ML17291B332

Forwards Copy of Certificate of Insurance for 931231-941231 for Construction & Demolition Site #3 Permit #101363 for SSES in Salem Township,Luzerne County

ML17291B332
Person / Time
Site:	Susquehanna
Issue date:	12/21/1993
From:	Fields J PENNSYLVANIA POWER & LIGHT CO.
To:	WILKES-BARRE, PA
References
PLE-17452, NUDOCS 9312300234
Download: ML17291B332 (5)

Text

ACCELERATED DEMONS+4.TION SYSTEM DISTRIBUTION REGULATORY INFORMATION DISTRIBUTION SYSTEM (RIDS)

ACCESSION NBR:9312300234 DOC.DATE: 93/12/21 NOTARXZED: NO DOCKET FACIL:50-387 Susquehanna Steam Electric Station, Unit 1, Pennsylva 05000387, 50-388 Susquehanna Steam Electric Station, Unit 2, Pennsylva 05000388 AUTH. NAME AUTHOR AFFXLXATION FIELDS,J.S. Pennsylvania Power 6 'Light Co.

RECIP.NAME RECIPIENT AFFILIATION Wilkes-Barre, PA

SUBJECT:

Forwards copy of certificate of insurance for 931231-941231 for construction 6 demolition site 03 Permit 0101363 for SSES in Salem Township,Luzerne County. D DISTRIBUTION CODE: M001D TITLE: Insurance:

COPIES RECEIVED:LTR Indemnity/Endorsement Agreements ENCL L SIZE:

NOTES:

RECXPXENT COPIES RECIPIENT COPIES A ID CODE/NAME LTTR ENCL ID CODE/NAME LTTR ENCL D

INTERNAL: NRR/PMAS/ILPB12 1 1 EG FILE 01 D

EXTERNAL: NRC PDR 1 1 D

D D

NOTE TO ALL "RIDS" RECIPIENTS:

PLEASE HELP US TO REDUCE WASTE! CONTACT THE DOCUMENT CONTROL DESK, ROOM P 1-37 (EXT. 20079) TO ELIMINATEYOUR NAME FROM DISTRIBUTION LISTS FOR DOCUMENTS YOU DON'T NEED!

TOTAL NUMBER OF COPIES REQUIRED: LTTR 3 ENCL 3

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" Pennsylvania Power & Light Company Two North Ninth Street ~Allentown, PA 18101-1179 ~ 215/774-5151 December 21, 1993 Department of Environmental Resources Bureau of Waste Management 90 East Union Street, 2nd Floor Wilkes-Barre, PA 18701 SUSQUEHANNA STEAM ELECTRIC STATION CERTIFICATE OF INSURANCE PERMIT ¹101363 CCN 741326 FILE R9-8C PLE- 17452 Gentlemen:

Enclosed is a copy of a Certificate of Insurance for 12/31/93 through 12/31/94 for Construction and Demolition Site ¹3, Permit ¹1 01363 located at the Susquehanna Steam Electric Station, Salem Township, Luzerne County.

Sincerely, u~ei me S. Fields Sr. Environmental Scientist - Nuclear Enclosure Copy to:

NRC Document Control Desk '~

NRC Region I Mr. R. J. Clark, NRC Sr. Project Manager-

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9312300234 931221 PDR *DOCK 05000387 PDR

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~ Form B (Additionat Insured)

Certificate Number: 5. 008269 ASSOCIATED ELECTRIC & GAS INSURANCE SERVICES LIMITED Hamilton, Bermuda CERTIFICATE OF INSURANCE (Excess Liability)

This Certificate is furnished to the Certificate Holder named below as a matter of information only.

Neither this Certificate nor the issuance hereof modifies the policy of insurance identified below (the "Policy") in any manner. The Policy terms are solely as stated in the Policy or in any endorsement thereto. Any amendment, change or extension of the Policy can only be effected by a specific endorse- .

ment issued by the Company and attached to the Policy.

The undersigned hereby certifies that the Policy has been issued by Associated Electric & Gas Insurance Services Limited (the "Company" ) to the I Jamed Insured identified below for the coverage described and for the policy period specified.

Notwithstanding any requirements, terms or conditions of any contract or other document with respect to which this Certificate may be issued or to which it may pertain, the insurance afforded by the Policy is subject to all of the terms of the Policy.

NAME OF INSURED: PENNSYLVANIA POWER & LIGHT COMPANY PRINCIPAL ADDRESS: Two North Ninth Street, Allentown, PA 18101 POLICY POLICY From: 12/31/93 NUMBER: XO 117 A1A 93 PERIOD: To: 12/31/94 RETROACTIVE DATE: 12/31/86 DESCRIPTION Claims-First-Made Excess Liability Policy covering claims for Bodily Injury, Property OF COVERAGE: Damage and Personal Injury arising from the operations described below.

LIMIT OF $ 25,000,000 per occurrence and in the aggregate, where applicable.

LIABILITY:

ADDITIONAL The Certificate Holder is an additional Insured under the Policy but only (i) to such INSURED: extent and for such Limits of Liability (subject always to the terms and Limits of Liability of the Policy) as the Named Insured has agreed to provide insurance for the Certificate Holder under the following contract:

Demolition rraste Disposal Facility Permit ~f101353 and (ii) with respect to the following operations:

Susquehanna SES, Solid Waste Disposal Site 83. The insurance coverage provided is for the purpose of satisfying the requirements of PA Law, including 25 PA Code 271.371-271.376 and 287.371-287.375 Should the Policy be cancelled, assigned or changed in a manner that is materially adverse to the Insured(s) under the Policy, the undersigned will endeavor to give 120 days advance written notice thereof to the Certificate Holder, but failure to give such notice will impose no obligation or liability of any kind upon the Company, the undersigned or any agent or representative of either.

DATE: December 10, 1993 ISSUED TO: Commonwealth of Pennsylvania ("Certificate Holder")

ADDRESS: Dept. of Environmental Resources Bureau of Waste Management 90 East Union Street-2nd Floor AEGIS INSURANCE SERVICES, INC.

Wilkes-Barre, PA 18701 BY:

At Jersey City, New Jers Copies: White-Certificate Holder; Canary Aegis Insurance Sewices. Inc.; Pink-Insured; Goldenrod-Broker

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