ML22010A086

Proof of Financial Protection

ML22010A086
Person / Time
Site:	La Crosse  File:Dairyland Power Cooperative icon.png
Issue date:	01/05/2022
From:	Van Noordennen G LaCrosseSolutions
To:	Document Control Desk, Office of Nuclear Material Safety and Safeguards
References
LC-2022-0001
Download: ML22010A086 (4)

Text

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LACR0SSESOLUTIONS 10 CFR 140.15 January 5, 2022 LC-2022-0001 U.S. Nuclear Regulatory Commission ATTN: Document Control Desk Washington, DC 20555-0001 La Crosse Boiling Water Reactor Facility Operating License No. DPR-45 NRC Docket Nos. 50-409 and 72-046

Subject:

La Crosse Boiling Water Reactor (LACBWR) Proof of Financial Protection

References:

1) Marlayna Vaaler, U.S. Nuclear Regulatory Commission, Letter to Barbara Nick, Dairyland Power Cooperative, "Order Approving Transfer of License for the La Crosse Boiling Water Reactor from the Dairyland Power Cooperative to LaCrosseSolutions, LLC and Conforming Administrative License Amendment," dated May 20, 2016

2) Gerard van Noordennen, LaCrosseSolutions, Letter to U.S. Regulatory Commission, "Insurance Coverage for La Crosse Boiling Water Reactor," dated May 25, 2016

3) Gerard van Noordennen, LaCrosseSolutions, Letter to U.S. Nuclear Regulatory Commission, "La Crosse Boiling Water Reactor (LACBWR) Proof of Financial Protection," dated December 29, 2020 In accordance with 10 CPR 140.15, LaCrosseSolutions, LLC is providing proof of financial protection in the form of nuclear liability insurance for the LACBWR facility. As documented in Reference 1, the LACBWR license was transferred from Dairyland Power Cooperative (DPC) to LaCrosseSolutions, LLC on May 20, 2016. DPC, as the owner licensee, maintains the existing offsite nuclear liability coverage in accordance with approved exemptions for 10 CPR 140.

LaCrosseSolutions, LLC was added to the nuclear liability insurance policy following license transfer as discussed in Reference 2. Reference 3 documents last year's submittal.

The enclosed Evidence of Financial Protection satisfies the requirement to provide proof of financial protection per the requirements of 10 CPR 140 .15. If there are any questions regarding this notification, please contact me at (860) 462-9707.

f Digitally signed by Gerard van Noordennen Respectfully G d van Noar d XD.N: cn=Gerard van Noordennen, o=EnergySolutions,

' erar ennet71'-~u~RegulatoryAffairs, _

// / ---~;t:!;g~;~~~s°;~~n4~;~:o~;~?ysolut1ons.com, c=US Gerard van Noordennen Senior Vice President Regulatory Affairs

Enclosure:

Evidence of Financial Protection cc: Kimberly Conway, U.S. NRC Project Manager f1tbl La Crosse Boiling Water Reactor Service List

J/v/ s 5 2-/p S4601 State Highway 35, Genoa, WI 54632 JJA--f~s

La Crosse Boiling Water Reactor Service List cc:

Ken Robuck Regional Administrator President and CEO U.S. NRC, Region III EnergySolutions 2443 Warrenville Road 299 South Main Street, Suite 1700 Lisle, IL 60532-4352 Salt Lake City, UT 84111 Paul Schmidt, Manager John Sauger Radiation Protection Section President and Chief Nuclear Officer Bureau of Environmental and Occupational Health ReactorD &D Division of Public Health EnergySolutions Wisconsin Department of Health Services 121 W. Trade Street, Suite 2700 P.O. Box 2659 Charlotte, NC 28202 Madison, WI 53701-2659 Joseph Nowak Brent Ridge General Manager President and CEO LaCrosseSolutions Dairyland Power Cooperative S4601 State Highway 35 3200 East Avenue South Genoa, WI 54632-8846 La Crosse, WI 54602-0817 Gerard van N oordennen Cheryl Olson, ISFSI Manager Sr. VP Regulatory Affairs La Crosse Boiling Water Reactor EnergySolutions Dairyland Power Cooperative 121 W. Trade Street, Suite 2700 S4601 State Highway 35 Charlotte, NC 28202 Genoa, WI54632-8846 Russ Workman Lane Peters General Counsel La Crosse Boiling Water Reactor EnergySolutions Dairyland Power Cooperative 299 South Main Street, Suite 1700 S4601 State Highway 35 Salt Lake City, UT 84111 Genoa, WI54632-8846 Jerome Pedretti, Clerk John Henkelman Town of Genoa La Crosse Boiling Water Reactor E860 Mundsack Road Dairyland Power Cooperative Genoa, WI 54632 S4601 State Highway 35 Genoa, WI54632-8846 Jeffery Kitsembel Division of Energy Regulation Andrew J. Parrish Wisconsin Public Service Commission Wheeler, Van Sickle and Anderson, S.C.

P.O. Box 7854 44 East Mifflin Street, Suite 1000 Madison, WI 53707-7854 Madison, WI 53703

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) and a certificate to the Master Worker Policy [Nuclear Energy Liability Policy (Facility Worker Form)] 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 certificate 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 Effective Date of this Evidence of Financial Protection Dairyland Power Cooperative Janu~ry 1, 2022 PO Box 817 3200 East Avenue South Lacrosse, WI 54602-0817 Policy/Certificate Number Policy/Certificate Effective Date Limit of Liability Facility Form Policy No. NF -0217 August 10, 1973 $30,600,000 Facility Worker Form Certificate No. NW -0596 January 1, 1998 $

• Location of the Nuclear Facility Village of Genoa, Vernon County, State of Wisconsin

• 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.

Page 1 of 2 American Nuclear Insurers t:J 95 Glastonbury Blvd., Suite 300 Glastonbury, CT 060334453 Voice: (860) 682-1301 Fax: (860) 659-0002 NRClOOl (12/1/2014) 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.

(Signatur Authorized Representative)

Jim Palaia - Vice President, Underwriting (Name and Title of Authorized Representative) 12/6/2021 (Date)

Page 2 of 2 NRC1001(12/1/2014) Evidence of Financial Protection Form