ML18347A428
| ML18347A428 | |
| Person / Time | |
|---|---|
| Site: | Palisades  |
| Issue date: | 12/05/2018 |
| From: | Uricchio G American Nuclear Insurers |
| To: | Document Control Desk, Office of Nuclear Material Safety and Safeguards, Office of Nuclear Reactor Regulation |
| Shared Package | |
| ML18347A439 | List: |
| References | |
| Download: ML18347A428 (3) | |
Text
EVIDENCE OF FINANCIAL PROTECTION To:
Document Control Desk U.S. Nuclear Regulatory Commission Washington, DC 20555-0001 This is to confirm that there is in force as of the effective date of this Evidence of Financial Protection, a Nuclear Energy Liability Policy (Facility Form), a certificate to the Master Worker Policy [Nuclear Energy Liability Policy (Facility Worker Form)], and one or more certificates to Master Policy No. 1 [Nuclear Energy Liability Insurance (Secondary Financial Protection)] issued by the members of American Nuclear Insurers, hereafter called the "companies", to the Insured named herein, with respect to the Nuclear Facility at the Location stated below. If such policy and/or certificates are cancelled or otherwise terminated prior to the end of December 31st of the calendar year in which the Effective Date of this Evidence of Financial Protection occurs, the companies will mail written notice thereof to the United States Nuclear Regulatory Commission in accordance with policy provisions and this Evidence of Financial Protection shall thereupon terminate.
Otherwise this Evidence of Financial Protection shall terminate as of the end of'such December 31st.
Name and Mailing Address of Insured Entergy Nuclear Palisades, LLC Effective Date of this Evidence of Financial Protection c/o Entergy Services, Inc.
Risk Management Department PO Box 61000 New Orleans, LA 70161 Policy/Certificate Number Facility Form Policy No. NF -0179 Facility Worker Form Certificate No. NW -0566 SFP Certificate No. N -0020 Location of the Nuclear Facility January 1, 2019 Policy/Certificate Effective Date August 15, 1969 January 1, 1998 August 1, 1977 Palisades Nuclear Plant located in Covert Township, Van Buren County, State of Michigan Limit of Liability
$450,000,000
$450,000,o"OO*
- This is an aggregate limit of liability shared by all participants to the Master Worker Policy [Nuclear Energy Liability Policy (Facility Worker Form)] of which each certificate is a part and is subject to all of the provisions of such Policy and certificate having reference thereto.
- As per Condition 3 of Master Policy No. 1 [Nuclear Energy Liability Insurance (Secondary Financial Protection)].
NRC1000 (12/1/2014)
Page 1 of 2 American Nuclear Insurers £1 85 Glastonbury Blvd., Suite 300 Ill Glastonbury, Cf 06Q334453 ill Voice: (860) 682-1301 Iii Fax: (860) 6580XJ2
- Evidence of Financial Protection Form
This Evidence of Financial Protection is not an insurance policy, is issued as a matter of information only and confers no rights upon the holder. This Evidence of Financial Protection neither affirmatively nor negatively amends, extends or alters the coverage afforded by the above stated policies and certificates.
Notwithstanding any requirement, term or condition of any contract or other document with respect to which this Evidence of Financial Protection may be issued or may pertain, the insurance afforded by the policies and certificates described herein is subject to all the terms, exclusions and conditions of the policies and certificates. The Limits of Liability shown above may have been reduced by payment of claims or claims expenses.
Gary S. Uricchio - Vice President, Underwriting (Name and Title of Authorized Representative) 12/5/2018 (Date)
Page 2 of 2 NRC1000 (12/1/2014)
Evidence of Financial Protection Form
NUCLEAR ENERGY LIABILITY INSURANCE NUCLEAR ENERGY LIABILITY INSURANCE ASSOCIATION ENDORSEMENT TO CERTIFICATE NO. N -0020 Forming Part of Master Policy No. 1 Nuclear Energy Liability Insurance (Secondary Financial Protection)
It is agreed that effective November 1, 2018, Item 7. of the certificate is amended to read as follows:
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: $137,608,800.
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 coverage under the Nuclear Energy Liability Policy (Secondary Financial Protection). No insurance is afforded hereunder.
~~-~
Garv S. Uricchio. Senior Vice President - Underwriting, American Nuclear Insurers Effective Date of this Endorsement:
November 1, 2018 (12:01 A.M. Standard Time)
To form a part of Certificate No.
N -0020 Issued to:
Entergy Nuclear Palisades, LLC and Entergy Nuclear Operations, Inc.
Date of Issue:
December 5, 2018
- ~z_
President Countersigned by ~..,L., ~
Endorsement No.:
63 NE-S-39 (11/1/18)
CERTIFIED COPY