Text

Marsh USA, Inc., Certificate of Liability Insurance
	ML18338A108
Person / Time
Site:	Calvert Cliffs, Dresden, Peach Bottom, Nine Mile Point, Oyster Creek, Byron, Braidwood, Limerick, Ginna, Clinton, Quad Cities, FitzPatrick, LaSalle
Issue date:	10/25/2018
From:	; Marsh USA
To:	; Office of Nuclear Material Safety and Safeguards, Office of Nuclear Reactor Regulation
References
	Download: ML18338A108 (5)
	v • d • e

DATE (MM/DD/YYYY)

ACORD

~

CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS I 10/25/2018 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 conditions 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.

1717 Arch Street PHONE IAIC No i:v+1*

I FAX (A/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 INSURERB:

Exelon Corporafion ATTN: michael.mee@exeloncorp.com INSURERC:

2301 Market Street, S21-1 INSURERD:

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

INSURERF:

COVERAGES CERTIFICATE NUMBER* CLE-006106400-09 REVISION NUMBER: 7 THIS JS 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 JS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.

INSR ADDL SUBR POLICYEFF POLICY EXP LTR TYPE OF INSURANCE lm~n ,.,n,n POLICY NUMBER IMM/DDIYYYYI IMM/DDIYYYYI LIMITS

-~ COMMERCIAL GENERAL LIABILITY CLAIMS-MADE D OCCUR EACH OCCURRENCE DAMAGE TO RENTED PREMISES IEa occurrence\

-- MED EXP {Any one person)

PERSONAL & ADV INJURY Fl GEN'L AGGREGATE LIMIT APPLIES PER:

POLICY DPRO-OTHER:

JECT DLoc GENERAL AGGREGATE PRODUCTS - COMP/OP AGG

-- AUTOMOBILE LIABILITY ANY AUTO

~~rv,;~~~~llNGLE LIMIT BODILY INJURY {Per person)

-- OWNED AUTOS ONLY HIRED AUTOS ONLY SCHEDULED AUTOS NON-OWNED AUTOS ONLY BODILY INJURY {Per accident) $

iP~~~&:~~RAMAGE $

( $

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

WORKERS COMPENSATION AND EMPLOYERS' LIABILITY I ~-\%uTE I I OTH- ER Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $

OFFICER/MEMBER EXCLUDED?

{Mandatory In NH) 0 N/A E.L. DISEASE - EA EMPLOYEE $

If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $

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) 11.00/

JJHS 5 A}/...IL.

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 ..M..a.~~---~

ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD

AGENCY CUSTOMER ID: CN101345242 LO C #: Philadelphia ADDITIONAL REMARKS SCHEDULE Page 2 of 5 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 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 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 POLICY NUMBER: POLICY EFFECTIVE: LIMIT OF LIABILITY:

NF-0294 08/21/1985 $450 Million NW-0645 08/21/1985 $450 Million**

N-0108 10/17/1986 N-0115 12/18/1987

2. SITE #2 - BYRON 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 02/03/1983 $450 Million NW-0634 02/03/1983 $450 Million**

N-0093 10/31/1984 N-0101 11/06/1986

3. SITE #3 - DRESDEN 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 09/01/1958 $450 Million..

N-0002 08/01/1977 N-0003 08/01/1977

4. SITE #4 - LA SALLE .

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 08/10/1978 $450 Million NW-0617 08/10/1978 $450 Million..

The ACORD name and logo are registered marks of ACORD

AGENCY CUSTOMER ID: CN101345242 LO C #: Philadelphia ADDITIONAL REMARKS SCHEDULE Page 3 of 5 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

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: LIMIT OF LIABILITY:

NF-0284 03/19/1984 $450 Million NW-0640 03/19/1984 $450 Million**

N-0098 10/26/1984 N-0118 06/22/1989

6. SITE #6- PEACH BOTTOM 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 POLICY NUMBER: POLICY EFFECTIVE:

LIMIT OF LIABILITY:

NF-0140 10/05/1964 $450 Million NW-0544 10/05/1964 $450 Million**

N-0008 08/01/1977 N-0009 08/01/1977

7. SITE #7 - QUAD-CITIES 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: 5 o- 251-/z_t,5 NF-0187 10/01/1970 $450 Million NW-0572 10/01/1970 $450 Million**

N-0029 08/01/1977 N-0030 08/01/1977

8. SITE #8 - CLINTON 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: So- cf-4/

NF-0261 09/05/1980 $450 Million NW-0621 09/05/1980 $450 Million**

N-0085 09/29/1986

9. SITE #9 - OYSTER CREEK 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 -,

I POLICY NUMBER: POLICY EFFECTIVE: LIMIT OF LIABILITY:

NF-0164 10/03/1967 $450 Million NW-0558 10/03/1967 $450 Million**

N-0013 08/01/1977

10. SITE#10- THREE MILE ISLAND LOCATION OF NUCLEAR FACILITY: Three Mile Island Nuclear Power Plant in Londonberry 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:

The ACORD name and logo are registered marks of ACORD

AGENCY CUSTOMER ID: _C_N_1_0_1_34_5_2_4_2_ _ _ _ _ _ _ _ _ _ __

LOC #: Philadelphia ADDITIONAL REMARKS SCHEDULE Page 4 of 5 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 NF-0220 12/03/1973 $450 Million NW-0688 12/03/1973 $450 Million**

N-0056 08/01/1977

11. SITE#11-CALVERT CLIFFS 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:

NF-0216 POLICY EFFECTIVE:

06/27/1973 LIMIT OF LIABILITY:

$450 Million S-D- ~11 / .!5/8 NW-0595 06/27/1973 $450 Million**

N-0052 08/01/1977 N-0053 08/01/1977 12: SITE #12 - NINE MILE POINT 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:

NF-0161 NW-0557 POLICY EFFECTIVE:

06/14/1967 06/14/1967 LIMIT OF LIABILITY:

$450 Million

$450 Million**

Sb-z 2.D/'-II D N-0012 08/01/1977 N-0105 10/31/1986

13. SITE#13-R. E. GINNA LOCATION OF NUCLEAR FACILITY: R. E. Ginna Nuclear Power Plant located in Ontario, New York.

NAMED INSURED [LISTED ON POLICY]: R.E. Ginna Nudear Power Plant, LLC POLICY NUMBER: POLICY EFFECTIVE: LIMIT OF LIABILITY:

NF-0170 11/01/1968 $450 Million NW-0561 11/01/1968 $450 Million**

N-0014 08/01/1977

14. SITE #14 - JAMES A FITZPATRICK LOCATION OF NUCLEAR FACILITY: James A. FifzPatrick Nuclear Power Plant located in the Town of Scriba, Oswego County, New York NAMED INSURED [LISTED ON POLICY]: Exelon Generation Company, LLC POLICY NUMBER: POLICY EFFECTIVE: LIMIT OF LIABILITY:

NF-0208 08/15/1972 $450 Million NW-0561 01/01/1998 $450 Million*'

N-0047 08/01/1977 THIS CERTIFICATE IS ISSUED AS A MATIER 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 expenses.

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.

The ACORD name and logo are registered marks of ACORD.

AGENCY CUSTOMER ID: CN101345242

/

LO C #: Philadelphia I

ADDITIONAL REMARKS SCHEDULE Page 5 of 5 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 m Secondary Financial Protection Certificate - Financial protection available under an industry retrospective rating plan.

The ACORD name and logo are registered marks of ACORD

ML18338A108

Text

Navigation menu

Search