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507746 DENOVO VENTURES LLC - INSURANCE CERTIFICATE
page 2 of 3 C I ient#: 1776055 150D E N OVV E N ACORD,, CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 11 /01 /2018 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 pol)cy(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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME7 Jamie Verdura McGriff Insurance Services PHONE 610 279-8550 6102798543 A/C, No, Ext : (A/C, No): 2500 Renaissance Blvd Suite100 E-MAIL JVerdra�McGrlfflnsurance.com King Of Prussia, PA 19406-2639 ADDRESS: 610 279-8550 INSURER(S) AFFORDING COVERAGE NAIC e INSURER A: N+11-.11,11 Flra Inrrance Coot Hartland 20478 INSURED -._- Continwal C 20A^' Denovo Ventures Holdings LLC 6400 Lookout Road, Suite 101 Boulder, CO 80301 INSURER B: ua+aM ompany INSURER C: tdurma cmuskY comPanY 311 INSURER D : Fader-1 Insurance company 2O2 INSURER E : _ INSURER F; COVERAGES CERTIFICATE NUMBER- RCVICIntJ NHIURGR- 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 CONTRACTOR 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 SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTRR TYPE OF INSURANCE ADDLSU13R INSR WVD - POLK:Y NUMBER _ 6056754109 POLICY EFF (MM/DD/YY 1/05/2018 POLICY EXP MM/DD/YYYI�' 11/05/2019 LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I OCCUR EACH OCCURRENCE $1 000 000 PREMISES EaEoccurrence)$1001000 MED EXP (Anyone person) PERSONAL & ADV INJURY $1 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: POPRO- LICY � ECTT 7LOC OTHER: GENERAL AGGREGATE $2,000 PRODUCTS -COMP/OP AGG _O00 $2 000 0OO $ A AUTOMOBILE X LIABILITY ANY AUTO OWNED SCHEDULED AU AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY C5099672411 CUE5099672456 1/0W2018 1 1/05/2018 1/05/2018 11/05/201 COMBINED SINGLE LIMB (Ea} 1 000 000 , BODILY INJURY (Per person) $ $ BODILY INJURY (Per accident) PROPERTY DAMAGE Per accident $ B UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMS -MADE 11/0&201 11/05/2019 EACH OCCURRENCE $5 000 OOO AGGREGATE s5,000,000 DED _X1 RETENTION $.10000 PER OTH- X $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION.OF OPERATIONS below N/A WC599672473 596630552 82495392 E.L. EACH ACCIDENT $1 000 000 E.L. DISEASE - EA EMPLOYEE —_ $1 000 000 E.L. DISEASE -POLICY LIMIT -- $1 000,000 C D D Cyber E&O 50k Ded EPLI 3rdPartv EE Thef 1 182495392 1/05/2018 5/01/2018 5/01/2018 11/05/2019 05/01/2019 05/0112019 5,000,000 2,000,000 1,000,000 —, --, DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Vt r— City of Fort Collins P.O. Box 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE CQ A a.♦,.tTlL ACORD 25 (2016103) 1 of 1 130 #S21257844/M21257738 ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD JV3