Text

Certificate of Liability Insurance for Duke Energy Corp'S Plants
	ML16042A176
Person / Time
Site:	Oconee, Mcguire, Catawba, Harris, Brunswick, Crystal River, Robinson, McGuire, Levy County
Issue date:	01/11/2016
From:	Burke K; Marsh USA
To:	; Document Control Desk, Office of New Reactors, Office of Nuclear Reactor Regulation
References
	Download: ML16042A176 (4)
	v • d • e

0002429 'SP 0027 ' ?C0"1-P02430-1 DocumenrtCr~rcl Desk U.S- ,NL~doar" Regidlatory C~l~it~ssion Washington, DC; 20555-0OO01 66z -~o2-Sat,

ACORD CERTIFICATE OF LIABILITY INSURANCE DAE(MDIYY 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: A 100 North Tiyon Street, Suite 3600 E-A/c o xIL AIC. No):

Charlotte, NC 28202 ADE-MAI INSURER(S) AFFORDING COVERAGE NAIC #

22830 -ONE-l/l-I6-17 INSURER A : American Nuclear Insurers INSURED INSURERB :

Duke Energy Corporation ATTN: Ed Adams INSURERC :,

ed.adams~duke-energy.com INSURER D :

550 S. Tryon Street DEC40-C INSURER E :

Charlotte, NC 28202 INSURER F::_____

COVERAGES CERTIFICATE NUMBER: ATL-003526555-05 REVISION NUMBER: 12 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 THlS, 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. -

INR DL SUBS POLICY EFF POLICY EXP*"

LTR __ TYPE OF INSURANCE 'NSD WVD POLICY NUMBER IMMIDD/YYYY1 IMMIDD/YYYY) LIIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ "

LISMAEiF7 CU DAMAGE TO RENTED CLAMSMAD ~ OCURPREMISES (Ea occurrencel $

___________________MED EXP (Any one person) $ /

______________________PERSONAL &ADV INJURY $

GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $

POLICY D* PRO-JECT m*

~jLOC PRODUCTS - COMP/OP AGG $

OTHER: __ _ _ _ _ _ __ _ _ _ _ _$

AUTOMBILELIABLITYCOMBINED SINGLE LIMIT $

AUOOIELIBLTtEa accidentl $___________

ANY AUTO. BODILY INJURY (Per person) $

ALL OWVNED - SCHEDULED BODILY INJURY (Per accident) $

AUTOS AUTOS _________

NON-OWNED PROPERTY DAMAGE $

HIRED AUTOS AUTOS (Per accident) $_________

UMBRELLA LIAB L--IOCCUR EACH OCCURRENCE $

EXCESS LUAB I CLAIMS-MADE AGGREGATE $

DED 'I RETENTIONS$ $

WORKERS COMPENSAT,'ON IPER I 0ITH-AND EMPLOYERS' LIABILITY Y IN ER'_____'__

ANY PROPRIETOR/PARTNERIEXECUTIVE F'-W- E.L EACH ACCIDENT $

OFFICERIMEMBER EXCLUDED? LI N IA (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $

If yes, describe under DESCRIPTION OF OPERATIONS below _______________EL. DISEASE - POLICY LIMIT $

A Nuclear Energy Llabiiity SEE ATTACHED 01/01/2016 0)1/01/2017 SEE ATITACHED DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remacrks Schtedule, may be attached 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 Marah USA Inc.

I Karen A. Burke jKa'-..,*-- *--.

The ACORD name and logo are registered marks of ACORD ACORD 25 (2014101)

AGENCY CUSTOMER ID: 22830 LOG #: Charlotte ACOROo ADDITIONAL REMARKS SCHEDULE Page 2 of 3 AGENCY NAMED INSURED Marsh USA Inc. Duke Energy Corporation

________________________________________________ATTN: Ed Adams POLICY NUMBER ed.adams@duke-energy.com 550 S. Tryon Street DEC40-C CARRIER I NAIC CODE Charlotte, NC 28202 I EFFECTIVE DATE:

ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liabi[Jty 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 willbe delivered in accordance with the policy provisions. Otherwise this Certificate shell terminate as of the and of such December 31st. A Certificate willNOT be issued for any subsequent calendar year unless requested inwriting.

Types of Insurance: NE- [Facility Form], NW- [Master Worker Certificate], NS - [US Domestic Supplier's &Transporters], ES- [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: LIMITOF LIABILITY:

NF-0281 12/0i11983 $375 Million NW-0637 12/01/1983 $375 Million"*

N-0097 07/18/1984**

N-0106 12101/1983**

2. SITE f2 - MCGUIRE LOCATION OF NUCLEAR FACILITY: McGuire Nuclear Power Plant located 17 mlN/NW of Charlotte, NC NAMED INSURED [LISTED ON POLICYI: Duke Energy Carolinas, LLC POLICY NUMBER: POLICY EFFECTIVE: LIMIT OF LIABILITY:

NF-0248 05/01/11977 $375 Million NW-0615 05/01/1 977 $375 Million**

N-0089 01/23/1981

N-0092 03/03/1 983**

3. SITE 43 - OCONEE 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 03/01/1970 $375 Million NW-0569 03/01/1 970 $375 Million"*

N-0022 08/01/1977**

N-0023 08/01/1977 "

N-0024 08/01/1977 *

4. SITE 44- BRUNSWICK LOCATION OF NUCLEAR FACILITY: Brunswick Nuclear Power Plant 2.5 MIN of Southport, NC NAMED INSURED [LISTED ON POLICY]: Duke Energy Progress, LLC POLICY NUMBER: POLICY EFFECTIVE: LIMITOF LIABILITY:

NF-0218 10/25/1 973 $375 Million NW-0597 10/25/1973 $375 Million" N-0054 08/01/1977**

The ACORD name and logo are registered marks of ACORD

AGENCY CUSTOMER ID: 22830 LOC #: Charlotte ACORD ADDITIONAL REMARKS SCHEDULE Page 3 of3 AGENCY NAMED INSURED Marsh USA Inc. Duke Energy Corporation

_____________________________________________________ATTN: Ed Adams POUCY NUMBER ed.adams@duke-energy.com 550 S. Tryon Street DEC40-C CARRIER NAIC CODE 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 Insurance1

5. SITE #5 - CRYSTAL RIVER LOCATION OF NUCLEAR FACILITY: Crystal River Nuclear Power Plant 7.5 MINW of Crystal River, Citrus County, FL NAMED INSURED [LISTED ON POLICY]: Duke Energy Florida, Inc.; Seminole Electric Cooperative, Inc.; Orlando Utilities Commission and City of Orlando; City of Gainesville, Florida; City of Ocala; City of Leesburg, Florida; City of Kissimmee, Florida, A Municipal Corporation; City of New Smyrna Beach, Florida and Utilities Commission of New Smyrna Beach, Florida; Cityof Alachua, Florida; The City of Bushnell; Florida Progress Corporation POLICY NUMBER: POLICY EFFECTIVE: LIMITOF LIABILITY:

NF-0195 0710111971 $375 Million NW-0579 07/01/11971 $375 Million**

6. SITE #6- SHEARON HARRIS LOCATION OF NUCLEAR FACILITY: Shearon Herds Nuclear Power Plant 20 MISW of Raleigh, NC NAMED INSURED [LISTED ON POUCY]: Duke Energy Progress, Inc.

POLICY NUMBER: POLICY EFFECTIVE: LIMITOF LIABILITY:

NF-0288 06101/1984 $375 Million NW-0642 06/01/1 984 $375 Million*"

N-0112 10/24/1986 *

7. SITE #7 H. B.ROBINSON LOCATION OF NUCLEAR FACILITY: H.B. Robinson Nuclear Power Plant 5 MIWNW from Hartsvi~le, SC NAMED INSURED [LISTED ON POLICY]: Duke Energy Progress, Inc.

POLICY NUMBER: POLICY EFFECTIVE: LIMITOF LIABILITY:

NF-0180 10/15/1969 $375 Million NW-0567 10/15/1969 $375 Million*"

N-0021 08/01/11977*"

8. SITE #8 - LEVY LOCATION OF NUCLEAR FACILITY: Levy Nuclear Plant 39 MlSW of Gainsville, FL NAMED INSURED [LISTED ON POLICY]: Duke Energy Florida, Inc.

POLICY NUMBER: POLICY EFFECTIVE: LIMITOF LIABILITY:

NF -0354 01/01/2015 $1 Million 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 itis issued shall amend, extend or alter the coverage afforded by the policy. The Umit of Liability 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 of which 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 of claims or claims expenses.

- Secondary Financial Protection Certificate - Financial protection available under an industry retrospective rating plan.

The ACORD name and logo are registered marks of ACORD

0002429 'SP 0027 ' ?C0"1-P02430-1 DocumenrtCr~rcl Desk U.S- ,NL~doar" Regidlatory C~l~it~ssion Washington, DC; 20555-0OO01 66z -~o2-Sat,

ACORD CERTIFICATE OF LIABILITY INSURANCE DAE(MDIYY 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: A 100 North Tiyon Street, Suite 3600 E-A/c o xIL AIC. No):

Charlotte, NC 28202 ADE-MAI INSURER(S) AFFORDING COVERAGE NAIC #

22830 -ONE-l/l-I6-17 INSURER A : American Nuclear Insurers INSURED INSURERB :

Duke Energy Corporation ATTN: Ed Adams INSURERC :,

ed.adams~duke-energy.com INSURER D :

550 S. Tryon Street DEC40-C INSURER E :

Charlotte, NC 28202 INSURER F::_____

COVERAGES CERTIFICATE NUMBER: ATL-003526555-05 REVISION NUMBER: 12 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 THlS, 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. -

INR DL SUBS POLICY EFF POLICY EXP*"

LTR __ TYPE OF INSURANCE 'NSD WVD POLICY NUMBER IMMIDD/YYYY1 IMMIDD/YYYY) LIIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ "

LISMAEiF7 CU DAMAGE TO RENTED CLAMSMAD ~ OCURPREMISES (Ea occurrencel $

___________________MED EXP (Any one person) $ /

______________________PERSONAL &ADV INJURY $

GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $

POLICY D* PRO-JECT m*

~jLOC PRODUCTS - COMP/OP AGG $

OTHER: __ _ _ _ _ _ __ _ _ _ _ _$

AUTOMBILELIABLITYCOMBINED SINGLE LIMIT $

AUOOIELIBLTtEa accidentl $___________

ANY AUTO. BODILY INJURY (Per person) $

ALL OWVNED - SCHEDULED BODILY INJURY (Per accident) $

AUTOS AUTOS _________

NON-OWNED PROPERTY DAMAGE $

HIRED AUTOS AUTOS (Per accident) $_________

UMBRELLA LIAB L--IOCCUR EACH OCCURRENCE $

EXCESS LUAB I CLAIMS-MADE AGGREGATE $

DED 'I RETENTIONS$ $

WORKERS COMPENSAT,'ON IPER I 0ITH-AND EMPLOYERS' LIABILITY Y IN ER'_____'__

ANY PROPRIETOR/PARTNERIEXECUTIVE F'-W- E.L EACH ACCIDENT $

OFFICERIMEMBER EXCLUDED? LI N IA (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $

If yes, describe under DESCRIPTION OF OPERATIONS below _______________EL. DISEASE - POLICY LIMIT $

A Nuclear Energy Llabiiity SEE ATTACHED 01/01/2016 0)1/01/2017 SEE ATITACHED DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remacrks Schtedule, may be attached 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 Marah USA Inc.

I Karen A. Burke jKa'-..,*-- *--.

The ACORD name and logo are registered marks of ACORD ACORD 25 (2014101)

AGENCY CUSTOMER ID: 22830 LOG #: Charlotte ACOROo ADDITIONAL REMARKS SCHEDULE Page 2 of 3 AGENCY NAMED INSURED Marsh USA Inc. Duke Energy Corporation

________________________________________________ATTN: Ed Adams POLICY NUMBER ed.adams@duke-energy.com 550 S. Tryon Street DEC40-C CARRIER I NAIC CODE Charlotte, NC 28202 I EFFECTIVE DATE:

ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liabi[Jty 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 willbe delivered in accordance with the policy provisions. Otherwise this Certificate shell terminate as of the and of such December 31st. A Certificate willNOT be issued for any subsequent calendar year unless requested inwriting.

Types of Insurance: NE- [Facility Form], NW- [Master Worker Certificate], NS - [US Domestic Supplier's &Transporters], ES- [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: LIMITOF LIABILITY:

NF-0281 12/0i11983 $375 Million NW-0637 12/01/1983 $375 Million"*

N-0097 07/18/1984**

N-0106 12101/1983**

2. SITE f2 - MCGUIRE LOCATION OF NUCLEAR FACILITY: McGuire Nuclear Power Plant located 17 mlN/NW of Charlotte, NC NAMED INSURED [LISTED ON POLICYI: Duke Energy Carolinas, LLC POLICY NUMBER: POLICY EFFECTIVE: LIMIT OF LIABILITY:

NF-0248 05/01/11977 $375 Million NW-0615 05/01/1 977 $375 Million**

N-0089 01/23/1981

N-0092 03/03/1 983**

3. SITE 43 - OCONEE 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 03/01/1970 $375 Million NW-0569 03/01/1 970 $375 Million"*

N-0022 08/01/1977**

N-0023 08/01/1977 "

N-0024 08/01/1977 *

4. SITE 44- BRUNSWICK LOCATION OF NUCLEAR FACILITY: Brunswick Nuclear Power Plant 2.5 MIN of Southport, NC NAMED INSURED [LISTED ON POLICY]: Duke Energy Progress, LLC POLICY NUMBER: POLICY EFFECTIVE: LIMITOF LIABILITY:

NF-0218 10/25/1 973 $375 Million NW-0597 10/25/1973 $375 Million" N-0054 08/01/1977**

The ACORD name and logo are registered marks of ACORD

AGENCY CUSTOMER ID: 22830 LOC #: Charlotte ACORD ADDITIONAL REMARKS SCHEDULE Page 3 of3 AGENCY NAMED INSURED Marsh USA Inc. Duke Energy Corporation

_____________________________________________________ATTN: Ed Adams POUCY NUMBER ed.adams@duke-energy.com 550 S. Tryon Street DEC40-C CARRIER NAIC CODE 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 Insurance1

5. SITE #5 - CRYSTAL RIVER LOCATION OF NUCLEAR FACILITY: Crystal River Nuclear Power Plant 7.5 MINW of Crystal River, Citrus County, FL NAMED INSURED [LISTED ON POLICY]: Duke Energy Florida, Inc.; Seminole Electric Cooperative, Inc.; Orlando Utilities Commission and City of Orlando; City of Gainesville, Florida; City of Ocala; City of Leesburg, Florida; City of Kissimmee, Florida, A Municipal Corporation; City of New Smyrna Beach, Florida and Utilities Commission of New Smyrna Beach, Florida; Cityof Alachua, Florida; The City of Bushnell; Florida Progress Corporation POLICY NUMBER: POLICY EFFECTIVE: LIMITOF LIABILITY:

NF-0195 0710111971 $375 Million NW-0579 07/01/11971 $375 Million**

6. SITE #6- SHEARON HARRIS LOCATION OF NUCLEAR FACILITY: Shearon Herds Nuclear Power Plant 20 MISW of Raleigh, NC NAMED INSURED [LISTED ON POUCY]: Duke Energy Progress, Inc.

POLICY NUMBER: POLICY EFFECTIVE: LIMITOF LIABILITY:

NF-0288 06101/1984 $375 Million NW-0642 06/01/1 984 $375 Million*"

N-0112 10/24/1986 *

7. SITE #7 H. B.ROBINSON LOCATION OF NUCLEAR FACILITY: H.B. Robinson Nuclear Power Plant 5 MIWNW from Hartsvi~le, SC NAMED INSURED [LISTED ON POLICY]: Duke Energy Progress, Inc.

POLICY NUMBER: POLICY EFFECTIVE: LIMITOF LIABILITY:

NF-0180 10/15/1969 $375 Million NW-0567 10/15/1969 $375 Million*"

N-0021 08/01/11977*"

8. SITE #8 - LEVY LOCATION OF NUCLEAR FACILITY: Levy Nuclear Plant 39 MlSW of Gainsville, FL NAMED INSURED [LISTED ON POLICY]: Duke Energy Florida, Inc.

POLICY NUMBER: POLICY EFFECTIVE: LIMITOF LIABILITY:

NF -0354 01/01/2015 $1 Million 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 itis issued shall amend, extend or alter the coverage afforded by the policy. The Umit of Liability 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 of which 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 of claims or claims expenses.

- Secondary Financial Protection Certificate - Financial protection available under an industry retrospective rating plan.

The ACORD name and logo are registered marks of ACORD

ML16042A176

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