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1 9301110562 930106 PDR ADOCK 05000255 | 1 9301110562 930106 PDR ADOCK 05000255 | ||
.J PDR | .J PDR | ||
NUCLEAR ENERGY LIABILITY INSURANCE ASSOCIATION Certificate No. - | |||
N- - | N- - | ||
20 - - - | 20 - - - | ||
| Line 36: | Line 37: | ||
(2) which is caused during the certificate period stated in Item 6 of the Declarations by a nuclear incident arising out of or' in connectio~ with the nutlear reactor described in Item 3 of the Declarations, and NSFC-1 (1/1/83) Page l | (2) which is caused during the certificate period stated in Item 6 of the Declarations by a nuclear incident arising out of or' in connectio~ with the nutlear reactor described in Item 3 of the Declarations, and NSFC-1 (1/1/83) Page l | ||
,{* | ,{* | ||
;.* | ;.* | ||
(3) e | (3) e | ||
* which is discovered and for which written claim is made | * which is discovered and for which written claim is made against the insured not later than ten years after the end. | ||
against the insured not later than ten years after the end. | |||
of the certificate period stated in Item 6 of the Declarations. | of the certificate period stated in Item 6 of the Declarations. | ||
However. with respect to bodily injury or property damage caused by an extraordinary nuclear occurrence this subparagraph (3) shall not operate to bar coverage for bodily injury or property damage which is discovered and for which written | However. with respect to bodily injury or property damage caused by an extraordinary nuclear occurrence this subparagraph (3) shall not operate to bar coverage for bodily injury or property damage which is discovered and for which written claim is made against the insured not later than twenty years after the date of the extraordinary nuclear occurrence. | ||
claim is made against the insured not later than twenty years after the date of the extraordinary nuclear occurrence. | |||
* Declarations Item 1. Named insureds and addresses: | * Declarations Item 1. Named insureds and addresses: | ||
(a) Consumers Power Company - 212 W. Michigan Avenue, Jackson, Michigan 49201 (b) | (a) Consumers Power Company - 212 W. Michigan Avenue, Jackson, Michigan 49201 (b) | ||
| Line 57: | Line 52: | ||
-.- Policy NF-179 $108.500.000 Mutual Atomic Energy Liability Underwriters' Pblicy MF- 50 $ 31 ,500~000 Page 2 of Certificate No. N- 20 | -.- Policy NF-179 $108.500.000 Mutual Atomic Energy Liability Underwriters' Pblicy MF- 50 $ 31 ,500~000 Page 2 of Certificate No. N- 20 | ||
(b) The following endorsements, attached to the primary financial protection policies listed in Item 4 (a) also apply to the insurance afforded by the Master Policy through this certificate-as though they were attached hereto: | (b) The following endorsements, attached to the primary financial protection policies listed in Item 4 (a) also apply to the insurance afforded by the Master Policy through this certificate-as though they were attached hereto: | ||
(1) .Waiver of Defenses~Endorsement (Extraordinary Nuclear Occurrence) and (2) Supplementary Endorsement - Waiver of Defenses - Reactor Construction at the Facility, (cl The limits of liability provided under.the primary financial prbtection specified in Item 4 (a) above are not shared with any other reactor except as follows: | (1) .Waiver of Defenses~Endorsement (Extraordinary Nuclear Occurrence) and (2) Supplementary Endorsement - Waiver of Defenses - Reactor Construction at the Facility, (cl The limits of liability provided under.the primary financial prbtection specified in Item 4 (a) above are not shared with any other reactor except as follows: | ||
| Line 65: | Line 59: | ||
Item 6. Certificate Period: Beginning at 12:01 a.m. on the first day of August, 1977.*' and continuing to the 'effective date, and time of cancel- | Item 6. Certificate Period: Beginning at 12:01 a.m. on the first day of August, 1977.*' and continuing to the 'effective date, and time of cancel- | ||
.' ' '' * ' I lation or termination of the Master Policy or this certificate, I . . | .' ' '' * ' I lation or termination of the Master Policy or this certificate, I . . | ||
whichever first I . . | whichever first I . . | ||
occurs, eastern . | occurs, eastern . | ||
| Line 79: | Line 72: | ||
Page 4 of Certificate 'No. N-20 | Page 4 of Certificate 'No. N-20 | ||
~. | ~. | ||
~- | ~- | ||
The preceding Certificate of Insurance, Declarations and Bond form a part of the. Master_P9licy. Cancellation or termination of the Master Policy or the Certificate of Insurance shall not affect the named insured's obligations under the policy o~ the Bond to pay the retrospective premiums and allowances for premium taxes, as provided in this Certificate and Condition 2 of the Master Policy. | |||
IN WITNESS WHEREOF, the named insureds have caused this Certificate, these Declaration~ and this Bond for Payment of Retrospective Premiums, to be signed and sealed by a duly authorized officer, to be effective August 1, 1977 | IN WITNESS WHEREOF, the named insureds have caused this Certificate, these Declaration~ and this Bond for Payment of Retrospective Premiums, to be signed and sealed by a duly authorized officer, to be effective August 1, 1977 | ||
* eastern standard time. APPROVED AS ro FORM | * eastern standard time. APPROVED AS ro FORM | ||
| Line 106: | Line 96: | ||
Page 5 of Certificate No. N- 20 | Page 5 of Certificate No. N- 20 | ||
..._,. ...../ | ..._,. ...../ | ||
IN WITNESS WHEREOF, the companies subscribing the Master Policy have caused the Certificate of Insurance and the Declarations to be signed on their behalf by the President of Nuclear Energy Liability Insurance Association to be effective August 1, 1977 eastern standard time, and countersigned below by a duly authorized representative. | IN WITNESS WHEREOF, the companies subscribing the Master Policy have caused the Certificate of Insurance and the Declarations to be signed on their behalf by the President of Nuclear Energy Liability Insurance Association to be effective August 1, 1977 eastern standard time, and countersigned below by a duly authorized representative. | ||
Attest or Witness For the Subscrib~ng Companies of | Attest or Witness For the Subscrib~ng Companies of Page_6~ of Certificate No. N- 20 | ||
Page_6~ of Certificate No. N- 20 | |||
NuclNr Energy Llablllty lnauranc. | NuclNr Energy Llablllty lnauranc. | ||
NUCLEAR ENERGY LIABILITY INSURANCE ASSOCIATION | NUCLEAR ENERGY LIABILITY INSURANCE ASSOCIATION ENDORSEMENT TO CERTIFICATE NO. N-20 Forming Part of Master Policy No. 1 Nuclear Energy Liability Insurance (Secondary Financial Protection) | ||
ANNUAL PREMIUM ENDORSEMENT It is agreed that the Annual Premiums applicable to the periods designated below are as follows: | ANNUAL PREMIUM ENDORSEMENT It is agreed that the Annual Premiums applicable to the periods designated below are as follows: | ||
For Calendar . Year - 1978 | For Calendar . Year - 1978 Effective Date }anuary 1, 1978 Annual Premium $4 ,650. 00 For Calendar Year 1979 | ||
Effective Date }anuary 1, 1978 Annual Premium $4 ,650. 00 For Calendar Year 1979 | |||
. Effective Date January 1, 1979 Annual .Premium $4,650.00 For Calendar Year 1980 Effective Date January 1, 1980 Annual Premium $4, 650 . 00 Eor Calendar Year 1981 Effective Date January 1, 1981 Annual Premium $4,650.00 For Calendar Year 1982 Effective Date Janua!Y l~ 1982 . | . Effective Date January 1, 1979 Annual .Premium $4,650.00 For Calendar Year 1980 Effective Date January 1, 1980 Annual Premium $4, 650 . 00 Eor Calendar Year 1981 Effective Date January 1, 1981 Annual Premium $4,650.00 For Calendar Year 1982 Effective Date Janua!Y l~ 1982 . | ||
* Annual Premium $4,650.0u | * Annual Premium $4,650.0u | ||
| Line 152: | Line 136: | ||
-r(A~u~t~h-o-r~iz_e_d:---=-O~ff~,~-c-e-r~)~~~~- | -r(A~u~t~h-o-r~iz_e_d:---=-O~ff~,~-c-e-r~)~~~~- | ||
(Date Signed) | (Date Signed) | ||
This *is to certify that this is a true copy 0£ the original . | This *is to certify that this is a true copy 0£ the original . | ||
Endorsement having the endorsement number and being made part of the Nuclear Energy LiabiH t;v Policy {Facility Fo.rmJ as des~ (Title) ignated hereon * .No Insurance is afforded hei'euruier. | Endorsement having the endorsement number and being made part of the Nuclear Energy LiabiH t;v Policy {Facility Fo.rmJ as des~ (Title) ignated hereon * .No Insurance is afforded hei'euruier. | ||
* 1 *~. | * 1 *~. | ||
*. JohnL~trocch' * (Name of Insured) | *. JohnL~trocch' * (Name of Insured) | ||
Amencan i, Vice President-Liabili . "t1'ng_. | Amencan i, Vice President-Liabili . "t1'ng_. | ||
Nucl~ In~urers : | Nucl~ In~urers : | ||
| Line 168: | Line 150: | ||
NE-S-5 | NE-S-5 | ||
,a | ,a | ||
~ ' | ~ ' | ||
MUTUAL ATOMIC ENERGY LIABILITY UNDERWRITERS Certificate No. -M- - - - | MUTUAL ATOMIC ENERGY LIABILITY UNDERWRITERS Certificate No. -M- - - - | ||
Forming Part of Master Policy No. | Forming Part of Master Policy No. | ||
CERTIFICATE OF INSURANCE DECLARATIONS AND | CERTIFICATE OF INSURANCE DECLARATIONS AND BOND FOR PAYMENT OF RETROSPECTIVE PREMIUMS This is to certify that the persons and organizations designated in Item 1 of the Declarations are named insureds under the Master Policy - | ||
Nuclear Energy Liability Insurance (Secondary Financial Protection), herein called the "Master Policy", issued by Mutual Atomic Enerqy Liability Underwriters. | |||
BOND FOR PAYMENT OF RETROSPECTIVE PREMIUMS | |||
This is to certify that the persons and organizations designated in Item 1 of the Declarations are named insureds under the Master Policy - | |||
Nuclear Energy | |||
Liability Insurance (Secondary Financial Protection), herein | |||
called the "Master Policy", issued by Mutual Atomic Enerqy Liability Underwriters. | |||
Such insurance as is provided by the Master. Pol icy applies*; through this | Such insurance as is provided by the Master. Pol icy applies*; through this | ||
. , ,, ~: **'.'*,' | . , ,, ~: **'.'*,' | ||
| Line 188: | Line 161: | ||
(a) to the insureds identified in Items l and 2 of the Declarations. | (a) to the insureds identified in Items l and 2 of the Declarations. | ||
(b) for the certificate *period stated in Item 6 of the Declarations, | (b) for the certificate *period stated in Item 6 of the Declarations, | ||
( c) to bodily injury or property damage (1) with respect t~ which the primary financial protection described in Item 4 of the Declarations would apply but for exhaustion of its limit of liability as described in Condition 6 of the Master Policy, and (2) which is caused during the certificate period stated in Item 6 of the Declarations by a.nuclear incident arising out of or in connection with the nuclear reactor described in Item 3 of the Declarations, and MSFC-1 (1/1/83) Pa9e l | |||
( c) to bodily injury or property damage (1) with respect t~ which the primary financial protection described in Item 4 of the Declarations would apply but for | |||
exhaustion of its limit of liability as described in Condition 6 of the Master Policy, and (2) which is caused during the certificate period stated in Item 6 of the Declarations by a.nuclear incident arising out of or in connection with the nuclear reactor described in Item 3 of the Declarations, and MSFC-1 (1/1/83) Pa9e l | |||
.r.~ | .r.~ | ||
t*"'** *;> * | |||
~ . | ~ . | ||
i ,f | i ,f | ||
| Line 205: | Line 175: | ||
, .r * *. '. , .:~ ' . | , .r * *. '. , .:~ ' . | ||
. ; . . ** ****1 .. -.. **-.*. | . ; . . ** ****1 .. -.. **-.*. | ||
Declarations* | Declarations* | ||
Item l. Named insureds and addresses: | Item l. Named insureds and addresses: | ||
| Line 211: | Line 180: | ||
( b) ' | ( b) ' | ||
. .~ .. | . .~ .. | ||
Item 2. Additional insureds:* | Item 2. Additional insureds:* | ||
Any other person or 9rganization who.would be insured under the primary fin~ncial protection identified in Item 4 of the Declarations | Any other person or 9rganization who.would be insured under the primary fin~ncial protection identified in Item 4 of the Declarations but for exhaustion of the limit of liability of such primary financial protection. | ||
but for exhaustion of the limit of liability of such primary financial | |||
protection. | |||
*Item 3. *Description and location of nuclear reactor:* Palisades Nuclear Plant located in Van Buren County,, Michigan. | *Item 3. *Description and location of nuclear reactor:* Palisades Nuclear Plant located in Van Buren County,, Michigan. | ||
Item 4. (a) Identification of primary financial protection applicable to | Item 4. (a) Identification of primary financial protection applicable to | ||
| Line 223: | Line 187: | ||
Nuclear Energy Liability Insurance Association's Policy NF-179 $108,500.000 Mutual Atomic Energy Liability Underwrit~rs' Policy MF-50 $ 31 ,500,000 | Nuclear Energy Liability Insurance Association's Policy NF-179 $108,500.000 Mutual Atomic Energy Liability Underwrit~rs' Policy MF-50 $ 31 ,500,000 | ||
,.. *-~ | ,.. *-~ | ||
Page 2 of Certificate No. M-20 | Page 2 of Certificate No. M-20 | ||
| Line 229: | Line 192: | ||
..e (b) The following endorsements, attached to the primary financial protection policies listed in Item 4 (~)also apply to the insurance afforded by the Master Policy through this certificate as though they were attached hereto: | ..e (b) The following endorsements, attached to the primary financial protection policies listed in Item 4 (~)also apply to the insurance afforded by the Master Policy through this certificate as though they were attached hereto: | ||
(1) Waiver of Defenses Endorsement (Extraordinary Nuclear Occurrence) and (2) Supplementary Endorsement - Wai~er of Defen~es - Reactor Construction at the Facility, (c) The limits of liability .provided under the primary financial | (1) Waiver of Defenses Endorsement (Extraordinary Nuclear Occurrence) and (2) Supplementary Endorsement - Wai~er of Defen~es - Reactor Construction at the Facility, (c) The limits of liability .provided under the primary financial | ||
. protectirin specified in Ite~ 4 (a) above are not shared with | . protectirin specified in Ite~ 4 (a) above are not shared with | ||
'f- .. ,*_. | 'f- .. ,*_. | ||
| Line 235: | Line 197: | ||
any other reactor except as follows:........ | any other reactor except as follows:........ | ||
*Na.exceptions. .. . ,, . | *Na.exceptions. .. . ,, . | ||
Item 5. Li~its of Liability~ The amount cif retrospective premium actualli | Item 5. Li~its of Liability~ The amount cif retrospective premium actualli | ||
.received by the companies plus the amount of the companies' con~ | .received by the companies plus the amount of the companies' con~ | ||
i.'.* ':': | i.'.* ':': | ||
tingent liability, H any, pursuant to Conditions.2, 3 and 4 of the | tingent liability, H any, pursuant to Conditions.2, 3 and 4 of the Master Policy~ | ||
Item 6~ . Certificate Period: Beginning at 12:01 a.m~ on* the first day of August, 1977' and continuing to .the effective date and time of cancellati~n or termination of the Master Policy or this certificate,** | |||
Master Policy~ | |||
Item 6~ . Certificate Period: Beginning at 12:01 a.m~ on* the first day of | |||
August, 1977' and continuing to .the effective date and time of cancellati~n or termination of the Master Policy or this certificate,** | |||
"whichever first occurs, eastern sta~dard time .. | "whichever first occurs, eastern sta~dard time .. | ||
* It~~~7.*** Maximum retrospective premil~m (exclusive* of allowance for premium taxes)* | * It~~~7.*** Maximum retrospective premil~m (exclusive* of allowance for premium taxes)* | ||
payable pursuant to Condition 2 of the Master Policy with respect to | payable pursuant to Condition 2 of the Master Policy with respect to | ||
- - -each nuclear incident: .$1,125,000-It~m 8. Premium payable pursuant to Condition 1 of the Master POlicy for th~ | - - -each nuclear incident: .$1,125,000-It~m 8. Premium payable pursuant to Condition 1 of the Master POlicy for th~ | ||
period from August l, 1977 through December 31 following: | period from August l, 1977 through December 31 following: | ||
$ 565.65 | $ 565.65 | ||
. .* {\:/*.,''..:. | . .* {\:/*.,''..:. | ||
Page 3 of Certificate No. M-20 v;~*.* | Page 3 of Certificate No. M-20 v;~*.* | ||
| Line 265: | Line 214: | ||
*. B- FOR PAYMEN~ OF RETROSPECTIVE .MIUMS Know All Men By These Present~, that the undersigned do hereby acknowledge that they are named insureds under the Master Policy described in the above Certificate of Insurance and Declarations. The named insureds do hereby covenant with and are he-ld and are firmly bound to the members of Mutual Atomic Energy Liability Underwriters subscribing the Master .Policy (here-inafter called. the "companies") to pay to the companies all retrospective premiums and allowances for premium taxes which shall become due and payable in accordance with the Master Policy, as. it may be.*changed from time to time, with interest.on such premiums and allowances for taxes to be computed at y . | *. B- FOR PAYMEN~ OF RETROSPECTIVE .MIUMS Know All Men By These Present~, that the undersigned do hereby acknowledge that they are named insureds under the Master Policy described in the above Certificate of Insurance and Declarations. The named insureds do hereby covenant with and are he-ld and are firmly bound to the members of Mutual Atomic Energy Liability Underwriters subscribing the Master .Policy (here-inafter called. the "companies") to pay to the companies all retrospective premiums and allowances for premium taxes which shall become due and payable in accordance with the Master Policy, as. it may be.*changed from time to time, with interest.on such premiums and allowances for taxes to be computed at y . | ||
* the rat~. ~r~~ i ded in the Mast.er Policy from .the date payment the.re~f, is/, | * the rat~. ~r~~ i ded in the Mast.er Policy from .the date payment the.re~f, is/, | ||
specified to be due the companies in written notice to the first named insured as provided in Condition 2 of the Master Policy until paid; | specified to be due the companies in written notice to the first named insured as provided in Condition 2 of the Master Policy until paid; And it is hereby expressly agreed that copies of written notices of retro~ | ||
And it is hereby expressly agreed that copies of written notices of retro~ | |||
.spe~tive premiums and allowances for premium taxes due and payable or other evidence of such amounts due and payable sworn to by a*duly authorized representative of the comp~nies shalt be prima facie e~idence of the fact and extent of the liability of the named insureds for such amounts; And it is further expressly agreed that the named insureds will indemnify the .. ' \ ~. | .spe~tive premiums and allowances for premium taxes due and payable or other evidence of such amounts due and payable sworn to by a*duly authorized representative of the comp~nies shalt be prima facie e~idence of the fact and extent of the liability of the named insureds for such amounts; And it is further expressly agreed that the named insureds will indemnify the .. ' \ ~. | ||
companies against any and a 11- liability,. 1asses and expenses of whatsoever kind or nature (including but not limited to interest, court costs, and counsel fees) which the companies may sustain or tncur (1) by reason of the failure of the named insureds to comply with the covenants and provisions of this Bond and (2) in enforcing any of the covenants or provisions of this Bond, or any provisions of the Master Policy relating to suc;:h covenants or provisions; For t_he purpose of recording this agreement, a photocopy acknowledged before a Notary Public to be a true copy hereof shall be regarded as an original. | companies against any and a 11- liability,. 1asses and expenses of whatsoever kind or nature (including but not limited to interest, court costs, and counsel fees) which the companies may sustain or tncur (1) by reason of the failure of the named insureds to comply with the covenants and provisions of this Bond and (2) in enforcing any of the covenants or provisions of this Bond, or any provisions of the Master Policy relating to suc;:h covenants or provisions; For t_he purpose of recording this agreement, a photocopy acknowledged before a Notary Public to be a true copy hereof shall be regarded as an original. | ||
Page 4 of Certificate No. M- 20 | Page 4 of Certificate No. M- 20 | ||
| Line 284: | Line 229: | ||
.. | .. | ||
* LEGAL DEPA!fo\i~~-ff (Named Insured ~ Type or Print) | * LEGAL DEPA!fo\i~~-ff (Named Insured ~ Type or Print) | ||
~ ** .. | ~ ** .. | ||
(Signature of Officer) , . | (Signature of Officer) , . | ||
WR Boris, Executive Vice President (Type or* Print Name & Title-' of Offfcer)" | WR Boris, Executive Vice President (Type or* Print Name & Title-' of Offfcer)" | ||
Date :_~A;.:::u=g=u"'-st"'--"l=--9....,.'--"'l_...9""8..._2_ __ | Date :_~A;.:::u=g=u"'-st"'--"l=--9....,.'--"'l_...9""8..._2_ __ | ||
(Named Insured Type or Print) | (Named Insured Type or Print) | ||
| Line 304: | Line 242: | ||
(Signature of Officer) | (Signature of Officer) | ||
{Type or Print Name & Title of Officer) | {Type or Print Name & Title of Officer) | ||
Date: | Date: | ||
-----------~ | -----------~ | ||
| Line 310: | Line 247: | ||
, 'i. | , 'i. | ||
* '. IN WITNESS WHEREOF, the companies subscribing the Master Policy have caused the Certificate of Insurance and the Declarations to be signed on their behalf by Mutual Atomic Energy Liability Underwriters to be effective August l, 1977 | * '. IN WITNESS WHEREOF, the companies subscribing the Master Policy have caused the Certificate of Insurance and the Declarations to be signed on their behalf by Mutual Atomic Energy Liability Underwriters to be effective August l, 1977 eastern standard time, and countersigned | ||
eastern standard time, and countersigned | |||
*. -~ - ~. . . | *. -~ - ~. . . | ||
~ .... | ~ .... | ||
| Line 319: | Line 254: | ||
... ' ( ~. . *:* .. :" | ... ' ( ~. . *:* .. :" | ||
Subscribing Compa~ies PROPORTION OF 100% | Subscribing Compa~ies PROPORTION OF 100% | ||
American Mutual Liability Insurance Company, Wakefield, MA 15.0000000 | American Mutual Liability Insurance Company, Wakefield, MA 15.0000000 | ||
*Employers Insurance of Wausa.u, A Mutual Company, Wausau, WI 15.0000000 .* | *Employers Insurance of Wausa.u, A Mutual Company, Wausau, WI 15.0000000 .* | ||
Liberty Mutual Insurance Company, Boston, MA 30.0000000 Lumbermens Mutual Casualty Company, Long Grove, IL 30.0000000 | Liberty Mutual Insurance Company, Boston, MA 30.0000000 Lumbermens Mutual Casualty Company, Long Grove, IL 30.0000000 | ||
*Michigan. Mutual Insurance Company, Detroit, MI. 5.0000000 | *Michigan. Mutual Insurance Company, Detroit, MI. 5.0000000 0 | ||
0 | |||
~- ' \:,1, f Sentry Insurance, A Mutual Company, Stevens Point, WI . 5.0000000 | ~- ' \:,1, f Sentry Insurance, A Mutual Company, Stevens Point, WI . 5.0000000 | ||
.... ~ :.* ._ . . . ; *:~ =: t. '* . *r | .... ~ :.* ._ . . . ; *:~ =: t. '* . *r | ||
| Line 332: | Line 264: | ||
Page 6 of Certificate No. M-20 | Page 6 of Certificate No. M-20 | ||
.e NUCLEAR ENERGY LIABILITY INSURANCE MUTUAL ATOMIC ENERGY LIABILITY UNDERWRITERS ENDORSEMENT TO CERTIFICATE NO. M-20 Forming Part of Master Policy No-:-1 Nuclear Energy Liability Insurance (Secondary Financial Protection) | .e NUCLEAR ENERGY LIABILITY INSURANCE MUTUAL ATOMIC ENERGY LIABILITY UNDERWRITERS ENDORSEMENT TO CERTIFICATE NO. M-20 Forming Part of Master Policy No-:-1 Nuclear Energy Liability Insurance (Secondary Financial Protection) | ||
ANNUAL PREMIUM ENDORSEMENT For Calendar Year 1978 Effective Date January l, 1978 Annual' Premium $1,350.00 For Calendar Year 1979 Effective Date January l, 1979 Annual Premium $1,350.00 For Calendar Year 1980 Effective Date January 1, 1980 Annual Premium $1,350.00 For Calendar Year 1981. | ANNUAL PREMIUM ENDORSEMENT For Calendar Year 1978 Effective Date January l, 1978 Annual' Premium $1,350.00 For Calendar Year 1979 Effective Date January l, 1979 Annual Premium $1,350.00 For Calendar Year 1980 Effective Date January 1, 1980 Annual Premium $1,350.00 For Calendar Year 1981. | ||
| Line 345: | Line 276: | ||
0 | 0 | ||
... . NUCLE. ENERGY LIABILITY INSURAIE MUTUAL ATOMIC ENERGY LIABILITY UNDERWRITERS | ... . NUCLE. ENERGY LIABILITY INSURAIE MUTUAL ATOMIC ENERGY LIABILITY UNDERWRITERS ENDORSEMENT TO CERTIFICATE NO. M-20 Forming Part of Master Policy No. 1 Nuclear Energy Liability Insurance (Secondary Financial Protection) | ||
ENDORSEMENT TO CERTIFICATE NO. M-20 Forming Part of Master Policy No. 1 Nuclear Energy Liability Insurance (Secondary Financial Protection) | |||
It is agreed that Item 4.(a) of the Declarations is amended to read as follows: | It is agreed that Item 4.(a) of the Declarations is amended to read as follows: | ||
Item 4. (a) Identification of primary financial protection applicable ~o th~ nuclear reactor and limit(s) of liability thereof: | Item 4. (a) Identification of primary financial protection applicable ~o th~ nuclear reactor and limit(s) of liability thereof: | ||
| Line 359: | Line 288: | ||
NUCLEAR ENERGY LIABILITY INSURANCE MUTUAL ATOMIC ENERGY LIABILITY UNDERWRITERS ANNUAL PREMIUM ENDORSEMENT Calendar Year 1983 | NUCLEAR ENERGY LIABILITY INSURANCE MUTUAL ATOMIC ENERGY LIABILITY UNDERWRITERS ANNUAL PREMIUM ENDORSEMENT Calendar Year 1983 | ||
_ANNUAL PREMIUM: It is agreed that the Annual Premium due the companies for the period designated above is: $ 1,350.00 Thi& is to certify that this is a true oopy of the original Endorsement havi~g the endorseiaent .:iJ.iuber and being made part ot t}le Nuclear Energy Liability Policy (Fao111ty Form.) as des-ignated hereon. lo Insuranoe 1s affor hereunQ.er. | _ANNUAL PREMIUM: It is agreed that the Annual Premium due the companies for the period designated above is: $ 1,350.00 Thi& is to certify that this is a true oopy of the original Endorsement havi~g the endorseiaent .:iJ.iuber and being made part ot t}le Nuclear Energy Liability Policy (Fao111ty Form.) as des-ignated hereon. lo Insuranoe 1s affor hereunQ.er. | ||
.John L. Quattrocchi, Vice P~ent*Llabllit)' Underwriting American Nuclear lnaurera . | .John L. Quattrocchi, Vice P~ent*Llabllit)' Underwriting American Nuclear lnaurera . | ||
Effective Date of . To form n onrt thie Endorsement _ _ _J_a_n_u_a_r__y_l_,_19_8_3____ o(* Certificate No~ M-20 Corisumers Power Company leeueto _ _ _ _ _ _ _ _ __,..-----------------------'---~ | Effective Date of . To form n onrt thie Endorsement _ _ _J_a_n_u_a_r__y_l_,_19_8_3____ o(* Certificate No~ M-20 Corisumers Power Company leeueto _ _ _ _ _ _ _ _ __,..-----------------------'---~ | ||
| Line 366: | Line 294: | ||
11 llT II Cll(I z1:11 I <t:1*11t::<t:N"r .HI n: | 11 llT II Cll(I z1:11 I <t:1*11t::<t:N"r .HI n: | ||
NUCLEAR ENERGY LIABILITY INSURANCE MUTUAL ATOMIC ENERGY LIABILITY UNDERWRITERS* | NUCLEAR ENERGY LIABILITY INSURANCE MUTUAL ATOMIC ENERGY LIABILITY UNDERWRITERS* | ||
ENDORSEMENT TO CERTIFICATE NO. M-20 Fanning Part of Master Policy No. l Nuclear Energy Liability Insurance (Secondary Financial Protection) | ENDORSEMENT TO CERTIFICATE NO. M-20 Fanning Part of Master Policy No. l Nuclear Energy Liability Insurance (Secondary Financial Protection) | ||
Revision as of 12:40, 3 February 2020
| ML18051A266 | |
| Person / Time | |
|---|---|
| Site: | Palisades |
| Issue date: | 01/06/1983 |
| From: | Frounfelker R CONSUMERS ENERGY CO. (FORMERLY CONSUMERS POWER CO.) |
| To: | Saltzman J Office of Nuclear Reactor Regulation |
| References | |
| NUDOCS 8301110562 | |
| Download: ML18051A266 (21) | |
Text
{{#Wiki_filter:**-- consumers Power company General Offices: 212 West Michigan Avenue, Jeckson, Ml 49201 * (517) 788-0550 January 6, 1983 Mr Jerome Saltzman, Chief Antitrust & Indemnity Group . Nuclear Reactor Regulation US Nuclear Regulatory Commission Washington, DC 20555 ANI CERTIFICATE N-20 MAELU CERTI.FICATE M-20 DOCKET NO 50-255 Attached are two copies each of the ANI Certificate N-20 and MAELU Certificate M-20, .for- the Palisades Nuclear Plant. These Certificates result from acceptance of the pools' SFP policy by the NRC an.d replace the. previously issued binder$ .. Also, attached are two copies each of Endorsements 1, 2, 3 and 4 to ANI Certificate N-20 and Endorsements 1, 2, 3 and 4 to MAELU Certificate M-20. Endorsement 1 ~o both Certificates reflect the annual .pr~miums for the years 1978 through 1982. Endorsement *2 to both Certific~tes ame~d Item 4( a) of th.~ Declarations. Endorsement 3 to both Certificates reflect the 1983 Annual Premium.* Endorsement 4 to both Certificates is the Insured's Cancellation of Certificate Endorsement, w~ich is in the process of being signed.
~-t~-**
R E Frounfelker Insurance Analyst
; -;--
1 9301110562 930106 PDR ADOCK 05000255
.J PDR
NUCLEAR ENERGY LIABILITY INSURANCE ASSOCIATION Certificate No. - N- - 20 - - - Forming Part of Master Policy No. CERTIFICATE OF INSURANCE DECLARATIONS AND BOND FOR PAYMENT OF RETROSPECTIVE PREMIUMS Certificate of Insurance This is to certify that the persons and organizations designated in Item l of the Declarations are named insureds under the Master Policy - Nuclear *Energy Liability Insurance (Secondary Financial Protection), herein call.ed the "Master Policy",issued by Nuclear Energy Liability Insurance Association. Such insurance as is provided by the Master Policy applies, through this certificate, only: (a) to the insureds identified in Item~ l and 2 of the peclarations, (b) for the certificate period stated in Ite~ 6 of the Declarations, (c) to bodily injury or property damage (1) with respect to which the primary financial protection described in Item 4 of the Declarations would apply but for
*exhaustion of its limit of liability a.s described in Condition 6 of the Master Policy, and *-
(2) which is caused during the certificate period stated in Item 6 of the Declarations by a nuclear incident arising out of or' in connectio~ with the nutlear reactor described in Item 3 of the Declarations, and NSFC-1 (1/1/83) Page l
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(3) e
- which is discovered and for which written claim is made against the insured not later than ten years after the end.
of the certificate period stated in Item 6 of the Declarations. However. with respect to bodily injury or property damage caused by an extraordinary nuclear occurrence this subparagraph (3) shall not operate to bar coverage for bodily injury or property damage which is discovered and for which written claim is made against the insured not later than twenty years after the date of the extraordinary nuclear occurrence.
- Declarations Item 1. Named insureds and addresses:
(a) Consumers Power Company - 212 W. Michigan Avenue, Jackson, Michigan 49201 (b) Item 2. Additional insureds: Any other person or organization who would be insured under the primary financial protection identified in Item 4 of the Declarations but for exhaust.ion of the limit of liability of such primary financial protection. Item 3. Description and location of nuclear reactor: Palisades Nuclear Plant located in Van Buren County, Michigan. Item 4. (a} Identification of primary financial protection applicable to the ~uclear r~actor and limit(~) of liability thereof: Nuclear Energy Liability Insurance Association's
-.- Policy NF-179 $108.500.000 Mutual Atomic Energy Liability Underwriters' Pblicy MF- 50 $ 31 ,500~000 Page 2 of Certificate No. N- 20
(b) The following endorsements, attached to the primary financial protection policies listed in Item 4 (a) also apply to the insurance afforded by the Master Policy through this certificate-as though they were attached hereto: (1) .Waiver of Defenses~Endorsement (Extraordinary Nuclear Occurrence) and (2) Supplementary Endorsement - Waiver of Defenses - Reactor Construction at the Facility, (cl The limits of liability provided under.the primary financial prbtection specified in Item 4 (a) above are not shared with any other reactor except as follows: No Exceptions Item 5.
- Limits of Liability: The amount of retrospective premium actually received by the companies plus the amount of the companies' con-.
tingent liability, if any, pursuant to Conditions 2, 3 and 4 of the Master Policy. Item 6. Certificate Period: Beginning at 12:01 a.m. on the first day of August, 1977.*' and continuing to the 'effective date, and time of cancel-
.' ' * ' I lation or termination of the Master Policy or this certificate, I . .
whichever first I . . occurs, eastern . standard time. Item 7. Maximum retrospective premium (exclusive of allowance for premium taxes)
. payable *pursuant to Condition_2 of the Master Policy wjth respect to each nuclear incident: $3,875,000.
Item 8. Premium payable pursuant to Condition 1 of the Master Policy for the period from August 1, 1977 through December 31 following:
$ 1,948.35 Page 3 of Certificate No. N-20
BOND FOR PAYMENT OF RETROSPECTIVE PREMIUMS Know All Men By These Presents, that the undersigned do hereby acknowledge that they are named insureds under the Master Policy described in the above Certificate of Insurance and Declarations. The named insureds do hereby covenant with and are held ~nd are firmly bound to the members of Nuclear Energy Liability Insurance Association subscribing the Master Policy (hereinafter called the "companies") to pay to the companies all retrospective premiums and allowances for premium taxes which shall become due and payable in accordance with the Master Policy, as it may be changed from time to time, with interest ori such premiums and allowances for taxes to be computed at the rate provided in the Master Policy from the date pay-ment thereof is specif~ed to be due the companies in written notice to the first named insured as provided in Condition 2 of the Master Policy until paid; And it is hereby expressly agreed that copies of written notices of retro-spective premiums and allowances for premium taxes due. and payable or other
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- evidence of such amounts due and payable sworn to by a duly authorized representative of the companies shall be prima facie evidence *of the fact and extent of the.liability ~f the named insureds for such amounts; And it is further expressly agreed that the named insureds will indemnify the companies a~ainst any and all li'ability, losses and expenses of whatsoever kind or nature (including but not limited to interest, court costs, and counsel fees) which the companies may sustain or incur (1) by reason of the failure of the nam~d insureds to comply wit~ the covenants and provisions of this Bond and (2) in enforcing any of the covenants or provisions of this Bond, or any provisions of the Master Policy relating to such covenants or provisions; For the purpose of recording this agreement, a photocopy acknowledged before a Notary Public to be a true copy hereof shall be regarded as an original.
Page 4 of Certificate 'No. N-20
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The preceding Certificate of Insurance, Declarations and Bond form a part of the. Master_P9licy. Cancellation or termination of the Master Policy or the Certificate of Insurance shall not affect the named insured's obligations under the policy o~ the Bond to pay the retrospective premiums and allowances for premium taxes, as provided in this Certificate and Condition 2 of the Master Policy. IN WITNESS WHEREOF, the named insureds have caused this Certificate, these Declaration~ and this Bond for Payment of Retrospective Premiums, to be signed and sealed by a duly authorized officer, to be effective August 1, 1977
- eastern standard time. APPROVED AS ro FORM
{J rfl_ *' - ,1.-{_..j__ - . . . i[b"2/('2-Attest or Witness Named Insureds: CONSUME~S POWER . 01 .. PM*~Y
. LEGAL DEPA, TMENT Consumers Power Company
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By (M~rint) (SEAL)
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(Signature of Officer) WR Boris, Executive Vice President (Type or Print Name & Title of Ofticer) Date: August 19, 1982 (Named Insured - Type or Print) By_*_*~~~~~~~~~~~ (SEAL) (Signature of Officer) (Type or Print Name & T.itle of Officer) Date: ~~~~~~~~~~~~ (Named Insured - Type or Print) By_ _ _ _ _ _ _ _ _ _ _ _ _ ( SEAL) (Signature of Officer) (Type or Print Name & Title of Officer) Date: ~~~~~~~~- Page 5 of Certificate No. N- 20
..._,. ...../ IN WITNESS WHEREOF, the companies subscribing the Master Policy have caused the Certificate of Insurance and the Declarations to be signed on their behalf by the President of Nuclear Energy Liability Insurance Association to be effective August 1, 1977 eastern standard time, and countersigned below by a duly authorized representative. Attest or Witness For the Subscrib~ng Companies of Page_6~ of Certificate No. N- 20
NuclNr Energy Llablllty lnauranc. NUCLEAR ENERGY LIABILITY INSURANCE ASSOCIATION ENDORSEMENT TO CERTIFICATE NO. N-20 Forming Part of Master Policy No. 1 Nuclear Energy Liability Insurance (Secondary Financial Protection) ANNUAL PREMIUM ENDORSEMENT It is agreed that the Annual Premiums applicable to the periods designated below are as follows: For Calendar . Year - 1978 Effective Date }anuary 1, 1978 Annual Premium $4 ,650. 00 For Calendar Year 1979
. Effective Date January 1, 1979 Annual .Premium $4,650.00 For Calendar Year 1980 Effective Date January 1, 1980 Annual Premium $4, 650 . 00 Eor Calendar Year 1981 Effective Date January 1, 1981 Annual Premium $4,650.00 For Calendar Year 1982 Effective Date Janua!Y l~ 1982 .
- Annual Premium $4,650.0u
.This is to certify that. this is a trtte copy of the original Endorsement having tne endorsement number and beirig made part of the Nuclear Energy Liability Policy (Facility Form) as des*
ignated hereon. No Insurance is afforded hereunder. Joh.n L.~Q *~h. uattrocc 1, V:ice Pres1*dent- Llabil.1t American Nuclear Insurers *
't1'ng Effective Date of N-20 this Endorsement as stated above To form a part of* Certificate No. - - - -
12:01 A.M. Standard Time Issued to Col'.ls'lmers Power Company Date of Issue December 15, 1982 Endorsement No Countersigned by _ _ _ _ _ _ _ __ NE-S-3
Nucleu Energy Llablllty lnaurance NUCLEAR ENERGY LIABILITY INSURANCE ASSOCIATION
. ENDORSEMENT TO CERTifICATE NO. N-20 Forming Part of Master Policy No. 1 Nuclear Energy Liability Insurance (Secondary Financial Protection)
It is agreed that Item 4.(a) of the Declarations is amended to read as follow:s: Item 4.(a) Identification of primary financial protection applicable to the nuclear reactor and limit(s) of liability thereof: Nuclear Energy Liability Insurance Association's Policy NF-. 179 $124,000,000 Mutual Atomic Energy Liability Underwriters' Policy MF- 50 $ 36,000,000 This is to certify that this is a true copy of the original Endor::;e. ,:.:J*t"C having the endorzement number and being made part of the ill> *iear E~wrJY Liability Policy (Facility Form) as d~s-1.,U.ted bereon.~I~ce is afforded h reuruler *. John L. Quattrocchi. Vice President*Liability Underwriting AmeriC811 Nuclear Insurers Effective Date of
- I his Endorsement May 1, 19 79 To form a part of Certificate No. N-20 12:0t A.M. Standard Time Issued to Consumers Power Company
- Date of Issue December 15, 1982 Countersigned b Y * - - - - - - - - - ' - -
NE-S-2
.e NuclNr Energy llablllty lnau,.nce NUCLEAR ENERGY LIABILITY INSURANCE ASSOCIATION ANNUAL PREMIUM ENDORSEMENT Calendar Year 1983 ANNUAL PREMIUM: It is agree~ that t h~ Ann~a.l Premium due the
- companies for the period designated above is. $ 4,650.00 John L. Qualtrocchi, Vice President-Liability Undetwritina American Nuclear lnairen Effective Date of JaQ1iar l. 1983 To form a part of Certi fi cate._*_N_-_2_0__._-*_--_-:::.=--
1n1s Enaor3ement . 12 :oi A.t4. Slllndard Time lssutd to Consumers Power Company Date of l:i3ut! December 15, 1982 Endorsement No 3 Counlt1r.5IQnsd by_*_ _ _ _ _ _ __
,, \ .
Nuclear Energy Liability lnauninoe NUCLEAR ENERGY LIABILITY INSURANCE ASSOCIATION ENDORSEMENT TO CERTIFICATE NO. N-20 Fanning Part of Master Policy No. l
*Nuclear Energy Liability Insurance (Secondary Fina~cial Protection)
INSURED'S CANCELLATION OF CERTIFICATE ENDORSEMENT In consideration of the companies providing the insurance afforded to the insured by the Certificate indicated above and in order to comply with the Commercial Nuclear Power Reactor Operators' requirements under the Price-Anderson Act to provide evidence of secondary financial responsibility protection, it is agreed that with respect to such Certificate the*insured .* waives the right of immediate cancellation, as provided under Section 500.3020 of the Michigan Insurance Code, P.A. 1956 No. 218; and the insured shall comply with the provisions of the fi~st paragraph of Condition 16~ Cancellation when cancelling such Certificate. Accepted by
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(Date Signed) This *is to certify that this is a true copy 0£ the original . Endorsement having the endorsement number and being made part of the Nuclear Energy LiabiH t;v Policy {Facility Fo.rmJ as des~ (Title) ignated hereon * .No Insurance is afforded hei'euruier.
- 1 *~.
*. JohnL~trocch' * (Name of Insured)
Amencan i, Vice President-Liabili . "t1'ng_. Nucl~ In~urers : EflectiveDateof : 1n1s Enaorsement
*January l, 1983 formjl part* O f
_ _ _ _ _ To
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issutd to Consumers Power Company Date of l:.:sue December 15, 1982 Endorsement No _ _4 ______ Countersfonad by_ _ _ _ _ _ __ NE-S-5
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MUTUAL ATOMIC ENERGY LIABILITY UNDERWRITERS Certificate No. -M- - - - Forming Part of Master Policy No. CERTIFICATE OF INSURANCE DECLARATIONS AND BOND FOR PAYMENT OF RETROSPECTIVE PREMIUMS This is to certify that the persons and organizations designated in Item 1 of the Declarations are named insureds under the Master Policy - Nuclear Energy Liability Insurance (Secondary Financial Protection), herein called the "Master Policy", issued by Mutual Atomic Enerqy Liability Underwriters. Such insurance as is provided by the Master. Pol icy applies*; through this
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certificate, only: (a) to the insureds identified in Items l and 2 of the Declarations. (b) for the certificate *period stated in Item 6 of the Declarations, ( c) to bodily injury or property damage (1) with respect t~ which the primary financial protection described in Item 4 of the Declarations would apply but for exhaustion of its limit of liability as described in Condition 6 of the Master Policy, and (2) which is caused during the certificate period stated in Item 6 of the Declarations by a.nuclear incident arising out of or in connection with the nuclear reactor described in Item 3 of the Declarations, and MSFC-1 (1/1/83) Pa9e l
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(3) which is discovered and for which written claim is made against the insured not later than ten years after the end of the certificate period stated in Item 6 of the Declarations. However. with respect to bodily injury or property damage
.caused by an extraordinary nuclear occurrence this subparagraph (3) shqll not operate to bar coverage for bodily injury or property daniage which is discovered and for wh*ich written claim is made against the insured not later than twenty years*
.after the date of the extraordinary nuclear occurrence.
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. ; . . ** ****1 .. -.. **-.*.
Declarations* Item l. Named insureds and addresses: (a) Consumers Power Company - 212 West Michigan Avenue, Jackson, Michigan 49201 ( b) '
. .~ ..
Item 2. Additional insureds:* Any other person or 9rganization who.would be insured under the primary fin~ncial protection identified in Item 4 of the Declarations but for exhaustion of the limit of liability of such primary financial protection.
*Item 3. *Description and location of nuclear reactor:* Palisades Nuclear Plant located in Van Buren County,, Michigan.
Item 4. (a) Identification of primary financial protection applicable to
.the n~clear reactor and limit(s) of liability *thereof:
Nuclear Energy Liability Insurance Association's Policy NF-179 $108,500.000 Mutual Atomic Energy Liability Underwrit~rs' Policy MF-50 $ 31 ,500,000
,.. *-~
Page 2 of Certificate No. M-20
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..e (b) The following endorsements, attached to the primary financial protection policies listed in Item 4 (~)also apply to the insurance afforded by the Master Policy through this certificate as though they were attached hereto:
(1) Waiver of Defenses Endorsement (Extraordinary Nuclear Occurrence) and (2) Supplementary Endorsement - Wai~er of Defen~es - Reactor Construction at the Facility, (c) The limits of liability .provided under the primary financial
. protectirin specified in Ite~ 4 (a) above are not shared with
'f- .. ,*_.
. . .. .~ ~.
any other reactor except as follows:........
*Na.exceptions. .. . ,, .
Item 5. Li~its of Liability~ The amount cif retrospective premium actualli
.received by the companies plus the amount of the companies' con~
i.'.* ':': tingent liability, H any, pursuant to Conditions.2, 3 and 4 of the Master Policy~ Item 6~ . Certificate Period: Beginning at 12:01 a.m~ on* the first day of August, 1977' and continuing to .the effective date and time of cancellati~n or termination of the Master Policy or this certificate,**
"whichever first occurs, eastern sta~dard time ..
- It~~~7.*** Maximum retrospective premil~m (exclusive* of allowance for premium taxes)*
payable pursuant to Condition 2 of the Master Policy with respect to
- - -each nuclear incident: .$1,125,000-It~m 8. Premium payable pursuant to Condition 1 of the Master POlicy for th~
period from August l, 1977 through December 31 following:
$ 565.65
. .* {\:/*.,..:.
Page 3 of Certificate No. M-20 v;~*.*
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- . B- FOR PAYMEN~ OF RETROSPECTIVE .MIUMS Know All Men By These Present~, that the undersigned do hereby acknowledge that they are named insureds under the Master Policy described in the above Certificate of Insurance and Declarations. The named insureds do hereby covenant with and are he-ld and are firmly bound to the members of Mutual Atomic Energy Liability Underwriters subscribing the Master .Policy (here-inafter called. the "companies") to pay to the companies all retrospective premiums and allowances for premium taxes which shall become due and payable in accordance with the Master Policy, as. it may be.*changed from time to time, with interest.on such premiums and allowances for taxes to be computed at y .
- the rat~. ~r~~ i ded in the Mast.er Policy from .the date payment the.re~f, is/,
specified to be due the companies in written notice to the first named insured as provided in Condition 2 of the Master Policy until paid; And it is hereby expressly agreed that copies of written notices of retro~
.spe~tive premiums and allowances for premium taxes due and payable or other evidence of such amounts due and payable sworn to by a*duly authorized representative of the comp~nies shalt be prima facie e~idence of the fact and extent of the liability of the named insureds for such amounts; And it is further expressly agreed that the named insureds will indemnify the .. ' \ ~.
companies against any and a 11- liability,. 1asses and expenses of whatsoever kind or nature (including but not limited to interest, court costs, and counsel fees) which the companies may sustain or tncur (1) by reason of the failure of the named insureds to comply with the covenants and provisions of this Bond and (2) in enforcing any of the covenants or provisions of this Bond, or any provisions of the Master Policy relating to suc;:h covenants or provisions; For t_he purpose of recording this agreement, a photocopy acknowledged before a Notary Public to be a true copy hereof shall be regarded as an original. Page 4 of Certificate No. M- 20
The preceding Certificate of Insurance, Declara!ions and Bond fonn a part of the Master Policy. Cancellation or termination of the Master Policy or the Certificate of Insurance shall not affect the named insured's obligations under the policy or the Bond to pay the retrospective premiums and allowance-s for premium taxes, as provided in this Certificate and Condition 2 of the Master Policy. IN WITNESS WHEREOF, the named insureds have caused this Certificate,
.. *, these Declarations and this Bond for Payment of Retrospective Premiums,
.... . to* _be signed and sealed by a duly authorized officer, to be effective A g st 1 1977 eastern standard time.
\PPROVED AS TO FORMU U . ,. * .!) !:./ . ' ':it,u-1 '-'*! .J.JL.ku ;t;;ri_u.. r/1.?l<J.-:
- ONSUMERS POWER /J::.qjl,P.t:.J:-!Y *. Consumers Power Company i '.,.
..
- LEGAL DEPA!fo\i~~-ff (Named Insured ~ Type or Print)
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(Signature of Officer) , . WR Boris, Executive Vice President (Type or* Print Name & Title-' of Offfcer)" Date :_~A;.:::u=g=u"'-st"'--"l=--9....,.'--"'l_...9""8..._2_ __ (Named Insured Type or Print) By *(SEAL) (Signature of Officer) (Type or Print Name & Title of Officer) Date: ____________ (Named Insured - Type or Print) -
-- By_ _ _ _ _ _ _ _ _ _ _ _ _ _ (SEAL)
(Signature of Officer) {Type or Print Name & Title of Officer) Date:
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Page 5 of Certific~te No. ~~Q-
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- '. IN WITNESS WHEREOF, the companies subscribing the Master Policy have caused the Certificate of Insurance and the Declarations to be signed on their behalf by Mutual Atomic Energy Liability Underwriters to be effective August l, 1977 eastern standard time, and countersigned
*. -~ - ~. . .
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below by a duly authorized representative. ' Attest or Witness For the Subscribing Companies of MU UAL ATOMIC ENERGY LIABILITY UNDERWRITER~
... ' ( ~. . *:* .. :"
Subscribing Compa~ies PROPORTION OF 100% American Mutual Liability Insurance Company, Wakefield, MA 15.0000000
*Employers Insurance of Wausa.u, A Mutual Company, Wausau, WI 15.0000000 .*
Liberty Mutual Insurance Company, Boston, MA 30.0000000 Lumbermens Mutual Casualty Company, Long Grove, IL 30.0000000
*Michigan. Mutual Insurance Company, Detroit, MI. 5.0000000 0
~- ' \:,1, f Sentry Insurance, A Mutual Company, Stevens Point, WI . 5.0000000
.... ~ :.* ._ . . . ; *:~ =: t. '* . *r
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() Page 6 of Certificate No. M-20
.e NUCLEAR ENERGY LIABILITY INSURANCE MUTUAL ATOMIC ENERGY LIABILITY UNDERWRITERS ENDORSEMENT TO CERTIFICATE NO. M-20 Forming Part of Master Policy No-:-1 Nuclear Energy Liability Insurance (Secondary Financial Protection)
ANNUAL PREMIUM ENDORSEMENT For Calendar Year 1978 Effective Date January l, 1978 Annual' Premium $1,350.00 For Calendar Year 1979 Effective Date January l, 1979 Annual Premium $1,350.00 For Calendar Year 1980 Effective Date January 1, 1980 Annual Premium $1,350.00 For Calendar Year 1981. Effective Date.January T, 1981 Annual Premium $1 ,350.00 For Calendar Year 1982 Effective Date January 1, 1982 Annual Premium $1,350.00 Effective Date of* To form a part this Endorsement *as stated above of Certific~a~te~N~,~*-_M_-_2_0_______~ 'fti* ~ I88 ue to Consumers Power Company
- Dateof Issu...__D_e_c_e_m_b_e_r_l5_,_1_9_8_2_______~
For the Subscribing Companies ERWHITERS EndorBCment No. _ _ ...:...l_ _ __ CountcrRignccl hy - - - - - - - - - - - - - - - -
/\ llTllOICl7.t:ll I h:1*u*~~*:rn ATI \'t:
ME-S-3
0 ... . NUCLE. ENERGY LIABILITY INSURAIE MUTUAL ATOMIC ENERGY LIABILITY UNDERWRITERS ENDORSEMENT TO CERTIFICATE NO. M-20 Forming Part of Master Policy No. 1 Nuclear Energy Liability Insurance (Secondary Financial Protection) It is agreed that Item 4.(a) of the Declarations is amended to read as follows: Item 4. (a) Identification of primary financial protection applicable ~o th~ nuclear reactor and limit(s) of liability thereof: Nuclear Energy Liabi.lity Insurance Association's Policy NF- 179 $124,000,000 Mutual Atomic Energy Liability* Underwriters' Pol icy MF- 50 $36,000,000
- Consumers Power Company IBBueto~-----------------------------------------------------------------------
Date of I88 ue December 15, 1982 For the Subscribing Companies - ER WHITERS 2 EndorR-Oment No.------------ Coun lcniigncd hy - - - - - - - - - - - - - ' - - - - - - - - - - - - - - - ME-S-2
NUCLEAR ENERGY LIABILITY INSURANCE MUTUAL ATOMIC ENERGY LIABILITY UNDERWRITERS ANNUAL PREMIUM ENDORSEMENT Calendar Year 1983 _ANNUAL PREMIUM: It is agreed that the Annual Premium due the companies for the period designated above is: $ 1,350.00 Thi& is to certify that this is a true oopy of the original Endorsement havi~g the endorseiaent .:iJ.iuber and being made part ot t}le Nuclear Energy Liability Policy (Fao111ty Form.) as des-ignated hereon. lo Insuranoe 1s affor hereunQ.er.
.John L. Quattrocchi, Vice P~ent*Llabllit)' Underwriting American Nuclear lnaurera .
Effective Date of . To form n onrt thie Endorsement _ _ _J_a_n_u_a_r__y_l_,_19_8_3____ o(* Certificate No~ M-20 Corisumers Power Company leeueto _ _ _ _ _ _ _ _ __,..-----------------------'---~ Date of Issue December 15, 1982 For the Suhscrihinl! Compnnic~ JEI1WHITEI1S En<lorRcmcnt No. ----'-3=----- 11 llT II Cll(I z1:11 I <t:1*11t::<t:N"r .HI n:
NUCLEAR ENERGY LIABILITY INSURANCE MUTUAL ATOMIC ENERGY LIABILITY UNDERWRITERS* ENDORSEMENT TO CERTIFICATE NO. M-20 Fanning Part of Master Policy No. l Nuclear Energy Liability Insurance (Secondary Financial Protection) INSURED'S CANCELLATION OF CERTIFICATE ENDORSEMENT In consideration of the compani~s providing the insurance afforded to the insured by the Certificate indicated above and in order to comply with the Commercial Nuclear Power Reactor Operators* requirements under the Price-Anderson Act t~ provide evidence of secondary financial responsibility protection, it is agreed that with respect to such Certificate the insured waives the right of immediate cancellation, as provided under Section 500.3020 of the Michigan Insurance C6de, P.A. 1956 No. 218, and the insured shall comply with*the provisions of the first paragraph of Condition 16. Cancellation when cancelling such Certificate. - Accepted by
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(Date Signed} (Title) (Name of Insured) Effective Date of To form a _part this Endorsement
- January l, 1983 of Certitica~t~e...._..N~o~*~~M_-_20..._ ______~
Consumers Power Company Issueto ___________ c:___ _ __;__ _ _ _ _ _ _ _ _ _ _ -:-------~ Dateof lsauae-~D~e~c~e~m~b~e~r-=-15~,z........:1~9~8=2------~ For the Subscribing Companies* Endorsement No.-~---- CountcrRig_nccl by - - - - - - - - - - - - - - - -
"'!IT 110111zt:11 fh:1*1tt:!lt:NTATI n:
ME-S-5}}