HomeMy WebLinkAbout507746 DENOVO VENTURES LLC - INSURANCE CERTIFICATE (2)page 2 of 3
Client#: 1776055 150DENOVV EN
DATE (MM/DD/YYYY)
ACORD: CERTIFICATE OF LIABILITY INSURANCE 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 policy(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 CONTACT NAME: Jamie Verdura
McGriff Insurance Services PHONE 610 279-8550 6102798543
A/C, No, Ertl: A/C, No
2500 Renaissance Blvd Suite100 JVerdra�McGrlfflnsurance.com
ADDRESS:
King Of Prussia, PA 19406-2639
INSURER(S) AFFORDING COVERAGE NAIC #
610 279-8550
INSURER A: Nnlonsl Flro Irrurenca Co of wm«d 20478
INSURED INSURER B : COMlrwnhl CaK*" Corryany 20443
Denovo Ventures Holdings LLC —
6400 Lookout Road, Suite 101 INSURERC: CqumbkCawalryCongarry 31127
INSURER D: Fad" lrwurorroa Company 20281
Boulder, CO 80301
INSURER E
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
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.
INSR
LTR
A
TYPE OF INSURANCE
ADDL
INSR
UBR
IWVO
POLICY NUMBER __
POLICY EFF POLICY EXP
(MM/DD/YYYY) _(MM/DD/YYY
11/05/2018'11/05/201
UMrrS
X,, COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
6056754109
EACH OCCURRENCE
$1 OOOOOO
FAAl TO RENTED
PREMISES Ea occurrence
$� 001qq0
MED EXP (Any one person)
$15,000
PERSONAL & ADV INJURY
$1 000000
_
nLIMIT APPLIES PER:
GEN'L AGGREGATE0
POLICY JECT LOC
OTHER:
GENERAL AGGREGATE
$2,000,00
PRODUCTS -COMP/OP AGG
s2,000,000
$
A
AUTOMOBILE LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY _- AUTOS
HIRED NON -OWNED
X AUTOS ONLY X AUTOS ONLY
C5099672411
CUE5099672456
-------_._..—
WC599672473
30552
96
82392
84
2D
1/05/2018
11/05/201
-
COMBINED SINGLE LIMIT
Ea accident
1 000 000
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
_
$
B
UMBRELLA LIAR
EXCESS LAB
CLAIMS -MADE
11/05/2018
!11AW201 9
EACH OCCURRENCE
$5 000 000
HOCCUR
AGGREGATE
$5 000,000
DED I x I RETENTION $1 0000
$
AAN
C
D
COMPENSATION
D EMPLOYERLIABILITYY /N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory In NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
Cyber E&O 50k Ded
EPLI
3rdPart EE Thef
N/A
1/05/2018 11/05/2019'IER
1/05/2018 11/05/2011
01/201805101/20191
Z01/2018,05/01/2019
.PER OTH-
E.L. EACH ACCIDENT
$1�000�000
E.L. DISEASE - EA EMPLOYEE
$1 000,000
E.L. DISEASE - POLICY LIMIT
$1 000 000
5,000,000
2,000,000
1,000,000
_L_j392
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space Is required)
GtH I IhICATt HOLUEH GANGtLLA I ION
City of Fort Collins
PO 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
0,4 /"\ ll..&
ACORD 25 (2016103) 1 Oft
133 #S21257845/M21257738
®1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
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