ML17306B270

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Forwards Endorsements 75 & 57 to Facility Form NF-0266 & MF-0116,Endorsements 11,12 & 13 to Facility Worker Forms MW-0086 & NW-0160,respectively & Endorsement 20 to Secondary Financial Protection N-0088,M-0088,N-0107,respectively
ML17306B270
Person / Time
Site: Palo Verde  Arizona Public Service icon.png
Issue date: 01/29/1993
From: Stevens R
ARIZONA PUBLIC SERVICE CO. (FORMERLY ARIZONA NUCLEAR
To:
NRC OFFICE OF INFORMATION RESOURCES MANAGEMENT (IRM)
References
102-02408-RJS-J, 102-2408-RJS-J, NUDOCS 9302040204
Download: ML17306B270 (38)


Text

hCCELERAT+ DOCUMENT DISTRU+ON SYSTEM ACCESSION NBR:9302040204 DOC.DATE: 93/01/29 NOTARIZED:

NO DOCKET g 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 STEVENS,R.J.

Arizona Public Service Co. (formerly Arizona Nuclear Power R

RECIP.NAME RECIPIENT AFFILIATION Document Control Branch (Document Control Desk)

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SUBJECT:

Endoesement 16 to policy M-0114 to MAELU a NELIA,endorsement 20 to policy M-0107 to MAELU a NELIA,endorsement 20 to policy M-0088 to MAELU & NELIA,endorsement 57 to policy MF-0116 to MAELU a endorsement 75 to policy NF-0266.

DISTRIBUTION CODE:

MOOZD COPIES RECEIVED:LTR i ENCL

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SIZE:

TITLE: Insurance:

Indemnity/Endorsement Agreements D

NOTES:STANDARDIZED PLANT Standardized plant.

Standardized plant.

05000528 05000529 05000530 D

RECIPIENT ID CODE/NAME INTERNAL: NRR/PMAS/PTSB12 EXTERNAL: NRC PDR COPIES LTTR ENCL 1

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1 RECIPIENT ID CODE/NAME G-~FTK~

01 COPIES LTTR ENCL 1

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NOTE TO ALL"RIDS" RECIPIENTS:

PLEASE HELP US TO REDUCE WASTEI CONTACT THE DOCUMENT CONTROL DESK, ROOM Pl-37 (EXT. 504-2065) TO ELIMINATEYOUR NAME FROM DISTRIBUTION LISTS FOR DOCUMENTS YOU DONT NEED!

D TOTAL NUMBER OF COPIES REQUIRED:

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Arizona Public Service Company PALO VERDE NUCLEAR GENERATING STATION P.O. BOX 52034

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PHOENIX. ARIZONA85072-2034 102-02408-RJS/JRP January 29, 1993 U. S. Nuclear Regulatory Commission ATlN: Document Control Desk Mail Station P1-37 Washington, DC 20555

Dear Sirs:

Subject:

Palo Verde Nuclear Generating Station (PVNGS)

Units 1, 2, and 3 Docket Nos. STN 50-528/529/530 Nuclear Energy LiabilityInsurance File: 93-003-240 93-056-026 Pursuant to 10 CFR 140.15(e) and Section 2.B(6)(iii) of the Facility Operating License, enclosed are two certified copies each of the following endorsements to the PVNGS Nuclear Energy Liability Insurance Policies:

~Polic No.

Coveracae Endorsement No.

NF-0266 MF-0116 MW-0086 NW-0160 N-0088 M-0088 N-0107 M-0107 N-0114 M-0114 Facility Form Facility Form Facility Workers Form Facility Workers Form Secondary Financial Protection Unit 1 Secondary Financial Protection Unit 1 Secondary Financial Protection Unit 2 Secondary Financial Protection Unit 2 Secondary Financial Protection Unit 3 Secondary Financial Protection Unit 3 75 57 11,12, and 13 11,12, and 13 20 20 20 20 16 16 050003 9302040204 930i29 PDR ADOCK 05000528 J

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.U. S. Nuclear Regulatory Commission ATTN: Document Control Desk Nuclear Energy Liability Insurance Page 2 The enclosed endorsements are forwarded for your information.

If you should have any questions, please contact Thomas R. Bradish at (602) 393-5421.

Sincerely, Ronald J. Stevens, Director Regulatory and Industry Affairs RJS/JRP/mlh Enclosures cc:

J. B. Martin J. A. Sloan W. F. Conway

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NUCLEAR ENERGY LIABILITYINSURANCE MUTUALATOMIC ENERGY LIABILITYUNDERWRITERS ANNUALPREMIUM ENDORSEMENT CALENDARYEAR 1993 1.

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

$1,687.00 THIS IS TO CERTIFY THAT THIS IS A TRUE COPY OF THE ORiGiNAL CERTIFICATE, BEARING THE NUitIBER DESIGNATED HEREON, FOR INSURANCE COVERAGE UNDER THE ViASTER POLICY-NUCLEAR ENERGY LIABi ITY INS NCE (SEC ARY FiNAN AL OTECTION). NO lNiSU ENCE FORDE BY JOH UATTROCCHI VICE PR SIDENT-UNDERWRITING AMERICAN NUCLEAR INSURERS Effective Date of this Endorsement:

January 1,

1993 (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:

October 15, 1992 Endorsement No:

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NUCLEAR ENERGY LIABILITYINSURANCE NUCLEAR ENERGY LIABILITYINSURANCE ASSOCIATION ANNUALPREMIUM ENDORSEMENT CALENDARYEAR 1993 ANNUAL PREMIUM: 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 CERTIFICAlE. BEARING THE NUMBER DESIGNATED HEREON, FOR INSURANCE COVERAGE UND R 1'HE MASTER POI.ICY-NUCLEAR ENERGY LIAB ITY IN NCE (SEC 'RY FINANCIAL IOTECTION). NO INSUI iNC FFORDE BY '

JOHNS 5UATTR05CHI VICE PRESIDENT-UNDERWRITING AMERICAN NUCLEAR INSURERS Effective Date of this Endorsement:

January 1,

1993 (12:01 A.M. Standard Time)

Issued to:

Arizona Public Service

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

N

-0114 Date of Issue:

October 15, 1992 For By P

s ent nies Endorsement No:

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4 0 NUCLEAR ENERGY LIABILITYINSURANCE MUTUALATOMICENERGY LIABILITYUNDERWRITERS ANNUALPREMIUM ENDORSEMENT CALENDARYEAR 1993 1.

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

$1,687.00 THIS IS TO CERTIFY THAT THIS IS A TRUE COPY OF THE ORIGINAL CERTIFICATE, BEARING THE NUMBER DESIGNATED HEREON, FOR INSURANCE COVERAGE UNDER THE MASTER POLICY-NUCl.EAR ENERGY LIABI TY INS NCE (SECO DARY FINANCIALPROTECTIOi~I). NO INSU, iNCE irFORDED BY JOH CUATTROCCHI VICE PR SIDENT-UNDERWRITING AMERICAN NUCLEAR INSURERS Effective Date of this Endorsement:

January 1,

1993 (12:01 A.M. Standard Time)

Issued to:

Arizona Public Service

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

M

-0107 Date of Issue:

October 15, 1992 For t s

ibing c m an' 4

By Endorsement No:

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NUCLEAR ENERGY LIABILITYINSURANCE NUCLEAR ENERGY LIABILITYINSURANCE ASSOCIATION ANNUALPREMIUM ENDORSEMENT CALENDARYEAR 1993 1.

ANNUAL PREMIUM: 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 INSURANCF. COVFRAGE UNDER THE MASTER POLICY-NUCLEAR ENERGY LIABILTY INS CE (SECO 'Y FINANCIALP TECTION). NO INSUR ACE RDED Y

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

January 1,

1993 (12:01 AM Standard Time)

Issued to:

Arizona Public Service

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

N

-0107 Date of Issue:

October 15, 1992 For By ubs~bi nies Endorsement No:

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NUCLEAR ENERGY LIABILITYINSURANCE MUTUALATOMIC ENERGY LIABILITYUNDERWRITERS ANNUALPREMIUM ENDORSEMENT CALENDARYEAR 1993 1.

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

$1,687.00 THIS IS TO CERTIFY THAT THIS IS A TRUE COPY OF THE ORIGINAL CERTIFICATE, SEARING THE NUMBER DESIGNATED HEREON, FOR INSURANCE COVERAGE UNDER THE MASTER POLICY-NUCI.EAR ENERGY LIABILTY INS "ICE (SECO '. WRY FINANCIALP OTECTION). NO liISURi ACE

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T'OHN ilATTROCLHI VICE PRE IDENT-UNDER'LVRITING AMERICAN NUCLEAR INSURERS Effective Date of this Endorsement:

January 1,

1993 (12:01 A.M. Standard Time)

Issued to:

Arizona Public Service

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

M

-0088 Date of Issue:

October 15, 1992 For th sub bing co nies 0

By Endorsement No:

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NUCLEAR ENERGY LIABILITYINSURANCE ASSOCIATION ANNUALPREMIUM ENDORSEMENT CALENDARYEAR 1993 ANNUAL PREMIUM: 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 HEAEOii, FOR INSURANCE COVERAGE UNDER THE MASTER POI. CY-NUCLEAR FNERGY LIABI TY INS NCE (S C:

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r 0 ECTION). NO INSUR NCE RDE JOH ATTROCCHI VICE PRESIDENT-UNDERV/RITING AMERICAN NUCLEAR INSURERS Effective Date of this Endorsement:

January 1,

1993 (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:

October 15, 1992 Endorsement No:

20 For the scribing mpanies By s

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

$153,478.00 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:

$115,968.00 This is to certify that this ts a true copy of the ortgael Endorsement having the endorsernent trurnber and behg nude part of the Nuclear Energy UahTity PoHcy (fee'Hty Form) ns des.

ignat o hsu anorded John tnecH, VkO Effective Date of this Endorsement:

January 1,

1993 (12:01 A.M. Standard Time)

To form a part of Policy No.

MF -0116 Issued to:

Arizona Public Service

Company, et al Date of Issue:

December 9,

1992 For the s bsc ng corn ani s

0 By Endorsement No:

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NUCLEAR ENERGY LIABILITYINSURANCE NUCLEAR ENERGY LIABILITYINSURANCE ASSOCIATION ADVANCEPREMIUM AND STANDARD PREMIUM ENDORSEMENT CALENDARYEAR 1993 1.

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

$528,647.00 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:

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Effective Date of this Endorsement:

January 1,

1993 (12:01 A.M. Standard Time)

Issued to:

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

NF -0266 Date of Issue:

December 9,

1992 For the s

cribing companies By esi e

Endorsement No:

75 Countersigned by NE-36

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NUCLEAR ENERGY LIABILITYINSURANCE NUCLEAR ENERGY LIABILITYINSURANCE ASSOCIATION ADVANCEPREMIUM AND STANDARD PREMIUM ENDORSEMENT CALENDARYEAR 1993 1.

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

$53,708.00 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 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'trye copy of the original Endorse t

he endorsement number and being made part of the Ce 'f men of Insurance bearin g the number designated hereon for insurance r o e

erti (cate covera e under the Nuclear Energy Liability Policy (Facility Workers Form).

o I ce is aff r d h r.

John L

Cattroccht, Vi s

American Nuclear Insurers Effective Date of this Endorsement:

January 1,

1993 (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 9,

1992 For the su cribing companies By s1 n

Endorsement No:

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~ e NUCLEAR ENERGY LIABILITYINSURANCE NUCLEAR ENERGY LIABILITYINSURANCE ASSOCIATION AMENDATORYENDORSEMENT (Facility Worker Form - Certificate of Insurance)

It is agreed that the endorsement entitled "INDUSTRYRETROSPECTIVE RATING PLAN PREMIUM ENDORSEMENT" is amended as follows:

The definitions of"reserve premium", "retrospective adjustment ratio", and "reserve forrefunds" in Section 1. DEFINITIONS are amended to read:

"reserve premium" means that portion of the premium paid for a Certificate (including reserve premium charges) that is specifically allocated under the Industry Retrospective Rating Plan for ratable incurred losses; "retrospective adjustment ratio", for any period, is the ratio of the reserve premium for this Certificate plus the Certificate's share of the undistributed net income realized (after deducting taxes and investment expenses) on the Special Reserve Account for that period to the industry reserve premium plus the total undistributed net income realized (after deducting taxes and investment expenses) on the Special Reserve Account for the same period; "reserve for refunds", as of any date, is the algebraic result of:

(1) all industry reserve premium for the period from January 1, 1988 through such date, plus (2) the total undistributed net income realized (after deducting taxes and investment expenses) on the Special Reserve Account, minus (3) the total for the same period of (a) all ratable incurred losses and (b) all industry reserve premium refunds made under the Industry Retrospective Rating Plan by members of NELIA; 2.

The second sentence of Section 3. SPECIAL RESERVE ACCOUNT:

USE OF RESERVE PREMIUMS is amended by adding the word "deducting" before the words "taxes and investment expenses".

NE-W-1A (10/91)

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Section S. FINAL PREMIUM is amended to read:

S.

FINALPREMIUM The final premium for this Certificate shall be (a) the sum of the standard premiums for each calendar year, or portion thereof, during which the Certificate remains in force plus (b) the sum of all reserve premium charges, minus (c) the sum of all reserve premium refunds.

This is to certify that this is a true copy of the original Endorsement hqvjng the endorsement number and being made part of the Certificate.

of Insurance bearing the number designated hereon for insurance coveracltt unde e Nuclear nergy l.labillty

!icy (Facility Workers Form).

Ins nce Is'or he n er.

John L, attrocchf, Vic re ident ing American NUclear Insurers Effective Date of this Endorsement:

January 1, 1993 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:

December 15, 1992 For the subs i g companies By EN Endorsement No:

NE-W-1A (10/91) 12 Countersigned by Page 2 of 2

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ql NU EA ENERGY LIABILITYINSU AN NUCLEAR ENERGY LIABILITYINSURANCE ASSOCIATION AMENDATORYENDORSEMENT (Facility Worker Form - Certificate of Insurance)

It is agreed that Item 2, Certificate Coverage Period, of Section 1. DECLARATIONSof this Certificate is amended to read:

Item 2.

Certificate Coverage Period:

Beginning at 12:01 a.m. January 1, 1988 and ending at the close of

'ecember 31, 1997, Eastern Standard Time, or at the time and date this Certificate is cancelled or terminated, whichever first occurs.

This is to certify that this is a true copy of the original Endorseme t

ving the endorsement number and being made part of the Certificate of Insurance bearing the number designated ereon for insurance covera e un~he Nucle ner ~bliit olicy (Facllit Workers John L.

uattrocchi, Vice President-Underwritin'g American Nuclear lnsurers Effective Date of this Endorsement:

January 1, 1993 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:

December 15, 1992 For the subscribin'g companies Endorsement No:

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$15,592.00 2.

STANDARD PREMIUM AND RESERVE PREMIUM: In the absence of a change in the Advance Premium indicated above, it is agreed that, subject to th'e 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 fy that th' a tru copy of th having the endorsement number and b I

o igina Endorsement of insurance bearing the number d i

part of the Certificate covera e un

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nergy Liability olicy (Facility Workers J

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uattrocchi Vi e P sident Un rit~n American Nuclear lnsurers n

rting Effective Date of this Endorsement:

January 1,

1993 (12:01 A.M. Standard Time)

To form a part of Certificate No.

MW -0086 Issued to:

Arizona Public Service

Company, et al Date of Issue:

November 9,

1992 For the ubs ing corn ies By 4

Endorsement No:

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NUCLEAR ENERGY LIABILITYINSURANCE MUTUALATOMIC ENERGY LIABILITYUNDERWRITERS AMENDATORYENDORSEMENT (Facility Worker Form - Certificate of Insurance)

It is agreed that the endorsement entitled "INDUSTRYRETROSPECTIVE RATING PLAN PREiviIViVI ENDORSEMENT" is amended as follows:

The definitions of"reserve premium", "retrospective adjustment ratio", and "reserve for refunds" in Section 1. DEFINITIONS are amended to read:

"reserve premium" means that portion of the premium paid for a Certificate (including reserve premium charges) that is specifically allocated under the Industry Retrospective Rating Plan for ratable incurred losses; "retrospective adjustment ratio", for any period, is the ratio of the reserve premium for this Certificate plus the Certificate's share of the undistributed net income realized (after deducting taxes and investment expenses) on the Special Reserve Account for that period to the industry reserve premium plus the total undistributed net income realized (after deducting taxes and investment expenses) on the Special Reserve Account for the same period; "reserve for refunds", as of any date, is the algebraic result of:

(1) all industry reserve premium for the period from January 1, 1988 through such date, plus (2) the total undistributed net income realized (after deducting taxes and investment expenses) on the Special Reserve Account, minus (3) the total for the same period of (a) all ratable incurred losses and (b) all industry reserve premium refunds made under the industry Retrospective Rating Plan by members of NELIA; 2.

The second sentence of Section 3. SPECIAL RESERVE ACCOUNT:

USE OF RESERVE PREMIUMS is amended by adding the word "deducting" before the words "taxes and investment expenses".

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Section 5. FINAL PREMIUM is amended to read:

5.

FINALPREMIUM The final premium for this Certificate shall be (a) the sum of the standard premiums for each calendar year, or portion thereof, during which the Certificate remains in force plus (b) the sum of all reserve premium charges, minus (c) the sum of all reserve premium refunds.

This is to certify that this is a true copy of the original Endorsement hqyln'g the endorsement number and being made part of the Certificate of Insu nce be ing the nu ber designated reon for insurance coverag urd

. e Nuoia r E r

licy (Facility Workers Form).

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John L. Q attrocchi, Vice President-Uixk~5ag American Nuclear Insurers Effective Date of this Endorsement:

January 1, 1993 12:01 A.M. Standard Time To form a part of Certificate No.

MW %086 Issued to:

Arizona Public Service Company, et al Date of Issue:

December 15, 1992 For the subs ibin panies By Endorsement No:

12 ME-W-1A (10/91)

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MUTUALATOMIC ENERGY LIABILITYUNDERWRITERS AMENDATORYENDORSEMENT (Facility Worker Form - Certificate of Insurance)

Certificate Coverage Period It is agreed that Item 2, Certificate Coverage Period, of Section 1. DECLARATIONSof this Certificate is amended to read:

Item 2.

Beginning at 12:01 a.m. January 1, 1988 and ending at the close of December 31, 1997, Eastern Standard Time, or at the time and date this Certificate is cancelled or terminated, whichever first occurs.

This is to certify that this is a true copy. of the original Endorsement having the endorsement number and being made part of the Certificate=

of Insurance bearing the number designated hereon for insurance coverag und Nuclear ergy Liability llcy (Facility Workers Form).

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attrocchi, Vic re Ident&n ing American Nuclear lnsurers Effective Date of this Endorsement:

January 1, 1993 (12:01 A.M. Standard Time)

To form a part of Certificate No.

MW -0086 Issued to:

Arizona Public Service Company, et al Date of Issue:

December 15, 1992 Endorsement No:

Countersigned by

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