Storage Tank Local Government Guarantee with Standby Trust by a State

Form 62-761.900(3) Part K
 

Other Forms Needed, Examples, and Links

• Form Part P (Certification of Financial Responsibility) 
• Form Part H (Standby Trust Fund Agreement) must also be established in the name of the Owner or Operator
• Example Facility/Tank Schedule
• Example Certificate of Valid Claim (one option for drawing on a financial assurance mechanism, per 40 CFR 280.112)
• Links to Outside Agencies - for verifications (Sunbiz)

Guarantee Specific Guidance

• Period of Coverage for the Guarantee: enter the guarantee date (first line) to "evergreen".
• The actual Guarantee is evergreen and does not require (annual) updating unless its details change.

What to Do with Completed Forms

• An owner or operator must maintain financial responsibility records (copies of the completed form parts with required supporting documentation) at the facility or at their business office.
• If not kept at the facility, they shall be made available at the facility or another agreed upon location upon five business days notice by a department or county inspector.

Return to the Storage Tank Financial Assurance Forms (Mechanisms) webpage.