ML17320A263

Forwards Endorsements 55 to Nelia Policy NF-206;45 to Maelu Policy MF-79;1,2,3 & 4 to Nelia Policy N-64;1,2,3 & 4 to Maelu Policy M-64;1,2,3 & 4 to Nelia Policy N-45 & 1,2,3 & 4 to Maelu Policy M-45

ML17320A263
Person / Time
Site:	Cook
Issue date:	12/22/1982
From:	Buckles J MARSH & MCLENNAN, INC.
To:	Saltzman J NRC OFFICE OF STATE PROGRAMS (OSP)
References
NUDOCS 8212290213
Download: ML17320A263 (71)

Text

REGULA Y

INFORMATION PISTRIBUTI

'YSTEH (RIDS)

ACCESSION NBR:8212290213 DOC,DATE 82/12/22 NOTARIZED:

NO

'OCKET FAGIL:50-315 Donald C ~

Cook Nuclear Power P

1 ant i Uni t 1 ~ Indiana 8

05000315 50<<316 Donald C.

Cook Nuclear Power Plant< Unit 2~ Indiana 8

05000316'UTH, NAME AUTHOR AFFILIATION BUCKLES'.,Har sh 8

HcLennan~ Inc,<

H L

H Nuclear Consul tents~Inc, Div.

RECIP ~ NAHE REC IP IDENT AFF ILIATION SALTZHANgJe

ssistant Director for State 8 Licensee Relations

SUBJECT:

Forwards Endorsements 55 to NELIA Policy NF-206JAS to HAELU Policy HF-79) ii2z3 L

0 to NELIA Policy N-6Q is2g3 8

to HAELU Policy H-60i1~2i3 8

0 to NELIA Policy N 45 8,

ii2~3 8

0 to HAELU Policy H-45, DISTRIBUTION CODE:

H001S COPIES 'RECEIVED:LTR ENCL SIZEo TITLE: Insurance:

Indemni ty/Endor sement Agreements NOTES:

EXTERNAL+ LPPR NTIS 03 00 RECIPIENT ID CODE/NAME INTER',Al:

C GUEZs J EG FILE 01 COPIES LTTR ENCL 1

1 1

2 2

1 1

NRC PDR 02 REC IP IENT ID CODF/NAME NRR/DL/ADL 07 SP COPIES LTTR ENCL 1

0 1

1 1

1 TOTAL NUMBER OF COPIES REQUIRED:

LTTR 8

ENCL 7

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Marsh 8 McLennan, Incorporated 222 South Riverside Plaza Chicago, Illinois 60606 Telephone 312 648-6000 December 22, 1982 82i22902gg 82i222 PDR ADOCK 050003i5 d

PDR Mr. Jerome Saltzman Assist:ant Director State

& Licensee Relations Office of State Programs U. S. Nuclear Regulatory Commission Washington, D.

C.

20555 RE:

INDIANA & MICHIGAN ELECTRIC COMPANY NUCLEAR LIABILITYINSURANCE

Dear Mr. Saltzman:

On behalf of Indiana

& Michigan Electric Company please find the following certified copies of the indicated endorsements.

POLICY NO.

ENDORSEMENT NO.

NO.

OF CERT.

COPIES NF-206 MF-79 N-64 M-64 N-45 M-45 55 45 1,2,3,4 8

8 2 each 2 each 2 each 2 each Also enclosed are the certified copies of each of the four Certificates of Insurance, N-64, M-64, N-45, and M-45.

Very truly yours Joseph Buckles Nuclear Consultant JB:es Enc.

cc:

Mr. J.

Dixon AEP Mr. G.

Amerman M&M Columbus Mr. M. Nadel M&MNC Chicago

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'luclear Energy Liability Insur%ce NUCLEAR ENERGY LIABILITYINSURANCE ASSOCIATION ADVANCE PREMIUM AND STANDARD PREMIUM CALENDAR YEAR 1983 ENDORSEMENT 1.

ADVANCE PREMIUM:

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

S 439 304.88 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:

S 3

5 This is to oertify that this is a true oopy of the original Endorsement having the endorsement number and being made part of the Nuclear Energy LiabilityPolioy (Faoility Form)'s des'-

ignated hereo

. No Ineuranoe,is afforded hereunder

~8 John L. Qnnnroerhi, Vice preeidennhhrbilirs underem nanmm American Nuclear Insurera, Effective Date of This Endorsement Issued to January 1, 1983 12:01 A.M. Standard Time Indiana

& Hichi an Electric Col an Date of Issue~

December 15, 1982 For the s cribing corn anies Endorsement No.

5 Countersigned by General Manager

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UCLEAR ENERGY LIABILITYINSURANCE MUTUAL ATOMIC ENERGY LIABILITYUNDERWRITERS ADVANCE PREMIUM AND STANDARD PREMIUM CALENDAR YEAR 1983 ENDORSEMENT 1.

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

127,540.12 2.

STANDARD PREMIUM ANO 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:

96 255.

9 This is to certify that this is a true oopy of the original t h in the endorsement number and being made part of the Nuolear,Energy LiabilityPolioy (Faoili y or

) as t For 's des-ignated hereon, t

d, h No Insuranoe is afforded hereunder

.~ g ~wc, John I. Quattrocchi, Vice President-Lisbilitjj Underwriting American Nuclear Insurers Effective Date of This Endorsement Issued to Date of Issud January 1, 1983 12:01 A.M. Standard Time Indiana 8 Michi an Electric Com an December 15, 1982 To form a part of Policy No.

or the s

cribing corn anies Endorsement No.

45 Countersigned by General Manager

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Nuclear Energy LlabllltyInsurance NUCLEAR ENERGY LIABILITYINSURANCE ASSOCIATION ENDORSEMENT TO CERTIFICATE NO.

N 64 Forming Part of Master P o1icy No.

1 Nuclear Energy Liability Insurance (Secondary Financial Protection)

ANNUAL PREMIUM ENDORSEMENT It is agreed that the Annual Premiums applicable to the periods designated below are as follows:

For Calendar Year 1978 Effective Date January 1,

1978 Annual Premium

$4;650.00 For Calendar Year 1979 Effective Date January 1, 1979 Annual.Premium

$ 4 650 00 For Calendar Year 1980 Effective Date January 1, 1980 Annual Premium

$4~650 00 For Calendar Year 1981 Effective Date January 1,

1981 Annual Premium

$4>65" 00 For Calendar Year 1982 Effective Date January 1,

1982 Annual Premium

$ 4>650 00 opy 0l the oriftinal'f" that this is e, tru This is to oertify the endorsem sement number and>>o. ng

~ '.

lit Polioy (Paoili y For as dept Liabil y n.

o i afforded. here der.

n. No Insuranoa s

iff'.<~rvu iaereOn.

O Effective'Gate of this Endorsement en I,iability ctl P esr Qgygefs John b.

American as stated above N-64 To form a part of'Certificate No.

Issued to 12:01 A.M. Standard Time

~'hi Gate of issue For the su cribing co panies By General Manager Endorsement No Countersigned by NE-S-3

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Nuclear Energy Liabilityineurttnce NUCLEAR ENERGY LIABILITYINSURANCE ASSOCIATION ENDORSEhlENT TO CERTIFICATE NO ~

N 64 Forming Part of hfaster Policy No.

1 Nuclear Energy Liability Insurance 1

(Secondary Financial Protection)

It is agreed that Item 4. (a) of the Declarations is amended to read as follows:

Item 4. (a)

Identification of rima financial rotection applicable to the nuclear reactor and limit(s) of liability thereof:

Nuclear Energy Liability. Insurance Association's Policy NF-206

$124,000,000 hfutual Atomic Energy Liability Underwriters

'olicy hP-79

$ 36,000,000 This is to eel'tify that this is'a true ooyy of the original Endorsement having the endorsement number and being made gart of the Nuclear Znor"y LiabilityPolioy (Faoility Form} as des-.

ignated hereon.

No Insuranoa is afforded here~sr, 4

ttrocchf, Vice president.L~IIIty Undeft'~

American Nuclear lnsurers Effective Date of.

this Endorsement 12:Ol A.M. Standard Time

~h 1

C N-64 To form a part of Certificate No.

Date of Issue 1

182 For h

t e su cribing co panies Endorsement No 2

By Countersigned by

.General Manager NE-S-2

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'Nuclear Energy LIabllltyInsurance NUCLEAR ENERGY LIABILITYINSURANCE ASSOCIATION ANNUAL PREMIUM ENDORSEMENT Calendar Year 1983 ANNUAL PREMIUM: It is agreed that the Annual Premium due the

$ id d

i:$ $,$

is to oortf.fy that this ie a rue oopy o< tho original Endorsement hatting t~".e endo. ~,

....':or and being made p rt s

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a og t:ho Nuoloar Energy;y Liabx '-ty r'o.i'"y (Facility Form> as es-if;nated. hereon.

No Insuranoe is aii'ordod hereunder..-

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John L. Quattrocchi, Vice President LiehiHtyUMreriting American Nuclear Insurers Effective Date of tnis Endorsement Issued to t2:Ol A.. Standard Time To form a part of Certi ficate N-64 Date of issue December 15 1982 For the su criblnp co panies By General Manager Endorsement No Countersigned by

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Nuclear Energy Llablllty tnauranco NUCLEAR ENERGY LIABILITYINSURANCE ASSOCIATION ENDORSEMENT TO CERTIFICATE NO.

N-64 Forming Part of Master Policy No.

1 Nuclear Energy Liability Insurance (Secondary Financial Protection)

INSURED'S CANCELLATION OF CERTIFICATE ENDORSEMENT In consideration of the companies providing the insurance afforded to the insured by the Certificate indicated above and in order to comply with the Commercial Nuclear Power Reactor Operators'requirements under the Price-Anderson Act to provide evidence of secondary financial responsibility protection, it is ag'reed that with respect to such Certificate the insured waives the right of immediate cancellation, as provided under Section 500.3020 of the Michigan Insurance

Code, P.A.

1956 No. 218, and the insured shall comply with the provisions of the first paragraph of Condition 16. Cancellation when cancelling such Certificate.

Date Signed Accepted by 'uthorized Officer t'tits is Co certify that this is a t"'~v uopv of tho original 8ndorseiaent having 'the" endor oiao.ic.i.-arbor and.being pin(to part of the Nuoloar Energy Li'ability,policy(Facility Foria> as des ignated hereon,.

No Insurance is afforded hereunder.

Tlt e John L;Quattrocchi, Vice President LlabiTityV derwrl lag American Niiclcar lnsorera Name of Insured Etteci>ve Date o

." January 1,

1983 12:01 A.M. Standard Time issued to M'o foriTia.part'f Certlficate Ho.

N-64 Date oi issue December 15, 1982 For the su cribln co anl p

p ea Endorsement No NE-S-5 By Countersigned by General Manaper

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NUCLEAR ENERGY LIABILITYINSURANCE MUTUAL ATOMIC ENERGY LIABILITY UNDERWRITERS CS Pc Cd 8 e O

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CeO, ective Date of Cis Endorsement, For Cal endar Year 1982 Effective Date January 1,

1982 A

1P stated above To form a part of Certific M-64.

~P Indiana 5 Michigan Electric Com an ENDORSEMENT TO CERTIFICATE NO.

M-64 Forming Part of Master Policy No.

1 Nuclear Energy Liability Insurance (Secondary Financial Protection)

ANNUAL PREMIUM ENDORSEMENT It is agreed that the Annual Premiums applicable to the periods designated below are as follows:

For Calendar Year 1978 Effective Date January 1,

1978 Annual Premium 1 350.00 For Calendar Year 1979 Effective Date January 1,

1979 A

1P" For Calendar Year 1980 Effective Date January 1,

1980 A

PP 1

~PP.

For Calendar Year 1981 Effective Date. January 1,

1981 A"

1P Date of Issu December 15, 1982 For tho Subscribing Companies M

UAL ATOMIC ENERGY LIA ILITYU ERiVItITERS By Endorsoment No.

ME-S-3 Coun terail;nell hy Aurllol(IZYIIn> I lll>

4

CLEAR ENERGY LIABILITYINSURANCE MUTUAL ATOMIC EN ERGY; LIABILITYUNDERWRITERS ENDORSEMENT TO CERTIFICATE NO.

M 64 Forming Part of Master Policy No.

1 Nuclear Energy Liability Insurance (Secondary Financial Protection) cII e +

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&Pi1 OW Item 4.

(a)

Identification of rimar financial rotection applicable to the nuclear reactor and limit(s) of liability thereof:

Nuclear Energy Liability Insurance Association's Policy NF-206

$124,000,000 Mutual Atomic Energy Liability Ut1derwriters' Policy MF-

$36,000,000 Effcctivo Dato of this Endorscmcnt Indiana

& Michigan Electric Company Issuo to December 15, 1982 Data of Issu To form a part of Certific M-64 It is agreed that Item 4.(a) of the Declarations is amended to read as follows:

For thc Subscribing Companies M

UAL ATOMIC ENERGY LIA ILITYU ERiVRITERS I3y Endorscmcnt No.

2 ME-S-2 CountcrsigncII IIy AuTIIoIIIKI:IInI:I'III'wI:NTATIYI;

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NUCLEAR ENERGY LIABILITYINSURANCE MUTUAL ATOMIC ENERGY LIABILITY UNDERWRITERS ANNUAL PREMIUM ENDORSEMENT Calendar Year 1983 ANNUAL PREMIUM: It is agreed that the Annual Premium due the

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$.$ $ 0.00 This is to certify that this is a true oopy of the original Endorsement having the endorseme ii: i-,Her and being made part of the Nuolear Energy Liabilityi'oiicy (F cilityForm) as des-ignated hereon.

ufo Insurance is afforded hereunder, John L. Qoattrocchi, Vice President LiaMlitttUndcnvriting American Nuclear Insnrers Effective Dnto of this Endorsement January 1,

1983 To form n nnrt of Certificate No.

Ii-64 Indiana 8 Hichi an Electric Company Dnto of Issu December 1 5 1 982 For t,hc Su)3srril1inl, Cmnimnies M

'UAI. ATOMII'. I'NRRCIY LIAjIILITYU IHRIVIII'I'IRH

'3y Endorsement No.

Count<.rsil$ nn(l l)y AuTIIuluxnII I t nI'Ile:le YENTA Tire

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NUCLEAR ENERGY LIABILITYINSURANCE MUTUAL ATOMIC ENERGY LIABILITYUNDERWRITERS ENDORSEMENT TO CERTIFICATE NO. M 64 Forming Part of Master Policy No.

1 Nuclear Energy Liability Insurance (Secondary Financi al: P rotecti on)

INSURED'S'ANCELLATION OF CERTIFICATE ENDORSEMENT In consideration of the companies providing. the insurance afforded to the insured by the Certificate indicated above and in order to comply with the Commercial Nuclear Power Reactor Operators'equirements under the Price-Anderson Act to provide evidence of secondary financial responsibility protection, it is agreed that with respect to such Certificate the insured waives the right of immediate cancellation, as provided under Section 500.3020 of the Michigan Insurance

Code, P.A.

1956 No. 218, and the insured shall comply with the provisions of the first paragraph of Condition 16. Cancellation when cancel 1 ing such Certificate.

Date Signed Accepted by Authorized Officer This '1s to ocr%'fy that thfs Xs a true oopy of the or1gÃnal; Endorsement h'av1ng tho endorsement number and, be1ng made part.

, of the Nuolear Energy L1ab111ty Pol1oy ao111ty'orm) 'as deB 1 itle 1gnated here

. Ho Insurance 1s afford

. hereunder.

John L. Quattrocchi, Vice President. LiabilityUnderwriting American, Nuclear 1nsurers Name of Insured Effective Date of titis Endorsement January 1,

1983 Indiana 5 Michigan Electric Company Issue to December 15, 1982 Date of Issu To form a>art of Certific M-64 For the Subscribing Companies MU UALATOMIC ENERGY LIA ILITYU ERIURITERS By Endorsorncnt No.

ME-S-5 Countersigned hy Ateuonntsn Ital'nsssNTATlvs

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Nuclear Energy LiabilityInauranoe NUCLEAR ENERGY LIABILITYINSURANCE ASSOCIATION ENDORSEOIENT TO CERTIFICATE NO.

N-45 Forming Part of Master Policy No.

1 Nuclear Energy Liability Insurance (Secondary Financial Protection)

ANNUAL PREMIKf ENDORSEMENT It is agreed that the Annual Premiums applicable to the periods designated below are as follows:

For Calendar Year 1978 Effective Date January 1,

1978 Annual Premium

$4',650.00 For Calendar Year 1979 Effective Date January 1,

1979 Annual Premium

$4,650.00 For Calendar Year 1980 Effective Date January 1,

1980 Annual Premium

$4,650.00 For Calendar Year 1981 Effective Date January-l, 1981 Annual Premium

$4~650 00 I

For Calendar Year 1982 Effective Date January 1,

1982 This isAPonuog,giqlyjq~

~'

- "opy of the original n.n0 gndorsezent ha;r.:, I,,v en o~ -,iu.t. i-.>>.i,iar and being made yaW of the Nuclear '"net' L..t,biiityPolicy (Facility Form} as des-.

~ted hereon.

No Insurance is afforded hereugde3:.,

John L. Quatt Alhericea Nulli~

"'"'L~IIItyU~.

Effective Date of this Endorsement as stated above 12:Ol A.M. Standard Time Issued to Indiana

& Nichigan Electric Company Date of Issue DeCember 15 1982 N-45 To form a part of

" Certificate No.

For the su cribing co panies By General Manager Endorsement No Countersigned by NE-S-3

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Nuclear Energy Liabilitylnsurnnco NUCLEAR ENERGY.LlABILITYINSURANCE ASSOClATlON

'DORSEIIENT TO CERTIFICATE NO.

N-45 Forming Part of Master Policy No.

1 Nuclear Energy Liability Insurance (S econdary Financial Pro tee tion)

It is agreed that Item 4. (a) of the Declarations is amended to read as follows:

Item 4.(a)

Identification of rimar financial rotection n

applicable,to the nuclear reactor and limit(s) of liability thereof:

Nuclear Energy Liability.Insurance Association's Policy NF-206

$124,000,000 Mutual Atomic Energy Liability Underwriters'olicy MF-79

$ 36,000,000

".his is to certify that this in a xr.ie ooyv of the original Endorsement having the endorse ao ~. nu.'r and being made p'art of the Huolear Energy LiabilityPolicy {FacilityForm) as des-ignated, hereon.

No Insuranoe is afforded hereunder,,

John L.

ttrocchi, Vioe President LiabilityUntIeiwriting Amerkan Nuclear Insurers Effective Date of this Endorsement

. 12;Ql A.M Standard Time to Indiana 5 Mich Igan'l ectr t c Company Date of lssu December 15, 1982 To form a part of Certificate No.

or the su cribing co panies By General Manager Endorsement No Countersigned by NE-S-2

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Nuclear Energy'iability Insurance NUCLEAR ENERGY LIA8ILITYINSURANCE ASSOCIATION ANNUAL PREMIUM ENDORSEMENT Ca1endar Year 1983 ANNUAL PREMIUM: It is agreed that the Annual Premium due the i

db i:$ $.6$0.0 This is to oertify that this is a true copy of the original Endorsement having the endorsement num'ber and being made part oZ she Nuclear Energy LiabilityPolicy. (Facility form) as des-1gaated hereon.

No Insuranos is afforded, hereunder',.

John,L. Quattrocchi, Vlcc President-Lkbiiity Underwriting American Nuclear Insurers

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-I Effective Date of tnis Enaorsomant 12:Ol A.. Standard Time Issued to Indiana 8 Michl an Electric Com any Date of Issue D cember 15 1982 To form a p4rt of Certi ficate N-45 For the su crlblng co psnles By General Manaper Endorsement No Countarslpnod by

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Nuclear Energy LlabllltyInsurance NUCLEAR ENERGY LIABILITYINSURANCE ASSOCIATION ENDORSEHENT TO CERTIFICATE NO.N 45 Forming Part of Haster Policy No.

1 Nuclear Energy Liability Insurance (Secondary Financial Protection)

\\

INSURED'S CANCELLATION OF CERTIFICATE ENDORSEHENT In consideration of the companies providing the insurance afforded to the insured by the Certificate indicated above and in order to comply with the "Commercial Nuclear Power Reactor Operators'requirements under the Price-

'Anderson Act to provide evidence of secondary financial responsibility protection, it is agreed that with respect to such Certificate the insured waives the right of immediate cancellation, as provided under Section 500.3020 of the Hichigan Insurance

Code, P.A.

1956 No. 218, and the insured shall comply with the provisions of the first paragraph'f Condition 16. Cancellation when cancelling such Certificate.

Accepted by 'uthorized Officer Date Signed

~ This is to certify that this is a true uogy of the original Endorsement having the endorsement number and being pads part.

of the Nuclear Energy Liability.Policy (Facility Form) as ignated hereon.

No Insurance'is'afforded hereunder.,

Title

American Nuct In'dent L'aMttyUnde John L Quattrocchi, Vice Name of Insured Etfective Date ot tnis Endorsement Januar 1.

1983 12:01 A.M. Standard Ttme

~

Issued to ndiana Iw Hichi an Electric Com an.

Date ot Issue Decembe'r 15, 1982 To lorry w part'f Certilicate No.

N-45 For the su crtblng co panles Endorsement No NE-S-5'y Counterstgnod by General Manager

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MUTUAL ATOMIC ENERGY LIABILITYUNDERWRITERS v

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a For Calendar Year 1979 Effective Date January 1, 1979 Annual Premium

$ 1 350 00 For Calendar Year 1980 Effective Date January 1,

1980 Annual Premium

$ 1,350.00 ENDORSEMENT TO CERTIFICATE NO.

M 45 Forming Part of Master Policy No.

1.,

Nuclear Energy Liability Insurance'Secondary Financial Protection)

ANNUAL PREMIUM ENDORSEMENT It is agreed that the Annual Premiums applicable to the periods designated below are as follows:

For Calendar Year 1978 Effective Date January 1,

1978 Annual Premium 0

'4S~m

~W le s $ 9~)

s For Calendar Year 1981 Effective Date, January 1,

1981 Annual Premium

$1,350.00 For Calendar. Year 1982 Effective Date January 1,

1982 Annual Premium

$ 1,350.00 e

e e e+ ~

sce o e aA g) e

~e e~e India@a

& Michigan Electric Company Issue to December 15, 1982 Date of Issu To form a part of Certific For the Suhscribing Companies M

UAL ATOMIC ENERGY LIA ILITY U ERWItITERS By ME-S-3 Coun tersignc~l I)y Q ur(I()sl/t u IllI st +

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(a)

Identification of rimar financial rotection applicable to the nuclear reactor and limit(s) of liability thereof:

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eeI H e-I m 'o~~ o Cpr~r ~C

'rI ItP M Nuclear Energy Liability Insurance Association's

$124,000,000 Policy NF-206 Mutual Atomic Energy Liability Underwriters'olicy MF-79

$36,000,000 ps~o 8

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0 g 8 oEHfoctivo Dato of this Hndorsomont To form a part of Certifsc Ma 1

1979 Indiana

& Michigan Electric Company Issuo to December 15, 1982 Dato of Issu It is agreed that Item 4.(a) of the Declarations is amended to read as follows:

For the Subscribing Companies M

UAL ATOMIC ENERGY LIA ILITYU ERiVIIITERS Dy Endorsomcnt No.

2 ME-S-2 CountorsigncII IIy A IITIIOIII'/IVIIII tIlI'III'MI:NTATIYI:

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NUCLEAR ENERGY LIABILITYINSURANCE MUTUAL ATOMIC ENERGY LIABILITY UNDERWRITERS ANNUAL PREMIUM ENDORSEMENT Calendar Year 1983 ANNUAL PREMIUM: It is agreed that the Annual Premium due the

~pi i <<$

i:$

0.

q>>az ~>>xs 1s ~ -. 'ver o1 t>>e or1g1>>a 1>>1'1s uo oert1fy g>>az o>>xs o

d h 1n ma6e ~a gnctorsement hav ng 1o> (pao1l1ty porm) as Gag=

of the Huolear Enery L1ab111i,g ol og uxanoe 1s afforded. hereunder, ignated, hereon.

Ho nsuxa John L. Quattrocchi, Vice President-Liability Underwriting American Nuclear Insurers Effective Dnte of this Endorsement January 1,

1983 Indiana 8 Michigan EIectric Company Issue to

'I'o form n nart of Certificate No.

v-4 Dnte of Issu December 1 5 1 982 Icor t)>e Sul>srril>ing Co<npnnies MI 'UAI, A'I'OMIC 1>NERCi Y LIAPILilY U I~RiVIII'II'iR8 I3y Endorsement No.

Counl e$ rsigne<I l)y Anl'llel(I%Pl) nnruVRFt4TATIVR

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NUCLEAR ENERGY LIABILITYINSURANCE MUTUAL ATOMIC ENERGY LIABILITY UNDERWRITERS ENDORSEMENT TO CERTIFICATE NO.

M-45 Forming Part of Master Policy No.

1 Nuclear Energy Liability Insurance (Secondary Financial'rotection)

INSURED'S'ANCELLATION OF CERTIFICATE ENDORSEMENT In consideration of the companies pr'oviding.the insurance afforded to the insured by the Certificate indicated above and in order to comply with the Commercial Nuclear Power Reactor Operators'equirements under the Price-Anderson Act to provide evidence of secondary financial responsibility protection, it is agreed that with respect to such Certificate the insured waives the right of immediate cancellation, as provided under Section 500.3020 of the Michigan Insurance

Code, P.A.

1956 No. 218, and the insured shall comply with'the provisions of the first paragraph of Condition 16. Cancellation when cancelling such Certificate.

Accepted by Date Signed This is to certify that this is a true copy of the origlnag..

Endorsement having the endorsement number and being ma@@~

of the Nuclear Energy LiabilityPolicy. (Facility F~p as

~~'gnatedhe eon. No Insurance is affor ed hereua@sr Authorized Officer Title

. John L. Quattrocchi, Vice President LiabHityUndervelting AInericanNuciearInsurers Name of Insured Effective Date of this gndorsement Januar 1,

1983 Indiana 5 Michigan Elec'tric Company Issue to To form nyert of Certitic M-45 Date of Issu December 1 5, 1 982 For the Subscribing ComPIInies MU UAL ATOMIC I NERGY LIA ILITYU ERWRITHBS Dy Endorsement No, ME-S-5 Countersigne<l by AuTIIoulxsl> Ital'nssIINTATIvs

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NUCLEAR ENERGY LIABILITYINSURANCE ASSOCIATION Certificate No.

N-64 Forming Part of Master tlJ CC:

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1 CERTIFICATE OF INSURANCE DECLARATIONS AND BOND FOR PAYMENT OF RETROSPECTIVE PREMIUMS Certificate of Insurance This is to certify that the persons and organizations designated in Item 1

r of the Declarations are named insureds under the Master Policy -.

d)

Nuclear Energy Liability Insurance (Secondary Financial Protection), herein called the "Master Policy". issued by Nuclear Energy Liability Insurance Association.

h Such insurance as is provided by the Master Policy applies, through this r

cert ificate, only:

(a) to the insureds identified in Items 1

and 2 of the Declarations, (b) for the certificate perio'd stated in Item 6 of the Declarations,

~Idled I'd' r

(1) with respect to which the rimar financial rotection described in Item 4 of the Declarations would apply but for exhaustion of its limit of liability as described in Condition 6 of the Master Policy, and,'.

I (2) which is caused during the certificate period stated in Item 6 of the Declarations by a nuclear incident arising out of or'n connection with the nuclear reactor described in, Item 3 of the Declarations, and dd NSFC-1 (1/1/83)

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7 dd (3) which is discovered and for which written claim is made against the insured not later than ten years after the end of the certificate period stated in Item 6 of the Declarations.

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~1dodd caused by an extraordinar nuclear occurrence this subparagraph O) h11 1 <<1 1

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claim is made against the insured not later than twenty years r

after the date of the extraordinar nuclear occurrence.

1'ecl arati ons

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Item 1.

Named insureds and addresses:

(a)

Indiana

& Michigan Electric Company, 180 East Broad Street, The Borden Building, Columbus, Ohio 43215 (b)

Item 2.

Additional insureds:

Any other person or organization who would be insured under the rimar financial rotection identified in Item 4 of the Declarations but for exhaustion of the limit of liability of such rimar financial

'1 rotection.

1 a

Item 3.

Description and location of nuclear reactor:

Unit 2 of the Donald C.

Cook Electric Plant located in Berrien County, Michigan.

Item 4.

(a)

Identification of rimar financial rotection applicable to the nuclear reactor and limit(s) of liability thereof:

Nuclear Energy Liability Insurance Association's Policy NF-206

$108,500,000 Mutual Atomic Energy Liability Underwriters'olicy MF-79

$ 31,500,000 Page 2 of Certificate Ho. ii-<4

(b)

The following endorsements, attached to the ~rimar financial rotection policies listed in Item 4 (a) also apply to the insurance afforded by the Master Policy through this certificate. as though they were attached hereto:

(1)

Waiver of Defenses Endorsement (Extraordinary Nuclear Occurrence) and (2)

Supplementary Endorsement - Waiver of Defenses - Reactor Construction at the Facility, (c)

The limits of liability provided under the rimar financial ifidi I 4(i b

h d ih t

any other reactor except as follows:

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Unit 1 of the Donald C.

Cook Electric Plant Item 5.

Limits of Liability:

The amount of retrospective premium actually received by the companies plus the amount of the companies'on-tingent liability, if any, pursuant to Conditions 2, 3 and 4 of the Master Policy.

Item 6.

Certificate Period:

Beginning at 12:01 a.m.

on December 23, 1977 Item 7.

~;". and continuing to the 'effective date and time of cancel

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lation or termination of the Master Policy or this certificate, whichever first occurs, eastern standard time.

Maximum retrospective premium (exclusive of allowance for premium taxes) payable pursuant to Condition 2 of the Master Policy with respect to each nuclear incident:

$3,875,000.

Item 8.

Premium payable pursuant'o Condition 1 of the Master Policy for the period from December 23 1977 through December 31 following:=

116.25 Page 3 of Certificate No. N-64

BOND FOR PAYMENT OF RETROSPECTIVE PREMIUMS Know All Men By These

Presents, that the undersigned do hereby acknowledge that they are named insureds under the Master Policy described in the above Certificate of Insurance and Declarations.

The named insureds do hereby covenant with and are held and are firmly bound to the members of Nuclear Energy Liability Insurance Association subscribing the Master Policy (hereinafter called the "companies")

to pay to the companies all

'I retrospective premiums and allowances for premium taxes which shall become due and payable in accordance with the Master Policy, as it may be changed from time to time, with interest on such premiums and allowances for taxes to be computed at the rate provided in the Master Policy from the date pay-ment thereof is specified to be due the companies in written notice to the first named insured as provided in Condition 2 of the Master Policy until paid; And it is hereby expressly agreed that copies of written notices of retro-spective premiums and allowances for premium taxes due, and payable or other evidence of such amounts due and payable sworn to by a duly authorized representative of the companies shall be prima facie evidence of the fact and extent of the liability of the named insureds for such amounts; And it is further expressly agreed that the named insureds will indemnify the companies against any and all liability, losses and expenses of whatsoever, kind or nature (including but not limited to interest, court costs, and counsel fees) which the companies may sustain or incur (1) by reason of the failure of the named insureds to 'comply with the covenants and provisions of this Bond and (2) in enforcing any of 'the covenants or provisions of this Bond, or any provisions of the Master Policy relating to such covenants or provisions; For the purpose of recording this agreement, a photocopy acknowledged before a Notary Public to be a true copy hereof shall be regarded as an original.

Page 4 of Certificate No. N-64

The preceding Certificate of Insurance, Declarations and Bond form a part of the Master Policy.

Cancellation or termination of the Master Policy or the Certificate of Insurance shall not affect the named insured's obligations under the policy or-the Bond to pay the retrospective premiums and allowances for premium taxes, as provided in this Certificate and Condition 2 of the Master Policy.

IN WITNESS WHEREOF, the named insureds have caused this Certificate, these Declarations and this Bond for Payment of Retrospective

Premiums, to be signed and sealed by a duly authorized officer, to be effective December 23 l977 eastern standard time.

Attest or Witness Named Insureds:

Indiana 8 Michigan Electric Company (Named sured - Type or Print)

Pksrtsv z~7 ee-cw By gnature of Office

)

G.

P. Maloney Vice President (SEAL)

(Type or Print Name 8 Title of Officer)

Date-August 4, l982 (Named Insured - Type or Print)

(Signature of Officer)

\\

(SEAL)

(Type or Print Name 5 Title of Officer)

Date:

By (Named Insured -. Type or Print)

(Signature of Officer)

(SEAL)

(Type or Print Name 5 Title of Officer)

Date:

Page 5 of Certificate No.N-64

I 1

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<1 IN WITNESS WHEREOF, the companies subscribing the Master Policy have caused the Certificate of Insurance and the Declarations to be signed on their behalf by the President of Nuclear Energy Liability Insurance Association to be effective December 23, 1977 eastern standard

time, and countersigned below by a duly authorized representative.

Attest or Witness For the Subscribing Companies of NUCLE ENERGY LIABILITYINSURANCE ASSOCIATION Y

o' rt C. Proom, President Countersigned by Authorized Repre tative)

MARSH & McLENNAN iwconr oner:o 1100 SUPERIOR AVENUE CLEVELAND, OHIO 44114 Page ~ ot'ertificate No.

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X Z'M MUTUAL ATOMIC ENERGY LIABILITYUNDERWRITERS Certificate Ho.

M 64 Forming Part of Master r

Policy Ho.

1 DECLARATIONS AND Certificate of Insurance called the "Master Policy", issued by Mutual Atomic Energy Liability Underwri ters.

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... This is to certify that the persons and organizations designated in Item 1

r of the Declarations are named insureds under the Master Policy-Nuclear Energy Liability Insurance (Secondary Financial Protection), herein Such insurance as is provided by the Haster Policy applies, through this certificate, only:

(a) to the insureds identified in Items 1 and 2 of the Declarations, (b) for the certificate"period stated in Item 6 of the Declarations, (1) with respect to which the rimar financial rotection described in.Item 4 of the Declarations would apply but for exhaustion of its limit of liability as described in Condition 6 of the Master Policy, and (2) which is caused during the certificate period stated in Item 6 of the Declarations by a nuclear incident arisi'ng out of or in connection with the nuclear reactor described in Item 3 of the Declarations, and MSFC-1 (1/1/83)

Page 1

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(3) which is discovered and for which written claim is made against the insured not later than ten years after the.end of the certificate period stated in Item 6 of the Declarations.

caused by an extraordinar nuclear occurrence this subparagraph I

claim is made against the insured not later than twenty years after the date of the extraordinar nuclear occurrence.

Decl ara tions Item 1.

Named insureds and addresses:

(a)

Indiana 5 Michigan Electric Company, 180 East Broad Street, The Borden Building, Columbus, Ohio 43215 (b)

Item 2.

Additional insureds:-

Any other person or organization who would be insured under the rimar financial rotection identified in Item 4 of the Declarations but for exhaustion of the limit of liability of such rimar financial Item 3.

Description and location of nuclear reactor:

Unit 2 of the Donald C. Cook Electric Plant located in Berrien County, Michigan.

Item 4.

(a)

Identification of rimar financial rotection appl,icable to the nuclear reactor and limit(s) of liability thereof:

Nuclear Energy Liability Insurance Association's Pol icy NF-206 5108, 500,000 Mutual Atomic Energy Liabi 1 ity Underwri ters

'ol icy HF-79

$ 31,500,000 I

Page 2 of Certif>cate Ho.

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(h)

The foltoning endorsements.

attached to the ~rimar financial rotection policies listed in Item 4 (a) also apply to the insurance afforded by the Master Policy through this certificate as though they were attached hereto:

(1)

Waiver of Defenses Endorsement (Extraordinary Nuclear Occurrence) and (2)

Supplementary Endorsement

- Waiver of Defenses

- Reactor Construction at the Facility, (c)

The limits of liability provided under the rimar financial any other reactor except as follows:

Unit 1 of the Donald C.

Cook Electric Plant Item 5.

Limits of Liability:

The amount of retrospective premium actually received by the companies plus the amount of the companies'on-e tingent liability, if any, pursuant to Conditions 2, 3 and 4 of the Has ter Po1 icy.

Item 6.

Certificate Period:

Beginning at 12:01 a.m.

on December 23, 1977 and continuing to the effective date and time of cancellation o'r termination of the Master Policy or this certificate, whichever first occurs, eastern stahdard time.

Item 7.

Haximum retrospective premium (exclusive of allowance for premium taxes) payable pursuant to Condition 2 of the Master Policy with respect to each nuclear incident:

$1,125,000 Item 8.

Premium payable pursuant to Condition.l of the Master Policy for the period from December 23, 1977 through December 31 following:

5 33.28 Page 3 of Certificate No. H-~i~

BOND FOR PAYMENT OF RETROSPE

.VE PREMIUMS Know All Men By These Presents, that the undersigned do hereby acknowledge that they are named insureds under the Master Pol-icy described in the above Certificate of Insurance and Declarations.

The named insureds do hereby covenant with and are held and are firmly bound to the members of Mutual Atomic Energy Liability Underwriters subscribing the Master Policy (here-inafter called the "companies")

to pay to the companies all retrospective premiums and allowances for premium taxes which shall become due and payable in accordance with the Master Policy, as it may be changed from time to time, with interest on such premiums and allowances for taxes to be computed at the rate provided'n the Master Policy from the date payment thereof is specified to be due the companies in written notice to the first named insured as provided in Condition 2 of the Master Policy until paid; And it is hereby expressly agreed that copies of written notices of retro-spective premiums and allowances for premium taxes due and payable or other evidence of such amounts due and payable sworn to by a-duly authorized J

representative of the companies shall be prima facie evidence of the fact and extent of the liability of the named insureds for such amounts; And it is further expressly agreed that the named insureds will indemnify the companies against any and all liability, losses and expenses of whatsoever kind or nature (including but not limited to interest, court costs, and counsel fees) which the companies may sustain or incur (1) by reason of the failure of the named insureds to comply with the covenants and provisions of this Bond and 1

(2) in enforcing any of the covenants or provisions of this Bond, or any I

provisions of the Master Policy relating to such covenants or provisions; For the purpose of recording this agreement, a photocopy acknowledged before a Notary Public to be a true copy hereof shall be regarded as an original.

Page 4 of Certificate No. M-64

The preceding Certificate of Insurance, Declarations and Bond form a part P

of the Master Policy.

Cancellation or termination of the Master Policy or the Certificate of Insurance shall not affect the named insured's obligations under the policy or the Bond to pay the retrospective premiums and allowances for premium taxes, as provided in this Certificate and Condition 2 of the Master Policy.

IN WITNESS WHEREOF, the named insureds have caused this Certificate, these Declarations and this Bond for Payment of Retrospective

Premiums, to be signed and sealed by a duly authorized officer, to be effective eastern standard time.

t Indiana 8 Michigan Electric Company

/

(Named Insured - Type or Print)

By (Si nature of Officg G. P. Maloney Vice President (SEAL)

(Type or Print Name 8 Title of Officer) august 4,

(Named Insured - Type or Print)

By (Signature of Officer)

(SEAL)

(Type or Print Name 8 Title of Officer)

Date:

(Named Insur'ed - Type or Print)

(Signature of Officer)

(SEAL)

(Type or Print Name 8 Title of Officer)

Date:

Page 5 of Certificate No.

M-64

IN WITNESS WHER F, the companies subscribing the Master Policy have caused the Certificate of Insurance and the Declarations to be signed on their behalf by Mutual Atomic Energy Liability Underwriters to be effective December 23, 1977 eastern standard

time, and countersigned below by a duly authorized representative.

Attest or liIitness For the Subscribing Companies of MUTUAL ATONIC ENERGY LIABILITYUNDERWRITERS BY:

A horized Agent Countersigned by MARSH 8 McLENNAN INCORPORATED 1100 SUPERIOR AVENUE CLEYELAND, OHIO 44114 Subscribin Com anies u horized Repr ntat v Liberty Mutual Insurance

Company, Boston, NA Lumbermens Mutual Casualty

Company, Long Grove, IL Michigan Mutual Insurance Company, Detroit, NI Sentry Insurance, A Mutual Company, Stevens

Point, WI American Mutual Liability Insurance Company, Wakefield, MA Employers Insurance of Wausau, A Mutual

Company, Wausau, WI PROPORTION OF 100%

15.0000000 15.0000000 30.0000000 30.0000000 5.0000000 5.0000000 f

Page 6

of Certificate No.

M-64

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~ P co cz cn I-uBD2 ~SZ NUCLEAR ENERGY LIABILITYINSURANCE ASSOCIATION Certificate No.

N-45 Forming Part of Master Policy No.

1 CERTIFICATE OF INSURANCE DECLARATIONS AND, BOND FOR PAYMENT OF RETROSPECTIVE PREMIUMS Certificate of Insurance This is to certify that the persons and organizations designated in Item 1

of the Declarations are named insureds under the Master Policy

-'uclear Energy Liability Insurance (Secondary Financial Protection), herein called the "Master Policy", issued by Nuclear Energy Liability Insurance Association.

Such insurance as is provided by the'aster Policy applies, through this certificate, only:

(a) to the insureds identified in Items 1 and 2 of the Declarations, (b) for the certificate period stated in Item 6 of the Declarations,

~bdi i i'd (1) with respect to which the rimar financial rotection described in Item 4 of the Declarations would apply but for exhaustion of its limit of liability as described in Condition 6 of the Master Policy, and I

(2) which is caused during the certificate period stated in Item 6 of the Declarations by a nuclear incident arising out of ot" in connection with the nuclear reactor described in Item 3 of the Declarations, and NSFC-1 (1/1/83)

Page 1

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(3) which is discovered and for which written claim is made against the insured not later than ten years after the end of the certificate period stated in Item 6 of the Declarations.

II, >>

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caused by an extraordinar nuclear occurrence this subparagraph h 11 1

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df Il h claim is made against the insured not later than twenty years after the date of the extraordinar nuclear occurrence.

Declarations Item 1.

Named insureds and addresses:

(a)

Indiana 8 Michigan Electric Company, 180 East Broad Street The Borden Building, Columbus, Ohio 43215 (b)

Item 2.

Additional insureds:

Any other person or organization who would be insured under the rimar financial rotection identified in Item 4 of the Declarations' but for exhaustion of the limit of liability of such rimar financial 1

'tem 3.

Description and location of nuclear reactor:

Unit 1 of the Donald C.

Cook Electric Plant located in Berrien County, Michigan.

Item 4.

(a)

Identification of rimar financial rotection applicable to the nuclear reactor and limit(s) of liability thereof:

Nuclear Energy Liability Insurance Association's Policy NF-206

$ 108,500,000 Mutual Atomic Energy Liability Underwriters'olicy MF-7g

$ 31,500,000 Page 2 of Certificate No. N-45

(h)

The following endorsements, attached to the ~rimar financial rotection policies listed in Item 4 (a) also apply to the insurance afforded by the Master Policy through this certificate-as though they were attached hereto:

(1)

Waiver of Defenses Endorsement (Extraordinary Nuclear Occurrence) and s

(2)

Supplementary Endorsement - Waiver of Defenses

- Reactor Construction at the Facility, (c)

The limits of liability provided under the rimar financial di 4()

b h

d ih any other reactor except as follows:

Unit 2 'of the Donald C.

Cook Electric Plant Item 5.

Limits of Liability:

The amount of retrospective premium actually received by the companies plus the amount of the companies'on-tingent liability, if any, pursuant to Conditions 2, 3 and 4 of the Master Policy.

Item 6.

Certificate Period:

Beginning at 12:01 a.m.

on the first day of August 1 977 and conti nuing to the'e ffecti ve date and time of cancel lation or termination of the Master Policy or this certificate, whichever first occurs, eastern standard time.

Item 7.

Maximum retrospective premium (exclusive of allowance for premium taxes) payable pursuant to Condition 2 of the Master Policy with respect to each nuclear incident:

$3,875,000.

Item 8.

Premium payable pursuant'to Condition 1 of the Master Policy for the period from August 1, 1977

$ 1,948.35 through December 31 following:

Page 3 of Certificate No. N-45

~

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C BOND FOR PAYMENT OF RETROSPECTIVE PREMIUMS Know All Men By These

Presents, that the undersigned do hereby acknowledge that they are named insureds under the Master Policy described in the above Certificate of Insurance and Declarations.

The named insureds do hereby covenant with and are held and are firmly bound to the members of Nuclear Energy Liability Insurance Association subscribing the Master Policy (hereinafter called the "companies")

to pay to the companies all retrospective premiums and allowances for premium taxes which shall become due and payable in accordance with the Master Policy, as it may be changed from time to time, with interest on such premiums and allowances for taxes to be computed at the rate provided in the Master Policy from the date pay-ment thereof is specified to be due the companies in written notice to the first named insured as provided in Condition 2 of the Master Policy until paid; And it is hereby expressly agreed that copies of written notices of retro-spective premiums and allowances for premium taxes due. and payable or other evidence of such amounts due and payable sworn to by a duly authorized representative of the companies shall be prima facie evidence of the fact and extent of the liability of the named insureds for such amounts; And it is further expressly agreed that the named insureds will indemnify the companies against any and all liability, losses and expenses of whatsoever kind or nature (including but not limited to interest, court costs, and counsel fees) which the companies may sustain or incur (1) by reason of the failure of the named insureds to comply with the covenants and provisions of this Bond and (2) in enforcing any of the covenants or provisions of this Bond, or any provisions of the Master Policy relating to such covenants or provisions; For the purpose of recording this agreement, a photocopy acknowledged before a Notary Public to be a true copy hereof shall be regarded as an original.

Page 4 of Certificate No. N-45

The preceding Certificate of Insurance, Declarations and Bond form a part of the Master-Policy.

Cancellation or termination of the Master Policy or the Certificate of Insurance shall not affect the named insured's obligations under the policy or. the Bond to pay the retrospective premiums and allowances for premium taxes, as provided in this Certificate and Condition 2 of the Master Policy.

IN WITNESS WHEREOF, the named insureds have caused this Certificate, these Declarations and this Bond for Payment of'etrospective

Premiums, to be signed and sealed by a duly authorized officer, to be effective August l, l977 eastern standard time.

Attest or Witness Named Insureds:

Indiana

& Michigan Electric Company (Named Insured - Type or Print) 8$$ISWnn-S~

tCp signature of Offic r)

G.

P. Maloney

. Vice President.

(SEAL) h (Type or Print Name

& Title of Officer)

August 4, 1982 (Named Insured - Type or Print)

By (Signature of Officer)

(SEAL)

(Type or Print Name 8 Title of Officer)

Date:

(Named Insured - Type or Print)

(Signature of Officer)

'I (SEAL)

(Type or Print Name

& Title of Officer)

Date:

Page 5 of Certificate No.N-45

IN WITNESS WHEREOF, the companies subscribing the Master Policy have caused the Certificate of Insurance and the Declarations to be signed on their behalf by the President of Nuclear Energy Liability Insurance Association to be effective August 1, 1977 eastern standard

time, and countersigned below by a duly authorized representative.

Attest or Witness For the Subscribing Companies of NUCLEAR ERGY LIABILITYINSURANCE ASSOCIATION BY:

Bur C.

Proom, President Countersigned by Authorized Represe ive y>PASH a McLFNNAN INCORPORATED

$ 100 SUPERIOR AVENUE CLEVELAND, OHIO 44114 Page 6

of Certificate No. N-4~

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"0 MUTUAL ATOMIC ENERGY LIABILITYUNDERWRITERS Certificate Ho-H 45 Forming Part of Haster CERTIFICATE OF INSURANCE BOND FOR PAYMENT OF RETROSPECTIVE PREMIUMS I

Policy Ho.

1

~ CO R w DECLARATIONS AND Cert ifica te of Insurance

~ww s ggQrti fy that the persons and organizations designated in Item 1

of the Declarations are named insureds under the Master Policy Nuclear Energy Liability Insurance (Secondary Financial Protection), herein called the, "Master Policy", issued by Mutual Atomic Energy Liability Underwriters.

Such insurance as is provided by the Master Policy applies, through this certificate, only:

(a) to the insureds identified in Items 1

and 2 of the Declarations, (b) for the certificate"period stated in Item 6 of the Declarations, (1) with respect to which the rimar financial rotection described in Item 4 of the Declarations would apply but for exhaustion of its limit of liability as described in Condition 6 of the toaster Policy, and (2) which is caused during the certificate period stated in Item 6 of the Declarations by 'a nuclear incident arising out of or in connection with the nuclear reactor described in Item 3 of the Declarations, and MSFC-1 (1/1/83)

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(3) which is discovered and for which written claim is made against the insured not later than ten years after the end of the certificate period stated in Item 6 of the Declarations.

caused by an extraordinar nuclear occurrence this subparagraph ro ert dama e which is discovered and for which written claim is made against the insured not later than twenty years after the date of the extraordinar nuclear occurrence.

Declarations 4

Item 1.

Hamed insureds and addresses:

(a) Indiana 8 Michigan Electric Company - 180 East Broad Street, The Borden Building, Columbus, Ohio 43215 (b)

Item 2.

Additional insureds:-

. Any other person or organization who would be insured under the rimar financial rotection identified in Item 4 of the Declarations but for exhaustion of the limit of liability of such rimar financial Item 3.

Description and location of nuclear reactor:

Unit 1 of the Donald C. Cook Electric Plant located in Berrien County, Michigan.

Item 4.

(a)

Identification of rimar financial rotection applicable to the nuclear reactor and limit(s) of liability thereof:

Huclear Energy Liability Insurance Association's Policy HF-206

~

$ 108,500,000 Mutual Atomic Energy Liability Underwriters'olicy MF-79

$ 31,500,000 Page 2 of Certificate Ho.

M-45

(h)

The foilo~ing endorseaients, attached to the ~rivmr financial rotection policies 1 isted in Item 4 (a) also apply to the insurance afforded by the Master Policy through IIthis certificate as though they were attached hereto:

(1)

Waiver of Defenses Endorsement (Extraordinary Nuclear Occurrence) and (2)

Supplementary Endorsement

- Waiver of Defenses

- Beach)r Construction at the Facility, (c)

The limits of liability provided under the rimar financial a

any other reactor except as follows:

Unit 2 of the Donald C.

Cook Electric Plant Item 5.

Limits of Liability:

The amount of retrospective premium actually received by the companies plus the amount of the companies'on-tingent liability. if any, pursuant to Conditions 2, 3 and 4 of the Haster Policy.

Item 6.

Certificate Period:

Beginning at 12:01 a.m.

on the first day of s

"ugustp lg77 and continuing to the effective date and time of cancellation or termination of the Master Policy or %his certificate, Itern" 7.

Item 8.

whichever first occurs, eastern stahdard time.

Maximum retrospective premium (exclusive of allowance for premium taxes) payable pursuant to Condition 2 of the Master Policy with respect to each nuclear incident:

$ 1,125,OOO Premium payable pursuant to Condition 1 of the Master Policy for the period from p,ugust 1, lg77 through December 31 following:

5 565.

Page 3 of Certificate Mo. M-tg

pt BOND FOR PAYMENT OF RETROSP

.VE PREMIUMS Know All Men By These Presents, that the undersigned do hereby acknowledge that they are named insureds under the Master Policy described in the above Certificate of Insurance and Declarations.

The named insureds do hereby covenant with and are held and are firmly bound to the members of Mutual Atomic Energy Liability Underwriters subscribing the Master Policy (here-inafter called the "companies")

to pay to.the companies all retrospective premiums and allowances for premium taxes which shall become due and payable in accordance with the Master Policy, as it may be changed from time to time, with interest on such premiums and allowances for taxes to be computed at the rate provided in the Master Policy from the date payment thereof is specified to be due the companies in written notice to the first named insured as provided in Condition 2 of the Master Policy until paid; And it is hereby expressly agreed that copies of written notices of retro-spective premiums and allowances for premium taxes due and payable or other evidence of such amounts due aod payable sworn to by a duly authorized 4

representative of the companies shall be prima facie evidence of the fact and extent of the liability of the named insureds for such amounts; And it is further expressly agreed that the named insureds will indemnify the

,companies against any and all liability, losses and expenses of whatsoever kind or nature (including but not limited to interest, court costs, and counsel fees) which the companies may sustain or incur (1) by reason of the failure of the I'I named insureds to comply with the covenants and provisions of this Bond and (2) in enforcing any of the covenants or provisions of this Bond, or any provisions of the Master, Policy relating to such covenants or provisions; For the purpose of recording this agreement, a photocopy acknowledged before a Notary Public to be a true copy hereof shall be regarded as an original.

Page 4 of Certificate No. M-45

The preceding Certificate of Insurance, Declarations and Bond form a part of the Master Policy.

Cancellation or termination of the Master Policy or the Certificate of Insurance shall not affect the named insured's obligations under the policy or the Bond to pay the retrospective premiums and allowances for premium taxes, as provided in this Certificate and Condition 2 of the Master Policy.

IN WITNESS WHEREOF, the named insureds have caused this Certificate, these Declarations and this Bond for Payment of Retrospective

Premiums, to be signed and sealed by a duly authorized officer, to be effective August 1, 1977 eastern standard time.

Indiana 8 Michi an Electric Com an (Named Insured - Type or Print) pg> rs~~& su~ wy'y signature of Off c r)

G. P. Maloney Vice President (SEAL)

(Type or Print Name 8 Title of Officer)

Date:

Au ust 4

l982 (Named Insured - Type or Print)

By (Signature of Officer)

(SEAL)

(Type or Print Name 8 Title of Officer)

Date:

By (Named Insured - Type or Print)

(Signature of Officer)

(SEAL)

(Type or Print Name 8 Title of Officer)

Da te:

Page 5 of Certificate No. M-45

IN WITNESS WHER OF, the companies subscribing the Master Policy have caused the Certificate of Insurance and the Declarations to be signed on their behalf by Mutual Atomic Energy Liability Underwriters to be effective August 1, 19?7 eastern standard

time, and countersigned below by a duly authorized representative.

Attest or Witness For the Subscribing Companies of MUTUAL ATOMIC ENERGY LIABILITYUNDERWRIT S

BY:

thorized Agent Countersigned by Authorized Repr ativ MARSH 8( McLENNAN INCORPORATCD 1100 SUPERIOR AVENUE CLEVELAND,'HIO. 5 rlbln Com anles American Mutual Liability Insurance Company, Wakefield, MA Employers Insurance of Wausau, A Mutual

Company, Wausau, WI Liberty Mutual Insurance

Company, Boston, MA Lumbermens Mutual Casualty

Company, Long Grove, IL Michigan Mutual Insurance Company, Detroit, MI Sentry Insurance, A Mutual Company, Stevens

Point, WI PROPORTION 'F'00%

15.0000000 15.0000000 30.0000000 30.0000000 5.0000000 5.0000000 Page 6

of Certificate Mo.

M-46

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