FA.
REGULATORY IiVFORMATION DISTRIBUTION SOTEM (RIDE) ~Q c/
ACCESSION NBR:8004140324, DOC ~ DATES 80/04/03 NOTARIZED: NO DOCKET ¹FACIL:50~15 Dona 1 d C ~ Cook Nuc I ear Power P 1 ant ~ Uni t 1E Indi ana 8 05000315
0- ~ onald CD Cook Nuclear Power PlantE Unit 2g'ndiana 8 05000316AUT ~ A> AUTHOR AFFILIATION
HUNT PERKS, Indiana 8 Michigan Electric Co.REC IP ~ NAME RECIPIENT AFFILIATION
Ant i t rust 8 Indemnity Group
SUBJECT: Forwards Endorsement 35 to HAELU Policy MF 79EEndorsements42 8 43 to NELIA Policy NF 206 Endorsement 3 to HAELU BinderXB 45FKndorse~ent 4 to. 4IAELU Binder XB 64EEndorsement 3 toNELIA Binder KB 45 8 Endorsement 4 to NEI.IA Binder EB 64
'ISTRIBUT IOiN CODE: MOOTS COPIES RECEIVED:LTR g ENCL $ SIZE:~TITLE: Insurance: Indemnity/Endorsement Agreements
- INTERNAL: Oi05 OINITZ/ACTN
'XTERNAL: 03 LPDR
1'
1 1
1 1
RECIPIENT COPIESID CODE/NA~K LTTR ENCL
RKC IP IENTIO CODE/NAME
02 NRC POR06 SOULEStJ ~
04 NSIC
COPIESLTTR ENCL
1 1
1
1. 1
t P ppn>~ ~ ~ ~
TOTAL NUMBER OF COPIKS REQUIRED: LTTR 6 ENCL 6
INDiANA II MICHIGAN ELECTRIC COMPANY
P. O. BOX 18
BOWLING GREEN STATIONNEW YORK, N. Y. 10004
April 3, 1980AEP: NRC: 00219A
Donald C. Cook Nuclear Plant Unit Nos. 1 and 2Docket Nos. 50-315 and 50-316License Nos. DPR-58 and DPR-74
SUBJECT: INSURANCE POLICY ENDORSEMENTS
Mr. Harold R. Denton, DirectorOffice of Nuclear Reactor RegulationU. S. Nuclear Regulatory CommissionWashington, D. C. 20555
Dear Mr. Denton:
Enclosed for your files, please find eight copies of each of thefollowing documents:
(1) Endorsement No. 35Mutual Atomic Energy Liability Underwriter (MAELU)Policy No. MF-79
(2) Endorsement No. 42Nuclear Energy Liability Insurance Association (NELIA)Policy No. NF-206
(3) Endorsement No. 43NELIA,Policy No. NF-206
(4) Endorsement No. 3MAELU Binder No. XB-45
(5) Endorsement No. 4MAELU Binder No. XB-64
(6) Endorsement No. 3NELIA Binder No. EB-45
(7) Endorsement No. 4NELIA Binder No. EB-64
80 043. 40~~
t~ ~ / p
Mr. H. R. Denton AEP: NRC: 00219A
Endorsement Nos. 35, 42, and 43 represent additional premiums asa result of the increase in the limit applicable to the NELIA and MAELU
Nuclear Liability Policies. This increase in capacity affords us atotal limit of $ 160 million of Nuclear Liability Insurance through thenuclear pools.
Endorsement Nos. 3 and 4 (MAELU and NELIA Binders) provide$ 30 million in "Default Insurance".
Very tr ly yours,
RSH:ec R. S. HunterVice President
cc: R. C. CallenG. Charnoff (w/attch.)R. S. HunterR. W. JurgensenD. V. Shaller - Bridgman (w/attch.)I. Dinitz - NRC (w/attch.)
NUCLEAR ENERGY LIABILITYINSURANCEI
MUTUALATOMIC ENERGY LIABILITYUNDERWRITERS
ADVANCE PREMIUM ENDORSEMENTand
STANDARD PREMIUM ENDORSEMENT
Calendar rear 1980
l. 'DVANCE PREMIUM
It is agreed" that the Advance Premium .due the companies for the calendar yeardesignated above is $ 113, 211. 00
2. STANDARD PREMIUM AND RESERVE PREMIUM
In the absence of a change in the Advance Premium indicated above, it isagreed that, subject to the provisions of the Industry Credit Rating Plan,the Standard Premium and Reserve Premium are:-
Standard Premium $ 113 211. 00
Reserve Premium $ 85 365. 36
Effective Date ofthis Endorsement Janu'ar 1, 1980
To form a partof Policy No, MF-79
Issued to 'ndiana and Michi ari Electric Com an
Date of Issue ~ Januar 3 1980
r,-,s~cKMTGfT,.-t„h „~r 'CSVCiBK| aa.rKl'~=. NVQF~r~ 't «~~) a~" Y"
(.:.." . 1 R.."3 K."r2~~~3I ~ 1 age' e Q ') \ aea e d ~ «)reeet a e» ~ e J
~ ~ ae
For the Subscribing Companies
MUTUAL ATOMIC ENERGY LIABILITYUNDERWRITERS
,'-'.. "~ 8~Endorsement No. 35 Countersigned by
AUTHORIZED REPRESENTATIVE
0Nuclear Energy I Iability Insurance
NUCLEAR ENERGY LIABILITYINSURANCE ASSOCIATION .
ADVANCE PREHIUM AND STANDARD PREMIUM CALENDAR YEAR 1980ENDORSEMENT
l. ADVANCE PREMIUM: It is agreed that the Advance Premium due thepiddig db389,949.00
2. STANDARD PREMIUM AND RESERVE PREMIUM: In the absence of a change int e vance Premium indicate a ove, it is agreed that, subject tothe provisions of the Industry Credit Rating Plan, the Standard Premium
is said Advance Premium and the Reserve Premium is:
294,036.24
oo of the or16ina"tat this is a true oopp de art
P]i (,the 5
. halo insurance is ~ ~oienated hereon. o
Charles R. Bardea, Vice President-Liability Underwz".tingAmerican Nuclear Inau~
Effective Date ofthis Endorsement
Issued to
January 1, 1980 To form a pan of policy No NF-20612:01 A.M. Standard TimeO'ow r Comoan and Indiana 8 Hichiaan Electric Com an
Date of Issue December 20 1979 For the su cribing co panies
Endorsement No 42
By
Countersigned by
General Manager
Nuclear Energy LlabilltyInsuranceNUCLEAR ENERGY LIABILITYINSURANCE ASSOCIATION
CHANGES IN SUBSCRIBING COMPANIES AND IN THEIR PROPORTIONATE LIABILITYENDORSEMENT
Calendar Year 1980
l. It is agreed that with respect to bodily injury or property damage caused, during theeffective period of this endorsement, by the nuclear energy hazard;
a. The word "companies" wherever used in the policy means the subscribing companieslisted below.
b. The policy shall be binding on such companies only.
c. Each such company shall be liable for its proportion of any obligation assumedor expense incurred under the policy because of such bodily injury or propertydamage as designated below.
It is agreed that the effective period of this endeffective date of this endorsement:stated below tothe time of of the termination or cancellation of
SUBSCRIBING CONPANIES
orsement is from the beginning of thethe close of December 31, 1980, or to
the policv, i'g mooner.g, 't3 PROPORTION OF )005
g ~+ a~I 10.0674102.516852
hOH 8 .25'1685
H I.342321Sr bO O ~ 4.194754 heO C ro Fe .880898
,l)9475Ce ~ 4s . 419475
g .576779rO 3.020223
C ve Fe 419475+ O 4.194754~ Sr rd A 7.508610O~ + ~~ rCI 1'510112
5.033705phia. PA 19105 O
g 6~ O Fc 1.342321
O .50337)4 4s ~O ~ 7'131082I IO
era" .503371
g .419475
~ m+~ ~ 1677902Sr ~ .335580O ~,O .335580
1.845692 $ 5. 671161.167790 8p5.12584
.251685
cl cf3.355803l.751817 ~ CP:~
B + .ll9I>5a ~ > 2:smsw .. f C
N~I .8M95110.9M36l
2.684643f„e +. 1.258426CO O 4o ai
&W OmTo form a part of policy No NF-206
na 5 Michigan E1ectric Company
Aetna Casualty and Surety Co., The. 151 Parer)ngton Ave., Hartford, CT 06156Aetna Insurance Ccepany, 55 Eire St.. Hartford, CT 06115Affiliated FN Insurance Co., A)linda)a Park. P.O. Sox 7500, Johnston, RI 02919Alllanz Insurance Cavpany. 6420 MI)sh)rc Blvd., Suite 500, Los Angeles, CA 90048Allstate Insurance Co., Allstate Plaza. Northbrook, tL 60062Ancrican Have Assurance Co., 102 Ha)den Ls., Ner York, NY 10005Ancr)can Hotorists tnsurance Co., Long Grove. IL 600l9Sitvvinous Casualty Corporation, 320 18th St., Rock Island. IL 61201Centennial Insurance Co.. 45 Mall St., Ner Tork, NY 10005Caceercial Onion Insurance Co., One Beacon St., Boston, HA 02108Connecticut Indevr)ty Conpany, The, 1000 Asylvn Avc., Hartford, CT 06101Continental Casualty Co.. CNA Plaza. Chicago, IL 60685Continental Insurance Co.. The. 80 Ns)dcn La., Ncv York, NY 10038Federal Insurance Co.. 51 John F. Kennedy Pkvy., Short Hills, HJ 07078Firenan's'Fund Insurance Co., 3333 California St.. San Francisco. CA 94119General Accident Fire and Life Assurance Corp.. Ltd., Fourth and Ma)nut Streets, PhlladelCreat Ancr1can Insurance Co., 580 Ma)nut St.. Cincinnati. OH 45t01Hanover Insurance Co.. The, 440 Lincoln St., Marccster. NA 01605Hartford Accident and Indccvrtty Co., Hartford Plaza, Hartford, CT 06115Hartford Stean Boiler Insp. 6 tns. Co.. The, 56 Prospect St.. Hartford, CT 06102Highlands Insurance Co., 600 Jefferson Street. Houston. TX 77002Hone Indcsvrtty Co., Thc, 59 Halden La., Ner York, NY 10038Insvrance Co. of North Aarcr1cs, 1600 Arch Street, Philadelphia. PA 19101Honarch Insurance Co. of Ohio. The, 19 Rector St.. Ner York. NY 10006National Casualty Cccpany, 28333 Telegraph Road. Southfield, Ht 48034Northern Insurance Corpany of Ner Tork, 59 John Street, Ner York, NY 10038Narthvestern National Ins. Co., 731 ho. Jackson Street. NI)vaukce, Mt 53201Ohio Casualty Insurance Conpany, The. 136 North Third Street. Han))ton. OH 45025Pacific tndcrrn)ty Co., 3200 in)shire Blvd.. Los Angeles, CA 9C010Peerless Insurance Co., 62 Nap)a Ave., Kcene. NH 03431Protective Insurance Co.. 3100 Na. Her)dian St.. Indianapolis, IN 46208Providence Msshington Insurance Co., 20 Mashingtan Place. Providence, RI 02903Puritan Insurance Cocpany, 1515 Suaecr St.. Stanford, CT 06905Reliance Insurance Covpany. 4 Penn Center Plaza, Philadelphia, PA 19103Royal Clobe Insurance Cacyany. 150 MI)liars Street, Ner York, NY 10038St. Paul Fire 6 Harine Ins. Co., 385 Mashington St.. St. Paul, HN 55102Seaboard Surety Co., 90 MI)1)sv St., Ner York, HT 10038State Fare Fire 6 Casualty Covpany. 112 East Mashingtan St., B)occr)ngtan. IL 61701Transancrica Insurance Co., 1150 So. Olive St., Los Angeles, CA 90015Travelers Indccrrtty Conpany, Thc. One Terer Savers, Hartford, CT 06115United States Fidelity and Guaranty Co., 100 Light Street. Balt)rare, HO 21202United States Fire Insurance Co., Hadlson Ave. at Canfield Rd.. Horr1suwn, NJ 07960turich Insurance Co.. )ll 'M. Jackson Blvd., Chicago, IL 60604NE 80
Effective Date ofthis Endorsement January 1, 1980
12:01 A.M. Standard TimeIndiana & Michi an Power Company and India
Date of Issue For the su crlblng co panies
ByGeneral Manager
Endorsement No
( 1 if2n)I
Countersigned by
MUTUALATOMIC ENERGY LIABILITYUNDERWRITERS
1) ANNUALPREMIUM ENDORSEMENT2) SUBSCRIBING COMPANIES AND THEIR PROPORTIONATE
LIABILITYENDORSEMENT
Calendar Year 1980
l. ANNUAL PREMIUM: It is agreed that the Annual Premium due the companiesfor the period designated above is: $ 1,350,00
(')~caused, during the effective period or this endorsement, by the radioactive,toxic, explosive or other hazardous properties of nuclear material, and(ii) contingent liability as provided in Condition 4 for excess incurred lossesbecause retrospective premium due under one or more binders with respect
a. The word "companies" wherever used in the policy meansthe subscribing companies listed on the reverse side of'this endor sement.
b. The policy shall be binding on such companies. only.
c. Each such company shall be liable only for its proportiondesignated next to its name of any obligation assumed orexpense incurred under the policy.
3. It is agreed that the effective period of this endorsement is from thebeginning of the effective date of this endorsement stated below, tothe close of December 31st of the Calendar Year designated in thecaption above, or to the time of the termination or cancellation of theDraft Master Policy, or this binder. whichever first occurs, easternstandard time.
Effective Date ofthis Endorsement Januar 1, 1980
12: 01 A.M, Standard TimeTo form a part of Binder No. XB-45
Issued to Indiana h Michi an Elec. Com an
. Date of Issue
By
Endorsement No. ' Countersigned by
Subscribin Com anies PROPORTION OF 100 o
American Mutual Liability Insurance Company, Wakefield, MA 15.0000000
Employers Mutual Liability Insurance Company, Wausau,'I
Liberty Mutual Insur'ance Company, Boston, MA
Lumbermens Mutual Casualty Company, Long Grove, IL
Michigan Mutual Insurance Company, Detroit, MI'I
Sentry Insurance, A Mutual Company, Stevens Point, WI
15.0000000
30.0000000
30.0000000
5.0000000
5.0000000
This is to certify that this is a true copy of the original endorsement, bearing thenumber designated hereon, for insurance coverage under the DRAFT MASTER POLICY-NUCLEAR ENERGY LIABILITYPOLICY (Secondary Financial Protection). No insuranceis afforded by this copy.
.N d~,Mu ual Atomic Energy Liability Underwriters
MUTUALATOMIC ENERGY LIABILITYUND WRITERS
1) ANNUALPREMIUM ENDORSEMENT
2) SUBSCRIBING COMPANIES AND THEIR PROPORTIONATELIABILITYENDORSEMENT
Calendar Year 1980
l. ANNUAL PREMIUM: It is agreed that the Annual Premium due the companiesfor the period designated above is: 81, 350. 00
c|~caused, during the effective period or this endorsement, by the radioactive,toxic, explosive or other hazardous prop'erties of nuclear material, and
(ii) contingent liabilityas provided in Condition 4 for excess incurred lossesbecause retrospective premium due under one or more binders with respect
a. The word "companies" wherever used in the policy meansthe s'ubscribing companies listed on'the reverse side ofthis endorsement.
b. The policy shall be binding on such companies only.
c. Each such company shall be liable only for its proportiondesignated next to its name of any obligation assumed orexpense incurred under the policy.
3. It is agreed that the effective period of this endorsement is from thebeginning of the effective date of this endorsement stated below, tothe close of December 31st of the Calendar Year designated in thecaption above, or to the time of the termination or cancellation of theDraft Master Policy, or this binder, whichever first occurs, eastern
'tandardtime.
Effective Date ofthis Endorsement Januar 1, 1980
12: 01 A.M, Standard TimeTo form a part of Binder No. >B
Issued to indiana and Michi an Elec. Company
I
Date of Issue
By
Endorsement No. Countersigned by
Subscribin Com anies PROPORTION OF 100%
Ameri'can Mutual Liability Insurance Company, Wakefield, MA 15.0000000
Employers Mutual Liability Insurance Company, Wausau, WI
Liberty Mutual Insurance Company, Boston, MA
Lumbermens Mutual Casualty Company, Long Grove, IL
Michigan Mutual Insurance Company, Detroit, MI
Sentry Insurance, A Mutual Company, Stevens Point, WI
15.0000000
30.0000000
30.0000000
5.0000000
5.0000000
This is to certify that this is a true copy of the original endorsement, bearing thenumber designated hereon, for insurance coverage under the DRAFT MASTER POLICY-NUCLEAR ENERGY LIABILITYPOLICY (Secondary Financial Protection). No insuranceis afforded by this copy.
8~Mutual Atomic Energy Liability Underwriters
~ ~Nuclear Energy Liability Insurance
NUCLEAR ENERGY LlABlLITYiNSURANCE ASSOCIATlON .
1 } ANNUAL PRE)'iIUH ENDORSEthEtlT
2 SUBSCRIBING COfIlPANIES AND THEIR PRO-
PORTIONATE LIABILITYENDORSEMENT
Calendar Year 1980
l. ANNUAL PREHIUt~: It is agreed that the Annual Premium due the companies
for, the period designated above is: $4,650.00
2. « i g 1 h i h (i) bah|i '
caused, during the effective period of this endorsement, y theradioactive, toxic, explosive or othet'azardous properties of nuclearmaterial, ard (ii) contingent liability as provided in Condition 4 forexcess incurred losses because retrospective premium due under one for
h ~bdi 1 i 'dnot paid:
a. The word "companies" wherever used in the policy means
the subscribing companies listed on the reverse side ofthis endorsement.
b. The policy shall be binding on such companies only.
c. Each such company shall be liable only for its proportiondesignated next to its name of any obligation assumed or expenseincurred under the policy.
3. It is agreed that the effective perio'd of this endorsement is from the be-
ginning of the effective date of this endorsement stated below, to the closeof December 31st of the Calendar Year designated in the caption above, or tothe time of the termination or cancellation of the Draft Haster Policy, or
.tl is binder, whichever first occurs, eastern standard time.~see reverse side for list of subscribing companies)
This is to certify that this is a true copy of the originalEndorsement having the endorse ont number and being made partof the 96clear,Knee~dr LiabilityPolicy (Facility Form) as des-
ignated'hereon. 1fo Insurance is afforded hereunder.
' 'Jk~6har K Bardee,,Vice Presithnt-LiaMity UndervrrltingAmerican Pud~; Insurers
e
Effective Date of EB 4gthis Endorsement January 1, 1980 'o form a part of Policy No
12:01 A.M. Standard Timeto Indiana 8 t lichigan Potver Company and Indiana 8 Hichigan El ectri c Company
Date of Issue Januar 1, lo.eo For the su cribing co panies
Endorsement No 3
By
Countersigned by
General Manager
StvSCRISING COueANIES
Aetna Casualty and Surety Co. ~ The. 151 Farnington Ave.. Hartford, CT 06156Aetna Insurance Conoany, SS Elm St., Hartford, CT 06115Affiliated FH Insurance Co., Allendal ~ Park, P.O. Sos 7500, Johnston, Rl 02919Allianz Insurance Conpany. 6420 Htlshire 81vd., Suite 500. Los Angeles, CA 90048Allttate Irauranee CO. ~ Allttate Piasa, Nurthbruqk, IL 6005TAnerican Voce Assurance co. ~ 102 Haiden La., Nm York. Nl ! 10005Arurican Hotorfsts Insurance Co.. Long Grove. IL 600l98stuminous casualty corporation, 320 18th st., Rock Island, IL 61201Centennial InauranCe CO. ~ 45 Vail St. ~ Neu YOrk, NY 10005CcurerCLal Onion Insurance Co., One Seacon St., 8ostonq HA 02108Connecticut Indemnity Coopany, The, 1000 Asylun Ave. hartford, CT 06101Continental Casualty Co., CNA Plaza, Chicago. IL 6045Continental Insu.ance Co., The, 80 Patden La.. Neu 'York, HY 10038Federal Insurance Co., 51 John F. Kennedy Pkvy.,'Short Hills, NJ 07078Ftrexnan's Fund Insurance Co., 3333 California Sz., San Francisco, CA 94119General accident Fire and Life Assurance Corp.. Ltd., Fourth and Valnut Streets, Philadelphia, PA 19105Great arurican Insurance co.. 580 valnut st.. cincinnati, GH .45201Hanover Insurance Co. ~ The, 440 Lincoln St., Vorcester, HA 01605Hartford Accident and Indemtty co., Hartford psaza. Hartford, cT 06115Nar'.ford Stean Soiler Inso. 4 Ins. Co., The, 56 Prospect St., Hartford, CT 06102Highlands Insurance Co., 600 Jefferson Street, Houston. TX 77002Hone Induvnfty CO.. The, 59 Naiden La., Ne York, NY 10038Insurance co. of Horti xnertca ~ 1600 Arch street,
Philadelphia�
, pA 1910Lsk>narch Insurance co. of ohio. The, 19 Rector st., Neu York, NY 10006National Caswlty Coepany. 28333 Telegraph Road, Southfield, Hl l8034Horthern Insur nce Coeoany of Neu York, 59 John Street, Neu York, HY 10038Northvestern National Ins. Co., 73'I ho. Jackson Street. Htliaukee. NI 53201Ohio Casualty Insurance Coreany ~ The, 136 North Third Street, Nauilton, OH 45025Pacific Indennity Co., 3200 Vllshlre Slvd., Los Angeles, CA 90010Pee. less Insurance co., 62 Haole Ave. ~ Keene. NH 03431PrpteCtive I'nsurance Co., 3100 No. Heridiar. 5!., Indianapolis, IN 46208Providence Vashington Irsurance Co., 20 vashing:on Place, Providence, RI 02903Puritan Insurance Conpany, 1515 Suesver St., Stanford, CT 06905RelianCe lnSuranCe COupany, 4 Penn Center Pled . Philadelphian PA 19103Royal Glot'e Insurance Conpany, 150 Vlllian Streets Neu York, NY 10038St. Paul Fire 4 Harine Ins. Co., 385 Vashington St.. St. Paul, HN SSIG2Seaboard Surety Co., 90 Vtlltan St.. Neu York, NY 10038State Faru Fire 6 Casualty Coepany, 112 Cast vashington St., 8Ioontngton, IL 61701Transanerica Insurance Co. ~ 1150 So. Olive St.. Los Angeles, CA 90015Travelers Indevvstty Conpany. The, Cue Tover Sqwre. Hartford, CT 06115United States Fidelity and Guaranty Co., 100 Light Street, Galttnore. HO 21202United States Fire Insurlnle Co., Hadison Ave. at Canfleld Rd. ~ Horr1stoun, NJ 07960Turich Insurance Co., 111 H. Jackson Slvd.. Chicago, It. 6060lNE 80
PROeORTION OF 100S
10.0674102.516852
.2516851.3423214.194754
.880898
.419475
.419475
.5767793.020223
.4194754.1947547.5086101. 5101125.0337051.3423211.342321
.5033717.131082
.503371
.4194753.6913841.677902
.335580
.3355801.845692
.671161
.167790
.335560
.125643
.251685
.104869
.2516851.4849433.3558034.'751817
.419475
.836951
.83895110.90636110.0674102.6846l31.258426
Nuclear Energy Liability InsuranceNUCLEAR ENERGY LIABILITYINSURANCE ASSOCIATION
1) " ANNUAL PREtiIUtl ENDORSEt<EttT
2) SUBSCRIBING COtrlPANIES AND THEIR PRO-
POPTIONATE LIABILITYENCORSEtlENT
Calendar Year 1980
l. ANNUAL PREtlIUM: It is agreed that the Annual Premium due the companiesfor the period designated above is: $4,650.00
2. 1 1 2 d h»ll p (i)~dip 1'dcaused, during the effective period of this endorsement, by theradioactive, toxic, explosive or other hazardous properties of nuclearmaterial, and (ii) contingent liability as provided in Condition 4 forexcess incurred losses because retrospective premium due under one for
p h~hdid 1'dnot paid:
a. The word "companies" trfherever used in the policy meansthe subscribing companies listed on the reverse side ofthis endorsement.
b. The policy shall be binding on such companies only.
c. Each such company shall be liable only for its proportiondesignated next to its name of any obligation assumed or expenseincurred under the policy.
3. It is agreed that the effective period of this endorsement is from thebe-'inningof the effective date of this endorsement stated below, to the close
of December 31st of the Calendar Year designated in the caption above, or tothe time of the termination or cancellation of the Draft Master Policy, orthis binder, Nhichever first occurs, eastern standard time.~see reverse side for 1isc otsubs'cribing companies)
this is to certify that this is a true copy of the originalEndorsement havia< the endor"ement number and. being made parox'he Juclmr L.".'o~rgy LiabilityPolicy (Facility Form) as des-Lgna ed hereon. No Insurance is afforded hereunder.
Char~~ R! Bards Vice Evident-LiabHity Undervrri~American Nuclear xnsu~
Effective Oate ofthis Endorsement
Issued to
January 1, 1980 To form a part ol Pollc No12:Ol A.M. Standard TimeTo form a part ol Policy No
P r r Com an and Indiana 8 Mich'i an Electric Company
oate of Issue Januar 1, 1980 For the su cribing co panies
Endorsement No 4
By
Countersigned by
General Manager
Li
SOB)CRIB IAG COuPAN) ES
Aetna Casualty and Sure y Co., The, 151 Faro)npton Ave., Hartford, CT 06156Aetna Insv.ance Coroany, 55 Else St., Hart!ord, CT 06115Ai!1)lated FH Insurance Co., Allendale Park, F'.0. Sox 7500, JohnatOn, Rl 02919A)liens Insurance Conpany, 6420 r))sn)re Slvd., Suite 500. Los Anpc'les, CA 90048Allstate Irsu ance Co., Allstate Pl ~ za, Northbrook, IL 60052Axierscan Horic Assurance co., 102 Hasdcn La.. iseu York. !It .)0005Srcrscar. Wtorssts Insurance Co., Lonp Grove. IL 60049Sstv~!nous Casvclty rwrporat)on. 320 18th St. ~ Rock ls and ~ IL 61201Cente cl~ I Ir.'svrance Co., 45 Vasll St., Ncu York, NY 10005Comewsal Onion Insurance Co., Cne Beacon St., Boston, HA 02108Correct)cut Indern)ty Coopanv, The, )000 Asy)vn Avc.. hartfo~d, CT 05101Continer; al Casvalty Co. ~ CQ Plaza, Chicapo, IL 60685Cor;.Inental Insv.ance Co., The, 80 Na)den La., Nev York, NY 10038Federal Insurance co., 51 John f. Kennedy Pb y. ~ Short Hil'Is, NJ 07078F)reeian's Fund Insurance Co., 3333 California St.. San Francisco, CA 94119General Accident fire and Life assurance corp.. Ltd., Fourth and va)nut streets, phl)ade'Ipnia, I'A '19105Great srx.r)can lrsurance co., 580 Ha)nut St., cincinnati, OH 45201Hanove~ Insurance Co., The, 440 Lincoln St., Vorcester, HA 01605Hart!ord Accident and Indcrxssty co., Hart!ord psaza, Hartford, cT 06115Hart!ord Stean Soll ~ . Inso. 6 Ins. Co. ~ Thc, 56 Prospect St.. Hartford, CT 06102Hsphlands insurance co., 60c Je!!erson street, Houston, Tx 77002Hove Indcrvslty Co., hc, Sp Ha)den La., Ne York, NY 10038Insurance Co. of North @nor!ca, 1600 Arch Street, Philadelphia. PA 19101Honarch ~J.suranoc Co. of Oh)o, The, 19 Rector St.. he York, NY 10006hational Casualty Conoany. 28333 Teiepraph Road, South!)c)C, HI 48034Northern Insurance coroany o! Neu York, S9 John street, hc York, NY 10038horthvestern national Ins. Co.. 731 No. Jac'kaon Stree:, H)lvaukee ~ VI 53201onso casualty lrsvrance conpany, The. 136 riortn Third 'treat, kans:ton, CH 45025Pact!ic Indennsty Co., 320C Hi)shire Sivd.. Los Anpeles, GA 90010Pee.fess Insurance Co., 62 Naole Avc., Kecnc. Nii C3431Protective .'nsurancc Co. ~ 3100 No. Her)dier. St., Ind'.anapolis, IN 46208Providence Vashinpton '.rsurancc Co., 20 'Vashinpton Place, Providence, RI 02903Puritan lnsuran«c Gsaoany, '1515 Svrsner St.. Staeford. CT 06905Reliance Insurance Corpany, 4 Penn Cancer Plaza ~ Philadelphia, PA 19103Reyal GIOte lnturanCC COnbany, 150 V)li)an Street, Nev Yark, NY 10038St. Paul fire 4 !'urine lns. Co., 385 )'ashinpton St., St. Paul. HN SSIC2Seaboard Surety o., 90 u)l))ala St., Nev York, NT 1003SState fans Fire 6 Casualty Company, 112 I'ast Nash)npton St.. 8)oon)npton, IL 61701Transarerica Insurance Co., 1150 So. Olive St., Los Anpelcs, CA 9001STrave)crt Ind~)ty Conoany, The, One To er Square. Hartford, CT 06115)as)ted states fidelity and Guaranty co., ioc Lipht street. Balt)core ~ HO 21202Onstec StatCS FlrC InarranCe CO. ~ Hadiaun AVe. at Canfie')d Rd., Herr)Stuvn, NJ 07960Tvricr Insurance co. ~ 111 N. Jackson slvd., Eh)capo, IL 60604NE 80
PROoORTIOM OF ICOS
10.0674102,516852
.2516oS1.3423214.194754
.88089S
.419475
.4'15475
.576779).CEC223
.419475~ .1947547.5086)01.5101125.0337051.34232)'1.342321
.50)3717.131082
.SG3371
.4194753.6913S41.677902
.335580
.3355801.845692
.671'6)
.167790
.335)SO
.125643
.251685
.1&469
.2516851.4849433.3558034.7S1817
.419475
.83895)
.S3895110.90636110.0674102.68464)1.258426 =