3F0122-02, Proof of Financial Protection
| ML22018A052 | |
| Person / Time | |
|---|---|
| Site: | Crystal River  |
| Issue date: | 01/17/2022 |
| From: | Dixon P ADP CR3 |
| To: | Document Control Desk, Office of Nuclear Material Safety and Safeguards, Office of Nuclear Reactor Regulation |
| References | |
| 3F0122-02 | |
| Download: ML22018A052 (5) | |
Text
January 17, 2022 3F0122-02 ADPCR3, LLC U.S. Nuclear Regulatory Commission Attn: Document Control Desk Washington, DC 20555-0001
Subject:
Crystal River 3 - Proof of Financial Protection
Dear Sir or Madam:
Crystal River Nuclear Plant 2760 South Falkenburg Rd Riverview, FL 33578 Docket 50-302 Docket 72-1035 Operating License No. DPR-72 10 CFR 140.15 In accordance with 10 CFR 140.15, ADP CR3, LLC hereby provides proof of financial protection in the form of nuclear energy liability insurance for the Crystal River Nuclear Power Plant. ADP CR3, LLC maintains the existing nuclear liability coverage in accordance with the approved exemption to 10 CFR 140.11 (a)(4).
The attached Certificate of Liability Insurance satisfies the requirement to provide proof of financial protection per the requirements of 10 CFR 140.15.
This letter contains no new regulatory commitments.
If you have any questions regarding this submittal, please contact Mr. Mark Van Sicklen, Licensing Manager, at (352) 436-5572.
?Ze~~ly, (J:::~
ISFSI Manager
Attachment:
Certificate of Liability Insurance cc:
NMSS Project Manager Regional Administrator, Region I
ATL-004516345-21 DEC41-Q N
36 01/01/2022 Nuclear Energy Liability A
10/28/2021 SEE ATTACHED Effective September 13, 2016 in accordance with the NRC approved changes to facility operating license, Duke Energy Progress, Inc. changed corporate form to Duke Energy Progress, LLC and insurance policies have been amended accordingly.
Washington, DC 20555-0001 Document Control Desk CN102429173-OTU-1/1-22-23 01/01/2023 100 North Tryon Street, Suite 3600 Marsh USA Inc.
Charlotte, NC 28202 ATTN: Lance Burnette Duke Energy Corporation 550 S. Tyron Street Lance.Burnette@duke-energy.com Charlotte, NC 28202 SEE ATTACHED U.S. Nuclear Regulatory Commission American Nuclear Insurers ACORD CERTIFICATE OF LIABILITY INSURANCE I
DATE (MMIDD/YYYY)
~
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT NAME:
wgN:o Extl :
I FAX IA/C Nol:
E*MAIL ADDRESS:
INSURERISl AFFORDING COVERAGE NAIC#
INSURER A :
INSURED INSURERB :
INSURERC :
INSURERD :
INSURERE :
INSURERF :
COVERAGES CERTIFICATE NUMBER:
REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADDL SUBR POLICYEFF POLICY EXP LTR TYPE OF INSURANCE
'""'D WVD POLICY NUMBER IMMIDD/YYYYI IMMIDD/YYYYI LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE
~
CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES /Ea occurrence)
~
MED EXP (Any one person)
PERSONAL & ADV INJURY
~
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE Fl PRO-D Loc PRODUCTS
- COMP/OP AGG POLICY JECT OTHER:
AUTOMOBILE LIABILITY fE~~~~d~~tf lNGLE LIMIT
~
ANY AUTO BODILY INJURY (Per person)
~
OWNED
~
SCHEDULED BODILY INJURY (Per accident) $
~
AUTOS ONLY
~
AUTOS HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY
/Per accident)
~
~
UMBRELLA LIAB H OCCUR EACH OCCURRENCE
~
EXCESSLIAB CLAIMS-MADE AGGREGATE OED I I RETENTION $
WORKERS COMPENSATION I PER I
I OTH*
AND EMPLOYERS' LIABILITY STATUTE ER Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE N/A E.L. EACH ACCIDENT OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
E.L. DISEASE
- EA EMPLOYEE $
If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE
- POLICY LIMIT DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Addltlonal Remarks Schedule, may be attached If more space Is required)
CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE I
~USA~~-
© 1988-2016 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03)
The ACORD name and logo are registered marks of ACORD
- 3. SITE #3 - OCONEE
- 1. SITE #1 - CATAWBA NAMED INSURED [LISTED ON POLICY]: Duke Energy Carolinas, LLC NAMED INSURED [LISTED ON POLICY]: Duke Energy Carolinas, LLC NF-0218 10/25/1973 $450 Million NF-0182 03/01/1970 $450 Million NF-0281 12/01/1983 $450 Million POLICY NUMBER: POLICY EFFECTIVE: LIMIT OF LIABILITY:
NW-0615 05/01/1977 $450 Million**
N-0106 12/01/1983 ***
POLICY NUMBER: POLICY EFFECTIVE: LIMIT OF LIABILITY:
NW-0597 10/25/1973 $450 Million**
NW-0569 03/01/1970 $450 Million**
LOCATION OF NUCLEAR FACILITY: Brunswick Nuclear Power Plant 2.5 MI N of Southport, NC Types of Insurance: NF - [Facility Form], NW- [Master Worker Certificate], NS - [US Domestic Suppliers & Transporters], FS - [Foreign Suppliers & Transporters], N- [Secondary Financial Protection Certificate]
Insured named herein, with respect to the Nuclear Facility at the Location shown and/or with respect to the Insured's operations described herein. If such policy is cancelled or otherwise terminated prior to the This is to certify that there is in force as of the effective date of this Certificate a Nuclear Energy Liability Insurance Policy issued by members of American Nuclear Insurers as indicated (Companies), to the the end of such December 31st. A Certificate will NOT be issued for any subsequent calendar year unless requested in writing.
end of December 31st of the calendar year in which the Effective Date of this Certificate occurs, notice will be delivered in accordance with the policy provisions. Otherwise this Certificate shall terminate as of CERTIFICATE OF NUCLEAR ENERGY LIABILITY INSURANCE
- 2. SITE #2 - MCGUIRE N-0022 08/01/1977 ***
LOCATION OF NUCLEAR FACILITY: Oconee Nuclear Power Plant in Oconee County, South Carolina LOCATION OF NUCLEAR FACILITY: Catawba Nuclear Power Plant in the NE portion of York County, SC NW-0637 12/01/1983 $450 Million**
POLICY NUMBER: POLICY EFFECTIVE: LIMIT OF LIABILITY:
N-0023 08/01/1977 ***
N-0069 01/23/1981 ***
NF-0248 05/01/1977 $450 Million NAMED INSURED [LISTED ON POLICY]: Duke Energy Progress, LLC LOCATION OF NUCLEAR FACILITY: McGuire Nuclear Power Plant located 17 mi N/NW of Charlotte, NC N-0055 08/01/1977 ***
Marsh USA Inc.
N-0024 08/01/1977 ***
N-0054 08/01/1977 ***
ATTN: Lance Burnette Duke Energy Corporation 550 S. Tyron Street Lance.Burnette@duke-energy.com Charlotte, NC 28202 DEC41-Q N-0097 07/18/1984 ***
POLICY NUMBER: POLICY EFFECTIVE: LIMIT OF LIABILITY:
NAMED INSURED [LISTED ON POLICY]: Duke Energy Carolinas, LLC N-0092 03/03/1983 ***
- 4. SITE #4 - BRUNSWICK COVERAGE FOR NUCLEAR FACILITIES:
AGENCY CUSTOMER ID: CN102429173 LO C #: Charlotte ADDITIONAL REMARKS SCHEDULE Page 2
of 4
AGENCY NAMED INSURED POLICY NUMBER CARRIER I NAICCODE EFFECTIVE DATE:
ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:
25 FORM TITLE: Certificate of Liability Insurance ACORD 101 (2008/01)
© 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
NAMED INSURED [LISTED ON POLICY]: Duke Energy Carolinas, LLC LOCATION OF NUCLEAR FACILITY: Shearon Harris Nuclear Power Plant 20 MI SW of Raleigh, NC NF-0355 01/01/2016 $1 Million POLICY NUMBER: POLICY EFFECTIVE: LIMIT OF LIABILITY:
reference thereto. Such limit may have been reduced by payment of claims or claims expenses.
NW-0642 06/01/1984 $450 Million**
NW-0567 10/15/1969 $450 Million**
- 7. SITE #7 - H. B. ROBINSON
- Master Worker Certificate - This limit is shared by all Certificates to the Master Worker Policy of which each Certificate is a part and is subject to all of the provisions of such Policy and Certificate having
- Secondary Financial Protection Certificate - Financial protection available under an industry retrospective rating plan.
COMMENTS/NOTES:
NF-0195 07/01/1971 $100 Million POLICY NUMBER: POLICY EFFECTIVE: LIMIT OF LIABILITY:
NW-0579 07/01/1971 $450 Million**
- 5. SITE #5 - CRYSTAL RIVER NAMED INSURED [LISTED ON POLICY]: Duke Energy Florida, LLC, ADP CR3, LLC and ADP SF1, LLC LOCATION OF NUCLEAR FACILITY: Crystal River Nuclear Power Plant 7.5 MI NW of Crystal River, Citrus County, FL NAMED INSURED [LISTED ON POLICY]: Duke Energy Progress, LLC THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.
LOCATION OF NUCLEAR FACILITY: Lee Nuclear Site 8.2 MI SE of Gaffney, SC
- 6. SITE #6 - SHEARON HARRIS POLICY NUMBER POLICY EFFECTIVE: LIMIT OF LIABILITY:
NAMED INSURED [LISTED ON POLICY]: Duke Energy Progress, LLC N-0112 10/24/1986 ***
NF-0288 06/01/1984 $450 Million N-0021 08/01/1977 ***
LOCATION OF NUCLEAR FACILITY: H.B. Robinson Nuclear Power Plant 5 MI WNW from Hartsville, SC issued shall amend, extend or alter the coverage afforded by the policy. The Limit of Liability shown above may have been reduced by payment of claims or claims expenses.
POLICY NUMBER: POLICY EFFECTIVE: LIMIT OF LIABILITY:
Marsh USA Inc.
The insurance afforded by the policy(ies) is subject to the exclusions, conditions and other provisions of the policy(ies). Neither this Certificate nor any contract or other document with respect to which it is ATTN: Lance Burnette Duke Energy Corporation 550 S. Tyron Street Lance.Burnette@duke-energy.com Charlotte, NC 28202 DEC41-Q NF-0180 10/15/1969 $450 Million
- 9. SITE #9 - LEE AGENCY CUSTOMER ID: CN102429173 LO C #: Charlotte ADDITIONAL REMARKS SCHEDULE Page 3
of 4
AGENCY NAMED INSURED POLICY NUMBER CARRIER I NAICCODE EFFECTIVE DATE:
ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:
25 FORM TITLE: Certificate of Liability Insurance ACORD 101 (2008/01)
© 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
Marsh USA Inc.
ATTN: Lance Burnette Duke Energy Corporation 550 S. Tyron Street Lance.Burnette@duke-energy.com Charlotte, NC 28202 DEC41-Q AGENCY CUSTOMER ID: CN102429173 LO C #: Charlotte ADDITIONAL REMARKS SCHEDULE Page 4
of 4
AGENCY NAMED INSURED POLICY NUMBER CARRIER I NAICCODE EFFECTIVE DATE:
ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:
25 FORM TITLE: Certificate of Liability Insurance ACORD 101 (2008/01)
© 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD