ML18318A309

Certificate of Liability Insurance for Exelon Corporation

ML18318A309
Person / Time
Site:	Calvert Cliffs, Dresden, Peach Bottom, Nine Mile Point, Oyster Creek, Byron, Braidwood, Limerick, Ginna, Clinton, Quad Cities, LaSalle
Issue date:	10/18/2018
From:	Mukherjee M Marsh USA
To:	Exelon Corp, Document Control Desk, Office of Nuclear Material Safety and Safeguards, Office of Nuclear Reactor Regulation
References
Download: ML18318A309 (5)

Text

0001467 SP 0642

-C01-P01467-I Document Control Deski*. r,, *,,.,.,

LLS. Nuclear Regulatory,Commissior:1,

• Washington, DC,20555-0.001

ACORD CERTIFICATE OF LIABILITY INSURANCE I

DATE (MM/DD/YYYY)

~-

10/18/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.

THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.

IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.

If SUBROGATION IS WAIVED, subject to the terms and conditi6ns of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).

PRODUCER CONTACT NAME:

Marsh USA Inc.

PHONE I FAX 1717 Arch Street fA/C No Extl:

IA/C Nol:

Philadelphia, PA 19103-2797 E-MAIL ADDRESS:

Attn: Philadelphia.Certs@marsh.com/ Fax-212-948-0360 INSURER(S) AFFORDING COVERAGE NAIC#

CN101345242-Exelo-NE-19-20 INSURER A: American Nuclear Insurers INSURED INSURER B:

Exelon Corporation A TIN: michael.mee@exeloncorp.com INSURERC:

2301 Market Street, S21-1 INSURERD:

P.O. Box 8699 Philadelphia, PA 19101-8699 INSURERE:

INSURER F:

COVERAGES CERTIFICATE NUMBER:

CLE-006106400-08 REVISION NUMBER: 6 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERM:3,

• EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN M.A.Y HAVE BEEN R.EDUCED BY PAID CLAIMS.

INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE

,,u,n lun,n POLICY NUMBER fMM/DD/YYYYI IMM/DD/YYYYI LIMITS COMMERCIAL GENERAL LIABILITY

• EACH OCCURRENCE

~

=J CLAIMS-MADE D OCCUR

. DAMAGE TO RENTED PREMISES (Ea occurrence)

~

MED EXP (Any one person)

PERSONAL & ADV INJURY

~

GEN'L AGGREGATE LIMIT APPLIES PER:

GENERAL AGGREGATE R

DPRO-DLOC PRODUCTS - COMP/OP AGG POLICY JECT OTHER:

AUTOMOBILE LIABILITY fE~~:~d~~llNGLE LIMIT ANY AUTO BODILY INJURY (Per person)

~

OWNED SCHEDULED BODILY INJURY (Per accident) $

AUTOS ONLY

~

AUTOS HIRED NON-OWNED iP~?~~c~Je~t~AMAGE AUTOS ONLY

~

AUTOS ONLY UMBRELLA LIAB H OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS-MADE AGGREGATE OED I I RETENTION $

WORKERS COMPENSATION I PER I I OTH-AND EMPLOYERS' LIABILITY STATUTE ER YIN ANYPROPRIETOR/PARTNER/EXECUTIVE 0 N/A EL. EACH ACCIDENT OFFICER/MEMBER EXCLUDED?

(Mandatory in NH)

EL. DISEASE - EA EMPLOYEE $

If yes, describe under EL. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS below A

Nuclear Energy Liability Nuclear Energy Liability Insurance 01/01/2019 01/01/2020 See Attached Acord 101 Insurance "Acord 101" DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

CERTIFICATE HOLDER CANCELLATION Document Control Desk SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE U.S. Nuclear Regulatory Commission THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Washington, DC 20555-0001 ACCORDANCE WITH THE POLICY PROVISIONS.

AUTHORIZED REPRESENTATIVE of Marsh USA Inc.

I Manashi Mukherjee

..J",,l.o.."-"'-"'Oi..... ~

© 1988-2016 ACORD CORPORATION. All rights reserved.

ACORD 25 (2016/03)

The ACORD name and logo are registered marks of ACORD

AGENCY CUSTOMER ID: CN101345242 LO C #: Philadelphia ADDITIONAL REMARKS SCHEDULE AGENCY Marsh USA Inc.

POLICY NUMBER CARRIER NAICCODE ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, NAMED INSURED Exelon Corporation ATIN: michael.mee@exeloncorp.com 2301 Market Street, S21-1 P.0. Box 8699 Philadelphia, PA 19101-8699 EFFECTIVE DATE:

FORM NUMBER:

25 FORM TITLE: Certificate of Liability Insurance CERTIFICATE OF NUCLEAR ENERGY LIABILITY INSURANCE This is to certify that there is in force as of the effective date of this Certificate a Nuclear Energy Liability Insurance Policy issued by members of American Nuclear Insurers as indicated (Companies), to the Insured named herein, with respect to the Nuclear Facility at the Location shown and/or with respect to the lnsured's operations described herein. If such policy is cancelled or otherwise terminated prior to the end of December 31st of the calendar year in which the Effective Date of this Certificate occurs, notice will be delivered in accordance with the policy provisions. Otherwise this Certificate shall terminate as of the end of such December 31st. A Certificate will NOT be issued for any subsequent calendar year unless requested in writing.

Types of Insurance: NF - [Facility Form], NW- [Master Worker Certificate], NS- [US Domestic Supplier's & Transporters], FS- [Foreign Suppliers & Transporters], N- [Secondary Financial Protection Certificate]

COVERAGE FOR NUCLEAR FACILITIES:

1. SITE #1 - BRAIDWOOD Page 2

of 4

LOCATION OF NUCLEAR FACILITY: Braidwood Nuclear Power Plant in Reed Township of Will County in Northeastern Illinois NAMED INSURED [LISTED ON POLICY]: Exelon Generation Company, LLC so-L/5?/ L/57 POLICY NUMBER:

POLICY EFFECTIVE:

NF-0294 08/21/1985 NW-0645 N-0108 N-0115

2. SITE #2 - BYRON 08/21/1985 10/17/1986 12/18/1987 LIMIT OF LIABILITY:

$450 Million

$450 Million" LOCATION OF NUCLEAR FACILITY: Byron Nuclear Power Plant located south-south east of the City of Byron, Rockvale Township, Ogle County, Illinois NAMED INSURED [LISTED ON POLICY]: Exelon Generation Company, LLC POLICY NUMBER:

POLICY EFFECTIVE:

LIMIT OF LIABILITY:

NF-0277 NW-0634 N-0093 N-0101

3. SITE #3 - DRESDEN 02/03/1983 02/03/1983 10/31/1984 11/06/1986

$450 Million

$450 Million" LOCATION OF NUCLEAR FACILITY: Dresden Nuclear Power Plant in Goose Lake Township, Grundy County, Illinois NAMED INSURED [LISTED ON POLICY]: Exelon Generation Company, LLC POLICY NUMBER:

POLICY EFFECTIVE:

LIMIT OF LIABILITY:

NF-0043 09/01/1958

$450 Million NW-0514 N-0002 N-0003

4. SITE #4 - LA SALLE 09/01/1958 08/01/1977 08/01/1977

$450 Million" LOCATION OF NUCLEAR FACILITY: La Salle Nuclear Power Plant in Brookfield Township, LaSalle County, Illinois NAMED INSURED [LISTED ON POLICY]: Exelon Generation Company, LLC POLICY NUMBER:

POLICY EFFECTIVE:

LIMIT OF LIABILITY:

NF-0253 NW-0617 N-0071 N-0083 08/10/1978 08/10/1978 04/17/1982 12/16/1983

$450 Million

$450 Million" 5"0--/D 5o - 237 / 22/-f ACORD 101 (2008/01)

© 2008 ACORD CORPORATION. All rights reserved.

The ACORD name and logo are registered marks of ACORD

AGENCY CUSTOMER ID: _C=..N:...c...c..10=--1:...:3c...:4...:.5=-24..:..:2=---------------

LOC #: Philadelphia ADDITIONAL REMARKS SCHEDULE AGENCY NAMED INSURED Marsh USA Inc.

Exelon Corporation ATIN: michael.mee@exeloncorp.com POLICY NUMBER 2301 Market Street, S21-1 P.O. Box 8699 Philadelphia, PA 19101-8699 CARRIER I

NAICCODE EFFECTIVE DATE:

ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:

25 FORM TITLE: Certificate of Liability Insurance

5. SITE #5 - LIMERICK LOCATION OF NUCLEAR FACILITY: Limerick Nuclear Power Plant in Southeastern PA on the Schuylkill River, 1.7 miles SE of borough of Pottstown NAMED INSURED [LISTED ON POLICY]: Exelon Generation Company, LLC POLICY NUMBER:

POLICY EFFECTIVE:

NF-0284 NW-0640 N-0098 N-0118 03/19/1984 03/19/1984 10/26/1984 06/22/1989 LIMIT OF LIABILITY:

$450 Million

$450 Million**

Page 3

of 4

6. SITE #6 - PEACH BOTIOM LOCATION OF NUCLEAR FACILITY: Peach Bottom Nuclear Power Plant in Peach Bottom Township, York County, Pennsylvania NAMED INSURED [LISTED ON POLICY]: Exelon Generation Company, LLC and PSEG Nuclear LLC so-111 /z.77/z7g POLICY NUMBER:

POLICY EFFECTIVE:

LIMIT OF LIABILITY:

NF-0140 10/05/1964

$450 Million NW-0544 N-0008 N-0009

7. SITE #7 - QUAD-CITIES 10/05/1964 08/01/1977 08/01/1977

$450 Million" LOCATION OF NUCLEAR FACILITY: Quad-Cities Nuclear Power Plant in Rock Island County, Illinois NAMED INSURED [LISTED ON POLICY]: Exelon Generation Company, LLC and MidAmerican Energy Company POLICY NUMBER:

POLICY EFFECTIVE:

LIMIT OF LIABILITY:

NF-0187 NW-0572 N-0029 N-0030

8. SITE #8 - CLINTON 10/01/1970 10/01/1970 08/01/1977 08/01/1977

$450 Million

$450 Million" LOCATION OF NUCLEAR FACILITY: Clinton Nuclear Power Plant East of the city of Clinton in Dewitt County, Illinois NAMED INSURED [LISTED ON POLICY]: Exelon Generation Company, LLC POLICY NUMBER:

POLICY EFFECTIVE:

LIMIT OF LIABILITY:

NF-0261 NW-0621 N-0085

9. SITE #9 - OYSTER CREEK 09/05/1980 09/05/1980 09/29/1986

$450 Million

$450 Million" LOCATION OF NUCLEAR FACILITY: Oyster Creek Nuclear Power Plant in Lacey Township, Ocean County, New Jersey NAMED INSURED [LISTED ON POLICY]: Exelon Generation Company, LLC POLICY NUMBER:

POLICY EFFECTIVE:

LIMIT OF LIABILITY:

NF-0164 10/03/1967

$450 Million NW-0558 N-0013

10. SITE #10- THREE MILE ISLAND 10/03/1967 08/01/1977

$450 Million" LOCATION OF NUCLEAR FACILITY: Three Mile Island Nuclear Power Plant in London berry Township, Dauphin County, Pennsylvania NAMED INSURED [LISTED ON POLICY): [FOR NF-0220) Exelon Generation Company, LLC, Metropolitan Edison Company, Jersey Central Power & Light Company, Pennsylvania Electric Company and GPU Nuclear Inc.; [FOR NW-0688] Exelon Generation Company, LLC POLICY NUMBER:

POLICY EFFECTIVE:

LIMIT OF LIABILITY:

ACORD 101 (2008/01)

© 2008 ACORD CORPORATION. All rights reserved.

The ACORD name and logo are registered marks of ACORD

AGENCY CUSTOMER ID: CN101345242 LO C #:

Philadelphia

-~

ACORD

~-

ADDITIONAL REMARKS SCHEDULE AGENCY NAMED INSURED Marsh USA Inc.

Exelon Corporation ATTN: michael.mee@exeloncorp.com POLICY NUMBER 2301 Market Street, S21-1 P.O. Box 8699 Philadelphia, PA 19101-8699 CARRIER I

NAICCODE EFFECTIVE DATE:

ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:

25 FORM TITLE: Certificate of Liability Insurance NF-0220 NW-0688 N-0056

11. SITE #11 - CALVERT CLIFFS 12/03/1973 12/03/1973 08/01/1977

$450 Million

$450 Million" LOCATION OF NUCLEAR FACILITY: Calvert Cliffs Nuclear Power Plant in Calvert County, Maryland NAMED INSURED !LISTED ON POLICY]: Calvert Cliffs Nuclear Power Plant, LLC POLICY NUMBER:

POLICY EFFECTIVE:

LIMIT OF LIABILITY:

NF-0216 NW-0595 N-0052 N-0053

12. SITE #12-NINE MILE POINT 06/27/1973 06/27/1973 08/01/1977 08/01/1977

$450 Million

$450 Million**

50-318'/317 Page 4

of 4

.,~ :** *'.

LOCATION OF NUCLEAR FACILITY: Nine Mile Point Nuclear Power Plant on Lake Ontario 8 miles NE of Oswego, Oswego County, New York NAMED INSURED [LISTED ON POLICY]: Nine Mile Point Nuclear Station, LLC POLICY NUMBER:

POLICY EFFECTIVE:

LIMIT OF LIABILITY:

S-o - z -z o / lf Io NF-0161 NW-0557 N-0012 N-0105

13. SITE #13 - R E. GINNA 06/14/1967 06/14/1967 08/01/1977 10/31/1986

$450 Million

$450 Million*'

LOCATION OF NUCLEAR FACILITY: RE. Ginna Nuclear Power Plant located in Ontario, New York.

NAMED INSURED [LISTED ON POLICY]: RE. Ginna Nuclear Power Plant, LLC POLICY NUMBER:

POLICY EFFECTIVE:

LIMIT OF LIABILITY:

NF-0170 NW-0561 N-0014 11/01/1968 11/01/1968 08/01/1977

$450 Million

$450 Million" THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER The insurance afforded by the policy(ies) is subject to the exclusions, conditions and other provisions of the policy(ies). Neither this Certificate nor any contract or other document with respect to which it is issued shall amend, extend or alter the coverage afforded by the policy. The Limit of Liability shown above may have been reduced by payment of claims or claims expens~s.

COMMENTS/NOTES:

" Master Worker Certificate - This limit is shared by all Certificates to the Master Worker Policy of which each Certificate is a part and is subject to all of the provisions of such Policy and Certificate having reference thereto. Such limit may have been reduced by payment of claims or claims expenses.

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

ACORD 101 (2008/01)

© 2008 ACORD CORPORATION. All rights reserved.

The ACORD name and logo are registered marks of ACORD