3F0124-02, Proof of Financial Protection
| ML24018A213 | |
| Person / Time | |
|---|---|
| Site: | Crystal River  |
| Issue date: | 01/18/2024 |
| From: | Reid B ADP CR3 |
| To: | Office of Nuclear Material Safety and Safeguards, Office of Nuclear Reactor Regulation, Document Control Desk |
| References | |
| 3F0124-02 | |
| Download: ML24018A213 (1) | |
Text
191 ADP CR3, LLC CR3 Decommissioning 15760 West Power Line Street I Crystal River, FL 34428 3F0124-02 January 18, 2024 U.S. Nuclear Regulatory Commission Attn: Document Control Desk Washington, DC 20555-0001
Subject:
Crystal River 3 -Proof of Financial Protection
Dear Sir or Madrun:
Billy Reid, Site Executive Cellphone: 865-384-6789 Email: breid@northstar.com 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.l l(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. John Jernigan, Licensing Manager, at (352) 342-0792.
Sincerely, Billy Nucl,ear Executive
Attachment:
Certificate of Liability Insurance Cc:
NMSS Project Manager Regional Administrator, Region I
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
INSURER(S) AFFORDING COVERAGE INSURER F :
INSURER E :
INSURER D :
INSURER C :
INSURER B :
INSURER A :
NAIC #
NAME:
CONTACT (A/C, No):
FAX E-MAIL ADDRESS:
PRODUCER (A/C, No, Ext):
PHONE INSURED REVISION NUMBER:
CERTIFICATE NUMBER:
COVERAGES 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).
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.
OTHER:
(Per accident)
(Ea accident)
N / A SUBR WVD ADDL INSD 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.
PROPERTY DAMAGE BODILY INJURY (Per accident)
BODILY INJURY (Per person)
COMBINED SINGLE LIMIT AUTOS ONLY AUTOS AUTOS ONLY NON-OWNED SCHEDULED OWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT ER OTH-STATUTE PER LIMITS (MM/DD/YYYY)
POLICY EXP (MM/DD/YYYY)
POLICY EFF POLICY NUMBER TYPE OF INSURANCE LTR INSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
EXCESS LIAB UMBRELLA LIAB EACH OCCURRENCE AGGREGATE OCCUR CLAIMS-MADE DED RETENTION $
PRODUCTS - COMP/OP AGG GENERAL AGGREGATE PERSONAL & ADV INJURY MED EXP (Any one person)
EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence)
COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)
CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03)
© 1988-2016 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY ATL-004516345-28 ST30INS N
39 01/01/2024 Nuclear Energy Liability A
11/16/2023 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-1/1-24-25 01/01/2025 100 North Tryon Street, Suite 3600 MARSH USA LLC.
Charlotte, NC 28202 Attn: Lance Burnette Duke Energy Corporation 400 S. Tryon Street Lance.Burnette@duke-energy.com Charlotte, NC 28202 SEE ATTACHED U.S. Nuclear Regulatory Commission American Nuclear Insurers
ACORD 101 (2008/01)
The ACORD name and logo are registered marks of ACORD
© 2008 ACORD CORPORATION. All rights reserved.
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:
FORM TITLE:
ADDITIONAL REMARKS ADDITIONAL REMARKS SCHEDULE Page of AGENCY CUSTOMER ID:
LOC #:
AGENCY CARRIER NAIC CODE POLICY NUMBER NAMED INSURED EFFECTIVE DATE:
LOCATION OF NUCLEAR FACILITY: Oconee Nuclear Power Plant in Oconee County, South CarolinaLOCATION OF NUCLEAR FACILITY: Catawba Nuclear Power Plant in the NE portion of York County, SCPOLICY NUMBER: POLICY EFFECTIVE: LIMIT OF LIABILITY:POLICY NUMBER: POLICY EFFECTIVE: LIMIT OF LIABILITY:NW-0597 10/25/1973 $500 Million**NW-0569 03/01/1970 $500 Million**NW-0637 12/01/1983 $500 Million**NF-0248 05/01/1977 $500 MillionN-0069 01/23/1981 ***_____________________________________________________________________________________________________________________________NF-0218 10/25/1973 $500 Million3 N-0054 08/01/1977 ***N-0022 08/01/1977 ***NAMED INSURED [LISTED ON POLICY]: Duke Energy Progress, LLC 2
Types of Insurance: NF - [Facility Form], NW- [Master Worker Certificate], NS - [US Domestic Suppliers & Transporters], FS - [Foreign Suppliers & Transporters], N- [Secondary Financial Protection Certificate]Charlotte 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 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
the end of such December 31st. A Certificate will NOT be issued for any subsequent calendar year unless requested in writing.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
Certificate of Liability Insurance LOCATION OF NUCLEAR FACILITY: McGuire Nuclear Power Plant located 17 mi N/NW of Charlotte, NCCN102429173 N-0023 08/01/1977 ***COVERAGE FOR NUCLEAR FACILITIES: 3. SITE #3 - OCONEE1. SITE #1 - CATAWBANAMED INSURED [LISTED ON POLICY]: Duke Energy Carolinas, LLCNAMED INSURED [LISTED ON POLICY]: Duke Energy Carolinas, LLCN-0097 07/18/1984 ***NF-0281 12/01/1983 $500 MillionN-0024 08/01/1977 ***N-0092 03/03/1983 ***NW-0615 05/01/1977 $500 Million**2. SITE #2 - MCGUIREPOLICY NUMBER: POLICY EFFECTIVE: LIMIT OF LIABILITY:4. SITE #4 - BRUNSWICKNAMED INSURED [LISTED ON POLICY]: Duke Energy Carolinas, LLC_____________________________________________________________________________________________________________________________ MARSH USA LLC._____________________________________________________________________________________________________________________________N-0055 08/01/1977 *** Attn: Lance Burnette Duke Energy Corporation 400 S. Tryon Street Lance.Burnette@duke-energy.com Charlotte, NC 28202 ST30INSN-0106 12/01/1983 ***NF-0182 03/01/1970 $500 MillionPOLICY NUMBER: POLICY EFFECTIVE: LIMIT OF LIABILITY:_____________________________________________________________________________________________________________________________25 LOCATION OF NUCLEAR FACILITY: Brunswick Nuclear Power Plant 2.5 MI N of Southport, NC____________________________________________________________________________________________________________________________
ACORD 101 (2008/01)
The ACORD name and logo are registered marks of ACORD
© 2008 ACORD CORPORATION. All rights reserved.
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:
FORM TITLE:
ADDITIONAL REMARKS ADDITIONAL REMARKS SCHEDULE Page of AGENCY CUSTOMER ID:
LOC #:
AGENCY CARRIER NAIC CODE POLICY NUMBER NAMED INSURED EFFECTIVE DATE:
POLICY NUMBER POLICY EFFECTIVE: LIMIT OF LIABILITY:NAMED INSURED [LISTED ON POLICY]: Duke Energy Progress, LLCNF-0288 06/01/1984 $500 MillionN-0112 10/24/1986 ***N-0021 08/01/1977 ***_____________________________________________________________________________________________________________________________LOCATION OF NUCLEAR FACILITY: H.B. Robinson Nuclear Power Plant 5 MI WNW from Hartsville, SC*** Secondary Financial Protection Certificate - Financial protection available under an industry retrospective rating plan.
3 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.** 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 3
Charlotte NW-0579 07/01/1971 $500 Million**NF-0195 07/01/1971 $100 Million_____________________________________________________________________________________________________________________________LOCATION OF NUCLEAR FACILITY: Crystal River Nuclear Power Plant 7.5 MI NW of Crystal River, Citrus County, FL5. SITE #5 - CRYSTAL RIVERPOLICY NUMBER: POLICY EFFECTIVE: LIMIT OF LIABILITY:NAMED INSURED [LISTED ON POLICY]: Duke Energy Florida, LLC, ADP CR3, LLC and ADP SF1, LLCCertificate of Liability Insurance POLICY NUMBER: POLICY EFFECTIVE: LIMIT OF LIABILITY:CN102429173
NAMED INSURED [LISTED ON POLICY]: Duke Energy Carolinas, LLCLOCATION OF NUCLEAR FACILITY: Shearon Harris Nuclear Power Plant 20 MI SW of Raleigh, NCNF-0355 01/01/2016 $1 MillionPOLICY NUMBER: POLICY EFFECTIVE: LIMIT OF LIABILITY:_____________________________________________________________________________________________________________________________NW-0642 06/01/1984 $500 Million**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
- 9. SITE #9 - LEE_____________________________________________________________________________________________________________________________NAMED INSURED [LISTED ON POLICY]: Duke Energy Progress, LLCreference thereto. Such limit may have been reduced by payment of claims or claims expenses.NF-0180 10/15/1969 $500 Million MARSH USA LLC.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. Attn: Lance Burnette Duke Energy Corporation 400 S. Tryon Street Lance.Burnette@duke-energy.com Charlotte, NC 28202 ST30INS7. SITE #7 - H. B. ROBINSONNW-0567 10/15/1969 $500 Million**LOCATION OF NUCLEAR FACILITY: Lee Nuclear Site 8.2 MI SE of Gaffney, SC25 COMMENTS/NOTES:6. SITE #6 - SHEARON HARRIS