forwards endorsement 52 to maelu policy mf-0016,endorsement

AC",CELERATEDDISTRIBUTION

DEMONSTPA.TION SYSTEMtp~

REGULATORY INFORMATION DISTRIBUTION SYSTEM (RIDS)

SUBJECT: Forwards endorsements 52 Nuclear Liability Facility Formpolicy MF-0116,70 Nuclear LibilityFacility Form policy NF-0266,10 Master Worker Form policy NW-0160 6 10 Master WorkerForm policy MW-0086.

DISTRIBUTION CODE: MOOID COPIES RECEIVED:LTR i ENCL g SIZE'TITLE: Insurance: Indemnity/Endorsement Agreements

NOTES:STANDARDIZED PLANTStandardized plant.Standardized plant.

D

A0500052805000529 D05000530

D

ACCESSION NBR:9201290173 DOC.DATE: 92/01/21 NOTARIZED: NO DOCKET 4N

FACIL:STN-50-528 Palo Verde Nuclear Station, Unit 1, Arizona Publi 05000528STN-50-529 Palo Verde Nuclear Station, Unit 2, Arizona Publi 05000529STN-50-530 Palo Verde Nuclear Station, Unit 3, Arizona Publi 05000530

AUTH.NAME AUTHOR AFFILIATIONCONWAY,W.F. Arizona Public Service Co. (formerly Arizona Nuclear Power

RECIP.NAME RECIPIENT AFFILIATIONDocument. Control Branch (Document Control Desk)

RECIPIENTID CODE/NAME

INTERNAL: NRR/PMAS/PTSB12

EXTERNAL: NRC PDR

NOTES:

COPIESLTTR ENCL

1 1

1 1

RECIPIENTID CODE NAME

COPIESLTTR ENCL

1 1

D

S

NOTE TO ALL"RIDS" RECIPIENTS:

A

D

D

PLEASE HELP US TO REDUCE WASTE! CONTACT THE DOCUMENT CONTROL DESK,ROOM Pl-37 (EXT. 20079) TO ELIMINATEYOUR NAME FROM DISTRIBUTIONLISTS FOR DOCUMENTS YOU DON'T NEED!

TOTAL NUMBER OF COPIES REQUIRED: LTTR 4 ENCL 4

Arizona Public'Service CompanyP.O. BOX 53999 ~ PHOENIX. ARIZONA85072<999

WILLIAMF. CONWAYEXECUTIVEVICEPRESIOENT

NUCLEAR

161-04583-WFC/JRP

January 21, 1992

Docket Nos. STN 50-528/529/530

U. S. Nuclear Regulatory CommissionAttn: Document Control DeskMail Station Pl-37Washington, DC 20555

Dear Sirs:

Sub ject: Palo Verde Nuclear Generating Station (PVNGS)Units 1, 2, and 3

Nuclear Energy Liability InsuranceFile: 92-003-240; 92„-056-026

Pursuant to 10 CFR 140.15(e) and Section 2.B(6)(iii) of the Facility OperatingLicenses, enclosed are two certified copies of each of the following endorsementsto the PVNGS Nuclear Energy Liability Insurance Policies:

~Polic No ~Covera e Endorsement No.

MF-0116NF-0266NW-0160MW-0086N-0088M-0088N-0107M-0107N-0114M-0114

Nuclear Liability Facility FormNuclear Liability Facility FormMaster Worker FormMaster Worker FormSecondary Financial Protection UnitSecondary Financial Protection UnitSecondary Financial Protection UnitSecondary Financial Protection UnitSecondary Financial Protection UnitSecondary Financial Protection Unit

52701010191919191515

The enclosed endorsements are forwarded for your information, if you should haveany questions, please call Michael E. Powell of my staff at (602) 340-4981.

Sincerely,

WFC/JRP/pmmEnclosures

cc: J. B. MartinD. H. CoeA. C. GehrA. H. Gutterman

000PDR ADOCK 050J

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NUCLEAR ENERGY LIABILITYINSURANCE

MUTUALATOMIC ENERGY LIABILITYUNDERWRITERS

ADVANCEPREIVIIUMAND STANDARD PREMIUM ENDORSEIVIENT

CALENDARYEAR '!992

1. ADVANCE PREMIUM: It is agreed that the Advance Premium due the companiesfor the period designated above is: $ 153,764.00

2, STANDARD PREMIUM AND RESERVE PREMIUM: In the absence of a change in theAdvance Premium indicated above, it is agreed that, subject to the provisions ofthe Industry Credit Rating Plan, the Standard Premium is said Advance Premiumand the Reserve Premium is: $ 116.186.00

This is to certify tIMtt this i a true copy of the ot"'ginalEndorsement having the endor,mmertt nurnba and being made partof the uclear Energy Liability Pohcy (Fw:i!ity Fo n) as des-ignated reo Insurance - arford u

0~ ~

John L Q . rocchi, Vice Pres't. n 'erwritingAmerican Nuclear Insurers

Effective Date ofthis Endorsement: January 1. 1992

(12:01 A.M. Standard Time)

Issued to: Arizona Public Service Company, et al

To form a part of Policy No. MF-0116

Date of Issue: December 8, 1991 For t st ibing c anie0

By

Endorsement No: 52 Co n ed

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NUCLEAR ENERGY LIABILITYINSURANCE ASSOCIATION

ADVANCEPHEMIUIVIAND STANDARD PREMIUM ENDORSEMENT

CALENDARYEAR 1992

1. ADVANCEPREMIUM: It is agreed that the Advance Premium due the companiesfor the period designated above is: $ 529.633.00

2. STANDARDPREMIUMAND RESERVE PREMIUM: In the absence of a change in theAdvance Premium indicated above, it is agreed that, subject to the provisions ofthe Industry Credit Rating Plan, the Standard Premium is said Advance Premiumand the Reserve Premium is: $400.196.00

This is to certify that this is a hm copy e". '.he o<-gIM

Endorsement having the endorsement numb+. and being made part

of the uclear Energy Liability Pohcy (FaciIity Form) as des-

ignated ereon Insuran 'fforded hereu

John L ~ rocchi, Vice Pres' erwrAmerican Nuciear Insurers


(12:01 A.M. Standard Tinie)

Issued to: Arizona Public Service Company, et aI

To form.a part of Policy No. NF-0266

Date of Issue: December 8. 1991 For the s ascribing companies

Byresi ei

Endorsement No: 70 Cnui ersigned by

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NUCLEAR ENERGY LIABIL!TYINSURANCE


ADVANCEPREMIUM AND STANDARD PREMIUM ENDORSEMENT

CALENDARYEAR 1992

1. ADVANCEPREMIUM: It is agreed that the Advance Premium due the companiesfor the period designated above is: $ 53,708.00

2. STANDARDPREMIUMAND RESERVE PREMIUM: In the absence of a change in theAdvance Premium indicated above, it is agreed that, subject to the provisions ofthe Retrospective Rating Plan, the Standard Premium is said Advance Premiumand the estimated Reserve Premium element of the Standard Premium is: $42,965.00

This is to certify that this is a true copy of tt.e " ' 'amenthaving '". ~;" .;:savlent number and being .;. „, e Certificateo In:...' .e t,u. r ";,g the number designate .~ .~n tvr insurancecc.e:';,;.: u... ~ r tne Nuclear Energy labile';y w" I cy (Facility WorkersForm) No Insurance '". afforded h, under.

John '.. Qa5 c~tl r8 - ~~ nderwriting

Arnertc~» Nuctear Insurers


(12:01 A.M. Standard Time)To form a part of Certificate No. NW-0160

Issued to: Arizona Public Service Company. et al

Date of Issue: November 22, 1991 For t >bscribing companies

ByPre 'd

Endorsement No: 10 Cot te gne by

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NUCLEAR ENERGY LIABILllY INSURANCE


ADVANCEPREMIUM AND STANDARD PREMIUM ENDORSEIVIENT

CALENDAR YEAR 1992

1. ADVANCEPREMIUIVI: It is agreed that the Advance Premium due the companiesfor the period designated above is: $ 15.592.00

2. STANDARD PREMIUM ANDRESERVE PREIVIIUM: In the absence of a change in theAdvance Premium indicated above, it is agreed that, subject to the provisions ofthe Retrospective Rating Plan, the Standard Premium is said Advance Premiumand the estimated Reserve Premium element of the Standard Premium is: $ 12.474.00

This is to certify that this is a true copy of the orioinal Endorsementhaving tho endorsement number and being made part of the Certificateof Insurance bearing the number d ignatod hereon for insurancecove: .ge undbr the Nuclear Energ Liability Policy (Facility WorkersForm) No ~I"-"""nr"i; nder.

John Quattrocchi, Vice Preside t- nderwritingAmerican Nuclear Insurers




To form a part of Certificate No. MW-0086

Date of Issue: November 22. 1991 For the s ibscribing companies

Endorsement No: 10 rs

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ANNUALPREMIUM ENDORSEMENT

CALENDARYEAR 1992

1. ANNUALPREMIUM: It is agreed that the Advance Premium due the companiesfor the period designated above is: $ 5,813.00

THIS IS TO CERTIFY THAT THIS IS A TRUE COPY OF THE ORIGINALCERTIFICATE, BFARING THE NUMBER DESIGNATED HEREON, FORINSURANCE COVERAGE UNDER THE MAS ER POLICY-NUCLEAR ENERGYLIABILTY INSURANCE (SECONDARY FIN ICIAL PROTECTION). NOINSUR,tICE IS AFFORD . B

JOHN '. 1UAl inUGCVICE PRtBIDENT-UNDERWRITINGAMERICAN NUCLEAR INSURERS

Effective Date ofthis Endorsement: January 1, 1992



To form a part of Certificate No. N -0088

Date of Issue: November 11, 1991 For t)h su c . g o ntes

ByP e t

Endorsement No: 19 ign b

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CALENDARYEAR 1992

1. ANNUALPREMIUM: It is agreed that the Advance Premium due the companiesfor the period designated above is: $ 1,G87.00

THIS IS TO CERTIFY THAT THIS IS A TPUE COPY OF THE ORIGINAL

CERTIFICATE„BEARINGTHE NUV.;.': '."~."">f~,"4%ED HEREGY„FOR

INSURANCE COVERAGE UNDEn T'i','~'-;. t "'I.ICY=NUCLEARENERGY

LIABILTY INSURANCE {S}:CO'w".).""lyr" i" . /~". Fr'IQ"i OTION). NO

INSURE 'ICE IP~cOR!»;,; "'.l~

JOHN i ~UATTROCC I

VICE PRESIDENT-UNDERWRITING

AMERICAN NUCLEAR INSURERS


(12:01 A.M. Standard Time)'I


To form a part of Certificate No. M -0088

1

Date of Issue: November 11, 1991 For the su scribing co a iBy

Endorsement No: 19 un

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CALENDARYEAR 1992

1. ANNUALPREMIUM:It is agreed that the Advance Premium due the companiesfor the period designated above is: $5,813.00

THiS IS TO CERTIFY THAT THIS IS A TRUE COPY OF THE ORIGINAL

CERTIFICATE, BEARING TI.IE NUMSER DESIGNATED HEREON, FOR

INSURANCE COVERAGE UNDER THE MAS ER POLICY-NUCLEAR ENERGY

LIAB!LTY INSURANCE (SECONDARY FIN <CIAL PROTECTION). NO

INSU~~ NCE~~OP Ei B.l~

JOHN c. QUATTROCCHI

VICE PRESIDENT-UNDERWRITING




Issued to: Arizona Public Service Company, et alT


Date of Issue: November 11, 1991 Fo e sub~ing companies

Byres'

Endorsement No: yg Countersign by

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CALENDARYEAR 1992

1. ANNUALPREMIUIVI:It is agreed that the Advance Premium due the companiesfor the period designated above is: $ 1,687.00

THIS IS TO CERTIFY THAT T'IIS IS A TRUE COPY OF THE ORIGINAL

CERTIFICATE, BEARING THF. Iil!I"0"I':R 0:SIGNA'IED HEREON, FOR

INSURANC GOVT:RAGC Fi&';:lTHE 6".ASTER POLICY-NUCLEAR ENERGY

LIABI'TYIIiSLli",""'";t, ",'.»6 ".; ARY FIN/ ICIAL PROTECTION). NO

INSUF! '.NCE 5 AF"'<.'l "': '.;: '+> CO" .

VICE Pnr SIC."."~'1'-i~l::-'.."".~!<AITING




Issued to: Arizona Public Service Company, et ai


Date of Issue: November 11, 1991 For the ubscr'bingcompanies'y

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Endorsement No: >9 Co t

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CALENDARYEAR 1992

1. ANNUALPREMIUM: It is agreed that the Advance Premium due the companiesfor the period designated above is: $5,813.00

THIS IS TO CERTIFY THAT THIS IS A TRUE COPY OF THE ORIGINALCERTIFICATE, BEARING THE NUMBER DESIGNATED HEREON, FORINSURANCE COVERAGE UNDER THE MAS ER POLICY-NUCLEAR ENERGYLIABII'TY INSURANCE (SECONDARY FIN, ICIAL PROTECTION). NOINSUR. NCE IS AFFORDE~ B

JOHN '. 9 A111lOC,VICE PRr SIDENT-UNDERWRITINGAMERICAN NUCLEAR INSURERS





Da te o f Issue: November 11. 1991

Endorsement No: 15

For t ubscr~i ng companies

ByPre id

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ANNUALPREMIUlVI ENDORSEMENT

CALENDARYEAR 1992

1. ANNUALPREMIUM;It is agreed that the Advance Premium due the companiesfor the period designated above is: $ 1,687.00

THIS IS TQ Cfear' "„','P'~T j'i li i ~ A T<'><,I,"~@nY QF THE ORIGINALCERTIFICATI "''1"

~ i"'< i" '' " A <I('" A'(-i.D HEREON fQRINSURANC"- ';,"",', U lr -".. '",>~ F", POLICY-NUCLEAR ENERGYLIABI TY Ii'>! 9:. ~

"'- ..'.,~' "'-'i'<Y f;l~ LCIAL PROTECTION). NOINSURE ICE I". -.'", ~

/JOHN U/<T't f~QuC(-.~VICE PRESIDENT-UNDERlVRITINGAMERICAN NUCLEAR INSURERS





Date of Issue: November 11, 1991 For the s scribing co panies~ ~;-t ~lBy

Endorsement No: >5 Counte i ned by

forwards endorsement 52 to maelu policy mf-0016,endorsement

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