ML15092A112
| ML15092A112 | |
| Person / Time | |
|---|---|
| Site: | Monticello, Prairie Island  |
| Issue date: | 03/30/2015 |
| From: | Hardie C Marsh USA |
| To: | Document Control Desk, Office of Nuclear Reactor Regulation |
| References | |
| Download: ML15092A112 (4) | |
Text
Chip Hardie MARSH Marsh USA Inc.
Three Logan Square 1717 Arch Street, Suite 1100 Philadelphia, PA 19103
+1 215 246 1193 chip.hardie@marsh.com www.marsh.com U.S. Nuclear Regulatory Commission ATTN: Document Control Desk Washington, DC 20555-0001 March 30, 2015
Subject:
2015 Nuclear Liability Certificate of Insurance Enclosed, please find the 2015 Nuclear Liability Certificate of Insurance for the named insured listed in Table 1. The Certificate of Insurance provides evidence of financial protection in accordance with 10CFR140.15 and other NRC Regulatory Compliance requirements.
If you have any questions, please do not hesitate to contact me.
Best regards, Chip Hardie Engineering Leader, U.S. Nuclear Energy Practice Enclosure Copy:
M. Kolodner 1M MARSH & McLENNAN COMPANIES SOLUTIONS...DEFINED, DESIGNED, AND DELIVERED.
ACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 02/19/2015 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 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 MRaCrsh U
INAME:
Marsh USA Inc.
PHONE FAX 333 South 7th Street, Suite 1400 (A/C. No. Ext):
A/C, No):
Minneapolis, MN 55402-2400 E-MAIL ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
-Xcel-NUCLR-15-16 INSURER A: American Nuclear Insurers INSURED INSURER B:
XceI Energy, Inc.
Attn: Robert L. Miller INSURER C:
Robert.L.Miller@xcelenergy.com INSURER D:
414 Nicollet Mall, 4th Floor Minneapolis, MN 55401 INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER:
CHI-005086444-02 REVISION NUMBER: 3 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 POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WD POLICY NUMBER (MMIDD/YYYY)
(MM/DD/YYYY)
LIMITS GENERAL LIABILITY EACH OCCURRENCE DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence)
CLAIMS-MADE 1.1 OCCUR MED EXP (Any one person)
-PERSONAL & ADV INJURY GENERAL AGGREGATE GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG POLICY PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT AUTMl (Ea accident)
ANY AUTO BODILY INJURY (Per person)
ALL OWNED SCHEDULED BODILY INJURY (Per accident) $
AUTOS AUTOS NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS (Per accident$
UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS-MADE AGGREGATE DEDI I RETENTION $
WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE 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 EL DISEASE - POLICY LIMIT A
Nuclear Energy Liability
'See Attached ACORD 101' 01/01/2015 01/01/2016 See Attached ACORD 101 Insurance DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required)
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 of Marsh USA Inc.
Manashi Mukherjee
- -,1vt i
x.AsA.;.
© 1988-2010 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD ACORD 25 (2010/05)
AGENCY CUSTOMER ID:
LOC #: Minneapolis ACCORD ADDITIONAL REMARKS SCHEDULE Page 2
of 2
AGENCY NAMED INSURED Marsh USA Inc.
Xcel Energy, Inc.
Attn: Robert L. Miller POLICY NUMBER Robert.L.Miller@xcelenergy.com 414 Nicollet Mall, 4th Floor Minneapolis, MN 55401 CARRIER NAIC CODE R
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 Insured'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 - PRAIRIE ISLAND LOCATION OF NUCLEAR FACILITY: Prairie Island Nuclear Power Plant on the Mississippi River in Goodhue County, Minnesota NAMED INSURED [LISTED ON POLICY]: Northern States Power Company POLICY NUMBER:
POLICY EFFECTIVE:
LIMIT OF LIABILITY:
NF-0197 09/01/1971
$375 Million NW-0580 09/01/1971
$375 Million-N-0036 08/01/1977 N-0037 08/01/1977
- 2. SITE #2 - MONTICELLO LOCATION OF NUCLEAR FACILITY: Monticello Nuclear Power Plant on the Mississippi River in Wright County, Minnesota NAMED INSURED [LISTED ON POLICY]: Northern States Power Company POLICY NUMBER:
POLICY EFFECTIVE:
LIMIT OF LIABILITY:
NF-0174 06/09/1969
$375 Million NW-0564 06/09/1969
$375 Million**
N-0017 08/01/1977 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.
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 (2008101)
© 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
I TABLE 1 INW-0580 INorthern States Power Company IN-0037 INorthern States Power Company I
I Northern States Power Company