ML19023A195

Certificate of Liability Insurance for South Texas Project Nuclear Plant

ML19023A195
Person / Time
Site:	South Texas
Issue date:	01/09/2019
From:	Acord Corporation, Marsh USA
To:	Document Control Desk, Office of Nuclear Reactor Regulation
References
Download: ML19023A195 (3)

Text

0001741 SP 0037 -C01-P01741-I Document Control Desk U.S. Nuclear Regulatory Commission washingtbh; oc 2osss~ooo1

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ACORD DATE (MM/DDNYYY)

~- CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS I 01/09/2019 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.

4400 Comerica Bank Tower PHONE IAJC No Extl:

I FAX IA/C Nol:

1717 Main Street E-MAIL ADDRESS:

Dallas, TX 75201-7357 INSURER($) AFFORDING COVERAGE NAIC#

CN102727107-STP-NEL-19-20 INSURER A : American Nuclear Insurers INSURED INSURERS:

STP Nuclear Operating Company Attn: Brittany Werner INSURERC:

12090 FM Road 521 INSURERD:

Palacios, TX 77465 INSURERE:

INSURERF:

COVERAGES CERTIFICATE NUMBER: HOU-003472991-02 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 WIHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.

INSR LTR TYPE OF INSURANCE ADDL SUBR 11mm IIM/D POLICY NUMBER ,;g:-JiM~1 ,~g~J%~Y1 LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $

DAMAGE TO RENTED I CLAIMS-MADE D OCCUR PREMISES /Ea occurrencel $

- MED EXP (Any one person) $

PERSONAL & ADV INJURY $

GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $

~ POLICY DPRO- JECT DLoc PRODUCTS - COMP/OP AGG $

OTHER: $

AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $

- /Ea accidenll ANY AUTO BODILY INJURY (Per person} $

- OWNED

~

SCHEDULED BODILY INJURY (Per accidenl) $

- AUTOS ONLY AUTOS HIRED NON-OWNED iP~~~~c~~gAMAGE $

- AUTOS ONLY AUTOS ONLY H

UMBRELLA LIAB EACH OCCURRENCE $

- OCCUR EXCESSLIAB CLAIMS-MADE AGGREGATE $

DED I I RETENTION$ $

WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ISTATUTE PER I I OTH-ER Y/N ANYPROPRI ETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED?

(Mandatory in NH) 0 N/A E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $

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

A Nuclear Energy Liability See Acord 101 01/01/2019 01/01/2020 Limit See 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.

Manashi Mukherjee ...M.o..VUiliO i...,;. ~

I

© 1988-2016 ACORD CORPORATION. All rights reserved.

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

AGENCY CUSTOMER ID: _C.::...N'-'--10:.-2_7_2,--7_10~7_ _ _ _ _ _ _ _ _ _ _ __

LOC#: Dallas

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ACORD ADDITIONAL REMARKS SCHEDULE Page 2 of 2

~-

AGENCY NAMED INSURED Marsh USA, Inc. STP Nuclear Operating Company Attn: Brittany Werner POLICY NUMBER 12090 FM Road 521 Palacios, TX 77465 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 ofDecember 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 - South Texas Project Nuclear Power Plant LOCATION OF NUCLEAR FACILITY: South Texas Project Nuclear Power Plant 12 miles SSW of Bay City in Matagorda County, Texas NAMED INSURED [LISTED ON POLICY]: STP Nuclear Operating Company, NRG South Texas LP, City Public Service Board of San Antonio, City of Austin POLICY NUMBER: POLICY EFFECTIVE: LIMIT OF LIABILITY:

NF-0307 11/13/1986 $450 Million NW-0657 11/13/1986 $450 Million" N-0113 09/22/1987 N-0116 12/16/1988 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 .

... 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