ML20065H166

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LLC and Holtec Decommissioning International, LLC -Certificate of Insurance
ML20065H166
Person / Time
Site: Pilgrim
Issue date: 01/06/2020
From: Singh K, Uricchio G
American Nuclear Insurers, Holtec Decommissioning International, Holtec Pilgrim
To:
Office of Nuclear Material Safety and Safeguards
References
N-0031
Download: ML20065H166 (2)


Text

NUCLEAR ENERGY LIABILITY INSURANCE NUCLEAR ENERGY LIABILITY INSURANCE ASSOCIATION ENDORSEMENT TO CERTIFICATE NO. N -0031 FORMING PART OF MASTER POLICY NO. 1 NUCLEAR ENERGY LIABILITY INSURANCE (SECONDARY FINANCIAL PROTECTION)

In consideration of Holtec Pilgrim, LLC and Holtec Decommissioning, International, LLC being designated the named insureds in Certificate No. N -0031 by Endorsement thereto and issued concurrently herewith, Holtec Pilgrim, LLC and Holtec Decommissioning, International, LLC hereby executes the following Bond:

BOND FOR PAYMENT OF RETROSPECTIVE PREMIUMS Know All Men By These Presents, that the undersigned does hereby acknowledge that Holtec Pilgrim, LLC and Holtec Decommissioning International, LLC are the named insureds under Master Policy No. 1 described in the Certificate of Insurance and Declarations of Certificate No.

N -0031, which was originally issued to and signed by Boston Edison Company with a Certificate Period beginning on August 1, 1977, and as amended The undersigned does hereby covenant with and is held and is firmly bound to the subscribing members of Nuclear Energy Liability Insurance Association (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 terms of Master Policy No. 1, as it may be changed from time to time, with interest 011 such premiums and allowances for taxes to be computed at the rate provided in Master Policy No. 1 from the date payment thereof is specified to be due the companies in a written notice to the first named insured, as provided in Condition 2 of Master Policy No. 1 until paid.

And it is hereby expressly agreed that copies of written notices of retrospective premiums and allowances for premium taxes due and payable or other evidence of such amounts due and payable swom 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 or (2) in enforcing any of the covenants or provisions of this Bond, or any provisions of Master Policy No. 1 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 1 of2 Moo I

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THE ABOVE BOND FORMS A PART OF MASTER POLICY NO. 1. CANCELLATION OR TERMINATION OF MASTER POLICY NO. 1 OR CERTIFICATE NO. N -0031 SHALL NOT AFFECT THE OBLIGATIONS OF THE NAMED INSUREDS UNDERMASTERPOLICYNO.

l OR THE BONDS TO PAY THE RETROSPECTIVE PREMIUMS AND ALLOWANCES FOR PREMIUM TAXES AS PROVIDED IN CERTIFICATE NO. N -0031 AND CONDITION 2 OF MASTERPOLICYNO. 1.

IN WITNESS WHEREOF, the undersigned named insureds have caused this Bond for Payment of Retrospective Premiums, to be signed and sealed by a duly authorized officer, to be effective from and after the date stated below, eastern standard time.

Attest or Witness Named Insured:

Holtec Pilgrim. LLC (Named Insured - Type or Print)

Ir/.. P. r ;,.,...q, L.

By (Seal}

(Signature of Officer)

Krishna P. Singh (Type or Print Name & Title of Officer)

January 6, 2020 (Date)

Holtec Decommissioning Intemational, LLC (Named Insured - Type or Print) r

/tx. ~ ;,.,...q, L BY~~~~~~~~~.....<=S=ea=I)

(Signature of Officer)

This is to cert1 y that this is true copy of the original Krishna P. Singh endorsement having the en orsement number and being made part of the Certificate of Insurance bearing the number (Type or Print Name & Title of Officer) designated hereon for insurance coverage under the Nuclear January 6, 2020 Energy Liability Policy (Secondary Financial Protection). No insurance is afforded hereunder. (Date)

~-L.~

Gary S. Uricchio, Senior Vice President - Underwriting, American Nuclear Insurers Effective Date of this Endorsement: August 26, 2019 To form a part of Certificate No. N -0031 (12:01 A.M. Standard Time)

Issued to: Holtec Pilgrim, LLC and Holtec Decommissioning International, LLC Date of Issue: September 9, 2019 Endorsement No.: 68 Countersigned by Page2 of2 CERTIFIED NRC COPY