ML17306A409

Forwards Endorsement 52 to Maelu Policy MF-0016,Endorsement 70 to Nelia Policy NF-0266,Endorsement 10 to Maelu Policy MW-0160,Endorsement 10 to Maelu Policy MW-0086 & Endorsement 19 to Nelia Policy N-0088

ML17306A409
Person / Time
Site:	Palo Verde
Issue date:	01/21/1992
From:	Conway W ARIZONA PUBLIC SERVICE CO. (FORMERLY ARIZONA NUCLEAR
To:	NRC OFFICE OF INFORMATION RESOURCES MANAGEMENT (IRM)
References
161-04583-WFC-J, 161-4583-WFC-J, NUDOCS 9201290173
Download: ML17306A409 (24)

Text

AC",CELERATED DISTRIBUTION DEMONSTPA.TION SYSTEM t

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REGULATORY INFORMATION DISTRIBUTION SYSTEM (RIDS)

SUBJECT:

Forwards endorsements 52 Nuclear Liability Facility Form policy MF-0116,70 Nuclear LibilityFacility Form policy NF-0266,10 Master Worker Form policy NW-0160 6 10 Master Worker Form policy MW-0086.

DISTRIBUTION CODE:

MOOID COPIES RECEIVED:LTR i ENCL g SIZE' TITLE: Insurance:

Indemnity/Endorsement Agreements NOTES:STANDARDIZED PLANT Standardized plant.

Standardized plant.

D A

05000528 05000529 D 05000530 D

ACCESSION NBR:9201290173 DOC.DATE: 92/01/21 NOTARIZED: NO DOCKET 4N FACIL:STN-50-528 Palo Verde Nuclear Station, Unit 1, Arizona Publi 05000528 STN-50-529 Palo Verde Nuclear Station, Unit 2, Arizona Publi 05000529 STN-50-530 Palo Verde Nuclear Station, Unit 3, Arizona Publi 05000530 AUTH.NAME AUTHOR AFFILIATION CONWAY,W.F.

Arizona Public Service Co.

(formerly Arizona Nuclear Power RECIP.NAME RECIPIENT AFFILIATION Document. Control Branch (Document Control Desk)

RECIPIENT ID CODE/NAME INTERNAL: NRR/PMAS/PTSB12 EXTERNAL: NRC PDR NOTES:

COPIES LTTR ENCL 1

1 1

1 RECIPIENT ID CODE NAME COPIES LTTR ENCL 1

1 D

S NOTE TO ALL"RIDS" RECIPIENTS:

A D

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

TOTAL NUMBER OF COPIES REQUIRED:

LTTR 4

ENCL 4

t

Arizona Public'Service Company P.O. BOX 53999

~

PHOENIX. ARIZONA85072<999 WILLIAMF. CONWAY EXECUTIVEVICEPRESIOENT NUCLEAR 161-04583-WFC/JRP January 21, 1992 Docket Nos.

STN 50-528/529/530 U.

S. Nuclear Regulatory Commission Attn: Document Control Desk Mail Station Pl-37 Washington, DC 20555

Subject:

Palo Verde Nuclear Generating Station (PVNGS)

Units 1, 2,

and 3

Nuclear Energy Liability Insurance File: 92-003-240; 92-056-026 Pursuant to 10 CFR 140.15(e) and Section 2.B(6)(iii) of the Facility Operating

Licenses, enclosed are two certified copies of each of the following endorsements to the PVNGS Nuclear Energy Liability Insurance Policies:

~Polic No

~Covera e

Endorsement No.

MF-0116 NF-0266 NW-0160 MW-0086 N-0088 M-0088 N-0107 M-0107 N-0114 M-0114 Nuclear Liability Facility Form Nuclear Liability Facility Form Master Worker Form Master Worker Form Secondary Financial Protection Unit Secondary Financial Protection Unit Secondary Financial Protection Unit Secondary Financial Protection Unit Secondary Financial Protection Unit Secondary Financial Protection Unit 52 70 10 10 19 19 19 19 15 15 The enclosed endorsements are forwarded for your information, if you should have any questions, please call Michael E. Powell of my staff at (602) 340-4981.

Sincerely, WFC/JRP/pmm Enclosures cc:

J.

B. Martin D. H.

Coe A. C. Gehr A. H. Gutterman 000 PDR ADOCK 050 J

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NUCLEAR ENERGY LIABILITYINSURANCE MUTUALATOMIC ENERGY LIABILITYUNDERWRITERS ADVANCEPREIVIIUMAND STANDARD PREMIUM ENDORSEIVIENT CALENDARYEAR '!992 1.

ADVANCEPREMIUM: It is agreed that the Advance Premium due the companies for the period designated above is:

$ 153,764.00 2,

STANDARD PREMIUM AND RESERVE PREMIUM: In the absence of a change in the Advance Premium indicated above, it is agreed that, subject to the provisions of the Industry Credit Rating Plan, the Standard Premium is said Advance Premium and the Reserve Premium is:

$ 116.186.00 This is to certify tIMtt this i a true copy of the ot"'ginal Endorsement having the endor,mmertt nurnba and being made part of the uclear Energy Liability Pohcy (Fw:i!ity Fo n) as des-ignated reo Insurance

- arford u

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John L Q rocchi, Vice Pres't.

n 'erwriting American Nuclear Insurers Effective Date of this Endorsement:

January

1. 1992 (12:01 A.M. Standard Time)

Issued to:

Arizona Public Service Company, et al To form a part of Policy No.

MF-0116 Date of Issue:

December 8, 1991 For t st ibing c anie 0

By Endorsement No:

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NUCLEAR ENERGY LIABILITYINSURANCE NUCLEAR ENERGY LIABILITYINSURANCE ASSOCIATION ADVANCEPHEMIUIVIAND STANDARD PREMIUM ENDORSEMENT CALENDARYEAR 1992 1.

ADVANCEPREMIUM: It is agreed that the Advance Premium due the companies for the period designated above is:

$529.633.00 2.

STANDARDPREMIUMAND RESERVE PREMIUM: In the absence of a change in the Advance Premium indicated above, it is agreed that, subject to the provisions of the Industry Credit Rating Plan, the Standard Premium is said Advance Premium and the Reserve Premium is:

$400.196.00 This is to certify that this is a hm copy e". '.he o<-gIM Endorsement having the endorsement numb+. and being made part of the uclear Energy Liability Pohcy (FaciIity Form) as des-ignated ereon Insuran

'fforded hereu John L

~ rocchi, Vice Pres' erwr American Nuciear Insurers Effective Date of this Endorsement:

January 1.

1992 (12:01 A.M. Standard Tinie)

Issued to:

Arizona Public Service Company, et aI To form.a part of Policy No.

NF-0266 Date of Issue:

December

8. 1991 For the s ascribing companies By resi ei Endorsement No:

70 Cnui ersigned by NE-36

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NUCLEAR ENERGY LIABIL!TYINSURANCE NUCLEAR ENERGY LIABILITYINSURANCE ASSOCIATION ADVANCEPREMIUM AND STANDARD PREMIUM ENDORSEMENT CALENDARYEAR 1992 1.

ADVANCEPREMIUM: It is agreed that the Advance Premium due the companies for the period designated above is:

$53,708.00 2.

STANDARDPREMIUMAND RESERVE PREMIUM: In the absence of a change in the Advance Premium indicated above, it is agreed that, subject to the provisions of the Retrospective Rating Plan, the Standard Premium is said Advance Premium and the estimated Reserve Premium element of the Standard Premium is:

$42,965.00 This is to certify that this is a true copy of tt.e "

'ament having

'". ~;".;:savlent number and being.;.

, e Certificate o In:...'

.e t,u. r ";,g the number designate

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.~n tvr insurance cc.e:';,;.:

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~ r tne Nuclear Energy labile';y w" I cy (Facility Workers Form)

No Insurance

'". afforded h, under.

John '..

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~ nderwriting Arnertc~>> Nuctear Insurers Effective Date of this Endorsement:

January

1. 1992 (12:01 A.M. Standard Time)

To form a part of Certificate No.

NW-0160 Issued to:

Arizona Public Service Company. et al Date of Issue:

November 22, 1991 For t

>bscribing companies By Pre

'd Endorsement No:

10 Cot te gne by NE-U-2

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NUCLEAR ENERGY LIABILllY INSURANCE MUTUALATOMIC ENERGY LIABILITYUNDERWRITERS ADVANCEPREMIUM AND STANDARD PREMIUM ENDORSEIVIENT CALENDARYEAR 1992 1.

ADVANCEPREMIUIVI: It is agreed that the Advance Premium due the companies for the period designated above is:

$ 15.592.00 2.

STANDARD PREMIUM ANDRESERVE PREIVIIUM: In the absence of a change in the Advance Premium indicated above, it is agreed that, subject to the provisions of the Retrospective Rating Plan, the Standard Premium is said Advance Premium and the estimated Reserve Premium element of the Standard Premium is:

$ 12.474.00 This is to certify that this is a true copy of the orioinal Endorsement having tho endorsement number and being made part of the Certificate of Insurance bearing the number d ignatod hereon for insurance cove:.ge undbr the Nuclear Energ Liability Policy (Facility Workers Form)

No ~I"-"""nr"i; nder.

John Quattrocchi, Vice Preside t-nderwriting American Nuclear Insurers Effective Date of this Endorsement:

January

1. 1992 (12:01 A.M. Standard Time)

Issued to:

Arizona Public Service Company. et al To form a part of Certificate No.

MW-0086 Date of Issue:

November 22.

1991 For the s ibscribing companies Endorsement No:

10 rs ME-W-2

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NUCLEAR ENERGY LIABILITYINSURANCE NUCLEAR ENERGY LIABILITYINSURANCE ASSOCIATION ANNUALPREMIUM ENDORSEMENT CALENDARYEAR 1992

1. ANNUALPREMIUM:It is agreed that the Advance Premium due the companies for the period designated above is:

$5,813.00 THIS IS TO CERTIFY THAT THIS IS A TRUE COPY OF THE ORIGINAL CERTIFICATE, BFARING THE NUMBER DESIGNATED HEREON, FOR INSURANCE COVERAGE UNDER THE MAS ER POLICY-NUCLEAR ENERGY LIABILTY INSURANCE (SECONDARY FIN ICIAL PROTECTION). NO INSUR,tICE IS AFFORD.

B JOHN '. 1UAl inUGC VICE PRtBIDENT-UNDERWRITING AMERICAN NUCLEAR INSURERS Effective Date of this Endorsement:

January 1, 1992 (12:01 A.M. Standard Time)

Issued to:

Arizona Public Service Company. et al To form a part of Certificate No.

N -0088 Date of Issue:

November 11, 1991 For t)h su c

. g o

ntes By P

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Endorsement No:

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NUCLEAR ENERGY LIABILITYINSURANCE MUTUALATOMIC ENERGY LIABILITYUNDERWRITERS ANNUALPREMIUM ENDORSEMENT CALENDARYEAR 1992

1. ANNUALPREMIUM:It is agreed that the Advance Premium due the companies for the period designated above is:

$ 1,G87.00 THIS IS TO CERTIFY THAT THIS IS A TPUE COPY OF THE ORIGINAL CERTIFICATEBEARINGTHE NUV.;.': '."~."">f~,"4%ED HEREGYFOR INSURANCE COVERAGE UNDEn T'i','~'-;. t "'I.ICY=NUCLEARENERGY LIABILTY INSURANCE {S}:CO'w".).""lyr" i". /~". Fr'IQ"i OTION). NO INSURE 'ICE IP~cOR!>>;,; "'.

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JOHN i

~UATTROCC I

VICE PRESIDENT-UNDERWRITING AMERICAN NUCLEAR INSURERS Effective Date of this Endorsement:

January 1, 1992 (12:01 A.M. Standard Time)

'I Issued to:

Arizona Public Service Company, et al To form a part of Certificate No.

M -0088 1

Date of Issue:

November 11, 1991 For the su scribing co a

i By Endorsement No:

19 un

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NUCLEAR ENERGY LIABILITYINSURANCE NUCLEAR ENERGY LIABILITYINSURANCE ASSOCIATION ANNUALPREMIUM ENDORSEMENT CALENDARYEAR 1992

1. ANNUALPREMIUM:It is agreed that the Advance Premium due the companies for the period designated above is:

$5,813.00 THiS IS TO CERTIFY THAT THIS IS A TRUE COPY OF THE ORIGINAL CERTIFICATE, BEARING TI.IE NUMSER DESIGNATED HEREON, FOR INSURANCE COVERAGE UNDER THE MAS ER POLICY-NUCLEAR ENERGY LIAB!LTY INSURANCE (SECONDARY FIN

<CIAL PROTECTION). NO INSU~~ NCE~~OP Ei B.

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JOHN c. QUATTROCCHI VICE PRESIDENT-UNDERWRITING AMERICAN NUCLEAR INSURERS Effective Date of this Endorsement:

January 1, 1992 (12:01 A.M. Standard Time)

Issued to:

Arizona Public Service Company, et al T

To form a part of Certificate No.

N -0107 Date of Issue:

November 11, 1991 Fo e sub~ing companies By res' Endorsement No:

yg Countersign by

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NUCLEAR ENERGY LIABILITYINSURANCE MUTUALATOMIC ENERGY LIABILITYUNDERWRITERS ANNUALPREMIUM ENDORSEMENT CALENDARYEAR 1992 1.

ANNUALPREMIUIVI:It is agreed that the Advance Premium due the companies for the period designated above is:

$ 1,687.00 THIS IS TO CERTIFY THAT T'IIS IS A TRUE COPY OF THE ORIGINAL CERTIFICATE, BEARING THF. Iil!I"0"I':R 0:SIGNA'IED HEREON, FOR INSURANC GOVT:RAGC Fi&';:lTHE 6".ASTER POLICY-NUCLEAR ENERGY LIABI'TYIIiSLli",""'";t, ",'.>>6

".; ARY FIN/ ICIAL PROTECTION). NO INSUF! '.NCE 5 AF"'<.'l "': '.;:

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CO" VICE Pnr SIC."."~'1'-i~l::-'.."".~!<AITING AMERICAN NUCLEAR INSURERS Effective Date of this Endorsement:

January 1, 1992 (12:01 A.M. Standard Time)

Issued to:

Arizona Public Service Company, et ai To form a part of Certificate No.

M -0107 Date of Issue:

November 11, 1991 For the ubscr'bing companies'y W \\

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Endorsement No:

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NUCLEAR ENERGY LIABILITYINSURANCE NUCLEAR ENERGY LIABILITYINSURANCE ASSOCIATION ANNUALPREMIUM ENDORSEMENT CALENDARYEAR 1992

1. ANNUALPREMIUM:It is agreed that the Advance Premium due the companies for the period designated above is:

$5,813.00 THIS IS TO CERTIFY THAT THIS IS A TRUE COPY OF THE ORIGINAL CERTIFICATE, BEARING THE NUMBER DESIGNATED HEREON, FOR INSURANCE COVERAGE UNDER THE MAS ER POLICY-NUCLEAR ENERGY LIABII'TY INSURANCE (SECONDARY FIN, ICIALPROTECTION). NO INSUR. NCE IS AFFORDE~ B JOHN '. 9 A111lOC, VICE PRr SIDENT-UNDERWRITING AMERICAN NUCLEAR INSURERS Effective Date of this Endorsement:

January 1, 1992 (12:01 A.M. Standard Time)

Issued to:

Arizona Public Service Company, et al To form a part of Certificate No.

N -0114 Da te of Issue:

November

11. 1991 Endorsement No:

15 For t ubscr~i ng companies By Pre id

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NUCLEAR ENERGY LIABILITYINSURANCE MUTUALATOMIC ENERGY LIABILITYUNDERWRITERS ANNUALPREMIUlVIENDORSEMENT CALENDARYEAR 1992

1. ANNUALPREMIUM;It is agreed that the Advance Premium due the companies for the period designated above is:

$1,687.00 THIS IS TQ Cfear'

"','P'~T j'i li i

~ A T<'><,I,"~@nY QF THE ORIGINAL CERTIFICATI "1" ~ i"'< i"

" A <I('" A'(-i.D HEREON fQR INSURANC"-';,"",',

U lr -".. '",>~ F", POLICY-NUCLEAR ENERGY LIABI TY Ii'>!9:.

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"'-'i'<Y f;l~

LCIAL PROTECTION). NO INSURE ICE I". -.'", ~

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JOHN U/<T't f~QuC(-.~

VICE PRESIDENT-UNDERlVRITING AMERICAN NUCLEAR INSURERS Effective Date of this Endorsement:

January

1. 1992 (12:01 A.M. Standard Time)

Issued to:

Arizona Public Service Company, et al To form a part of Certificate No.

M -0114 Date of Issue:

November 11, 1991 For the s

scribing co panies

~ ~;-t ~l By Endorsement No:

>5 Counte i ned by

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