3F0421-03, Proof of Financial Protection

Proof of Financial Protection

ML21098A197
Person / Time
Site:	Crystal River
Issue date:	04/07/2021
From:	Dixon P ADP CR3
To:	Document Control Desk, Office of Nuclear Material Safety and Safeguards, Office of Nuclear Reactor Regulation
References
3F0421-03
Download: ML21098A197 (6)

Text

Crystal River Nuclear Plant 2760 South Falkenburg Rd Riverview, FL 33578 Docket 50-302 Docket 72-1035 ADPCR3 , LLC Operating License No. DPR-72 10 CFR 140.15 April 7, 2021 3F0421-03 U.S. Nuclear Regulatory Commission Attn : Document Control Desk Washington, DC 20555-0001

Subject:

Crystal River 3 - Proof of Financial Protection

Dear Sir or Madam :

In accordance with 10 CFR 140.15, ADP CR3, LLC hereby provides proof of financial protection in the form of nuclear energy liability insurance for the Crystal River Nuclear Power Plant. ADP CR3, LLC maintains the existing nuclear liability coverage in accordance with the approved exemption to 10 CFR 140.11(a)(4).

The attached Certificate of Liability Insurance satisfies the requirement to provide proof of financial protection per the requirements of 10 CFR 140.15.

This letter contains no new regu latory commitments.

If you have any questions regarding this submittal, please contact Mr. Mark Van Sicklen ,

Licensing Manager, at (352) 436-5572.

Sicerely, ~

Attachment:

Certificate of Liability Insurance cc: NMSS Project Manager Regional Administrator, Region I

Dan Evans Marsh USA Inc.

MARSH Three Logan Square 1717 Arch Street, Suite 1100 Philadelphia , PA 19103

+1215246 1463 Daniel .R.Evans@marsh.com www.marsh.com U.S. Nuclear Regulatory Commission ATTN : Document Control Desk Washington, DC 20555-0001 February 18, 2021

Subject:

2021 Nuclear Liability Certificates of Insurance Enclosed, please find the 2021 Nuclear Liability Certificates of Insurance for licensees that utilize Marsh for insurance brokerage services . The Certificate of Insurance provides evidence of financial protection.

If you have any questions, please do not hesitate to contact me.

Best regards, DJ, L,,-:

Dan Evans Assistant Vice President, U.S. Nuclear Energy Practice Enclosure Copy:

T. Farward MARSH & McLENNAN SOLUTIONS ... DEFINED, DESIGNED, AND DELIVERED. COMPANIES

I DATE (MM/DDIYYYY)

ACORD CERTIFICATE OF LIABILITY INSURANCE 11/11 /2020

~

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 have ADDITIONAL INSURED provisions or be endorsed.

If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).

CONTACT r.e~

PRODUCER NAME:

Marsh USA Inc.

100 North T~on Street, Suite 3600 PHONE IA/C. tJn l'vtl* I Nol:

Charlotte, N 28202 E-MAIL ADDRESS :

INSURER(S) AFFORDING COVERAGE NAIC#

CN 102429173-OTU-1/1-21-22 INSURER A : American Nuclear Insurers INSURED INSURERS :

Duke Energy Corporation ATTN : Lance Burnette INSURER C:

Lance.Burnette@duke-energy.com INSURERD :

550 S. Tyron Street DEC41 -Q INSURER E:

Charlotte, NC 28202 INSURER F :

COVERAGES CERTIFICATE NUMBER: ATL-00451 6345-20 REVISION NUMBER: 36 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 SHOWIN MAY HAVE BEEN REDUCED BY PAID CLAIMS.

INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE ***en ,.,.,., POLICY NUMBER IMM/DDIYYYY\ IMM/DDIYYYY\ LIMITS

- COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR EACH OCCURR ENCE Uf<Mf<l;I: JYEl'<l:N 11:U PREMISES Ea occurrence) s s

- MED EXP (Any one person)

Fl PERSONAL & ADV INJURY $

GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $

POLICY JECT PRO- DLoc PRODUCTS - COMP/OP AGG $

OTHER: $

AUTOMOBILE LIABILITY fE~~~b~d~~tr INGLE LIMIT $

ANY AUTO BODILy INJURY (Per person)

OWNED SCHEDULED BODILY INJURY (Per accident) $

AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE s AUTOS ONLY AUTOS ONLY f Per accident\

- H s

UMBRELLA LIAB OCCUR EACH OCCURRENCE s EXCESSLIAB CLAIMS-MADE AGGREGATE $

OED I I RETENTION $ $

WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N I ~ffTuTE I I OTH- ER 0

ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $

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

~~;t~~t-m3'~ o1~PERATIONS below E.L. DISEASE - POLICY LIMIT $

A Nuclear Energy Liability SEE ATTACHED 01/01/2021 01/01/2022 SEE ATTACHED DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)

Effective September 13, 2016 in accordance with the NRC approved changes to facility operating license, Duke Energy Progress, Inc. changed corporate form to Duke Energy Progress, LLC and insurance policies have been amended accordingly.

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.

AUTHOR~EDREPRESENTATIVE of Marsh USA Inc.

I Karen A. Burke ,<~ (J.... &. ** ~

© 1988-2016 ACORD CORPORATION . All rights reserved .

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

AGENCY CUSTOMER ID: _C_N_1_0_2_42_9_1_7_3_ _ _ _ _ _ _ _ _ _ __

LOC #: Charlotte ADDITIONAL REMARKS SCHEDULE Page 2 of 4 AGENCY NAMED INSURED Marsh USA Inc. Duke Energy Corporation ATTN : Lance Burnette POLICY NUMBER Lance.Burnette@duke-energy.com 550 S. Tyron Street DEC41-Q CARRIER I NAIC CODE Charlotte, NC 28202 EFFECTIVE DA TE:

ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance CERTIFICATE OF NUCLEAR ENERGY LIABILITY INSURANCE This is to certify that there is in force as of the effective date of this Certificate a Nuclear Energy Liability Insurance Policy issued by members of Amerk:an Nuclear Insurers as indicated (Companies) , to the Insured named herein, with respect to the Nuclear Facility at the Location shown and/or with respect to the lnsured's operations described herein. If such policy is cancelled or otherwise tenminated 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 tenminate 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

• CATAWBA LOCATION OF NUCLEAR FACILITY: Catawba Nuclear Power Plant in the NE portion of York County, SC NAMED INSURED [LISTED ON POLICY]: Duke Energy Carolinas, LLC POLICY NUMBER: POLICY EFFECTIVE: LIMIT OF LIABILITY:

NF-0281 12/01 /1983 $450 Million NW-0637 12/01 /1983 $450 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 mi N/NW of Charlotte, NC NAMED INSURED [LISTED ON POLICY]: Duke Energy Carolinas, LLC POLICY NUMBER: POLICY EFFECTIVE: LIMIT OF LIABILITY:

NF-0248 05/01 /1977 $450 Million NW-0615 05/01 /1977 $450 Million" N-0069 01 /23/1981 N-0092 03/03/1983

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: LIMIT OF LIABILITY:

NF-0182 03/01 /1970 $450 Million NW-0569 03/01 /1970 $450 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 Ml N of Southport, NC NAMED INSURED [LISTED ON POLICY]: Duke Energy Progress, LLC POLICY NUMBER: POLICY EFFECTIVE: LIMIT OF LIABILITY:

NF-0218 10/25/1973 $450 Million NW-0597 10/25/1973 $450 Million" N-0054 08/01 /1977 N-0055 08/01 /1977 ACORD 101 (2008/01) © 2008 ACORD CORPORATION . All rights reserved.

The ACORD name and logo are registered marks of ACORD

AGENCY CUSTOMER ID: _C::. :N. .:. 1. .:. 0:. :2:4-= . .: 2.:..91.. :._:3:__

7 _ _ _ _ _ _ _ _ _ _ __

LOC #: Charlotte

~

ACORD ADDITIONAL REMARKS SCHEDULE Page 3 of 4 AGENCY NAMED INSURED Marsh USA Inc. Duke Energy Corporation ATTN : Lance Burnette POLICY NUMBER Lance.Burnette@duke-energy.com 550 S. Tyron Street DEC41-Q CARRIER I 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

5. SITE #5- CRYSTAL RIVER LOCATION OF NUCLEAR FACILITY: Crystal River Nuclear Power Plant 7.5 Ml NW of Crystal River, Citrus County, FL NAMED INSURED [LISTED ON POLICY]: Duke Energy Florida, LLC, ADP CR3, LLC and ADP SF1 , LLC POLICY NUMBER: POLICY EFFECTIVE: LIMIT OF LIABILITY:

NF-0195 07/01 /1971 $100 Million NW-0579 07/01 /1971 $450 Million"

6. SITE #6 - SHEARON HARRIS LOCATION OF NUCLEAR FACILITY: Shearon Harris Nuclear Power Plant 20 Ml SW of Raleigh, NC NAMED INSURED [LISTED ON POLICY]: Duke Energy Progress, LLC POLICY NUMBER: POLICY EFFECTIVE: LIMIT OF LIABILITY:

NF-0288 06101 /1984 $450 Million NW-0642 06/01 /1984 $450 Million" N-0112 10/24/1986

7. SITE #7 - H. B. ROBINSON LOCATION OF NUCLEAR FACILITY: H.B. Robinson Nuclear Power Plant 5 Ml WNW from Hartsville, SC NAMED INSURED [LISTED ON POLICY]: Duke Energy Progress, LLC POLICY NUMBER: POLICY EFFECTIVE: LIMIT OF LIABILITY:

NF-0180 10/1511969 $450 Million NW-0567 10/15/1969 $450 Million" N-0021 08/01/1977

9. SITE #9 - LEE LOCATION OF NUCLEAR FACILITY: Lee Nuclear Site 8.2 Ml SE of Gaffney, SC NAMED INSURED [LISTED ON POLICY]: Duke Energy Carolinas, LLC POLICY NUMBER POLICY EFFECTIVE: LIMIT OF LIABILITY:

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

The ACORD name and logo are registered marks of ACORD

AGENCY CUSTOMER ID: _C_N_10_2_4_2_9_17_3_ _ _ _ _ _ _ _ _ _ _ __

LOC #: Charlotte ADDITIONAL REMARKS SCHEDULE Page 4 of 4 AGENCY NAMED INSURED Marsh USA Inc. Duke Energy Corporation ATTN: Lance Burnette POLICY NUMBER Lance.Burnette@duke-energy.com 550 S. Tyron Street DEC41 -Q CARRIER I 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 ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved.

The ACORD name and logo are registered marks of ACORD