{"data":{"id":"us-va/9vac25-590-260-9","jurisdiction":"us-va","citation":"9VAC25-590-260:9","heading":"APPENDIX IX. CERTIFICATION OF FINANCIAL RESPONSIBILITY","body":"APPENDIX IX. CERTIFICATION OF FINANCIAL RESPONSIBILITY.\n\n[Note: The instructions in brackets are to be replaced by the relevant information and the brackets deleted.]\n\n[Owner or operator] hereby certifies that it is in compliance with the requirements of 9VAC25-590 (Petroleum Underground Storage Tank Financial Requirements Regulation).\n\nThe financial assurance mechanism[s] used to demonstrate financial responsibility under 9VAC25-590 is [are] as follows:\n\nIndicate type of Mechanism (Note: the Fund may not be used as the sole mechanism):\n\n____ Virginia Petroleum Storage Tank Fund (\"the Fund\")\n\n____ Letter from Chief Financial Officer\n\n____ Guarantee\n\n____ Insurance Endorsement or Certificate\n\n____ Letter of Credit\n\n____ Certificate of Deposit\n\n____ Surety Bond\n\n____ Trust Fund\n\nName of Issuer (for mechanism other than the Fund): ______________________________\n\nMechanism Number (if applicable):_____________________\n\nDemonstration amount for mechanism other than the Fund:\n\n$______________ corrective action per occurrence\n\n$______________ third party liability per occurrence\n\n$______________ annual aggregate\n\nThe Virginia Petroleum Storage Tank Fund demonstrates amounts for corrective action per occurrence, third party liability per occurrence, and annual aggregate, in excess of the amounts demonstrated by the \"mechanism other than the Fund\" up to one million dollars. In the event that the owner/operator owns/operates in excess of 100 USTs in the Commonwealth of Virginia, the Fund demonstrates up to an annual aggregate of two million dollars.\n\nMechanisms' effective period of coverage: _______________ to _______________\n\n(If you are using either the Financial Test or the Guarantee, please indicate the current financial reporting year, e.g., 1/01/02—12/31/02, if you use the calendar year as your financial reporting year, or other dates if you operate under a different fiscal year. If you are using a Letter of Credit, a Certificate of Deposit, a Surety Bond, or an Insurance Policy, please indicate the annually renewable term of the applicable mechanism.)\n\nDo(es) mechanism(s) cover(s): taking corrective action and/or compensating third parties for bodily injury and property damage caused by either sudden accidental releases or nonsudden accidental releases or accidental releases? ____ Yes ____ No\n\nIf \"No,\" specify in the following space the items the mechanism covers:\n\n[Signature of owner or operator]\n\n[Name of owner or operator] [Title] [Date]\n\n[Signature of notary]\n\n[Name of notary] [Date] My Commission expires:","path":["Title 9. Environment","Agency 25. State Water Control Board","Chapter 590. Petroleum Underground Storage Tank Financial Responsibility Requirements"],"source_url":"https://law.lis.virginia.gov/admincode/title9/agency25/chapter590/section260:9/","current_through":"2026 Regular Session (effective July 1, 2026)","vintage":"","retrieved_at":"2026-09-14T04:49:18Z","sha256":"353d1728293f7d85a0235e2a517ab70f3b2bd03fe033eb7f3eada0d77d28f281","source_id":"us-va-vac","stale":false,"prev":"us-va/9vac25-590-260-8","next":"us-va/9vac25-590-260-10"},"notice":"GroundRules: Original legal text. Not legal advice."}