ML23356A139
| ML23356A139 | |
| Person / Time | |
|---|---|
| Site: | Oconee, Mcguire, Catawba, Harris, Brunswick, Robinson, McGuire  |
| Issue date: | 11/16/2023 |
| From: | Marsh USA |
| To: | Document Control Desk, Office of Nuclear Reactor Regulation |
| References | |
| Download: ML23356A139 (5) | |
Text
StJ-L/13( t/li 0005142 Document Control Desk SP 0445 -C01-P05144-I 5o-3t9/3 7/J U.S. Nuclea:r Regul,~ory, <:;9.mmission Washington, DC 20$55-0001
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0445--01 -0005142-0001-0000047
DATE (MM/DD/YYYY)
ACORD
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CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS I 11/16/2023 CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND;. 1:XTEND OR, ALTER, THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT COt.lSTITUTE A _ CONTRACT BETWEEN THE ISSUING INSURER($), 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. PHONE I FAX 1oo North T~ - Street, Suite 3600 I 4 11C Noc-,. IA/C Nol:
Charlotte, N 28202 * . , * . . ....' .. E-MAIL ADDRESS:
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" " NAIC# *
- INSURER($) AFFORDING COVERAGE CN102429173-OTU-1/1-24-25 ,I INSURER A : American Nuclear Insurers INSURED Duke Energy Corporation . . .. .. .. .. INSURER B:
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- ' , ., . ,. *'_:.. o; )!l 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, 1
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. * ' " * * * **
INSR ADDL SUBR POLICYEFF POLICY EXP LTR TYPE OF INSURANCE I NC,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) *s i PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
JECTPRO- LOC
=7 PRODUCTS
- CciMf/OP AGG $ '.
POLICY OTHER: $
AUTOMOBILE LIABILITY ~~'!~~~~~?NGLE LIMIT $
f----- * ,."*l '~' *
- ANY AUTO OWNED - SCHEDULED BODILY INJURY (Per person) $
f-----
AUTOS ONLY HIRED AUTOS ONLY
-- AUTOS NON-OWNED AUTOS ONLY BODILY INJURY (Per accidenl) $
PROPERTY DAMAGE
/Per accident\ $
- UMBRELLA LIAB EXCESSLIAB OED I I H
RETENTION$
OCCUR CLAIMS-MADE
.. ;,_. 't, t ,f, EACH OCCURRENCE AGGREGATE
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WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N
- ... }.
- 1 PER
- STATUTE I
I OTH-ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. E:ACH ACCIDENT OFFICER/MEMBER EXCLUDED?
(Mandatory in NH) 0 N/A '/ ~,:i,_*
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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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. ' l *
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AUTHORIZED REPRESENTATIVE I
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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 ,:* ADDITIONAL REMARKS SCHEDULE Page 2 of
- 3
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AGENCY NAMED INSURED ,
' ,~ '* : v:. * . Duke Energy Corporation
. ,. "
- Ann: Lance Burnette
,, I '.t '.I POLICY NUMBER
' ' Lance.Bumette@duke~gy.com ' I
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-. ~s 4()9 s. Tryon Street i ......
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STJOINS CARRIER IN~ *c_c~oE *!
- Charlotte, NC 28202
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' EFFECTIVE DATE: j 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
-* .!!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
- ~ 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. , ** . :' .. !* ** . ':i * *.: . . . . . :.*; * .
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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: * ** .,._ , POUCY_EfFECTIVE: * ' ***
- LIMIT OF LIABILITY: * *i :f~ ..
t* , 1 -.if NF-0281 12/01/1983 $500 Million NW-0637 12/01/1983 $500 Million..
N-0097 07/18/1984 N--0106 12/01/1983
- 2. SITE #2
- MCGUIRE 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: ** LIMIT Of*UABILITY:
- NF-0248 *
- 05/01/1977 $500 Million NW-0615 N--0069 05/0111977 01/23/1981
$500 Million,.
N-0092 03/0311983
- 3. SITE 13
- OCONEE 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,: ' ~ 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:
. . '.' LIM.I f OF LIABILITY:
NF--0218 10/25/1973 ..'; . : . , * . $500 Million NW--0597 10/25/1973 $500 Million,.
N-0054 ' 0&'01/1977 ., .... , ... t N-0055 08/01/1977 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 Page 3 of 3 AGENCY MARSH USA LLC.
NAMED INSURED 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: , '
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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 ,1 * * ~,,-,
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 07/01/1971 *; I
,. ' * $100 Millioo 1
, **.11 NW-0579 '07/01/1971 $500Mill~"
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- 6. SITE #6 - SHEARON HARRIS 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: POLICY EFFECTIVE: LIMIT OF LIABILITY:
NF-0288 06/01/1984 $500 Million NW-0642 06/01/1984 $500 Million**
N-0112 10/24/1986
- 7. SITE #7 - H. B. ROBINSON 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 10/15/1969 $500 Million NW-0567 10/15/1969 $500 Million" N-0021 08101/1977
- 9. SITE #9 - LEE 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 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.
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 ,,~,w,;
, *-*
- 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 -~ ii.* ... r.
USOperat~ons.e_m~il-~ marsh:*~~ a~ include the foll~~ing: *1! ** ;i ! .. ' ' , 1 ," r ., *
- Certificate # (Shown below Insured Name - e.g., ABC-;12,~456789-01)
- E-Mail for future delivery ' * .1 . ,,
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
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- I. l A business of Marsh McLennan
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0445-01-00-0005142-0003-0000049