M MARSH &400. r4 MARSH & McLENNAN. U.S. Nuclear Regulatory Commission ATTN: Document Control Desk Washington, DC
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1 Sarah Baldys M MARSH Marsh USA Inc. Three Logan Square 1717 Arch Street, Suite 1100 Philadelphia, PA Sarah.Baldys@marsh.com U.S. Nuclear Regulatory Commission ATTN: Document Control Desk Washington, DC June 16, 2015 Subject: Updated 2015 Nuclear Liability Certificate of Insurance Enclosed, please find an updated 2015 Nuclear Liability Certificate of Insurance for the named insured listed in Table 1. The Certificate of Insurance provides evidence of financial protection in accordance with 1OCFR and other NRC Regulatory Compliance requirements. If you have any questions, please do not hesitate to contact me. Best regards, Sarah Baldys U.S. Nuclear Energy Practice Enclosure Copy: J. Oehler, M. Kolodner, J. Loesner, T. Farward, C. Hardie, N. Cayabyab SOLUTIONS...DEFINED, DESIGNED, AND DELIVERED. r4 MARSH & McLENNAN COMPANIES &400
2 A~cRD CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 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, EXTEND OR ALTER THE 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 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 Marsh USA Inc. NAME: PHONE IFAX 1717 Arch Street IAIC. No. Extf: (A/C, No): Philadelphia, PA Attn: Philadelphia.Certs@marshcom/ fax ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # S27324-NUC-ENR IN S U R E D Susquehanna Nuclear, LLC 835 Hamilton Street INSURER C: Suite 150 GENPL7N, Plaza 7 INSURER D: Allentown, PA INSURER E: INSURER A: American Nuclear Insurers INSURER I S R R B INSURER F: COVERAGES CERTIFICATE NUMBER: CLE REVISION NUMBER:7 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, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCI I ICONlNIT ('(VlIrItlc IONS, lr: t Cl (' O irp, ('11 r IIITc CU.iA/tKi naav wa\c DcIrI Drl: in'c:r-l IV DAIIfl (I RAll INSR ADDLSUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER (MM/DD/YYYY) (MMIDD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S M DAMAGE TO RENTED CLAIMS-MADE LJ OCCUR PREMISES lea occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICYF P JECT [ LOC PRODUCTS - COMP/OP AGG $ _ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT AUTOMBILELIABLITY(Ea accident)$ ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB!CLAIMS-MADE AGGREGATE s DED I RETENTION $ $ WORKERS COMPENSATION PER I OTH- AND EMPLOYERS' LIABILITY YIN I I ER ANY PROPRIETOR/PARTNER/EXECUTIVE []IA OFFICER/MEMBER EXCLUDED? L N/A E.L. EACH ACCIDENT $ (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 01/01/ /01/2016 See Attached Acord 101 Insurance Acord /116/2015 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) CERTIFICATE HOLDER CANCELLATION State of Tennessee Department SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE of Environment and Conservation THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Division of Radiological Health ACCORDANCE WITH THE POLICY PROVISIONS. 3rd Floor, L and C Annex 401 Church Street Nashville, TN AUTHORIZED REPRESENTATIVE of Marsh USA Inc. ACORD 25 (2014/01) Manashi Mukherjee _..SVtwC.&e, k;,, ACORD CORPORATION. All rights reserved.
3 AGENCY CUSTOMER ID: S27324 LOC #: Philadelphia ACR?- '-ADDITIONAL REMARKS SCHEDULE -.Page.' 2`'- f -2 AGENCY NAMEVDNISURED - :. Marsh USA Inc: SusquehennaNuclear, LLC. 835 Hamiliton Street.POLICY NUMBER....Suite'150GENPL.N, Plaza 7 Allento~wn, PA CARRIER ADDITIONAL REMARKS NAIC CODE. ý 'EFFECTIVE DATE: 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 dateof this Certificate a Nuclear Energy Liability Insurance Policy Issued by:membersofamerican Nuclear Insurers as indicated (Companies), tothe Insured named. herein, with respect to the NuclearFacility at the Location shown rand/or with respect to the Insured's operations described herein. If such policy is cancelled or otherwise terminated priorto the end of December 31st of the caiendhr year in which thd;effectied Date of thiscertificate occurs, notice will be-dieliveredlin accordance with thepolicy provisions. Otherwise this Certificate shall terminate as of the end of such December 31st." A Cer[Ificate will NOT be issued for any subequ6et calendar year unless requested.in writing......,. Types of Insurance: NF - [Fa6ility Form], NW- [Master WorkerCertificaiel NS -[US Domestic Suppliers & Transpo'rters]L"FS - [Foreign Suppliers & Transporters] COVERAGE FOR NUCLEAR FACILITIES: 1. SITE #1 -SUSQUEHANNA... LOCATION OF NUCLEAR FACILITY: Susquehanna Nuclear Power Plant in Salem Township, Luzerne County, Pennsylvania NAMED INSURED [LISTED ON POLICY]: Susquehanna.Nuclear, LLC & Allegheny Electric Cooperative, Inc. NF /01/1981. $375 Million.. NW /1981 $375 Million" COVERAGE FOR SUPPLIER'S & TRANSPORTER'S: 2. US DOMESTIC S&T DESCRIPTION OF OPERATIONS: Furnishing of services, Materials, parts or equipment In connection with the planning, construction, maintenance, involving the handling, storage, shipment, use or disposal of specified types of nuclear materials:-. NAMED INSURED [LISTED ON POLICY]: Susquehanna Nuclear, LLC, PPL Corporation, PPL Energy Funding Corporation, PPL Energy Supply, LLC, PPL Generation, LLC, Allegheny Electric Cooperative, Inc., Talen Energy Corporation [NOTE 1] NS /27/ $375 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(les) is subject to the exclusions, conditions and other provisions of the policy(ies). Neither this Certificaie'nor any contradt or otherdocumentwith 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 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. NOTE 1.- NS-0422: Suppliers & Transporters Coverage - Additional Named Insured - Restricted Coverage Such insurance as Is afforded by the policy shall also apply to Allegheny Electric Cooperative, Inc. and Talen Energy Corporation, but solely with respect to liability for bodily injury, property damage or environmental damage which arises out of nuclder material which has been used or is to be used, or hasebeen irradiated in the course of the operation of a reactor in which it has an ownership interest, located at the Susquehanna Steam Electric Station: ACORD 101 (2008/01) 2008 ACORD CORPORATION. All rights reserved.
4 -mmli, ACGDRD CERTIFICATE 'OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 06/16/2015 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, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOTCONSTITUTE'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 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. PHONE (FAX 1717 Arch Street C,, Ext) A/C, No): Philadelphia, PA E-M AIL Attn: Philadelphia.Cers@.arsh.com/ fax ADDRESS: -... INSURER(S) AFFORDING COVERAGE NAIC # " S27324-NUC-ENR INSURED INSURER S: Susquehanna Nuclear, LLC 835 Hamilton Street INSURER C: Suite 150 GENPL7N, Plaza 7 INSURER D: Allentown, PA INSURER E: INSURER A: American Nuclear Insurers.. INSURER F: COVERAGES CERTIFICATE NUMBER:. CLE REVISION NUMBER:2, THIS.IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED-ABOVE FORTHE 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, THE INSURANCE 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. TYPE OF INSURANCE COMMERCIAL GENERAL LIABILITY Z CLAIMS-MADE 1' OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POIYD PRO- II POLICY JECT -] LOC OTHER: AUTOMOBILE LIABILITY ANY AUTO ALL OWNED HIRED H SCHEDULED NON-OWNED FDDLSUB3R INSD WViv POLICY NUMBER POLICY EFF IMM/DD/YYYY1 POLICY EXP (MM/DD/YYYYI LIMITS EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES (Ea occu.enc.) $ MED EXP (Any one person) $ PERSONAL&ADVINJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $ UUIVID5NCU ciin,.,cc LIIVI~ I I $ COBOIYINEDR SINGE LIMIT) BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ (per.,cdenlt $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTIONS $"_".."... ýkers COMPENSATION SPER "TH- EMPLOYERS' LIABILITY " YIN.ER. S T UTE PROPRIETOR/PARTNER/EXECUTIVEDN-N E.L. EACH ACCIDENT $.. CER/MEMBER EXCLUDED? jjni NA cdatory in NH) E.L. DISEASE - EA EMPLOYE $ ;, describe under CRIPTION OF OPERATIONS below I I E.L.DISEASE- POLICY LIMIT $ A Nuclear Energy Uability 3ee Attached Insurance kcord /01/ /01/2016 See Attached Acord 101 $ DESCRIPTION OF OPERATIONS I LOCATIONS./VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) CERTIFICATE HOLDER CANCELLATION South Carolina Department of SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Health & Environmental Control THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Bureau of Solid and Hazardous Waste Management ACCORDANCE WITH THE POLICY PROVISIONS. Division of Radioactive Waste Management 2600 Bull Street AUTHORIZED REPRESENTATIVE Columbia, SC of Marsh USA Inc. ACORD 25 (2014/01) I Manashi Mukherjee._ s.-l ACORD CORPORATION. All rights reserved.
5 .,,,AGENCY - CUSTOMER ID: $27324 L_ c#- Philadelphia' ACRD '"ADDITIONAL REMARKS, SCHEDULE Page- 2: of" 2 AGENCY NAMEýDiNSUJRED Marsh USA Inc.. Susgueha16na'Nflear, LLC _835 Hamilto'n Street POLICYNUMBER Suite150GENPLYN, Plaza?7 -. Allentown,.PA CARRIER NI OE ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance EFFECTIVE DATE: I... I CERTIFICATE OF NUCLEAR ENERGY LIABILITY INSURANCE This is to e. fythat there.. Is in f.ore as.of the effective date of this Certificate a Nuclear E..ergy Lability Insurance Policy issued by members of Americarn Nuclear Insurers as indicated (Companies),to.th.e Insured named herein, with respcttto the:tiluclea'facility at the Location shown and/orwith respectio the:insured's operations described herein. If such policy is cancelled or otherwise terminated priorto the end of December 31st of the calerndaryear in which theefftectisvd Date of this Certificate occurs, notice will be delivered in accordance with the policy provisibrs. Otherwise this Certificate shall terminate as of the end ot such December 31st.. A: Certificate will NOT be issued for anysubsequent calendar year unless requested in wdting, Types of Insurance: NF - Facility Form], NW- [Master Worker Certificate], NS -[US Domestic Suppliers & Transportei;,] ES -[Foreign Suppliers & Transporters] COVERAGE FOR NUCLEAR FACILITIES: 1. SITE #1 -SUSQUEHANNA. LOCATION OF NUCLEAR FACILITY: Susquehanna Nuclear Power Plant in Salem Township, Luzerne County, Pennsylvania NAMED INSURED [LISTED ON POLICY]: Susquehanna Nuclear, LLC & Allegheny Electric Cooperative, Inc. NF /01/1981 $375 Million NW-0622 I1/01'/1981 $375 Million- COVERAGE FOR SUPPLIER'S & TRANSPORTER'S: 2. US DOMESTIC S&T DESCRIPTION OF OPERATIONS: Furnishing of services, matedals, parts or equipment in connection with the planning, construction, maintenance, involving the handling, storage, shipment, use or disposal of specified types of nuclear materials:. NAMED INSURED [LISTED ON POLICY]: Susquehanna Nuclear, LLC, PPL Corporation, PPL Energy Funding Corporation, PPL Energy Supply, LLC, PPL Generation, LLC, Allegheny Electric Cooperative, Inc., Talen Energy Corporation [NOTE 1] NS /1982 $375 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 the policy(ies). Neither this Certficate no? any contract or other doicument with respect to which itis 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 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. NOTE 1 - NS-0422: Suppliers & Transporters Coverage - Additional Named Insured - Restricted Coverage Such insurance as is afforded by the policy shall also apply to Allegheny Electric Cooperative, Inc. and Talen Energy Corporation, but solely with respect to liability for bodily injury, property damage or environmental damage which arises out of nuclear material which has been used or is to be used; or has been irradiated in the course ofithe operation of a reactor in which it has an ownership interest, located at the Susqueahanna Steam Electric Station. ACORD 101 ( ) 2008 ACORD CORPORATION. All rights reserved.
6 AWORD CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 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, -EXTEND OR ALTER THE 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 INSUREDi. the policy(ies) must 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 Marsh USA Inc. NAME: PHONE FAXC 1717 Arch Street " " " E-MAI No: Philadelphia, PA ADDRESS:. S27324-NUC-NUC INSURED u,insurerb: Susquehanna Nuclear, LLG." 835 Hamilton Street INSURER C: Suite 150 GENPL7N, Plaza 7 INSURER D: Allentown, PA INSURER A :,American Nuclear Insurers INSURER E: INSURER F: 06/16/2015 INSURER(S) AFFORDING COVERAGE - NAIC # COVERAGES. CERTIFICATE NUMBER:. CLE REVISION NUMBER:4, 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, THE INSURANCE 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 L TR T TYPE OP F INSURANCE RADDLSUBRI I.,n I ^tl,,r PA!3 ii.v NI]iMRFP IiMMIfiV'/VVI POLICY EFF If IM i,fivivvvy POLICY EXP! I LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE LJ OCCUR PREMISES (Ea occurrence) $ m PRO- m-q...._med EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY [ JE LOC [PRODUCTS --COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE (Per accident) $ I$, UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ I DED RETENTIONS....$ I WORKERS COMPENSATION PER ETHR AND EMPLOYERS'-LIABILITY Y'/N N ' STATUTE'ER. ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? [ Nj I A E.L. EACH ACCIDENT $ (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 01/01/ /01/2016 See Attached Insurance Acord ,Acord DESCRIPTION OF OPERATIONS I 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 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. ACORD 25 ( ) Manashl Mukherjee _,..,, ACORD CORPORATION. All rights reserved.
7 - m, ACORD, AGENCY CUSTOMER ID: S27324 LOC#' Philadelphia ADDITIONAL REMARKS SCHEDULE Page. 2 of 2 AGENCY NAMED INSURED. ' - Marsh USA Inc... SusuehannaNuclear, 835, Hainrilto Street... LLC...,. -,.-.. POLICY NUMBER CARRIER ADDITIONAL REMARKS Suite 150 GENPL7N, Plaza-7 -, -., Allentown, PA..<18101, NAIC CODE THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance EFFECTIVE DATE: " 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 Uability 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 Insured's operations described herein. If such policy is cancelled or otherwise terminated prior to the end of December 31st of the calendar year 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 31st. A Certificate will NOT be issued 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], N - [Secondary Financial Protection Certificate] COVERAGE FOR NUCLEAR FACILITIES: 1. SITE #1 - SUSQUEHANNA LOCATION OF NUCLEAR FACILITY: Susquehanna Nuclear Power Plant in Salem Township, Luzerne County, Pennsylvania NAMED INSURED [LISTED ON POLICY]: Susquehanna Nuclear, LLC & Allegheny Electric Cooperative, Inc. NF /01/1981 $375 Million NW /01/1981 $375 Million- N /17/1982 * N /23/1984 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 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 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. "* Secondary Financial Protection Certificate -Financial protection available under an industry retrospective rating plan. ACORD 101 ( ) 2008 ACORD CORPORATION. All rights reserved.
8 TABLE 1 NF-0262 NF-0262 Susquehanna Nuclear, LLC and Allegheny Eledt~ic Cooperative, Inc. Susquehanna Nuclear, LLC and Allegheny Elbetric Cooperative, Inc. N-0062 Susquehanna Nuclear, LLC and Allegheny Electric Cooperative, Inc. IN ISusquehanna Nuclear, LLC and-allegheny Electric-Cooper.ative, Inc, : '.
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