Claim Priority Class | Financial Responsibility | ||
Pursuant to Section 2811.1 | Amount | ||
Priority Class A | $-0- | ||
Priority Class B | $ 5,000 | ||
Priority Class C | $ 5,000 | ||
Priority Class D | $10,000 |
If a waiver is granted pursuant to section 2811, subdivision (a)(2)(B), demonstrate financial responsibility of at least twice the above amounts per occurrence and per annual aggregate coverage, exclusive of the Fund.
LETTER FROM CHIEF FINANCIAL OFFICER
I am the chief financial officer for [insert: business name, business address and correspondence address of the owner or operator]. This letter is in support of the use of the Underground Storage Tank Cleanup Fund to demonstrate financial responsibility for taking corrective action and/or compensating third parties for bodily injury and property damage caused by an unauthorized release of petroleum in the amount of at least [insert: dollar amount] per occurrence and [insert: dollar amount] annual aggregate coverage.
Underground storage tanks at the following facilities are assured by this letter: [insert: the name and address of each facility where the underground storage tanks for which financial responsibility is being demonstrated are located].
1. Amount of annual aggregate coverage being assured by this letter | $ __________ |
2. Total tangible assets | $ __________ |
3. Total liabilities | $ __________ |
4. Tangible net worth (subtract line 3 from line 2. Line 4 must be at least 10 times line 1) | $ __________ |
I hereby certify that the wording of this letter is identical to the wording specified in section 2808.1, subdivision (c)(1), chapter 18, division 3, title 23 of the California Code of Regulations.
I declare under penalty of perjury that the foregoing is true and correct to the best of my knowledge and belief. Executed at [insert: place of execution] on [insert: date].
[Signature]
[Name]
[Title]
Cal. Code Regs. Tit. 23, § 2808.1
2. Editorial correction deleting duplicate text following HISTORY 1. (Register 92, No. 21).
3. Editorial correction of printing errors in HISTORY 1. (Register 92, No. 43).
4. Amendment of subsections (a)(1), (c), and (d)(1) filed 12-27-94 as an emergency; operative 12-27-94 (Register 94, No. 52). Notwithstanding Chapter 3.5 (commencing with section 11340) of Part 1 of Division 3 of Title 2 of the Government Code, this section shall not be repealed by OAL and shall remain in effect until revised by the State Water Resources Control Board, pursuant to Health and Safety Code section 25299.77, subdivision (b).
5. Repealer and new subsection (a)(1) filed 8-8-96; operative 8-8-96 pursuant to Government Code section 11343.4(d) (Register 96, No. 32).
6. Amendment of section and NOTE filed 10-27-2000; operative 11-26-2000 (Register 2000, No. 43).
Note: Authority cited: Section 25299.77, Health and Safety Code. Reference: Sections 25299.31, 25299.32, 25299.33 and 25299.58(d), Health and Safety Code.
2. Editorial correction deleting duplicate text following History 1. (Register 92, No. 21).
3. Editorial correction of printing errors in History 1. (Register 92, No. 43).
4. Amendment of subsections (a)(1), (c), and (d)(1) filed 12-27-94 as an emergency; operative 12-27-94 (Register 94, No. 52). Notwithstanding Chapter 3.5 (commencing with section 11340) of Part 1 of Division 3 of Title 2 of the Government Code, this section shall not be repealed by OAL and shall remain in effect until revised by the State Water Resources Control Board, pursuant to Health and Safety Code section 25299.77, subdivision (b).
5. Repealer and new subsection (a)(1) filed 8-8-96; operative 8-8-96 pursuant to Government Code section 11343.4(d) (Register 96, No. 32).
6. Amendment of section and Note filed 10-27-2000; operative 11-26-2000 (Register 2000, No. 43).