ML23356A139

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Marsh USA, Inc - Certificate of Liability Insurance
ML23356A139
Person / Time
Site: Oconee, Mcguire, Catawba, Harris, Brunswick, Robinson, McGuire  Duke Energy icon.png
Issue date: 11/16/2023
From:
Marsh USA
To:
Document Control Desk, Office of Nuclear Reactor Regulation
References
Download: ML23356A139 (5)
v • d • e


Text

0005142 SP 0445

-C01-P05144-I Document Control Desk U.S. Nuclea:r Regul,~ory, <:;9.mmission Washington, DC 20$55-0001 0445--01-00--0005142-0001-000004 7 StJ-L/13( t/li 5o-3t9/3 7/J

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ACORD CERTIFICATE OF LIABILITY INSURANCE I

DATE (MM/DD/YYYY)

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11/16/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND;. 1:XTEND OR, ALTER, THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT COt.lSTITUTE A _CONTRACT BETWEEN THE ISSUING INSURER($), 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 sta_tement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).

PRODUCER CONTACT.

NAME:

MARSH USA LLC.

IP4H 11ONE I

FAX 1 oo North T~

Street, Suite 3600 C Noc-,.

IA/C Nol:

Charlotte, N 28202 *.,

.. E-MAIL ADDRESS:

INSURER($) AFFORDING COVERAGE

.......... -~

NAIC# *

  • CN102429173-OTU-1/1-24-25 INSURER A : American Nuclear Insurers

,I INSURED INSURER B:

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  • '_:.. o; )!l Duke Energy Corporation Attn: Lance Burnette INSURERC:

Lance.Burnene@duke-energy.com INSURER D :

400 S. Tryon Street ST30INS INSURERE :

Charlotte, NC 28202 I

  • /

... INSURER F : '

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  • COVERAGES 1: CERTIFICATE NUMBER: :- - '.,,.

,.: *ATL:004516345-26

.,; REVISION NUMBER
39 J.'

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., REQUIREME;NT, TERM OR.CONDITION Of -ANY CONTRACT OR OTHE;R DOCUMENT WITH,_RESPECT TQ, WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS Sl)BJECT TO AU. THE TE;RMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.

1 INSR TYPE OF INSURANCE ADDL SUBR POLICYEFF POLICY EXP LTR INC,n wvn

  • *
  • POLICY NUMBER *.*.,

/MM/DDIYYYYI /MM/DD/YYYYI LIMITS,

COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES /Ea occurrence I MED EXP (Any.one pe~on)

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PERSONAL & ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER:

GENERAL AGGREGATE

=7 PRO-LOC POLICY JECT PRODUCTS

  • CciMf/OP AGG OTHER:

AUTOMOBILE LIABILITY

~~'!~~~~~?NGLE LIMIT f-----

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  • ANY AUTO BODILY INJURY (Per person)

OWNED SCHEDULED BODILY INJURY (Per accidenl) $

AUTOS ONLY -

AUTOS HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY

/Per accident\\

f-----

UMBRELLA LIAB H OCCUR EACH OCCURRENCE EXCESSLIAB CLAIMS-MADE

't, t,f, AGGREGATE...

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OED I I RETENTION$

' : J WORKERS COMPENSATION

  • 1 PER
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OTH-AND EMPLOYERS' LIABILITY

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STATUTE ER Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE 0 N/A

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E.L. E:ACH ACCIDENT OFFICER/MEMBER EXCLUDED?

(Mandatory in NH)

E.L. DISEASE

  • EA EMPLOYEE $

~~ii:~ro~ ~~PERATIONS below E.L. DISEASE - POLICY LIMIT A

Nuclear Energy Liability SEE ATTACHED 01/01/2024 01/01/2025.

SEE.ATTACHED

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I DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space le required}

Effective September 13, 2016 in accordance w~h the NRC approved changes to facility operating license, Duke En'ergy Progress, Inc. changed corporate for~ to Duke Energy Progress, LLC and irlsur~nce po1/~ies have been amended accordingly.

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'I CERTIFICATE HOLDER CANCELLATION

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Document Control Desk SHOULD ANY OF THE ABOYE 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.

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  • I AUTHORIZED REPRESENTATIVE

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© 1988-2016 ACORD CORPORATION. All rights reserved.

ACORD 25 (2016/03)

The ACORD name and logo are registered marks of ACORD

AGENCY CUSTOMER ID: CN102429173

..,....------,-----------~------

LO C #:

  • Charlotte

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ACORD,:*

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ADDITIONAL REMARKS SCHEDULE AGENCY NAMED INSURED

  • . Duke Energy Corporation

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  • Ann: Lance Burnette POLICY NUMBER Lance.Bumette@duke~gy.com

~s 4()9 s. Tryon Street

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I STJOINS CARRIER I

N~*c_c~oE *!

  • Charlotte, NC 28202 EFFECTIVE DATE:

ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FOR~,,,,

FORM NUMBER:

25 FORM TITLE: Certificate of Liability Insurance CERTIFICATE OF NUCLEAR ENERGY LIABILITY INSURANCE i

-*.!!ii~ is to f!lfli!Y. that lhefe is in fc:,r~e as of the effective date of this Ce~_te _a Nuclear Energy Uability l~a~e ~oli9' i_sS1Jed by members c:I American ~uclear Insurer~ as indicated (Companies), to the lnsureil ilamed.herein;*with respect to the Nuclear Facil~y atlhe Location shown and/or with respect tod)e lnsureil'.s operalions described herein. If

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liilicyis cancelled or otherwise.terminated prior to the end oi December 31st oflhe calendar,Jear in which the* Effective,Date of this Cenificate ()CCurs, *l)Olice.will be delivet:ed

' in accordance Wilh the policy provisions. OthelwiSe this Certificate shall terminate as of the end of such December 31st A Ceruficate will NOT be iSsued for any subsequent calendaryear~ssrequestedinwr~ing.

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. Types of Insurance: NF ; (FacH~.Form1 NW- [Master Wor1lei C11ifcltei*NS

  • IVS ~

-Supplier's & Tuuisponecs], FS*- [Fofeign.5uppliers & r :anspocter.;], N- [Secondary Financial Protection Certificate]

'*.* Y -* * * ' 1

  • COVERAGE FOR NUCLEAR FAf:ILITIES:,.
1. SITE #1 *CATAWBA
  • LOCATION OF NUCLEAR FACILITY: Catawba Nuclear Power Plant in the NE pooion of York County, SC NAMED INSURED [LISTED ON POLICY): Duke Energy Ca'.olinas, LLC POLICY NUMBER:
  • NF-0281 NW-0637 N-0097 N--0106
2. SITE #2
  • MCGUIRE

.,._, POUCY_EfFECTIVE:

12/01/1983 12/01/1983 07/18/1984 12/01/1983

  • LIMIT OF LIABILITY:

$500 Million

$500 Million..

LOCATION OF NUCLEAR FACILITY: McGure Nuclear Power Plant located 17 mi N/NW of Charlotte. NC NAMED INSURED [LISTED ON POLICY]: Duke Eriergy Carolinas, LLC

-*POLICY NUMBER: *

- **

  • POLICY.EFFECTIVE: **

NF-0248 *

  • 05/01/1977 NW-0615 N--0069 N-0092
3. SITE 13
  • OCONEE 05/0111977 01/23/1981 03/0311983 LIMIT Of* UABILITY: *

$500 Million

$500 Million,.

LOCATION OF NUCLEAR FACILITY: Oconee Nuclear Power Plant in Oconee Coooty, South Carolina

-- NAMED INSURED [US-TED ON POLICY]: Duke Energy Carolinas, LLC POLICY N~MBER:

. POL)CY EF_Fl;C~IVE,: '

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LIMir'Q~ LIABILITY: *.,,.

NF-0182 03/01/1970

$500 Million NW--0569 03/01/1970

$500 Million..

N-0022 08/01/1977 N-0023 08/01/1977 N-0024 08/01/1977

4. SITE #4
  • BRUNSWICK* -

LOCATION OF NUCLEAR FACILITY: Brunswick Nuclear Power Plant 2.5 Ml Nol Southport.NC NAMED INSURED [LISTED ON POLICY]: Duke Energy Progress. LLC

  • POLICY NUMBE~: * /

... POLICY EFFECTIVE:

NF--0218 10/25/1973 NW--0597 N-0054 N-0055 10/25/1973

' 0&'01/1977 08/01/1977

'.' LIM.If OF LIABILITY:

..';. :., *. $500 Million

$500 Million,.

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, 1 -.if ACORD 101 (2008/01)

© 2008 ACORD CORPORATION. All rights 1 The ACORD name and logo are registered marks of ACORD 0445--01 *00--0005142--0002--0000048

AGENCY CUSTOMER ID: CN102429173 LO C #: Charlotte ADDITIONAL REMARKS SCHEDULE AGENCY NAMED INSURED MARSH USA LLC.

Duke Energy Corporation Ann: Lance Burnette POLICY NUMBER Lance.Burnette@duke-energy.com 400 S. Tryon Street ST30IN_S

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CARRIER f

Charlotte, NC 28202 I

EFFECTIVE DATE:, '

ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, 1 FORM NUMBER:

25 FORM TITLE: Certificate of Liability Insurance ;

5. SITE #5-CRYSTAL RIVER

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LOCATION OF NUCLEAR FACILITY: Crystal River Nuclear Power Plant 7.5 Ml NW of Crystal River, Citrus Coumy:*Ft' NAMED INSURED (LISTED ON POLICY]: Duke Energy Florida, LLC, ADP CR3, LLC and ADP SF1, LLC POLICY NUMBER:

POLICY EFFECTIVE:

LIMIT OF LIABILITY:

NF-0195 NW-0579

6. SITE #6 - SHEARON HARRIS 07/01/1971
  • I

'07/01/1971

' * $100 Millioo

$500Mill~"

' 1 LOCATION OF NUCLEAR FACILITY: Shearon Harris Nuclear Power Plant 20 Ml SW of Raleigh, NC NAMED INSURED (LISTED ON POLICY]: Duke Energy Progress, LLC POLICY NUMBER:

NF-0288 NW-0642 N-0112

7. SITE #7 - H. B. ROBINSON POLICY EFFECTIVE:

06/01/1984 06/01/1984 10/24/1986 LIMIT OF LIABILITY:

$500 Million

$500 Million**

LOCATION OF NUCLEAR FACILITY: H.B. Robinson Nuclear Power Plant 5 Ml WNW from Hartsville, SC NAMED INSURED (LISTED ON POLICY]: Duke Energy Progress, LLC POLICY NUMBER:

POLICY EFFECTIVE:

LIMIT OF LIABILITY:

NF-0180 NW-0567 N-0021

9. SITE #9 - LEE 10/15/1969 10/15/1969 08101/1977 LOCATION OF NUCLEAR FACILITY: Lee Nuclear Site 8.2 Ml SE of Gaffney, SC NAMED INSURED (LISTED ON POLICY]: Duke Energy Carolinas, LLC POLICY NUMBER POLICY EFFECTIVE:

LIMIT OF LIABILITY:

NF-0355 01/0112016

$1 Million

$500 Million

$500 Million" 1

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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 the exclusions, conditions and other provisions of lhe 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.

COMMENT5mOTES:

" Master Worker Certifteate - This limit is shared by all Certificates to the Master Worker Policy of which each Certifteate is a part and is sul:lject 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.

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ACORD 101 (2008/01)

© 2008 ACORD CORPORATION. All rights reserved.

The ACORD name and logo are registered marks of ACORD

Marsh

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Dear Certificate Holder:

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To streamline certificate delivery for our cli~nts. and in an effortto support our firm's commitment to

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  • sustainability, going forward, *we*wm orify be providinjfrenewal certificates of insurance electronically. _

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  • ' 1f you need.to continue receivin'i a copy of the ;ttached ~e-rtif1i ~t~,:j;i~a~ s~~d ~n~e~aii t~,.: I. :l,1 A

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USOperat~ons.e_m~il-~marsh:*~~ a~ include the foll~~ing:

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- Certificate # (Shown below Insured Name - e.g., ABC-;12,~456789-01)

- E-Mail for future delivery

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For your convenience, If we do not receive your response~ we w.ill conclude that you no lol")ger require proof of insurance from the named insured ~nd wi_l! _ _remove_y_ou f~om ~ur r~o~ds.

Thank you, US Operations, Marsh USA, LLC 1,1

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l A business of Marsh McLennan f

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0445-01-00-0005142-0003-0000049

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