DSHW-2015-011877 - 0901a068805b081f

Orbital ATK
Div of Waste Management
and Radiation Control
November 18, 2015
NOV 1 8 2015
Scott T. Anderson, Director
Division of Waste Management and Radiation Control
Department of Environmental Quality
P.O. Box 144880
Salt Lake City, Utah 84114-4880
Subject: Non-Sudden Accidental Liability Coverage ^
ATK Launch Systems, Inc. UTD009081357i^
Dear Mr. Anderson:
As required by the ATK Launch Systems Inc. Hazardous Waste Storage Permit module II.R.2,
signed duplicate original certificates of liability insurance for non-sudden accidental occurrences
effective 11/1/2015 are enclosed. Refer questions on this topic to Ron Bowlin at (801) 251-
4856.
/ certify under penalty of law that this document and all attachments were prepared under my
direction or supervision in accordance with a system designed to assure that qualified personnel
properly gather and evaluate the information submitted. Based on my inquiry of the person or
persons who manage the system, or those persons directly responsible for gathering the
information, the information is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information,
including the possibility of fine and imprisonment for knowing violations.
Sincerely,
George Gooch
Manager, Environmental Services
c: David McCleary, DSHW w/o attachments
Jeff Vandel, DSHW w/o attachments
Orbital ATK, Inc. • 9160 N. Hwy 83, Corinne, UT 84307 • 435-863-3511
401 Plymouth Road, Suite 100
Plymouth Meeting, PA 19462
888 828 4320 ph
INSURANCE GROUP
Environmental Division
HAZARDOUS WASTE FACILITY CERTIFICATE OF LIABILITY INSURANCE
1. Great American E&S Insurance Company, (the "Insurer"), of 301 E. 4th Street, Cincinnati,
Ohio 45202 hereby certifies that it has issued liability insurance covering bodily injury and
property damage to Orbital ATK, Inc. (the "insured"), of 45101 Warp Drive, Dulles , VA
20166 in connection with the insured's obligation to demonstrate financial responsibility
under 40 CFR 264.147 or 265.147. The coverage applies at EPA ID UTD009081357, ATK
Launch Systems, Inc., 9160 North Highway 83, Promontory, Utah 84307 for non-sudden
accidental occurrences. The limits of liability are $3,000,000 each occurrence and
$6,000,000 annual aggregate, exclusive of legal defense costs. The coverage is provided
under policy number PEL3915086 04 and is effective as of 11/01/2015.
2. The Insurer further certifies the following with respect to the insurance described in
Paragraph 1:
(a) Bankruptcy or insolvency of the insured shall not relieve the Insurer of its obligations
under the policy.
(b) The Insurer is liable for the payment of amounts within any deductible applicable to the
policy, with a right of reimbursement by the insured for any such payment made by the
Insurer. This provision does not apply with respect to that amount of any deductible for
which coverage is demonstrated as specified in 40 CFR 264.147(f) or 265.147(f).
(c) Whenever requested by the Director of the Utah Division of Waste Management and
Radiation Control, the Insurer agrees to furnish to the Director a signed duplicate original
of the policy and all endorsements.
(d) Cancellation of the insurance, whether by the insurer, the insured, a parent corporation
providing insurance coverage for its subsidiary, or by a firm having an insurable interest
in and obtaining liability insurance on behalf of the owner or operator of the hazardous
waste management facility, will be effective only upon written notice and only after the
expiration of 60 days after a copy of such written notice is received by the Director of the
Utah Division of Waste Management and Radiation Control.
(e) Any other termination of the insurance will be effective only upon written notice and only
after the expiration of thirty (30) days after a copy of such written notice is received by
the Director of the Utah Division of Waste Management and Radiation Control.
I hereby certify that the wording of this instrument is identical to the wording specified in 40 CFR
264.151 (j) as incorporated by reference in the Utah Administrative Code R315-8-8, as such
regulation was constituted on the date first above written, and that the Insurer is licensed to
transact the business of insurance, or eligible to provide insurance as an excess or surplus lines
insurer, in one or more States.
Mark Vuono
Sr. Vice President, Authorized^Representative of Great American E&S Insurance Company
401 Plymouth Road, Suite 100, Plymouth Meeting, PA 19462
INSURANCE GROUP
401 Plymouth Road, Suite 100
Plymouth Meeting, PA 19462
668 828 4320 ph
Environmental Division
HAZARDOUS WASTE FACILITY CERTIFICATE OF LIABILITY INSURANCE
1. Great American E&S Insurance Company, (the "Insurer"), of 301 E. 4th Street, Cincinnati,
Ohio 45202 hereby certifies that it has issued liability insurance covering bodily injury and
property damage to Orbital ATK, Inc. (the "insured"), of 45101 Warp Drive, Dulles , VA
20166 in connection with the insured's obligation to demonstrate financial responsibility
under 40 CFR 264.147 or 265.147. The coverage applies at EPA ID UTD009081357, ATK
Launch Systems, Inc., 9160 North Highway 83, Promontory, Utah 84307 for non-sudden
accidental occurrences. The limits of liability are $3,000,000 each occurrence and
$6,000,000 annual aggregate, exclusive of legal defense costs. The coverage is provided
under policy number PEL3915086 04 and is effective as of 11/01/2015.
2. The Insurer further certifies the following with respect to the insurance described in
Paragraph 1:
(a) Bankruptcy or insolvency of the insured shall not relieve the Insurer of its obligations
under the policy.
(b) The Insurer is liable for the payment of amounts within any deductible applicable to the
policy, with a right of reimbursement by the insured for any such payment made by the
Insurer. This provision does not apply with respect to that amount of any deductible for
which coverage is demonstrated as specified in 40 CFR 264.147(f) or 265.147(f).
(c) Whenever requested by the Director of the Utah Division of Waste Management and
Radiation Control, the Insurer agrees to furnish to the Director a signed duplicate original
of the policy and all endorsements.
(d) Cancellation of the insurance, whether by the insurer, the insured, a parent corporation
providing insurance coverage for its subsidiary, or by a firm having an insurable interest
in and obtaining liability insurance on behalf of the owner or operator of the hazardous
waste management facility, will be effective only upon written notice and only after the
expiration of 60 days after a copy of such written notice is received by the Director of the
Utah Division of Waste Management and Radiation Control.
(e) Any other termination of the insurance will be effective only upon written notice and only
after the expiration of thirty (30) days after a copy of such written notice is received by
the Director of the Utah Division of Waste Management and Radiation Control.
I hereby certify that the wording of this instrument is identical to the wording specified in 40 CFR
264.151 G) as incorporated by reference in the Utah Administrative Code R315-8-8, as such
regulation was constituted on the date first above written, and that the Insurer is licensed to
transact the business of insurance, or eligible to provide insurance as an excess or surplus lines
insurer, in one or more States.
Mark Vjaono
Sr. Vice President, Authorized Representative of Great American E&S Insurance Company
401 Plymouth Road, Suite 100, Plymouth Meeting, PA 19462