{"data":{"id":"us-va/9vac25-640-250-9","jurisdiction":"us-va","citation":"9VAC25-640-250:9","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\nOperator hereby certifies that it is in compliance with the requirements of 9VAC25-640.\n\nThe financial assurance mechanism[s] used to demonstrate financial responsibility under 9VAC25-640 is [are] as follows:\n\nIndicate type of Mechanism:\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: _____________\n\nMechanism Number (if applicable): _____________\n\nTotal number of gallons of aboveground storage capacity for which demonstration is provided: _____________\n\nAmount of coverage for mechanism:\n\n$______________ containment and clean up per occurrence and annual aggregate\n\nEffective period of coverage: _______________ to _______________\n\nDo(es) mechanism(s) cover(s): containment and clean up caused by either sudden accidental discharges or nonsudden accidental discharges or accidental discharges? ____ Yes ____ No\n\nIf \"No,\" specify in the following space the items the mechanism covers:\n\n[Signature of operator]\n\n[Name of operator]\n\n[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 640. Aboveground Storage Tank and Pipeline Facility Financial Responsibility Requirements"],"source_url":"https://law.lis.virginia.gov/admincode/title9/agency25/chapter640/section250:9/","current_through":"2026 Regular Session (effective July 1, 2026)","vintage":"","retrieved_at":"2026-09-14T04:49:20Z","sha256":"71a5b5589e26b3818f8a9123aebfad4cbfb812849fdeaf50a6aa321cf572508d","source_id":"us-va-vac","stale":false,"prev":"us-va/9vac25-640-250-8","next":"us-va/9vac25-640-250-10"},"notice":"GroundRules: Original legal text. Not legal advice."}