ML16014A735
| ML16014A735 | |
| Person / Time | |
|---|---|
| Site: | Comanche Peak  |
| Issue date: | 12/08/2015 |
| From: | Guerrero J Marsh USA |
| To: | Document Control Desk, Office of Nuclear Reactor Regulation |
| References | |
| 897592 | |
| Download: ML16014A735 (2) | |
Text
ACO~RD SDATE (MM/DD/YYYY)
CERflFiCATE OF LIABILITY INSURANCE 12/0812015 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 Marsh USA Inc NAME:
PHONE FAX 500 Dallas St, Suite 1500 A/C, No, Ext): A/C, No):
Houston, TX 77002 DDESMA:
INSURER(S) AFFORDING COVERAGE NAIC #
897592-Energ-Nucle-16-17 INSURER A: American Nuclear Insurers INSURED INSURERSB:
Energy Future Holdings Corp.
1601 Bryan Street INSURER C:
Dallas, TX 75201 INSURER D0:
INSURER E :
________________________________________________________ INSURER F :
COVERAGES CERTIFICATE NUMBER: HOU-002497200-03 REVISION NUMBER:4 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.
LTR __ TYPE OF INSURANCE 1N5D WVD POLICY NUMBER IMM/DD/YYYYI (MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES (Ea occurrencel $
t _____________________MED EXP (Any one person) $
,P.R, . GENERALAGGREGATE $
LOC ,_- . .. . . . .
ALLBIOWNED SCHEDULED
__AUTOS AUTOS NON-OWNED PROPERTY DAMAGE
__HIRED AUTOS AUTOS IPer accident)$
UMRLA-AB OCREACH OCCURRENCE $
.- " EXCESS LIAB...' / LIAIMS-MA*DE ' .,f, :.. .-.- *:: '*t' *"**:: '", *
-,,.."' * ": AGGREGATE $
DED ! RETENTION $______________
WORKERS COMPENSATION PER 0H AND EMPLOYERS' LIABILITY Y/IN STTTE E ANY PROPRIETORIPARTNERJEXECUTIVE F1 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 Acord 101 01/01/2016 0)1101/2017 See Attached Acord"101 lnsuranoe,.*. * ,_: :* ..-..........-.. .... . ... ... .. .... .. . .... . . ... . ... . . .... . . ,... "
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)"
CERTIFICATE HOLDER -- CANCELLATION Document Control Desk *' *",.gSHOULD 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.
Jessie Guerrero ,, ...... --
© 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD Q.D
AGENCY CUSTOMER ID: 897592 LOC #: Houston ACORD ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED Marsh USA Inc. Energy Future Holdings Corp,
_________________________________________________________________ 1601 Bryan Street POLICY NUMBER Dallas, TX 75201 CARRIER NAIC CODE J 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 ivto 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 Neclear 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 31sat of the calendar year inwhich the Effective Date of this Certificate occurs, notice willbe delivered in accordance with the policy provisions. Otherwise this Certificate shall terminate as of the end of such December 31st. A Certificate willNOT 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- COMANCHE PEAK LOCATION OF NUCLEAR FACILITY: Comanche Peak Nuclear Power Plant is located on the south bank of Squaw Creek Reservoir near the town of Glen Rose in Somervell County, Texas approximately 35 milea southwest of Fort Worth and 67 miles southwest of Dallas, Texas.
NAMED INSURED [LISTED ON POLICY]: Luminant Generation Company LLC POLICY NUMBER: POLICY EFFECTIVE: LIMITOF LIABILITY:
NF-0274 01/01/1 963 $375 Million NW-0631 01/01/1983 $375 Million**
N-0090 02/08/1990**
N-0119 02/02/1993**
THIS CERTIFICATE ISISSUED 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(iea). 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 ofLiability shown above may have been reduced by payment of claims or claims expenses.
COMMENTS/NOTES:
- Master Worker Certificate - This limitis shared by allCertificates to the Master Worker Policy ofwhich each Certificate is a part and is subject to allof the provisions of such Policy and Certificate having reference thereto. Such limit may have been reduced by payment ofclaims or claims expenses.
- Secondary Financial Protection Certificate - Financial protection available under an industry retrospective rating pian.
ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
ACO~RD SDATE (MM/DD/YYYY)
CERflFiCATE OF LIABILITY INSURANCE 12/0812015 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 Marsh USA Inc NAME:
PHONE FAX 500 Dallas St, Suite 1500 A/C, No, Ext): A/C, No):
Houston, TX 77002 DDESMA:
INSURER(S) AFFORDING COVERAGE NAIC #
897592-Energ-Nucle-16-17 INSURER A: American Nuclear Insurers INSURED INSURERSB:
Energy Future Holdings Corp.
1601 Bryan Street INSURER C:
Dallas, TX 75201 INSURER D0:
INSURER E :
________________________________________________________ INSURER F :
COVERAGES CERTIFICATE NUMBER: HOU-002497200-03 REVISION NUMBER:4 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.
LTR __ TYPE OF INSURANCE 1N5D WVD POLICY NUMBER IMM/DD/YYYYI (MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES (Ea occurrencel $
t _____________________MED EXP (Any one person) $
,P.R, . GENERALAGGREGATE $
LOC ,_- . .. . . . .
ALLBIOWNED SCHEDULED
__AUTOS AUTOS NON-OWNED PROPERTY DAMAGE
__HIRED AUTOS AUTOS IPer accident)$
UMRLA-AB OCREACH OCCURRENCE $
.- " EXCESS LIAB...' / LIAIMS-MA*DE ' .,f, :.. .-.- *:: '*t' *"**:: '", *
-,,.."' * ": AGGREGATE $
DED ! RETENTION $______________
WORKERS COMPENSATION PER 0H AND EMPLOYERS' LIABILITY Y/IN STTTE E ANY PROPRIETORIPARTNERJEXECUTIVE F1 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 Acord 101 01/01/2016 0)1101/2017 See Attached Acord"101 lnsuranoe,.*. * ,_: :* ..-..........-.. .... . ... ... .. .... .. . .... . . ... . ... . . .... . . ,... "
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)"
CERTIFICATE HOLDER -- CANCELLATION Document Control Desk *' *",.gSHOULD 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.
Jessie Guerrero ,, ...... --
© 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD Q.D
AGENCY CUSTOMER ID: 897592 LOC #: Houston ACORD ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED Marsh USA Inc. Energy Future Holdings Corp,
_________________________________________________________________ 1601 Bryan Street POLICY NUMBER Dallas, TX 75201 CARRIER NAIC CODE J 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 ivto 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 Neclear 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 31sat of the calendar year inwhich the Effective Date of this Certificate occurs, notice willbe delivered in accordance with the policy provisions. Otherwise this Certificate shall terminate as of the end of such December 31st. A Certificate willNOT 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- COMANCHE PEAK LOCATION OF NUCLEAR FACILITY: Comanche Peak Nuclear Power Plant is located on the south bank of Squaw Creek Reservoir near the town of Glen Rose in Somervell County, Texas approximately 35 milea southwest of Fort Worth and 67 miles southwest of Dallas, Texas.
NAMED INSURED [LISTED ON POLICY]: Luminant Generation Company LLC POLICY NUMBER: POLICY EFFECTIVE: LIMITOF LIABILITY:
NF-0274 01/01/1 963 $375 Million NW-0631 01/01/1983 $375 Million**
N-0090 02/08/1990**
N-0119 02/02/1993**
THIS CERTIFICATE ISISSUED 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(iea). 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 ofLiability shown above may have been reduced by payment of claims or claims expenses.
COMMENTS/NOTES:
- Master Worker Certificate - This limitis shared by allCertificates to the Master Worker Policy ofwhich each Certificate is a part and is subject to allof the provisions of such Policy and Certificate having reference thereto. Such limit may have been reduced by payment ofclaims or claims expenses.
- Secondary Financial Protection Certificate - Financial protection available under an industry retrospective rating pian.
ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD