ML16053A093
| ML16053A093 | |
| Person / Time | |
|---|---|
| Site: | Oconee, Mcguire, Catawba, Harris, Brunswick, Crystal River, Robinson, McGuire, Levy County, Lee  |
| Issue date: | 02/01/2016 |
| From: | Burke K A Marsh USA |
| To: | Document Control Desk, Office of New Reactors, Office of Nuclear Reactor Regulation |
| References | |
| Download: ML16053A093 (5) | |
Text
§bo-- qi!S3Th0 001 7 21 SP 0053 -C01-P01721-1Document Control DeskU.S. Nuclear Regulatory CommissionWashington, DC 20555-0001Sip- f-Jt9g5-Z--- )ob3L5-z &(2of?
ACO9RDCERTIFICATE OF LIABILITY INSURANCES DATE (MM/DD/YYYY)02101/2016THIS CERTIFICATE IS 1SSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEDREPRESENTATIVE 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 tothe terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to thecertificate holder in lieu of such endorsement(s).PRODUCER CONTACTMarsh USA Inc. NAME:PHONE FAX100 North Tryon Street, Suite 3600 (AC, o Ext): (A/C, No):Charlotte, NC 28202 E-MA!LAFFORDING COVERAGE NAIC #22830 -0NE-1/1-16-17 INSURER A : American Nuclear InsurersINUEDuke Energy Corporation INSURER B :ATTN: Ed Adams INSURER C: ______ed.adams~duke-energy.com INSURER D :550 S. Tryon StreetDEC40-C INSURER E: :_____Charlotte, NC 28202 :INSURER F: _______COVERAGES CERTIFICATE NUMBER: ATL-003526555-06 REVISION NUMBER: 17THIS IS TO CERTIFY THAT THE POLICIES OF iNSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE 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 EXPLTR .TYPE OF INSURANCE INDWDPOLICY NUMBER 'MMIDD/YYYYI (MMIDDIYYYY) LIMITSCOMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $F7 DAMAGE TO RENTEDSLAM-AE OCCUR 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) $--ALL OWNED BODILY INJURY (Per acciden) i$__AUTOS NON-OWNED PROPERTY DAMAGE $__HIRED AUTOS AUTOS (Per accidentl $_________$__UMBRELLA LIAB OCCUR EACH OCCURRENCE $EXCESS LIAB ICLAIMS-MADE AGGREGATE $DEDI RETENTIONs $____ $WORKERS COMPENSATION IPERSTTT 0 TH-EAND 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 underDESCRIPTION OF OPERATIONS below ______E.L. DISEASE -POLICY LIMIT $A Nuclear Energy Liability SEE ATTACHED 01/01/2016 01/01/2017 SEE ATTACHEDDESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required)CERTIFICATE HOLDER CANCELLATIONDocument Control Desk SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFOREU.S. Nuclear Regulatory Commission THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED INWashington, DC 20555-0001 ACCORDANCE WITH THE POLICY PROVISIONS.AUTHORIZED REPRESENTATIVEof Marsh USA Inc.IKaren A. Burke K'6*.._. ~.. © 1988-2014 ACORD CORPORATION. All rights reserved.The ACORD name and logo are registered marks of ACORDACORD 25 (2014101)
AGENCY CUSTOMER ID: 22830LOC #: CharlotteACORDADDITIONAL REMARKS SCHEDULEPage 2 of4AGENCY TNAMED I NSUREDMarsh USA Inc. I Duke Energy Corporation________________________________________________ATTN: Ed AdamsPOLIY NUBERed.adams@duke-energy.comPOLIY NUBER550 S. Tryon StreetDEC40-CC3ARRIER NAIC CODE Charlotte, NC 28202jEFFECTIVE DATE:ADDITIONAL REMARKSTHIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,SFORM NUMBER: 25 FORM TITLE: Certificate of Liability InsuranceCERTIFICATE OF NUCLEAR ENERGY INSURANCEThis 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 asindicated (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. Ifsuch 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 deliveredin accordance with the policy provisions. Otherwise this Certificate shall terminate as of the end of such December 31st. A Certificate mill NOT be issued for any subsequentcalendar 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- [SecondaryFinancial Protection Certificate]COVERAGE FOR NUCLEAR FACILITIES:1. SITE #1 -CATAWBALOCATION OF NUCLEAR FACILITY: Catawba Nuclear Power Plant la the NE portion of York County, SCNAMED INSURED [LISTED ON POLICY]: Duke Energy Carolinas, LLCPOLICY NUMBER: POLICY EFFECTIVE: LIMIT OF LIABILITY:NF-0281 12/01/1983 $375 MillionNW-0637 12/01/1983 $375 Million**N-0097 07/18/1984 N-0106 12/01/1983**2. SITE #2 -MCGUIRELOCATION.OF NUCLEAR FACILITY: McGuire Nuclear Power Plant located 17 ml N/NW of Charlotte, NCNAMED INSURED [LISTED ON POLICY]: Duke Energy Carolinas, LLCPOLICY NUMBER: POLICY EFFECTIVE: LIMIT OF LIABILITY:NF-0248 05/01/1977 $375 MillionNW-0615 05/01/1977 $375.Mitlion**N-0069 01/23/1981**N-0092 03/03/1 983**3. SITE #3 -OCONEELOCATION OF NUCLEAR FACILITY: Oconee Nuclear Power Plant in Oconee County, South CarolinaNAMED INSURED [LISTED ON POLICY]: Duke Energy Carolinas, LLCPOLICY NUMBER: POLICY EFFECTIVE: LIMIT OF LIABILITY:N F-0182 03/01/1970 $375 MillionNW-0569 03/01/1970 $375 Million**N-0022 08/01/1977 N-0023 08/01/1977**N-0024 08/01/1977 *4. SITE #4- BRUNSWICKLOCATION OF NUCLEAR FACILITY: Brunswick Nuclear Power Plant 2.5 MI N ot Southport, NCNAMED INSURED [LISTED ON POLICY]: Duke Energy Progress, LLCPOLICY NUMBER: POLICY EFFECTIVE: LIMIT OF LIABILITY:NF-0218 10/25/'1973 $375 MillionNW-0597 10/25/1973 $375 Million**N-0054 08/01/1977**N-005508/01/11977ACORD 101 (2008/01)© 2008 ACORD CORPORATION. All rights reserved.The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 22830LOC #: CharlotteACORflDADDITIONAL REMARKS SCHEDULEPage 3 of 4AGENCY NAMED INSUREDMarsh USA Inc. Duke Energy Corporation_____________________________________________________ATTN: Ed AdamsPOLICY NUMBER ed~adams@duke-energy.com550 S. Tryon StreetDEC40-CCARRIER /NAIC CODE Charlotte, NC 28202EFFECTIVE DATE:ADDITIONAL REMARKSfTHIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,FORM NUMBER: 25 FORM TITLE: Certificate of Liability insurance5. SITE #5 -CRYSTAL RIVERLOCATION OF NUCLEAR FACILITY: Crystal Riser Nuclear Power Plant 7.5 MI NW of Crystal River, Citrus County, FLNAMED 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 ofNew Smyrna Beach, Florida and Utilities Commission of New Smyrna Beach, Florida; City oftAlachua, Florida; The City of Bushnell; Florida Progress CorporationPOLICY NUMBER: POLICY EFFECTIVE: LIMIT OF LIABILITY:NF-0195 07/01/1 971 $375 MillionNW-057g 07/01/1 971 $375 MiIlion**6. SITE #6 -SHEARON HARRISLOCATION OF NUCLEAR FACILITY: Shearon Harris Nuclear Power Plant 20 Ml SW of Raleigh, NCNAMED INSURED [LISTED ON POLICY]: Duke Energy Progress, Inc.POLICY NUMBER: POLICY EFFECTIVE: LIMIT OF LIABILITY:NF-0288 06/01/1984 $375 MillionNW-0642 06/01/1984 $375 Million**N-0112 10/24/1986***7. SITE #7 -H. B. ROBINSONLOCATION OF NUCLEAR FACILITY: H.B. Robinson Nuclear Power Plant 5 Ml WNW from Hartsville, SCNAMED INSURED [LISTED ON POLICY]: Duke Energy Progress, Inc.POLICY NUMBER: POLICY EFFECTIVE: LIMIT OF LIABILITY:N F-0180 10/1 5/1 969 $375 MillionNW-0567 10/15/1969 $375 Million**N-0021 08/01/1977**8. SITE #8 -LEVYLOCATION OF NUCLEAR FACILITY: Levy Nuclear Plant 39 MI SW of Gainsville, FLNAMED iNSURED [LISTED ON POLICY]: Duke Energy Florida, Inc.POLICY NUMBER: POLICY EFFECTIVE:NF -0354 01/01/2015LIMIT OF LIABILITY:$1 Million9. SITE #9 -LEELOCATION OF NUCLEAR FACILITY: Lee Nuclear Site 6 MI S of Blacksburg, SCNAMED INSURED [LISTED ON POLICY]: Duke Energy Carolinas, LLCPOLICY NUMBER: POLICY EFFECTIVE: LIMIT OF LiABILITY:NF-0355 1/1/12016 $1 MillionTHIS 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). Neither this Certificate nor any contract or other documentwith 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 claimsor 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: 22830LOC #: CharlotteACO1RDADDITIONAL REMARKS SCHEDULEPage 4 *of 4.AGENCY NAMED INSUREDMarsh USA Inc. Duke Energy Corporation_____________________________________________ ATTN: Ed AdamsPOLICY NUMBER ed.adams@duke-energy.com550 S. Tryon StreetDEC40-CCARRIER 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 Policyand 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 -LEELOCATION OF NUCLEAR FACILITY: Lee Nuclear Site 6 MI S ot Blacksburg, SCNAMED INSURED [LISTED ON POLICY]: Duke Energy Carolinas, LLCPOLICY NUMBER: POLICY EFFECTIVE: LIMIT OF LIABILITY:NF-0355 111/2016 $1 MillionACORD 101 (2008/01)© 2008 ACORD CORPORATION. All rights reserved.The ACORD name and logo are registered marks of ACORD
§bo-- qi!S3Th0 001 7 21 SP 0053 -C01-P01721-1Document Control DeskU.S. Nuclear Regulatory CommissionWashington, DC 20555-0001Sip- f-Jt9g5-Z--- )ob3L5-z &(2of?
ACO9RDCERTIFICATE OF LIABILITY INSURANCES DATE (MM/DD/YYYY)02101/2016THIS CERTIFICATE IS 1SSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEDREPRESENTATIVE 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 tothe terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to thecertificate holder in lieu of such endorsement(s).PRODUCER CONTACTMarsh USA Inc. NAME:PHONE FAX100 North Tryon Street, Suite 3600 (AC, o Ext): (A/C, No):Charlotte, NC 28202 E-MA!LAFFORDING COVERAGE NAIC #22830 -0NE-1/1-16-17 INSURER A : American Nuclear InsurersINUEDuke Energy Corporation INSURER B :ATTN: Ed Adams INSURER C: ______ed.adams~duke-energy.com INSURER D :550 S. Tryon StreetDEC40-C INSURER E: :_____Charlotte, NC 28202 :INSURER F: _______COVERAGES CERTIFICATE NUMBER: ATL-003526555-06 REVISION NUMBER: 17THIS IS TO CERTIFY THAT THE POLICIES OF iNSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE 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 EXPLTR .TYPE OF INSURANCE INDWDPOLICY NUMBER 'MMIDD/YYYYI (MMIDDIYYYY) LIMITSCOMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $F7 DAMAGE TO RENTEDSLAM-AE OCCUR 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) $--ALL OWNED BODILY INJURY (Per acciden) i$__AUTOS NON-OWNED PROPERTY DAMAGE $__HIRED AUTOS AUTOS (Per accidentl $_________$__UMBRELLA LIAB OCCUR EACH OCCURRENCE $EXCESS LIAB ICLAIMS-MADE AGGREGATE $DEDI RETENTIONs $____ $WORKERS COMPENSATION IPERSTTT 0 TH-EAND 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 underDESCRIPTION OF OPERATIONS below ______E.L. DISEASE -POLICY LIMIT $A Nuclear Energy Liability SEE ATTACHED 01/01/2016 01/01/2017 SEE ATTACHEDDESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required)CERTIFICATE HOLDER CANCELLATIONDocument Control Desk SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFOREU.S. Nuclear Regulatory Commission THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED INWashington, DC 20555-0001 ACCORDANCE WITH THE POLICY PROVISIONS.AUTHORIZED REPRESENTATIVEof Marsh USA Inc.IKaren A. Burke K'6*.._. ~.. © 1988-2014 ACORD CORPORATION. All rights reserved.The ACORD name and logo are registered marks of ACORDACORD 25 (2014101)
AGENCY CUSTOMER ID: 22830LOC #: CharlotteACORDADDITIONAL REMARKS SCHEDULEPage 2 of4AGENCY TNAMED I NSUREDMarsh USA Inc. I Duke Energy Corporation________________________________________________ATTN: Ed AdamsPOLIY NUBERed.adams@duke-energy.comPOLIY NUBER550 S. Tryon StreetDEC40-CC3ARRIER NAIC CODE Charlotte, NC 28202jEFFECTIVE DATE:ADDITIONAL REMARKSTHIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,SFORM NUMBER: 25 FORM TITLE: Certificate of Liability InsuranceCERTIFICATE OF NUCLEAR ENERGY INSURANCEThis 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 asindicated (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. Ifsuch 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 deliveredin accordance with the policy provisions. Otherwise this Certificate shall terminate as of the end of such December 31st. A Certificate mill NOT be issued for any subsequentcalendar 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- [SecondaryFinancial Protection Certificate]COVERAGE FOR NUCLEAR FACILITIES:1. SITE #1 -CATAWBALOCATION OF NUCLEAR FACILITY: Catawba Nuclear Power Plant la the NE portion of York County, SCNAMED INSURED [LISTED ON POLICY]: Duke Energy Carolinas, LLCPOLICY NUMBER: POLICY EFFECTIVE: LIMIT OF LIABILITY:NF-0281 12/01/1983 $375 MillionNW-0637 12/01/1983 $375 Million**N-0097 07/18/1984 N-0106 12/01/1983**2. SITE #2 -MCGUIRELOCATION.OF NUCLEAR FACILITY: McGuire Nuclear Power Plant located 17 ml N/NW of Charlotte, NCNAMED INSURED [LISTED ON POLICY]: Duke Energy Carolinas, LLCPOLICY NUMBER: POLICY EFFECTIVE: LIMIT OF LIABILITY:NF-0248 05/01/1977 $375 MillionNW-0615 05/01/1977 $375.Mitlion**N-0069 01/23/1981**N-0092 03/03/1 983**3. SITE #3 -OCONEELOCATION OF NUCLEAR FACILITY: Oconee Nuclear Power Plant in Oconee County, South CarolinaNAMED INSURED [LISTED ON POLICY]: Duke Energy Carolinas, LLCPOLICY NUMBER: POLICY EFFECTIVE: LIMIT OF LIABILITY:N F-0182 03/01/1970 $375 MillionNW-0569 03/01/1970 $375 Million**N-0022 08/01/1977 N-0023 08/01/1977**N-0024 08/01/1977 *4. SITE #4- BRUNSWICKLOCATION OF NUCLEAR FACILITY: Brunswick Nuclear Power Plant 2.5 MI N ot Southport, NCNAMED INSURED [LISTED ON POLICY]: Duke Energy Progress, LLCPOLICY NUMBER: POLICY EFFECTIVE: LIMIT OF LIABILITY:NF-0218 10/25/'1973 $375 MillionNW-0597 10/25/1973 $375 Million**N-0054 08/01/1977**N-005508/01/11977ACORD 101 (2008/01)© 2008 ACORD CORPORATION. All rights reserved.The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 22830LOC #: CharlotteACORflDADDITIONAL REMARKS SCHEDULEPage 3 of 4AGENCY NAMED INSUREDMarsh USA Inc. Duke Energy Corporation_____________________________________________________ATTN: Ed AdamsPOLICY NUMBER ed~adams@duke-energy.com550 S. Tryon StreetDEC40-CCARRIER /NAIC CODE Charlotte, NC 28202EFFECTIVE DATE:ADDITIONAL REMARKSfTHIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,FORM NUMBER: 25 FORM TITLE: Certificate of Liability insurance5. SITE #5 -CRYSTAL RIVERLOCATION OF NUCLEAR FACILITY: Crystal Riser Nuclear Power Plant 7.5 MI NW of Crystal River, Citrus County, FLNAMED 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 ofNew Smyrna Beach, Florida and Utilities Commission of New Smyrna Beach, Florida; City oftAlachua, Florida; The City of Bushnell; Florida Progress CorporationPOLICY NUMBER: POLICY EFFECTIVE: LIMIT OF LIABILITY:NF-0195 07/01/1 971 $375 MillionNW-057g 07/01/1 971 $375 MiIlion**6. SITE #6 -SHEARON HARRISLOCATION OF NUCLEAR FACILITY: Shearon Harris Nuclear Power Plant 20 Ml SW of Raleigh, NCNAMED INSURED [LISTED ON POLICY]: Duke Energy Progress, Inc.POLICY NUMBER: POLICY EFFECTIVE: LIMIT OF LIABILITY:NF-0288 06/01/1984 $375 MillionNW-0642 06/01/1984 $375 Million**N-0112 10/24/1986***7. SITE #7 -H. B. ROBINSONLOCATION OF NUCLEAR FACILITY: H.B. Robinson Nuclear Power Plant 5 Ml WNW from Hartsville, SCNAMED INSURED [LISTED ON POLICY]: Duke Energy Progress, Inc.POLICY NUMBER: POLICY EFFECTIVE: LIMIT OF LIABILITY:N F-0180 10/1 5/1 969 $375 MillionNW-0567 10/15/1969 $375 Million**N-0021 08/01/1977**8. SITE #8 -LEVYLOCATION OF NUCLEAR FACILITY: Levy Nuclear Plant 39 MI SW of Gainsville, FLNAMED iNSURED [LISTED ON POLICY]: Duke Energy Florida, Inc.POLICY NUMBER: POLICY EFFECTIVE:NF -0354 01/01/2015LIMIT OF LIABILITY:$1 Million9. SITE #9 -LEELOCATION OF NUCLEAR FACILITY: Lee Nuclear Site 6 MI S of Blacksburg, SCNAMED INSURED [LISTED ON POLICY]: Duke Energy Carolinas, LLCPOLICY NUMBER: POLICY EFFECTIVE: LIMIT OF LiABILITY:NF-0355 1/1/12016 $1 MillionTHIS 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). Neither this Certificate nor any contract or other documentwith 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 claimsor 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: 22830LOC #: CharlotteACO1RDADDITIONAL REMARKS SCHEDULEPage 4 *of 4.AGENCY NAMED INSUREDMarsh USA Inc. Duke Energy Corporation_____________________________________________ ATTN: Ed AdamsPOLICY NUMBER ed.adams@duke-energy.com550 S. Tryon StreetDEC40-CCARRIER 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 Policyand 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 -LEELOCATION OF NUCLEAR FACILITY: Lee Nuclear Site 6 MI S ot Blacksburg, SCNAMED INSURED [LISTED ON POLICY]: Duke Energy Carolinas, LLCPOLICY NUMBER: POLICY EFFECTIVE: LIMIT OF LIABILITY:NF-0355 111/2016 $1 MillionACORD 101 (2008/01)© 2008 ACORD CORPORATION. All rights reserved.The ACORD name and logo are registered marks of ACORD