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Storage Tank Performance Bond

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Document: 

Form 62-761.900(3) Part E

Needed Forms and Items

General Guidance

  • Calculate FR needs, Reference Manuals, EPA link and FAQs
  • DEP Forms must be used and filled out completely
  • Verify current version of form part is used  ("October 2019" version if signed after 10/13/2019)
  • Verify Institution can complete form (Circular 570 listed)
  • Verify facility and tanks at site have coverage. The following should match the state registration:
    • Facility identification number (FacID) (for facilities in Florida)
    • Facility name
    • Site address
    • Number of regulated tanks (or list of tank identification numbers)
  • Confirm "owner or operator" name is same as in Sunbiz.org if not a governmental agency or sole proprietor

Bond Specific Guidance

  • Power-of-Attorney must be kept with bond and with any rider
  • Power-of-Attorney date must be the same date as the execution date on the bond (page 1 of the bond) or rider
  • Embossed surety seal must be on the original Power-of-Attorney and on the last page of the bond by the Authorized Representative of Surety’s signature
  • Name of Authorized Representative of Surety on the bond must exactly match name on Power-of-Attorney. Example: John R. James is not the same as John James
  • The Surety must be listed on the Treasury’s Circular 570 with licensure in Florida and the Annual Aggregate must be less than or equal to the Underwriting Limit
  • Name of Surety should be exactly as on Circular 570

What to Do with Completed Forms

  • An owner or operator must maintain financial responsibility records (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

Links

  • Sunbiz – verify owner/operator’s legal name (including punctuation and abbreviations)
  • Circular 570 – verify Surety listed with adequate underwriting limit

Return to Storage Tank Financial Assurance Forms (Mechanisms) webpage

Form Number: 
62-761.900(3) Part E
Effective-Revision Date: 
Friday, February 7, 2020
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Last Modified:
February 25, 2020 - 1:57pm

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