ML22048B586
| ML22048B586 | |
| Person / Time | |
|---|---|
| Site: | Summer  |
| Issue date: | 10/29/2021 |
| From: | Acord Corporation, Marsh USA |
| To: | Office of Nuclear Reactor Regulation |
| References | |
| Download: ML22048B586 (1) | |
Text
AGENCY CUSTOrAER ID: CN102230946 LO C #: Charlotte ADD!TIONAL REMA, AGENCY ADDITIONAL REMARKS THIS ADDITIONAL RElll',A l"' 1.
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FORM NUMBER:
25
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CERTIFICATE OF NUCLEAR ENERGY LIABILITY INSURANCE 1#1-.r URED -
- i "ir '..... 'SCANA Corpilratidri *'
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- ,,c;, ltfTT!ll: 11llison M. Mosef *., *
.~1\\.-Q ~ ~-v ~ ~nergy_~iqis, IY-.
- * 'Ci.M ghouse Building - CorJ)6rate Risk 121.l Tredegar Street P':hmond, VA 2321 9
~-This is-~ certify t~~ thefe*is~~}/ot' l'J~dive ii16 o( this Certificate a t'lui::iia; E~;;gy~ bility lnsurencef'ol'"'t:ir ~ ~fiiii:i; ofA~rican N~(1ear Insurers as
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iodicated,_(.(:Q!Tlpanies), te:l~\\l. ~~sured;~t,,.11e\\lt~r~ip,,With reslljl~\\ to the Nuslear Fac'li!y at th~ L~ atio~ shq,'~n.riir**
Jct to,1!1e. lns,ured'fo~~ra_tions described herein'., lf 1,vch policy is ca~oeUed..or othsrwise:Jt?miBated pri:Jr lo lhe end of December 31slof iht: calendar yaac in W~"'.fe;~"~
,.1 i.0, Qf ())is Olrtlficate occurs, notice.will be delivered in accordance with the policy provisions. Otherwise this Certificate shall terminate as of the* er.\\! otsucll;~ t,,
r 31st* A-Certificaie"will NOT be issueif fol a~y subsequllnt calendar year unless reque:;_ted in writing.
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- ,-"17 Types of Insurance
- NF - [Facility Form}; Nw: [Mastaf _i'?rker Certificate], NS - [US Domestic Supplier's & Transporters], FS - [Foreign Suppliers & Transporters]
COVERAGE FOR NUCLEAR FACILITIES:
- 1. SITE #1
- VIRGIL C. SUMMER NUCLEAR*STATI0N LOCATION OF NUCLEAR FACILITY: <Virgil C: Summer Nuclear Station 2.5 miles N of Parr, Fairfield County, South Carolina NAMED INSURE_D [LISTED ON POLICY]: South Carolina Electric & Gas Company and South Carolina Public Service Authority POLICY NUMBER:
POLICY.EFFECTIVE:
LIMIT OF LIABILITY:
NF-0252 NW-0616 03/21/1978 03/21/1978 COVERAGE FOR SUPPLIER'S & TRANSPORTER'S:
- 2. US DOMESTIC S&T
$450 Million
$450 Million..
Page DESCRIPTION OF OPE.RAT(ONS: Furoishing of services, materials, parts or equipment in connection with the planning, construction, maintenance, jnvolvLng the handling, storage, shipment, use or disposal of specified types of nuclear materials.
NAMED INSURED [LISTED ON POUCY] :. SCANA Corporation POLICY NUMBER:
POLICY EFFE~TIVE:
NS-0420 08/05/1982
,.f LIMIT OF LIABILITY:
$450 Million I!,
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.
The insurance afforded by the policy(ies) is subject to tha ex::.isior<E, c0~dilicns and o!!;er,provlsio;l#of the.poli0y(ies}., tilei:11.ir.this G'c'.Aificate r.or ar.y contract or other docur:ient 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 lil!!i! may ~ave bee3 ~educed _br_payment o!_claims or claims _e,x1:_enses.
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ACORD 101 (2008/01)
© 2008 ACORD CORPORATION. All rights 1 The ACORD name and logo are registered marks of ACORD 0476-0 1-00-0005138-0002-0010513 2
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Dear Certificate Holder:
As many companies have moved to a remote working environment, mailing Certificates of Insurance to a physical address can cause unnecessary delays in providing you proof of insurance. To streamline de It very and in an effort to support our firm's commitment to sustainability, going forward, we would Ii ke to distribute your Certificates of Insurance electronically if possible.
We are kindly requesbng Certificate Holders provfde us an email address where we can deliver your COi in the future.
Please send your response to: US0perations.email@marsh.com and provide the following information so that we can expediteyourCOl delivery:
Certificate# {Shown below Insured Name -e.g.: ABC~123456789-01)
E-Mail for future delivery:
For undefiverable email addresses, our system is configured to automatically redirect the Certificate for deliveryvia USPS.
Lastly, if you no longer need this COi please respond to USOperations.email@marsh.com with the Certificate number and we will inactive the record in our system to avoid future automatic delivery.
Thank you.
US Operations,. Marsh USA, Inc.
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ACORD CERTIFICATE OF LIABILITY INSURANCE I
DATE (MM/DD/YYYY)
~
10/29/2021 THIS CERTIFICATE IS ISSUED AS A MA TIER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE H9LDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED B\\' THE POLICIES BELOW. THIS CERTIFICATE OF INSURANcr.:* DOE~ i\\Cff 1~0 1f --,';~"'.f ;&_ (;ONTP.t,c-;*_ Bi:rw:::i=:\\l fKI: ISSUING INSURER($), AU1FIORl2E.D REPRESENTATIVE OR PRODUCER, A~ D THE CERTIFICATE H'J!..~
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IMPORTANT: If the certificate holder is an ADDITIONAL 1,iistJh.:,, the: policf! ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the t~m~s and cC'.,d;.~i~ns of fhe.polic;y, certain policies may require.:n. endocsement. _A statement on this certificate does not confer rights to tt;o c.3/4rtific.:te hoi:' :n li~u of ~uch cn(l*Qrsement(s).
PRODUCER
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Marsh USA Inc.
I I FAX 100 North T ~Oil Street, Suite 3600
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Charlotte, N 28202
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INSUkER(S) AFFORD!NG COVEAA,GE N/llC-1.' ---
CN102230946-SCANA-NUKE-22-23 It'_~"~-,-
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INSURED
.SCANA Corporation
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ATTN: Allison M. Moser*
11\\!SURER*c :
Dominion Energy Se,vices, Inc.
INSURERD :
Clearinghouse Building - Corporate Risk 120 Tredegar Street INSURER E:
Richmond, VA 23219 INSURER t':
COVERAGES CERTIFICATE NUF. BE?
- ATL-004418500-15 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LIS1
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ow HAVE BEEN 1ss41:o TO THE INSURED NAMEO ABOVE FOR,HE POLICY PERIOD '
INDICATED. NOTWITHSTANDING 'ANY REQUiREMENT, TERll/i
- -,. ~ :ON OF ANY -CONlRACT C)R OTHER DOCUMErl.-*\\n/lTH RESl't:CT TG WHICH THIS REVISIO"'I Nl'M~I="'.: 20 CERTIFICATE MAY BE ISSUED 'OF! MAY PERTAIN, T HE H.. SU. "*...
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""CED 'S/I' THE ~OUCIES DESCRIBcD H:.REIN !S ~JBJEC;T 7C ALL THE TER,ilS, EXCLUSIONS AND CONDITION&QF- ~-L!CH POLICIES. ~.Ill.II;~ Sl:i0\\'1.'N M/,Y '. *,,,c i3:;!::~ Rl=:DUCED BY PAID CL.Al.MS.
INSR TYPE OF INSURANCE ADDL SUBR POLICYEFF POLICY EXP
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,.,.,n lwvo POLICY NUMBER IMM/DD/YYYYI IMM/DD/YYYYI COMMERCIAL GENERAL LIABILITY EA.CH OCCURRENCE
- D CLAIMS-MADE OCCUR
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C,,\\i,,,,,; ~ s YE"""' l ICU t---
PREMISES Ea occurrence I t--
MED EXP (Any one p~)
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PERSONAL & ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE Fl PRO-LOC POLICY JECT
-. ; P~ODUCTS - COM 0 /OP *AGG OTHER:
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AUTOMOBILE LIABILITY f OMBINED SINGLE LIMIT Ea accidentl ANY AUTO BODILY. INJURY (Per person)
OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $
HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY tPer accident\\
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UMBRELLA LIAB H OCCUR EACH OCCURRENCE t--
EXCESSLIAB CLAIMS-MADE AGGREGATE DED I I RETENTION $
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WORKERS COMPENSATION I PER I I OTH-AND EMPLOYERS" LIABILITY
- Sl'ATUTE
- ER Y/N ANY.PROPRIETOR/PARTNER/EXECUTIVE
- **- * <i.L EACH AC<::1DENT OFFICER/MEMBER EXCLUDED?
N/A 1*:,_;1tF (Mandatory in NH)
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- EA EMPLOYEE $
If yes, describe under
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El. Dl!'.iEASE - POLICY LIMIT
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DESCRIPTION OF OPERATIONS he!ow A
Nuclear Energy Liability SEE ATTACHED 01/01/2022 01/01/2023 SEE ATTACHED Insurance
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DESCRIPTION OF OPERATIONS/ LOCATIONS/ '!/EHICt.ES ;(ACORD 101, !,Jdltlona* 110:cia1k:: !!';cl>e**'-'!>!, : 1.;.bl* att1,:~.: :I If m<>re ~c~ h reqli:fl'8d)., *, ; :,*
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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 ~
Washington, DC 20555-0001 ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE I
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USA ~He.
© 1988-2016 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03)
The ACORD name and logo are registered marks of ACORD
,,,..,,. r 000513 8 SP 0476
-C01-P05140i Document Control bE3sk U.S. Nuclear Regulatory Commissiorl Washington, DC 20555-0061
\\a 0476-01 0005138-0001-0010512