3F0123-01, Proof of Financial Protection
| ML23026A004 | |
| Person / Time | |
|---|---|
| Site: | Crystal River  |
| Issue date: | 01/26/2023 |
| From: | Dixon P ADP CR3 |
| To: | Office of Nuclear Reactor Regulation, Document Control Desk |
| References | |
| 3F0123-01 | |
| Download: ML23026A004 (1) | |
Text
January 26, 2023 3F0123-01 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 10CFR140.15 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 Ms. Holly Van Sicklen, Licensing Manager, at (352) 634-1028.
Sincerely,
&.!J!!~
ISFSI Manager
Attachment:
Certificate of Liability Insurance cc:
NMSS Project Manager Regional Administrator, Region I
ACORD CERTIFICATE OF LIABILITY INSURANCE I
DATE (MM/DD/YYYY)
~
10/20/2022 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 Marsh USA Inc.
NAME:
PHONE I FAX 100 North Tryon Street, Suite 3600 IAJC No Extl:
(AJC No):
Charlotte, NC 28202 E-MAIL ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC#
CN102429173-OTU-1/1-23-24 INSURER A: American Nuclear Insurers INSURED INSURER B:
Duke Energy Corporation Attn: Lance Burnette INSURERC:
Lance.Burnette@duke-energy.com INSURER D:
400 S. Tryon Street ST30INS INSURER E:
Charlotte, NC 28202 INSURER F :
COVERAGES CERTIFICATE NUMBER:
A TL-004516345-25 REVISION NUMBER: 36 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 REQUI REMENT, 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
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LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE
~
CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence)
MED EXP (Any one person)
~
PERSONAL & ADV INJURY
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GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE Fl PRO-DLoc POLICY JECT PRODUCTS - COMP/OP AGG OTHER:
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident)
~
ANY AUTO BODILY INJURY (Per person)
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OWNED
~
SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $
~
HIRED
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NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident)
~
~
UMBRELLA LIAB H OCCUR EACH OCCURRENCE
~
EXCESS LIAB CLAIMS-MADE AGGREGATE DED I
I RETENTION $
WORKERS COMPENSATION I PER I
I OTH-AND EMPLOYERS' LIABILITY STATUTE ER Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE 0 E.L. EACH ACCIDENT OFFICER/MEMBER EXCLUDED?
N/A (Mandatory in NH)
E.L. DISEASE - EA EMPLOYEE $
If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT A
Nuclear Energy Liability SEE ATTACHED 01/01/2023 01/01/2024 SEE ATTACHED DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
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.
CERTIFICATE HOLDER CANCELLATION Document Control Desk SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE U S. Nuclear Regulatory Commission THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Washington, DC 20555-0001 ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE I
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© 1988-2016 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03)
The ACORD name and logo are registered marks of ACORD
AGENCY CUSTOMER ID: CN102429173 LO C #:
Charlotte ADDITIONAL REMARKS SCHEDULE Page 2
of 4
AGENCY NAMED INSURED Marsh USA Inc.
Duke Energy Corporation Attn: Lance Burnette POLICY NUMBER Lance.Burnette@duke-energy.com 400 S Tryon Street ST30INS CARRIER I NAICCODE Charlotte, NC 28202 EFFECTIVE DATE:
ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:
25 FORM TITLE: Certificate of Liability Insurance CERTIFICATE OF NUCLEAR ENERGY LIABILITY INSURANCE 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 Insured named herein, with respect to the Nuclear Facility at the Location shown and/or with respect to the lnsured's operations described herein. If such policy is cancelled or otherwise terminated prior to the 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 the end of such December 31st. A Certificate will NOT be issued for any subsequent calendar year unless requested in writing.
Types of Insurance NF - [Facility Form], NW- [Master Worker Certificate], NS - [US Domestic Supplier's & Transporters], FS - [Foreign Suppliers & Transporters], N- [Secondary Financial Protection Certificate]
COVERAGE FOR NUCLEAR FACILITIES:
- 1. SITE #1-CATAWBA LOCATION OF NUCLEAR FACILITY Catawba Nuclear Power Plant in the NE portion of York County, SC NAMED INSURED [LISTED ON POLICY): Duke Energy Carolinas, LLC POLICY NUMBER:
POLICY EFFECTIVE:
LIMIT OF LIABILITY:
NF-0281 12/01 /1983
$450 Million NW-0637 12/01/1983
$450 Million" N-0097 07/18/1984 N-0106 12/01/1983
- 2. SITE #2-MCGUIRE LOCATION OF NUCLEAR FACILITY McGuire Nuclear Power Plant located 17 mi N/NW of Charlotte, NC NAMED INSURED [LISTED ON POLICY): Duke Energy Carolinas, LLC POLICY NUMBER:
POLICY EFFECTIVE:
NF-0248 NW-0615 N-0069 N-0092
- 3. SITE #3 - OCONEE 05/01 /1977 05/01/1977 01/23/1981 03/03/1983 LIMIT OF LIABILITY:
$450 Million
$450 Million" LOCATION OF NUCLEAR FACILITY Oconee Nuclear Power Plant in Oconee County, South Carolina NAMED INSURED [LISTED ON POLICY): Duke Energy Carolinas, LLC POLICY NUMBER:
POLICY EFFECTIVE:
LIMIT OF LIABILITY NF-0182 NW-0569 N-0022 N-0023 N-0024
- 4. SITE #4 - BRUNSWICK 03/01 /1970 03/01/1970 08/01/1977 08/01/1977 08/01/1977
$450 Million
$450 Million" LOCATION OF NUCLEAR FACILITY Brunswick Nuclear Power Plant 2.5 Ml N of Southport, NC NAMED INSURED [LISTED ON POLICY): Duke Energy Progress, LLC POLICY NUMBER:
POLICY EFFECTIVE:
LIMIT OF LIABILITY:
NF-0218 NW-0597 N-0054 N-0055 ACORD 101 (2008/01) 10/25/1973 10/25/1973 08/01/1977 08/01/1977
$450 Million
$450 Million"
© 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
AGENCY CUSTOMER ID: CN102429173 LO C #:
Charlotte ADDITIONAL REMARKS SCHEDULE AGENCY NAMED INSURED Marsh USA Inc.
Duke Energy Corporation Attn: Lance Burnette POLICY NUMBER Lance.Burnette@duke-energy.com 400 S Tryon Street ST30INS CARRIER Charlotte, NC 28202 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
- 5. SITE #5-CRYSTAL RIVER LOCATION OF NUCLEAR FACILITY Crystal River Nuclear Power Plant 7.5 Ml NW of Crystal River, Citrus County, FL NAMED INSURED [LISTED ON POLICY]: Duke Energy Florida, LLC, ADP CR3, LLC and ADP SF1, LLC POLICY NUMBER:
POLICY EFFECTIVE:
LIMIT OF LIABILITY:
NF-0195 NW-0579
- 6. SITE #6 - SHEARON HARRIS 07/01/1971 07/01/1971
$100 Million
$450 Million" LOCATION OF NUCLEAR FACILITY Shearon Harris Nuclear Power Plant 20 Ml SW of Raleigh, NC NAMED INSURED [LISTED ON POLICY]: Duke Energy Progress, LLC POLICY NUMBER:
NF-0288 NW-0642 N-0112
- 7. SITE #7 - H. B. ROBINSON POLICY EFFECTIVE:
06/01/1984 06/01/1984 10/24/1986 LIMIT OF LIABILITY:
$450 Million
$450 Million" LOCATION OF NUCLEAR FACILITY H.B. Robinson Nuclear Power Plant 5 Ml WNW from Hartsville, SC NAMED INSURED [LISTED ON POLICY]: Duke Energy Progress, LLC POLICY NUMBER:
POLICY EFFECTIVE:
LIMIT OF LIABILITY NF-0180 NW-0567 N-0021
- 9. SITE #9 - LEE 10/15/1969 10/15/1969 08/01/1977 LOCATION OF NUCLEAR FACILITY Lee Nuclear Site 8.2 Ml SE of Gaffney, SC NAMED INSURED [LISTED ON POLICY]: Duke Energy Carolinas, LLC POLICY NUMBER POLICY EFFECTIVE:
LIMIT OF LIABILITY:
NF-0355 01/01/2016
$1 Million
$450 Million
$450 Million" THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.
Page 3
of 4
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 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.
COMMENTS/NOTES
" 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 reference thereto. Such limit may have been reduced by payment of claims or claims expenses.
'" Secondary Financial Protection Certificate - Financial protection available under an industry retrospective rating plan.
ACORD 101 (2008/01)
© 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
AGENCY CUSTOMER ID: CN102429173 LO C #: Charlotte ADDITIONAL REMARKS SCHEDULE Page 4
of 4
AGENCY NAMED INSURED Marsh USA Inc.
Duke Energy Corporation Attn: Lance Burnette POLICY NUMBER Lance.Burnette@duke-energy.com 400 S Tryon Street ST301NS CARRIER I NAICCODE Charlotte, NC 28202 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