   |
+----------+---+----------------------------+----+---------+------------+---+
|          | E |                            |    |         |            |   |
|          | - |                            |    |         |            |   |
|          | m |                            |    |         |            |   |
|          | a |                            |    |         |            |   |
|          | i |                            |    |         |            |   |
|          | l |                            |    |         |            |   |
|          | a |                            |    |         |            |   |
|          | d |                            |    |         |            |   |
|          | d |                            |    |         |            |   |
|          | r |                            |    |         |            |   |
|          | e |                            |    |         |            |   |
|          | s |                            |    |         |            |   |
|          | s |                            |    |         |            |   |
+----------+---+----------------------------+----+---------+------------+---+
|          |   |                            |    |         |            |   |
+----------+---+----------------------------+----+---------+------------+---+

+----------+-----------------------------+-----------------------------+
| **STEP   | Name                        | Title                       |
| 3**      |                             |                             |
|          |                             |                             |
| **Enter  |                             |                             |
| req      |                             |                             |
| uested** |                             |                             |
|          |                             |                             |
| **inf    |                             |                             |
| ormation |                             |                             |
| for      |                             |                             |
| the**    |                             |                             |
|          |                             |                             |
| **a      |                             |                             |
| lternate |                             |                             |
| de       |                             |                             |
| signated |                             |                             |
| r        |                             |                             |
| epresent |                             |                             |
| ative.** |                             |                             |
+----------+-----------------------------+-----------------------------+
|          | Company Name                |                             |
+----------+-----------------------------+-----------------------------+
|          | Address                     |                             |
+----------+-----------------------------+-----------------------------+
|          | Phone Number                | Fax Number                  |
+----------+-----------------------------+-----------------------------+
|          | E-mail address              |                             |
+----------+-----------------------------+-----------------------------+

+-------+--------------------------+----------------------------------+
|       | Facility (Source) Name   | Certificate of Representation -  |
|       | (from Step 1)            | Page 2                           |
|       |                          |                                  |
|       |                          | Page of                          |
+-------+--------------------------+----------------------------------+
| *     |                          |                                  |
| *UNIT |                          |                                  |
| INF   |                          |                                  |
| ORMAT |                          |                                  |
| ION** |                          |                                  |
|       |                          |                                  |
| *     |                          |                                  |
| *STEP |                          |                                  |
| 4:    |                          |                                  |
| [Com  |                          |                                  |
| plete |                          |                                  |
| one   |                          |                                  |
| page  |                          |                                  |
| for   |                          |                                  |
| each  |                          |                                  |
| unit  |                          |                                  |
| lo    |                          |                                  |
| cated |                          |                                  |
| at    |                          |                                  |
| the   |                          |                                  |
| fac   |                          |                                  |
| ility |                          |                                  |
| ident |                          |                                  |
| ified |                          |                                  |
| in    |                          |                                  |
| STEP  |                          |                                  |
| 1     |                          |                                  |
| ]{.un |                          |                                  |
| derli |                          |                                  |
| ne}** |                          |                                  |
| (     |                          |                                  |
| i.e., |                          |                                  |
| for   |                          |                                  |
| each  |                          |                                  |
| bo    |                          |                                  |
| iler, |                          |                                  |
| s     |                          |                                  |
| imple |                          |                                  |
| cycle |                          |                                  |
| combu |                          |                                  |
| stion |                          |                                  |
| tur   |                          |                                  |
| bine, |                          |                                  |
| or    |                          |                                  |
| com   |                          |                                  |
| bined |                          |                                  |
| cycle |                          |                                  |
| combu |                          |                                  |
| stion |                          |                                  |
| tur   |                          |                                  |
| bine) |                          |                                  |
| Do    |                          |                                  |
| not   |                          |                                  |
| list  |                          |                                  |
| duct  |                          |                                  |
| bur   |                          |                                  |
| ners. |                          |                                  |
| Ind   |                          |                                  |
| icate |                          |                                  |
| each  |                          |                                  |
| pr    |                          |                                  |
| ogram |                          |                                  |
| to    |                          |                                  |
| which |                          |                                  |
| the   |                          |                                  |
| unit  |                          |                                  |
| is    |                          |                                  |
| sub   |                          |                                  |
| ject, |                          |                                  |
| and   |                          |                                  |
| enter |                          |                                  |
| all   |                          |                                  |
| other |                          |                                  |
| uni   |                          |                                  |
| t-spe |                          |                                  |
| cific |                          |                                  |
| in    |                          |                                  |
| forma |                          |                                  |
| tion, |                          |                                  |
| incl  |                          |                                  |
| uding |                          |                                  |
| the   |                          |                                  |
| name  |                          |                                  |
| of    |                          |                                  |
| each  |                          |                                  |
| owner |                          |                                  |
| and   |                          |                                  |
| ope   |                          |                                  |
| rator |                          |                                  |
| of    |                          |                                  |
| the   |                          |                                  |
| unit  |                          |                                  |
| and   |                          |                                  |
| the   |                          |                                  |
| gene  |                          |                                  |
| rator |                          |                                  |
| ID    |                          |                                  |
| n     |                          |                                  |
| umber |                          |                                  |
| and   |                          |                                  |
| name  |                          |                                  |
| plate |                          |                                  |
| cap   |                          |                                  |
| acity |                          |                                  |
| of    |                          |                                  |
| each  |                          |                                  |
| gene  |                          |                                  |
| rator |                          |                                  |
| s     |                          |                                  |
| erved |                          |                                  |
| by    |                          |                                  |
| the   |                          |                                  |
| unit. |                          |                                  |
| If    |                          |                                  |
| the   |                          |                                  |
| unit  |                          |                                  |
| is    |                          |                                  |
| su    |                          |                                  |
| bject |                          |                                  |
| to a  |                          |                                  |
| pro   |                          |                                  |
| gram, |                          |                                  |
| then  |                          |                                  |
| the   |                          |                                  |
| fac   |                          |                                  |
| ility |                          |                                  |
| (so   |                          |                                  |
| urce) |                          |                                  |
| is    |                          |                                  |
| also  |                          |                                  |
| sub   |                          |                                  |
| ject. |                          |                                  |
+-------+--------------------------+----------------------------------+
| **    |                          |                                  |
| Appli |                          |                                  |
| cable |                          |                                  |
| Progr |                          |                                  |
| am:** |                          |                                  |
| State |                          |                                  |
| CO~2~ |                          |                                  |
| B     |                          |                                  |
| udget |                          |                                  |
| Tr    |                          |                                  |
| ading |                          |                                  |
| Pr    |                          |                                  |
| ogram |                          |                                  |
+-------+--------------------------+----------------------------------+

+------+-----------+-----------+--------+--------+-------------------+
| Unit | Unit Type | Source    |        | Gen    | Nameplate         |
| ID#  |           | Category  |        | erator | Capacity (MWe)    |
|      |           |           |        | ID     |                   |
|      |           |           |        | Number |                   |
|      |           |           |        |        |                   |
|      |           |           |        | (M     |                   |
|      |           |           |        | aximum |                   |
|      |           |           |        | 8      |                   |
|      |           |           |        | chara  |                   |
|      |           |           |        | cters) |                   |
+------+-----------+-----------+--------+--------+-------------------+
|      |           |           |        |        |                   |
+------+-----------+-----------+--------+--------+-------------------+
|      |           | NAICS     |        |        |                   |
|      |           | Code      |        |        |                   |
+------+-----------+-----------+--------+--------+-------------------+
|      |           |           |        |        |                   |
+------+-----------+-----------+--------+--------+-------------------+
| Date |           |           | Check  |        |                   |
| unit |           |           | One:   |        |                   |
| b    |           |           |        |        |                   |
| egan |           |           | Actual |        |                   |
| (or  |           |           |        |        |                   |
| will |           |           | Pro    |        |                   |
| be   |           |           | jected |        |                   |
| gin) |           |           |        |        |                   |
| ser  |           |           |        |        |                   |
| ving |           |           |        |        |                   |
| any  |           |           |        |        |                   |
| g    |           |           |        |        |                   |
| ener |           |           |        |        |                   |
| ator |           |           |        |        |                   |
| p    |           |           |        |        |                   |
| rodu |           |           |        |        |                   |
| cing |           |           |        |        |                   |
| ele  |           |           |        |        |                   |
| ctri |           |           |        |        |                   |
| city |           |           |        |        |                   |
| for  |           |           |        |        |                   |
| sale |           |           |        |        |                   |
| (i   |           |           |        |        |                   |
| nclu |           |           |        |        |                   |
| ding |           |           |        |        |                   |
| test |           |           |        |        |                   |
| gen  |           |           |        |        |                   |
| erat |           |           |        |        |                   |
| ion) |           |           |        |        |                   |
| (    |           |           |        |        |                   |
| mm/d |           |           |        |        |                   |
| d/yy |           |           |        |        |                   |
| yy): |           |           |        |        |                   |
+------+-----------+-----------+--------+--------+-------------------+
|      |           |           |        |        |                   |
+------+-----------+-----------+--------+--------+-------------------+
|      |           |           |        |        |                   |
+------+-----------+-----------+--------+--------+-------------------+
| Com  |           |           |        |        | Owner             |
| pany |           |           |        |        |                   |
| N    |           |           |        |        | Operator          |
| ame: |           |           |        |        |                   |
+------+-----------+-----------+--------+--------+-------------------+
| Com  |           |           |        |        | Owner             |
| pany |           |           |        |        |                   |
| N    |           |           |        |        | Operator          |
| ame: |           |           |        |        |                   |
+------+-----------+-----------+--------+--------+-------------------+
| Com  |           |           |        |        | Owner             |
| pany |           |           |        |        |                   |
| N    |           |           |        |        | Operator          |
| ame: |           |           |        |        |                   |
+------+-----------+-----------+--------+--------+-------------------+
| Com  |           |           |        |        | Owner             |
| pany |           |           |        |        |                   |
| N    |           |           |        |        | Operator          |
| ame: |           |           |        |        |                   |
+------+-----------+-----------+--------+--------+-------------------+
| Com  |           |           |        |        | Owner             |
| pany |           |           |        |        |                   |
| N    |           |           |        |        | Operator          |
| ame: |           |           |        |        |                   |
+------+-----------+-----------+--------+--------+-------------------+

+-----------+-----------------------------------+----------------------+
|           | > Facility (Source) Name (from    | Certificate of       |
|           | > Step 1)                         | Representation -     |
|           |                                   | Page 3               |
+-----------+-----------------------------------+----------------------+
| **STEP 5: |                                   |                      |
| Read the  |                                   |                      |
| cert      |                                   |                      |
| ification |                                   |                      |
| s         |                                   |                      |
| tatement, |                                   |                      |
| sign, and |                                   |                      |
| date.**   |                                   |                      |
+-----------+-----------------------------------+----------------------+

[State CO~2~ Budget Trading Program]{.underline}

I certify that I was selected as the CO~2~ authorized account
representative or alternate CO~2~ authorized account representative, as
applicable, by an agreement binding on the owners and operators of the
CO~2~ budget source and each CO~2~ budget unit at the source. I certify
that I have all the necessary authority to carry out my duties and
responsibilities under the CO~2~ Budget Trading Program on behalf of the
owners and operators of the CO~2~ budget source and of each CO~2~ budget
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 Department^1^ or a court
regarding the source or unit.

^1^ For Connecticut, the language above ("the Department") should read
as "the commissioner".

[General]{.underline}

I am authorized to make this submission on behalf of the owners and
operators of the CO~2~ budget sources or CO~2~ budget units for which
the submission is made. I certify under penalty of law that I have
personally examined, and am familiar with, the statements and
information submitted in this document and all its attachments. Based on
my inquiry of those individuals with primary responsibility for
obtaining the information, I certify that the statements and information
are to the best of my knowledge and belief true, accurate, and complete.
I am aware that there are significant penalties for submitting false
statements and information or omitting required statements and
information, including the possibility of fine or imprisonment.

  ----------------------------------------- -----------------------------
  Signature (Designated Representative)     Date

  Signature (Alternate Designated           Date
  Representative)                           
  ----------------------------------------- -----------------------------

  ------------- ---------------------------------------------------------
                **Instructions for the Certificate of Representation**

  ------------- ---------------------------------------------------------

**Note**: You are **strongly encouraged to submit the Certificate of
Representation information online** through the CAMD Business System
(CBS) at
[**https://camd.epa.gov/cbs/index.cfm**](https://camd.epa.gov/cbs/index.cfm).
You must have a user ID and password. If you need a user ID and
password, or if you have questions about CBS, contact Laurel DeSantis at
[desantis.laurel@epa.gov]{.underline} or (202) 343-9191, or Alex
Salpeter at [salpeter.alex@epa.gov]{.underline} or (202) 343-9157.

Please note that the Designated Representative for the Acid Rain, CAIR
and RGGI Programs must be the same person. You can find the Certificate
of Representation form for Acid Rain and CAIR programs at
<http://www.epa.gov/airmarkets/business/docs/forms/designatedrepresentativeform.doc>.

Please type or print. Submit one copy of page 2 for each unit subject to
the state CO~2~ Budget Trading Program at the facility (source), and
indicate the page order and total number of pages (*e.g.*, 1 of 4, 2 of
4, etc.) in the boxes in the upper right hand corner of page 2. **A
Certificate of Representation amending an earlier submission supersedes
the earlier submission in its entirety and must therefore always be
complete**. Submit one Certificate of Representation form with
[original]{.underline} signature(s). **NO FIELDS SHOULD BE LEFT BLANK.**
For assistance, contact Laurel DeSantis at <desantis.laurel@epa.gov> or
(202) 343-9191.

**STEP 1**

**(i)** A Plant Code is a 4 or 5 digit number assigned by the Department
of Energy=s (DOE) Energy Information Administration (EIA) to facilities
that generate electricity. For older facilities, \"Plant Code\" is
synonymous with \"ORISPL\" and \"Facility\" codes. If the facility
generates electricity but no Plant Code has been assigned, or if there
is uncertainty regarding what the Plant Code is, contact EIA at (202)
586-4325 or (202) 586-2402. For facilities that do not produce
electricity, use the facility identifier assigned by EPA (beginning with
\"88\"). If the facility does not produce electricity and has not been
assigned a facility identifier, contact Laurel DeSantis at
<desantis.laurel@epa.gov> or (202) 343-9191.

**(ii)** Enter the latitude and longitude representing the location of
the facility in degree decimal format.

Note that coordinates MUST be submitted in decimal degree format; in
this format minutes and seconds are represented as a decimal fraction of
one degree. Therefore, coordinates containing degrees, minutes, and
seconds must first be converted using the formula:

decimal degrees = degrees + (minutes / 60) + (seconds / 3600)

Example:

39 degrees, 15 minutes, 25 seconds = 39 + (15 / 60) + (25 / 3600) =
39.2569 degrees

**STEPS 2 & 3**

The Designated Representative and the Alternate Designated
Representative must be individuals (i.e., natural persons) and cannot be
a company. Enter the company name and address of the representative as
it should appear on all correspondence. If an email address is provided,
most correspondence will be emailed. **Although not required, you are
strongly encouraged to designate an Alternate Designated Representative
to act on behalf of the Designated Representative.**

**STEP 4**

**(i)** Complete one page for each unit subject to the state CO~2~
Budget Trading Program Identify each unit at the facility by providing
the appropriate unit identification number, consistent with the
identifiers used in previously submitted Certificates of Representation
(if applicable) and with submissions made to DOE and/or EIA. Do not list
duct burners. For new units without identification numbers, owners and
operators must assign identifiers consistent with EIA and DOE
requirements. Each submission that includes the unit identification
number(s) (e.g., monitoring plans and quarterly reports) should
reference those unit identification numbers in [exactly]{.underline} the
same way that they are referenced on the Certificate of Representation.
Do [not]{.underline} identify units that are not subject to the above
program but are part of a common monitoring configuration with a unit
that is subject to the above program. To identify units in a common
monitoring configuration that are not subject to any of the program,
call the CAMD Hotline at (202) 343-9620, and leave a message under the
\"CEMS\" submenu.

**(ii)** Identify the type of unit using one of the following
abbreviations:

  ----------------------- ------------------ ----------------------- -------------------- ------------------------ ----------------
  [Boilers]{.underline}                      [Boilers]{.underline}                        [Turbines]{.underline}   

  **AF**                  Arch-fired boiler  **OB**                  Other boiler         **CC**                   Combined cycle

  **BFB**                 Bubbling fluidized **PFB**                 Pressurized          **CT**                   Combustion
                          bed boiler                                 fluidized bed boiler                          turbine

  **C**                   Cyclone boiler     **S**                   Stoker               **OT**                   Other turbine

  **CB**                  Cell burner boiler **T**                   Tangentially-fired   [Others]{.underline}     
                                                                     boiler                                        

  **CFB**                 Circulating        **WBF**                 Wet bottom           **ICE**                  Internal
                          fluidized bed                              wall-fired boiler                             combustion
                          boiler                                                                                   engine

  **DB**                  Dry bottom         **WBT**                 Wet bottom           **KLN**                  Cement kiln
                          wall-fired boiler                          turbo-fired boiler                            

  **DTF**                 Dry bottom         **WVF**                 Wet bottom           **PRH**                  Refinery process
                          turbo-fired boiler                         vertically-fired                              heater
                                                                     boiler                                        

  **DVF**                 Dry bottom                                                                               
                          vertically-fired                                                                         
                          boiler                                                                                   
  ----------------------- ------------------ ----------------------- -------------------- ------------------------ ----------------

If there is uncertainty about how a unit should be characterized,
contact Robert Miller at <miller.robertl@epa.gov> or (202) 343-9077.

**(iii)** Indicate the source category description that most accurately
describes the purpose for which the unit is operated by entering one of
the following terms. If none of these descriptions applies to your unit,
contact Robert Miller at <miller.robertl@epa.gov> or (202) 343-9077.

Automotive Stampings Industrial Boiler Petroleum Refinery

Bulk Industrial Chemical Industrial Turbine Portland Cement Plant

Cement Manufacturing Institutional Pulp and Paper Mill

Cogeneration Iron and Steel Small Power Producer

Electric Utility Municipal Waste Combustor Theme Park

**(iv)** Provide the primary North American Industrial Classification
System (NAICS) code that most accurately describes the business type for
which the unit is operated. If unknown, go to
[http://www.census.gov](http://www.census.gov/) for guidance on how to
determine the proper NAICS code for the unit.

**(v)** Enter the date the unit began (or will begin) serving any
generator producing electricity for sale, including test generation.
Enter this date and check the \"actual\" box for any unit that has begun
to serve a generator producing electricity for sale as of the date of
submission of this form. (This information should be provided even if
the unit does not currently serve a generator producing electricity for
sale.) For any unit that will begin, but has [not]{.underline} begun as
of the date of submission of this form, to serve a generator producing
electricity for sale, estimate the future date on which the unit will
begin to produce electricity for sale and check the \"projected\" box.
When the actual date is established, revise the form accordingly by
entering the actual date and checking the \"actual\" box. Enter \"NA\"
if the unit has not ever served, is not currently serving, and is not
projected to serve, a generator that producing electricity for sale.
**You are strongly encouraged to use the CAMD Business System to update
information regarding when a unit begins serving a generator producing
electricity for sale.**

If you have questions regarding this portion of the form, contact Robert
Miller at [miller.robertl@epa.gov]{.underline} or (202) 343-9077.

**(vi)** For a unit subject to the state CO~2~ Budget Trading Program
that, as of the date of submission of this form, serves one or more
generators (whether or not the generator produces electricity for sale),
indicate the generator ID number and the nameplate capacity (in MWe) of
each generator served by the unit. A unit serves a generator if it
produces, or is able to produce, steam, gas, or other heated medium for
generating electricity at that generator. For combined cycle units,
report separately the nameplate capacities of the generators associated
with the combustion turbine and the steam turbine. Please ensure that
the generator ID numbers entered are consistent with those reported to
the EIA.

The nameplate capacity of a generator, [if listed in the National
Allowance Database (\"NADB\")]{.underline}, [is not
affected]{.underline} by physical changes to the generator after initial
installation that result in an increase in the maximum electrical
generating output that the generator is capable of producing. Otherwise,
the nameplate capacity of a generator [is affected]{.underline} by
physical changes to the generator after initial installation that result
in an increase in the maximum electrical generating output that the
generator is capable of producing. In such a case, the higher maximum
electrical generating output number in MWe should be reported in the
nameplate capacity column. Enter \"NA\" if, as of the date of submission
of this form, the unit does not serve a generator. The NADB is located
at the CAMD website at
http://www.epa.gov/airmarkets/trading/allocations.html. If you have
questions regarding nameplate capacity, contact Robert Miller at
[miller.robertl@epa.gov]{.underline} or (202) 343-9077; if you have
questions regarding the NADB, contact Craig Hillock at
<hillock.craig@epa.gov> or (202) 343-9105.

**(vii)** Enter the company name of each owner and operator in the
\"Company Name\" field. Indicate whether the company is the owner,
operator, or both. For new units, if the operator of a unit has not yet
been chosen, indicate that the owner is both the owner and operator and
submit a revised form when the operator has been selected within 30 days
of the effective date of the selection. EPA must be notified of changes
to owners and operators within 30 days of the effective date of the
change. **You are strongly encouraged to use the CAMD Business System to
provide updated information on owners and operators.**

**STEP 5**

Read the certification statement, sign, and date.

**Mail this form to:**

For regular/certified mail: For overnight mail:

U.S. Environmental Protection Agency U.S. Environmental Protection
Agency

Clean Air Markets Division (6204J) Clean Air Markets Division (6204J)

Attention: Designated Representative Attention: Designated
Representative

1200 Pennsylvania Avenue, NW 1310 L Street, NW

Washington, DC 20460 Second Floor -- Cubicle 247E

Washington, DC 20005

\(202\) 343-9191

Submit a revised Certificate of Representation when any information in
the existing Certificate of Representation changes. **You are strongly
encouraged to use the CAMD Business System to provide updated
information.**