ML24030A531

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Marsh USA, LLC - Certificate of Liability Insurance
ML24030A531
Person / Time
Site: Wolf Creek 
Issue date: 01/27/2024
From:
Marsh USA
To:
Document Control Desk, Office of Nuclear Reactor Regulation
References
CN102160700
Download: ML24030A531 (4)


Text

AGENCY CUSTOMER ID: _C_N_1_0_2_1_60_7_0_0 ___________ _

LOC #: All Offices ADDITIONAL REMARKS SCHEDULE AGENCY NAMED l~SURED MARSH USA LLC

.

  • Wolf Creek Nudear Operating Corporation Attn:,t,mber Housooklar POLICY H.UMBER.*

Amber.Housholder@evergy.com 818 Kansas Aven1Je P.O. 6ox88S CARRIER Topeka, KS 66601 I

NAIC CODE EFFECTIVE DATE:

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

25 FORM TITLE: Certificate of Liability Insurance CERTIFICATE OF NUCLEAR ENERGY LIABILITY INSURANCE This is to certify that there is in force as of the effective date of this Certificate a Nuclear Energy Liability Insurance Policy issued by members of American Nuclear Insurers as indicated (Companies), to the Insured named herein, with respect to the Nuclear Facility.at the Location shown and/or with respect to the lnsured's operations described herein. If such policy is ~ancelled or otherwise terminated prior to the end of December 31st of \\he cale~dar yP.ar in which*the, Effective Date of this Certificate occurs, notice will be delivered in accordance with the policy provisions. Otherwise this Certificate shall terminate as of the end of such December ~1st. A Certificate will NOT be issued for any subsequent calendar year unless requested in writing.

Types ol Insurance: NF - [Facitity Form], NW- [Master Worker Certificate], NS * [US Domestic Supplier's & Transporters], FS- (Foreign Suppliers & Transporters], N * [Secondary Financial Protection Certificate]

COVERAGE FOR NUCLEAR FACILITIES:

1. SITE #1 - WOLF CREEK LOCATION OF NUCLEAR FACILITY: Wolf Creek Generating Station in Burlington, Kansas NAMED INSURED [LISTED ON POLICY]: Wolf Creek Nuclear Operating Corporation; Kansas Gas and Electric Company (formerly KCA Corporation); Kansas City Power & Light Company; Kansas Electric Power Cooperative, Inc.; Westar Energy, Inc.

POLICY NUMBER:

NF-0283 NW-0639 N-0099 POLICY EFFECTIVE:

02/17/1984 02/17/1984 03/11/1985 LIMIT OF LIABILITY:

$500 Million

$500 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, condttions and other provisions of the 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.

COMMENTS/NOTES:

    • Master Worl(er Certificate - This limit is shared by all Certificates to the Master Worlt.er Policy ol which each Certificate is a part and is subject to all ol the provisions of such Policy and Certificate having reference thereto. Soch limit may have been reduced by payment of claims or dairro expenses.

Secondary FinMCial Protection Certificate - Financial protection available under an industry retrospective rating plar,.

,1 Page 2

of 2

ACORD 101 (2008/01)

© 2008 ACORD CORPORATION. All rights 1 The ACORD name and logo are registered marks of ACORD 0462-01-00-0003702-0002-0007640

MMarsh

Dear Certificate Holder:

To streamline certificate delivery for our clients and in an effort to support our firm's commitment to sustainability, going forward, we will only be providing renewal certificates of insurance electronically.

If you need to continue receiving a copy of the attached certificate, please send an email to US0perations.emai1@marsh.com and include the following:

- Certificate# (Shown below Insured Name - e.g., ABC-123456789-01)

- E-Mail for future delivery for your convenience, If we do not receive your response, we will conclude that you no lonaer require proof of insurance from the named insured and will remove you from our records.

Thank you, US Operations, Marsh USA, LLC A business of Marsh Mclennan

, I

ACORD CERTIFICATE OF LIABILITY INSURANCE I

DA TE (MM/Dll/YYYY)

~

11/27/'2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS N.O RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTFND OR >.LTER TH~ COVERAGE AFFORDED BY THE POLIClt:.S BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), 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 statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).

PRODUCER

'-VNTACT I

MARSH USA LLC NAME:

r..H.9Nil'n cv+,,

I FAX 2405 Grand Boulevard, #900 IA/C Nol:

Kansas City, MO 64108 E-MAIL ADDRESS:

INSURERISl AFFORDING COVERAGE NAICI CN102160700-Wolf-Nucie-24-25 INSURER A : American Nuclear Insurers INSURED INSURERS :

Wolf Creek Nuclea' Operating Corporation Attn: Amber Housholder INSURERC :

Amber.Housholder@eveigy.com INSURERD:

818 Kansas Avenue P.O. Box889 INSURERE:

Topeka, KS 66601 INSURERF:

COVERAGES CERTIFICATE NUMBER:

CHl-009588341-11 REVISION NUMBER* 2 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 REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VIIITH RESPECT TO VlllilCH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS ANO CONDITIONS OF SUCH POLICIES. LIMITS SHOVIIN MAY HAVE BEEN REDUCED BY PAID CLAIMS.

INSR ADDL ISUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE

,.,c,n l,,,.,n POLICY NUMBER IMM/DDNYYYI IMM/DDNYYYI

  • LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE

- D CLAIMS-MADE OCCUR TORt:Nlt:U PREMISES /Ea occurrence\\

MED EXP (Anv one oerson)

PERSONAL & ADV INJURY

-GEN'L AGGREGATE LIMIT APPLIES PER:

GENERAL AGGREGATE Fl PRO-LOC PRODUCTS - COMP/OP AGG POLICY JECT OTHER:

AUTOMOBILE LIABILITY

~~~~t:b~llNGLE LIMIT ANY AUTO BODILY INJURY (Per person)

OWNED SCHEDULED BODILY INJURY (Per accident) $

AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AlJTOSONLY IPer accident\\

UMBRELLA UAB H OCCUR EACH OCCURRENCE EXCESSLIAB CLAIMS-MADE AGGREGATE DED I I RETENTION $

s WORKERS COMPENSATION I ~~fTUTE I I OTH-AND EMPLOYERS' LIABILITY ER Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE 0 N/A EL EACH ACCIDENT OFFICER/MEMBER EXCLUDED?

(Mandatory In NH)

E.L. DISEASE* EA EMPLOYEE $

glst~fp'fi~ ~1~PERATIONS below E.L. DISEASE

  • POLICY LIMIT A

Nuciea' Eneigy Liab~ity See Attached 01/01/2024 01/01/2025 See Attached Acord 101 Insurance DESCRIPTION OF OPERATIONS/LOCATIONS/ VEHICLES (ACORD 101, Addltlonal Remar1<a Schedula, may be -checl If more apace Is rwqulred)

Re: Sile#1

  • Wolf Creetk.

NAMED INSURED [LISTED ON POLICY]: Wolf Creek Nuclear Operating Corporation; Kansas Gas and Electric Company; Kansas City Power & Light Company; Kansas Elecmc PoYier Cooperative, Inc.; Westar Energy, Inc.

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 IN Washington, DC 20555-0001 ACCORDANCE WITH THE POLICY PROVISIONS.

AUTHORIZED REPRESENTATIVE I

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© 1988-2016 ACORD CORPORATION. All rights re11erved.

ACORD 25 (2016/03)

The ACORD name and logo !!'re registeNd marks of ACORD j

0003 702 SP 0462

-C01-P03703-I Document Control Desk U.S. Nuclear Regulatory Commission Washington, DC 20555-0001 0462-01-00-0003702-0001-0007639

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