ML22333A046

Marsh USA, Inc., Certificate of Liability Insurance

ML22333A046
Person / Time
Site:	Hatch, Vogtle, Farley
Issue date:	11/10/2022
From:	Marsh USA
To:	Document Control Desk, Office of Nuclear Reactor Regulation
References
Download: ML22333A046 (1)

Text

0001031 SP 0457 -C01-P01031-I Document Control Desk U.S. Nuclear Regulatory Commission Washington, DC 20555-0001

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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 DATE (MM/DD/YYYY) 11/10/2022 CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ~LTER TliE COVERAGE AFFORDED BY THE POLICIES 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 CONTACT NAME:

MARSH USA, INC.

TWO ALLIANCE CENTER PHONE lil/C No i=vt1:

I FAX IA/C Nol:

3560 LENOX ROAD, SUITE 2400 E-MAIL_

ADDRESS:

ATLANTA,GA 30326 INSURER(S) AFFORDING COVERAGE NAIC#

CN102113409-4-Nuke-23-24 iNSURER A': American Nuclear Insurers INSURED INSURERS:

Southern Company Services, Inc.

Attn: Deborah Gaffney INSURERC:

dsgaffne@southernco.com INSURERD:

30 Ivan Allen Jr. Boulevard NW Bin SC1404 INSURERE:

Atlanta, GA 30308 INSURERF:

COVERAGES CERTIFICATE NUMBER: ATL-004781494-21 REVISION NUMBER* 8 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 WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR _MAY PERTAIN, T.HE 1.NSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.

INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE ,.,.,n IMtn POLICY NUMBER IMM/DD/YYYYI IMM/DD/YYYYI LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $

J CLAIMS-MADE OCCUR DAMAGE TO RENTt:D PREMISES /Ea occurrence\ $

MED EXP (Any one person) $

- GEN'L AGGREGATE LIMIT APPLIES PER:

PERSONAL & ADV INJURY GENERAL AGGREGATE

~ POLICY JECT PRO- OLoc PRODUCTS - COMP/OP AGG $

OTHER: $

AUTOMOBILE LIABILITY fE~~~~~d~~lflNGLE LIMIT $

- ANY AUTO BODILY INJURY (Per person) $

f--

OWNED

- SCHEDULED BODILY INJURY (Per accident) $

f-- AUTOS ONLY HIRED - AUTOS NON-OWNED PROPERTY DAMAGE $

/Per accident\

f--

AUTOS ONLY - AUTOS ONLY f--

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

WORKERS COMPENSATION AND EMPLOYERS' LIABILITY I STATUTE PER I I ER OTH-YIN ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $

If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $

A Nuclear Energy Liability See Attached Acord 101 01/01/2023 01/01/2024 See Attached Acord 101 Insurance DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required)

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 ~UsA*~~-

© 1988-2016 ACORD CORPORATION. All rights reserved.

ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD

AGENCY CUSTOMER ID: _C_N_1_0_2_1_13_4_0_9_ _ _ _ _ _ _ _ _ _ _ __

LOC #: Atlanta ADDITIONAL REMARKS SCHEDULE Page 2 . of 3 AGENCY NAMED INSURED  :

MARSH USA, INC. Southern Company Services, Inc.

Attn: Deborah Gaffney POLICY NUMBER . ' dsgaifne@southemco.com .. ,,

W Ivan: Allen J(. Boulevard NW ~-- 1 '.. "

Bin SC1404 CARRIER I NAIC,CO~E Atlanta, GA 30308 .,

EFFECTIVE DATE:

ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDU~_E 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 m?mbers.of American NL!Cl\)ar Insurers as indicated (Companies), to th~ Insured named herein, ~ith respect to the Nuclear Facility at the l.ocatfon shown and/or with resp'ect to,the lsured's operations d~scribed herein. If .

such policy is cancelled or otherwise terminated priorto the end of December 31st of the calendar yeaiin which the Effectiv~ Date oi this Certific~te occurs, notic~ ~ill be.delivered ' ' .

in accordance with the policy provisio~s. Otherwise this Certificate shall terminate as ot'ihe end of such Qecember 31st 'A Certificate wiliNOT be iss~ed for any*subsequent

• calendar year unless requested in writing.

Types of Insurance: NF - [Facility Form], NW' [Master Worker Certificate], NS- [US Domestic Supplier's & Transporters], FS- [Foreign Suppliers & Transporters]

COVERAGE FOR NUCLEAR FACILITIES:

1. SITE #1 - JOSEPH M. FARLEY LOCATION OF NUCLEAR FACILITY: Joseph M. Farley Nuclear Power Plant 16.5 Ml E of Dothan, AL NAMED INSURED [LISTED ON POLICY]: Alabama Power Company and Southern Nuclear Operating Company POLICY NUMBER: POLICY EFFECTIVE: LIMIT OF LIABILITY:

NF-0238 02/01/1976 $450 Million NW-0609 02101/1976 $450 Million" N-0062 08/01/1977 N-0073 10/2311980

2. SITE #2 - HATCH LOCATION OF NUCLEAR FACILITY: Hatch NucJear Power Plant 11 Ml N of Baxley, GA NAMED INSURED [LISTED ON POLICY]: Georgia Power Company, Southern Nuclear Operating Company, Oglethorpe Power Corporation, Municipal Electric Authority of Georgia, City of Dalton, Georgia POLICY NUMBER: POLICY EFFECTIVE: LIMIT OF LIABILITY:

NF-0215 06/26/1973 $450 Million NW-0594 06/26/1973 $450 Million" N-0051 08/01/1977 N-0067 06/13/1978

3. SITE #3 - ALVIN W. VOGTLE LOCATION OF NUCLEAR FACILITY: Alvin W. Vogtle Nuclear Power Plant 26 Mi SSE of Augusta, GA NAMED INSURED [LISTED ON POLICY]: Georgia P~~*er Company, Southern t*J°uclear Operating Company, Oglethorpe Power Corporation, Municipal Electric Authority of Georgia, City of Dalton, Georgia, MEAG Power SPVM, LLC, MEAG Power SPVJ, LLC, MEAG Power SPVP, LLC POLICY NUMBER: POLICY EFFECTIVE: LIMIT OF LIABILITY:

NF-0302 06/01/1986 $450 Million NW-0653 06/01/1986 $450 Million" N-0111 01/16/1987 N-0117 02/09/1989 N-0121 08/03/2022 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 the policy(ies). Neither this Certificate nor any contract or other documenl 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 ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights 1 The ACORD name and logo are registered marks of ACORD 0457-01-00-0001031-0002-0002688

AGENCY CUSTOMER ID: CN 102113409 LO C #: Atlanta ADDITIONAL REMARKS SCHEDULE Page 3 of 3 AGENCY NAMED INSURED MARSH USA, INC. Southern Company Services, Inc.

Attn: Deborah Gaffney POLICY NUMBER dsgaffne@southemco.com 30 Ivan Allen Jr. Boulevard NW CARRIER I NAICCODE Bin SC1404 Atlanta, GA 30308 EFFECTIVE DATE:

ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance 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 limit may have been reduced by payment of claims or claims expenses.

m 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