ML16053A093: Difference between revisions

From kanterella
Jump to navigation Jump to search
(Created page by program invented by StriderTol)
(Created page by program invented by StriderTol)
Line 15: Line 15:


=Text=
=Text=
{{#Wiki_filter:§bo-- qi!S 3Th 0 001 7 21 SP 0053 -C01-P01721-1 Document Control Desk U.S. Nuclear Regulatory Commission Washington, DC 20555-0001 Sip- f-Jt9 g5-Z--- )ob3L 5-z &(2 of?
{{#Wiki_filter:§bo-- qi!S 3Th 0 001 7 21   SP         0053     -C01-P01721-1 Document Control Desk U.S. Nuclear Regulatory Commission Washington, DC 20555-0001 Sip- f-Jt9 g5-Z--- )
ACO9RD CERTIFICATE OF LIABILITY INSURANCE S DATE (MM/DD/YYYY) 02101/2016 THIS CERTIFICATE IS 1SSUED 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:
ob3L 5-z     &(*2 of?
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.
ACO9RD                                                                                                                                                               S DATE (MM/DD/YYYY)
A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
CERTIFICATE OF LIABILITY INSURANCE                                                                                    02101/2016 THIS CERTIFICATE IS 1SSUED 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.
PRODUCER CONTACT Marsh USA Inc. NAME: PHONE FAX 100 North Tryon Street, Suite 3600 (AC, o Ext): (A/C, No): Charlotte, NC 28202 E-MA!L AFFORDING COVERAGE NAIC #22830 -0NE-1/1-16-17 INSURER A : American Nuclear Insurers INUEDuke Energy Corporation INSURER B : ATTN: Ed Adams INSURER C: ______ed.adams~duke-energy.com INSURER D : 550 S. Tryon Street DEC40-C INSURER E: :_____Charlotte, NC 28202 :INSURER F: _______COVERAGES CERTIFICATE NUMBER: ATL-003526555-06 REVISION NUMBER: 17 THIS IS TO CERTIFY THAT THE POLICIES OF iNSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.
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).
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.
PRODUCER                                                                                     CONTACT Marsh USA Inc.                                                                     NAME:
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.INSR ADDL SUBR POLICY EFF POLICY EXP LTR .TYPE OF INSURANCE INDWDPOLICY NUMBER 'MMIDD/YYYYI (MMIDDIYYYY)
PHONE                                                         FAX 100 North Tryon Street, Suite 3600                                               (AC, o Ext):                                                 (A/C, No):
LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE  
Charlotte, NC 28202                                                               E-MA!L INSURER(S* AFFORDING COVERAGE                                         NAIC #
$F7 DAMAGE TO RENTED SLAM-AE OCCUR PREMISES (Ea occurrencel
22830 -0NE-1/1-16-17                                                                         INSURER A : American Nuclear Insurers INUEDuke   Energy Corporation                                                           INSURER B :
__________________________MED EXP (Any one person) $_____________________PERSONAL  
ATTN: Ed Adams                                                                     INSURER C:                                                                           ______
& ADV INJURY ,$GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE  
ed.adams~duke-energy.com                                                           INSURER D :
$POLICY JECT PRO LOC PRODUCTS -COMP/OP AGO $__OTHER: $AUTOMBILELIABLITYCOMBINED SINGLE LIMIT $AUOOIELIBLT Ea accident)  
550 S. Tryon Street DEC40-C                                                                           INSURER E::_____
$____________
Charlotte, NC 28202                                                             :INSURER F:                                                                           _______
ANY AUTO BODILY INJURY (Per person) $--ALL OWNED BODILY INJURY (Per acciden) i$__AUTOS NON-OWNED PROPERTY DAMAGE $__HIRED AUTOS AUTOS (Per accidentl  
COVERAGES                                          CERTIFICATE NUMBER:                         ATL-003526555-06                   REVISION NUMBER: 17 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                                                       ADDL SUBR                                   POLICY EFF     POLICY EXP LTR .               TYPE OF INSURANCE                   INDWDPOLICY               NUMBER           'MMIDD/YYYYI (MMIDDIYYYY)                                 LIMITS COMMERCIAL GENERAL LIABILITY                                                                                           EACH OCCURRENCE                     $
$__UMBRELLA LIAB OCCUR EACH OCCURRENCE  
SLAM-AE F7     OCCUR DAMAGE TO RENTED PREMISES (Ea occurrencel
$EXCESS LIAB ICLAIMS-MADE AGGREGATE  
__________________________MED                                                               EXP (Any one person)         $
$DEDI RETENTIONs  
_____________________PERSONAL                                                                       & ADV INJURY       ,$
$____ $WORKERS COMPENSATION IPERSTTT 0 TH-E AND EMPLOYERS' LIABILITY Y/N E _______ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $OFFICER/MEMBER EXCLUDED? /A (Mandatory in NH) E.L. DISEASE -EA EMPLOYEE $If yes, describe under DESCRIPTION OF OPERATIONS below ______E.L.
GEN'L AGGREGATE LIMIT APPLIES PER:                                                                                           GENERAL AGGREGATE                   $
DISEASE -POLICY LIMIT $A Nuclear Energy Liability SEE ATTACHED 01/01/2016 01/01/2017 SEE ATTACHED DESCRIPTION OF OPERATIONS  
POLICY         JECT PRO             LOC                                                                                   PRODUCTS       -COMP/OP   AGO     $
/ LOCATIONS  
__OTHER:                                                                                                                                                     $
/ 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.
AUTOMBILELIABLITYCOMBINED                                                                             SINGLE LIMIT         $
AUTHORIZED REPRESENTATIVE of Marsh USA Inc.IKaren A. Burke K'6*.._. ~.. © 1988-2014 ACORD CORPORATION.
AUOOIELIBLT                                                                             Ea accident)                       $____________
All rights reserved.The ACORD name and logo are registered marks of ACORD ACORD 25 (2014101)
ANY AUTO                                                                                                               BODILY INJURY (Per person)         $
AGENCY CUSTOMER ID: 22830 LOC #: Charlotte ACORD ADDITIONAL REMARKS SCHEDULE Page 2 of4 AGENCY TNAMED I NSURED Marsh USA Inc. I Duke Energy Corporation
          -- ALL OWNED           -*SCHEDULED                                                                                        BODILY INJURY (Per acciden) i$
________________________________________________ATTN:
__AUTOS               L*AUTOS___________
Ed Adams POLIY NUBERed.adams@duke-energy.com POLIY NUBER550 S. Tryon Street DEC40-C C3ARRIER NAIC CODE Charlotte, NC 28202 jEFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, SFORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance CERTIFICATE OF NUCLEAR ENERGY INSURANCE This is to certify that there is in force as of the ettective date of this Certificate a Nuclear Energy Liability Insurance Policy issued hy 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.
NON-OWNED                                                                                     PROPERTY DAMAGE                     $
Otherwise this Certificate shall terminate as of the end of such December 31st. A Certificate mill NOT be issued for any subsequent calendar year unless requested in writing.Types of Insurance:
__HIRED AUTOS
NF -[Facility Form], NW- [Master Worker Certificate], NS -[US Domestic Supplier's  
* AUTOS                                                                                         (Per accidentl                     $_________
& Transporters], FS -[Foreign Suppliers  
                                                                                                                                                                        $
& Transporters], N- [Secondary Financial Protection Certificate]
__UMBRELLA LIAB           I*      OCCUR                                                                                   EACH OCCURRENCE                     $
EXCESS LIAB                 ICLAIMS-MADE                                                                               AGGREGATE                           $
DEDI         RETENTIONs$____                                                                                                                               $
WORKERS COMPENSATION                                                                                                               IPERSTTT             0TH-E AND EMPLOYERS' LIABILITY                       Y/N                                                                                                       E           _______
ANY PROPRIETOR/PARTNER/EXECUTIVE                                                                                               E.L. EACH ACCIDENT                 $
OFFICER/MEMBER EXCLUDED?                       .*N    /A (Mandatory in NH)                                                                                                             E.L. DISEASE - EA EMPLOYEE         $
Ifyes, describe under DESCRIPTION OF OPERATIONS below                                                                 ______E.L.                         DISEASE - POLICY LIMIT       $
A   Nuclear Energy Liability                                         SEE ATTACHED                 01/01/2016     01/01/2017                                                     SEE ATTACHED 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 of Marsh USA Inc.
IKaren                                                     A. Burke                       K'6*.._.             ~..
                                                                                                                                                          *
                                                                                                                © 1988-2014 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD ACORD 25 (2014101)
 
AGENCY CUSTOMER ID: 22830 LOC #: Charlotte ACORD ADDITIONAL REMARKS SCHEDULE                                                                                               Page 2 of4 AGENCY Marsh USA Inc.
TNAMED I
INSURED Duke Energy Corporation
________________________________________________ATTN: Ed Adams POLIY                 NUBERed.adams@duke-energy.com POLIY                   NUBER550                                                                       S. Tryon Street DEC40-C C3ARRIER                                                                                           NAIC CODE                       Charlotte, NC 28202 jEFFECTIVE DATE:
ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, SFORM NUMBER:                     25           FORM TITLE: Certificate of Liability Insurance CERTIFICATE OF NUCLEAR ENERGY LIA*BILITY                  INSURANCE This is to certify that there is in force as of the ettective date of this Certificate a Nuclear Energy Liability Insurance Policy issued hy 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 willbe delivered in accordance with the policy provisions. Otherwise this Certificate shall terminate as of the end of such December 31st. ACertificate millNOT 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:
COVERAGE FOR NUCLEAR FACILITIES:
: 1. SITE #1 -CATAWBA LOCATION OF NUCLEAR FACILITY:
1.SITE #1- CATAWBA LOCATION OF NUCLEAR FACILITY: Catawba Nuclear Power Plant la the NE portion of York County, SC NAMED INSURED [LISTED ON POLICY]: Duke Energy Carolinas, LLC POLICY NUMBER:                                   POLICY EFFECTIVE:                               LIMITOF LIABILITY:
Catawba Nuclear Power Plant la the NE portion of York County, SC NAMED INSURED [LISTED ON POLICY]: Duke Energy Carolinas, LLC POLICY NUMBER: POLICY EFFECTIVE:
NF-0281                                             12/01/1983                                         $375 Million NW-0637                                           12/01/1983                                           $375 Million**
LIMIT OF LIABILITY:
N-0097                                             07/18/1984
NF-0281 12/01/1983  
* N-0106                                             12/01/1983**
$375 Million NW-0637 12/01/1983  
2.SITE #2- MCGUIRE LOCATION.OF NUCLEAR FACILITY: McGuire Nuclear Power Plant located 17 ml N/NW of Charlotte, NC NAMED INSURED [LISTED ON POLICY]: Duke Energy Carolinas, LLC POLICY NUMBER:                                   POLICY EFFECTIVE:                               LIMITOF LIABILITY:
$375 Million**N-0097 07/18/1984 N-0106 12/01/1983**
NF-0248                                             05/01/1977                                         $375 Million NW-0615                                           05/01/1977                                           $375.Mitlion**
: 2. SITE #2 -MCGUIRE LOCATION.OF NUCLEAR FACILITY:
N-0069                                             01/23/1981**
McGuire Nuclear Power Plant located 17 ml N/NW of Charlotte, NC NAMED INSURED [LISTED ON POLICY]: Duke Energy Carolinas, LLC POLICY NUMBER: POLICY EFFECTIVE:
N-0092                                             03/03/1 983**
LIMIT OF LIABILITY:
3.SITE #3- OCONEE LOCATION OF NUCLEAR FACILITY: Oconee Nuclear Power Plant in Oconee County, South Carolina NAMED INSURED [LISTED ON POLICY]: Duke Energy Carolinas, LLC POLICY NUMBER:                                   POLICY EFFECTIVE:                               LIMITOF LIABILITY:
NF-0248 05/01/1977  
NF-0182                                             03/01/1970                                         $375 Million NW-0569                                           03/01/1970                                           $375 Million**
$375 Million NW-0615 05/01/1977  
N-0022                                             08/01/1977
$375.Mitlion**
* N-0023                                             08/01/1977**
N-0069 01/23/1981**
N-0024                                             08/01/1977                                             *
N-0092 03/03/1 983**3. SITE #3 -OCONEE LOCATION OF NUCLEAR FACILITY:
: 4. SITE #4- BRUNSWICK LOCATION OF NUCLEAR FACILITY: Brunswick Nuclear Power Plant 2.5 MINot Southport, NC NAMED INSURED [LISTED ON POLICY]: Duke Energy Progress, LLC POLICY NUMBER:                                   POLICY EFFECTIVE:                               LIMITOF LIABILITY:
Oconee Nuclear Power Plant in Oconee County, South Carolina NAMED INSURED [LISTED ON POLICY]: Duke Energy Carolinas, LLC POLICY NUMBER: POLICY EFFECTIVE:
NF-0218                                             10/25/'1973                                         $375 Million NW-0597                                             10/25/1973                                           $375 Million**
LIMIT OF LIABILITY:
N-0054                                               08/01/1977**
N F-0182 03/01/1970  
N-0055                                             08/01/11977 ACORD 101 (2008/01)                                                                                                                                 © 2008 ACORD CORPORATION. All rights reserved.
$375 Million NW-0569 03/01/1970  
The ACORD name and logo are registered marks of ACORD
$375 Million**N-0022 08/01/1977 N-0023 08/01/1977**
 
N-0024 08/01/1977  
AGENCY CUSTOMER ID: 22830 LOC #: Charlotte ACORflD ADDITIONAL REMARKS SCHEDULE                                                                                             Page 3 of 4 AGENCY                                                                                                             NAMED INSURED Marsh USA Inc.                                                                                                 Duke Energy Corporation
*4. SITE #4- BRUNSWICK LOCATION OF NUCLEAR FACILITY:
_____________________________________________________ATTN:                                             Ed Adams POLICY NUMBER                                                                                                                   ed~adams@duke-energy.com 550 S. Tryon Street DEC40-C CARRIER                                                                                       /NAIC   CODE                     Charlotte, NC 28202 EFFECTIVE DATE:
Brunswick Nuclear Power Plant 2.5 MI N ot Southport, NC NAMED INSURED [LISTED ON POLICY]: Duke Energy Progress, LLC POLICY NUMBER: POLICY EFFECTIVE:
fTHIS ADDITIONAL REMARKS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:                     25           FORM TITLE: Certificate of Liability insurance
LIMIT OF LIABILITY:
: 5. SITE #5- CRYSTAL RIVER LOCATION OF NUCLEAR FACILITY: Crystal Riser Nuclear Power Plant 7.5 MINW of Crystal River, Citrus County, FL NAMED INSURED [LISTED ON POLICY]: Duke Energy Florida, Inc.; Seminole Electric Cooperative, Inc.; Orlando Utilities Commission and City of Orlando; City of Gainesville, Florida; City of Ocala; City of Leesburg, Florida; City of tKissimmee, Florida, A Municipal Corporation; City of New Smyrna Beach, Florida and Utilities Commission of New Smyrna Beach, Florida; City oftAlachua, Florida; The City of Bushnell; Florida Progress Corporation POLICY NUMBER:                               POLICY EFFECTIVE:                             LIMITOF LIABILITY:
NF-0218 10/25/'1973  
NF-0195                                           07/01/1 971                                       $375 Million NW-057g                                         07/01/1 971                                         $375 MiIlion**
$375 Million NW-0597 10/25/1973  
: 6. SITE #6- SHEARON HARRIS LOCATION OF NUCLEAR FACILITY: Shearon Harris Nuclear Power Plant 20 MlSW of Raleigh, NC NAMED INSURED [LISTED ON POLICY]: Duke Energy Progress, Inc.
$375 Million**N-0054 08/01/1977**
POLICY NUMBER:                               POLICY EFFECTIVE:                             LIMITOF LIABILITY:
N-0055 08/01/11977 ACORD 101 (2008/01)© 2008 ACORD CORPORATION.
NF-0288                                         06/01/1984                                       $375 Million NW-0642                                         06/01/1984                                         $375 Million**
All rights reserved.The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 22830 LOC #: Charlotte ACORflD ADDITIONAL REMARKS SCHEDULE Page 3 of 4 AGENCY NAMED INSURED Marsh USA Inc. Duke Energy Corporation
N-0112                                           10/24/1986**
_____________________________________________________ATTN:
  *7. SITE #7- H.B.ROBINSON LOCATION OF NUCLEAR FACILITY: H.B. Robinson Nuclear Power Plant 5 MlWNW from Hartsville, SC NAMED INSURED [LISTED ON POLICY]: Duke Energy Progress, Inc.
Ed Adams POLICY NUMBER ed~adams@duke-energy.com 550 S. Tryon Street DEC40-C CARRIER /NAIC CODE Charlotte, NC 28202 EFFECTIVE DATE: ADDITIONAL REMARKS fTHIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability insurance 5. SITE #5 -CRYSTAL RIVER LOCATION OF NUCLEAR FACILITY:
POLICY NUMBER:                               POLICY EFFECTIVE:                             LIMITOF LIABILITY:
Crystal Riser Nuclear Power Plant 7.5 MI NW of Crystal River, Citrus County, FL NAMED INSURED [LISTED ON POLICY]: Duke Energy Florida, Inc.; Seminole Electric Cooperative, Inc.; Orlando Utilities Commission and City of Orlando; City of Gainesville, Florida; City of Ocala; City of Leesburg, Florida; City of tKissimmee, Florida, A Municipal Corporation; City of New Smyrna Beach, Florida and Utilities Commission of New Smyrna Beach, Florida; City oftAlachua, Florida; The City of Bushnell; Florida Progress Corporation POLICY NUMBER: POLICY EFFECTIVE:
NF-0180                                           10/1 5/1969                                      $375 Million NW-0567                                         10/15/1969                                         $375 Million**
LIMIT OF LIABILITY:
N-0021                                           08/01/1977**
NF-0195 07/01/1 971 $375 Million NW-057g 07/01/1 971 $375 MiIlion**6. SITE #6 -SHEARON HARRIS LOCATION OF NUCLEAR FACILITY:
8.SITE #8- LEVY LOCATION OF NUCLEAR FACILITY: Levy Nuclear Plant 39 MISW of Gainsville, FL NAMED iNSURED [LISTED ON POLICY]: Duke Energy Florida, Inc.
Shearon Harris Nuclear Power Plant 20 Ml SW of Raleigh, NC NAMED INSURED [LISTED ON POLICY]: Duke Energy Progress, Inc.POLICY NUMBER: POLICY EFFECTIVE:
POLICY NUMBER:                             POLICY EFFECTIVE:
LIMIT OF LIABILITY:
LIMITOF LIABILITY:
NF-0288 06/01/1984  
NF - 0354                                       01/01/2015                                     $1 Million
$375 Million NW-0642 06/01/1984  
: 9. SITE #9- LEE LOCATION OF NUCLEAR FACILITY: Lee Nuclear Site 6 MIS of Blacksburg, SC NAMED INSURED [LISTED ON POLICY]: Duke Energy Carolinas, LLC POLICY NUMBER:                         POLICY EFFECTIVE:                           LIMITOF LiABILITY:
$375 Million**N-0112 10/24/1986**
NF-0355                                       1/1/12016                                 $1 Million THIS CERTIFICATE IS ISSUED AS AMATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.
*7. SITE #7 -H. B. ROBINSON LOCATION OF NUCLEAR FACILITY:
Thieinsurance afforded by the policy(ies) issubject to he exclusions, conditions and other provisionsof the policy(ies). Neither this Certificate nor any contract or other document with respect to which it is issued shall amend, estend or alter the coverage afforded by the policy. The Umit of Liability shown above may have been reduced by payment of claims or claims expenses.
H.B. Robinson Nuclear Power Plant 5 Ml WNW from Hartsville, SC NAMED INSURED [LISTED ON POLICY]: Duke Energy Progress, Inc.POLICY NUMBER: POLICY EFFECTIVE:
COMMENTS/NOTES:
LIMIT OF LIABILITY:
ACORD 101 (2008/01)                                                                                                                           © 2008 ACORD CORPORATION. All rights reserved.
N F-0180 10/1 5/1 969 $375 Million NW-0567 10/15/1969  
The ACORD name and logo are registered marks of ACORD
$375 Million**N-0021 08/01/1977**
 
: 8. SITE #8 -LEVY LOCATION OF NUCLEAR FACILITY:
AGENCY CUSTOMER ID: 22830 LOC #: Charlotte ACO1RD ADDITIONAL REMARKS SCHEDULE                                                                                                       Page 4 *of 4.
Levy Nuclear Plant 39 MI SW of Gainsville, FL NAMED iNSURED [LISTED ON POLICY]: Duke Energy Florida, Inc.POLICY NUMBER: POLICY EFFECTIVE:
AGENCY                                                                                                             NAMED INSURED Marsh USA Inc.                                                                                                 Duke Energy Corporation
NF -0354 01/01/2015 LIMIT OF LIABILITY:
_____________________________________________                                                     ATTN: Ed Adams POLICY NUMBER                                                                                                                 ed.adams@duke-energy.com 550 S. Tryon Street DEC40-C CARRIER                                                                                       NAiC CODE                       Charlotte, NC 28202*
$1 Million 9. SITE #9 -LEE LOCATION OF NUCLEAR FACILITY:
EFFECTIVE DATE:
Lee Nuclear Site 6 MI S of Blacksburg, SC NAMED INSURED [LISTED ON POLICY]: Duke Energy Carolinas, LLC POLICY NUMBER: POLICY EFFECTIVE:
[THIS ADDITIONAL REMARKS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:                   25           FORM TITLE: CertifiCate of Liability Insurance
LIMIT OF LiABILITY:
    **Master Worker Certifcate - This limitis shared hyatt Certificates to the Master Worker Policy of which each Certificate is a part and is subject to allof the provisions of such Policy and Certificate having reterence thereto. Such limit may have been reduced by payment ot claims or claims expenses.
NF-0355 1/1/12016  
    **Secondary Financial Protection Certificate - Financial protection available snder an industry retrospechive rating plan.
$1 Million THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.Thieinsurance afforded by the policy(ies) issubject to he exclusions, conditions and other provisionsof the policy(ies).
9.SITE #9- LEE LOCATION OF NUCLEAR FACILITY: Lee Nuclear Site 6 MIS ot Blacksburg, SC NAMED INSURED [LISTED ON POLICY]: Duke Energy Carolinas, LLC POLICY NUMBER:             POLICY EFFECTIVE:           LIMIT OF LIABILITY:
Neither this Certificate nor any contract or other document with respect to which it is issued shall amend, estend or alter the coverage afforded by the policy. The Umit of Liability shown above may have been reduced by payment of claims or claims expenses.COMMENTS/NOTES:
NF-0355                     111/2016                     $1 Million ACORD 101 (2008/01)                                                                                                                             © 2008 ACORD CORPORATION. All rights reserved.
ACORD 101 (2008/01)© 2008 ACORD CORPORATION.
The ACORD name and logo are registered marks of ACORD
All rights reserved.The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 22830 LOC #: Charlotte ACO1RD ADDITIONAL REMARKS SCHEDULE Page 4 *of 4.AGENCY NAMED INSURED Marsh USA Inc. Duke Energy Corporation
 
_____________________________________________
                                                  §bo-- qi!S 3Th 0 001 7 21   SP         0053     -C01-P01721-1 Document Control Desk U.S. Nuclear Regulatory Commission Washington, DC 20555-0001 Sip- f-Jt9 g5-Z--- )
ATTN: Ed Adams POLICY NUMBER ed.adams@duke-energy.com 550 S. Tryon Street DEC40-C CARRIER NAiC CODE Charlotte, NC 28202*EFFECTIVE DATE: ADDITIONAL REMARKS[THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CertifiCate of Liability Insurance**Master Worker Certifcate  
ob3L 5-z     &(*2 of?
-This limit is shared hy att 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 reterence thereto. Such limit may have been reduced by payment ot claims or claims expenses.**Secondary Financial Protection Certificate  
 
-Financial protection available snder an industry retrospechive rating plan.9. SITE #9 -LEE LOCATION OF NUCLEAR FACILITY:
ACO9RD                                                                                                                                                               S DATE (MM/DD/YYYY)
Lee Nuclear Site 6 MI S ot Blacksburg, SC NAMED INSURED [LISTED ON POLICY]: Duke Energy Carolinas, LLC POLICY NUMBER: POLICY EFFECTIVE:
CERTIFICATE OF LIABILITY INSURANCE                                                                                    02101/2016 THIS CERTIFICATE IS 1SSUED 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.
LIMIT OF LIABILITY:
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).
NF-0355 111/2016 $1 Million ACORD 101 (2008/01)© 2008 ACORD CORPORATION.
PRODUCER                                                                                     CONTACT Marsh USA Inc.                                                                     NAME:
All rights reserved.The ACORD name and logo are registered marks of ACORD  
PHONE                                                         FAX 100 North Tryon Street, Suite 3600                                               (AC, o Ext):                                                 (A/C, No):
§bo-- qi!S 3Th 0 001 7 21 SP 0053 -C01-P01721-1 Document Control Desk U.S. Nuclear Regulatory Commission Washington, DC 20555-0001 Sip- f-Jt9 g5-Z--- )ob3L 5-z &(2 of?
Charlotte, NC 28202                                                               E-MA!L INSURER(S* AFFORDING COVERAGE                                         NAIC #
ACO9RD CERTIFICATE OF LIABILITY INSURANCE S DATE (MM/DD/YYYY) 02101/2016 THIS CERTIFICATE IS 1SSUED 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:
22830 -0NE-1/1-16-17                                                                         INSURER A : American Nuclear Insurers INUEDuke   Energy Corporation                                                           INSURER B :
If the certificate holder is an ADDITIONAL iNSURED, the policy(ies) must be endorsed.
ATTN: Ed Adams                                                                     INSURER C:                                                                           ______
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement.
ed.adams~duke-energy.com                                                           INSURER D :
A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
550 S. Tryon Street DEC40-C                                                                           INSURER E::_____
PRODUCER CONTACT Marsh USA Inc. NAME: PHONE FAX 100 North Tryon Street, Suite 3600 (AC, o Ext): (A/C, No): Charlotte, NC 28202 E-MA!L AFFORDING COVERAGE NAIC #22830 -0NE-1/1-16-17 INSURER A : American Nuclear Insurers INUEDuke Energy Corporation INSURER B : ATTN: Ed Adams INSURER C: ______ed.adams~duke-energy.com INSURER D : 550 S. Tryon Street DEC40-C INSURER E: :_____Charlotte, NC 28202 :INSURER F: _______COVERAGES CERTIFICATE NUMBER: ATL-003526555-06 REVISION NUMBER: 17 THIS IS TO CERTIFY THAT THE POLICIES OF iNSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.
Charlotte, NC 28202                                                             :INSURER F:                                                                           _______
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.
COVERAGES                                          CERTIFICATE NUMBER:                         ATL-003526555-06                   REVISION NUMBER: 17 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.
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.INSR ADDL SUBR POLICY EFF POLICY EXP LTR .TYPE OF INSURANCE INDWDPOLICY NUMBER 'MMIDD/YYYYI (MMIDDIYYYY)
INSR                                                       ADDL SUBR                                   POLICY EFF     POLICY EXP LTR .               TYPE OF INSURANCE                   INDWDPOLICY               NUMBER           'MMIDD/YYYYI (MMIDDIYYYY)                                 LIMITS COMMERCIAL GENERAL LIABILITY                                                                                           EACH OCCURRENCE                     $
LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE  
SLAM-AE F7     OCCUR DAMAGE TO RENTED PREMISES (Ea occurrencel
$F7 DAMAGE TO RENTED SLAM-AE OCCUR PREMISES (Ea occurrencel
__________________________MED                                                               EXP (Any one person)         $
__________________________MED EXP (Any one person) $_____________________PERSONAL  
_____________________PERSONAL                                                                       & ADV INJURY       ,$
& ADV INJURY ,$GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE  
GEN'L AGGREGATE LIMIT APPLIES PER:                                                                                           GENERAL AGGREGATE                   $
$POLICY JECT PRO LOC PRODUCTS -COMP/OP AGO $__OTHER: $AUTOMBILELIABLITYCOMBINED SINGLE LIMIT $AUOOIELIBLT Ea accident)  
POLICY         JECT PRO             LOC                                                                                   PRODUCTS       -COMP/OP   AGO     $
$____________
__OTHER:                                                                                                                                                     $
ANY AUTO BODILY INJURY (Per person) $--ALL OWNED BODILY INJURY (Per acciden) i$__AUTOS NON-OWNED PROPERTY DAMAGE $__HIRED AUTOS AUTOS (Per accidentl  
AUTOMBILELIABLITYCOMBINED                                                                             SINGLE LIMIT         $
$_________
AUOOIELIBLT                                                                             Ea accident)                       $____________
$__UMBRELLA LIAB OCCUR EACH OCCURRENCE  
ANY AUTO                                                                                                               BODILY INJURY (Per person)         $
$EXCESS LIAB ICLAIMS-MADE AGGREGATE  
          -- ALL OWNED           -*SCHEDULED                                                                                        BODILY INJURY (Per acciden) i$
$DEDI RETENTIONs  
__AUTOS               L*AUTOS___________
$____ $WORKERS COMPENSATION IPERSTTT 0 TH-E AND EMPLOYERS' LIABILITY Y/N E _______ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $OFFICER/MEMBER EXCLUDED? /A (Mandatory in NH) E.L. DISEASE -EA EMPLOYEE $If yes, describe under DESCRIPTION OF OPERATIONS below ______E.L.
NON-OWNED                                                                                     PROPERTY DAMAGE                     $
DISEASE -POLICY LIMIT $A Nuclear Energy Liability SEE ATTACHED 01/01/2016 01/01/2017 SEE ATTACHED DESCRIPTION OF OPERATIONS  
__HIRED AUTOS
/ LOCATIONS  
* AUTOS                                                                                         (Per accidentl                     $_________
/ 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 of Marsh USA Inc.IKaren A. Burke K'6*.._. ~.. © 1988-2014 ACORD CORPORATION.
__UMBRELLA LIAB           I*      OCCUR                                                                                   EACH OCCURRENCE                     $
All rights reserved.The ACORD name and logo are registered marks of ACORD ACORD 25 (2014101)
EXCESS LIAB                 ICLAIMS-MADE                                                                               AGGREGATE                           $
AGENCY CUSTOMER ID: 22830 LOC #: Charlotte ACORD ADDITIONAL REMARKS SCHEDULE Page 2 of4 AGENCY TNAMED I NSURED Marsh USA Inc. I Duke Energy Corporation
DEDI         RETENTIONs$____                                                                                                                               $
________________________________________________ATTN:
WORKERS COMPENSATION                                                                                                               IPERSTTT             0TH-E AND EMPLOYERS' LIABILITY                       Y/N                                                                                                       E           _______
Ed Adams POLIY NUBERed.adams@duke-energy.com POLIY NUBER550 S. Tryon Street DEC40-C C3ARRIER NAIC CODE Charlotte, NC 28202 jEFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, SFORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance CERTIFICATE OF NUCLEAR ENERGY INSURANCE This is to certify that there is in force as of the ettective date of this Certificate a Nuclear Energy Liability Insurance Policy issued hy 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.
ANY PROPRIETOR/PARTNER/EXECUTIVE                                                                                               E.L. EACH ACCIDENT                 $
Otherwise this Certificate shall terminate as of the end of such December 31st. A Certificate mill NOT be issued for any subsequent calendar year unless requested in writing.Types of Insurance:
OFFICER/MEMBER EXCLUDED?                       .*N    /A (Mandatory in NH)                                                                                                             E.L. DISEASE - EA EMPLOYEE         $
NF -[Facility Form], NW- [Master Worker Certificate], NS -[US Domestic Supplier's  
Ifyes, describe under DESCRIPTION OF OPERATIONS below                                                                 ______E.L.                         DISEASE - POLICY LIMIT       $
& Transporters], FS -[Foreign Suppliers  
A   Nuclear Energy Liability                                         SEE ATTACHED                 01/01/2016     01/01/2017                                                     SEE ATTACHED DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required)
& Transporters], N- [Secondary Financial Protection Certificate]
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 of Marsh USA Inc.
IKaren                                                     A. Burke                       K'6*.._.             ~..
                                                                                                                                                          *
                                                                                                                © 1988-2014 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD ACORD 25 (2014101)
 
AGENCY CUSTOMER ID: 22830 LOC #: Charlotte ACORD ADDITIONAL REMARKS SCHEDULE                                                                                               Page 2 of4 AGENCY Marsh USA Inc.
TNAMED I
INSURED Duke Energy Corporation
________________________________________________ATTN: Ed Adams POLIY                 NUBERed.adams@duke-energy.com POLIY                   NUBER550                                                                       S. Tryon Street DEC40-C C3ARRIER                                                                                           NAIC CODE                       Charlotte, NC 28202 jEFFECTIVE DATE:
ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, SFORM NUMBER:                     25           FORM TITLE: Certificate of Liability Insurance CERTIFICATE OF NUCLEAR ENERGY LIA*BILITY                  INSURANCE This is to certify that there is in force as of the ettective date of this Certificate a Nuclear Energy Liability Insurance Policy issued hy 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 willbe delivered in accordance with the policy provisions. Otherwise this Certificate shall terminate as of the end of such December 31st. ACertificate millNOT 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:
COVERAGE FOR NUCLEAR FACILITIES:
: 1. SITE #1 -CATAWBA LOCATION OF NUCLEAR FACILITY:
1.SITE #1- CATAWBA LOCATION OF NUCLEAR FACILITY: Catawba Nuclear Power Plant la the NE portion of York County, SC NAMED INSURED [LISTED ON POLICY]: Duke Energy Carolinas, LLC POLICY NUMBER:                                   POLICY EFFECTIVE:                               LIMITOF LIABILITY:
Catawba Nuclear Power Plant la the NE portion of York County, SC NAMED INSURED [LISTED ON POLICY]: Duke Energy Carolinas, LLC POLICY NUMBER: POLICY EFFECTIVE:
NF-0281                                             12/01/1983                                         $375 Million NW-0637                                           12/01/1983                                           $375 Million**
LIMIT OF LIABILITY:
N-0097                                             07/18/1984
NF-0281 12/01/1983  
* N-0106                                             12/01/1983**
$375 Million NW-0637 12/01/1983  
2.SITE #2- MCGUIRE LOCATION.OF NUCLEAR FACILITY: McGuire Nuclear Power Plant located 17 ml N/NW of Charlotte, NC NAMED INSURED [LISTED ON POLICY]: Duke Energy Carolinas, LLC POLICY NUMBER:                                   POLICY EFFECTIVE:                               LIMITOF LIABILITY:
$375 Million**N-0097 07/18/1984 N-0106 12/01/1983**
NF-0248                                             05/01/1977                                         $375 Million NW-0615                                           05/01/1977                                           $375.Mitlion**
: 2. SITE #2 -MCGUIRE LOCATION.OF NUCLEAR FACILITY:
N-0069                                             01/23/1981**
McGuire Nuclear Power Plant located 17 ml N/NW of Charlotte, NC NAMED INSURED [LISTED ON POLICY]: Duke Energy Carolinas, LLC POLICY NUMBER: POLICY EFFECTIVE:
N-0092                                             03/03/1 983**
LIMIT OF LIABILITY:
3.SITE #3- OCONEE LOCATION OF NUCLEAR FACILITY: Oconee Nuclear Power Plant in Oconee County, South Carolina NAMED INSURED [LISTED ON POLICY]: Duke Energy Carolinas, LLC POLICY NUMBER:                                   POLICY EFFECTIVE:                               LIMITOF LIABILITY:
NF-0248 05/01/1977  
NF-0182                                             03/01/1970                                         $375 Million NW-0569                                           03/01/1970                                           $375 Million**
$375 Million NW-0615 05/01/1977  
N-0022                                             08/01/1977
$375.Mitlion**
* N-0023                                             08/01/1977**
N-0069 01/23/1981**
N-0024                                             08/01/1977                                             *
N-0092 03/03/1 983**3. SITE #3 -OCONEE LOCATION OF NUCLEAR FACILITY:
: 4. SITE #4- BRUNSWICK LOCATION OF NUCLEAR FACILITY: Brunswick Nuclear Power Plant 2.5 MINot Southport, NC NAMED INSURED [LISTED ON POLICY]: Duke Energy Progress, LLC POLICY NUMBER:                                   POLICY EFFECTIVE:                               LIMITOF LIABILITY:
Oconee Nuclear Power Plant in Oconee County, South Carolina NAMED INSURED [LISTED ON POLICY]: Duke Energy Carolinas, LLC POLICY NUMBER: POLICY EFFECTIVE:
NF-0218                                             10/25/'1973                                         $375 Million NW-0597                                             10/25/1973                                           $375 Million**
LIMIT OF LIABILITY:
N-0054                                               08/01/1977**
N F-0182 03/01/1970  
N-0055                                             08/01/11977 ACORD 101 (2008/01)                                                                                                                                 © 2008 ACORD CORPORATION. All rights reserved.
$375 Million NW-0569 03/01/1970  
The ACORD name and logo are registered marks of ACORD
$375 Million**N-0022 08/01/1977 N-0023 08/01/1977**
 
N-0024 08/01/1977  
AGENCY CUSTOMER ID: 22830 LOC #: Charlotte ACORflD ADDITIONAL REMARKS SCHEDULE                                                                                             Page 3 of 4 AGENCY                                                                                                             NAMED INSURED Marsh USA Inc.                                                                                                 Duke Energy Corporation
*4. SITE #4- BRUNSWICK LOCATION OF NUCLEAR FACILITY:
_____________________________________________________ATTN:                                             Ed Adams POLICY NUMBER                                                                                                                   ed~adams@duke-energy.com 550 S. Tryon Street DEC40-C CARRIER                                                                                       /NAIC   CODE                     Charlotte, NC 28202 EFFECTIVE DATE:
Brunswick Nuclear Power Plant 2.5 MI N ot Southport, NC NAMED INSURED [LISTED ON POLICY]: Duke Energy Progress, LLC POLICY NUMBER: POLICY EFFECTIVE:
fTHIS ADDITIONAL REMARKS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:                     25           FORM TITLE: Certificate of Liability insurance
LIMIT OF LIABILITY:
: 5. SITE #5- CRYSTAL RIVER LOCATION OF NUCLEAR FACILITY: Crystal Riser Nuclear Power Plant 7.5 MINW of Crystal River, Citrus County, FL NAMED INSURED [LISTED ON POLICY]: Duke Energy Florida, Inc.; Seminole Electric Cooperative, Inc.; Orlando Utilities Commission and City of Orlando; City of Gainesville, Florida; City of Ocala; City of Leesburg, Florida; City of tKissimmee, Florida, A Municipal Corporation; City of New Smyrna Beach, Florida and Utilities Commission of New Smyrna Beach, Florida; City oftAlachua, Florida; The City of Bushnell; Florida Progress Corporation POLICY NUMBER:                               POLICY EFFECTIVE:                             LIMITOF LIABILITY:
NF-0218 10/25/'1973  
NF-0195                                           07/01/1 971                                       $375 Million NW-057g                                         07/01/1 971                                         $375 MiIlion**
$375 Million NW-0597 10/25/1973  
: 6. SITE #6- SHEARON HARRIS LOCATION OF NUCLEAR FACILITY: Shearon Harris Nuclear Power Plant 20 MlSW of Raleigh, NC NAMED INSURED [LISTED ON POLICY]: Duke Energy Progress, Inc.
$375 Million**N-0054 08/01/1977**
POLICY NUMBER:                               POLICY EFFECTIVE:                             LIMITOF LIABILITY:
N-0055 08/01/11977 ACORD 101 (2008/01)© 2008 ACORD CORPORATION.
NF-0288                                         06/01/1984                                       $375 Million NW-0642                                         06/01/1984                                         $375 Million**
All rights reserved.The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 22830 LOC #: Charlotte ACORflD ADDITIONAL REMARKS SCHEDULE Page 3 of 4 AGENCY NAMED INSURED Marsh USA Inc. Duke Energy Corporation
N-0112                                           10/24/1986**
_____________________________________________________ATTN:
  *7. SITE #7- H.B.ROBINSON LOCATION OF NUCLEAR FACILITY: H.B. Robinson Nuclear Power Plant 5 MlWNW from Hartsville, SC NAMED INSURED [LISTED ON POLICY]: Duke Energy Progress, Inc.
Ed Adams POLICY NUMBER ed~adams@duke-energy.com 550 S. Tryon Street DEC40-C CARRIER /NAIC CODE Charlotte, NC 28202 EFFECTIVE DATE: ADDITIONAL REMARKS fTHIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability insurance 5. SITE #5 -CRYSTAL RIVER LOCATION OF NUCLEAR FACILITY:
POLICY NUMBER:                               POLICY EFFECTIVE:                             LIMITOF LIABILITY:
Crystal Riser Nuclear Power Plant 7.5 MI NW of Crystal River, Citrus County, FL NAMED INSURED [LISTED ON POLICY]: Duke Energy Florida, Inc.; Seminole Electric Cooperative, Inc.; Orlando Utilities Commission and City of Orlando; City of Gainesville, Florida; City of Ocala; City of Leesburg, Florida; City of tKissimmee, Florida, A Municipal Corporation; City of New Smyrna Beach, Florida and Utilities Commission of New Smyrna Beach, Florida; City oftAlachua, Florida; The City of Bushnell; Florida Progress Corporation POLICY NUMBER: POLICY EFFECTIVE:
NF-0180                                           10/1 5/1969                                      $375 Million NW-0567                                         10/15/1969                                         $375 Million**
LIMIT OF LIABILITY:
N-0021                                           08/01/1977**
NF-0195 07/01/1 971 $375 Million NW-057g 07/01/1 971 $375 MiIlion**6. SITE #6 -SHEARON HARRIS LOCATION OF NUCLEAR FACILITY:
8.SITE #8- LEVY LOCATION OF NUCLEAR FACILITY: Levy Nuclear Plant 39 MISW of Gainsville, FL NAMED iNSURED [LISTED ON POLICY]: Duke Energy Florida, Inc.
Shearon Harris Nuclear Power Plant 20 Ml SW of Raleigh, NC NAMED INSURED [LISTED ON POLICY]: Duke Energy Progress, Inc.POLICY NUMBER: POLICY EFFECTIVE:
POLICY NUMBER:                             POLICY EFFECTIVE:
LIMIT OF LIABILITY:
LIMITOF LIABILITY:
NF-0288 06/01/1984  
NF - 0354                                       01/01/2015                                     $1 Million
$375 Million NW-0642 06/01/1984  
: 9. SITE #9- LEE LOCATION OF NUCLEAR FACILITY: Lee Nuclear Site 6 MIS of Blacksburg, SC NAMED INSURED [LISTED ON POLICY]: Duke Energy Carolinas, LLC POLICY NUMBER:                         POLICY EFFECTIVE:                           LIMITOF LiABILITY:
$375 Million**N-0112 10/24/1986**
NF-0355                                       1/1/12016                                 $1 Million THIS CERTIFICATE IS ISSUED AS AMATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.
*7. SITE #7 -H. B. ROBINSON LOCATION OF NUCLEAR FACILITY:
Thieinsurance afforded by the policy(ies) issubject to he exclusions, conditions and other provisionsof the policy(ies). Neither this Certificate nor any contract or other document with respect to which it is issued shall amend, estend or alter the coverage afforded by the policy. The Umit of Liability shown above may have been reduced by payment of claims or claims expenses.
H.B. Robinson Nuclear Power Plant 5 Ml WNW from Hartsville, SC NAMED INSURED [LISTED ON POLICY]: Duke Energy Progress, Inc.POLICY NUMBER: POLICY EFFECTIVE:
COMMENTS/NOTES:
LIMIT OF LIABILITY:
ACORD 101 (2008/01)                                                                                                                           © 2008 ACORD CORPORATION. All rights reserved.
N F-0180 10/1 5/1 969 $375 Million NW-0567 10/15/1969  
The ACORD name and logo are registered marks of ACORD
$375 Million**N-0021 08/01/1977**
 
: 8. SITE #8 -LEVY LOCATION OF NUCLEAR FACILITY:
AGENCY CUSTOMER ID: 22830 LOC #: Charlotte ACO1RD ADDITIONAL REMARKS SCHEDULE                                                                                                       Page 4 *of 4.
Levy Nuclear Plant 39 MI SW of Gainsville, FL NAMED iNSURED [LISTED ON POLICY]: Duke Energy Florida, Inc.POLICY NUMBER: POLICY EFFECTIVE:
AGENCY                                                                                                             NAMED INSURED Marsh USA Inc.                                                                                                 Duke Energy Corporation
NF -0354 01/01/2015 LIMIT OF LIABILITY:
_____________________________________________                                                     ATTN: Ed Adams POLICY NUMBER                                                                                                                 ed.adams@duke-energy.com 550 S. Tryon Street DEC40-C CARRIER                                                                                       NAiC CODE                       Charlotte, NC 28202*
$1 Million 9. SITE #9 -LEE LOCATION OF NUCLEAR FACILITY:
EFFECTIVE DATE:
Lee Nuclear Site 6 MI S of Blacksburg, SC NAMED INSURED [LISTED ON POLICY]: Duke Energy Carolinas, LLC POLICY NUMBER: POLICY EFFECTIVE:
[THIS ADDITIONAL REMARKS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:                   25           FORM TITLE: CertifiCate of Liability Insurance
LIMIT OF LiABILITY:
    **Master Worker Certifcate - This limitis shared hyatt Certificates to the Master Worker Policy of which each Certificate is a part and is subject to allof the provisions of such Policy and Certificate having reterence thereto. Such limit may have been reduced by payment ot claims or claims expenses.
NF-0355 1/1/12016  
    **Secondary Financial Protection Certificate - Financial protection available snder an industry retrospechive rating plan.
$1 Million THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.Thieinsurance afforded by the policy(ies) issubject to he exclusions, conditions and other provisionsof the policy(ies).
9.SITE #9- LEE LOCATION OF NUCLEAR FACILITY: Lee Nuclear Site 6 MIS ot Blacksburg, SC NAMED INSURED [LISTED ON POLICY]: Duke Energy Carolinas, LLC POLICY NUMBER:             POLICY EFFECTIVE:           LIMIT OF LIABILITY:
Neither this Certificate nor any contract or other document with respect to which it is issued shall amend, estend or alter the coverage afforded by the policy. The Umit of Liability shown above may have been reduced by payment of claims or claims expenses.COMMENTS/NOTES:
NF-0355                     111/2016                     $1 Million ACORD 101 (2008/01)                                                                                                                             © 2008 ACORD CORPORATION. All rights reserved.
ACORD 101 (2008/01)© 2008 ACORD CORPORATION.
The ACORD name and logo are registered marks of ACORD}}
All rights reserved.The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 22830 LOC #: Charlotte ACO1RD ADDITIONAL REMARKS SCHEDULE Page 4 *of 4.AGENCY NAMED INSURED Marsh USA Inc. Duke Energy Corporation
_____________________________________________
ATTN: Ed Adams POLICY NUMBER ed.adams@duke-energy.com 550 S. Tryon Street DEC40-C CARRIER NAiC CODE Charlotte, NC 28202*EFFECTIVE DATE: ADDITIONAL REMARKS[THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CertifiCate of Liability Insurance**Master Worker Certifcate  
-This limit is shared hy att 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 reterence thereto. Such limit may have been reduced by payment ot claims or claims expenses.**Secondary Financial Protection Certificate  
-Financial protection available snder an industry retrospechive rating plan.9. SITE #9 -LEE LOCATION OF NUCLEAR FACILITY:
Lee Nuclear Site 6 MI S ot Blacksburg, SC NAMED INSURED [LISTED ON POLICY]: Duke Energy Carolinas, LLC POLICY NUMBER: POLICY EFFECTIVE:
LIMIT OF LIABILITY:
NF-0355 111/2016 $1 Million ACORD 101 (2008/01)© 2008 ACORD CORPORATION.
All rights reserved.The ACORD name and logo are registered marks of ACORD}}

Revision as of 23:05, 30 October 2019

Certificate of Liability Insurance
ML16053A093
Person / Time
Site: Oconee, Mcguire, Catawba, Harris, Brunswick, Crystal River, Robinson, McGuire, Levy County, Lee  Duke Energy icon.png
Issue date: 02/01/2016
From: Burke K
Marsh USA
To:
Document Control Desk, Office of New Reactors, Office of Nuclear Reactor Regulation
References
Download: ML16053A093 (5)
v • d • e


Text

§bo-- qi!S 3Th 0 001 7 21 SP 0053 -C01-P01721-1 Document Control Desk U.S. Nuclear Regulatory Commission Washington, DC 20555-0001 Sip- f-Jt9 g5-Z--- )

ob3L 5-z &(*2 of?

ACO9RD S DATE (MM/DD/YYYY)

CERTIFICATE OF LIABILITY INSURANCE 02101/2016 THIS CERTIFICATE IS 1SSUED 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 FAX 100 North Tryon Street, Suite 3600 (AC, o Ext): (A/C, No):

Charlotte, NC 28202 E-MA!L INSURER(S* AFFORDING COVERAGE NAIC #

22830 -0NE-1/1-16-17 INSURER A : American Nuclear Insurers INUEDuke Energy Corporation INSURER B :

ATTN: Ed Adams INSURER C: ______

ed.adams~duke-energy.com INSURER D :

550 S. Tryon Street DEC40-C INSURER E::_____

Charlotte, NC 28202 :INSURER F: _______

COVERAGES CERTIFICATE NUMBER: ATL-003526555-06 REVISION NUMBER: 17 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 ADDL SUBR POLICY EFF POLICY EXP LTR . TYPE OF INSURANCE INDWDPOLICY NUMBER 'MMIDD/YYYYI (MMIDDIYYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $

SLAM-AE F7 OCCUR DAMAGE TO RENTED PREMISES (Ea occurrencel

__________________________MED EXP (Any one person) $

_____________________PERSONAL & ADV INJURY ,$

GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $

POLICY JECT PRO LOC PRODUCTS -COMP/OP AGO $

__OTHER: $

AUTOMBILELIABLITYCOMBINED SINGLE LIMIT $

AUOOIELIBLT Ea accident) $____________

ANY AUTO BODILY INJURY (Per person) $

-- ALL OWNED -*SCHEDULED BODILY INJURY (Per acciden) i$

__AUTOS L*AUTOS___________

NON-OWNED PROPERTY DAMAGE $

__HIRED AUTOS

  • AUTOS (Per accidentl $_________

$

__UMBRELLA LIAB I* OCCUR EACH OCCURRENCE $

EXCESS LIAB ICLAIMS-MADE AGGREGATE $

DEDI RETENTIONs$____ $

WORKERS COMPENSATION IPERSTTT 0TH-E AND EMPLOYERS' LIABILITY Y/N E _______

ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $

OFFICER/MEMBER EXCLUDED? .*N /A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $

Ifyes, describe under DESCRIPTION OF OPERATIONS below ______E.L. DISEASE - POLICY LIMIT $

A Nuclear Energy Liability SEE ATTACHED 01/01/2016 01/01/2017 SEE ATTACHED 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 of Marsh USA Inc.

IKaren A. Burke K'6*.._. ~..

© 1988-2014 ACORD CORPORATION. All rights reserved.

The ACORD name and logo are registered marks of ACORD ACORD 25 (2014101)

AGENCY CUSTOMER ID: 22830 LOC #: Charlotte ACORD ADDITIONAL REMARKS SCHEDULE Page 2 of4 AGENCY Marsh USA Inc.

TNAMED I

INSURED Duke Energy Corporation

________________________________________________ATTN: Ed Adams POLIY NUBERed.adams@duke-energy.com POLIY NUBER550 S. Tryon Street DEC40-C C3ARRIER NAIC CODE Charlotte, NC 28202 jEFFECTIVE DATE:

ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, SFORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance CERTIFICATE OF NUCLEAR ENERGY LIA*BILITY INSURANCE This is to certify that there is in force as of the ettective date of this Certificate a Nuclear Energy Liability Insurance Policy issued hy 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 willbe delivered in accordance with the policy provisions. Otherwise this Certificate shall terminate as of the end of such December 31st. ACertificate millNOT 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- CATAWBA LOCATION OF NUCLEAR FACILITY: Catawba Nuclear Power Plant la the NE portion of York County, SC NAMED INSURED [LISTED ON POLICY]: Duke Energy Carolinas, LLC POLICY NUMBER: POLICY EFFECTIVE: LIMITOF LIABILITY:

NF-0281 12/01/1983 $375 Million NW-0637 12/01/1983 $375 Million**

N-0097 07/18/1984

  • N-0106 12/01/1983**

2.SITE #2- MCGUIRE LOCATION.OF NUCLEAR FACILITY: McGuire Nuclear Power Plant located 17 ml N/NW of Charlotte, NC NAMED INSURED [LISTED ON POLICY]: Duke Energy Carolinas, LLC POLICY NUMBER: POLICY EFFECTIVE: LIMITOF LIABILITY:

NF-0248 05/01/1977 $375 Million NW-0615 05/01/1977 $375.Mitlion**

N-0069 01/23/1981**

N-0092 03/03/1 983**

3.SITE #3- OCONEE LOCATION OF NUCLEAR FACILITY: Oconee Nuclear Power Plant in Oconee County, South Carolina NAMED INSURED [LISTED ON POLICY]: Duke Energy Carolinas, LLC POLICY NUMBER: POLICY EFFECTIVE: LIMITOF LIABILITY:

NF-0182 03/01/1970 $375 Million NW-0569 03/01/1970 $375 Million**

N-0022 08/01/1977

  • N-0023 08/01/1977**

N-0024 08/01/1977 *

4. SITE #4- BRUNSWICK LOCATION OF NUCLEAR FACILITY: Brunswick Nuclear Power Plant 2.5 MINot Southport, NC NAMED INSURED [LISTED ON POLICY]: Duke Energy Progress, LLC POLICY NUMBER: POLICY EFFECTIVE: LIMITOF LIABILITY:

NF-0218 10/25/'1973 $375 Million NW-0597 10/25/1973 $375 Million**

N-0054 08/01/1977**

N-0055 08/01/11977 ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved.

The ACORD name and logo are registered marks of ACORD

AGENCY CUSTOMER ID: 22830 LOC #: Charlotte ACORflD ADDITIONAL REMARKS SCHEDULE Page 3 of 4 AGENCY NAMED INSURED Marsh USA Inc. Duke Energy Corporation

_____________________________________________________ATTN: Ed Adams POLICY NUMBER ed~adams@duke-energy.com 550 S. Tryon Street DEC40-C CARRIER /NAIC CODE Charlotte, NC 28202 EFFECTIVE DATE:

fTHIS ADDITIONAL REMARKS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability insurance

5. SITE #5- CRYSTAL RIVER LOCATION OF NUCLEAR FACILITY: Crystal Riser Nuclear Power Plant 7.5 MINW of Crystal River, Citrus County, FL NAMED INSURED [LISTED ON POLICY]: Duke Energy Florida, Inc.; Seminole Electric Cooperative, Inc.; Orlando Utilities Commission and City of Orlando; City of Gainesville, Florida; City of Ocala; City of Leesburg, Florida; City of tKissimmee, Florida, A Municipal Corporation; City of New Smyrna Beach, Florida and Utilities Commission of New Smyrna Beach, Florida; City oftAlachua, Florida; The City of Bushnell; Florida Progress Corporation POLICY NUMBER: POLICY EFFECTIVE: LIMITOF LIABILITY:

NF-0195 07/01/1 971 $375 Million NW-057g 07/01/1 971 $375 MiIlion**

6. SITE #6- SHEARON HARRIS LOCATION OF NUCLEAR FACILITY: Shearon Harris Nuclear Power Plant 20 MlSW of Raleigh, NC NAMED INSURED [LISTED ON POLICY]: Duke Energy Progress, Inc.

POLICY NUMBER: POLICY EFFECTIVE: LIMITOF LIABILITY:

NF-0288 06/01/1984 $375 Million NW-0642 06/01/1984 $375 Million**

N-0112 10/24/1986**

  • 7. SITE #7- H.B.ROBINSON LOCATION OF NUCLEAR FACILITY: H.B. Robinson Nuclear Power Plant 5 MlWNW from Hartsville, SC NAMED INSURED [LISTED ON POLICY]: Duke Energy Progress, Inc.

POLICY NUMBER: POLICY EFFECTIVE: LIMITOF LIABILITY:

NF-0180 10/1 5/1969 $375 Million NW-0567 10/15/1969 $375 Million**

N-0021 08/01/1977**

8.SITE #8- LEVY LOCATION OF NUCLEAR FACILITY: Levy Nuclear Plant 39 MISW of Gainsville, FL NAMED iNSURED [LISTED ON POLICY]: Duke Energy Florida, Inc.

POLICY NUMBER: POLICY EFFECTIVE:

LIMITOF LIABILITY:

NF - 0354 01/01/2015 $1 Million

9. SITE #9- LEE LOCATION OF NUCLEAR FACILITY: Lee Nuclear Site 6 MIS of Blacksburg, SC NAMED INSURED [LISTED ON POLICY]: Duke Energy Carolinas, LLC POLICY NUMBER: POLICY EFFECTIVE: LIMITOF LiABILITY:

NF-0355 1/1/12016 $1 Million THIS CERTIFICATE IS ISSUED AS AMATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.

Thieinsurance afforded by the policy(ies) issubject to he exclusions, conditions and other provisionsof the policy(ies). Neither this Certificate nor any contract or other document with respect to which it is issued shall amend, estend or alter the coverage afforded by the policy. The Umit of Liability shown above may have been reduced by payment of claims or claims expenses.

COMMENTS/NOTES:

ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved.

The ACORD name and logo are registered marks of ACORD

AGENCY CUSTOMER ID: 22830 LOC #: Charlotte ACO1RD ADDITIONAL REMARKS SCHEDULE Page 4 *of 4.

AGENCY NAMED INSURED Marsh USA Inc. Duke Energy Corporation

_____________________________________________ ATTN: Ed Adams POLICY NUMBER ed.adams@duke-energy.com 550 S. Tryon Street DEC40-C CARRIER NAiC CODE Charlotte, NC 28202*

EFFECTIVE DATE:

[THIS ADDITIONAL REMARKS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CertifiCate of Liability Insurance

    • Master Worker Certifcate - This limitis shared hyatt Certificates to the Master Worker Policy of which each Certificate is a part and is subject to allof the provisions of such Policy and Certificate having reterence thereto. Such limit may have been reduced by payment ot claims or claims expenses.
    • Secondary Financial Protection Certificate - Financial protection available snder an industry retrospechive rating plan.

9.SITE #9- LEE LOCATION OF NUCLEAR FACILITY: Lee Nuclear Site 6 MIS ot Blacksburg, SC NAMED INSURED [LISTED ON POLICY]: Duke Energy Carolinas, LLC POLICY NUMBER: POLICY EFFECTIVE: LIMIT OF LIABILITY:

NF-0355 111/2016 $1 Million ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved.

The ACORD name and logo are registered marks of ACORD

§bo-- qi!S 3Th 0 001 7 21 SP 0053 -C01-P01721-1 Document Control Desk U.S. Nuclear Regulatory Commission Washington, DC 20555-0001 Sip- f-Jt9 g5-Z--- )

ob3L 5-z &(*2 of?

ACO9RD S DATE (MM/DD/YYYY)

CERTIFICATE OF LIABILITY INSURANCE 02101/2016 THIS CERTIFICATE IS 1SSUED 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 FAX 100 North Tryon Street, Suite 3600 (AC, o Ext): (A/C, No):

Charlotte, NC 28202 E-MA!L INSURER(S* AFFORDING COVERAGE NAIC #

22830 -0NE-1/1-16-17 INSURER A : American Nuclear Insurers INUEDuke Energy Corporation INSURER B :

ATTN: Ed Adams INSURER C: ______

ed.adams~duke-energy.com INSURER D :

550 S. Tryon Street DEC40-C INSURER E::_____

Charlotte, NC 28202 :INSURER F: _______

COVERAGES CERTIFICATE NUMBER: ATL-003526555-06 REVISION NUMBER: 17 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 ADDL SUBR POLICY EFF POLICY EXP LTR . TYPE OF INSURANCE INDWDPOLICY NUMBER 'MMIDD/YYYYI (MMIDDIYYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $

SLAM-AE F7 OCCUR DAMAGE TO RENTED PREMISES (Ea occurrencel

__________________________MED EXP (Any one person) $

_____________________PERSONAL & ADV INJURY ,$

GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $

POLICY JECT PRO LOC PRODUCTS -COMP/OP AGO $

__OTHER: $

AUTOMBILELIABLITYCOMBINED SINGLE LIMIT $

AUOOIELIBLT Ea accident) $____________

ANY AUTO BODILY INJURY (Per person) $

-- ALL OWNED -*SCHEDULED BODILY INJURY (Per acciden) i$

__AUTOS L*AUTOS___________

NON-OWNED PROPERTY DAMAGE $

__HIRED AUTOS

  • AUTOS (Per accidentl $_________

$

__UMBRELLA LIAB I* OCCUR EACH OCCURRENCE $

EXCESS LIAB ICLAIMS-MADE AGGREGATE $

DEDI RETENTIONs$____ $

WORKERS COMPENSATION IPERSTTT 0TH-E AND EMPLOYERS' LIABILITY Y/N E _______

ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $

OFFICER/MEMBER EXCLUDED? .*N /A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $

Ifyes, describe under DESCRIPTION OF OPERATIONS below ______E.L. DISEASE - POLICY LIMIT $

A Nuclear Energy Liability SEE ATTACHED 01/01/2016 01/01/2017 SEE ATTACHED 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 of Marsh USA Inc.

IKaren A. Burke K'6*.._. ~..

© 1988-2014 ACORD CORPORATION. All rights reserved.

The ACORD name and logo are registered marks of ACORD ACORD 25 (2014101)

AGENCY CUSTOMER ID: 22830 LOC #: Charlotte ACORD ADDITIONAL REMARKS SCHEDULE Page 2 of4 AGENCY Marsh USA Inc.

TNAMED I

INSURED Duke Energy Corporation

________________________________________________ATTN: Ed Adams POLIY NUBERed.adams@duke-energy.com POLIY NUBER550 S. Tryon Street DEC40-C C3ARRIER NAIC CODE Charlotte, NC 28202 jEFFECTIVE DATE:

ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, SFORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance CERTIFICATE OF NUCLEAR ENERGY LIA*BILITY INSURANCE This is to certify that there is in force as of the ettective date of this Certificate a Nuclear Energy Liability Insurance Policy issued hy 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 willbe delivered in accordance with the policy provisions. Otherwise this Certificate shall terminate as of the end of such December 31st. ACertificate millNOT 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- CATAWBA LOCATION OF NUCLEAR FACILITY: Catawba Nuclear Power Plant la the NE portion of York County, SC NAMED INSURED [LISTED ON POLICY]: Duke Energy Carolinas, LLC POLICY NUMBER: POLICY EFFECTIVE: LIMITOF LIABILITY:

NF-0281 12/01/1983 $375 Million NW-0637 12/01/1983 $375 Million**

N-0097 07/18/1984

  • N-0106 12/01/1983**

2.SITE #2- MCGUIRE LOCATION.OF NUCLEAR FACILITY: McGuire Nuclear Power Plant located 17 ml N/NW of Charlotte, NC NAMED INSURED [LISTED ON POLICY]: Duke Energy Carolinas, LLC POLICY NUMBER: POLICY EFFECTIVE: LIMITOF LIABILITY:

NF-0248 05/01/1977 $375 Million NW-0615 05/01/1977 $375.Mitlion**

N-0069 01/23/1981**

N-0092 03/03/1 983**

3.SITE #3- OCONEE LOCATION OF NUCLEAR FACILITY: Oconee Nuclear Power Plant in Oconee County, South Carolina NAMED INSURED [LISTED ON POLICY]: Duke Energy Carolinas, LLC POLICY NUMBER: POLICY EFFECTIVE: LIMITOF LIABILITY:

NF-0182 03/01/1970 $375 Million NW-0569 03/01/1970 $375 Million**

N-0022 08/01/1977

  • N-0023 08/01/1977**

N-0024 08/01/1977 *

4. SITE #4- BRUNSWICK LOCATION OF NUCLEAR FACILITY: Brunswick Nuclear Power Plant 2.5 MINot Southport, NC NAMED INSURED [LISTED ON POLICY]: Duke Energy Progress, LLC POLICY NUMBER: POLICY EFFECTIVE: LIMITOF LIABILITY:

NF-0218 10/25/'1973 $375 Million NW-0597 10/25/1973 $375 Million**

N-0054 08/01/1977**

N-0055 08/01/11977 ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved.

The ACORD name and logo are registered marks of ACORD

AGENCY CUSTOMER ID: 22830 LOC #: Charlotte ACORflD ADDITIONAL REMARKS SCHEDULE Page 3 of 4 AGENCY NAMED INSURED Marsh USA Inc. Duke Energy Corporation

_____________________________________________________ATTN: Ed Adams POLICY NUMBER ed~adams@duke-energy.com 550 S. Tryon Street DEC40-C CARRIER /NAIC CODE Charlotte, NC 28202 EFFECTIVE DATE:

fTHIS ADDITIONAL REMARKS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability insurance

5. SITE #5- CRYSTAL RIVER LOCATION OF NUCLEAR FACILITY: Crystal Riser Nuclear Power Plant 7.5 MINW of Crystal River, Citrus County, FL NAMED INSURED [LISTED ON POLICY]: Duke Energy Florida, Inc.; Seminole Electric Cooperative, Inc.; Orlando Utilities Commission and City of Orlando; City of Gainesville, Florida; City of Ocala; City of Leesburg, Florida; City of tKissimmee, Florida, A Municipal Corporation; City of New Smyrna Beach, Florida and Utilities Commission of New Smyrna Beach, Florida; City oftAlachua, Florida; The City of Bushnell; Florida Progress Corporation POLICY NUMBER: POLICY EFFECTIVE: LIMITOF LIABILITY:

NF-0195 07/01/1 971 $375 Million NW-057g 07/01/1 971 $375 MiIlion**

6. SITE #6- SHEARON HARRIS LOCATION OF NUCLEAR FACILITY: Shearon Harris Nuclear Power Plant 20 MlSW of Raleigh, NC NAMED INSURED [LISTED ON POLICY]: Duke Energy Progress, Inc.

POLICY NUMBER: POLICY EFFECTIVE: LIMITOF LIABILITY:

NF-0288 06/01/1984 $375 Million NW-0642 06/01/1984 $375 Million**

N-0112 10/24/1986**

  • 7. SITE #7- H.B.ROBINSON LOCATION OF NUCLEAR FACILITY: H.B. Robinson Nuclear Power Plant 5 MlWNW from Hartsville, SC NAMED INSURED [LISTED ON POLICY]: Duke Energy Progress, Inc.

POLICY NUMBER: POLICY EFFECTIVE: LIMITOF LIABILITY:

NF-0180 10/1 5/1969 $375 Million NW-0567 10/15/1969 $375 Million**

N-0021 08/01/1977**

8.SITE #8- LEVY LOCATION OF NUCLEAR FACILITY: Levy Nuclear Plant 39 MISW of Gainsville, FL NAMED iNSURED [LISTED ON POLICY]: Duke Energy Florida, Inc.

POLICY NUMBER: POLICY EFFECTIVE:

LIMITOF LIABILITY:

NF - 0354 01/01/2015 $1 Million

9. SITE #9- LEE LOCATION OF NUCLEAR FACILITY: Lee Nuclear Site 6 MIS of Blacksburg, SC NAMED INSURED [LISTED ON POLICY]: Duke Energy Carolinas, LLC POLICY NUMBER: POLICY EFFECTIVE: LIMITOF LiABILITY:

NF-0355 1/1/12016 $1 Million THIS CERTIFICATE IS ISSUED AS AMATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.

Thieinsurance afforded by the policy(ies) issubject to he exclusions, conditions and other provisionsof the policy(ies). Neither this Certificate nor any contract or other document with respect to which it is issued shall amend, estend or alter the coverage afforded by the policy. The Umit of Liability shown above may have been reduced by payment of claims or claims expenses.

COMMENTS/NOTES:

ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved.

The ACORD name and logo are registered marks of ACORD

AGENCY CUSTOMER ID: 22830 LOC #: Charlotte ACO1RD ADDITIONAL REMARKS SCHEDULE Page 4 *of 4.

AGENCY NAMED INSURED Marsh USA Inc. Duke Energy Corporation

_____________________________________________ ATTN: Ed Adams POLICY NUMBER ed.adams@duke-energy.com 550 S. Tryon Street DEC40-C CARRIER NAiC CODE Charlotte, NC 28202*

EFFECTIVE DATE:

[THIS ADDITIONAL REMARKS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CertifiCate of Liability Insurance

    • Master Worker Certifcate - This limitis shared hyatt Certificates to the Master Worker Policy of which each Certificate is a part and is subject to allof the provisions of such Policy and Certificate having reterence thereto. Such limit may have been reduced by payment ot claims or claims expenses.
    • Secondary Financial Protection Certificate - Financial protection available snder an industry retrospechive rating plan.

9.SITE #9- LEE LOCATION OF NUCLEAR FACILITY: Lee Nuclear Site 6 MIS ot Blacksburg, SC NAMED INSURED [LISTED ON POLICY]: Duke Energy Carolinas, LLC POLICY NUMBER: POLICY EFFECTIVE: LIMIT OF LIABILITY:

NF-0355 111/2016 $1 Million ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved.

The ACORD name and logo are registered marks of ACORD

Retrieved from "https://kanterella.com/w/index.php?title=ML16053A093&oldid=2023628"